A Quality Collaborative for Improving Hospitalist Compliance with the AAP Bronchiolitis Guideline (B-QIP)

(B-QIP) The specific aim of this project was to improve the care of children hospitalized with bronchiolitis by increasing compliance with the AAP clinical practice guideline, with the following pre-specified goals: 1) decrease the overall usage of bronchodilators by 50%; 2) decrease the overall usage of systemic corticosteroids by 50%; 3) decrease the overall usage of chest physiotherapy by 50%; 4) decrease overall usage of chest radiography by 50%; 5) achieve 90% compliance with the usage of an “objective method of assessment” of response to bronchodilators; 6) achieve 90% compliance with the implementation of an institutional policy on conversion from continuous pulse oximetry to intermittent pulse oximetry when children no longer require supplemental oxygen; 7) achieve 90% compliance with screening and intervention for secondhand smoke exposure.