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High Acuity Readmission Risk Pediatric Screen (HARRPS) Tool

What is the HARRPS Tool?


The HARRPS Tool is a collection of questions that calculates an overall readmission risk score for a pediatric patient. The score is then associated with a risk category of low, moderate, or high risk. The evidence-based tool has undergone research providing credibility to the tool’s predictive power in identifying readmission risk for the pediatric population.

Why focus on Readmissions?

  • Patient and family satisfaction related to keeping kids at home instead of in the hospital.

  • Preventable pediatric readmissions had a nationwide annual cost of $1.5 billion in 2015.

  • Centers for Medicare and Medicaid Services and the Pediatric Quality Measures Program consider readmissions as a quality indicator for hospitals.

  • Solutions for Patient Safety tracks readmissions as a pediatric Hospital Acquired Condition (HAC).

  • American Case Management Association’s standard of practice for case/care managers is to screen patients for risk.

Next Steps

Adult Volunteer at Children's Mercy
Step 1

Share tool with other pediatric organizations

Adult Volunteer at Children's Mercy
Step 2

Collaborate with other organizations to determine best practice interventions for high risk patients

Adult Volunteer at Children's Mercy
Step 3

Future research opportunities

Presentations & Publications

  • Podium and Poster Presentations

    • 2017 National American Case Management Association Conference (Gaylord Resort, Washington D.C.) – Poster on Quality Improvement Project to implement use of tool

      • Won poster award for “The Most Innovative Topic"

    • 2017 National American Case Management Association Conference (Gaylord Resort, Washington D.C.) – Podium Presentation on Quality Improvement Project: Implementing Use of HARRPS Tool

    • 2019 Patient Care Services Grand Rounds, Children’s Mercy Hospital – Presentation of Quality Improvement & Research Project of HARRPS Tool

    • 2019 Solutions for Patient Safety – Regional Conference (St. Louis, Missouri) – Overview of HARRPS Research Project

    • 2019 National American Case Management Association Conference (Seattle, Washington) – Podium Presentation of HARRPS Research Project and Findings

    • 2019 Kansas City Nurse Research Consortium Forum: Presentation on HARRPS Research Project

  • Publications

    • Fall 2017 Collaborative Case Management – Cover Story about the HARRPS Quality Improvement Project

    • (Coming Soon) – Research project

Learn more through the Access the HARRPS white paper tool.

Resources

Children’s Hospitals’ Solutions for Patient Safety (SPS) Prevention Bundles

Agency for Healthcare Research and Quality – Hospital Readmission

AHRQ Pediatric Readmissions Fact Sheet

American Case Management Association – Scope of Practice

National Institute of Health – Pediatric Readmissions as a Quality Indicator