{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T13:26:55Z","timestamp":1794317215668,"version":"4.9.0"},"reference-count":34,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"\n \n <\/jats:sec>\n \n OBJECTIVES<\/jats:title>\n To develop an Achievable Benchmarks of Care (ABCs) report card for common conditions managed by pediatric hospital medicine (PHM).<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n We performed a retrospective cross-sectional study of encounters for 13 common pediatric conditions between January 1, 2023, and December 31, 2024, using the Pediatric Health Information System database. Conditions included bronchiolitis, asthma, pneumonia, urinary tract infection, constipation, gastroenteritis, cervical lymphadenitis, skin and soft tissue infection, orbital cellulitis, osteomyelitis, septic arthritis, neonatal fever, and simple febrile seizure. Overall utilization measures included length of stay (LOS) and readmission rate. Condition-specific measures included imaging, laboratory testing, procedures, and medications ordered. ABCs were calculated using top-performing hospitals (\u226510% of each cohort). For each measure, we calculated the median hospital performance, IQR, ABCs, and performance gap (difference between median performance and the ABC).<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n We compiled 115 measures for the 13 conditions, representing 237\u2009283 hospitalizations or 33.5% of nonsurgical discharges among children meeting our overall inclusion\/exclusion criteria. For 11 conditions, calculated ABCs for LOS were less than 48 hours. The ABC LOS for the remaining 2 conditions (osteomyelitis and septic arthritis) was less than 74 hours; these 2 conditions experienced the greatest performance gap. ABC readmission rates across all conditions were less than 2.0%. As an example of a condition-specific measure, we assessed chest radiograph performance across respiratory conditions with ABCs ranging from 20.6% to 57.9%, associated with a performance gap of 18.3% to 22.4%.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n We developed a core set of PHM-specific ABCs and incorporated them into designed to support local and collaborative multicenter improvement efforts.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/peds.2026-075956","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:03:02Z","timestamp":1791244982000},"source":"Crossref","is-referenced-by-count":0,"title":["Development of an Achievable Benchmarks of Care Report Card for Pediatric Hospital Medicine"],"prefix":"10.1542","volume":"158","author":[{"given":"Jessica L.","family":"Markham","sequence":"first","affiliation":[{"name":"1Department of Pediatrics, Children\u2019s Mercy Kansas City, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri"},{"name":"2University of Kansas School of Medicine, Kansas City, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vineeta","family":"Mittal","sequence":"additional","affiliation":[{"name":"3Division of Pediatric Hospital Medicine and Department of Pediatrics, UT Southwestern Medical Center and Children\u2019s Health, Dallas, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matt","family":"Hall","sequence":"additional","affiliation":[{"name":"1Department of Pediatrics, Children\u2019s Mercy Kansas City, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri"},{"name":"4Children\u2019s Hospital Association, Lenexa, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Molloy","sequence":"additional","affiliation":[{"name":"5Division of Hospital Medicine, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"},{"name":"6Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Troy","family":"Richardson","sequence":"additional","affiliation":[{"name":"4Children\u2019s Hospital Association, Lenexa, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Tchou","sequence":"additional","affiliation":[{"name":"7Department of Pediatrics, University of Colorado School of Medicine and Children\u2019s Hospital Colorado, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy","family":"Auger","sequence":"additional","affiliation":[{"name":"5Division of Hospital Medicine, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"},{"name":"6Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavita","family":"Parikh","sequence":"additional","affiliation":[{"name":"8Division of Hospital Medicine, Children\u2019s National Hospital, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amber","family":"Davidson","sequence":"additional","affiliation":[{"name":"4Children\u2019s Hospital Association, Lenexa, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir S.","family":"Shah","sequence":"additional","affiliation":[{"name":"5Division of Hospital Medicine, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"},{"name":"6Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"2026111007572358900_r1","volume-title":"U.S. Health Care From a Global 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