Dr. Joyce Chang, recipient of the Lupus Foundation of America’s 'Mary Betty Stevens Young Investigator Award', discusses her study on improving outcomes of pediatric lupus care. Topics include using the pediatric Lupus Care Index and population management strategies, developing a multidisciplinary care model, challenges in obtaining clear information about print-as-own tapers, and managing time and focusing efforts in a rheumatology career.
The use of the Pediatric Lupus Care Index (PLCI) and population management strategies can improve outcomes in childhood SLE by benchmarking care processes and integrating them into electronic health records.
Implementing a multidisciplinary care model that engages various stakeholders can address gaps in pediatric lupus care and improve timely follow-up for patients.
Deep dives
Composite Index of Pediatric Lupus Care Metrics: The PLCI
The Pediatric Lupus Care Index (PLCI) was developed as a composite index to benchmark the quality of care for pediatric lupus patients. It includes care processes related to routine assessment of disease control, minimizing disease and treatment-related comorbidity, and population management. The goal of publishing the manuscript was to showcase that measurement of care processes and care quality can be automated and integrated into electronic health records, making adoption more feasible for the pediatric community.
Multidisciplinary Care Model: Enhancing Lupus Care for Youth
The Children’s Hospital of Philadelphia (CHOP) implemented a multidisciplinary care model to address gaps in pediatric lupus care. This model involved engaging various stakeholders, including patients, caregivers, healthcare workers, and advocacy groups, to determine the needs of families managing lupus. The care model aimed to ensure timely follow-up through effective tracking and intervention, addressing potential barriers such as transportation or work hours. The model initially relied on a manual process but later transitioned to an automated system using the electronic health record (EHR) for efficient management of follow-up visits.
Improving Pediatric Lupus Care: Study Findings and Future Implications
The study reported prospectively collected data from the CHOP Pediatric Lupus Research Registry to evaluate programmatic interventions and their impact on care delivery and clinical outcomes. The study found that providers' review of their performance using the Pediatric Lupus Care Index (PLCI) led to small but measurable improvements in care quality adherence. Additionally, the implementation of a multidisciplinary care model at CHOP resulted in a higher percentage of recommended care processes being completed and improved timely follow-up for patients with lupus and arthritis. The findings emphasize the importance of standardized care and collaboration to enhance pediatric lupus care delivery nationally.
This week our guest is Dr. Joyce Chang, MD, MSCE, a recipient of the Lupus Foundation of America’s “Mary Betty Stevens Young Investigator Award”, who shares her latest study, its methods, conclusions and career journey with us! Dr. Chang’s latest study “Improving Outcomes of Pediatric Lupus Care Delivery With Provider Goal-Setting Activities and Multidisciplinary Care Models“ used the pediatric Lupus Care Index (pLCI) and population management strategies for improving outcomes in childhood SLE. Later, we spent some time with Dr. Chang and asked what she sought out in her first faculty appointment and how she ensured she would hit the ground running.
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