Urology Outcomes

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Why Choose Us: Urology

Our Outcomes: The Results of Our Care

It can be scary if your child needs any kind of operation. That’s why Nemours’ fellowship-trained pediatric urologists are committed to giving you all of the information you need to help you and your child understand what to expect before, during and after surgery. And we’re dedicated to delivering the best possible urologic care for the children we treat.

Why Measuring Results Matters

Most kids do extremely well with surgery. As with any operation, though, there are risks. At Nemours, we work hard to minimize them by streamlining and improving our surgical processes. We continually measure and analyze our performance, and compare our results. Why? So we can:

  • help you make decisions about your child’s care
  • be clear about our results
  • improve so we can consistently deliver better, safer care

Here are a couple of outcomes we track and focus on to improve the experience for both you and your child.

 

Preventing Repeat Operations

Preventing Repeat Operations


Keeping Kids From Having to Come Back for Surgery

If your child needs an operation, having to go back to the operating room is the last thing you — or we — want. When a child needs surgery again for the same issue or condition it’s called a “reoperation” (or “unplanned return to the operating room”). Lots of factors can contribute and, in any surgery, there's always the possibility of complications. But at Nemours, we strive to keep kids from having to come back in for surgery unexpectedly. Our goal is to limit the potential problems, as much as possible, that we know we can control. And we monitor reoperations to identify possible opportunities for improvement. 

 

Unplanned Returns to the Operating Room, 2016

1,837

Total number of Nemours urology surgeries

0.43%

Percentage of Nemours urology surgery patients who returned to the operating room

Data sources: Weighted average calculated using the total number of urology operations and the total number of unplanned urology reoperations for Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.); Nemours Children’s Specialty Care; Jacksonville/Wolfson Children’s Hospital (Jacksonville, Fla.); and Nemours Children's Hospital (Orlando).

Keeping Kids From Having to Stay at the Hospital

Keeping Kids From Having to Stay at the Hospital


Preventing Hospital Admissions After Surgery

Sometimes kids with chronic or complex conditions have planned repeat hospitalizations for ongoing medical care. Sometimes children are admitted with new infections, respiratory problems, gastrointestinal illnesses, etc. However, it’s important to avoid, as much as possible, potentially preventable admissions — such as hospital-acquired infections (when a patient gets an infection during surgery or hospital stay) or returns due to incomplete treatment or not recognizing a condition. It’s important to minimize unplanned admissions because they can:

  • interfere with your child’s and family’s life — cause missed school, work and important events (e.g., sports, vacations) 
  • be costly to you, the parents, especially if you have co-pays or high deductible insurance

At Nemours, we want to make sure kids don't have to be admitted to the hospital after surgery by: 

  • scheduling follow-up appointments and tests after surgery
  • providing clear educational materials and discharge instructions to families, including correct medications and doses
  • giving families access to a Nemours physician for post-discharge questions through our CareConnect telehealth service (available in the Delaware Valley and Central Florida)
  • encouraging online communication through your child’s electronic health record — MyNemours for families and NemoursLink for community physicians

 

Unplanned Hospital Admissions for a Urologic Issue Within 30 Days After a Scheduled Outpatient Urological Surgery, 2016

0%

Nemours Children's Specialty Care, Jacksonville (Jacksonville, Fla.)

1.18%

Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.)

6.26%

Nemours Children's Hospital (Orlando)

0.6%–3.75%*

National Average (Benchmark)

Unplanned Hospital Readmissions for a Urologic Issue Within 30 Days After an Inpatient Urological Surgery, 2016

0%

Nemours Children's Specialty Care, Jacksonville (Jacksonville, Fla.)

0.66%

Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.)

1.65%

Nemours Children's Hospital (Orlando)

2.6%**

National Average (Benchmark)

Data sources: Nemours data obtained from electronic health records for the Divisions of Urology at Nemours/Alfred I. duPont Hospital for Children; Nemours Children's Hospital; and Nemours Children’s Specialty Care, Jacksonville/Wolfson Children’s Hospital.
Benchmarks: *Admissions after outpatient surgery vary based on type of case. Kulaylat, AN, et al.Understanding Readmissions in Children Undergoing Surgery: A Pediatric NSQIP Analysis. J Pediatr Surg. 2017 Jul 31. pii: S0022-3468(17)30462-1. doi: 10.1016/j.jpedsurg.2017.07.021.
**Whippey, A., et al. Predictors of Unanticipated Admission Following Ambulatory Surgery in the Pediatric Population: A Retrospective Case–Control Study. Paediatr Anaesth. 2016 Aug;26(8):831-7. doi: 10.1111/pan.12937. Epub 2016 Jun 1.

Our Differentiators: What Sets Us Apart

Our Differentiators: What Sets Us Apart


Why Choose Nemours Urology

Our Nemours urologists work together as a team to continuously deliver the best possible care before, during and after surgery. Families can feel comfortable choosing our pediatric urology experts because of our:

  • Award-winning pediatric urology care. The Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del., is recognized as a top children’s hospital for pediatric urology (U.S. News & World Report, 2017).
  • Advanced robotic-assisted surgery and minimally invasive techniques. We offer the latest in laparoscopic and endoscopic surgeries that require small incisions. This can mean less pain and risk for infection — and faster recovery time.
  • Highly skilled, fellowship-trained pediatric urologic surgeons. Our surgeons have special expertise and training in a variety of innovative procedures for newborns, children and adolescents.
  • Commitment to reducing risks and improving processes. Any return to the operating room within 30 days of admission or any wound infection after surgery is identified, reported to the urology division chiefs, and reviewed during a divisional meeting. That way, all of our team members can learn from the experience and, together, determine if we need to modify our processes.
  • Dedication to educating families. We want to make sure kids and families are as well-informed and prepared as possible. We want you to understand why your child is getting an operation, how it’s being done, what to expect, as well as what the procedure’s alternatives and risks might be.