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LPCH Outreach Program


Our Stanford Children’s Health and Stanford Hospital Pediatric Emergency Department Outreach Program (HOP)

We hope to provide ongoing resources and information to assist you in caring for the children in our community.

Below is a brief introduction to our Stanford Children’s Health and Stanford Hospital Pediatric Emergency Department Outreach Program (HOP) and a summary of the revision of the previous joint Policy Statement titled “2018 Guidelines for Care of Children in the Emergency Department by the American Academy of Pediatrics (AAP) which guides our outreach team’s principles & direction. More can be found here on the website: https://pediatrics.aappublications.org/content/142/5/e20182459

The majority of children ill and injured are seen at community hospital emergency department nearest their location. In the U.S 69% of EDs providing care for fewer than 15 children per day. Community emergency departments need to be prepared to accurately assess, and at a minimum stabilize and safety transfer children who are acutely ill and injured. (Remick, K., et Al, 2018)

We are committed through our Hospital Outreach Program (HOP)  Steering Committee to assist you in better serving the needs of children presenting in your emergency department through our expert pediatric recommendations & and a developed partnership through the collective continuity of care. We created a special committee and department within our hospital system to better assist you in recognizing the unique needs of children and their families to include those with special needs. In addition, we can assist you in developing a plan to evaluate care quality, safety, and competencies for your hospital’s pediatric emergency care. We can also assist in providing feedback on patients transferred to give loop closure to your team.

We at Stanford Children’s Health can support you in providing care that is safe and consistent for your patients through our outreach efforts. In addition, Stanford Children’s Health stands ready to assist you in times where transfer is necessary for ill or injured children by providing exceptional care that's backed by the research, innovation and discoveries coming from a leading university and top-ranked academic medical center.


Our Hospital Outreach Program (HOP) Steering Committee meets bi-monthly to assess the individual & collective needs of our referring community hospitals. The committee includes members from our Pediatric Emergency Department, PICU, NICU, Acute Care Surgical Subspecialists, Transport, Transfer Services, Telemedicine, Marketing, Strategy, Physician Liaison & REVIVE (Simulation) teams. This team is led by:


Andy Wen, MD Clinical Associate Professor of Pediatrics, Director of Regional Critical Care Services, Stanford University School of Medicine & Melanie Stroud, RN, MBA Director of Hospital Outreach Program & Pediatric Trauma

You can reach us for more information or patient follow up by emailing outreach@stanfordchildrens.org


In the AAP Policy Statement it refers to resources necessary for community hospitals to take care of children of all ages.

Our Hospital Outreach Program (HOP) stands ready to assist you in the following based on the above recommendations by the AAP:

·       Demonstration & maintenance of pediatric clinical competencies through continuing education i.e. through team training exercises, simulation, participation in conferences and grand rounds

·       Pediatric illness & injuries,  Assessment & reassessment

·       Assisting with the value of specific structural and process measures on improved patient safety and quality of care. For example (medication safety, pain assessment/ sedation & analgesia, order sets, procedures, equipment safety,  evidenced based clinical pathways, etc.)

·       Policies, Procedures, and Protocols

·       Imaging & Lab guidelines & recommendations

·       Resuscitation – to include: critical care monitoring, neonatal & pediatric resuscitation

·       Trauma resuscitation and stabilization: traumatic brain injury, fracture management, hemorrhagic control, and recognition of non-accidental trauma

·       Disaster Management includes triage of pediatric victims, tracking , and identification, reunification

·       Patient and family centered care- to include cultural competencies , health literacy concepts and skills

·       Quality Improvement & Performance Improvement measures to include the transfer and transport process

·       Social & behavioral health issues, child maltreatment mandated reporting & assessment

·       Death of a child in the Ed – emotional assistance for staff and physicians, bereavement counseling

·       Children with special health care needs & developmental disabilities  

·       Telehealth & telecommunications

·       Consideration to any other identified need you may have as our respected partners in the community

Resources that can be used to assist with the implementation of all aspects of this document can be found at www.pediatricreadiness.org.

Remick, K. et Al (2018) Pediatric Readiness in the Emergency Department. AMERICAN ACADEMY OF PEDIATRICS Committee on Pediatric Emergency Medicine and Section on Surgery, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS Pediatric Emergency Medicine Committee and EMERGENCY NURSES ASSOCIATION Pediatric Committee. Pediatrics November 2018, 142 (5) e20182459; DOI: https://doi.org/10.1542/peds.2018-2459


Recorded Presentations


Reference Materials

Contact Us

Please let us know if other topics or references would be helpful. Feel free to reach out anytime via email at outreach@stanfordchildrens.org