February 2023 - Finding Continuity for the LOST (LOng STay) Patient

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February 1, 2023
Jeff Edwards, MD, MA, MAS

This lecture is eligible for CE credit until Thursday, March 2, 2023. After watching the lecture, please email [email protected].

Objectives:
1. Give examples of how usual care models in pediatric ICUs can result in fragmented care for patients with prolonged stays.
2. Describe how the 3 types of continuity can plausibly mitigate fragmented PICU care.
3. Compare and critique different strategies to provide continuity of care to PICU patients.

Dr. Jeff Edwards is an Associate Professor of Pediatrics at Columbia University Irving Medical Center and an intensivist at Morgan Stanley Children’s Hospital in New York City. As a health services researcher, he is interested in children with life-limiting, complex chronic conditions, who require substantial and ongoing medical and community-based care. Broadly, he focuses on how critical illness impacts these medically complex children, how these children impact pediatric ICUs, and improving their patient-centered outcomes. He sees the future of pediatric critical care intertwined with the growing, vulnerable, impactful population of children with complex chronic conditions. Furthermore, because of their risk of unfavorable outcomes, these children will continue to have high palliative care and ethic consultation needs.
He has received a NICHD K23 award to support his research and career development and used it to create a novel decision support booklet for families facing whether to initiate their child with chronic respiratory failure and life-limiting conditions on long-term ventilation. Presently, he concentrates on continuity strategies to augment the transitory PICU care models and to mitigate the effect of fragmented care of long-stay PICU patients. In addition to his research and service in the PICU, he mentors pediatric residents and critical care fellows in their scholarly projects and serves as medical director for one of three PICUs at Morgan Stanley Children’s Hospital.

The Ethics Lecture Series is free and open to all. Continuing education credit is offered to physicians, nurses, social workers, psychologists, and chaplains at no charge, regardless of their institutional affiliation. For additional information about the Charles Warren Fairbanks Center for Medical Ethics, please visit our website at www.fairbankscenter.org.