Accelerating Insights to Improve Pediatric Care at a Top Ranked Children’s Hospital

About:

Consistently ranked among the top children’s hospitals by U.S. News & World Report, providing access to more than 1,200 pediatric physicians and allied health practitioners across more than 60 pediatric specialties.

Size:

12,000+ Employees

Technology used:

Posit Team

Summary

A top-ranked children’s hospital established a unified, enterprise-grade environment for its Advanced Analytics team, accelerating the safe and effective evaluation and deployment of critical AI models for clinical decisions, such as forecasting sepsis. This transition has substantially quickened the time from model development to deployment and enabled the team to build a self-service app, SPC ChartR, which has reduced the time for creating essential quality monitoring charts by 55%.

For those of us who are behind the scenes in IT and Analytics & Data Science, having a platform that allows us to work smarter and faster helps to magnify our impact and really make a difference in the life and health of our patients.

Manager, Advanced Analytics & Outcomes

A leading pediatric healthcare system is one of the nation’s largest, driven by a mission to make kids better today and healthier tomorrow. For the Manager of Advanced Analytics & Outcomes, the future of that mission is reliant on AI. 

“We know artificial intelligence will play a big part in that tomorrow,” says the Manager. “Some of the tools we’ve built today are laying the groundwork to ensure safe and effective use of AI.” 

The data science team at the system’s facility focuses on the highest-stakes applications. Their insights directly inform essential clinical decisions, such as using predictive models to forecast the onset of sepsis in emergency department patients.

The core challenge for their team is not just ensuring governance for these critical models, but empowering others to make data-driven decisions faster and at scale. Speeding up decision-making for front-line clinicians directly impacts the life and health of their patients.

 

Faster Decisions For a Healthier Tomorrow

Their Advanced Analytics team started out rooted in biostatistics, using a mix of proprietary tools such as SAS, Stata, and SPSS. As their scope expanded into operational data science, new use cases demanded the power and flexibility of R and Python. To provide fast, trustworthy, and well-governed insights, the team needed to move from ad hoc analyses and fragmented tool usage to a unified, enterprise-grade environment. For this critical transition, they selected Posit Team, which they have been using since 2021.

 

Speeding up Evaluation and Deployment of Artificial Intelligence

While their team builds custom models with R and Python in-house, they also vet models provided by vendors. Their Advanced Analytics Manager adds, “Before we can implement any of these machine learning models that may impact patients, we put them through a rigorous phase of evaluation.”

Models inform organizational and clinical decisions in various areas, including:

  • Forecasting daily census for different units to ensure adequate staffing.
  • Predicting the onset of sepsis in emergency department patients so timely antibiotics can be administered if needed.
  • Identifying patients likely to need urgent escalation of care so they can receive earlier interventions.

Before users can see or act on predictions, dashboards developed in Shiny and Streamlit are critical. These dashboards help ensure the model’s performance is adequate, aid in selecting the appropriate threshold for eventual implementation in the electronic health record or other enterprise systems.

“In our work in artificial intelligence, our model evaluation dashboards have really quickened the time to insight and our ability to communicate.” shares the Manager.

Posit Team empowers their Advanced Analytics team to conduct real-time working sessions with key stakeholders, including clinicians and informaticists, enabling immediate decision-making about whether a project should proceed to deployment. By publishing interactive visualizations to Posit Connect, the team can rapidly demonstrate how various model versions perform, test different thresholds, and quickly iterate based on feedback – substantially speeding up the time from development to model deployment.

Using scheduled reports on Posit Connect, their team continuously monitors the model’s performance. Some of the solutions developed with Posit have been instrumental in allowing their team to stratify model performance across race, language, and ethnicity to ensure equitable results.

 

 

I've been using R Markdown and Quarto throughout my whole career as a data scientist. I find it very important to be able to create work that is beautiful and impactful, but also reproducible. Posit Connect and Workbench has made it so that we can do this as a whole team and seamlessly share our content with end users.

-Manager, Advanced Analytics & Outcomes

Enabling Self-Service Statistical Process Control (SPC) Across The System

Statistical Process Control (SPC) charts are a vital tool across many industries—including healthcare, manufacturing, and logistics— helping teams distinguish real process changes from normal variation and reliably detect true improvement. At this top ranked healthcare system, they are essential for monitoring key quality metrics such as infection and readmission rates. Previously, these charts were created manually using a proprietary Excel add-in—a time‑consuming process limited to expert users, which slowed the data-driven decisions needed for continuous improvement.

To address this, the Advanced Analytics team developed SPC ChartR, a user-friendly, interactive application that automates detection of special cause, allows users to customize chart rules, handles data filtering and aggregation, and annotations—all within a single app, developed end-to-end using Posit Team tools.

The tool has been adopted across the organization and is now taught in their Quality Academy for clinicians and others leading quality improvement projects. Usability testing showed a 55% reduction in the time required to create a single chart (from 11 minutes to 5 minutes). Given that the application is used 50+ times on an average week, offering it as an alternative to existing workflows has had a substantial impact on streamlining quality improvement efforts. 

 

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