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Levine Children’s Hospital

Center for Advancing Pediatric Excellence

CAPE advances pediatric quality improvement through resident education, project mentorship, coaching, interdisciplinary collaboration and the shared learning of successful improvement work.

Explore the program background, resident curriculum, annual Quality Improvement Coaching Conference, awards, project examples and CAPE team contacts.

Levine Children's Hospital Center for Advancing Pediatric Excellence logo
Supporting measurable, sustainable improvements in pediatric care.

Program background

About CAPE

A pediatric improvement center based at Levine Children’s Hospital in Charlotte, North Carolina.

Transforming care for children and families

Levine Children’s Hospital’s Center for Advancing Pediatric Excellence (CAPE), in Charlotte, NC, is committed to transforming the care for all children who enter our doors and are cared for by our physicians and clinicians.

Resident quality improvement education

Rationale and yearly goals

Residents progress from learning foundational QI terminology and methods to participating in improvement work and ultimately championing a project.

Why the curriculum matters

There is an increasing expectation for pediatricians to demonstrate excellent health outcomes for children. These requirements derive from many sources. For residents, these requirements come from the Accreditation Council for Graduate Medical Education (ACGME) and include competencies of Practice-Based Learning and Improvement and Systems-Based Practice.

Residents are dedicated and passionate about providing the best possible care for their patients. Unfortunately, the Quality Improvement (QI) methods needed to provide that care have not been broadly taught during pediatric training, therefore few residents have had experience practicing those methods.

The curriculum will provide you with well-researched and tested material to build your capacity to recognize, understand and facilitate QI in healthcare. It will also provide a transferable knowledge base for your future practice.

PGY-1 Foundation

Year One

  • Begin learning QI terminology, methodology and data through didactic lectures, web-based modules and readings.
  • Conduct a Personal Improvement Project (PIP) and a Reflective Practice Project (RPP).
  • Learn about ongoing QI projects from presentations at departmental and Levine Children’s Hospital QI Forums.
  • Incorporate QI into daily work and utilize QI Coach.
PGY-2 Participation

Year Two

  • Continue QI methodology learning through didactic lectures, web-based modules and readings.
  • Identify and utilize a QI faculty mentor.
  • Participate as an active team member on a current QI project or initiate your own project.
  • Learn from ongoing QI project presentations at Levine Children’s Hospital QI Forums and departmental meetings.
  • Learn about sustainability of projects and/or participate in a project hand-off.
PGY-3 Leadership

Year Three

  • Continue QI methodology learning through didactic lectures, web-based modules and readings.
  • Participate as a resident champion, utilizing a faculty mentor and QI Coach, on your existing QI project or identify a new QI project to champion.
  • Present your QI project at a Levine Children’s Hospital QI Forum or other scholarly forum.
  • Hand off the project and discuss sustainability.

Annual coaching conference

Quality Improvement Coaching Conference

In the fall, CAPE hosts an annual Quality Improvement Coaching Conference (QuICC) where fellows present current QI projects and benefit from collaboration with faculty and participants.

For more information, please email Sarah Mabus .

Levine trophy
Recognition for pediatric quality improvement

Program recognition

Awards and scholarship

The QI curriculum has been awarded the Children’s Hospital Association Pediatric Quality Award in the Delivery System Transformation category. Every other year, this award honors and spreads successful improvement initiatives that children’s hospitals can replicate.

Award judges commended the program for addressing a need for QI training upstream and noted the ability this program has to impact care far beyond the walls of Levine Children’s Hospital as trainees disseminate this QI culture upon graduation.

An evaluation of the program can be found in the February 2016 issue of the Journal of Graduate Medical Education in the Educational Innovation section.

Pediatric residents’ QI work is recognized annually at the enterprise-wide Atrium Health Resident and Fellow Quality Improvement Poster Reception sponsored by Atrium Health’s Graduate Medical Education department, with awards such as “Most Impactful” and “Most Innovative.”

  • Improving Pediatrics Sepsis Outcomes, Reducing Time to First Appropriate Antibiotic in Cases of Sepsis
  • Reducing Central Line Associated Bloodstream Infections by Optimizing Bundle Compliance

Resident scholarship

Resident project examples

Review examples of resident-led pediatric quality improvement work. Each poster opens as a PDF in a new browser tab.

Poster: CLABSI bundle compliance
Resident QI poster

Reducing Central Line Associated Bloodstream Infections by Optimizing Bundle Compliance

View poster
Poster session: sepsis antibiotic timing
Resident QI poster

Improving Pediatrics Sepsis Outcomes — Reducing Time to First Appropriate Antibiotic

View poster

Program contacts

CAPE team

Contact a member of the CAPE team for additional information about the program, curriculum, coaching or conference.

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