Online Program

Automation of hospital child abuse reports

Wednesday, November 6, 2013 : 11:30 a.m. - 11:50 a.m.

Michael Durfee, MD, ICAN Agencies - is the child abuse network of agencies for LA County, ICAN National Center on Child Fatality Review, La Canada, CA
Child abuse medical expertise has expanded but the application of that knowledge varies and there is little data on that variation. Many hospitals do not even know how many child abuse reports they make. The secrecy of investigation and confidentiality claimed for medical records block information sharing. What is clear is that the process in many hospitals is unclear. The ICAN California Hospital Network moves to a more vigorous and measured model in all hospitals. Hospital child abuse reports will be captured in a computer data base that can be analyzed to help monitor reporting and track cases that have been reported. A similar hospital network was created in LA County, 1981-1986 starting with the six hospitals that had SCAN teams and a central data count. That grew to 30 hospitals with SCAN Teams by 1986 and reports increased dramatically. Today there are 126 hospitals statewide with liaison in a directory and a growing group of hospitals building computer data systems. Multiple software models will be presented including the web based ICAN model that is designed for rapid simple data entry or complex data with attached medical records. Burn, birth and PICU units from different hospitals will share their unique view experience. Joint case management with hospitals may replace agencies working in isolation. Fatal and severe cases will connect to Child Death Review. Case examples, data systems and software will be used to explain this program serving 37 million people. Others with such systems may join a national work group.

Learning Areas:

Administer health education strategies, interventions and programs
Administration, management, leadership
Communication and informatics
Ethics, professional and legal requirements
Public health or related laws, regulations, standards, or guidelines
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Define the present status of hospital knowledge of their child abuse reports Describe the way that this program will connect hospitals to their reports List three benefits for case management from this program Discuss the ways that this program will help with child abuse research

Keyword(s): Child Abuse, Hospitals

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am board certified in child psychiatry with 38 years experience with child abuse. I started child death review that is in place in a dozen countries and published in journals and books. I have 126 hospitals in a working network and computer software in development to automate hospital child abuse reports.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.