Ohio Children's Hospital Solutions for Patient Safety

What it reported doing in 2025

Solutions for patient safety (sps) is a unique learning network consisting of 150+ children's hospitals across north america working together to help each individual hospital make progress on a journey to zero harm in participating institutions. Employing high-reliability concepts and quality improvement science methods, the network is focused on reducing harm by preventing serious safety events, readmissions (within 7 days from discharge), and 15 hospital acquired conditions (hacs): ambulatory safety, adverse drug events, catheter-associated urinary tract infections, central line-associated blood stream infections, employee and staff safety, culture of safety, hospital acquired delirium, injuries from falls, nephrotoxic acute kidney injury, pressure injuries, peripheral intravenous infiltrates/extravasations, safety disparities, surgical site infections, unplanned extubations, and venous thromboembolism. In 2025, sps strengthend their foundations in modern safety culture and introduced the sps safety performance plan and its associated safety critical tasks. Sps advanced strategic planning and set one year improvement targets for the highest occurring patent and employee harms, which include central line-associated blood stream infections (clabsi), unplanned extubations (ue)-icu, overexertion (oe), and patient behaviorial events (pbe). In response to the information obtained from the clabsi data, 26 hospitals participated in a six-part webinar series related to proactive safety tools related to effective line maintenance. Quality/safety and occupational health/safety partners from 19 hospitals participated in the oe change package implementation workgroup. Sps published two new publications related to reducing unplanned extubation and the impact of safety focused site visits between children's hospitals. Through implementation of the network's best practices, children are being protected from harm and costs are being removed from the health care system. Since 2012, this national effort has led to an estimated savings of more than 805 million and saved 34,000 children from serious harm, with a consistent upward trend in harm prevented every month. In 2025, sps hosted a spring in-person learning event and a winter virtual learning event engaging over 1700 participants. Additionally, sps held an in-person session and a webinar for 120+ ceos and top pediatric leaders to utilize peer to peer and industry learnings to identify best practices for eliminating harm, as well as discover trending topics for the network. Sps hosted three virtual quality and safety leader convenings bringing together 127 hospital safely leaders to discuss the shift toward modern safety culture and leadership behaviors to influence culture and drive meaningful improvement. Two board trainings were held that featured networking, scenario-based learning, and breakouts focused on breakthrough harms and the implementation of modern safety principles that hosted 98 virtual attendees and 46 in-person attendees. Thirteen regional meetings were held to apply a proactive safety tool to a breakthrough hospital acquired condition to learn about improvement opportunities.

Financial Efficiency

• Mission deployment rate: 89%; rating input score 89
• Program expense ratio: 86.6%; rating input score 87
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 6 of 8 controls in place; rating input score 75
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Fail
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: -6.4%; rating input score 13; 13th percentile among comparable filings
• Total-asset coverage ratio: 1.41; rating input score 46; 46th percentile among comparable filings
• Liabilities to assets ratio: 0.34; rating input score 23; 23rd percentile among comparable filings
• Officer compensation ratio: 2.4%; rating input score 73; 73rd percentile among comparable filings

Growth

• Program expense growth: 5.8% per year; rating input score 100; 40th percentile among comparable filings
• Revenue growth: 4.9% per year; rating input score 100; 37th percentile among comparable filings
• Asset growth: 10.4% per year; rating input score 100; 59th percentile among comparable filings