IFCA’s 6th International Chefs Conference 2015 Sponsors
IFCA Global Culinary Exchange Sponsors
IFCA Women’s Forum (Indian Federation of Chef’s Association) is an initiative which strives to increase visibility of women chefs within the country and in International platforms.It endeavours to support them in their efforts to advance their careers while balancing work and family.
To light up the celebratory mood, Wonderchef has launched interesting new collections. The innovative brand believes that consumers are now striving for unique and stylish cookware products that suit their lifestyle and personality and want something eye─catching to cook and serve food in.
TripAdvisor today launched a Travel Timeline feature for its mobile app that helps travellers conveniently log and share experiences from their trips. Once activated, the feature automatically creates a timeline of the places travellers have visited and the photos they've taken at each location, which can be viewed in chronological order or as a route on a map. The timeline is private to the user on their TripAdvisor app, but travellers can edit their timeline and easily share it with family and friends.
Parent and Provider Perspectives on Pediatric Readmissions: What Can We Learn About Readiness for Discharge?
Readmissions are an increasingly recognized quality metric that will likely affect payments to children’s hospitals. Our aim was to inform future efforts to reduce readmissions by eliciting parent and provider perceptions of pediatric readmissions.METHODS:
We interviewed English- and Spanish-speaking parents and inpatient providers of children with medical diagnoses who had unplanned readmissions (≤7 days). Parents were interviewed one-on-one during the readmission. Providers were interviewed in person or by phone within 1 week of the patient’s second discharge. Interviewees were queried about their perceptions of the reason for readmission and whether the readmission was preventable. Interview transcripts were analyzed using qualitative content methods. Code categories were developed and emergent themes independently identified by 2 analysts.RESULTS:
The study included 30 readmitted children (median age 17 months, 70% male, 80% White or Hispanic, and 66% publically insured). We interviewed 30 parents (23% Spanish speaking) and 27 discharging or readmitting providers. Parents and providers identified several major factors as causing readmissions, including child related (health and symptoms), parent/family related (adherence to recommended care), provider/team related (medical management), communication difficulties, home supports, and quality of discharge teaching. Parents and providers had differing interpretations of the role or magnitude of these factors. Lack of shared understanding between parents and providers emerged as a potentially important cause of readmissions.CONCLUSIONS:
We identified lack of shared understanding and communication difficulties between parents and providers as potential causes of readmission. Further research is needed to determine if improvements in identifying and addressing such problems can reduce pediatric readmissions.
An Examination of Physician-, Caregiver-, and Disease-Related Factors Associated With Readmission From a Pediatric Hospital Medicine Service
The purpose of this study was to describe the characteristics and reasons for pediatric hospital medicine readmissions. We also aimed to describe characteristics of potentially preventable cases and the reliability of classification.METHODS:
Retrospective descriptive study from December 2008 through June 2010 in a large academic tertiary care children’s hospital in Houston, Texas. Children were included if they were readmitted to the hospital within 30 days of discharge from the pediatric hospital medicine service. Reasons for readmission were grouped into three categories: physician-related, caretaker-related, and disease-related. Readmissions with physician- or caretaker-related reasons were considered potentially preventable.RESULTS:
The overall readmission rate was 3.1%, and a total of 204 subjects were included in the analysis. Lymphadenitis and failure to thrive had the highest readmission rates with 21%, and 13%, respectively. Twenty percent (n = 41/204) of readmissions were preventable with 24% (n = 10/41) being physician-related, 12% (n = 5/41) caregiver-related, and 63% (n = 26/41) for mixed reasons. When comparing classification of readmissions into preventable status, there was moderate agreement between 2 reviewers (K = 0.44, 95% confidence interval: 0.28–0.60). Among patients with preventable readmission, the probability of having had a readmission by 7 days and 15 days was 73% and 78%, respectively.CONCLUSIONS:
Reliable identification of preventable pediatric readmissions using individual reviewers remains a challenge. Additional studies are needed to develop a reliable approach to identify preventable readmissions and underlying modifiable factors. A focused review of 7-day readmissions and diagnoses with high readmission rates may allow use of fewer resources.