Advancing pediatric access, studying the children our systems don't see.
SEE THE CHILD. THEN LOOK UPSTREAM
Advancing pediatric access, studying the children our systems don't see.
SEE THE CHILD. THEN LOOK UPSTREAM
We measure test results.
Attendance.
Program enrollment.
Treatment outcomes.
Participation.
But those numbers usually describe the children who successfully reached the point where measurement began.
What about the children who never made it that far?
A child who never completes the blood draw doesn't appear in the laboratory dataset.
A child who stays home because school feels unsafe becomes an absence.
A family that doesn't know a wandering-safety program exists never appears in its enrollment numbers.
A nonspeaking child without accessible communication may have needs recorded as behavior instead.
My work asks a different question:
I speak to healthcare professionals, educators, school health professionals, laboratory teams, community organizations, and leaders about the barriers hiding upstream of the outcomes they measure.
Speaking topics include:
Available for keynotes, conference sessions, workshops, panels, staff education, and organizational consultation.
I'm Franchesca Kelly, a pediatric healthcare professional, Registered Behavior Technician, ASCP-certified phlebotomist, writer, speaker, and researcher.
My work began at the bedside and the laboratory chair.
Working with children taught me to notice something that conventional metrics often miss: sometimes the most important information isn't contained in the result.
Sometimes it's contained in the absence of one.
Today, I examine those absences across the systems children depend upon and translate frontline observations into research questions, quality-improvement opportunities, education, and practical interventions.
My work has been published in Contemporary Pediatrics, Critical Values, and Clinical Lab Products, and I speak to professional audiences about pediatric diagnostic access, medical trauma, behavioral preparation, and system-level missingness.
Above all, I believe we cannot improve outcomes for children we have failed to count.
See the child. Then look upstream.
Published in Autism Spectrum News
Beyond the Card: When Visual Supports Stop Supporting
What happens when a tool intended to expand communication becomes the only form adults are willing to recognize?
https://autismspectrumnews.org/beyond-the-card-when-visual-supports-stop-supporting/
If your organization serves children, there are probably children your current metrics aren't showing you.
Those are the children I want to talk about.
A research and quality-improvement initiative focused on improving pediatric diagnostic access through research, education, and innovation. WWW.ACCESSBEFOREANALYSIS.COM
Helping children prepare for medical procedures through play, confidence-building, and behavioral support. WWW.POKEPALSKIDS.COM