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Incentivizing and Facilitating Quality Improvement Projects to Improve

Care Coordination in Illinois

Juanona Brewster, MDiv, MTS, MJ

Director, Early Childhood Development,

Illinois Chapter, American Academy of Pediatrics

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Learning Objectives

Discuss use of Maintenance of Certification Part 4 (MOC4)

Review MOC4 expectations

Reflect on why this brilliant plan wasn’t embraced

Evaluate the introduction of practice coaching

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Maintenance of Certification Part 4 (MOC4)

All diplomates of the American Board of Pediatrics (ABP) must maintain a full and unrestricted license

Illinois Healthy Beginnings II (IHB2) needed a way to more exactingly engage medical homes in the IHB2 work.

MOC 4 Activity Requirements

On line training

Use care coordination forms

Follow activity reporting protocol

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What worked, what didn’t

Enthusiastic response from members

Few participants

Pizza just won’t do it, even Chicago style pizza

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Enter the practice coach!!!!

Role

Tools and Supports

Impact

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Role of the Practice Coach

Increase understanding of IHB2 project and the MOC4 process for participating medical homes

Increase usage of standardized referral form when children need referral to EI in medical home pilots for IHB2

Increase practice of 36 office hour follow up with families for participating medical homes

Increase use of Statewide Provider Database (SPD) by participating medical homes

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Tools and supports

Chart review forms

Run chart templates

QI milestone chart for practice

Phone and face to face support

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Impact of using practice coaches

Increase in number of participants

Feedback on MOC process strengths and vulnerabilities

Relationship building

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Lessons Learned

Practices must still have some motivation to complete MOC4

Practice coaches can play a valuable role to expedite MOC process

Medical homes will still be frustrated by systems but do feel more “in control”

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Thank You

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