welcome to the preventive services improvement project! paula duncan, md, faap marian earls, md,...
TRANSCRIPT
Welcome to the Preventive Services Improvement Project!
Paula Duncan, MD, FAAPMarian Earls, MD, FAAP
William Stratbucker, MD, FAAP
Prework/Orientation CallNovember 22/30, 2010
This project is conducted by the AAP Quality Improvement Innovation Network in partnership with AAP Bright Futures Initiatives and in collaboration with CORNET. Bright Futures is supported by the Department of Health and Human Services, Health Resources
and Services Administration, Maternal and Child Health Bureau, under a cooperative agreement to the American Academy of Pediatrics (# U04MC07853).
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Agenda
Agenda Item Moderator Time
Welcome and Introductions Paula Duncan 5 min
Project Overview/Teams Marian Earls 10 min
Data Collection Requirements Paula Duncan 20 min
Learning Session and Next Steps
Bill Stratbucker 10 min
Questions and Answers All 15 min
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QuIIN Overview
Network of practicing pediatricians and their staff teams who use quality improvement methods to test tools, interventions, and strategies in order to improve healthcare and outcomes for children and their families
A practical working lab for pediatricians to test how improvements can be implemented in everyday pediatric practice prior to widespread dissemination
Like to be on the cutting-edge of practice innovations AAP members with an interest, or experience in quality
improvement Approximately 250 members to date
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QuIIN PreSIP Project Overview
Overall Goal: Can Bright Futures be easily implemented, birth to 3,
in a busy clinical setting?Project Aims: Between February and October 2011, PreSIP practice
teams will aim to improve health supervision care for children age birth to age 3 using the guidelines set forth in Bright Futures Guidelines 3rd Edition and the Bright Futures Tool and Resource Kit (specifically focusing on the areas outlined in slide 5).
Between February and October 2011, PreSIP practice teams will aim to improve office systems (specifically focusing on areas outlined in slide 6).
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Project Overview – Preventive Services Components
Appropriate risk assessments Maternal depression screening Developmental screening, referral, f/u Autism screening, referral, f/u Oral Health Risk Assessment BMI assessment Evaluation of Parental Strengths Elicit and document parental concerns (f/u) Use of Bright Futures priorities
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Preventive Services Prompting System Recall-reminder system System to track referrals (paper or electronic) Use of strength-based approaches and shared
decision making strategies Linkage of child and family to community
resources System to identify children with special health
care needs
Project Overview –Office Systems
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22 Teams in 15 States
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Urban (non-inner city)
Urban (inner city)
Suburban
Roxborough Pediatrics-ECHA
All About Children Pediatric Partners PC
Atlantic Coast Pediatrics
Community Medicine Associates
Family Care Center at Montefiore Medical Center
Cook Children’s Physician Network
U of Iowa Dept of Pediatrics Children's Hospital Primary Care Center
Kressly Pediatrics, P.C.
CMC Myers Park Pediatrics Lutheran Family Health Ctr - Sunset Park Pediatrics
All Pediatrics Danis Pediatrics
Children's Health Center at St. Elizabeth's Hospital
16th Street Community Health Center
Fair Oaks Children’s Clinic Rural San Xavier Clinic
Haverstraw Pediatrics Comprehensive Pediatric Care Wind River Service Unit Hays Med Pediatric Center Sandhills Pediatrics
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Continuity ClinicsCORNET SITES
Private Practice
Danis Pediatrics Sandhills Pediatrics, Inc. All Pediatrics
Children's Hospital Primary Care Center
Comprehensive Pediatric Care
All About Children Pediatric Partners
U of Iowa Dept of Pediatrics Atlantic Coast Pediatrics Roxborough Peds-ECHA
Family Care Center at Montefiore Medical Center
Cook Children’s Physician Network
Community Medicine Associates
CMC Myers Park Pediatrics Kressly Pediatrics, P.C. Haverstraw Pediatrics
CHC Children's Health Center at St. Elizabeth's Hospital
Hays Med Pediatic Center
Fair Oaks Children’s Clinic IHSLutheran Family Health Ctr - Sunset Park Pediatrics
Wind River Service Unit
16th Street Community Health Center
San Xavier Clinic
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High Level Project Timeline
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Prework Data Collection
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Important Points
Cannot begin prework until consent form is completed by all team members
Teams who require local IRB must obtain IRB approval before submitting data Contact Jill Healy ([email protected]) for copy of
AAP IRB application and approval letter Continuity clinics contact Nui Dhepyasuwan (
[email protected]) for assistance
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Prework Data Collection Websitewww.aap.org/qualityimprovement/quiin/workspaces/PreSIP/DataCollection/PreSIP_Dec-Prework.html
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Baseline Chart Review
Chart Reviews for 2 Sets of Patients: 20 charts of 9 month health supervision visits.
Age range: 8-10 months Retrospective pull of last 20 charts from your
practice 20 charts of 24 month old health supervision
visits. Age range: 22-28 months Retrospective pull of last 20 charts from your
practice Complete both sets of SurveyMonkey Forms no
later than December 30, 2010
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9 month health supervision visit – 20 total charts
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9 month health supervision visit – 20 total charts
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24 month health supervision visit – 20 total charts
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24 month health supervision visit – 20 total charts
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24 month health supervision visit – 20 total charts
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Example: Preventive Services Prompting Sheet/System
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Example: Parental Strengths
Documentation of a discussion of Parental Support
Use of Connected Kids People who care about me worksheet
Documentation about helping parents identify their own/families strengths including the following: having a friend or family member to turn to when they need help, able to make independent decisions, participates in community activities, copes with stress, has self-confidence
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Example: Identify Children with Special Health Care Needs
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Chart Review Log Sheet Example
1 Log Sheet for Each Age Group (9 month and 24
month)
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Pre-inventory Survey
Completed by entire teamAssess current office systemsDeadline: December 30, 2010
http://www.surveymonkey.com/s/R9TMCRW
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Responsibilities Before Learning Session
Sign consent form (all 3 team members)Make flight arrangements through AAP
Travel Office (888/227-1772) and complete the RSVP form
Complete Pre-Inventory surveyComplete baseline chart reviewsCreate a storyboard to shareFinalize local IRB applications/approval
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Storyboard Preparation
Share teams experiences, aims, current implementation of Bright Futures, desired implementation of Bright Futures, family involvement
10-12 individual sheets Poster board (30x40 in), push pins, and supplies will be provided Review storyboards evening of January
21, 2011
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Learning Session Overview
January 21, 2011: 3:30-9:00 pm Project overview Bright Futures Introduction Age Appropriate Risk Assessment Baseline Data Results Storyboard Presentations Light dinner will be served
January 22, 2011: 7:30-3:30 (breakfast at 7:00) Family Involvement Topical Breakouts Community Linkages/Systems Bright Futures Toolkit Data Collection Plan Team planning time Breakfast and lunch will be served
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Important Dates and Next Steps
Prior to Submitting Data (no later than Dec 30, 2010)
Determine local IRB process and obtain IRB approval if necessary
Nov 30, 2010 Sign & fax consent form to Jill Healy at 847/434-8000
Dec 8, 2010 Fax travel RSVP form to Pat Wajda at 847/434-4996
Dec 21, 2010 Final date to make travel arrangements. Must use AAP Travel Office (888/227-1772)
Dec 30, 2010 Final date to complete Pre-inventory, using SurveyMonkeyFinal date to complete chart reviews for 9 month and 24 month visits, using SurveyMonkey forms
Jan 20, 2011
Jan 21-22, 2011
Storyboard completionAttend Learning Session
Feb-Oct 2011 Action PeriodMonthly Chart Reviews Monthly Progress ReportsMonthly conference calls
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Project Contacts
Jill Healy, QuIIN Project Manager 847/434-7122 [email protected]
Amy Pirretti, Bright Futures Manager 847/434-4980 [email protected]
Nui Dhepyasuwan, CORNET [email protected]
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Questions