american academy of pediatrics bright futures preventive services improvement state spread project...

1American Academy of Pediatrics Bright Futures Preventive Services Improvement State Spread Project (PreSIPS2)

Informational Webinar June 30, 2015 – 12pm ET

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Thank you for joining our webinar! Before we begin…

All participants are on mute but if you would like to talk to us during the webinar or ask a question prior to Q & A time, please use the Question/Chat Box (right side of your screen)

Today’s webinar will be recorded for those unable to attend

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Agenda – June 30, 2015TOPIC SPEAKER TIME

Welcome and Introductions Linda Radecki

Background and PreSIPS2 Overview

Marian Earls, MD 10 minutes

Participation Benefits Marian Earls, MD 5 minutes

Participation Requirements Linda Radecki 5 minutes

PreSIPS2 Application Process Linda Radecki 10 minutes

Q & A All 30 minutes

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Introductions

PreSIPS2 Leadership Implementation Team

Marian Earls, MD, FAAPMary Brown, MD, FAAPPaula Duncan, MD, FAAPColleen Kraft, MD, FAAPTamela Milan, BA

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Background

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Background• Bright Futures: Guidelines for Health

Supervision of Infants, Children, and Adolescents, 3rd Edition are the national standard for recommended pediatric clinical preventive services

• The Affordable Care Act mandates the provision of Bright Futures’ services and screenings without co-pay

• Bright Futures Guidelines will be updated in 2016

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Background

• Forms and tools for health care providers, patients, and families to complete before, during, or after well-child visits.

• Helps pediatricians and other health care providers support and implement Bright Futures Guidelines

• Can be adapted to meet practice/family needs

Bright Futures Tool and

Resource Kit

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Background – PreSIP

• 2011 – Preventive Services Improvement Project (PreSIP)

• Conducted to determine if Bright Futures can be successfully incorporated into a busy pediatric practice?

• 9-month modified QI Learning Collaborative

• Focus on birth – 3 years

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Background – PreSIP • Results –

• aided by supportive learning community and• given tools and resources to facilitate change…

Clinicians and staff from diverse settings could implement the majority of Bright Futures recommendations at both the 9- and 24-month visits at a complete rate ≥85%.

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Background – PreSIP Bright Futures EQIPP Course

Introduced 3 years ago Content currently under revision2 courses will be available in 2016 based on child age – Birth-5 years and 5-21years

Available free of charge with AAP

Membership

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PreSIPS2 Overview

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PreSIPS2 Overview PreSIP was a success…

why the need for PreSIPS2?

While practice-level change is a vital component of pediatric QI efforts, evidence suggests

that larger scale transformation must focus

on systems rather than individual practitioners and include families as active partners in the process

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PreSIPS2 Overview Expands PreSIP model to:

Enhance Bright Futures Implementation at family, practice, community, and state levels through a partnership between the AAP National organization and AAP Chapters

17 month, state-based QI learning collaborative

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PreSIPS2 Overview

Aims:

1) amplify meaningful implementation of Bright Futures in pediatric practices

2) improve and enhance partnerships with families

3) develop stronger community connections focused on the health of young children and their families

4) strengthen relationships between AAP Chapters and state MCH stakeholders to advance Bright Futures mission

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PreSIPS2 OverviewImplementation:

•Up to 5 Chapters will convene a Chapter Leadership Team to work with the AAP National PreSIPS2 Leadership Team

•Chapter Leadership Teams will, in turn, work with 10-15 practices (including 1 residency clinic) in their respective states

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Funding Acknowledgement

PreSIPS2 is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under its cooperative agreement (U04MC07853) with the American Academy of Pediatrics entitled “Bright Futures Pediatric Implementation” and by the Friends of Children Fund, a Charitable Fund of the American Academy of Pediatrics.

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PreSIPS2 OverviewHow will Chapter Leadership Teams work with AAP National PreSIPS2 Leadership Team?

•Work with QI Mentor and State Support Liaison to build state capacity for Bright Futures integration

•Attend Learning Sessions and participate in monthly calls with other PreSIPS2 Chapters

•Build Chapter capacity and develop sustainable improvement infrastructure

Define PreSIPS2 structure,

processes , and content for Chapter

Obtain IRB

approval; apply for MOC and

CME credit

PreSIPS2 Project Diagram: National−Chapter Level

17 months

In Person Kick Off Meeting at AAP Headquarters in Elk Grove Village, IL

LS2 – Summative Celebration

LS = Learning Session

Chapter Supports: Email / Moderated listserv / Monthly webinars / Monthly team reports /

Assessments (eg, SWOT)

Recruit Chapters Goal = 5 Chapters

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PreSIPS2 OverviewHow will Chapter Leadership Teams work with Practice Teams?

•Develop a learning community for 10-15 practices within their home state

•Convene Learning Sessions and monthly calls/webinars to support practice-level change

•Coach participating practices in QI activities

•Provide MOC attestation

PreSIPS2 Project Diagram: Chapter−Practice Level

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PreSIPS2 OverviewHow will Chapter Leadership Teams work with Practice Teams?

Duncan et al 2015 Pediatrics paper provides a road map to the quality improvement work that Chapters and practice teams will undertake together

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PreSIPS2 OverviewWhat are we measuring?

Improvement in Health Supervision Care

• appropriate risk assessments performed• maternal depression screening• developmental screening and follow up• autism screening and follow up• oral health risk assessment• BMI assessment• evaluation and discussion of parental strengths• eliciting and documenting parental concerns with

appropriate follow up• use of Bright Futures priorities to help standardize

delivery of anticipatory guidance• social determinants of health

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PreSIPS2 OverviewWhat are we measuring?

Improvement in Practice Procedures for Health Supervision Care

• Use of preventive services prompting system• Use of reminder-recall system• System to track referrals • 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• Meaningful family engagement

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PreSIPS2 OverviewHow will we measure?

• Chart review (9- and 24-mos visits)

• Data entered online into AAP’s Quality Improvement Data Aggregator (a.k.a., QIDA)

• Allows practice teams to see run charts and track progress immediately

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Participation Benefits

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Participation Benefits

Help families with young children in your state and the professionals who care about them

• Improve state-level workflow, efficiency, and resource allocation around Bright Futures preventive services support and implementation

•Establish closer chapter and practice ties with state leaders and social services that families need

•Establish meaningful family engagement in improvement efforts

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Participation Benefits HELP YOUR PRACTICES

Well child care is up to 40% of visits

• Improve practice-level workflow efficiency and satisfaction

•Receive tools, resources, and coaching to enhance your work

•Maintenance of Certification (MOC) Part 4 credit (approval pending)

BE a GROUNDBREAKER •Stipend to support your work $10,000$15,000

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Participation Benefits

Questions about the stipend

$2,000 must be used as honorarium for Chapter team family representative

Allowable expenses include but are not limited to: Salary buy back Salary support for Project Manager/QI Coach Administrative costs Learning Session host costs

If you have additional questions about the stipend, please feel free to contact us

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Participation Requirements

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Participation Requirements

In search of Chapter Leadership Teams who are…

•Highly motivated/interested in Bright Futures and enhancing collaboration with state MCH partners

•Able to attend a 1 ½ day Kick Off Meeting at AAP Headquarters in Sept 2015

•Willing to participate fully for project duration

•Able to participate in monthly calls/webinars with National Leadership Team and other Chapters to learn from each other’s successes and challenges

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Participation Requirements

Chapter Leadership Teams will also:

•Recruit and enroll 10-15 practices (including 1 residency clinic) to participate in an 11-month, Chapter-led, learning community

•Convene ≥2 Learning Sessions for participating practices

• Review monthly data and coach participating practices in their quality improvement efforts

•Hold monthly calls/webinars to assist participating practices in their improvement work

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Participation Requirements

Lead MD:

Oversee QI coaching of practice teams

Co-Lead (with Project Manager/QI Coach) monthly calls/webinars for practice teams

Provide MOC attestation for practice MDs

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Participation RequirementsProject Manager/QI CoachProvide practice team coaching

Oversee monthly submission of practice team data

Attend monthly 1-hour calls with other PreSIPS2 chapters

Co-Lead monthly calls/webinars for practice teams

Assist with MOC-related paperwork

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Application Process

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Chapter Application Detailed instructions for completing the application are available in the RFA

Forming your Chapter Leadership Team is critically important – don’t wait!

Only applications submitted by AAP Chapters will be reviewed

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Chapter Application The application is divided into sections; each section has an assigned point value

All completed applications submitted by the deadline will be reviewed and scored by the Chapter Leadership Team

Teams who submit an application may be asked to participate in a telephone call for clarification with Leadership Team members before a decision regarding acceptance is made

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Next Steps

• Obtain the Request for Applications (RFA) and Chapter Application – contact info to follow

• Assemble your Chapter Leadership Team Lead Physician Project Manager/QI Coach Family Representative State MCH Advocate

• Prepare and submit your completed application no later than August 10, 2015

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Next Steps – Key Dates

• August 10, 2015 – application due date

• Week of Aug 17 – teams notified of acceptance

• Once accepted, all team members will complete pre-work in preparation for Chapter Kick-Off Meeting

• Sept 27-28, 2015 – Kick-Off Meeting (AAP Headquarters, Elk Grove Village IL)

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For more information or to request the RFA...

Contact Linda Radecki, Project Manager

RadeckiResearch@gmail.com847-421-9029

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Q & A

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For more information or to obtain the RFA...

Contact Linda Radecki, Project Manager

RadeckiResearch@gmail.com847-421-9029