the journey continues: next steps for c4k dr. caprice knapp, uf evaluation team ruth s. gubernick,...

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The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration Project (C4K) Learning Session 2 April 27-28, 2012

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Page 1: The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration

The Journey Continues: Next Steps for C4K

Dr. Caprice Knapp, UF Evaluation TeamRuth S. Gubernick, QI Advisor

Florida Pediatric Medical Home Demonstration Project (C4K) Learning Session 2

April 27-28, 2012

Page 2: The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration

Disclosure

I have no relevant financial relationships with the manufacturers of

any commercial products and/or provider of commercial services

discussed in this CME activity. I do not intend to discuss an unapproved or investigative use of a commercial

product/device in their presentation.

Page 3: The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration

Parent phone surveyPractice

MHI/TransforMED survey

Staff surveyCore clinical team

interview

UF Evaluation - Follow Up Data Collection

The UF Evaluation is longitudinal, therefore the following components will be repeated in CY 2012

Page 4: The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration

We have petitioned the IRB to let us return practice-level results for those practices who reached response rate (12/20).

If approved, we will email these to the lead physician

UF Evaluation - Staff Survey

Page 5: The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration

UF Evaluation Team - New Data Collection

Community Stakeholder Survey Pulling the Sample -

Discussion

Application Data New Informed Consent Form Annually sent application to

denote any changes

Page 6: The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration

UF Evaluation Team - New Data Analysis

CHIPRA Measures May 2012 Clinical Team Call will

review the results from the remaining CHIPRA core measures

Time for questions and answers Comparison of practice results

to Florida’s results CHIPRA Measures -

Discussion 3 years of baseline data

Page 7: The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration

Update on strategies used to date

Comparison parent survey

Comparison CHIPRA measures

Comparison Group

Page 8: The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration

Next Steps - Part 1 (QI project)

Complete Learning Session Evaluation Form

Complete Travel Expense Form Return to Lindsay Wilson to arrive no later than

May 8, 2012 Claim CME Credit for this Learning Session

Live Learning Session up to 21 days after the session

Performance Improvement After 2nd monthly call is complete (staff will email you)

Prepare practice for Phase 2 changes

Page 9: The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration

Next Steps - Part 1 (QI project)

Continue monthly data collection Data cycle opens May 15 and closes

May 30 Via Survey Monkey submit first 10

charts of: Medicaid Medicaid health plan KidCare

For each of 3 cohorts of patients 24-month well visit diagnosed with pharyngitis and dispensed

an antibiotic diagnosed with asthma seen for a recent

visit

Page 10: The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration

Next Steps - Part 1 (QI project)

Continue monthly data collection Submit Monthly Progress Report via Survey

Monkey

Note: Links to data collection requirements will be available on the Project Workspace Web site and will be emailed to teams each month

Participate on Monthly Conference Calls (Practice members only)

Page 11: The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration

Plan to attend ONE call per month

Agenda, Slides, and Webinar information will be sent out prior to call

Monthly Conference Calls/Webinars

Every 3rd Wednesday

@ 1pm ET

Every 4th Tuesday

@ 12pm ET

May 9 May 22

June 20 June 26

July 18 July 24

August 15 August 28

September 19 September 25

October 17 October 23

Page 12: The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration

Project Workspace Web site C4K Listserv Change Package Building Your Medical Home Toolkit:

http://www.pediatricmedhome.org/

National Center for Medical Home Implementation: http://www.medicalhomeinfo.org/

Expert Group/QI Advisor

Team Resources

Page 13: The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration

Thanks to our 20 C4K Teams!!

Brevard Health Alliance Monroe CenterCocoa (Phase 1)

Longleaf Pediatrics, PA Orange City

Tallahassee PediatricsTallahassee (Phase 1)

-USF Pediatrics

-The Chronic Complex Clinic at St. Joseph’s Children’s HospitalTampa

All Children’s General PediatricsSt. Petersburg

University Pediatrics University Park

St. Vincent’s Family Medicine CenterJacksonville

Jacksonville Beach Pediatric Care CenterJacksonville Beach

Atlantic Coast PediatricsMerritt Island

Pediatric PartnersPalm Beach Gardens

Gentle Medicine AssociatesBoynton Beach

Pediatric Clinic, Memorial Primary Care CenterHollywood (Phase 1)

Rozalyn Hester Paschal, MD, PAMiami

-Mirtha Cuevas, MD Inc

-Orlando Health Pediatric Faculty PracticeOrlando

Pediatric Associates – Miami BeachMiami Beach

Martin Memorial PediatricsStuart

Children’s Health of OcalaOcala

Altamonte Pediatric Associates Altamonte Springs