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Quality Improvement Innovation Network

Quality Improvement Innovation Network. Marian Earls, MD, FAAP QuIIN Steering Committee Preventive Services Improvement Project Learning Session January 21-22, 2011. Welcome! Preventive Services Improvement Project Learning Session. MISSION STATEMENT

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Quality Improvement Innovation Network

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  1. Quality Improvement Innovation Network Marian Earls, MD, FAAPQuIIN Steering Committee Preventive Services Improvement Project Learning SessionJanuary 21-22, 2011

  2. Welcome! Preventive Services Improvement Project Learning Session

  3. MISSION STATEMENT The mission of the QuIIN, a network of practicing pediatricians and their staff, is to improve care and outcomes for children and families by testing practical tools, measures, and strategies for use in everyday pediatric practice, the child's medical home.

  4. Why an Improvement Network? • Multiple AAP evidence-based guidelines developed • For most part, these have not become standard practice • Institute of Medicine (IOM) Statistics • Avg 17 yr lag between effective forms of treatment and their incorporation into routine patient care (Balas, 2001; IOM, 2003) • AAP Periodic Survey #37 • 77% of pediatricians think it’s important that AAP promote QI by providing materials to implement practice guidelines and pediatric outcomes • AAP Successful QI Projects • ADHD Implementation Project – Toolkit & EQIPP Module • Bright Futures Training Intervention – Facilitators Guide & Toolkit

  5. Why an Improvement Network? QuIIN formed to: • Provide pediatricians with tested tools and strategies to implement guidelines into their practices • Provide a standard mechanism for testing these tools and strategies • Provide a pediatric lab for testing new ideas before dissemination

  6. Who is QuIIN? • 9 Member Physician Steering Committee • Medical Director, Steven Kairys, MD, FAAP • Chairperson, Chris Cunha, MD, FAAP • Practicing Clinicians with Quality Improvement Experience • 2 QuIIN Staff • QI Network Members • Practicing clinicians and their staffs • Experience or interest in QI • Involve innovators and early adopter clinicians

  7. QuIIN Members by State(277 members in 45 states plus PR, MX, Pakistan) VT - 1 3 1 1 NH - 2 4 2 1 6 5 7 2 21 MA - 5 4 18 4 8 RI - 2 11 4 4 7 5 2 CT - 7 18 5 18 3 6 16 NJ - 10 2 7 1 DC - 1 4 5 5 MD - 2 19 1 12 HI -2 Puerto Rico – 1 Mexico – 1 Pakistan – 1 December 2010

  8. Levels of QuIIN Projects • Improvement Projects • Tests tools, other based on AAP CPG or other evidence-based material • Project Design • Uses IHI Model (aims, measures,rapid cycle testing, learning collaborative) • Follows QI methodology designed by ABP for Maintenance of Certification Part 4 Approval • Team Approach towards Improvement • Lead physician & staff team participate • 6-18 months of Testing • Baseline, Intervention, Plan Do Study Act • Feasibility Projects • Determine feasibility of tool/innovation in practice • Single Physician and/or Office Staff Input • No Testing Conducted • Survey and/or informal feedback • Brief data collection period (weeks/2-3 months)

  9. QuIIN Projects • Improvement Projects • Safe and Healthy Beginnings – Pilot Project • Practicing Safety: Child Abuse and Neglect Prevention Project • AMA PCPI National Performance Measures: Care for Children with Otitis Media with Effusion • Newborn Screen Positive Infant ACTion Project • Preventive Services Improvement Project – YOU! Feasibility Projects • Astra Zeneca Test for Respiratory and Asthma Control in Kids (TRACK) Tool • Nat’l Committee for Quality Assurance Child Health Project • Diabetes Type II Evidenced Based Clinical Practice Guidelines • Fever In Infants Evidenced Based Clinical Practice Guidelines • EQIPP data collection tools

  10. QuIIN Contributions • Benefits to Academy Members • Closes gap between evidence and implementation: • AAP CPG recommendations reviewed by practicing pediatrician • Tools identified to implement evidence based medicine • Tests performed on tools, other by practicing pediatrician in “real-world” lab • Benefits to QuIIN Physician Participants • Learn QI Science and hands-on practice • Potential to Earn AMA PRA Category 1 Credit • for QuIIN QI Learning Session(s) • Performance Improvement (PI) Credit • Obtain ABP Maintenance of Certification Part 4 for qualified QuIIN Projects • Improve care for patients and families

  11. QuIIN Resources • Website: http://quiin.aap.org • Contact QuIIN: quiin@aap.org • QuIIN Staff: • Keri Thiessen, MEd, Primary Staff • 847-434-4260 • Jill Healy, MS, Project Manager (PreSIP Contact) • 847-434-7122

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