Comprised of two affiliated Networks-the Value in Inpatient Pediatrics Network (VIP) and the Practice Improvement Networ

1. QuIIN Quality Improvement Innovation Networks VIP Value in Inpatient Pediatrics Network PIN Practice Improvement Network Quality Improvement Innovation Networks: Improving Care Through InnovationSteven Kairys, MD, MPH1; Jill Healy, MS2; Keri Thiessen, MEd21Jersey Shore Medical Center, Neptune, NJ; 2American Academy of Pediatrics, Elk Grove Village, IL PIN Background QuIIN Background VIP Network Background • The Practice Improvement Network (PIN) is the outpatient, ambulatory network of QuIIN. As QuIIN evolved from a network of practicing pediatricians created in 2005 into a home for multiple pediatric networks in 2011, PIN was born to house the existing QuIIN membership. • In 2005, The American Academy of Pediatrics (AAP) established the Quality Improvement Innovation Network (QuIIN) to test tools, strategies, and innovations prior to widespread implementation. • In 2011, QuIIN continues its transition from a single membership network to the home of multiple pediatric quality improvement networks ranging from primary care physicians to inpatient pediatric hospitalists. QuIIN is now known as the Quality Improvement Innovation Networks. • The PIN and the VIP Networks are housed within QuIIN • The Value in Inpatient Pediatrics Network (VIP) was founded in 2008 by • leaders in the AAP Section on Hospital Medicine (SOHM) and has been a grass • roots, physician-led, unfunded effort comprised of over 80 members from approximately 50 U.S. hospitals. As of 2011, the VIP Network has a new home in the AAP’s QuIIN. What is the PIN Network? What is the VIP Network? • The VIP Network, a network of QuIIN, is committed to improving the value of care • for hospitalized children. • The guiding principle of the network is that the 70% of children hospitalized at non- • children’s hospitals deserve the same access to collaborative data and quality of • care afforded in children’s hospitals. • The Network is comprised of physicians and institutions that span the gamut from • small community hospitals to large academic medical centers with free-standing • children’s hospitals. The VIP Network provides support for quality improvement • collaborative projects that directly improve the quality of care for hospitalized • children.  • The Practice Improvement Network (PIN) is a network of practicing outpatient and ambulatory care pediatricians and their staffs who are interested in improving the quality of care for children. PIN Mission • The mission of the PIN, 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, as well as by informal assessment that provides practicing pediatrician perspective into evidenced based recommendations and tools for implementation. VIP Network Mission Examples of PIN Projects • The mission of the VIP Network is to improve the quality and value of healthcare • delivered to hospitalized children and their family members by supporting process • improvement projects among member institutions and individuals in order to • generate measurably better health outcomes. • The vision of the VIP Network is to be the premier inpatient pediatric quality I • improvement collaborative network in the United States and Canada, assessing and • performing pediatric quality projects, offering QI leadership training, and fostering • partnerships to transform the delivery of hospital care for children, while providing • benefits to network members such as ABP MOCS Part IV credit What is QuIIN? • Safe and Healthy Beginnings • The Safe and Healthy Beginnings Improvement Project, the pilot project of the AAP • QuIIN was designed to ensure a safe and healthy beginning for all newborns by testing measures, strategies, and tools based on aspects of 3 key aspects of the AAP's revised hyperbilirubinemia guidelines: Assessment of risk for severe • hyperbilirubinemia; Breastfeeding support; Coordination of care • AAP ADHD Toolkit for Pediatricians: Update and Revisions • The aim of this project is to assist clinicians in providing quality care for children with • ADHD by testing the revised ADHD toolkit based on the newly revised ADHD • Guidelines. • Newborn Screen Positive Infant ACTion Project • The aim of this project is to improve newborn screening processes in pediatric practice • and test tools, including the ACT sheets, to assist pediatricians in providing appropriate response to the management of infants affected by congenital conditions, identified through newborn screening. • Bright Futures Preventive Services Improvement Project • The aim of this project is to answer “Can Bright Futures be easily implemented, birth to • 3, in a busy clinical setting?” by testing tools, strategies and measures designed to • improve Bright Futures recommended preventive services for children age birth to 3. • Practicing Safety: A Child Abuse and Neglect Prevention Project • The aim of this project was to decrease child abuse and neglect by expanding • anticipatory guidance and increasing screening for possible child abuse and neglect by pediatric practices to parents of children ages 0-3. QuIIN members will implement and test tool bundles (Parent Tools, Child Tools, Infant Tools). • The AAP Quality Improvement Innovation Networks (QuIIN), established in 2005, is home to multiple pediatric quality improvement networks comprised of approximately 380 practicing pediatricians and pediatric hospitalists and their staff teams. Additional information about QuIIN can be found at http://quiin.aap.org. QuIIN Mission Examples of VIP Network Projects • The mission of QuIIN is to improve the quality and value of care and outcomes for children and families through process improvement in everyday pediatric practice, including the child’s medical home and across the care continuum. QuIIN members also participate by informal assessment that provides practicing pediatrician perspective into evidenced based recommendations and tools for implementation. • Clinical Quality: Benchmarking Bronchiolitis Collaborative • The network’s inaugural project aiming to benchmark processes and outcomes for • bronchiolitis. Acute bronchiolitis is the leading cause of hospitalization in children • aged 0-17 years with rates of hospitalization increasing over past decades. The • collaborative has collected 4 years of data from approximately 30 institutions, • with 17 participants submitting all 4 years of longitudinal data. The collaboratives • has shown improvement across these 17 hospitals, with statistically significant • decreases in the use of non- evidence based therapies. • Health Care System: Discharge Handoff Collaborative • Phase 1:Focused on increasing the timeliness of hospitalist to primary care • physician communication post-discharge. • Phase 2: Focus on the content of the discharge communication piece. • Collaborative members have distributed surveys to primary care physicians in their • respective areas to gain insights into essential pieces of information to be included • in a discharge communication • Patient Safety: Patient Identification Band Collaborative • The aim of this collaborative was to reduce the percent of patient ID band errors at • hospitals in this collaborative by 50% by September 1, 2010. Conducted at 9 • hospital sites, the collaborative showed a decrease in error rate, while raising the • awareness of the safety risk to staff and families. QuIIN Members • Comprised of two affiliated Networks-the Value in Inpatient Pediatrics Network (VIP) and the Practice Improvement Network (PIN) • Like to be on the cutting-edge of practice innovations • Pediatrician who likes to get change started. • AAP members with an interest, or experience in quality improvement, can join the QuIIN. PIN Network Steering Committee The QuIIN Steering Committee provides direct oversight to the PIN. VIP Network Steering Committee • Steve Narang, MD, MHCM, FAAP: VIP Network Director • Mark Shen, MD, FAAP • Shawn Ralston, MD, FAAP • Matthew Garber, MD, FAAP • Brian Pate, MD, FAAP More Information About QuIIN: http://quiin.aap.org Email: quiin@aap.org QuIIN Steering Committee • Ted Abernathy, MD, FAAP • William Adams, MD, FAAP • Lisa Cosgrove, MD, FAAP • Joseph Craig, MD, FAAP • Amy Driscoll, MD, FAAP • Marion Earls, MD, FAAP • Amy Starmer, MD, FAAP • William Stewart, MD, FAAP • Steven Kairys, MD, MPH, FAAPQuIIN Medical Director • Christopher Cunha, MD, FAAPPIN Network Director • Steve Narang, MD, MHCM, FAAP • VIP Network Director