American Academy of Pediatrics Bright Futures Preventive Services

American Academy of Pediatrics Bright Futures Preventive Services Improvement State Spread Project (Pre. SIPS 2) 1 Informational Webinar June 30, 2015 – 12 pm ET

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 2

Agenda – June 30, 2015 TOPIC SPEAKER TIME Welcome and Introductions Linda Radecki Background and Pre. SIPS 2 Overview Marian Earls, MD 10 minutes Participation Benefits Marian Earls, MD 5 minutes Participation Requirements Linda Radecki 5 minutes Pre. SIPS 2 Application Process Linda Radecki 10 minutes All 30 minutes Q&A 3

Introductions Pre. SIPS 2 Leadership Implementation Team Marian Earls, MD, FAAP Mary Brown, MD, FAAP Paula Duncan, MD, FAAP Colleen Kraft, MD, FAAP Tamela Milan, BA 4

Background 5

Background • Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 3 rd 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 copay • Bright Futures Guidelines be updated in 2016 will 6

Background Bright Futures Tool and Resource Kit • 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 7

Background – Pre. SIP • 2011 – Preventive Services Improvement Project (Pre. SIP) • 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 8

Background – Pre. SIP • 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%. 9

Background – Pre. SIP Bright Futures EQIPP Course § Introduced 3 years ago § Content currently under revision § 2 courses will be available in 2016 based on child age – Birth-5 years and 5 -21 years Available free of charge with AAP Membership 10

Pre. SIPS 2 Overview 11

Pre. SIPS 2 Overview Pre. SIP was a success… why the need for Pre. SIPS 2? 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 12

Pre. SIPS 2 Overview Expands Pre. SIP 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 13

Pre. SIPS 2 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 14

Pre. SIPS 2 Overview Implementation: • Up to 5 Chapters will convene a Chapter Leadership Team to work with the AAP National Pre. SIPS 2 Leadership Team • Chapter Leadership Teams will, in turn, work with 10 -15 practices (including 1 residency clinic) in their respective states 15

Funding Acknowledgement Pre. SIPS 2 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 (U 04 MC 07853) 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. 16

Pre. SIPS 2 Overview How will Chapter Leadership Teams work with AAP National Pre. SIPS 2 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 Pre. SIPS 2 Chapters • Build Chapter capacity and develop sustainable improvement infrastructure 17

Pre. SIPS 2 Project Diagram: National−Chapter Level Recruit Chapters Goal = 5 Chapters 17 months Define Pre. SIPS 2 structure, processes , and content for Chapter LS = Learning Session Obtain IRB approval; apply for MOC and CME credit LS 2 – Summative Celebration Chapter Supports: Email / Moderated listserv / Monthly webinars / Monthly team reports / Assessments (eg, SWOT) In Person Kick Off Meeting at AAP Headquarters in Elk Grove Village, IL

Pre. SIPS 2 Overview How 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 19

Pre. SIPS 2 Project Diagram: Chapter−Practice Level

Pre. SIPS 2 Overview How 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 21

Pre. SIPS 2 Overview What 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 22

Pre. SIPS 2 Overview What 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 decisionmaking strategies • Linkage of child and family to community resources • System to identify children with special health care needs • Meaningful family engagement 23

Pre. SIPS 2 Overview How 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 24

Participation Benefits 25

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 26

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 27

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 28

Participation Requirements 29

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 30

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 31

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 32

Participation Requirements Project Manager/QI Coach § Provide practice team coaching § Oversee monthly submission of practice team data § Attend monthly 1 -hour calls with other Pre. SIPS 2 chapters § Co-Lead monthly calls/webinars for practice teams § Assist with MOC-related paperwork 33

Application Process 34

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 35

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 36

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 37

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 prework in preparation for Chapter Kick-Off Meeting • Sept 27 -28, 2015 – Kick-Off Meeting (AAP Headquarters, Elk Grove Village IL) 38

For more information or to request the RFA. . . Contact Linda Radecki, Project Manager Radecki. Research@gmail. com 847 -421 -9029 39

Q&A 40

For more information or to obtain the RFA. . . Contact Linda Radecki, Project Manager Radecki. Research@gmail. com 847 -421 -9029 41