Injury+SEEK Learning Collaborative Action Period Call Agenda Roll - - PowerPoint PPT Presentation

Injury+SEEK Learning Collaborative

Action Period Call Agenda

• Roll Call
• PDSA Cycle Implementation

– Practice Sharing

• Data Review

– Dr. Samantha Anzeljc

• Community Resource Discussion
• Questions/Comments/Problems
• Reminders

Conference Call Etiquette

• Please MUTE your phone when you are not

speaking

– This will eliminate any background noise including incoming phone calls, conversations between team members, dogs barking, UPS Deliveries, etc. – Participants can mute/unmute their own lines by pressing 4*.

• Please do not put your phone on HOLD

– We appreciate your enthusiasm for your on-hold message, however, it is disruptive for the group to hear about your systems care of bicycle injuries, when the mobile mammography unit will be in your area, etc.

Practice Roll Call

• What have you reviewed as educational

materials for the project so far?

• Did you learn anything to use in practice?

– UH Rainbow Babies-CDC – Olentangy Pediatrics – Medina Family Medicine – Pediatrics – Mercy Navarre Pediatrics/Residency Clinic – Mid-Ohio Pediatrics & Adolescents – Mounty Healthy Family Practice – Hillcrest Hospital – Forest Park Internal Medicine-Pediatrics

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

What topics would you most like to learn about during this project?

PDSA Cycle 1 (Implementation)

• In 2 minutes or so, please describe your

project implementation and first PDSA cycle.

– What was the general focus of your PDSA? – Was tool implementation and office flow a key component of this test of change? – What timeframe did your PDSA cycle cover (one day, one afternoon, etc.) and have you scaled up since completion? – What could be the focus of your second or third PDSA cycles?

Common PDSA Pitfalls

1. Vague PDSA objectives 2. Failing to ask “learning questions” 3. Failing to execute the whole cycle

• 4. Not learning from failures
• 5. Lack of detailed execution plan
• 6. Inadequate data collection plan
• 7. Confusing task vs. tests
• 8. Failure to think ahead a few cycles

https://www.nichq.org/insight/how-avoid-most-common-pitfalls-planning-pdsa-cycles https://www.nichq.org/insight/5-tips-testing-optimize-your-next-pdsa

0.05 0.1 0.15 0.2 0.25 0.3 0.35 Vague PDSA objectives Failing to execute the whole cycle Lack of detailed execution plan Inadequate data collection plan Confusing task vs. tests Failure to think ahead a few cycles No PDSA pitfalls were encountered Failing to ask learning questions Not learning from failures

Do you feel you experienced any of these common PDSA pitfalls?

Quality Improvement and Data

Injury Prevention Plus SEEK Key Driver Diagram

SMART AIM KEY DRIVERS INTERVENTIONS

From July 2017 through December 2017, each practice will work to incorporate the Injury+SEEK age-appropriate screening tools at well child visits for children birth to 4 years of age to identify unsafe

• r risky behaviors.

Specific Aims:

• 1. For the submitted

Injury+SEEK screening tools, parents who provide inappropriate responses will receive counseling 90% of time. 2.For the submitted Injury+SEEK screening tools, parents who provide an inappropriate response will receive a referral and/or resources 75% of time.

Engage Quality Improvement Team and Supportive Office Environment

• Educate primary care providers on proper anticipatory

guidance around injury prevention and psychosocial identification and topics §Participate in MOC 2 at Learning Session

• Incorporate Injury+SEEK tools in office flow

§Configure roles in grading tools, counseling, referral process, and resource provision §Distribute at all well visits birth-4 years

• Hold team meetings periodically to review

improvement & maintenance efforts

• Secure resources for post-collaborative
• Integrate Injury+SEEK questions into history

collection process

• Embed Injury+SEEK in medical record
• Update family resources on Injury+SEEK

Provide Appropriate Injury Prevention and Psychosocial Counseling, Referrals and Resources

Provide children with the

• pportunity to grow up to

reach their fullest potential by eliminating unintentional and intentional injuries and psychosocial risks.

GLOBAL AIM

• Form a 3-5 person interdisciplinary QI Team

§Empower team roles & responsibilities §Schedule and host monthly QI team mtgs.

• Formally communicate project goal to practice and

senior leadership

• Submit baseline and monthly data to inform

improvement efforts

• Utilize Quality Improvement methods

§Outline Office Flow and IP+SEEK tool use §Conduct tests of change

Establish Sustainable and Standardizable Practices for Injury Prevention and Psychosocial anticipatory guidance Medical Directors: Sarah Denny, MD, FAAP and Michael Gittelman, MD, FAAP Updated: June 7, 2017 Assess Child’s Risk for Preventable Injuries

• Review parental responses to counsel, refer, or

provide resources for incorrect answers §Share food access locations & benefits for food insecure families §Offer resources or refer families for tobacco, drug and/or alcohol use within the state or community §Complete PHQ9 for positive PHQ2 answers §Refer for positive PHQ9 & follow up §Give cabinet locks to families to secure unsafe items §Give sleep sacks and use handout at Newborn & 2- month WCV §Gather information on car seat check sites §Provide educational materials to families

• Utilize provider reference materials on injury

prevention and psychosocial topics to inform counseling with families

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% November December February March April May June

Collaborative Counseling and Resource Documentation

N-1 Counseling 1-5 Yr Counseling Goal for Counsleing N-1 Resources 1-5 Yr Resources Goal for Resources

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% February March April May June

% Patients who were Offered Resources

N-1: Resources Offered 1-5: Resources Offered 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% February March April May June

% Tools with All Incorrect Responses Discussed

N-1 : All Wrong Discussed 1-5 : All Wrong Discussed

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% February March April May June

Items Left Unaddressed but Resource Given

N-1 : Resource Provided but Discussion Warranted 1-5 : Resource Provided but Discussion Warranted 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% February March April May June

All Incorrect Items Addressed & Resource Provided

N-1 : All Discussed & Resource Provided 1-5 : All Discussed & Resource Provided

Your Data

• If difficulty submitting data, please submit

additional data as soon as possible

– Hayley will follow up with each practice regarding what is due

• Once submitted, run charts will be

available when Hayley sends APC slides and reminders

Which area of the project do you feel is most important for improving discussion of in practice?

Intentional Injury Risk Unintentional Injury Risk Social Determinants of Health

Provider Survey

• Each provider should complete the

individual survey available at this link (also sent in email):

• This will be used to help track where new

resources have been implemented through the project.

Questions

• r Comments?

Reminders

• If not yet submitted, please send at the

earliest convenience:

– PDSA Cycle Worksheet 1 – Any remaining February Data/Tools – Baseline data for all physicians seeking MOC credit

• Please scan and send completed screening or

baseline tools by email or fax

• hsouthworth@ohioaap.org
• 614-846-4025

Reminders

• April Practice Coach Call or Visit

– Please send open dates/times for scheduling

• March Data – April 6
• PDSA Cycle Worksheet 2 – April 30

– This can be discussed further on April coach call

• April Data – May 4
• Action Period Call 2 – May 8, 12:15 pm

Thank you!