Injury+SEEK Learning Collaborative Call-in: 1-800-466-8543; code - - PowerPoint PPT Presentation

Injury+SEEK Learning Collaborative

Call-in: 1-800-466-8543; code 342604

Action Period Call Agenda

• Roll Call
• Sustainability Discussion & Data Review

– Dr. Samantha Anzeljc

• 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 system’s care of bicycle injuries, when the mobile mammography unit will be in your area, etc.

Practice Roll Call

• Polling Question – Do you plan to use the

tools in practice after the Learning Collaborative in any form? Complete tools, partial, none, or unsure.

– 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

Quality Improvement, Sustainability, and Data

Injury Prevention Plus SEEK Key Driver Diagram

SMART AIM KEY DRIVERS INTERVENTIONS

From January 2018 through June 2018, 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 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

Improvement Work

Continuous tests

• f change

Sustainability

Embed in everyday work

Sustainability

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

Practice Roll Call

• What can you trial to consistently counsel
• n inappropriately answered questions

and/or provide resources?

– Olentangy Pediatrics – Medina Family Medicine – Pediatrics – Mercy Navarre Pediatrics/Residency Clinic – Mid-Ohio Pediatrics & Adolescents – Mount Healthy Family Practice – Hillcrest Hospital – Forest Park Internal Medicine-Pediatrics

Sustainability Factors Measurement All improvement will require change, but not all change will result in improvement Purpose is to: § Learn § Characterize & define gaps for improvement § Participate in bidirectional feedback § Evaluate progress § Determine effect of improvement efforts Not just numbers but experiences

Jeffcott, S. (2014, June). The Spread and Sustainability of Quality Improvement in Healthcare. Healthcare Improvement Scotland.

Sustainability Factors Measurement Key for Success – Use of real time data to drive improvement Connect improvement data collection strategies with existing strategies Use 7 steps to measure your improvements

1. Decide on your aim 2. Choose your measures 3. Confirm how to collect your data 4. Collect your baseline data 5. Analyze and present your data 6. Meet to decide what the data is telling you 7. Repeat steps 4-6, building upon your learning

Jeffcott, S. (2014, June). The Spread and Sustainability of Quality Improvement in Healthcare. Healthcare Improvement Scotland.

0% 20% 40% 60% 80% 100% February March April May June

% Tools with All Incorrect Responses Discussed

N-1 : All Wrong Discussed 1-5 : All Wrong Discussed 0% 20% 40% 60% 80% 100% February March April May June

% Patients who were Offered Resources

N-1: Tools with Wrong had Resources Offered 1-5: Tools with Wrong had Resources Offered

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% February (n=23) March (n=47) April (n=36) May (n=40)

N-1 SEEK vs IP AG Discussion of Incorrect Responses

N-1: SEEK Incorrect Discussed N-1: SEEK Tools with Wrong Responses N-1: IP Incorrect Discussed N-1: IP Tools with Wrong Responses

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% February (n=39) March (n=56) April (n=51) May (n=46)

1-5 SEEK vs IP AG Discussion of Incorrect Responses

1-5: SEEK Incorrect Discussed 1-5: SEEK Tools with Wrong Responses 1-5: IP Incorrect Discussed 1-5: IP Tools with Wrong Responses

Learning through Measurement

PDSA Cycles § Qualitatively / Quantitative Data Monthly Tool Entry § Degree/Effect of Improvement Efforts § Meeting Goals § Consistency

Sustainability Factors Innovation Doing something different rather than doing the same thing better Key to Success – a clear benefit and innovation in the improvement Diffusion of Innovation & Idea Quality

§ Clear advantage vs. current ways § Compatibility with current system and values § Simplicity of change & its implementation § Ease of testing before making a full commitment § Observability of change & its impact

Jeffcott, S. (2014, June). The Spread and Sustainability of Quality Improvement in Healthcare. Healthcare Improvement Scotland.

Practice Roll Call

• 1. What questions did you previously have in your

EMR? What will be added now that you’ve done this collaborative?

• 2. Describe how questions will be incorporated

into your EMR (scan ST, dot/smart phrases, etc.).

• 3. How do you intend to use resources?

– Olentangy Pediatrics – Medina Family Medicine – Pediatrics – Mercy Navarre Pediatrics/Residency Clinic – Mid-Ohio Pediatrics & Adolescents – Mount Healthy Family Practice – Hillcrest Hospital – Forest Park Internal Medicine-Pediatrics

Questions

• r Comments?

Part IV MOC Credit

• The physician team leader within the practice

will need to attest for each physician’s meaningful participation at project end

• To receive credit, a team must:

– Complete and submit 3 PDSA cycles – Attend Practice Coach and/or Action Period Calls – Submit data for 10 audits per month, per provider seeking credit

Part IV MOC Credit

• If you are unsure of what materials you still

need to submit, please contact Hayley to confirm and arrange for completion

– We will work with you to ensure you can claim credit if possible – Make up calls and late data may be available

• Link to claim MOC Part IV credit earned will

be provided following completion of final survey and submission of all materials

Reminders

• Please send at the earliest convenience:

– Any remaining June Data/Tools

• Please scan and send completed screening tools

by email or fax

• hsouthworth@ohioaap.org
• 614-846-4025
• July Data – August 3
• PDSA Cycle Worksheets – July 31

Reminders

• Final project evaluation survey will be

sent by August 10

– Please complete by August 31

• Link to claim MOC Part IV credit earned

will be provided following completion of final survey and submission of all materials

Questions

• r Comments?

Thank you!