Improving Diagnosis and Management of ADHD Team Lead Call #1 Diane Liu, MD Assistant Professor, Pediatrics Co-Director, UPIQ

Families First Pediatrics (1) Intermountain Moroni Clinic (2) Mountain West Pediatrics (3) Ogden Clinic (4) Southwest Children’s Clinic (5) South Jordan Health Clinic (6) Utah Valley Pediatrics- Provo North (7) University Pediatrics Clinic (8) Wasatch Pediatrics – Draper (9) Welcome Practice Teams!

Agenda Mute responsibily Project update: review timeline and baseline data Practice data for today’s discussion will be identified by numbers for today only. For future calls the labels will be by practice name. All practices practice data including data by physician is available on QITS Clinical Discussion Thanks for your participation! Upcoming Events Deliverables Questions

ADHD Project Timeline ADHD- - Project Timeline #DeliverablesNovDec 2015Jan 2016Feb 2016March 2016April 2016May 2016June 2016 July 2016 August 2016September Baseline 30 charts due by 12/15 3 Balancing Measures X X X 5 Chart Review(s) Dec data 1/15Jan data 2/15Feb data 3/15March data 4/15April data 5/15May data 6/15June data 7/15July data 8/15August data 9/15 6 Team Lead Calls (Tuesdays, 12:30-1pm) (1) 1/26(2) 2/23(3) 3/22(4) 4/26(5) 5/24(6) 6/28(7) 7/26 (8) 8/23 7 Webinars (Tuesdays, 12:15-1pm) (1) 2/16(2) 4/19(3) 6/21(4) 8/16 6 month post is due April 15, 2017/30 Charts per participating clinician/October 2016-March 2017 encounters

Data: What we will be providing Provider-level: Individual clinicians within a practice (on QI TeamSpace, including comparison to clinic aggregate – Reports) Practice-level: Aggregate of all clinicians participating within the practice, including comparison to project aggregate (on QI TeamSpace – Reports) Project-level: Your practice as it compares to other practices in the project (on Team Lead Calls) Keep in mind that not all providers had an N of 30 but we are reporting percentages. See your report for specific ‘N’

Percentage of encounters for initial diagnosis and follow-up for ADHD where there is documentation of the screening tool in 2 settings documented in the chart

Percentage of encounters for Initial Diagnosis where there is documentation of DSM-V criteria and Co-Existing Conditions

Percentage of encounters for Initial Diagnosis and ADHD follow- up where there is documentation of medication follow-up within the recommended time of days for new Rx and 6 months for maintenance Rx

Optional Measures: Follow-up documentation and ADHD Registry

Interventions Previsit planning packets Building registries Using EMR templates to capture comprehensive documentation

Upcoming Events ADHD Webinar #1 Medication Management Q&A Kristi Kleinschmidt, MD Tuesday, February 16 th, :15 p.m. to 1:00 p.m. Please send your medication management questions in advance to by February 9th Next Team Lead Call #2 Tuesday, February 23rd th, :30 p.m. to 1:00 p.m.

Deliverables December data (due January 15 th ) 10 charts per participating clinician January data (due February 15 th ) 10 charts per participating clinician Baseline Measures Survey (due ASAP) ADHD Balancing Measures - Clinician ADHD Balancing Measure - Staff

Questions?