1. Practice Key Driver Diagram

2. CQN ADHD Learning Session 1 Nancy Adams MSM January 6, 2016 Where Do We Go From Here?

3. Nancy Adams MSM I have no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or provider of commercial services discussed in this CME activity. I do not intend to discuss an unapproved or investigative use of a commercial product/device in my presentation. Commercial Interests Disclosure

4.  Identify next steps over the next 30 days  Articulate how the chapter will support practices during the collaborative Objectives

6. 1.Kick off the project in your practice 2.Strengthen your team’s QI knowledge and skills 3.Refine your systems approach to ADHD care What Needs to Happen in Action Period 1?

8.  Finalize members of your core QI team  Ensure participants and non-participants have completed the enrollment/informed consent survey  Complete the mehealth portal trainings  Review the project timeline  Determine your core QI team’s standing meeting time and tentative huddle times If you haven’t already…

9.  Finalize your list of participating physicians – double check that non-participants haven’t changed their mind!  Communicate the project goals, who will be participating, level of excitement, and potential impact at the next staff meeting and in regular communication vehicles  Display Practice KDD in office common areas, including where you will be conducting your huddles Checklist: Kick-Off the Project in your Practice

11.  Attend monthly practice webinars/calls. Consider blocking time in your schedule to ensure your team can attend the entire call.  Keep your Model for Improvement card in an easy-to-access place and reference often.  Get in the habit of using the PDSA worksheet to document your theories, results and what you have learned.  Begin using the tools and resources provided in this session and the ADHD toolkit. Checklist: Strengthen your team’s QI knowledge and skills

13.  Establish roles and responsibilities of your care team  Consider updating/creating written protocols for diagnosis and follow-up visits, including roles and responsibilities of the care team  Begin entering patients into the mehealth portal  Remember, MOC requirement is an average of 5 patients per month over at least 9 months! Checklist: Refine your systems approach to ADHD care

14.  Refine mapping your office flow to fully integrate the mehealth portal into your processes for:  Collecting parent and teacher Vanderbilt assessments and follow-up assessments  Initial and follow-up screening for co-morbidities  Integrate the initial conversation checklist and parent education booklet into your workflow Checklist: Refine your systems approach to ADHD care (continued)

15. Thank you!