1. Adolescent Sexual Health Quality Improvement Fellowship Informational Webinar October 11, 2016 │ 1-2pm PT/4-5pm ET

2. Alice Gandelman, MPH CAPTC Director Ina Park, MD, MS ASH QIF Co-Director Lindsey Clopp, MSPH Coordinator Holly Howard, MPH ASH QIF Co-Director National Quality Improvement Center Staff

3. National Quality Improvement Center (NQIC) at the California Prevention Training Center  What we do:  Provide QI training, resources, technical assistance, and project facilitation Including support for on-site rapid-QI events  Promote a national learning network focused on QI for STD clinical preventive services  Collate and disseminate QI success stories  Administer the Adolescent Sexual Health Quality Improvement Fellowship program

4. Our Experience  STD Best Practices Quality Improvement On-Site Events with NNPTCs:  New York: Chlamydia Screening in Primary Care  California: Chlamydia Screening in Pediatric Primary Care  Baltimore: STD Screening in Primary Care  North Carolina: Clinic Efficiency in STD Clinics  Chicago: Clinic Efficiency in STD Clinics

5. Population Health Improvement Partners Staff Meredith Carroll Program Coordinator Amanda Cornett, MPH VP, Programs Greg Randolph, MD, MPH President Lou Anne Stout MBA, CLSSBB, PMP Improvement Specialist

6. Population Health Improvement Partners  Mission:  To build community and organizational capacity to improve and sustain population health.  What we do:  Help health-focused organizations apply evidence-based interventions/guidelines and improvement science to dramatically improve health.

7. Our Experience  North Carolina:  78 of 85 Local Health Departments in NC  7 Safety Net Dental Clinics (focus: access for babies & pregnant women)  5 Community Coalitions (focus: improving care for CYSHCNs)  15 Community Coalitions (focus: Healthy NC 2020)  5 Community Coalitions (focus: Chronic Disease and Obesity)  22 programs within the NC State Division of Public Health  Nationally:  National QI Center for STD Prevention Training Centers (5 PTCs)  EMPOWER: Improving Breastfeeding Rates (100 hospitals)  MCH Workforce Development Center (28 states)  Family Visiting Program in Rhode Island (9 local agencies)  Association of Maternal & Child Health Programs (all states and territories’ Title V programs)  MN DOH LHD QI training program (all MN LHDs)  State PH Programs in New Hampshire (5 programs)

8. Improvepartners.org

9. The Adolescent Sexual Health (ASH) Quality Improvement (QI) Fellowship for Public Health Professionals

10. Affordable Care Act National Chlamydia Coalition Population Health Improvement Partners National QI Center Fellowship Origins ASH QI Fellowship

11.  Funded by CDC Division of STD Prevention (DSTDP)  Primary Goal:  To train public health professionals in DSTDP-funded STD programs and PTCs to become QI specialists supporting ASH clinical care within primary care settings  How will this goal be achieved?  Through extensive training on and practice with QI tools/methods  Through in-depth exposure to ASH clinical best practices and their common barriers and facilitators Program Overview

12. Fellow Requirements Active participation in all instruction:  Didactic instruction: on QI methodology and ASH clinical care best practices 11-12 distance-learning webinars 3-day in-person training (in N. Carolina)  Self-directed learning: pre-readings and research  1:1 mentoring and coaching: with QI expert trainer  Experiential learning: apply tools during final project  Peer-to-peer learning: with other fellows

13. Fellows will lead a Final Clinical QI Project:  Preparation Selecting/securing a clinical site partner and project Developing aim statements and goals Collecting data to measure baseline performance  Implementation Co-Facilitating a rapid-QI onsite event (“Kaizen”): ~ 4-5 days  Follow-up 30-, 60-, and 90-day follow-up meetings with clinic site Supporting continuous QI and providing ongoing TA Collecting data to measure results  Report Back Presentation Sharing QI results and lessons learned Information sharing Fellow Requirements

14.  November 2016 - May 2017  ~2 webinars per month  3-day in-person training in March 2017  March - July 2017  Final Clinical QI Projects scheduled  August - October 2017  Report-back presentations due Overall Commitment Timeline

15.  11-12 Webinars (2 hrs per webinar)  Homework (~2 hrs per webinar)  Huddles with QI coach (~30-60 min per month)  In-person training in NC (3 days + travel)  Final Project (4-5 days on-site, plus ~15-30 hrs of prep and follow-up)  Final report-back calls (~4 hrs, plus prep time) Time Commitment

16. 2016-2017TrainingCoaching Calls** Nov 14: 3-5pm EST Nov 29: 3-5pm EST Webinar X Dec 13: 3-5pm ESTWebinarX Jan 10: 3-5pm EST Jan 24: 3-5pm EST Webinar X Feb 2: 3-5pm EST Feb 14: 3-5pm EST Feb 28: 3-5pm EST Webinar X Mar 21-23In-Person Training, Raleigh, NCX Apr 4: 3-5pm EST Apr 18: 3-5pm EST Webinar X May 16:3-5pm ESTWebinarX Mar - Jul Final on-site clinical projects will be individually scheduled with chosen site and the QI on-site facilitator X Aug-Oct (Dates TBD)Final Report OutsX **Monthly coaching calls will be individually scheduled by fellow and their coach Fellowship Schedule

17. Number of Accepted Fellows  1-2 fellows from up to 5 project areas will be accepted (10 fellows in total)  Teams of 2 are strongly encouraged to apply  Each prospective fellow in the team should complete a separate application but acknowledge the team-based approach

18.  Prospective fellows are required to submit a Supervisor Letter of Support Initialed by the applicant Completed and signed by the applicant’s supervisor Stating that they understand the time commitment and have approved fellow participation in all required activities Supervisor Support

19. Strong Fellow Applicants  Level of QI experience: has experience designing, implementing, and/or evaluating QI interventions  Commitment to continuous QI: can articulate the value of learning about QI  Organizational support: has the support of their supervisor to participate and to utilize staff time working on a QI final project  Position within the organization: participation in the fellowship will increase future QI activities at their organization  Clinical partnership: has existing clinical partnerships or ideal targets in mind for Final QI Project

20. Application Deadline  The (1) Fellowship Application [via online survey] and (2) Supervisor Letter of Support [sent via email] must be submitted no later than October 24, 2016.  Acceptance decisions will be communicated no later than November 1, 2016.

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