1. What the Future Holds! Phase 2 Data Collection and Measurement Ruth S. Gubernick, MPH Quality Improvement Advisor Florida Pediatric Medical Home Demonstration Project Learning Session 2 April 27-28, 2012

2. Disclosure I have no relevant financial relationships with the manufacturers of any commercial products and/or provider of commercial services discussed in this CME activity. I do not intend to discuss an unapproved/investigative use of a commercial product/device in their presentation.

3. How will we know that a change is an improvement? Plan DoStudy Act What are we trying to accomplish? What changes can we make that will result in improvement? The Improvement Model The Improvement Guide Associates in Process Improvement

4. Measurement for Quality Improvement  You can’t improve what you can’t (or don’t) measure  A good aim statement provides clear direction.  Measures tell a team if the changes they make are making a difference  Measurement tells you where you are and where you are going

5. % of patients who have a medical summary or comprehensive care plan create or updated/maintained Change

6. Requirements of Teams  From May 15, 2012 through October 30, 2012 you will be asked to submit data for the following 3 sets of patients, using Survey Monkey:  Up to 10 charts of patients seen for a 24-month health supervision visit  Up to 10 charts of patients diagnosed with pharyngitis and dispensed an antibiotic  Up to 10 charts of patients diagnosed with asthma seen for a recent visit  Note: Chart review instructions are on the Monthly Data Collection Web page  Data cycles will be open on the 15th of each month. Please do not submit data until the 15th of every month. Data will be due by the 30th of each month.  You will need to complete the on-line chart review survey for each patient chart you review. You have the option of first completing a “hardcopy” survey of each chart reviewed, using the PDF Data Collection Tool, but you must then submit that data using Survey Monkey.  You will still have access to EQIPP Medical Home, for your own use!

7. Phase 2 Data Collection Web Site http://www2.aap.org/qualityimprovement/quiin/workspaces/MedHome/DataCollection.html http://www2.aap.org/qualityimprovement/quiin/workspaces/MedHome/DataCollection.html

8. Monthly Data Collection Web Site

9. Survey Monkey Data Input

10. Age appropriate risk assessments were completed at the 24 month health supervision visit

12. Survey Monkey Data Input

18. Data Collection Tool 24-months old health supervision visit

19. Data Collection Tools Patients diagnosed with Pharyngitis and dispensed an antibiotic Patients diagnosed with asthma

20. Chart Review Log Sheet

21. Monthly Progress Report Provides information about  Tests of change completed and tools used each month  Assessment of team progress  Other qualitative measures Instructions  Insert your practice’s Aim statement.  Indicate the change package items you have tested. Describe specific changes (by domain) and tools you have tested.  Rate the impact of the Medical Home processes on your practice, using the scale. Report your team’s learning.  Complete the Systems Index.  Submit your Monthly Progress Report by the 30 th of the month for which you are submitting, using the Survey Monkey link (URL) that will be sent each month via the project listserv

22. Monthly Progress Report Please tell us…  Did your team access the FL SHOTS during the past month? Yes/No

23. Systems Index

24. Data Reporting  Reports include comprehensive data for all practices  Reports will be shared monthly prior to monthly calls  Reports will be posted on project workspace  Monthly calls:  3 rd Wednesday of the month  2 nd Tuesday of the month

25. Project Workspace  All data and run charts will be available for review on the Project Workspace Web site  http://www2.aap.org/qualityimprovement/quiin/workspaces/Med Home/RunCharts.html http://www2.aap.org/qualityimprovement/quiin/workspaces/Med Home/RunCharts.html  Compare your team’s data to other teams and to the aggregate data!

26. Data Collection Cycle Table

27. Questions