1. Chapter Quality Network (CQN) Asthma Pilot Project Judith C Dolins, MPH Associate Executive Director Director, Department of Community, Chapter and State Affairs American Academy of Pediatrics

2. 12 Practices 50 Clinicians ME 13 Practices 101 Clinicians 13 Practices 72 Clinicians 11 Practices 59 Clinicians CQN Asthma Pilot Global Aim Design and execute a scalable model to build AAP chapter capacity to drive population based improvement Asthma Goals 90% of patients have optimal asthma care: –Validated instrument –Stepwise approach to treatment –Asthma action plan –Flu shot 90% patients well controlled OH OR AL OR OH OR ME

3. National Chapters Practice Engagement at Three Levels

4. Optimal Care October 2009 35% September 2010 85% # patient encounters

5. Self-management October 2009 60% September 2010 87% # patient encounters

6. Learnings Chapters can drive improvement State partners key to sustainability Model works across multiple practice settings Practices embed reliability principles in work flow Current Challenges Implementing population- based registry Spread to other states Family involvement Interventions beyond primary care setting