Welcome to the QI Corner! - Children's Safety Network

Welcome to the QI Corner!August 15th 2017

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Aim Statements and Data Analysis

Jennifer Leonardo, PhDCoIIN Improvement Advisor

Jane Taylor, Ed.DCoIIN Improvement Advisor

Jenny Stern-Carusone, MSWCoIIN Co-Manager/Technology

Director

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Agenda• SMART Aim Statements• 90 Day Aims• Time Series Data• Run Charts• Cumulative Charts• Q&A• Next Steps

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Develop a SMART Aim StatementOctober 27, 2016CS CoIIN

& Ambitious

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CS CoIIN Aim Statement

Source: Hospitalizations estimated from CDC WISQARS query April 2017, 2014 data; and Emergency Department treated and released cases estimated from the Healthcare Utilization Project, Nationwide Emergency Department Sample, 2013.

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Topic Area Aim Statements

Child Safety Topic Death Hosp. ED Visits

Child Passenger Safety (0-14) 4.17 4.17 4.17

Falls Prevention 4.17 4.17 2.17

Interpersonal Violence Prevention 7.5 7.5 7.5

Suicide and Self-Harm Prevention (10-19) 3.33 1.67 1.67

Teen Driver Safety (15-19) 6.67 6.67 6.67

By May 2018, decrease the rate of injury-related deaths, hospitalizations, and emergency department visits among 0-19 year olds, relative to the state/jurisdiction baseline

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Developing a 90-Day AimObjective:Map broad 90-day aims for each action period to guide your PDSA planning.

Instructions:1. Have at hand a) the change package and storyboard and b) your draft driver diagram2. Write a 90-day aim statement for the secondary drivers you already selected in your driver diagram. Refer to the change ideas you selected to inform the goals of your aim.3. Remember to write your aims in a SMART (specific, measurable, actionable, realistic, and time-bound) format.(example)

Primary Driver Secondary Driver Column A: 90-Day Aims5/26/17 – 8/25/17

Column B: 90-Day Aims8/26/17 – 11/25/17

Column C: 90-Day Aims11/26/17 – 2/25/18

PD1:

Culture of child passenger safety

SD1:Knowledgeable partners and policy makers

SD2:

Multi-stakeholder partnerships

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Let’s Hear From You!

Do you have a 90-day aim statement? How are you using it to focus your work? Tell us about it!

Are you running PDSA’s? What are some of your challenges or insights?

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Quality Improvement Data: Display, Analysis,

and Use

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Was the Change an Improvement?

Source: The Improvement Guide Pg. 149Source: The Improvement Guide Pg. 149

Before ChangeWeek 4

After Change Week 11

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Del

ay T

ime

(Hou

rs)

Source: The Improvement Guide Pg. 149 & 150

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Looking at Data Over Time

Percentage ED Visits with Admission

Source: ihi.org

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Indiana

Child Passenger Safety

Process Measure 9: Number of free or discounted child safety seats distributed to parents/caregivers per month

The Indiana CPS team has been partnering with the Automotive Safety Program, training Safe Kids Coordinators, and running Booster Bashes to achieve these positive results. Data suggest progress early on and recent variability warrants further examination. From January to April 2016, Indiana distributed an average of 275 car seats monthly. From July to October 2016, they distributed an average of 344

seats, with their highest number of 410 seats in October. This measure became an aggregate in Cohort 2.

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Indiana

Child Passenger Safety

Process Measure 13: Number of universal safety seat inspection forms completed and submitted by child passenger safety (CPS) certified technicians

Through a diverse approach, the Indiana CPS team has achieved positive progress towards increasing the number of universal safety seat inspection forms from the 657 in January

2016 to 859 in October 2016. An significant decrease to 272 forms occurred in June 2016 and the random variation since November 2016 are opportunities to explore the change

efforts. This measure became an aggregate in Cohort 2.

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IndianaProcess Measure 14: Number of free child safety seat inspection events conducted

statewide

Child Passenger Safety

The Indiana CPS team data initially shows a increase in the number of free child safety seat inspection events held. The Indiana CPS team hosted a Booster Bash event in September 2016 to promote safety seat distribution, leading to a major increase of 27 events and has been experiencing variability since October 2016. This measure became an aggregate in

Cohort 2.

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Alternative Process Measure: Number of letters of affirmation of concussion policies submitted

Falls Prevention

From 2011-2012, this team collected 265 letters of affirmation from schools; in 2012-2013, that number dipped to 203. The team set out to improve response rates and confirmation of current sports concussion policies. Through testing communication methods, they collected

332 letters of affirmation in 2016

0

50

100

150

200

250

300

350

June 6-July 17 July 18-July 27 July 27-Aug 17 August 17-Sept 22

Massachusetts

MassachusettsThe TBI Rams

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Process Measure 9: Percent of children and youth receiving EB SEL, positive youth development, and non-violence skills

Collected quarterly, represents the percentage of youth 9-14 years old who complete at least 75% of the Healthy Youth PA program.

PennsylvaniaPass the Green Mustaches

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Process Measure 9: Percent of schools and Organization implementing evidence-based suicide prevention and SEL programs and curricula

Missouri is working to identify schools that implement evidence-based suicide prevention programs to determine where to focus their effort. Their goal is to implement the program in

a total of 60 schools (30 high schools and 30 middle schools).

Suicide and Self-Harm Prevention

MissouriShow-Me

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NebraskaTDS Road Warriors

Teen Driver Safety

Process Measure 12: Percent of parents reporting enforcement of GDL with their teen driver

The first 2 tests of the GDL card showed excellent enforcement of GDL; 100% of the parentsin the first small-scale tests confirmed that they enforce GDL requirements with their teens.When distributed to a larger group of 75 parents, 95% reported enforcement of GDL.

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NebraskaTDS Road Warriors

Teen Driver Safety

Process Measure 13: Percent of signed parent-teen driving agreements among teens participating in an evidence-based teen driver safety program

The first 2 tests of the GDL card showed excellent completion of parent-teen drivingagreements. 100% of the parents in the first small-scale tests signed the agreement withtheir teen. In a larger group of 76 parents, 95% signed the agreement with their teen.

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North Dakota

Teen Driver Safety

Process Measure 1: Percent of communities that participate in campaign

The ND TDS team ‘Impact Teen Drivers’ program is expanding their impact through local partners to increase their presence in schools, immediately expanding from 5 communities to 7 in their first month. They are currently partnered with a University and have reached out to the American Indian Health Resource Center and ND Department of Health.

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Source: Unknown

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SUGGESTIONS OR QUESTIONS?

We’re listening.

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Storyboard• 1 per Strategy Team• Update your LS3 storyboard – use what you previously submitted or

start from scratch (template provided)!• Provide a complete picture of your work:

Progress! Impact! Lessons Learned!

SUBMIT YOUR STORYBOARDS ELECTRONICALLY BY SEPT 18th

Email Rthomas@edc.org or Jstern-Carusone@edc.org

We will be asking you all to review storyboards posted on the CoIIN webportal and casting your vote for the ‘Best Storyboard’ Award!

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Upcoming Deliverables & CallsSubmit your Driver DiagramMonthly Reports about July were due on August 8th

Monthly Reports about August are due on September 11th

Storyboards are due September 18th via email

Strategy Team Updates by Topic TDS: Sept 19th

SSHP: Sept 20th

IPVP: Sept 21CPS: Sept 26th

Falls: Sept 28th

Virtual Learning Session October 3rd!! Stay Tuned for more details!

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Please fill out our short evaluation:

https://www.surveymonkey.com/r/76P5PCF

Thank you!

Questions or Comments? Contact:Jstern-Carusone@edc.org

541-414-4240or

Jleonardo@edc.org(781) 543-9247

For more information, visit: https://www.childrenssafetynetwork.org/cscoiin