AAP’s Chapter Quality Network Asthma (CQN2) Collaborative

Put Names of QI Team/Practice HerePut Date Here

Put your chapter logo here

Defining the Gap: Asthma

Affects 6.7 million children Costs $3.2 billion dollars annually Accounts for 14.7 million missed school

days per year Causes 44% of pediatric

hospitalizationsAkinbami LJ, Moorman JE, Garbe PL, Sondik EJ. Status of childhood asthma in the United States, 1980-2007. Pediatrics.

2009;123(Suppl):S131-S145.Weiss KB, Sullivan SD, Lytle CS. Trends in the cost of illness for asthma in the United States. J of Allergy Clinical Immunology .

2000:106:493-499.American Academy of Allergy, Asthma and Immunology. http://www.aaaai.org/media/resources/media_kit/asthma_statistics.stm

CQN2 Collaborative AimThe national goal for the practice level is to

support changes in asthma care practices and child health outcomes, and to implement successful practice system changes

At the chapter level, the goals include increasing the capacity for quality improvement work, and building key partnerships and funding for continued quality

efforts

Our Practice’s Aim Statement

Aim Statement:

We have joined the CQN2 AAP National

Collaborative to …. put the aim statement

that you developed for your LSI storyboard

CQN2 Collaborative Practice Level Goals90% seen with an CQN encounter form

will have optimal care by Sept 2012:Optimal care is defined as a bundle of

measures:90% with an assessment of asthma control90% will use NHLBI stepwise approach90% of children w persistent asthma on

controller med90% with a written asthma action plan

CQN2 Collaborative Practice Level Goals (cont)% of caregivers with confidence level of 7 or

above in ability to manage child’s asthma% of caregivers who rate child’s asthma as

well controlled% of patients 5+ w/ spirometry obtained

within last 2 years% of patients w/ self management education

materials% of patients with asthma received flu shot

during active flu season

Learn QI methods to systematically and reliably identify patients with asthma and improve asthma care for these patients

Apply the same methods to other content areas (such as children with diabetes, preventive services)

Meets qualifications for MOC level 4 certification for our physicians

Why Our Practice Is Participating…

What we will get as part of the CQN2 CollaborativeWe will receive /have access to:

Monthly and trend data for all measures Coaching from QI experts at the chapter &

national levels to support practice level changeLatest in articles, tools and resources Ability to hear what other practices are doing

and the ability to ‘steal shamelessly’ on ideas that may work in our practice

CQN Pilot Results CQN2 September Data Reports

CQN Pilot Ohio Chapter Results

Other CQN Pilot Outcomes The percentage of patients who received an updated written asthma action plan increased from 49% to 91%

Patients in which self-management education materials were provided and explained to the patient and family at the time of visit also increased from 60% to 87% of the time.

 Of the 235 physicians in the CQN pilot, 92%

completed the requirements of the project to be awarded credit for the ABP’s Maintenance of Certification Part 4.

Encounter Forms Entered in Our Practice for September, 2011

Place table showing number of encounter forms by provider in your practice

September, 2011 (Baseline) Data

Baseline: Our Practice Use the pdf ‘snapshot tool’ to cut/paste your

baseline data point for % with optimal care plan

Baseline: Our Practice Use pdf ‘snapshot tool’ to cut/paste your

baseline data point for % with asthma care plan

What is our chapter doing to address the payer issues? Chapter leaders to put in information here

Our areas of focus and testing over next monthIncrease the number of encounter forms

being used and increase the number of clinicians using the encounter form

Identify our asthma patients before they come in through the development of a registry using billing queries

Continue to conduct PDSA cycles Note: these are recommended areas of focus, however you should tailor these based on what your QI team is doing