What does the Future Have in Store? The Roadmap for Phase 2 of C4K

Ruth S. Gubernick, MPHQuality Improvement Advisor

Florida Pediatric Medical Home Demonstration Project Learning Session 2

April 27-28, 2012

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.

Participating Organizations and Programs

American Academy of Pediatrics (AAP) Florida Agency for Health Care Administration

(AHCA) Florida Children's Medical Services Network

(CMS) Health Management Associates The Family Café University of Florida Institute for Child Health

Policy (ICHP)

Part I: AAP Quality Improvement Project

Overview Mission: To provide physicians and their staffs with strategies, tools, and resources necessary to strengthen medical homes’ capacity to provide high quality, family-centered care for all children and youth, including those with special health care needs (CYSHCN).

Overall Goal: To assess the effectiveness of systems of care and implement tools, strategies and measures designed to improve medical homeness, including enhancing access to care; providing family-centered care; providing and documenting planned, proactive, comprehensive care; and coordinating care across all settings.

AAP Quality Improvement ProjectPhase 2 - Aims and Measures Between May 2012 and October 2012, participating practice teams

will aim to improve preventive care at the 24 month visit so that: Appropriate risk assessments are performed at 95% of well-child visits for 24 month

visit 95% of patients have documentation of 1completed standardized developmental

screen at the 24 month health supervision visit. 90% of patients with a positive developmental screen have a follow-up plan in chart 95% of patients have documentation of a standardized autism-specific screen at the

24 month health supervision visit. 95% of patients with a positive autism screen have a follow-up plan in chart 95% of patients have documentation in chart that BMI was plotted on the percentile

curves according to age and sex at the 24 month visit. 90% of patients have documentation in the chart that the patient’s medical summary

or comprehensive care plan was created or updated/maintained at the visit. (The comprehensive care plan is developed and modified with input from the patient and family).

90% of patients have documentation in the chart that the patient’s current medical summary or comprehensive care plan was reviewed with the parent at the visit.

Phase 2 - Change Package Tools

AAP Quality Improvement ProjectPhase 2 - Aims and Measures

Between May 2012 and October 2012, the participating practice teams will aim to improve acute care so that: 90% of patients diagnosed with pharyngitis and dispensed an

antibiotic receive a group A streptococcus test for the episode

Phase 2 - Change Package Tool

AAP Quality Improvement ProjectPhase 2 - Aims and Measures

Between May 2012 and October 2012 (action period 2), the participating practice teams will aim to improve chronic care so that: 90% of patients diagnosed with asthma receive an Asthma Control Test

during their most recent visit 90% of patients diagnosed with asthma have an Asthma Action Plan

created or updated/maintained, reviewed and shared with them during their most recent visit

Phase 2 - Change Package Tools

AAP Quality Improvement Project

High Level Project Timeline

Questions/Comments?