Statewide Quality Improvement Outreach Improves Preventive Services for Young Children

Abstract

The work in this project has provided the evidence for an effective statewide pediatric quality improvement outreach program to improve preventive services for children who are younger than 5 years. Practices' decision to focus on a specific preventive service area as a quality improvement goal seems necessary for improvement in that area. This approach may be effective in other states or regions.

Implementation of a Preventive Services Bundle in Academic Pediatric Primary Care Centers

“…Shaw et al 6 and Young et al 31 showed that practices who set goals and used QI methods achieved improvement in at least 1 preventive service. In accordance with recommendations by Solberg et al, 32 we used strategies that considered multiple characteristics of participating clinics.…”

“…2 Past efforts to improve quality in pediatric primary care have focused mostly on individual services, such as improving immunization rates 3 or lead screening. [4][5][6] Yet, pediatric practices continue to struggle with comprehensively delivering preventive services in light of lengthy abstract BACKGROUND AND OBJECTIVES: Previous studies have documented poor rates of delivery of preventive services, 1 of the core services provided in the primary care medical home setting. We aimed to increase the reliability of delivering a bundle of preventive services to patients 0 to 14 months of age from 58% of patient visits to 95% of visits.…”

Improving Delivery of Bright Futures Preventive Services at the 9- and 24-Month Well Child Visit

“…The project measured a combination of nationally endorsed measures and measures tested in and/or adapted from previous QI preventive services projects. 8,11,12,[15][16][17][18][19] Measurements included in the PreSIP are detailed in Table 2. One particularly challenging but critical measurement area was the "partnership with parents," a unique and integral component of Bright Futures not reflected in adult practice guidelines.…”

“…She reviewed and revised the manuscript, making several significant additions for tables; Dr Shaw contributed to the conceptualization and design of the study, participated as faculty at the first learning session, and reviewed the manuscript with hospitals, meeting over a defined timeframe to effect the specific change targeted for improving care. [8][9][10][11][12][13] A natural extension of the collaborative model is an organized network of providers or institutions engaging its members in topic-specific collaboratives. In 2005, the American Academy of Pediatrics (AAP) developed the Quality Improvement Innovation Networks (QuIIN) to organize a platform of practices for testing "change packages" of new measures, guidelines of care, and innovative care delivery approaches before widespread dissemination.…”

Structured intervention utilizing state professional societies to foster quality improvement in practice

“…initiatives 11,12 and regional improvement partnerships involving chapters of the American Academy of Pediatrics~AAP! 13,14 have successfully changed practice using these concepts.…”