Injury+SEEK Learning Collaborative Action Period Call Agenda Roll - PowerPoint PPT Presentation

Injury+SEEK Learning Collaborative

Action Period Call Agenda • Roll Call • PDSA Cycle Implementation – Practice Sharing • Data Review – Dr. Samantha Anzeljc • Community Resource Discussion • Questions/Comments/Problems • Reminders

Conference Call Etiquette • Please MUTE your phone when you are not speaking – This will eliminate any background noise including incoming phone calls, conversations between team members, dogs barking, UPS Deliveries, etc. – Participants can mute/unmute their own lines by pressing 4*. • Please do not put your phone on HOLD – We appreciate your enthusiasm for your on-hold message, however, it is disruptive for the group to hear about your system � s care of bicycle injuries, when the mobile mammography unit will be in your area, etc.

Practice Roll Call - What have you reviewed as educational materials for the project so far? - Did you learn anything to use in practice? – UH Rainbow Babies-CDC – Olentangy Pediatrics – Medina Family Medicine – Pediatrics – Mercy Navarre Pediatrics/Residency Clinic – Mid-Ohio Pediatrics & Adolescents – Mounty Healthy Family Practice – Hillcrest Hospital – Forest Park Internal Medicine-Pediatrics

What topics would you most like to learn about during this project? 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

PDSA Cycle 1 (Implementation)

• In 2 minutes or so, please describe your project implementation and first PDSA cycle. – What was the general focus of your PDSA? – Was tool implementation and office flow a key component of this test of change? – What timeframe did your PDSA cycle cover (one day, one afternoon, etc.) and have you scaled up since completion? – What could be the focus of your second or third PDSA cycles?

Common PDSA Pitfalls 1. Vague PDSA objectives 2. Failing to ask “learning questions” 3. Failing to execute the whole cycle 4. Not learning from � failures � 5. Lack of detailed execution plan 6. Inadequate data collection plan 7. Confusing task vs. tests 8. Failure to think ahead a few cycles https://www.nichq.org/insight/how-avoid-most-common-pitfalls-planning-pdsa-cycles https://www.nichq.org/insight/5-tips-testing-optimize-your-next-pdsa

Do you feel you experienced any of these common PDSA pitfalls? Not learning from failures Failing to ask learning questions No PDSA pitfalls were encountered Failure to think ahead a few cycles Confusing task vs. tests Inadequate data collection plan Lack of detailed execution plan Failing to execute the whole cycle Vague PDSA objectives 0 0.05 0.1 0.15 0.2 0.25 0.3 0.35

Quality Improvement and Data

INTERVENTIONS Injury Prevention Plus SEEK • Form a 3-5 person interdisciplinary QI Team Key Driver Diagram § Empower team roles & responsibilities § Schedule and host monthly QI team mtgs. • Formally communicate project goal to practice and senior leadership Medical Directors: Sarah Denny, MD, FAAP and Michael Gittelman, MD, FAAP • Submit baseline and monthly data to inform Updated: June 7, 2017 improvement efforts • Utilize Quality Improvement methods § Outline Office Flow and IP+SEEK tool use SMART AIM § Conduct tests of change From July 2017 through • Educate primary care providers on proper anticipatory December 2017, each practice KEY DRIVERS guidance around injury prevention and psychosocial will work to incorporate the identification and topics Injury+SEEK age-appropriate § Participate in MOC 2 at Learning Session Engage Quality Improvement Team screening tools at well child • Incorporate Injury+SEEK tools in office flow and Supportive Office Environment § Configure roles in grading tools, counseling, visits for children birth to 4 referral process, and resource provision years of age to identify unsafe § Distribute at all well visits birth-4 years or risky behaviors. Assess Child’s Risk for Preventable Injuries Specific Aims: • Review parental responses to counsel, refer, or 1. For the submitted provide resources for incorrect answers § Share food access locations & benefits for food Injury+SEEK screening insecure families Provide Appropriate Injury tools, parents who provide § Offer resources or refer families for tobacco, drug Prevention and Psychosocial inappropriate responses will and/or alcohol use within the state or community receive counseling 90% of Counseling, Referrals and Resources § Complete PHQ9 for positive PHQ2 answers time. § Refer for positive PHQ9 & follow up 2.For the submitted § Give cabinet locks to families to secure unsafe items Establish Sustainable and Injury+SEEK screening § Give sleep sacks and use handout at Newborn & 2- Standardizable Practices for Injury tools, parents who provide month WCV Prevention and Psychosocial an inappropriate response § Gather information on car seat check sites anticipatory guidance § Provide educational materials to families will receive a referral and/or • Utilize provider reference materials on injury resources 75% of time. prevention and psychosocial topics to inform counseling with families GLOBAL AIM • Hold team meetings periodically to review Provide children with the improvement & maintenance efforts opportunity to grow up to • Secure resources for post-collaborative reach their fullest potential by • Integrate Injury+SEEK questions into history eliminating unintentional and collection process intentional injuries and • Embed Injury+SEEK in medical record psychosocial risks. • Update family resources on Injury+SEEK

Collaborative Counseling and Resource Documentation 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% November December February March April May June N-1 Counseling 1-5 Yr Counseling Goal for Counsleing N-1 Resources 1-5 Yr Resources Goal for Resources

% Tools with All Incorrect Responses Discussed 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% % Patients who were Offered February March April May June N-1 : All Wrong Discussed 1-5 : All Wrong Discussed Resources 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% February March April May June N-1: Resources Offered 1-5: Resources Offered

All Incorrect Items Addressed & Resource Provided 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% February March April May June Items Left Unaddressed but Resource N-1 : All Discussed & Resource Provided Given 1-5 : All Discussed & Resource Provided 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% February March April May June N-1 : Resource Provided but Discussion Warranted 1-5 : Resource Provided but Discussion Warranted

Your Data • If difficulty submitting data, please submit additional data as soon as possible – Hayley will follow up with each practice regarding what is due • Once submitted, run charts will be available when Hayley sends APC slides and reminders

Which area of the project do you feel is most important for improving discussion of in practice? Intentional Injury Risk Unintentional Injury Risk Social Determinants of Health

Provider Survey • Each provider should complete the individual survey available at this link (also sent in email): • This will be used to help track where new resources have been implemented through the project.

Questions or Comments?

Reminders • If not yet submitted, please send at the earliest convenience: – PDSA Cycle Worksheet 1 – Any remaining February Data/Tools – Baseline data for all physicians seeking MOC credit • Please scan and send completed screening or baseline tools by email or fax • hsouthworth@ohioaap.org • 614-846-4025

Reminders • April Practice Coach Call or Visit – Please send open dates/times for scheduling • March Data – April 6 • PDSA Cycle Worksheet 2 – April 30 – This can be discussed further on April coach call • April Data – May 4 • Action Period Call 2 – May 8, 12:15 pm

Thank you!