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Project Overview: Training Intervention to Improve Developmental and Preventive Services in Practice. Presenter Name. Introductions—Project Teams. The Bright Futures Mission.

nathaniel-waller
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  1. Project Overview: Training Intervention to Improve Developmental and Preventive Services in Practice Presenter Name

  2. Introductions—Project Teams

  3. The Bright Futures Mission To promote and improve the health, education, and well-being of infants, children, adolescents, families, and communities

  4. What Is Bright Futures? A set of principles, strategies, and tools… that are theory based and systems oriented… that can be used to improve the health and well-being of all children through culturally appropriate interventions… that address the current and emerging health promotion needs at the family, clinical practice, community, health system, and policy levels

  5. Goals of Bright Futures • Promote desired social, developmental, and health outcomes of infants, children, and adolescents. • Enhance health care professionals’ knowledge, skills, and practice of developmentally appropriate health care in the context of family and community. • Increase family knowledge, skills, and participation in health-promoting and prevention activities. • Foster partnerships between families, health professionals, and communities to promote the health of children.

  6. Pediatric Implementation Project • Examine barriers to implementation of Bright Futures. • Develop new strategies to improve implementation.

  7. Supporting Organizations

  8. Purpose of the Bright Futures Training Intervention With Office Staff Pilot Project • To improve the health and development of children by increasing the provision of preventive and developmental services in practice settings

  9. Project Methods • The Model for Improvement • Learning Cycles • Data for Improvement • Implementation Tools and Strategies • Shared Learning

  10. Improvement, Conceptually Systems view • Use of data for learning • A method for improvement • Sharing learning Adapted from Edwards Deming

  11. Systems Thinking • Focus on process, not individual • Immunizations • Developmental assessment • Child, family, health care professional, and community

  12. Participants Bright Futures Prework P P Change Package A D A D Dissemination Volume 1: Tools for Office Improvement Volume 2: A Leader’s Guide Volume 3: Bright Futures Workshop Materials S S Steering Committee Work Group LS 1 LS 2 Supports E-mail Measures Phone Coaching Bright Futures Pilot Project Based upon IHI Breakthrough Series

  13. The Bright Futures framework for preventive and developmental services is adapted from a systems model developed by The Center for Children’s Healthcare Improvement at the University of North Carolina at Chapel Hill.

  14. Implementation Framework • Use of a Preventive Services Prompting Sheet • Use of structured developmental assessment • Evaluation of parental strengths and needs • Development of recall and reminder system • Development of linkages to community resources • Identification of children with special health care needs

  15. Preventive Services Prompting System • Reinforces practice guidelines • Facilitates communication across health care professionals • Ensures that patients receive appropriate care

  16. Use of Structured Developmental Assessment • Tailor to families’ needs, risks, and concerns. • Parents’ Evaluation of Developmental Status • Ages and Stages Questionnaire

  17. Evaluation of Parent Needs and Use of Strength-based Approaches • Routine way of seeking input from parents • Mechanism for asking and recording the following questions: • What do you feel you do best as a parent? • What do you enjoy most about your child?

  18. Use of Recall and Reminder System • Routine way of informing patients about the need to return for services • System for communication with families

  19. Linking to Community Resources • Educational and referral information about local services and programs • Link with resources appropriate for patient population

  20. Consideration of Children With Special Health Care Needs • Routine way of identifying children with special health care needs (CSHCN) • Mechanism for asking and recording: • Does your child have any special health care needs? • Develop standards of care for CSHCN

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