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SCAMP ℠

SCAMP ℠. Standardized Clinical Assessment & Management Plan. PES Business Meeting May 4, 2013. Background: SNoPE. Study Network of Pediatric Endocrinology Pilot program targeted to demonstrate feasibility 2 abstracts and 2 publications Presented this concept to NIH with follow up

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SCAMP ℠

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  1. SCAMP℠ Standardized Clinical Assessment & Management Plan PES Business Meeting May 4, 2013

  2. Background: SNoPE • Study Network of Pediatric Endocrinology • Pilot program targeted to demonstrate feasibility • 2 abstracts and 2 publications • Presented this concept to NIH with follow up • Nearly achieved acceptance of R10 RFA • Duane Alexander resigned • Delay in naming new director • Not a priority for NICHD with their financial constraints

  3. Background: Shift to Quality Improvement • Quality improvement activity required • MOC credit required for recertification • Many institutions are requiring QI projects • Our Challenge • Develop a program that will • Meet our members’ needs and • Improve quality of care & outcomes for our patients

  4. Background: PES Board Approach • Reviewed possibilities • Selected 3 for formal presentations to the full BOD in April 2012 • Subsequently • Series of negotiations & discussions • Contracted with the Institute for Relevant Clinical Data Analytics (IRCDA) • A not for profit corporation out of Boston Children’s Hospital and Massachusetts General Hospital

  5. A SCAMP℠ • A means to guide clinical assessment and management to learn more about conditions for which there is limited available evidence • Created by a group of expert clinicians as an algorithm outlining current sound practice based on any available evidence • Develop SOUND PRACTICES -- Not Clinical Practice Guideline • Methodology to improvement in quality, cost & value of the care • Fill specific “holes in our knowledge” • Participates are encouraged to deviate from the algorithm • As long as reasoning is provided • These differences will lead to new understanding of sound practice

  6. A SCAMP℠ • A SCAMP℠ lasts ~ 2 yrs • Data reviewed • q 6 months (or every 200 patients) • To permit revisions if needed • Quarterly data review will occur for clinicians seeking MOC credit • Once closed the data are available to all

  7. A SCAMPSM • A SCAMP℠ is considered QI • Only de-identified data are used • No IRB approval necessary for the SCAMP℠ • But minimum risk approval may be necessary to use data for publication in a peer reviewed journal • If necessary we will help you with this

  8. Value of SCAMPsSM to YOU • Use of expert algorithms developed by your PES colleagues to guide future sound practice • Reduce variation in the care to be better able to assess outcomes • Contribute to the knowledge base for conditions important to pediatric endocrinologists • Opportunity to • Meet your organization’s QI requirements • Obtain MOC Level 4 QI credits • Opportunity to be part of development SCAMPs℠ and/or quality improvement/outcomes research

  9. Value of SCAMPs℠to Patients & Families • Improve quality, cost, and value of our care • Focus on meaningful diagnostic testing and more appropriate follow up • Reduce unnecessary care and testing

  10. Value of SCAMPsSMto PES & Our Field • Enhance members’ ability to collaborate • Engage a greater number of us in a scholarly activity • Improve • Our knowledge of the conditions we treat • Quality & cost-effectiveness of the care

  11. Disseminate Information Informing new SOUND PRACTICES Time Commitment Help Develop a SCAMP℠ and / or oversee data interpretation Help Monitor & Interpret Data to improve the SCAMP℠ (Such involvement provides opportunity to meet MOC QI credit) Enroll Patients in ≥ 1 SCAMP℠ # of Participating Ped. Endocrinologists LEVELS OF PARTICIPATION IN SCAMPsSM AVAILABLE TO PES MEMBERS

  12. Current State and Timeline • Contract signed for 3 SCAMPs℠ / yr for 3 years • Because of IRCDA’s interest in PES participation they are funding half of our costs from their foundation. • Initial Topics selected • Estrogen replacement in hypogonadal girls • Pre-diabetes • Congenital Adrenal Hyperplasia • EACH SCAMP℠ • Will have a Chair (to be named) • Committee of Experts from PES appointed (no more than 5) • Training of Chair and SCAMP℠ committee members • Develop SCAMP℠materials and member confidentiality agreement • Pilot all of the processes • Anticipate the first three SCAMPs℠ to start within a year

  13. SCAMP℠Oversight • SCAMP℠ Steering Committee • Morey Haymond • Siri Greeley • Karen Rubin • Erinn Rhodes • Amy Wisniewski • Board of Directors • Periodically review progress

  14. SCAMP℠ Handout • You should each have a SCAMP℠ handout • This outlines much of what was presented • Participation of whole divisions or group practices • Encouraged but not required • Select a SCAMPs℠ CHAMP among the group • Has answers to anticipated FAQ • Provides contact information • Morey Haymond • Christy McGinty at Degnon Associates • All members (including fellows) will be receiving an email with the trifold attached • We will keep you informed via email & monthly Missive.

  15. This will be an exciting new addition to PES Thank you for your attendance We look forward to working with each of you

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