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Children’s Health Improvement Collaborative (CHIC)

Children’s Health Improvement Collaborative (CHIC).

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Children’s Health Improvement Collaborative (CHIC)

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  1. Children’s Health Improvement Collaborative (CHIC) The purpose of CHIC is to use quality improvement (QI) methodology and the Breakthrough Series Collaborative (BTS) model to improve the delivery of care for low-income children suffering from three specific chronic illnesses: asthma, attention deficit/hyperactivity disorder (AD/HD), and overweight. CHIC is funded by the Washington State legislature with additional support from several local funders. The collaborative is staffed by Public Health-Seattle & King County and the University of Washington’s Child Health Institute.

  2. CHIC Faculty & Staff The various faculty and staff associated with the Children’s Health Improvement Collaborative bring a great breadth and depth of experience to this Collaborative, with most participating in past Learning Collaboratives. This project team will guide the practice teams and the faculty throughout the Collaborative. Faculty for this project include: CHIC Project Chair: Jim Stout, MD, MPH CHIC Project Director: Nicole Van Borkulo, MEd. CHIC Improvement Advisor: Madlen Caplow, MPH CHIC Project Manager: Julie Cooper, MPA

  3. Asthma Teams Group Health, Tacoma South Swedish Physicians, Children’s Clinic (Seattle) The Ida Karlin Healing Center for Youth (Puyallup) North Mason Medical Clinic (Belfair) International Community Health Services (Seattle) Columbia Basin Health Association (Othello) Polyclinic Pediatrics (Seattle) Faculty/Staff for the Asthma Teams: Jim Stout, MD, MPH; Jim Krieger, MD, MPH; Julie Cooper, MPA

  4. AD/HD Teams • Swedish Physicians, Children’s Clinic (Seattle) • The Ida Karlin Healing Center for Youth (Puyallup) • Virginia Mason Pediatrics at Sandpoint (Seattle) • Union Avenue Pediatrics/ Neurobehavioral Assoc. (Tacoma) • SW Washington Medical Center (Vancouver) Faculty/Staff for the AD/HD Teams: Harlan Gephardt, MD; Lisa Podell, MHA

  5. Overweight Teams Valley Family Medicine (Renton) Skagit Pediatrics (Mt. Vernon) Mary Bridge Children's Health Center (Tacoma) Odessa Brown Children's Clinic (Seattle) Eastgate Public Health Center (Bellevue) Northwest Pediatric Center, Inc. (Centralia) Virginia Mason Sand Point Pediatrics (Seattle) Polyclinic Pediatrics (Seattle) Faculty/Staff for the Overweight Teams: Alicia Dixon-Docter, MS, RD, CD; Lenna Liu, MD, MPH; Mo Pomietto, MN, RN

  6. Project To Date First Learning Session held October 6th, 2006 Teams began submitting their first PDSAs the week of October 10th Site visits began the week of October 23rd Teams are turning in data to the improvement advisor, asking for feedback and are energized for this Action Period. Preparation underway for Learning Session 2, to take place in February, 2007.

  7. Lessons Learned: New York State Asthma Plan (NYSAP) Project Characteristics: Eleven asthma coalitions around the state receive funding from NYSAP Coalitions received in-person “improvement training” through NICHQ Jump Start course (August and October ‘06 meetings thus far) Visionary leadership at NYDOH Benchmarks for coalition funding are aligned with Chronic Care Model and Improvement Model terms and concepts. Exceptional energy, enthusiasm and uptake from teams. No core measures

  8. Lessons Learned: California Healthcare Foundation’s Plan/Practice Improvement Project (PPIP) Project Characteristics: 7 Medi-Cal plans recruited by partner agencies to participate in “spread” project. 14 practices recruited by the 7 Medi-Cal Plans around the state for “clinical improvement” projects Numerous partner agencies Practice teams received Web-Ex “improvement training” through NICHQ faculty (Fall ‘05 to present). No in-person meetings Plans received a “spread” intervention; in-person and virtual

  9. Lessons Learned (Cont’d):California Healthcare Foundation’s Plan/Practice Improvement Project (PPIP) Project Characteristics: External evaluation in progress (Rita Mangione-Smith) Practice teams recruited by Health Plans. Incentives and expectations not consistently aligned with Chronic Care Model and Improvement Model terms and concepts. Practice and Plan-level core measures used Uptake spotty. Evidence of major system change and population level improvements in San Francisco (2 plans, several teams). Uptake in other communities less impressive.

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