Chapter Quality Network (CQN) Asthma Pilot Project

1. Sustainability: Chapter and National Level Cooper White MD, FAAP Chapter Physician Leader Vanessa Shorte, MPH Manager, Chapter Improvement Activities American Academy of Pediatrics Chapter Quality Network (CQN) Asthma Pilot Project

2. Cooper White Disclosure I have no relevant financial relationships with the manufacturers(s) of any commercial products(s) and/or provider of commercial services discussed in this CME activity. Vanessa Shorte Disclosure Slide I have no relevant financial relationships with the manufacturers(s) of any commercial products(s) and/or provider of commercial services discussed in this CME activity

3. Defining Success at the Chapter Level • Collaborative practice success. Meeting goals will improve children’s health outcomes, and reduce healthcare disparities. • Sustained improvement • Spinoff Collaboratives • Partnerships: ODH, Medicaid, OAC, Managed Care • Funding

4. Defining success at the National Level Changes in asthma care practices and child health outcome Successful implementation of practice system change Clinician investment and commitment to quality improvement work Transparency and sharing of improvement data Increased clinician demand for CQN programming Chapter Practice/Individual Clinician • Increased capacity for quality improvement work • Governance group engagement • Insight into successes and challenges to sustaining work at the chapter level • Key partnerships focused on improvement work • Funding for continued quality efforts • Increased chapter demand for CQN programming

5. Improvement Work Improvement Work Continuous tests of change Sustainability Imbed in everyday work Next 6 months Scale Up & Spread Taking local improvement And actively disseminating it across a chapter and/or practice

6. National Efforts to Sustain Work Continued CQN Project Support Short-term – EQIPP access through December - MOC eligibility through December Long-term - Working on business plan Grant Opportunities AAP Venture Capital Proposal IPIP – “Transforming Primary Care” Grant Application to the Office of the National Coordinator of HIT Working with AAP Development Office on opportunities

7. The Next Six Months • Continue and build practice engagement. Encourage nonparticipating physicians and NPs to join your work. • Registry: If you have one, figure out how to incorporate its use into practice flow. If you don’t, continue to work within your organization or practice to get this capability. Use billing inquiries to at least know your denominator and who you are missing. • Sustain achieved improvement. Update flow diagram as needed. Analyze failures. Monitor processes.

8. The Next Six Months • SMS: Incorporate patient and family goals into management strategies. Consider motivational interviewing. Engage community organizations and resources. • Environmental controls • Medical/Legal Partnerships

9. Questions • How do you envision the spread of quality measures in your local area? • How have you engaged your senior leadership and how receptive have they been? • What can we do better as we reach out to the practices? • What is the best way to communicate- in person learning sessions, conference calls, listerv? • What resources do you need at the practice level for QI? • What other QI projects have you been working on or thinking about initiating in your area?

10. 90 Days • What do you want to do next? • What do you need to do next? • How can the AAP at the state and national level help you achieve your goals?

11. 180 Days • What do you want us to work on at the state level to move the project forward? • What is your vision for the project once we finish collecting data in September? • How will you measure success?