American Academy of Pediatrics
Bright Futures Preventive Services
Improvement State Spread Project (PreSIPS2)
1
Informational Webinar
June 30, 2015 – 12pm ET
Thank you for joining our
webinar! Before we begin…
 All participants are on mute but if you
would like to talk to us during the
webinar or ask a question prior to Q & A
time, please use the Question/Chat Box
(right side of your screen)
Today’s webinar will be recorded for
those unable to attend
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Agenda – June 30, 2015
TOPIC
Welcome and Introductions
SPEAKER
TIME
Linda Radecki
Background and PreSIPS2
Overview
Marian Earls, MD
10 minutes
Participation Benefits
Marian Earls, MD
5 minutes
Participation Requirements
Linda Radecki
5 minutes
PreSIPS2 Application Process
Linda Radecki
10 minutes
All
30 minutes
Q&A
3
Introductions
PreSIPS2 Leadership Implementation
Team
Marian Earls, MD, FAAP
Mary Brown, MD, FAAP
Paula Duncan, MD, FAAP
Colleen Kraft, MD, FAAP
Tamela Milan, BA
4
Background
5
Background
• Bright Futures: Guidelines for Health
Supervision of Infants, Children, and
Adolescents, 3rd Edition are the
national standard for recommended
pediatric clinical preventive services
• The Affordable Care Act mandates the
provision of Bright Futures’ services and
screenings without co-pay
• Bright Futures Guidelines
will be updated in 2016
6
Background
Bright Futures Tool
and Resource Kit
• Forms and tools for health care
providers, patients, and families
to complete before, during, or
after well-child visits.
• Helps pediatricians and other
health care providers support
and implement Bright Futures
Guidelines
• Can be adapted to meet
practice/family needs
7
Background – PreSIP
• 2011 – Preventive Services Improvement
Project (PreSIP)
• Conducted to determine if Bright Futures can
be successfully incorporated into a busy
pediatric practice?
• 9-month modified QI Learning Collaborative
• Focus on birth – 3 years
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Background – PreSIP
• Results –
• aided by supportive learning community and
• given tools and resources to facilitate
change…
Clinicians and staff from diverse
settings could implement the
majority of Bright Futures
recommendations at both the
9- and 24-month visits at a
complete rate ≥85%.
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Background – PreSIP
Bright Futures EQIPP Course
Introduced 3 years ago
Content currently under revision
2 courses will be available in 2016 based on
child age – Birth-5 years and 5-21years
Available free
of charge with
AAP
Membership
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PreSIPS2 Overview
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PreSIPS2 Overview
PreSIP was a success…
why the need for PreSIPS2?
While practice-level change is
a vital component of pediatric
QI efforts, evidence suggests
that larger scale transformation
must focus on systems rather
than individual practitioners
and include families as active
partners in the process
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PreSIPS2 Overview
Expands PreSIP model to:
Enhance Bright Futures Implementation at
family, practice, community, and state
levels through a partnership between the
AAP National organization and AAP
Chapters
17 month, state-based QI learning
collaborative
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PreSIPS2 Overview
Aims:
1) amplify meaningful implementation of Bright
Futures in pediatric practices
2) improve and enhance partnerships with families
3) develop stronger community connections
focused on the health of young children and their
families
4) strengthen relationships between AAP Chapters
and state MCH stakeholders to advance Bright
Futures mission
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PreSIPS2 Overview
Implementation:
• Up to 5 Chapters will convene a Chapter
Leadership Team to work with the AAP
National PreSIPS2 Leadership Team
• Chapter Leadership Teams will, in turn, work
with 10-15 practices (including 1 residency
clinic) in their respective states
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Funding
Acknowledgement
PreSIPS2 is supported by the Health
Resources and Services Administration
(HRSA) of the U.S. Department of Health
and Human Services (HHS) under its
cooperative agreement (U04MC07853)
with the American Academy of Pediatrics
entitled “Bright Futures Pediatric
Implementation” and by the Friends of
Children Fund, a Charitable Fund of the
American Academy of Pediatrics.
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PreSIPS2 Overview
How will Chapter Leadership Teams work with
AAP National PreSIPS2 Leadership Team?
• Work with QI Mentor and State Support
Liaison to build state capacity for Bright
Futures integration
• Attend Learning Sessions and participate in
monthly calls with other PreSIPS2 Chapters
• Build Chapter capacity and develop
sustainable improvement infrastructure
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PreSIPS2 Project Diagram: National−Chapter Level
Recruit
Chapters
Goal = 5
Chapters
17 months
Define
PreSIPS2
structure,
processes ,
and content
for Chapter
LS = Learning
Session
Obtain
IRB
approval;
apply for
MOC and
CME
credit
LS2 –
Summative
Celebration
Chapter Supports:
Email / Moderated listserv / Monthly webinars / Monthly team reports /
Assessments (eg, SWOT)
In Person Kick Off Meeting at AAP Headquarters in Elk Grove Village, IL
PreSIPS2 Overview
How will Chapter Leadership Teams work with
Practice Teams?
• Develop a learning community for 10-15
practices within their home state
• Convene Learning Sessions and monthly
calls/webinars to support practice-level
change
• Coach participating practices in QI activities
• Provide MOC attestation
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PreSIPS2 Project Diagram: Chapter−Practice Level
PreSIPS2 Overview
How will Chapter Leadership Teams work with
Practice Teams?
Duncan et al 2015 Pediatrics
paper provides a road map
to the quality improvement
work that Chapters and
practice teams will undertake
together
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PreSIPS2 Overview
What are we measuring?
Improvement in Health Supervision Care
appropriate risk assessments performed
maternal depression screening
developmental screening and follow up
autism screening and follow up
oral health risk assessment
BMI assessment
evaluation and discussion of parental strengths
eliciting and documenting parental concerns with
appropriate follow up
• use of Bright Futures priorities to help standardize delivery of
anticipatory guidance
• social determinants of health
•
•
•
•
•
•
•
•
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PreSIPS2 Overview
What are we measuring?
Improvement in Practice Procedures for Health
Supervision Care
Use of preventive services prompting system
Use of reminder-recall system
System to track referrals
Use of strength-based approaches and shared
decision-making strategies
• Linkage of child and family to community resources
• System to identify children with special health care
needs
• Meaningful family engagement
•
•
•
•
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PreSIPS2 Overview
How will we measure?
•
Chart review (9- and 24-mos visits)
• Data entered online into AAP’s
Quality Improvement Data
Aggregator
(a.k.a., QIDA)
•
Allows practice
teams to see
run charts and
track progress
immediately
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Participation Benefits
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Participation Benefits
Help families with young children in your state
and the professionals who care about them
• Improve state-level workflow, efficiency, and
resource allocation around Bright Futures
preventive services support and implementation
• Establish closer chapter and practice ties with state
leaders and social services that families need
• Establish meaningful family engagement in
improvement efforts
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Participation Benefits
HELP YOUR PRACTICES
Well child care is up to 40% of visits
• Improve practice-level workflow efficiency and
satisfaction
• Receive tools, resources, and coaching to
enhance your work
• Maintenance of Certification (MOC) Part 4
credit (approval pending)
BE a GROUNDBREAKER
• Stipend to support your work $10,000 $15,000
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Participation Benefits
Questions about the stipend

$2,000 must be used as honorarium for
Chapter team family representative
 Allowable expenses include but are not
limited to:
 Salary buy back
 Salary support for Project Manager/QI Coach
 Administrative costs
 Learning Session host costs
 If you have additional questions about the
stipend, please feel free to contact us
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Participation Requirements
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Participation Requirements
In search of Chapter Leadership Teams who
are…
• Highly motivated/interested in Bright Futures and
enhancing collaboration with state MCH partners
• Able to attend a 1 ½ day Kick Off Meeting at AAP
Headquarters in Sept 2015
• Willing to participate fully for project duration
• Able to participate in monthly calls/webinars with
National Leadership Team and other Chapters to
learn from each other’s successes and challenges
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Participation Requirements
Chapter Leadership Teams will also:
• Recruit and enroll 10-15 practices (including 1
residency clinic) to participate in an 11-month,
Chapter-led, learning community
• Convene ≥2 Learning Sessions for participating
practices
• Review monthly data and coach participating
practices in their quality improvement efforts
• Hold monthly calls/webinars to assist participating
practices in their improvement work
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Participation Requirements
Lead MD:
 Oversee QI coaching of practice teams
 Co-Lead (with Project Manager/QI Coach)
monthly calls/webinars for practice teams
 Provide MOC attestation for practice MDs
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Participation Requirements
Project Manager/QI Coach
Provide practice team coaching
Oversee monthly submission of practice team
data
Attend monthly 1-hour calls with other PreSIPS2
chapters
Co-Lead monthly calls/webinars for practice
teams
Assist with MOC-related paperwork
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Application Process
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Chapter Application
 Detailed instructions for
completing the application are
available in the RFA
 Forming your Chapter
Leadership Team is critically
important – don’t wait!
 Only applications submitted by
AAP Chapters will be reviewed
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Chapter Application
 The application is divided into sections; each
section has an assigned point value
 All completed applications submitted by the
deadline will be reviewed and scored by the
Chapter Leadership Team
 Teams who submit an application may be
asked to participate in a telephone call for
clarification with Leadership Team members
before a decision regarding acceptance is
made
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Next Steps
• Obtain the Request for Applications (RFA) and
Chapter Application – contact info to follow
• Assemble your Chapter Leadership Team




Lead Physician
Project Manager/QI Coach
Family Representative
State MCH Advocate
• Prepare and submit your completed
application no later than August 10, 2015
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Next Steps – Key Dates
• August 10, 2015 – application due date
• Week of Aug 17 – teams notified of
acceptance
•
Once accepted, all team members will
complete pre-work in preparation for Chapter
Kick-Off Meeting
• Sept 27-28, 2015 – Kick-Off Meeting
(AAP Headquarters, Elk Grove Village IL)
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For more information or
to request the RFA...
Contact Linda Radecki,
Project Manager
RadeckiResearch@gmail.com
847-421-9029
39
Q&A
40
For more information or
to obtain the RFA...
Contact Linda Radecki,
Project Manager
RadeckiResearch@gmail.com
847-421-9029
41