Adolescent Champion – Year Two, Cohort Two Calendar 2014-2015 Month Adolescent Champion Schedule July 2014 August September October November December January 2015 February March April May June July August September Orientation meetings: 7/22, 7/30 Begin baseline data collection: Youth & clinician surveys, confidentiality knowledge/attitudes survey, clinic data Baseline data collection: Youth & clinician surveys, confidentiality knowledge/attitudes survey, clinic information tool: Due September 30. ACE: Baseline visits Risk Screening: Plan work flow; begin screening if ready ACE: AHI distributes reports to sites early Oct; sites complete ACE planning tool ACE: Planning tool due back to AHI by 11/1 AC Training 1: Organizational Change and project implementation (RAAPS, ACE improvements) - 11/4 (8-10a), 11/19 (12:30-2:30), 11/25 (2-4) MOC Part IV* (for Participating Physicians): Analysis & plan due to AHI 11/30 AC Training 2: Facilitating Sparks - 12/2 (8-10a & 2:30-4:30), 12/3 (1-3) MOC Part IV: Implementation of plan 12/1 – 2/28 ACE: Q2; score & revised planning tool due back to AHI 1/31 Spark 1: Adolescent Centered Environments; Climate survey MOC Part IV: Implementation of plan 12/1 – 2/28 AC Training 3: Adolescent Centered Care - 2/3 (8-10a, 1:30-3:30), 2/25 (1-3) MOC Part IV: Implementation of plan 12/1 – 2/28 Spark 2: Confidentiality, Part 1 – Laws MOC Part IV: Chart reviews and individual confidentiality ACEs due to AHI 3/31 AHI Conference – April 23-24 MOC Part IV: Analysis & plan due to AHI 4/30 ACE: Q3; score & revised planning tool due back to AHI 5/31 Spark 3: Confidentiality, Part 2 – Best Practice Survey: Do Confidentiality Knowledge & Attitudes Survey after Spark 3; return to AHI MOC Part IV: Implementation of plan 5/1 – 7/31 MOC Part IV: Implementation of plan 5/1 – 7/31 Data collection: Youth post- surveys - collection begins Spark 4: Cultural Appropriateness MOC Part IV: Implementation of plan 5/1 – 7/31 Data collection: Youth and clinician post- surveys MOC Part IV: Chart reviews and individual confidentiality ACEs due to AHI 8/31 ACE: Q4; score & revised planning tool due back to AHI 9/30 Spark 5: Adolescent Centered Care Data collection: Year-end data collection and submission MOC Part IV: Analysis due to AHI 9/30 *MOC Part IV activities are coordinated by each site’s Adolescent Champion physician, and participants are physicians who have opted to receive continuing education credits by participating in the MOC Part IV Confidentiality and Minor Consent project. Adolescent Champion Certification Framework – Tentative Schedule 2014-15 Improving Clinic Environment Complete Adolescent Centered Environment Assessment Complete AHI Adolescent Centered Environment (ACE) assessment using plan/do/check/act process with ACE Recommendations and Planning Tool. Timeframe Quarterly: 9/2014; 1/2015; 5/2015; 9/2015 Training 1. Adolescent Champion Team completes 20 hours of continuing education related to organizational change, staff development, and best practices in the delivery of adolescent health services Required 2-hour Trainings: 1. Leadership and Organizational Change 1. November 2014 2. Facilitating Staff Sparks 2. December 2014 3. Adolescent Centered Care & Sparks Support 3. February 2015 Adolescent Champion Team facilitates training for clinic staff Required 10-minute Staff Sparks: 1. Adolescent Centered Environments 1. January 2015 2. Confidentiality and Minor Consent Part I 2. March 3. Confidentiality and Minor Consent Part II 3. May 4. Cultural Appropriateness 4. July 5. Adolescent Centered Care 5. September 2. Risk Assessment Screening and Referral Network 1. Implement standardized risk assessment screening tool Suggested Screening Tool: Rapid Assessment for Adolescent Preventive Services (RAAPS) Other Validated Tools: Guidelines for Adolescent Preventive Services (GAPS), Bright Futures screening forms 2. Establish a robust referral network to be used in concert with the standardized risk assessment tool Pre and Post Assessment 1. 2. 3. 4. Complete Baseline Data and Knowledge/Attitudes Assessments Complete AHI Adolescent Confidentiality Knowledge and Attitudes survey and disseminate to clinic staff and providers Complete baseline clinic data collection Collect adolescent patient satisfaction and provider surveys Complete AC and Staff self-assessments of competencies Baseline: August – September Year-end: August – September Project Outcomes 1. Improved adolescent centeredness in the clinic environment, policies, and staff and provider practices, based on an improved ACE score and competency self-assessments. 2. Implementation and increased use of risk assessment tool, coupled with the utilization of a robust referral network. 3. Adolescents and staff perceive the clinic is an adolescent medical home and is adolescent-centered, based on surveys.