LS1 AGENDA
Alabama Chapter-AAP Chapter Quality Network: Learning Session 1
September 17, - 18, 2009
The Wynfrey Hotel - Birmingham
Day 1 Agenda
Thursday, September 17, 2009
7:00-8:00
1 hour
Registration and Storyboard Set-up and Viewing
Continental Breakfast Available
8:00-8:20
20 min.
Welcome and Introductions
Riverchase A
James C. Wiley, MD, FAAP, Chapter Physician Leader (Welcome)
A.Z Holloway, MD, FAAP (Welcome)
Laura Conley, MHSA (Introductions)
8:20-9:05
45 min.
Shared Vision for the Collaborative
Riverchase A
(Mission, Defining the Gap, Chapter’s Strategic Plan around QI)
James C. Wiley, MD, FAAP, Chapter Physician Leader
Steve Pleatman, MD, FAAP
9:05-9:50
45 min.
A Systems View of Asthma (Practice Key Driver Diagram) Riverchase A
Peter Margolis, MD, PhD
9:50-10:10
20 min.
The Model for Improvement (Aim Statements)
Peter Margolis, MD, PhD
10:10-10:40
30 min.
Team Meeting 1 (Individualize Aim Statements, report out) Riverchase A
Laura Conley, MHSA
10:40-11:10
30 min.
Using a Registry to Manage Your Asthma Population
James C. Wiley, MD, FAAP, Chapter Physician Leader
Keith Mandel, MD, FAAP
Steve Pleatman, MD, FAAP
11:10 – 12:10 1 hour
12:10-1:00
50 min.
Riverchase A
Riverchase A
Riverchase A
Breakout Sessions A:
A1: [Using a Planned Care Approach to Ensure Reliable
Asthma Care in the Office]
Peter Margolis, MD, PhD
Loran Clement MD, FAAP, Asthma Expert
Riverchase A
A2: [Developing an Approach to Employing Protocols
(Guidelines)]
Vinit Mahesh, MD, FAAP, Asthma Expert
Divvie Powell, MSN, RN
Devon
A3: [Practice Engagement]
James C. Wiley, MD, FAAP, Chapter Physician Leader
Linda Champion, Chapter Project Manager
Laura Conley, MHSA
Dorset
Lunch and Storyboard viewing
Riverchase A
LS1 AGENDA (CONT.)
1:00-2:00
1hour
2:00 -2:10
10 min.
2:10-3:10
1hour
Breakout Sessions B:
B1: [Using a Planned Care Approach to Ensure Reliable
Asthma Care in the Office]
Peter Margolis, MD, PhD
Loran Clement, MD, FAAP, Asthma Expert
Riverchase A
B2: [Developing an Approach to Employing Protocols
(Guidelines)]
Vinit Mahesh, MD, FAAP, Asthma Expert
Divvie Powell, MSN, RN
Devon
B3: [Practice Engagement]
James C. Wiley, MD, FAAP, Chapter Physician Leader
Linda Champion, Chapter Project Manager
Laura Conley, MHSA
Dorset
Break and Relocate to Next Session
Breakout Sessions C:
C1: [Using a Planned Care Approach to Ensure Reliable
Asthma Care in the Office]
Peter Margolis, MD, PhD
Loran Clement, MD, FAAP, Asthma Expert
Riverchase A
C2: [Developing an Approach to Employing Protocols
(Guidelines)]
Vinit Mahesh, MD, FAAP, Asthma Expert
Divvie Powell, MSN, RN
Devon
C3: [Practice Engagement]
James C. Wiley, MD, FAAP, Chapter Physician Leader
Linda Champion, Chapter Project Manager
Laura Conley, MHSA
Dorset
3:10-3:15
5 min.
Relocate to Main Room
3:15-3:35
20 min.
Measurement and Reporting
Linda Champion, Chapter Project Manager
Laura Conley, MHSA
3:35-4:35
1 hour
Team Meeting II
Riverchase A
a. Development of action plan: revisit aims, pilot population,
team and practice engagement, and measures; discuss changes.
b. Exercise or case study or discussion questions to facilitate
Laura Conley, MHSA
4:35–5:00
25 min.
Q and A and Adjourn Session
Riverchase A
Riverchase A
Day 2 Agenda
Friday, September 18, 2009
7:30-8:00
30 min.
Continental Breakfast and Storyboard Viewing
Riverchase A
8:00-8:15
15 min.
Recap of Yesterday, Questions and Answers,
Review of today’s agenda
James C. Wiley, MD, FAAP, Chapter Physician Leader
Riverchase A
8:15-9:00
45 min.
Accelerating Improvement (PDSA)
Peter Margolis, MD, PhD
Riverchase A
9:00-9:45
45 min.
Team Meeting III (creation of PDSA)
Riverchase A
9:45-9:55
10 min.
Break and relocate to session
9:55-10:55
1 hour
Breakout Session D: Sharing Your Plans
Feedback on their PDSA
D1:
James C. Wiley, MD, FAAP, Chapter Physician Leader
Keith Mandel, MD, FAAP and Steve Pleatman, MD, FAAP
Riverchase A
D2:
Vinit Mahesh, MD, FAAP, Asthma Expert
Peter Margolis, MD, PhD
Dorset
D3:
Loran Clement, MD, FAAP, Asthma Expert
Divvie Powell
Cornwall
D4:
Linda Champion, Chapter Project Manager
Laura Conley, MHSA
Hampshire
10:55-11:10
15 min.
Action Period I Plans: What Needs to Happen in the
Next 3 Months? Demo the extranet
James C. Wiley, MD, FAAP, Chapter Physician Leader
Laura Conley, MHSA
Riverchase A
11:10-11:40
30 min.
Closing and Adjourn: closing thoughts, inspiration
James C. Wiley, MD, FAAP, Chapter Physician Leader
Loran Clement, MD, FAAP, Asthma Expert
Vinit Mahesh, MD, FAAP, Asthma Expert
Riverchase A
11:40-12:00
20 min.
Q and A Session
Riverchase A
Session
Time
9/17/09
Plan for the morning:
7:00 – 8:00
1 hour
Storyboard Set-Up and Viewing
Breakfast available
8:00 - 8:20
20 minutes
Welcome (Chapter Physician Leader)
 Greeting/ Inspirational Words
 Overview of Learning
Session
Introductions (Laura Conley)
 Name leadership team
 Name practices
Shared Vision for the Collaborative
8:20 – 9:05
45 minutes
Facilitator/
Presenter
Objectives
Project Manager
Laura Conley
All team members
greet teams
J. Wiley,
A.Z. Holloway and
Laura Conley
J. Wiley
and
Steve Pleatman
9:05 – 9:50
45 minutes
A System View of Asthma
Peter
9:50 – 10:10
20 minutes
The Model for Improvement
Peter



Registration
Assist teams with storyboard
Greet observers

Ice Breaker, Get to know each other
Chapter Physician Leader
 Here is what we are trying to
accomplish. Gap in care. Making
the case for why initiative is
important.
 Introduce chapter aim statement
 Reflection on the objective of
building capability off AAP
Chapter to drive, support, sustain
large scale improvement initiatives
over the long term, how the
relationship of chapters and
practices is evolving.
Steve Pleatman or Joe Bouls
 Here is how I did it in my practice.
 Tell the story of improvement.
 Describe the categories of work we are
going to do. What does it feel like to
change a system?
 Describe the practice key driver
diagram



Introduce the MFI
Notes
Presentation Ideas:
 The healthcare system, 17 years
to implement evidence based
guidelines
 The Girl Effect: Relate video to
asthma care in pediatric
practice
 2 letters, project success and
failure or Histories of the
Future Exercise
 Define Optimal Care
Session
Time
Facilitator/
Presenter

Team Meeting I
10:10 – 10:40
30 minutes
Objectives
Laura Conley does
the transition

10:40 – 11:10
30 minutes
Using a Registry to Manage Your
Asthma Population
11:10 – 12:10
1 hour
Breakout Session A
A1: [Planned Care]
James Wiley
Keith Mandel
Steve Pleatman



[Peter Margolis and
Loran Clement]



12:10 – 1:00
50 minutes
1:00 – 2:00
1 hour
A2: [Employ Protocols]
[Vinit Mahesh and
Divvie Powell]
A3: [Practice Engagement ]
[Laura Conley,
Linda Champion
and J. Wiley]


Practices make the chapter aim
statement their own. The practice will
hopefully feel ownership over the aim.
Practice team members to decide what
breakout session they will each attend.
Introduce chapter registry strategy
Discuss importance that all practices
get a registry
Small groups to discuss key changes.
Answer individual questions.
Introduce Planned Care and discuss
topic
Describe Encounter Form and what it
does.
Practices share their experience of
testing the CQN Encounter Form
Asthma education
Asthma Guidelines
Discuss strategies on how to engage
your practice in this project.

Lunch

Encourage teams to View Storyboards
Breakout Session B

Small groups to discuss key changes.
Answer individual questions.
Introduce Planned Care and discuss
topic
Describe Encounter Form and what it
does.
Practices share their experience of
testing the CQN Encounter Form
Asthma education
Asthma Guidelines
B1: [Planned Care]
[Peter Margolis and
Loran Clement]



B2: [Employ Protocols]
[Vinit Mahesh and
Divvie Powell]


Notes
Reference the chapter aim
statement, now the practices
need to individualize it.
List out what components need
to stay in their aim statements
and goals




Session
Time
B3: [Practice Engagement]
2:00 – 2:10
10 minutes
2:10 – 3:10
1 hour
Facilitator/
Presenter
Objectives
[Laura Conley,
Linda Champion,
and J. Wiley]
Discuss strategies on how to engage
your practice in this project.


Break and Relocate to Next Session
Breakout Session C:
C1: [Planned Care]
[Peter Margolis and
Loran Clement]



C2: [Employ Protocols]
[Vinit Mahesh and
Divvie Powell]
C3: [Practice Engagement]
[Laura Conley,
Linda Champion,
J. Wiley]
3:10 – 3:15
5 minutes
3:15 – 3:35
20 minutes
Relocate to Main Room
3:35 – 4:35
1 hour
Team Meeting II
4:35 – 5:00
25 minutes
n/a
Q&A (Peter) and Adjourn Session
(Chapter Physician Leader)
Optional Individual Q&A
Measurement and Reporting


Introduce Planned Care and discuss
topic
Describe Encounter Form and what it
does.
Practices share their experience of
testing the CQN Encounter Form
Asthma education
Asthma Guidelines
Discuss strategies on how to engage
your practice in this project.


Linda Champion
and
Laura Conley

EQIPP review, Narrative Report,
due dates, how to use your data?
Development of action plan: revisit aims,
pilot population, team and practice
engagement, and measures; discuss
changes.
Exercise or case study or discussion
questions to facilitate
Peter
J. Wiley
All team members
Notes
Session
Time
9/18/09
7:30 – 8:00
30 minutes
8:00 – 8:15
15 minutes
8:15 – 9:00
45 minutes
9:00 – 9:45
45 minutes
Facilitator/
Presenter

Breakfast Available
Recap of Yesterday, Q & A, review
of today’s agenda
Accelerating Improvement (PDSA)
Objectives
J. Wiley

Peter Margolis



Team Meeting III

9:45- 9:55
10 minutes
9:55 – 10:55
1 hour
10:55 – 11:10
15 minutes
11:10 – 11:40
30 minutes
Break and relocate to session
11:40 – 12:00
20 minutes
Q&A Session
Breakout Session D: Sharing Your
Plans
Action Period I Plans: What Needs to
happen in the next 3 months?
Closing and Adjourn
Team Meeting
Get food and sit down
To get teams to understand PDSAs
Tennis ball exercise
Teams will create their PDSA
cycles for Action Period 1
Possibly around testing the
encounter form and putting it into
their workflow

Same as previous
breakouts
Laura Conley and
J. Wiley
Chapter Physician
Leader, chapter
asthma expert,
project manager,
and Chapter
President

Call on teams to share their plans.



Focus on chapters 90 day goals
Demo the extranet
Inspirational speech to reflect on
what we have accomplished so far
and what we will accomplish over
the next year.

Discuss the event


Notes