Post on 12-Jan-2016
Chapter Quality Network (CQN) Asthma Pilot ProjectJudith C Dolins, MPHAssociate Executive DirectorDirector, Department of Community, Chapter and State AffairsAmerican Academy of Pediatrics
12 Practices50 Clinicians
ME
13 Practices101 Clinicians
13 Practices72 Clinicians
11 Practices59 Clinicians
CQN Asthma Pilot Global Aim
Design and execute a scalable model to build AAP chapter capacity to drive population based improvement
Asthma Goals• 90% of patients have optimal
asthma care:–Validated instrument–Stepwise approach to treatment–Asthma action plan–Flu shot
• 90% patients well controlled
OH
OR
AL
OR
OHOR
ME
National
Chapters
Practice
Engagementat Three Levels
· Web-based data collection system
· Measure set for asthma· Realtionship w/chapters· QI expertise· Funding
· Accountable leadership· Lead learning
collaboratives· Motivators and incentives· Measure performance· State partnerships
· Engage team· Registry· Planned care· Protocols· Self-management
support
Optimal CareNational Project (All Chapters)
0%10%20%30%40%50%60%70%80%90%
100%
1004
1440
1672
1461
1685
1763
1877
1577
1596
1628
1615
1288 0 0 0
Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
October 2009 35%
September 2010 85%
# patient encounters
Self-management
October 2009 60%
September 2010 87%
National Project (All Chapters)
0%10%20%30%40%50%60%70%80%90%
100%
1004
1440
1672
1461
1685
1763
1877
1577
1596
1628
1615
1288 0 0 0
Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
# patient encounters
Learnings• Chapters can drive
improvement• State partners key to
sustainability• Model works across
multiple practice settings
• Practices embed reliability principles in work flow
Current Challenges
• Implementing population-based registry
• Spread to other states• Family involvement• Interventions beyond
primary care setting