Pediatric Quality: MOC 4 Program
MNAAP has developed three web-based quality improvement programs that satisfy MOC Part 4 requirements. They’re fast, straightforward and discounted to just $99 for chapter members.
Pediatric Obesity: Increase Documentation of BMI and Overweight/Obesity Action Plans
The physician is responsible for analyzing the clinic system for potential barriers to documenting child/teen BMI, providing education and documenting a patient management plan for those at risk of obesity. The physician is responsible for implementing their own or suggested interventions to address those barriers. The clinic team will conduct the baseline audit, a mid-point audit, and final audit. Participating pediatricians will have access to technical assistance conference calls and webinars.
To successfully complete the project, the pediatrician will:
- Complete a minimum of three prospective audits of the pediatrician’s patients and/or clinic patients including a baseline audit, a mid-point audit and final audit.
- Identify and implement a minimum of two intervention strategies identified to increase rates of documented BMI, and documented management plan for children/teens at risk of obesity.
- Prepare and implement the Pediatric Obesity QI Action Plan and submit to MNAAP
- Send audit data summary to MNAAP via the web-enabled reporting tool.
- Prepare a cumulative run chart for each audit or send the data to MNAAP for preparation of the run chart.
- Participate in at least two technical assistance conference calls or webinars during the project period.
Pediatric Immunizations: Increase Documentation of Up-to-Date Immunization Rates
The physician is responsible for analyzing the clinic’s system for potential barriers to immunization and implementing their own or suggested interventions to address those barriers. The physician will conduct the baseline audit, a mid-point audit, and final audit. Participating pediatricians will have access to technical assistance conference calls and webinars. The pediatrician will submit monthly data that may include audit results and/or dates of conference call/webinar participation.
To successfully complete the project, the pediatrician will
- Complete a minimum of four audits of the pediatrician’s patients and/or clinic patients including a baseline audit, two mid-point audits and final audit. The MIIC AFIX online audit tool can be utilized for informational purposes.
- Prepare and implement the Immunization QI Action Plan and submit to MNAAP
- Identify and implement a minimum of two intervention strategies identified by the pediatrician to increase rates of up-to-date immunization and/or increase rates of documentation in the MIIC system for the target population
- Send audit data summary to MNAAP via the secure, web-enabled reporting tool.
- Prepare a cumulative run chart for each audit or send the data to MNAAP for preparation of the run chart.
- Participate in at least two technical assistance conference calls or webinars during the project period.
Health Care Home: Increase Documentation of Patients with Care Plans
Health care reform encourages physicians to organize their practices as medical homes/healthcare homes (MH/HCH) for improved patient care, reduced health care costs and improved outcomes. This MOC4 module reflects components needed for both Minnesota MH/HCH certification and NCQA medical home.
Pediatricians participating in this module will be part of a statewide/regional group to implement process improvements consistent with the components of the MH/HCH. The aim of this pediatric MH/HCH QI project is for each pediatrician to achieve > 20% increase in documentation (from baseline) of their patients with chronic health conditions in a patient registry, and with a care plan within 6 months. The population includes patients (birth to 21 years of age) with at least one chronic health condition and who have made at least three well-child visits with the clinic.
To successfully complete this project the Pediatricians will:
- Recruit at least one parent/patient partner to serve on the clinic’s quality team with documentation of their involvement in decision-making related to quality improvement projects at the clinic;
- Prepare/implement the MH/HCH QI Action Plan and submit to MNAAP
- Identify/implement two strategies to increase rates of children/teens with chronic conditions documented in the electronic patient registry and/or increase rates of documentation of a patient care plan
- Complete a minimum of three prospective audits. The audits will determine the number of children/teens seen, those that have chronic conditions, those that are entered in the electronic patient registry and those that have a documented care plan.
- Send audit data summary to MNAAP via the secure, web-enabled reporting tool.
- Prepare a cumulative run chart for each audit or send data to MNAAP for preparation of the run chart.
- Participate in at least two technical assistance conference calls or webinars during the project period.
How can pediatricians raise the bar of care for low-income children/teens with complex medical or social conditions? MNAAP is part of a federally-funded project that may provide answers to that question.
More than 27 clinics and 50 physicians/nurse practitioners in the state along with parents recruited by Family Voices of Minnesota have agreed to provide input to test up to five proposed pediatric quality measures related to children/teens on Medical Assistance. The project is a partnership between the Minnesota Department of Human Services, Seattle Children’s Hospital and the RAND Corporation and is being led by MNAAP members Jeff Schiff, MD, FAAP, MBA and Anne Edwards, MD.
The measures tested in 2013 include the following
| New Pediatric Measure tested |
Why? |
Who is involved? |
When? |
| 1. Social Complexity- Which children/teens have significant family or environmental stressors that interferes with their ability to care for the child’s medical condition |
Validate an algorithm using DHS data only, which identifies socially complex children/teens who may be in need of care coordination |
Parent completes a phone survey in their language with gift card for $25 provided after phone survey completion |
April-June 2013 |
|
|
Physician or nurse practitioner completes a 5-20 minute online survey if parent consents with $100/survey completed for up to 10 surveys per health care provider |
June-October 2013 |
| 2. Level of Care Coordination provide to children/teens who are medically complex |
Validate and test the use of a care coordination measure that uses parent feedback, chart abstraction, and claims data |
Parent completes a phone survey in English or Spanish with gift card for $25 provided after phone survey completion |
June- September 2013 |
|
|
Funds for chart abstraction provided to clinic/health system |
|
| 3. Transitions and communication with Primary Care Clinic- as their patients receive care in different locations |
Is patient data received by the primary care clinic from the various locations of patient service (ED, hospital discharge, home care, behavioral health, etc) |
Funds for chart abstraction provided to clinic/health system |
|
| 2. Level of Care Coordination provides to children/teens who are medically complex |
Validate and test the use of a care coordination measure that uses parent feedback, chart abstraction, and claims data |
Parent completes a phone survey in English or Spanish with a gift card for $25 provided after phone survey completion |
November 2013- Feb. 2014 |
Additional clinics and specialists will be enrolled for measure 2 and 3 beginning in April 2013. Contact cairns@mnaap.org if you are interested in participating in this pediatric quality measure development project.
