Improving Quality in Practice: Provider Training

(Minnesota ABCD Screening Academy Project) Letter to providers describing options for using Minnesota's referral tracking card: a small card attached to each screening tool that provides a space to mark if the child (or caregiver) was referred for developmental and/or mental health screening or maternal depression screening.

(Minnesota ABCD Screening Academy Project) Minnesota developed two sample cards for tracking referrals: one for ASQ and ASQ:SE, the other for maternal depression screening with the Edinburgh tool.

Virginia ABCD Project (2007) Two-page survey of Virginia health care providers designed to gather information to better understand the needs of health care providers in meeting the developmental needs of young patients.

Peter Margolis. (2007). PowerPoint presentation for ABCD Screening Academy Learning Session, July 2007. This presentation discusses the evidence supporting QI approaches to improving preventive and developmental care; describes Quality Improvement Science; outlines three models for supporting practice-based improvement; and explains the transition from pilot testing to large scale spread.

Lesar TS et al. Jt Comm J Qual Patient Saf. 2007;33:73-82. This article compares various quality improvement collaboratives to gain insight into the elements important for their success. (From abstract).

Minnesota Department of Health (2007) Profile of and relevant information on the Child Development Review Parent Questionnaire.

Utah ABCD project (2007) Utah created posters focusing on screening mothers for postpartum depression. The posters have the PHQ-2 questions and are available in English and Spanish. They have been distributed widely and were well received. English version.

Utah ABCD project (2007) Utah created posters focusing on screening mothers for post partum depression. The posters had the PHQ-2 questions and were available in English and Spanish. They have been distributed widely and were well received. English version directed toward families.

Utah ABCD project (2007) Utah created posters focusing on screening mothers for postpartum depression. The posters had the PHQ-2 questions and were available in English and Spanish. They have been distributed widely and were well received. Spanish version directed toward families.

AAP/CDC (2007) The AAP and CDC have developed a poster that outlines developmental milestones on one side and height on the other (it is a developmental growth chart). The poster includes the new AAP recommendations for screening (9, 18, 24/30 months for general developmental and 18 and 24 months for autism-specific). Spanish and English language versions are included.  Link to Growth Chart

NASHP (2007) PowerPoint presentation for ABCD Screening Academy Piloting the AAP Algorithm: Lessons Learned Webcast held October 18, 2007.

Glenace Edwall. (2007). PowerPoint presentation for ABCD Screening Academy Learning Session, July 2007. Based on the Minnesota experience, this presentation provides an overview of developmental and socio-emotional screening tools, including how to address barriers to screening.

Chuck Norlin. (2007). PowerPoint presentation for ABCD Screening Academy Learning Session, July 2007. This presentation examines how Utah utilized learning collaboratives to help physician practices incorporate standardized screening into well child care.

Ardis Olson, M.D. and Cecelia Gaffney, M.Ed. (The Commonwealth Fund, April 18, 2007). This manual guides health providers in conducting routine screening for parental depression and referring parents to counseling services. The manual is based on the findings of the Dartmouth Parental Well-Being Project, which tested practical approaches over a six-month period with more than 9,000 parents.

Utah ABCD Project (2006) This chart outlines steps to be taken by all office staff prior to implementing and integrating depression screening into office flow. This list of tasks to consider includes what, who, and how.
 

Utah ABCD Project (2006) This document outlines objectives for the Maternal Depression Screening Learning Collaborative participants.

Utah ABCD Project (2006) This workplan template serves to guide providers as they undertake performance improvement projects as one part of the Maternal Depression Learning Collaborative. Participating providers earn an additional CME credit.

Antonia Wilcoxon. (Minnesota Department of Human Services, 2006). This PowerPoint presentation outlines the value of communication across cultures to promote the healthy social-emotional development of infants and toddlers within a cultural context.

Central Pediatrics, St. Paul, Minnesota. (April 12, 2006). This flowchart provides a visual model for practice redesign to support incorporating mental health screening into clinic processes.

North Carolina ABCD Project. (2006). Instructions for using the North Carolina ASQ access database.

Utah ABCD Project (2006) This resource is a practice-completed chart audit form designed to collect data on screenings for maternal depression during well child visits.

Utah ABCD Project (2006) This pamphlet provides counseling tips for clinicians who work with parents exhibiting symptoms of or diagnosed with depression.

Utah ABCD Project (2006) This chart outlines steps to be taken to integrate a depression screening into an office visit, including information on interacting with the patient and referrals. This resource includes information on each step taken: when, by whom, and how.

Utah ABCD Project (2006) This worksheet was provided to Learning Collaborative participants to structure and evaluate implementation of standardized screening for maternal depression.

North Carolina ABCD Project. (2006). Child and Adolescent Mental Health Initiative. This resource was developed to provide technical assistance to Setting the Stage sites implementing standardized screening processes.

North Carolina ABCD Project. (2006). This worksheet was used by North Carolina pilot sites to track screening and referral outcomes.

North Carolina ABCD Project. (2006). This resource is a form designed to help practices better identify available system supports and partners in an effort to improve follow-up services.

North Carolina ABCD Project. (2006). This resource is designed to help practices begin to integrate and implement standardized screening into office flow.

North Carolina ABCD Project. (2006). This resource provides background information on the importance of integrating standardized screening into primary care. It also provides worksheets to be used by pilot sites to implement screening processes.

North Carolina ABCD Project. (2006). This resource was developed to assist Setting the Stage projects in measuring performance. It includes in-depth instruction for using the ABCD database (developed under NC ABCD I) to evaluate implementation.

North Carolina ABCD Project. (2006). This resource outlines the use of the PEDS instrument for screening, how it interfaces with electronic medial records, and explores additional copyright issues.

North Carolina ABCD Project. (2006). This resource outlines the critical steps that must be considered in order to sponsor successful quality improvement training.

North Carolina ABCD Project. (2006). When there are many competing initiatives for a practice, it is important to explore what mechanisms you will use for connecting with them. This resource lists the strategies that were successful in North Carolina.

North Carolina ABCD Project. (2006). This agenda highlights how North Carolina used its stakeholder groups to continually engage leaders and further project success even beyond the life of the ABCD grant.

North Carolina ABCD Project (2006) North Carolina has developed databases for primary care providers who use the Parents Evaluation of Developmental Status (PEDS) as part of a well-child visit to conduct standardized screening.

North Carolina ABCD Project (2006) Instructions for using the North Carolina PEDS access database.

North Carolina ABCD Project (2006) North Carolina has developed databases for primary care providers who use the Ages and Stages Questionnaire (ASQ) as part of a well-child visit to conduct standardized screening. This database allows providers to capture and record outcomes for referral and tracking purposes, as well as for practice level quality improvement efforts. As this file is nearly 7MB, please contact Larry Hinkle to arrange a method of delivering it to you.
 

Judith S. Shaw et al. Pediatrics. Oct 2006;118(4); e1039-e1047. This article, which focuses on Vermont, provides the evidence for an effective statewide pediatric quality improvement outreach program to improve preventive services for children who are younger than 5 years.

Utah ABCD Project Learning Collaborative. (September 15, 2006) This resource is the agenda for the Maternal Depression Learning Collaborative held at the University of Utah in September 2006.

Ardis Olsen (Utah ABCD Project, September 15, 2006) This PowerPoint presentation from the Maternal Depression Learning Collaborative provides a comprehensive clinical overview of parental depression, highlights primary care providers' roles in identification and treatment, and strategies for integrating screening into practice flow.

Paul C. Young et al. Pediatrics. May 2006; 117(5):1469-1476. This article demonstrates that learning collaboratives are a potentially effective method of improving the quality of care delivered by pediatric practices. (From abstract).

The Commonwealth Fund. (May 8, 2006). This guide helps pediatric practices redesign their office systems to improve the quality of preventive and developmental services. The resources (checklists, surveys, bibliographies, and more) were developed and tested in a year-long quality improvement initiative in which primary care practices in Vermont and North Carolina used improved office systems to engage families in efforts to promote positive developmental outcomes.

Utah ABCD Project (February 2006) This chart provides a list of available medications for treating perinatal depression, including information on risks, teratogenicity and recommended dosage. This list was provided to Learning Collaborative participants.

Illinois ABCD Healthy Beginnings. (2005). This survey was designed to evaluate the existing processes in pediatric practices for identifying social/emotional (S/E) and maternal depression issues in patients.

UPIQ. (2005). Form for participants to complete prior to the UPIQ Social Emotional Learning Collaborative held in Lehi, Utah, May 20, 2005. Information used to establish a baseline to measure quality improvement efforts during UPIQ.

UPIQ. (2005). Form for UPIQ Social Emotional Learning Collaborative participants to complete detailing team leader and team membership.

UPIQ. Before you decide what direction you want to take with Social Emotional Screening, it is best to look at what your group is currently doing. This tool will assist providers in selecting the best developmental screening tool for their practice.

UPIQ. (2005). Form for practices to complete to organize office workflow. Adapted from North Carolina's ABCD project materials and Ploof D, Hamel SC: Developmental screening is an important part of well care: How can we really make it happen? Basic principles for practice change in the real world. Newsletter of the American Academy of Pediatrics' Section on Developmental and Behavioral Pediatrics, June 2002

Purvi Kobawala Smith. (Hamilton, NJ: Center for Health Care Strategies. October 2005). This toolkit reflects the experiences of the Enhancing Child Development Services in Medicaid Managed Care workgroup - 10 health plans and a primary care case management program - that collaborated to develop best practices for enhancing child development services. (From web Summary)

Jenifer Lloyd. (Utah Department of Health, May 20, 2005). A presentation by Jenifer Lloyd at the UPIQ Social Emotional Learning Collaborative held in Lehi, Utah, May 20, 2005

Harper Randall (Granger Medical Clinic, May 20, 2005). Presentation outline for the UPIQ Social Emotional Learning Collaborative held in Lehi, Utah, May 20, 2005

UPIQ. Form for practices completing monthly chart audits. Participating practices are asked to review 10 charts and respond to short questions on referrals and their Plan-Do-Study-Act (PDSA) cycles.

UPIQ (2005). Agenda for Collaborative meeting focusing on Social Emotional Screening of Toddlers 12 to 36 months, Friday May 20, 2005 7:30-4:30, Thanksgiving Point.

Paul Glasziou and Brian Haynes. ACP Journal Club. Mar/Apr 2005; 142(2): A8-A10. This article discusses the role of evidence based medicine in improved health outcomes.

UPIQ. PDSA stands for Plan, Do, Study, Act. It is a model for testing ideas that you think may create an improvement.

Iowa ABCD II Prevention and Identification Workgroup (2004). This resource summarizes the Prevention and Identification Workgroup efforts around detailing minimum clinical standards for providers in the identification of developmental, social-emotional, and behavioral problems in children birth to three years.

Paul Young. (UPIQ, 2004). PowerPoint presentation on models for improvement for Social-Emotional Screening Learning Collaborative October 15, 2004.

UPIQ. (October 15, 2004). Presentation at Thanksgiving Point Collaborative meeting, October, 2004. Describes UPIQ Learning Collaborative approach: identify need, apply evidence by changing system, measure what you do.

Marian Earls. (October 2004). Presentation on Screening, developed by Dr. Marian Earls, Developmental & Behavioral Pediatrician, for UPIQ.

Peter A Margolis et al. BMJ 2004 328: 388. This article demonstrates that combining continuing education with process improvement methods is an effective method of increasing rates of delivery of preventive care to children. (From abstract).

North Carolina ABCD I Project This agenda outlines the Developmental Screening CME training conducted under the NC ABCD project.

North Carolina ABCD I Project. This resource is a checklist of talking points for providers to consider as they implement standardized developmental screening for children ages 0-5.

IHI Innovation Series white paper. (Boston: Institute for Healthcare Improvement, 2003). IHI’s Innovation Series white papers were developed to further the mission of improving the quality and value of health care. The findings and tools in these reports provide you with an opportunity to understand and evaluate the issues, and begin testing changes that can help your organization make breakthrough improvements. (From website) 

Iowa's Developmental Services Workgroup. (September 2002). This resource outlines principles to guide Medicaid provider interactions with children, families, and communities. It was developed by the Developmental Services Workgroup under the Healthy Mental Development Panel.

(C. Cybele Raver and Jane Knitzer. New York, NY: National Center for Children in Poverty) This resource is policy paper number three in the series "Promoting the Emotional Well-Being of Children and Families" and was designed for policymakers. The paper focuses on reasons why it is important to intervene to help young children at risk for poor social, emotional, and behavioral development and what kinds of research-based interventions seem most effective. (From Executive Summary)"

Dianna Ploof and Sara C. Hamel. American Academy of Pediatrics’ Section on Developmental and Behavioral Pediatrics’ Newsletter, June 2002. This article describes the necessary components for creating lasting change when initiating developmental screening in primary care.
 

W. Clayton Bordley, et al. Pediatrics Sept 2001; 108 (3): e41. This article focuses on determining the effectiveness of office systems implemented to improve the delivery of preventive care in pediatric practices. (From abstract).

Jane Knitzer. in Shonkoff J, Meisels S (eds): Handbook of Early Childhood Intervention, ed 2. (New York, NY: Cambridge University Press, 2000).

S.B. Soumerai and J. Avorn. JAMA. Jan 26, 1990; 263(4):549-556. This article defines the theory and practice of methods to improve physicians' clinical decision making to enhance the quality and cost-effectiveness of care. (From abstract)