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Training and Implementation Materials

 

Introduction: Tools for Working With Practices to Improve Preventive Care Using Bright Futures

 

These Bright Futures training and implementation materials funded by the Commonwealth Fund with support from the US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, have been developed to facilitate implementation of the Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd Edition, at the practice system level (for tools and resources to use in conjunction with health supervision visits, see the Bright Futures Tool and Resource Kit).

 

These training and implementation materials are built on 2 key concepts: the Bright Futures framework and the use of an “office systems” approach in primary care practice. The Bright Futures framework lays out 6 key components of care:

 

1. Use of a Preventive Services Prompting System

2. Use of structured developmental assessment

3. Evaluation of parental strengths and needs

4. Development of a recall and reminder system

5. Development of linkages to community resources

6. Identification of children with special health care needs

 

Practices that have systems to support these 6 components are ones that embody the Bright Futures philosophy.

 

The office systems concept is important as well. All practices have office systems in which staff work together to accomplish a common purpose. Billing is an example of a system in which the entire health care team communicates to ensure that patients receive an accurate bill for services. Applying these office system principles to preventive care helps to overcome the sheer number of recommended services by using tools, training, and data to ensure that appropriate services are provided to patients at every visit.

 

For more information about the year-long pilot project funded by the Commonwealth Fund and the 15 participating practices that led to the development of these training and implementation materials see this article, published in Pediatrics (Lannon CM, Flower K, Duncan P, Moore KS, Stuart J, Bassewitz J. The Bright Futures Training Intervention Project: implementing systems to support preventive and developmental services in practice. Pediatrics. 2008;122 e163-e171): Download Bright Futures Training Intervention Project: Implementing Systems to Support Preventive and Development Services in Practice.

 

About This Online Resource

 

For your convenience, the Training and Implementation Materials are available online with navigation for each volume appearing in the left-hand column. You can also download:

 

 

See below for a description of each volume, links to the online version, and PDFs/Word documents for each volume and for each component within a volume.

 

Volume 1: Improving Preventive Care in Your Office-Tools for Office Improvement

 

This volume is designed to guide physician offices and other clinical teams through the development and implementation of Bright Futures to enhance the preventive care for infants, children, younger than 5 years. These tools can be adapted by clinical sites for the age of the child, the patient population, and the local community.

 

Volume 1 Introduction PDF Word Doc
Volume 1 (All components) PDF Word Doc
Table of Contents PDF Word Doc
Systems Implementation PDF Word Doc
Preventive Services Prompting Systems PDF Word Doc
Structured Developmental Screening PDF Word Doc
Eliciting Parental Strengths and Needs PDF Word Doc
Recall and Reminder Systems PDF Word Doc
Community Resources PDF Word Doc
Children With Special Health Care Needs PDF Word Doc
Volume 1 Feedback Form PDF Word Doc

 

Volume 2: Working With Practices to Improve Preventive Care: A Leader’s Guide

 

This step-by-step guide will help individuals, facilitators, or other project staff plan and implement the Bright Futures Training Intervention With Office Staff (BFTI).

 

Volume 2 Introduction PDF Word Doc
Volume 2 (All components) PDF Word Doc
Section I: Bright Futures Framework for Integrating System Improvements Into Office Settings PDF Word Doc
Section II: Early Planning PDF Word Doc
Section III: Engaging Teams PDF Word Doc
Section IV: Workshops and Action Period PDF Word Doc
Section V: Future Planning PDF Word Doc
Section VI: Facilitator Resources PDF Word Doc

 

Volume 3: Training Materials to Improve Preventive Care in Office Practice: Bright Futures Workshop Materials

 

This volume contains the workshop binder contents, slide presentations, and worksheets from the two 1-day workshops held during the pilot project of the BFTI, which focused on delivery of screening and preventive services for children younger than 5 years.

 

Volume 3 Introduction PDF Word Doc
Volume 3 (All components) PDF Word Doc
Workshop I PDF Word Doc
Forms:
Monthly Progress Report PDF Word Doc
Office Systems Inventory Tool PDF Word Doc
PDSA Planning Worksheet PDF Word Doc
Bright Futures Status Grid PDF Word Doc
Chart Review Form PDF Word Doc
PowerPoint Presentations:
Project Overview: Training Intervention to Improve Developmental and Preventive Services in
Practice
PPT
The Model for Improvement PPT
Introduction to Measurement PPT
Volume I: Improving Preventive Care in Your Office: Tools for Office Improvement Overview PPT
Preventive Services Prompting Systems PPT
Strength-based Approaches to Assessing
Families
PPT
Structured Developmental Assessment PPT
Community Linkages PPT
Bright Futures Data Collection and Measurement PPT
Group Planning PPT
Next Steps PPT
Workshop II PDF Word Doc
Forms:
Accelerating and Sustaining Change Worksheet PDF Word Doc
Bright Futures Status Grid PDF Word Doc
Office Systems Inventory Tool PDF Word Doc
PowerPoint Presentations:
Training Intervention to Improve Developmental and Preventive Services in Practice PPT
Training Intervention to Improve Developmental and Preventive Services in Practice: Overview and Highlights of Progress PPT
Practice Presentation Template PPT
Achieving Full Implementation and Sustaining Improvement PPT
Next Steps PPT

 

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