Learning collaborative: The local AAP chapter, with grant funds from First Things First, established learning collaboratives from April 2012 to June 2013.
Nearly 30 pediatric practices across the state of Arizona successfully implemented Bright Futures by using Bright Futures Guidelines and Bright Futures Tool and Resource Kit questionnaires. This implementation was done by hosting 3 different 6-month modified learning collaboratives with support from the local AAP chapter and using the national Bright Futures AAP Education in Quality Improvement for Pediatric Practice (EQIPP) module for data collection.
In each collaborative, as many as 10 practices worked together to identify a quality improvement team, usually a 3-member group that included clinicians and administrative staff. For each collaborative, the chapter hosted an initial meeting to introduce the quality improvement project and provide background on Bright Futures Guidelines and implementation tools. Each practice chose a Bright Futures measure to implement to improve preventive care (eg, developmental screening, autism screening, oral health risk assessment). Each month the collaborative met for an hour-long phone call, and the practices would report on their data collected through a chart review using the Bright Futures EQIPP module. Working with a quality improvement coach from the AAP chapter, the practices would identify any issues and determine how the practices could overcome them, potentially through changes to their office systems.
All participating practices said they would continue what they started, and about half said that they were going to increase the number of measures that they were working on through Bright Futures.
Partnerships: In 2006, the Arizona AAP chapter started Best Care for Kids, an improvement partnership to ensure a high-quality health care system for Arizona's children and their families by promoting partnerships, shared knowledge, and evidence-based data-driven change. The improvement partnership has organized learning collaboratives, care coordination, and work with hospitals in the state.
Related podcast: Learning Collaboratives, Diane Bryan, Arizona AAP Chapter