Arizona: The local AAP chapter, with grant funds from First Things First, established learning collaboratives from April 2012 to June 2013 to train pediatricians how to improve preventive care through Bright Futures as part of its Best Care for Kids quality improvement program. The learning collaboratives used the aims and measures of the EQIPP modules, thereby forming a hybrid model that allowed participants to earn MOC credits.
Over the life of the funding, 3 groups of 6 to 10 practices dedicated 6 months to the collaborative. Each practice developed a QI team, a 3-member group that often included clinicians and administrative staff. For each collaborative, the chapter hosted an initial meeting to introduce the QI project. Each practice chose a Bright Futures measure to implement to improve preventive care (ie, developmental screening, autism screening, or oral health risk assessment). Each month the collaborative met for an hour-long phone call and each practice would report on its data collected through a chart review (each month practices would pull a certain number of charts and record whether screenings were conducted). Working with a QI coach and the AAP chapter staff, the practices identified any barriers and how the practice could overcome them, potentially through changes to their office systems.
In the end, all participating practices said they planned to continue what they started, and about half said that they would increase the number of measures that they were working on through Bright Futures.
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