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AAP’s Chapter Quality Network Asthma (CQN2) Collaborative
Put Names of QI Team/Practice HerePut Date Here
Put your chapter logo here
Defining the Gap: Asthma
Affects 6.7 million children Costs $3.2 billion dollars annually Accounts for 14.7 million missed school
days per year Causes 44% of pediatric
hospitalizationsAkinbami LJ, Moorman JE, Garbe PL, Sondik EJ. Status of childhood asthma in the United States, 1980-2007. Pediatrics.
2009;123(Suppl):S131-S145.Weiss KB, Sullivan SD, Lytle CS. Trends in the cost of illness for asthma in the United States. J of Allergy Clinical Immunology .
2000:106:493-499.American Academy of Allergy, Asthma and Immunology. http://www.aaaai.org/media/resources/media_kit/asthma_statistics.stm
CQN2 Collaborative AimThe national goal for the practice level is to
support changes in asthma care practices and child health outcomes, and to implement successful practice system changes
At the chapter level, the goals include increasing the capacity for quality improvement work, and building key partnerships and funding for continued quality
efforts
Our Practice’s Aim Statement
Aim Statement:
We have joined the CQN2 AAP National
Collaborative to …. put the aim statement
that you developed for your LSI storyboard
CQN2 Collaborative Practice Level Goals90% seen with an CQN encounter form
will have optimal care by Sept 2012:Optimal care is defined as a bundle of
measures:90% with an assessment of asthma control90% will use NHLBI stepwise approach90% of children w persistent asthma on
controller med90% with a written asthma action plan
CQN2 Collaborative Practice Level Goals (cont)% of caregivers with confidence level of 7 or
above in ability to manage child’s asthma% of caregivers who rate child’s asthma as
well controlled% of patients 5+ w/ spirometry obtained
within last 2 years% of patients w/ self management education
materials% of patients with asthma received flu shot
during active flu season
Learn QI methods to systematically and reliably identify patients with asthma and improve asthma care for these patients
Apply the same methods to other content areas (such as children with diabetes, preventive services)
Meets qualifications for MOC level 4 certification for our physicians
Why Our Practice Is Participating…
What we will get as part of the CQN2 CollaborativeWe will receive /have access to:
Monthly and trend data for all measures Coaching from QI experts at the chapter &
national levels to support practice level changeLatest in articles, tools and resources Ability to hear what other practices are doing
and the ability to ‘steal shamelessly’ on ideas that may work in our practice
CQN Pilot Results CQN2 September Data Reports
CQN Pilot Ohio Chapter Results
Other CQN Pilot Outcomes The percentage of patients who received an updated written asthma action plan increased from 49% to 91%
Patients in which self-management education materials were provided and explained to the patient and family at the time of visit also increased from 60% to 87% of the time.
Of the 235 physicians in the CQN pilot, 92%
completed the requirements of the project to be awarded credit for the ABP’s Maintenance of Certification Part 4.
Encounter Forms Entered in Our Practice for September, 2011
Place table showing number of encounter forms by provider in your practice
September, 2011 (Baseline) Data
Baseline: Our Practice Use the pdf ‘snapshot tool’ to cut/paste your
baseline data point for % with optimal care plan
Baseline: Our Practice Use pdf ‘snapshot tool’ to cut/paste your
baseline data point for % with asthma care plan
What is our chapter doing to address the payer issues? Chapter leaders to put in information here
Our areas of focus and testing over next monthIncrease the number of encounter forms
being used and increase the number of clinicians using the encounter form
Identify our asthma patients before they come in through the development of a registry using billing queries
Continue to conduct PDSA cycles Note: these are recommended areas of focus, however you should tailor these based on what your QI team is doing