232012 Implementation of High Performing Well Child Care : Coordinating Quality Improvement Efforts between a Large Managed Care Organization, a Community Safety-Net Clinic, a Children's Hospital, and a State Organization

Wednesday, November 10, 2010 : 8:30 AM - 8:35 AM

Arne Beck, PhD , Kaiser Permanente Colorado, Institute for Health Research, Denver, CO
Alanna Kulchak Rahm, MS , Institute for Health Research, Kaiser Permanente, Denver, CO
Ayelet Talmi, PhD , Departments of Psychiatry and Pediatrics, University of Colorado Denver, Aurora, CO
Eileen Auer Bennett, Assuring Better Child Health & Development (ABCD)State Coordinator , State Office, Assuring Better Child Health & Development (ABCD), Centennial, CO
Stephanie Phibbs, MPH, PhD ABD , University of Colorado Cancer Center, University of Colorado, Denver, Aurora, CO
Simon Hambidge, MD, PhD , Community Health Services, Pediatrics, Denver Health, University of Colorado School of Medicine, Denver
Breanne Griffin, BA , Institute for Health Research, Kaiser Permanente Colorado, Denver, CO
Sharla Fellers, Child Development Specialist , Pediatrics, Kaiser Permanente Colorado, Westminster, CO
David Bergman, MD , Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA
With this session we will provide a real-world example of the implementation of a quality improvement project at a large managed care organization (MCO) and a community safety-net organization. Utilizing findings from dissemination science we will demonstrate how we have begun implementation and dissemination of a system of high performing well child care across the MCO, the barriers uncovered and modifications made to translate this system to the community safety-net organization concurrently with the implementation of a state-wide initiative to increase utilization of the Ages and Stages Questionnaire (ASQ) at all well child care visits. We will also show how the development of this partnership intended to translate a program from the MCO to the safety net clinic resulted in translation of information from the safety net to the MCO by uncovering an immediate need that can be addressed at both institutions. Finally, we will present developing processes to improve standard of care in and ensure consistency of procedures and outcomes measures through collaboration of both institutions and the Children's Hospital in collaboration with the state organization. We hope that the presentation of the real world experiences of change implementation will entice many key stakeholders and facilitate further bidirectional relationship between the organizations for further learning and dissemination of this and other quality improvement processes.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
1. Define concepts of implementation and dissemination science 2. Discuss the components of 21st Century well child care 3. Identify the limitations of internet technology in an urban population 4. Formulate how multiple institutions form collaboratives in response to shared issues

Keywords: Pediatrics, Quality Improvement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am a project manager of the study and an author of the abstract
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.