1. The Journey Continues: Next Steps for C4K Dr. Caprice Knapp, UF Evaluation Team Ruth S. Gubernick, QI Advisor Florida Pediatric Medical Home Demonstration Project (C4K) Learning Session 2 April 27-28, 2012

2. Disclosure I have no relevant financial relationships with the manufacturers of any commercial products and/or provider of commercial services discussed in this CME activity. I do not intend to discuss an unapproved or investigative use of a commercial product/device in their presentation.

3. Parent phone surveyPractice MHI/TransforMED survey Staff surveyCore clinical team interview UF Evaluation - Follow Up Data Collection  The UF Evaluation is longitudinal, therefore the following components will be repeated in CY 2012

4.  We have petitioned the IRB to let us return practice-level results for those practices who reached response rate (12/20).  If approved, we will email these to the lead physician UF Evaluation - Staff Survey

5. UF Evaluation Team - New Data Collection  Community Stakeholder Survey Pulling the Sample - Discussion  Application Data New Informed Consent Form Annually sent application to denote any changes

6. UF Evaluation Team - New Data Analysis  CHIPRA Measures May 2012 Clinical Team Call will review the results from the remaining CHIPRA core measures Time for questions and answers Comparison of practice results to Florida’s results  CHIPRA Measures - Discussion 3 years of baseline data

7.  Update on strategies used to date  Comparison parent survey  Comparison CHIPRA measures Comparison Group

8. Next Steps - Part 1 (QI project)  Complete Learning Session Evaluation Form  Complete Travel Expense Form Return to Lindsay Wilson to arrive no later than May 8, 2012  Claim CME Credit for this Learning Session Live Learning Session  up to 21 days after the session Performance Improvement  After 2 nd monthly call is complete (staff will email you)  Prepare practice for Phase 2 changes

9. Next Steps - Part 1 (QI project)  Continue monthly data collection Data cycle opens May 15 and closes May 30 Via Survey Monkey submit first 10 charts of:  Medicaid  Medicaid health plan  KidCare For each of 3 cohorts of patients  24-month well visit  diagnosed with pharyngitis and dispensed an antibiotic  diagnosed with asthma seen for a recent visit

10. Next Steps - Part 1 (QI project)  Continue monthly data collection Submit Monthly Progress Report via Survey Monkey Note: Links to data collection requirements will be available on the Project Workspace Web site and will be emailed to teams each month  Participate on Monthly Conference Calls (Practice members only)

11.  Plan to attend ONE call per month  Agenda, Slides, and Webinar information will be sent out prior to call Monthly Conference Calls/Webinars Every 3 rd Wednesday @ 1pm ET Every 4 th Tuesday @ 12pm ET May 9May 22 June 20June 26 July 18July 24 August 15August 28 September 19September 25 October 17October 23

12.  Project Workspace Web site  C4K Listserv  Change Package  Building Your Medical Home Toolkit: http://www.pediatricmedhome.org/ http://www.pediatricmedhome.org/  National Center for Medical Home Implementation: http://www.medicalhomeinfo.org/ http://www.medicalhomeinfo.org/  Expert Group/QI Advisor Team Resources

13. Thanks to our 20 C4K Teams!! Brevard Health Alliance Monroe Center Cocoa (Phase 1) Longleaf Pediatrics, PA Orange City Tallahassee Pediatrics Tallahassee (Phase 1) -USF Pediatrics -The Chronic Complex Clinic at St. Joseph’s Children’s Hospital Tampa All Children’s General Pediatrics St. Petersburg University Pediatrics University Park St. Vincent’s Family Medicine Center Jacksonville Jacksonville Beach Pediatric Care Center Jacksonville Beach Atlantic Coast Pediatrics Merritt Island Pediatric Partners Palm Beach Gardens Gentle Medicine Associates Boynton Beach Pediatric Clinic, Memorial Primary Care Center Hollywood (Phase 1) Rozalyn Hester Paschal, MD, PA Miami -Mirtha Cuevas, MD Inc -Orlando Health Pediatric Faculty Practice Orlando Pediatric Associates – Miami Beach Miami Beach Martin Memorial Pediatrics Stuart Children’s Health of Ocala Ocala Altamonte Pediatric Associates Altamonte Springs