1. 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/investigative use of a commercial product/device in their presentation. Team Planning and Sharing Ruth S. Gubernick, MPH QI Advisor Newborn Screen Positive Infant ACTion Project Learning Session May 21-22, 2010

2. Objectives  Plan PDSA cycles for Team members will apply what they have heard today to their own practice Identify priorities for improvement regarding NBS processes Plan tests of change  Share the plans

3. Review of the Day’s Activities  Newborn Screening Processes NBS Science and “Hot Topics” Practice-based care systems (including short- term management) Use of ACT sheets  Model for Improvement  Data Collection and Measurement

4. Apply the Model for Improvement to your own practice and develop your plan of what to try by next Tuesday...

5. TEAM PLANNING & SHARING INSTRUCTIONS In this session you will…. a) Use the Aim Statement worksheet to create a written, measurable, and time-sensitive description of the accomplishments your team expects to make from its improvement efforts b)Prioritize multiple tests of change/PDSA cycles over the length of the first Action Period – Use the Improvement Planning Form – Describe each briefly using the timeline c)Develop specific details about initial tests/PDSA cycles you are considering – Use one or the other of the Plan a Test of Change Worksheets – Identify what will you measure to help you identify if your changes have resulted in improvements? Note: A multi-copy form of the Plan Test of Change worksheet will be provided to your team (1 per team), to write the proposed initial test/PDSA cycle Please give a copy of the worksheet to any member of the Project Team. Note: The more well planned your tests are the more likely they’ll be successful

6. TEAM PLANNING & SHARING INSTRUCTIONS Team Report Out 1.Share a PDSA cycle 2.Tell us what you think was the most important thing you learned today 3.Pretend a reporter for your local newspaper is coming to do an article on your practice after you have tested changes to improve NBS processes in your medical home. What would you hope the headline might say?