1. Practice Key Driver Diagram

2. Team Meeting #2: Developing the First Plan-Do-Study-Act Cycle Accelerating Improved Care for Children with ADHD
Chapter Quality Network ADHD Project
Jennifer Powell, MPH, MBA, Quality Improvement Consultant
Allie Stevens, MPH, MS, Project Manager, Chapter Quality Network

3. Commercial Interests Disclosure
Jennifer Powell, MPH, MBA Allie Stevens, MPH, MS I have no relevant financial relationships with the manufacturer(s) of any commercial product(s) 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 my presentation.

4. Objectives
Articulate one goal for our QI team to make our systems of ADHD care more reliable.
Describe how a PDSA worksheet can be used to improve ADHD care
Review the mehealth PDSA wizard

5. Our overall model. Our simulation with Sam which introduced us to the PDSA cycles and iterative testing.

6. Revisiting your Workflow
Questions for your discussion:
Is the right person completing the appropriate tasks?
Are there any missing steps?
Are there steps that should be more detailed or broken into smaller pieces?
Are there places in your workflow where you are unclear HOW they will work in your practice?
These are the questions you discussed during your first Team Meeting. Now, as your review the notes from that discussion, where are there opportunities for ‘testing’ something new?

7. You are here
Focus on one PDSA cycle that pertains to a change related to your mehealth workflow. Fill in the PDSA worksheet with the details of the test you are planning.

9. Testing is an iterative process – think about next tests after this first one. Before we implement something, we want to test is thoroughly.

10. The First PDSA Cycle
Our first PDSA cycle will be focused on enrollment using an instruction sheet.
See sample of a completed PDSA worksheet
Use the worksheet provided to develop your own PDSA on enrollment
Keep it simple
Make it very specific

11. Second PDSA Cycle
Ideas for testing that focus on diagnosis and/or early f/up:
Testing around a daily huddle with your QI team…
Testing around use of the portal…
i.e., how often you’ll check the Daily Report Card
Using a new form to capture information during a visit
Process for follow-up within 7-14 days on new prescriptions or new doses

12. Report Out
What is your team’s ?

13. PDSA Cycles in mehealth
We used a hard copy today to allow you all to see the entire structure of a PDSA cycle, and so we could keep a copy of your cycles for our first and second practice webinars.
Using the meHealth PDSA wizard is the preferred method for documenting PDSA cycles going forward.
We will continue to review using the wizard on our monthly webinars. It will allow you to annotate the data chart with what you did and what worked, and ties each PDSA to a measure and problem.