1. ACEs QI Project Evaluation
October, 2018
Tatiana Popovitskaia, Project Coordinator

2. QI Project Evaluation Goal
To evaluate the acceptability and feasibility of ACES for maternity healthcare providers and their patients in select maternity health practices across the province

3. QI Project Evaluation Expected Result
Report on ACEs feasibility and acceptability for maternity healthcare providers and their patients and
increase knowledge to develop recommendations on ACEs implementation in BC

4. ACEs Evaluation Principles
Trauma informed and culturally safe care provided
Promote resilience and strength based approach to care
ACEs is not a screening test, but a history taking tool
ACEs score is a starting point for a discussion between patient and provider
It is not formal research, but program evaluation
“Potential harm is in response, not the asking” - Bridget McBride, Kaiser Permanente
Photo credit: ACEs Scotland Forum

5. QI Project Evaluation Timeline
Lit review
Resources development
Evaluation design
Face to Face meeting
Orientation meetings
May - Sept, 2018
Data collection
Additional educational resources and support
Oct, 18 - Feb , 2019
Data analysis
Reporting
Results dissemination
March, 2019
Data collection
Peer – support
Additional education

6. Evaluation questions
What is the knowledge level of maternity care providers in regards to ACEs, resiliency and trauma-informed care (self-reported)?
To what extent is the ACEs questionnaire feasible for maternity healthcare providers?
To what extent is the ACEs questionnaire acceptable for women as a history taking tool?
What are the experiences of participating women with the ACEs questionnaire?
What is the ACEs score of participating women?
What is the outcome of the ACEs questionnaire as a history taking tool?
Does the ACEs questionnaire affect work flow in maternity health practices?

7. Evaluation Instruments
Pre- and post- test for providers on ACES, trauma informed care and resilience
Patient exit survey
In-depth patient phone interview
Survey for MOAs/office staff
Example – providers
How would you rate your
Knowledge about the impact of ACEs on patient Health Shared Services BC about to
Discuss ACEs with patients
Ability to educate patients about potential impact of CEAs on their health and wellbeing
Ability to create safe environment for patients to discuss ACEs
Your knowledge about trauma – informed care
Your skill on providing trauma informed care
You knowledge on resilience
Your knowledge on additional resource on ACEs
Concerns about ACEs enquire with your patient
Example – patient
How comfortable were answering the questions?
How comfortable was it for to talk about these childhood experiences with your doctor?
What’s your option on this questionnaire to be use in your clinics?
Suggestions
Pre- post intervention online survey for MoA and office staff

8. PSBC Support Patient Package Provider Package ACEs orientation meeting
Data collection and analysis
Report development
Results dissemination
ACEs evidence one pager
ACEs and resiliency questionnaires
Information letter
Script for physician and MOA on ACEs discussion with patients
Additional educational and informational resources on ACEs, TIC, and resilience
Office workflow:
Medical Office Assistant:
Introduce the evaluation
Provide ACEs package, collect questionnaire
Medical Provider:
Acknowledge and thank patient
Review the ACEs and resiliency questionnaires when appropriate
Give resource handout and make referrals

9. Thank you!