1. AAP’s Chapter Quality Network Asthma (CQN2) Collaborative Put Names of QI Team/Practice Here Put Date Here Put your chapter logo here

2. Defining the Gap: Asthma Affects 6.7 million children Costs $3.2 billion dollars annually Accounts for 14.7 million missed school days per year Causes 44% of pediatric hospitalizations Akinbami LJ, Moorman JE, Garbe PL, Sondik EJ. Status of childhood asthma in the United States, 1980-2007. Pediatrics. 2009;123(Suppl):S131-S145. Weiss KB, Sullivan SD, Lytle CS. Trends in the cost of illness for asthma in the United States. J of Allergy Clinical Immunology. 2000:106:493-499. American Academy of Allergy, Asthma and Immunology. http://www.aaaai.org/media/resources/media_kit/asthma_statistics.stmhttp://www.aaaai.org/media/resources/media_kit/asthma_statistics.stm

3. CQN2 Collaborative Aim The national goal for the practice level is to support changes in asthma care practices and child health outcomes, and to implement successful practice system changes At the chapter level, the goals include increasing the capacity for quality improvement work, and building key partnerships and funding for continued quality efforts

4. Our Practice’s Aim Statement Aim Statement: We have joined the CQN2 AAP National Collaborative to …. put the aim statement that you developed for your LSI storyboard

5. CQN2 Collaborative Practice Level Goals 90% seen with an CQN encounter form will have optimal care by Sept 2012: Optimal care is defined as a bundle of measures: 90% with an assessment of asthma control 90% will use NHLBI stepwise approach 90% of children w persistent asthma on controller med 90% with a written asthma action plan

6. CQN2 Collaborative Practice Level Goals (cont) % of caregivers with confidence level of 7 or above in ability to manage child’s asthma % of caregivers who rate child’s asthma as well controlled % of patients 5+ w/ spirometry obtained within last 2 years % of patients w/ self management education materials % of patients with asthma received flu shot during active flu season

7. Learn QI methods to systematically and reliably identify patients with asthma and improve asthma care for these patients Apply the same methods to other content areas (such as children with diabetes, preventive services) Meets qualifications for MOC level 4 certification for our physicians Why Our Practice Is Participating…

8. What we will get as part of the CQN2 Collaborative We will receive /have access to: Monthly and trend data for all measures Coaching from QI experts at the chapter & national levels to support practice level change Latest in articles, tools and resources Ability to hear what other practices are doing and the ability to ‘steal shamelessly’ on ideas that may work in our practice

9. CQN Pilot Results CQN2 September Data Reports

12. CQN Pilot Ohio Chapter Results

13. Other CQN Pilot Outcomes The percentage of patients who received an updated written asthma action plan increased from 49% to 91% Patients in which self-management education materials were provided and explained to the patient and family at the time of visit also increased from 60% to 87% of the time. Of the 235 physicians in the CQN pilot, 92% completed the requirements of the project to be awarded credit for the ABP’s Maintenance of Certification Part 4.

15. Encounter Forms Entered in Our Practice for September, 2011 Place table showing number of encounter forms by provider in your practice

16. September, 2011 (Baseline) Data

17. Baseline: Our Practice Use the pdf ‘snapshot tool’ to cut/paste your baseline data point for % with optimal care plan

19. Baseline: Our Practice Use pdf ‘snapshot tool’ to cut/paste your baseline data point for % with asthma care plan

20. What is our chapter doing to address the payer issues? Chapter leaders to put in information here

21. Our areas of focus and testing over next month Increase the number of encounter forms being used and increase the number of clinicians using the encounter form Identify our asthma patients before they come in through the development of a registry using billing queries Continue to conduct PDSA cycles Note: these are recommended areas of focus, however you should tailor these based on what your QI team is doing