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Quality Improvement

Quality Utilization Standards

Kids Health First works diligently to provide the most clinically advanced standards of care to patients and their families. In doing so, we have put into place, practice standards for quality utilization management. Every practice within our network is required to meet these standards and to participate in compliance audits on a regular basis.

Kids Health First continuously reviews our practice standards for Quality Utilization Management. If you have any questions regarding this information, please call 770-333-0033 or contact us at quality@khfirst.com.

Maintenance of Certification Program (MOC)

Kids Health First has created two American Board of Pediatric (ABP) Maintenance of Certification (MOC) Programs for purposes of ensuring advanced knowledge and lifelong learning by pediatricians. Both MOC programs facilitate improved clinical competency and a standardization of care. The following two programs describe opportunities available to all Kids Health First physicians to earn MOC credit for Part 4 in the Performance in Practice Category

Developmental Dysplasia of the Hip (DDH)

Kids Health First worked together as a community of physicians, including KHF pediatricians, pediatric orthopedists and pediatric radiologists from Georgia Pediatric Subspecialists, to build consensus on how best to diagnose and treat DDH. Collaboratively, this group of physicians made changes to the way they practiced medicine through the development of a Clinical Practice and Referral Guideline, standardization of screening and documentation at the primary care physician level, and an educational video (using a physician expert to outline the physical exam when assessing for DDH).

Kids Health First used this quality improvement opportunity to create an American Board of Pediatrics MOC program for Improving Primary Care Screening and Exam Documentation for Developmental Dysplasia of the Hip.

Participating physicians provided baseline data, completed interventions and also supplied monthly data throughout the program.  At the end of the program, physicians demonstrated a 49% increase in compliance with the defined standards and quality improvement measures of the program.  This significant increase in compliance demonstrates the benefit of the MOC program and its ability to help facilitate the advancement of clinical knowledge within our organization. The program also  demonstrates its impact on improving the process of care for children who are at risk for DDH.  The resulting benefits of the program are:

  1. Increased compliance with the AAP guidelines
  2. Improved process of care
  3. Improved reporting elements between specialists
  4. Reduction in costs
  5. Reduction in potential risk to patient
  6. Shared accountability between pediatricians and specialists
  7. More conclusive test results

Through this rigorous process for assessment, training, implementation, follow-up and process improvement, our physicians continue to engage in active and continuous learning throughout their careers.  To date, more than 100 physicians have received the Maintenance of Certification for the Assessment, Diagnosis and Treatment of DDH.

For those physicians who were in practice prior to 1989 and/or who only practice part-time, the chart audit requirements were adjusted to receive the MOC credit. 

Strong4Life            S4L_WebBadge_2013

Kids Health First collaborated with Children’s Healthcare of Atlanta to create an American Board of Pediatrics (ABP) Maintenance of Certification (MOC) Program for Strong4Life.  This program incorporates motivational interviewing techniques and goal setting with families to improve the effectiveness of childhood obesity counseling.  The MOC program is available to all Kids Health First physicians as well as all Board certified pediatricians in Georgia who are seeking an MOC Part 4-Performance in Practice credit. The purpose of the program and Kids Health First participation in the program is to support conversations about healthy habits for children and their families.

Additionally, expanding the conversation to include discussion around BMI measurements is critical to the success of the program. By incorporating motivational interviewing techniques and establishing goals with patients and families, the intent is to improve a physician’s effectiveness in childhood obesity counseling (for children ages 6-11).

If you would like to learn more about the Strong4Life MOC program, please call 770-0033, ext. 209 or contact quality@khfirst.com  If you would like to register for the physician training, please visit www.choa.org/s4lprovider.

Future Initiatives

  1. Asthma
  2. Behavioral Health

Community Quality Improvement Activities

Concussion

Children’s Healthcare of Atlanta recently expanded its Concussion Program to include tools and resources for providers. Kids Health First worked collaboratively with Children’s Concussion team and the community, by providing guidance and knowledge from the primary care perspective. The objective of the toolkit and videos is to provide education to healthcare professionals on managing concussion patients using evidence-based tools. The Concussion Toolkit contains a concussion definition, an assessment tool, the Glasgow Coma Scale, red flags, Emergency Department/CT Scan Referral Criteria, Emergency Department Algorithm, tips for cognitive rest, return to school and play guidelines and English/Spanish patient family teaching sheets. The program also includes helpful informational videos on the diagnosis and treatment of concussions and clinical scenarios.

Providers that participated obtained CME credit. For more information visit, http://www.choa.org/Childrens-Hospital-Services/Concussion/For-Professionals

Chest Pain

Kids Health First partnered with Sibley Heart Center Cardiology and the Community to create a Pediatric Chest Pain toolkit.  The Toolkit will launch April 2013.