Paula M Duncan1, Amy Pirretti2, Marian F Earls3, William Stratbucker4, Jill A Healy5, Judith S Shaw6, Steven Kairys7. 1. Department of Pediatrics, University of Vermont College of Medicine, Burlington, Vermont; pduncan214@gmail.com. 2. Department of Prevention, American Academy of Pediatrics, Elk Grove Village, Illinois; 3. Department of Pediatrics, Community Care of North Carolina, Raleigh, North Carolina; 4. Department of Pediatrics, Helen DeVos Children's Hospital, Grand Rapids, Michigana; 5. American Academy of Pediatrics, Elk Grove Village, Illinois; and. 6. Department of Pediatrics, University of Vermont College of Medicine, Burlington, Vermont; 7. Department of Pediatrics, Jersey Shore University Medical Center, Neptune, New Jersey.
Abstract
OBJECTIVES: To determine if clinicians and staff from 21 diverse primary care practice settings could implement the 2008 Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd edition recommendations, at the 9- and 24-month preventive services visits. METHODS: Twenty-two practice settings from 15 states were selected from 51 applicants to participate in the Preventive Services Improvement Project (PreSIP). Practices participated in a 9-month modified Breakthrough Series Collaborative from January to November 2011. Outcome measures reflect whether the 17 components of Bright Futures recommendations were performed at the 9- and 24-month visits for at least 85% of visits. Additional measures identified which office systems were in place before and after the collaborative. RESULTS: There was a statistically significant increase for all 17 measures. Overall participating practices achieved an 85% completion rate for the preventive services measures except for discussion of parental strengths, which was reported in 70% of the charts. The preventive services score, a summary score for all the chart audit measures, increased significantly for both the 9-month (7 measures) and 24-month visits (8 measures). CONCLUSIONS: Clinicians and staff from various practice settings were able to implement the majority of the Bright Futures recommended preventive services at the 9- and 24-month visits at a high level after participation in a 9-month modified Breakthrough Series collaborative.
OBJECTIVES: To determine if clinicians and staff from 21 diverse primary care practice settings could implement the 2008 Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd edition recommendations, at the 9- and 24-month preventive services visits. METHODS: Twenty-two practice settings from 15 states were selected from 51 applicants to participate in the Preventive Services Improvement Project (PreSIP). Practices participated in a 9-month modified Breakthrough Series Collaborative from January to November 2011. Outcome measures reflect whether the 17 components of Bright Futures recommendations were performed at the 9- and 24-month visits for at least 85% of visits. Additional measures identified which office systems were in place before and after the collaborative. RESULTS: There was a statistically significant increase for all 17 measures. Overall participating practices achieved an 85% completion rate for the preventive services measures except for discussion of parental strengths, which was reported in 70% of the charts. The preventive services score, a summary score for all the chart audit measures, increased significantly for both the 9-month (7 measures) and 24-month visits (8 measures). CONCLUSIONS: Clinicians and staff from various practice settings were able to implement the majority of the Bright Futures recommended preventive services at the 9- and 24-month visits at a high level after participation in a 9-month modified Breakthrough Series collaborative.
Authors: Tumaini R Coker; Sandra Chacon; Marc N Elliott; Yovana Bruno; Toni Chavis; Christopher Biely; Christina D Bethell; Sandra Contreras; Naomi A Mimila; Jeffrey Mercado; Paul J Chung Journal: Pediatrics Date: 2016-02-10 Impact factor: 7.124
Authors: Susan M Breitenstein; Stacy Laurent; Laura Pabalan; Heather J Risser; Pamela Roper; Mary T Saba; Michael Schoeny Journal: Fam Syst Health Date: 2019-10-17 Impact factor: 1.950
Authors: Daisy Goodman; Greg Ogrinc; Louise Davies; G Ross Baker; Jane Barnsteiner; Tina C Foster; Kari Gali; Joanne Hilden; Leora Horwitz; Heather C Kaplan; Jerome Leis; John C Matulis; Susan Michie; Rebecca Miltner; Julia Neily; William A Nelson; Matthew Niedner; Brant Oliver; Lori Rutman; Richard Thomson; Johan Thor Journal: BMJ Qual Saf Date: 2016-04-13 Impact factor: 7.035