Quality Improvement: An ACQIP Exercise on the Management of Acute Asthma—Part 1

1995 ◽  
Vol 16 (7) ◽  
pp. 273-276
Author(s):  
Shannon Smith-Ross ◽  
Lisa Honigfeld
Keyword(s):  
Quality Improvement ◽  
American Academy ◽  
Ambulatory Care ◽  
Acute Asthma ◽  
Care Quality ◽  
Quality Improvement Program ◽  
Self Assessment ◽  
Improvement Program ◽  
American Academy Of Pediatrics

As part of Pediatrics in Review's ongoing focus on quality improvement, we present a self-assessment exercise taken from the American Academy of Pediatrics' Ambulatory Care Quality Improvement Program (ACQIP). A previous exercise and a description of the program were published last year.1 Tabulated responses of pediatricians who completed this exercise as part of the ACQIP program will be published next month, allowing readers to see how their own answers compare and providing material for thought and discussion.

Quality Improvement: An ACQIP Exercise on the Management of Otitis Media

1996 ◽  
Vol 17 (7) ◽  
pp. 251-256
Author(s):  
Robert H. Sebring ◽  
Keyword(s):  
Quality Improvement ◽  
American Academy ◽  
Otitis Media ◽  
Quality Care ◽  
Care Quality ◽  
Self Assessment ◽  
Improvement Program ◽  
Additional Information ◽  
American Academy Of Pediatrics

As part of Pediatrics in Review's ongoing focus on quality improvement, we present a self-assessment exercise taken from the American Academy of Pediatrics' Ambulatory Care Quality Improvement Program (ACQIP). Tabulated responses of pediatricians who completed this exercise as part of the ACQIP program are presented on pages 253 to 254, allowing readers to see how their own answers compare and providing material for thought and discussion. Readers are encouraged to participate in the ACQIP program. Additional information can be obtained by calling or writing the Division of Quality Care, American Academy of Pediatrics, Box 927, Elk Grove Village, IL 60009-0927. Monitoring Otitis Media EDUCATIONAL OBJECTIVES This exercise and the follow-up materials should help you identify areas of improvement in how your practice monitors and documents information for children with acute or chronic otitis. INSTRUCTIONS Beginning with tomorrow's appointments, answer the questions below for the most recent, but not the current episode of otitis media in the first 10 patients you see who are younger than 4 years of age and experiencing at least their second episode of otitis. You will need to review charts to answer the questions. Put a check in each box in which you find the information in your medical record listed.

Quality Improvement: An ACQIP Exercise on Vaccine Administration—Part 1

1994 ◽  
Vol 15 (10) ◽  
pp. 400-400
Author(s):  
Shannon Smith-Ross ◽  
Keyword(s):  
Quality Improvement ◽  
American Academy ◽  
Otitis Media ◽  
Health Maintenance Organizations ◽  
Care Quality ◽  
Improvement Program ◽  
Health Maintenance ◽  
American Academy Of Pediatrics ◽  
Practice Parameters ◽  
Tract Infections

As part of Pediatrics in Review's ongoing focus on quality improvement, we present for the use of our readers this self-assessment exercise taken from the American Academy of Pediatrics' Ambulatory Care Quality Improvement Program (ACQIP). ACQIP is an educational program for pediatricians that embodies the concept of continuous quality improvement. It has been implemented successfully in physicians' offices, health maintenance organizations, and hospitals. Currently, more than 2000 physicians worldwide are enrolled in ACQIP. The program is designed to help pediatricians evaluate their practices by comparing themselves with other physicians in similar practices and communities. Pediatricians in groups can use ACQIP to analyze practice variations within the group. Three aspects of care are addressed: • Practice management • Delivery of preventive care • Patient satisfaction Each year, a theme is selected. In 1992-1993, the first year, the theme was immunizations. The 1993-1994 program focused on telephone management, developmental assessment, and management of asthma. ACQIP is being used by the American Academy of Pediatrics (AAP) as a vehicle to disseminate and implement its new practice parameters on asthma, neonatal hyperbilirubinemia, otitis media, gastroenteritis, head trauma, febrile seizures, and urinary tract infections. This year's exercises (September 1994 to August 1995) will be on otitis media and hyperbilirubinemia and will be based on the parameters.

The EASE Project Revisited: Improving Safe Sleep Practices in Ohio Birthing and Children’s Hospitals

2019 ◽  
Vol 58 (9) ◽  
pp. 1000-1007 ◽  
Author(s):  
Jamie R. Macklin ◽  
Michael A. Gittelman ◽  
Sarah A. Denny ◽  
Hayley Southworth ◽  
Melissa Wervey Arnold
Keyword(s):  
Quality Improvement ◽  
American Academy ◽  
Quality Improvement Program ◽  
Improvement Program ◽  
Children's Hospitals ◽  
Safe Sleep ◽  
American Academy Of Pediatrics ◽  
Children’S Hospitals ◽  
Improve Compliance ◽  
Sleep Behaviors

Literature has shown hospitalized infants are not often observed in recommended safe sleep environments. Our objective was to implement a quality improvement program to improve compliance with appropriate safe sleep practices in both children’s and birthing hospitals. Hospitalists from both settings were recruited to join an Ohio American Academy of Pediatrics collaborative to increase admitted infant safe sleep behaviors. Participants used a standardized tool to audit infants’ sleep environments. Each site implemented 3 PDSA (Plan-Do-Study-Act) cycles to improve safe sleep behaviors. A total of 37.0% of infants in children’s hospitals were observed to follow the current American Academy of Pediatrics recommendations at baseline; compliance improved to 59.6% at the project’s end ( P < .01). Compliance at birthing centers was 59.3% and increased to 72.5% ( P < .01) at the collaborative’s conclusion. This study demonstrates that a quality improvement program in different hospital settings can improve safe sleep practices. Infants in birthing centers were more commonly observed in appropriate sleep environments than infants in children’s hospitals.

scholarly journals Patient Outcomes and Cost-Effectiveness of a Sepsis Care Quality Improvement Program in a Health System*

2019 ◽  
Vol 47 (10) ◽  
pp. 1371-1379 ◽  
Author(s):  
Majid Afshar ◽  
Erum Arain ◽  
Chen Ye ◽  
Emily Gilbert ◽  
Meng Xie ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Cost Effectiveness ◽  
Health System ◽  
Patient Outcomes ◽  
Care Quality ◽  
Quality Improvement Program ◽  
Improvement Program ◽  
Sepsis Care

scholarly journals Translational Effect of Provider-Focused, Multi-State, Multi-Clinic Asthma Care Quality Improvement Program on Patient-Level Health Care Costs

2021 ◽  
Vol 12 ◽  
pp. 215013272110002
Author(s):  
Sirikan Rojanasarot ◽  
Angeline M. Carlson ◽  
Wendy L. St. Peter ◽  
Pinar Karaca-Mandic ◽  
Julian Wolfson ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Care Costs ◽  
Health Care Expenditures ◽  
Economic Benefits ◽  
Care Quality ◽  
Quality Improvement Program ◽  
Improvement Program ◽  
Implementation Period ◽  
Care Costs

Introduction/Objectives: Enhancing Care for Patients with Asthma (ECPA), a year-long provider-focused, multi-state, multi-clinic quality improvement program, decreased avoidable utilizations among patients with asthma, but its effects on health care expenditures were not determined. This study examined the translational and sustainable effects of improved care through ECPA on individual-level total health care costs due to asthma. Methods: We conducted a retrospective pretest-posttest quasi-experimental study in which attributed 1683 patients in a 12-month pre-ECPA implementation period served as their own control. We constructed the total annual asthma-related health care costs per patient occurred during pre-ECPA implementation, ECPA implementation, and post-ECPA completion. We used 3-level generalized linear mixed models (GLMMs) to estimate the ECPA effect on the annual health care costs and account for correlation between the repeated outcome measures for each patient and nested clinic. All costs were adjusted for inflation to 2014 U.S. dollars, the last year of program observation. Results: Total asthma-related health care costs among the 1683 included patients decreased from an average of $7033 to $3237 per person-year (pre-ECPA implementation vs implementation). Using the cost data from the 12-month pre-ECPA implementation period as a reference, GLMMs found that the ECPA implementation was associated with a reduction in total annual asthma-related health care costs by 56.4% (95% CI −60.7%, −51.8%). During the 12-months after ECPA completion period, health care costs were also found to be significantly lower, experiencing a 57.3% reduction. Conclusions: The economic benefits of ECPA provide a justification to adopt this quality improvement initiative to more primary care clinics at a national level.

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