Children

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Childrens Health Improvement Collaborative (CHIC)
The purpose of CHIC is to use quality improvement
(QI) methodology and the Breakthrough Series
Collaborative (BTS) model to improve the delivery
of care for low-income children suffering from
three specific chronic illnesses asthma,
attention deficit/hyperactivity disorder (AD/HD),
and overweight. CHIC is funded by the Washington
State legislature with additional support from
several local funders. The collaborative is
staffed by Public Health-Seattle King County
and the University of Washingtons Child Health
Institute.
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CHIC Faculty Staff

• The various faculty and staff associated with the
  Childrens Health Improvement Collaborative bring
  a great breadth and depth of experience to this
  Collaborative, with most participating in past
  Learning Collaboratives. This project team will
  guide the practice teams and the faculty
  throughout the Collaborative.
• Faculty for this project include
• CHIC Project Chair Jim Stout, MD, MPH
• CHIC Project Director Nicole Van Borkulo, MEd.
• CHIC Improvement Advisor Madlen Caplow, MPH
• CHIC Project Manager Julie Cooper, MPA

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Asthma Teams

• Group Health, Tacoma South
• Swedish Physicians, Childrens Clinic (Seattle)
• The Ida Karlin Healing Center for Youth
  (Puyallup)
• North Mason Medical Clinic (Belfair)
• International Community Health Services (Seattle)
• Columbia Basin Health Association (Othello)
• Polyclinic Pediatrics (Seattle)
• Faculty/Staff for the Asthma Teams
• Jim Stout, MD, MPH Jim Krieger, MD, MPH Julie
  Cooper, MPA

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AD/HD Teams

• Swedish Physicians, Childrens Clinic (Seattle)
• The Ida Karlin Healing Center for Youth
  (Puyallup)
• Virginia Mason Pediatrics at Sandpoint (Seattle)
• Union Avenue Pediatrics/ Neurobehavioral Assoc.
  (Tacoma)
• SW Washington Medical Center (Vancouver)
• Faculty/Staff for the AD/HD Teams
• Harlan Gephardt, MD Lisa Podell, MHA

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Overweight Teams

• Valley Family Medicine (Renton)
• Skagit Pediatrics (Mt. Vernon)
• Mary Bridge Children's Health Center (Tacoma)
• Odessa Brown Children's Clinic (Seattle)
• Eastgate Public Health Center (Bellevue)
• Northwest Pediatric Center, Inc. (Centralia)
• Virginia Mason Sand Point Pediatrics (Seattle)
• Polyclinic Pediatrics (Seattle)
• Faculty/Staff for the Overweight Teams
• Alicia Dixon-Docter, MS, RD, CD Lenna Liu, MD,
  MPH
• Mo Pomietto, MN, RN

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Project To Date

• First Learning Session held October 6th, 2006
• Teams began submitting their first PDSAs the week
  of October 10th
• Site visits began the week of October 23rd
• Teams are turning in data to the improvement
  advisor, asking for feedback and are energized
  for this Action Period.
• Preparation underway for Learning Session 2, to
  take place in February, 2007.

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Lessons Learned New York State Asthma Plan
(NYSAP)

• Project Characteristics
• Eleven asthma coalitions around the state receive
  funding from NYSAP
• Coalitions received in-person improvement
  training through NICHQ Jump Start course (August
  and October 06 meetings thus far)
• Visionary leadership at NYDOH
• Benchmarks for coalition funding are aligned with
  Chronic Care Model and Improvement Model terms
  and concepts.
• Exceptional energy, enthusiasm and uptake from
  teams.
• No core measures

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Lessons Learned California Healthcare
Foundations Plan/Practice Improvement Project
(PPIP)

• Project Characteristics
• 7 Medi-Cal plans recruited by partner agencies to
  participate in spread project.
• 14 practices recruited by the 7 Medi-Cal Plans
  around the state for clinical improvement
  projects
• Numerous partner agencies
• Practice teams received Web-Ex improvement
  training through NICHQ faculty (Fall 05 to
  present). No in-person meetings
• Plans received a spread intervention in-person
  and virtual

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Lessons Learned (Contd)California Healthcare
Foundations Plan/Practice Improvement Project
(PPIP)

• Project Characteristics
• External evaluation in progress (Rita
  Mangione-Smith)
• Practice teams recruited by Health Plans.
  Incentives and expectations not consistently
  aligned with Chronic Care Model and Improvement
  Model terms and concepts.
• Practice and Plan-level core measures used
• Uptake spotty. Evidence of major system change
  and population level improvements in San
  Francisco (2 plans, several teams). Uptake in
  other communities less impressive.