Schedule of Concurrent Sessions

Download presentations by clicking on the session titles below.

Presenters and planners listed below have not indicated any financial interests or other relationships to disclose unless their name is marked with a *D. Presenters and planners marked with a *D have financial interests or other relationships to disclose.

Download the biographies of the Annual Forum and Childhood Obesity Congress faculty.

To view suggested sessions based on your affiliation or profession, please click here.

Click the links below to read summaries of the sessions offered during each block.

Wednesday, March 10

Session A: 9:15 am - 10:30 am
Session B: 11:00 am - 12:15 pm
Lunch Sessions
Session C: 2:45 pm - 4:00 pm

Thursday, March 11

Session D: 9:15 am - 10:30 am
Session E: 11:00 am - 12:15 pm

Session A

Wednesday, March 10, 2010, 9:15am-10:30am

Access to and Utilization of Health Services by Rural-Dwelling Children: Challenges in Appalachia
Level 2 intermediate

Laureen H. Smith PhD, RN, Assistant Professor, The Ohio State University

This session will present research findings comparing health status, general health and BMI, of rural dwelling children to children living in Appalachia. Comparisons also are made between rural children and two sub-groups within Appalachia with the incorporation of controls for insurance status. This study is unique because most geographical comparisons have been between rural and urban children. Participants will learn about policy and health care practice implications based on the study findings.

Implementing Developmental Screening in Urban Practices Using the EHR
Level 2 intermediate

James Patrick Guevara MD, MPH, Associate Fellow, Center for Public Health Initiatives, University of Pennsylvania; 
Robert Grundmeier MD, Informatics Director, The Children's Hospital of Philadelphia; 
Anneliese E. Butler MSW, Study Coordinator/Research Assistant, The Children’s Hospital of Philadelphia

Developmental screening is recommended to improve identification of children with delays. This session will present methods to implement a developmental screening protocol using an EHR. Participants will learn key aspects of implementation including garnering provider buy-in, selecting validated tools, developing workflow procedures, providing staff training, and collaborating with EI agencies. The session will highlight strategies participants can apply to implement developmental screenings in their own institutions and they will learn through simulated presentations how the electronic health record can be utilized to facilitate screening implementation including the use of automated reminders, clinical decision support, training reinforcement, and EI referrals.

Quality Improvement 201: Context-Relevant QI Leadership Training for the Busy Clinician
Level 2 intermediate

Christopher Stille MD, MPH, Academic Generalist Pediatrician, Researcher, Associate Professor, University of Massachusetts Medical School;
Jeanne McBride RN, BSN, MM, QI Project Manager, UMass Medical School/UMass Memorial Center, Advancement of Primary Care

The University of Massachusetts Medical School developed a 20-session "Quality Scholars" curriculum designed to be completed by faculty interested in leading QI projects in their practice environments.  This session will present the structure of the Quality Scholars program, list resources needed for attendees to create such a program in their own institutions, deliver a short sampling of program content, describe evaluation methods for the project, and describe how this program can meet the current and future needs of QI leaders. 

Building Safety Teams to Identify and Prevent Errors in Ambulatory Pediatrics
Level 2 intermediate

Daniel R. Neuspiel MD, MPH, Director of Ambulatory Pediatrics, Levine Children’s Hospital;
Erin H. Stubbs MD, Chief Pediatric Resident, Levine Children’s Hospital of Carolinas Medical Center

Mandatory hospital incident reporting systems miss many medical errors, appear punitive, seek to blame individuals for mistakes, and are underutilized. A non-punitive systems approach, rather than the traditional blaming culture, is more effective in identifying and addressing errors. The presentation will summarize what is currently known about the sources of medical error in ambulatory pediatrics. An effective model will be detailed, including building a multidisciplinary safety team, setting up a non-punitive reporting system, doing root-cause analysis of error reports, developing and implementing rapid system changes to prevent future errors, and sustaining changes. Participants will learn how to implement a similar model in their own settings.

Family Leaders: Our Equal Place at the Table
Level 1 core
Family Leader Session

Sheryl Chadwick, Family Centered Care Coordinator, Children’s Mercy Hospitals and Clinics;
DeeJo Miller, Family Centered Care Coordinator, CMHC

Supplemental Material:
Definitions of Common Acronyms and Terms

Families are an integral part of the healthcare team.  NICHQ values the involvement of patients and parents in all of their work while recognizing that the family’s experiences and input is critical to improving children’s healthcare.  This session will enlighten family leaders about their significant role at the NICHQ conference and empower them to expand their roles as Family Leaders during the conference and in their local settings.

HIT Policy and Practice: Making Information Technology Work for Child Health (Frank presentation, Bergman presentation)
Level 1 core

Gary Frank MD, MS, Pediatric Hospitalist, Scottish Rite Pediatric and Adolescent Consultants, Medical Director of Quality and Medical Management, Children's Healthcare of Atlanta;
David A. Bergman MD, Associate Professor in Pediatrics, Stanford University School of Medicine;
Lisa Simpson MB, BCh, MPH, FAAP, Director, Child Policy Research Center, Cincinnati Children's Hospital Medical Center

Federal policy is seeking to rapidly accelerate the adoption and use of health information technology to improve care and lower costs. Will it work? Will children receive the benefit? This panel will discuss the latest federal initiatives, how the pediatric community is seeking to influence that policy so that it better addresses the needs of children and their providers, and some cutting edge applications of what health IT is doing to improve care.

Session B

Wednesday, March 10, 2010, 11:00am-12:15pm

Partnering With Your Doctor - The Medical Home Approach
Level I core
Family Leader Session

Rev. David Hoffman, Associate Pastor, Worthington United Methodist Church, Member of the Parent Advisory Committee for the Bureau of Children with Medical Handicaps of the Ohio Department of Health;
Jodi A. Griffin MPA, Project Coordinator, Systems Reform Program Michigan Public Health Institute

Supplemental Materials:
Medical home matrix
Parent education materials rating tool

Participants will learn about a guide that was created by a multidisciplinary team to promote medical home.  This tool is a part of the partnership development process between families and health care providers to provide children with access to quality care. The session will provide a variety of tools, resources, and a free hard copy of the guide itself to utilize in addition to post-Forum access to resources on promoting the use of the medical home model through marketing and e-communication strategies. Based on what is known of the medical home model, the development of this guide and family-doctor partnership offer promising results in the increased access of quality care and advocacy for children with special health care needs.

Office Based Prevention of Child Abuse: The Practicing Safety Project
Level 2 intermediate (Presentation Part 1, Presentation Part 2)
Family Leader Session

Steven Kairys MD, MPH, Chairman of Pediatrics, Jersey Shore University Medical Center

The presentation will provide detailed information about office based approaches to child abuse prevention. It will highlight a learning collaborative process and will review the evidence to date about the capacity of primary care to impact the epidemic of child abuse. One such approach is Practicing Safety (PS), which is designed to increase the capacity of pediatric practices to prevent abuse and neglect. Results showed that practices made fundamental changes in decision-making, assessment and parent education processes. Practices tailored change to their unique practice culture based on complex adaptive system theory. Participants will learn detailed data about the intervention, the role of primary care in child abuse prevention, and the barriers to dissemination.

Development and Implementation of a Quality Program in a Pediatric Emergency Setting
Level 2 intermediate

Tracy Hartman MHA, CPHQ, ASQ SSGB, Quality Improvement Project Coordinator, Children’s Mercy Hospitals and Clinics;
Stacy L. Doyle RN, BSN, MBA, CPN, Emergency Department Manager, Children’s Mercy Hospitals and Clinics

Quality improvement efforts in the emergency setting are often difficult due to many factors, which include multiple specialties, variances in patient population, variety in practice, typical personalities in the emergency setting, constantly changing activities, and issues in the department. The presentation demonstrates the implementation of rapid cycle improvement and evaluates the special challenges and opportunities related to improvement in an emergency setting by following an example of decreasing the rates of blood culture contaminations in the Emergency Room and two Urgent Care Centers at Children’s Mercy Hospitals and Clinics. While leading participants step-by-step through a rapid cycle project with positive clinical outcomes, this presentation will show how to maintain gains and discover new improvement opportunities.

Implementing Lean to Improve Emergency Department Throughput
Level 1 core

Jennifer Berdis RN, BSN, CPN, Manager of Emergency Services, Children's Healthcare of Atlanta (CHOA); 
Jeff Rehberg BIE, ME, Manager of Process Improvement, CHOA;
Marianne Hatfield BSN, RN, CENP, System Director of Emergency Services, CHOA;
David Allen Werner MD, (*D) Pediatric Emergency Medicine Physician and Chief Financial Officer, CHOA

(*D) David Allen Werner established a contract with the Pediatric Emergency Medicine Associates as the Chief Financial Officer and with the Society for Pediatric Sedation as a Board Member and Treasurer.

The Emergency Department on the Scottish Rite Campus of Children's Healthcare of Atlanta, utilized Lean principles to improve the time from triage to physician assessment, to decrease the overall length of stay for emergency department patients, and to improve the equity of physician assignment by decreasing decision-making choices, and aligning available resources to start patient treatment. The new process has resulted in marked success with no increase in staffing, while seeing a significant increase in patient volume. Participants will learn how implementation of Lean principles can be applied in their settings with similar results.

FutureCare: Redesigning Our Child Health Model within the Long Term Revenue Reality

David Ford, CEO, CareOregon;
Pam Mariea-Nason RN, MBA, (*D) Director, Health Policy & Community Engagement, CareOregon;
Dana Nason MD, Senior Pediatrician, Hillsboro Pediatrics

(*D) Pam Mariea-Nason established a contract with CareOregon as an employee.

This recession has evolved into a long term global economic reset which will not return to previous levels of prosperity. Economists predict declines in Public Revenue, particularly State revenues which support Medicaid, principally Children. The general business economy and private health insurance is declining or has such severe deductibles that office visits are increasingly paid directly by patients. In light of this economic shift, the classic forms of practice will face financial viability challenges. How do we envision, and transform our practices to not only meet these new financial challenges while continuing to improve care and outcomes for children.

Improving Medical Care for Autism through Patient Registries and Guideline Development 
Level 2 intermediate

Clara Lajonchere PhD, Vice President of Clinical Programs, Autism Speaks;
Michael Schechter MD, MPH, (*D) Director of the Emory University Cystic Fibrosis Center;
Daniel Coury MD, (*D) Medical Director, Autism Treatment Network

(*D) Michael Schechter established a contract with Genentech, Inc. as a member of the scientific advisory group;
(*D) Daniel Coury established a contract with Shire and Ortho-McNeil Janssen Advisory Board as a member.

This session will describe the development of a patient registry and guidelines for patient care to improve medical treatment of autism spectrum disorders. The role of family input and the dissemination of the philosophy of the Autism Treatment Network (ATN) will be discussed.  Participants attending this session will learn how conducting multidisciplinary evaluations have changed care models to provide more comprehensive, patient centered care. Recommended assessment batteries and development of clinical models will also be presented.

Lunch Sessions

Wednesday, March 10, 2010, 12:15pm-1:30pm

Healthy Kids, Healthy Future: Promising Practices and Policies for Obesity Prevention and Health Promotion in Early Care and Education

Anne DeBiasi MHA, Director of Child Health Policy and Advocacy, Nemours

Supplemental Material:
Making Delaware Early Child Care Environments Healthier

This session will focus on the importance of the child care setting to prevent childhood obesity including highlighting promising policies and practices in states and communities.  The work of Nemours in Delaware will also be shared which is a comprehensive initiative that includes statewide policy change and efforts to help child care centers implement healthy eating and physical activity standards.  The later involved a collaborative learning process, modeled after the IHI quality improvement process. In addition, program and policy efforts that are occurring nationally related to early education and obesity prevention will be shared based on 1) a recent national conference where the goals were to identify and promote innovative model state and local policies and practices and assess the evidence base and 2) follow-up work to develop a national strategy and action plan.

Improving the System - Helping the Child : A Focus on Children and Youth with Special Healthcare Needs

Carolyn Anderson, Consultant, NICHQ, Integrated Systems of Care Project

Supported by a contract with the Maternal and Child Health Bureau and utilizing a collaborative learning model, clinical teams focusing on Newborn Hearing Screening and Epilepsy have made improvements in the system of care of children and youth with special healthcare needs.  An integral part of the collaborative is the focus on building the capacity of state Title V programs to create and sustain effective community based systems of care for this population.  During this session, we will explore how government agencies—and by extension other large delivery or support systems--can promote the use of quality improvement methods to enhance the systems of care for children and youth with special healthcare needs.

Advancement in the Care for NICHQ ADHD Projects

Steven Kairys MD, MPH, Chairman of Pediatrics, Jersey Shore University Medical Center

With the upcoming release of the AAP’s revised guidelines on ADHD, NICHQ has been working with clinics to update the toolkit to reflect the revisions. Approximately 40 sites across the country are working piloting the revised and newly developed tools that will complement the 2001 version of the toolkit, making the re-released toolkit appropriate for use with the new guidelines.

A Closer Look at Family Support for Autism Spectrum Disorders

Daniel Coury MD, Medical Director, Autism Treatment Network

This session will examine the integral role of family participation in the care and treatment of children with Autism spectrum disorders.

Session C

Wednesday, March 10, 2010, 2:45pm-4:00pm

Step Up to Health - Addressing Obesity & Diabetes in Minority Youth
Level 2 intermediate

Warren Isenhour, Director, Step Up to Health

Participants will learn about a cutting edge program designed to get youth physically active and combat diabetes and obesity through the use of the culturally unique art form of stepping.  Presenters will share in depth the programs structure, implementation, and successes. This program targets minority youth and addresses the disparities in health and wellness facing them.  Participants will be able to recognize the art form of stepping, explain it to others, and replicate it while understanding how the use of culturally specific art forms and activities can enhance the ability to reach demographic groups that associate with this specific cultural art form.

Performance Improvement Team Efforts Reduce Incidence of Severe Retinopathy of Prematurity Requiring Laser Therapy
Level 2 intermediate

Grace Propper RN, MS, CPNP, NNP-BC, Quality Management Practitioner at Stony Brook University Hospital;
Paul F. Murphy BA, Data Manager, Continuous Quality Improvement, Stony Brook University Hospital;
Shanthy Sridhar MD, Medical Director, Stony Brook University Hospital

Retinopathy of prematurity (ROP) is a disease that affects the immature vasculature of premature infants,  all babies less than 1500g birth weight or younger than 32 weeks gestational age at birth are at risk of developing ROP. One goal of our team is to decrease the number of premature infants that require laser therapy to treat ROP.  Participants will learn how ventilator management and O2 saturation goal protocols were developed and implemented applying best practice and how the use of daily goal sheets coupled with multidisciplinary “lightning rounds” improved compliance with maintaining infants in the preferred saturation range. 

Early Childhood Caries (ECC): Disease Management Using a Chronic Care Model
Level 2 intermediate (presentation part 1, presentation part 2)
Family Leader Session

Man Wai Ng DDS, MPH, (*D) Chief of the Department of Dentistry, Children’s Hospital Boston; B. Alex White DDS, DrPH, (*D) Director of Analytics, DentaQuest Institute

(*D) Man Wai Ng established a contract with DentaQuest Institute as the PI on the pilot project on early childhood caries management;
(*D) B. Alex White established a contract with DentaQuest Institute as an employee.

Early childhood caries (ECC) is an almost completely preventable disease but effective prevention and management requires risk indicators be identified early in children and preventive practices implemented in infancy. Participants will learn about a successful evidence-based, risk-based disease management approach to ECC using the chronic care model, adopted from the concept of chronic care management of medical conditions.  Practical strategies will be offered on how to redesign any dental/medical practice to implement risk-based ECC prevention and management to address the causes of the disease in patients and not just the consequences.

Designing a Robust Quality Improvement Program for Pediatric Residents
Level 2 intermediate

Greg Randolph MD, MPH, Co-Director, North Carolina Children’s Center for Clinical Excellence;
Laura Noonan MD, Director, Center for Pediatric Excellence, Department of Pediatrics, Levine Children’s Hospital at Carolinas Medical Center

This session will describe two models that have successfully aligned resident education with the need for improved quality of care. The Residency Programs at University of North Carolina and Carolinas Medical Center have developed comprehensive Resident QI Programs to assure each resident acquires knowledge about QI methods and tools and learns how to incorporate QI into their clinical practice. These programs incorporate QI by providing a standardized, longitudinal, mentored, experiential curriculum with the goal of increasing residents' knowledge, skills, and abilities to apply QI.  Participants will be provided with the basic tools and implementation strategies that can be used to create or improve their organization's residency QI program.

The Core Set of Child Health Quality Measures – The Measures Selected for Inclusion in the Core Set Required by the CHIP Reauthorization Act (link to session hand-out)
Level 1 core

Jeffrey S. Schiff MD, MBA, Medical Director, Minnesota Department of Human Services;
Denise Dougherty PhD, (*D) Senior Advisor, Child Health and Quality Improvement, Agency for Healthcare Research and Quality;
Rita Mangione-Smith MD, MPH, Center for Child Health, Behavior, and Development, Seattle Children's Hospital Research Institute

(*D) Denise Dougherty is a Board Member of Capitol Inquiry, Inc., her husband's PI firm.

The Children’s Health Insurance Program Reauthorization Act sets a roadmap for child health quality improvement.  The law requires identification of quality measures of preventive and health promotion services, services for acute and chronic conditions, integration of care across setting, family experience of care, duration of enrollment, and availability of services.  Measures selected and opportunities and challenges of implementation will be discussed.

The Future of Nursing: Better Capacity to Improve Quality and Safety
Level 1 core

Susan B. Hassmiller PhD, RN, FAAN, Senior Advisor for Nursing, Robert Wood Johnson Foundation

Session will describe how the road to improved quality of care will require a new set of skills by nurses including an enhanced curriculum on safety and quality at all schools of nursing, an appreciation for interdisciplinary Collaboration, better partnerships between academia and practice, a seat at all quality/safety decision making tables, and a new sense of responsibility and accountability to patients by following an evidence based practice.

Session D

Thursday, March 11, 2010, 9:15am-10:30am

The Confluence of HIT, Medical Home, and P4P for Pediatric Quality
Level 3 advanced studies

William Millar Zurhellen MD, FAAP, President and Chief Executive Officer, Putnam Valley Pediatrics, P.C.;
Christopher Stille MD, Professor, University of Massachusetts

The innovative session is designed to acquaint participants with the use of health information technology to produce the data required to satisfy the requirements for NCQA certification, and HEDIS measures involved in P4P programs. The confluence of three important factors has finally provided the basis for promoting quality in health care. This presentation discusses HEDIS measures, data requirements, NCQA certification for the Medical Home, and then provides the background for IT systems that can integrate quality and financial factors for quality care. Participants will develop thorough understanding of payer mechanisms for measuring quality and designing P4P, P4Q, and PQRI programs as well as NCQA Medical Home certification is conducted and how a structured framework can enhance accreditation efforts.

ENERGIZE! Lessons Learned: A Type 2 Diabetes Prevention Program is Replicated Across North Carolina
Level 1 core

Julie Paul MS, RD, LDN, CDE, Program Coordinator, ENERGIZE!, WakeMed Health and Hospitals;
Marjorie Wilson BA, AFFA, ACE, Education Specialist

ENERGIZE! is a 12-week, 3 days per week, community-based program, led in collaboration with local youth fitness organizations, designed to educate families about healthy eating, physical activity, and behavior change.  Participants will learn about the diabetes screening tools, physician training, community partnerships, program curriculum, program evaluation and assessment tools utilized by this program.   This screening process utilized has taught many physicians the importance of tracking BMI and evaluating children with high risk factors for diabetes and cardiovascular disease.

Exploring and Testing a Comprehensive Approach for Measuring the Quality of Well Child Care
Level 2 intermediate

Sarah Hudson Scholle MPH, DrPH, Assistant Vice President for Research, National Committee for Quality Assurance;
Sepheen C. Byron MHS, Assistant Director, Performance Measurement, National Committee for Quality Assurance

Performance measurement is a powerful tool that can drive improvements in quality of care.  Current measures for children’s well care often focus on whether visits occur rather than the content of care. National Committee for Quality Assurance (NCQA) proposed measures to promote quality in child health by focusing on broader, age-appropriate targets, including an emphasis on obesity and chronic conditions.  This session will consist of a presentation summarizing efforts to identify a strategy for expanding quality measurement focused on children. Participants will gain insight on how performance measures are conceptualized, developed and implemented, and understand initial results from the field.

Operation Prevent Flu Meets H1N1-The Unseasonal Surge in a Children's Healthcare System
Level 1 core
Family Leader Session

J. Renee Warner Watson, Manager-Infection Control and Occupational Health, Children's Healthcare of Atlanta;
Marianne Hatfield BSN, RN, CENP, System Director of Emergency Services, CHOA;
Dan Kotz CHEC, Emergency Management Coordinator, CHOA

Children's Healthcare of Atlanta (CHOA) experienced extreme surges of emergency room volumes during August and September 2009. This surge related to the highest prevalence of H1N1 influenza within the United States. The healthcare system could have been disabled had it not been for the multidisciplinary approach and the development of seven related teams working to ensure patient safety, and employee safety in the face of staff shortages and supply shortages. Participants will learn how the team process was utilized and will be provided the tools developed to balance science with logistics to ensure that no negative outcomes were realized.

Quality Improvement in the Management of Children with Sickle Cell Disease (Lane presentation, Wang presentation)
Level 1 core
Family Leader Session

Peter A. Lane MD, (*D) Director, Sickle Cell Disease Program, Aflac Cancer Center and Blood Disorders Service, CHOA; 
C. Jason Wang MD, PhD, (*D) Assistant Professor of Pediatrics and Public Health, Boston University and Boston Medical Center

(*D) Peter A. Lane is an honoraria of Boston University. Dr. Lane will be discussing the following unlabeled or investigational use of a commercial product: Hydroxyurea use in children;
(*D) C. Jason Wang established a contract with Novartis Pharmaceuticals, Questcor Pharmaceuticals and the Verizon Foundation as a grantee.

Specialized, comprehensive healthcare markedly improves outcomes in children with sickle cell disease (SCD), but national quality indicators for SCD have not been developed and implemented.  This two-part session will:  1) review experience with standardizing and assessing the quality of care at a SCD program that provides comprehensive outpatient and inpatient services to >1,600 children with SCD, and 2) review recent progress towards the development of national quality-of-care indicators for SCD.

Health Reform, CHIPRA and Child Health Quality (deLone presentation, Dailey presentation)
Level 1 core

Sarah deLone, Program Director, National Academy for State Health Policy;
Polly Arango, (*D) Writer, Advocate, Co-Founder of Family Voices;
Barbara Dailey RN, BSN, MS, CPHQ, (*D) Director, Division of Quality, Evaluation, and Health Outcomes, Family and Children's Health Programs Group, Center for Medicaid and State Operations

(*D) Polly Arango established a contract with Little Rapids Corporation/Graham Medical as an owner;
(*D) Barbara Dailey was previously employed by and has pension plans from CIGNA HealthCare and Schaller Anderson/AETNA.

The children’s health care environment has changed dramatically in the last year—CHIPRA is being implemented, and by the time of the Forum, we may have health reform.  Will change be an improvement? This session will examine what has already been accomplished, what is coming down the pike, and what it means. Panelists will present the federal, state and family/consumer perspectives on these recent policy directions, and what we can expect.

Care Coordination and the Pennsylvania Medical Home Program-Benefits, Barriers, and Big Successes
Level 2 intermediate
Family Leader Session

Renee M. Turchi  MD, MPH, Faculty, Drexel University School of Public Health and Drexel University College of Medicine;
Molly Gatto, Associate Program Director Pennsylvania Medical Home Program

The Pennsylvania PA Medical Home Program, EPIC IC, is working on quality improvement, adoption, and implementation of medical home with pediatric practices. This presentation highlights a central component of medical home adoption and implementation for practices caring for children with chronic conditions-care coordination. The lessons learned, data and tools highlighted will include tangible lessons and practical tips for easy and rapid implementation in the outpatient, inpatient and community practice setting. Examples of reimbursement for care coordination activities will be discussed.

Session E

Thursday, March 11, 2010, 11:00am-12:15pm

New Jersey Smiles: A Medicaid Quality Collaborative to Improve Oral Health in Young Kids
Level 1 core
Family Leader Session

Sheree Neese-Todd MA, Senior Program Officer, Children’s Health Quality, Center for Health Care Strategies

The Center of Health Care Strategies (CHCS) bought together New Jersey's (NJ) five Medicaid managed care health plans (MCOs), NJ Medicaid, and other regional partners committed to improving access to oral health services for young children. The collaborative developed standardized tools for community providers, teachers, and families. The innovations developed and tested during this 18 month NJ Smiles collaborative benefited from the current national “cross system” policy initiatives that target oral health improvements for very young children. Participants will learn about plans to extend and apply the lessons learned from the NJ Smiles quality collaborative in other settings.

Making the White Board the “Right Board:” Integrating IT to Improve Ward Patient Awareness
Level 3 advanced studies

Troy L. McGuire MD, FAAP, Director of Medical Informatics, Pediatric Hospitalist, Children's Hospital of Orange County (CHOC);
Ruth Slater, Director Patient Care Informatics, CHOC;
Nicole Ryan BSN, RN, CPN, Neuroscience Manager and Coordinator, CHOC

Background Miscommunication is at the root of most significant medical error. Incorporating the Pediatric Early Warning System (PEWS) physiology-based monitoring of ward patients, we converted from a traditional Nursing Station white board to a large, EMR-connected LCD, providing an instant “snapshot” of patient acuity thereby advancing efforts to improve communication and situational awareness of patient status. Our design dramatically improves organizational awareness of non-ICU patient status by attempting to reduce the chances for miscommunication to occur. Participants will learn how this eBoard model can readily be applied to inpatient settings by design. Modifications could easily be performed in almost unlimited fashion to almost any clinical scenario.

Adolescent and Parent Attitudes About Obesity in an Urban Community Health Center
Level 2 intermediate

Sandra Goldsmith MS, RD, CDN, Director of Nutrition Services, Community Pediatric Programs (CPP), The Children’s Health Fund and Montefiore Medical Center

The South Bronx Health Center for Children and Families (SBHCCF), a program of the Children’s Health Fund and the Children’s Hospital at Montefiore created Starting Right, a multi-disciplinary pediatric obesity program that is integrated into its primary care practice. The Starting Right Initiative conducted a qualitative study exploring adolescent and parent attitudes about obesity and behavior change to enhance provider-patient communication and inform program development. The session will detail programmatic changes that resulted from this research, the development of provider training and how SBHCCF linked with other community based organizations to deliver nutrition and fitness programming to its patients. This session will take participants through the conclusions drawn from this research.

Scope of a Tertiary Center Care Coordination Program for Medically Complex and Fragile Children with Chronic Conditions
Level 2 intermediate
Family Leader Session

John B. Gordon MD, Medical director, Special Needs Program, Children's Hospital of Wisconsin; Holly Colby RN, MS, Children’s Hospital of Wisconsin;
Anne Juhlmann BSN, Nurse Planner, Children’s Hospital of Wisconsin

The goal of this presentation is to describe the clinical and academic activities of a well established tertiary academic center care coordination program with particular emphasis on ensuring seamless inpatient and outpatient care through partnerships with families and Medical Homes, approaches to educating the next generation of physicians and nurses about the needs of this growing population; and strategies for ensuring sustainability and ability to replicate the model.

Quality Improvement in Pediatric Literacy Promotion: The Reach Out and Read Experience
Level 2 intermediate
Family Leader Session

Lee M. Sanders MD, MPH, Associate Professor of Pediatrics, University of Miami;
Barbara Ducharme MBA, EdM, National Programs Director, Reach Out and Read

Reach Out and Read (ROR) QI is a clinic-based model developed to improve delivery of the ROR model of early literacy promotion. It measures delivery of care outcomes and family perception of those outcomes. The ability to input and review data instantaneously on-line allows for real-time review and immediate allowing for improved coordination of care, better delivery of systems and improved outcomes. Participants will learn about how all team members to identify current systems, initiate change, and collecting data, and to monitor progress.

Improving Outcomes for Children with Complex Chronic Conditions through Co-Management Among Specialists, Primary Care and the Family
Level 2 intermediate

W. Carl Cooley MD, Medical Director, Center for Medical Home Improvement; 
Polly Arango, (*D) Writer, Advocate, Co-Founder of Family Voices;
Christopher Stille MD, MPH, Associate Professor, University of Massachusetts Medical School;
Thomas Klitzner MD, PhD, (*D) Director Pediatric Cardiology, Mattel Children’s Hospital at UCLA;
Carolyn Green MD, Associate Professor, UC Denver and The Children’s Hospital Denver

(*D) Polly Arango established a contract with Little Rapids Corporation/Graham Medical as an owner;
(*D) Thomas Klitzner established a contract with Progenitor Cell Therapy as a shareholder and with the Scientific Advisory Board of Amorcyte as a shareholder and a member.

Supplemental Materials:
Session agenda
Hand-out
Co-management lessons

This panel discussion will feature the experience of two nationally recognized medical home experts, two tertiary level pediatric subspecialists, and a parent with vast personal and general experience with the health care system and the perspective of families.  Each panel member will make brief presentations from their respective points of view and pose questions for an interactive discussion on issues such as: “Are there conditions that are too rare and complex for primary care involvement?,” “Should the specialist provide the medical home?,” “Who decides who does what and when?”

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