Chapter Quality Network (CQN) Asthma Pilot ProjectJudith C Dolins, MPHAssociate Executive DirectorDirector, Department of Community, Chapter and State AffairsAmerican Academy of Pediatrics

12 Practices50 Clinicians

ME

13 Practices101 Clinicians

13 Practices72 Clinicians

11 Practices59 Clinicians

CQN Asthma Pilot Global Aim

Design and execute a scalable model to build AAP chapter capacity to drive population based improvement

Asthma Goals• 90% of patients have optimal

asthma care:–Validated instrument–Stepwise approach to treatment–Asthma action plan–Flu shot

• 90% patients well controlled

OH

OR

AL

OR

OHOR

ME

National

Chapters

Practice

Engagementat Three Levels

· Web-based data collection system

· Measure set for asthma· Realtionship w/chapters· QI expertise· Funding

· Accountable leadership· Lead learning

collaboratives· Motivators and incentives· Measure performance· State partnerships

· Engage team· Registry· Planned care· Protocols· Self-management

support

Optimal CareNational Project (All Chapters)

0%10%20%30%40%50%60%70%80%90%

100%

1004

1440

1672

1461

1685

1763

1877

1577

1596

1628

1615

1288 0 0 0

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

October 2009 35%

September 2010 85%

# patient encounters

Self-management

October 2009 60%

September 2010 87%

National Project (All Chapters)

0%10%20%30%40%50%60%70%80%90%

100%

1004

1440

1672

1461

1685

1763

1877

1577

1596

1628

1615

1288 0 0 0

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

# patient encounters

Learnings• Chapters can drive

improvement• State partners key to

sustainability• Model works across

multiple practice settings

• Practices embed reliability principles in work flow

Current Challenges

• Implementing population-based registry

• Spread to other states• Family involvement• Interventions beyond

primary care setting