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Quality Improvement

RELATED RESOURCES

Maintenance of Certification (MOC)

American Board of Pediatrics MOC

UW Health MOC Portfolio Program
The UW Health MOC Portfolio Program provides an easy way for physicians to align the QI work they are doing at UW Health with MOC requirements in order to receive Part IV credit.

QI How-To Resources

How to Publish QI Work

UW Health Improvement Network

The UW Department of Pediatrics encourages our faculty to lead quality improvement efforts in their practices.

Because the department is committed to being the safest and best in the country, we promote faculty leadership and engagement in patient safety and quality improvement activities through transdisciplinary relationships with all other medical specialties, nursing, pharmacy, human factors engineering, and administration.

Through the American Family Children’s Hospital quality structure, the department shares a wide variety of quality improvement efforts.

“We think that the anxiety, demoralization, and sense of loss of control that afflict all too many healthcare professionals today directly come not from finding themselves to be participants in systems of care, but rather from finding themselves lacking the skills and knowledge to thrive as effective, proud, and well-oriented agents of change in those systems…. A physician equipped to help improve healthcare will be not demoralized, but optimistic; not helpless in the face of complexity, but empowered; not frightened by measurement, but made curious and more interested; not forced by culture to wear the mask of the lonely hero, but armed with confidence to make a better contribution to the whole.”

—Berwick and Finkelstein, Acad Med, 2010


Pediatrics QI Projects

Below is a sampling of department QI projects:

Fluoride Varnish Application

Project Site
University Station–General Pediatrics Clinic

Project Contacts
mbartosh [at] uwhealth [dot] org (Marilyn Bartosh)
kelley [at] pediatrics [dot] wisc [dot] edu (Catherine Kelley, MD)

Project Description
Through this project, clinicians offer and apply fluoride during well-child checks for children between the ages of 12 months and 3 years of age, and for children with medical assistance (MA) or MA/HMO insurance who are between the ages of 3 and 18 years.

Improving Lead Screening in the University Station Pediatric Clinic

Project Site
University Station–General Pediatrics Clinic

Project Contacts
mbartosh [at] uwhealth [dot] org (Marilyn Bartosh)
kelley [at] pediatrics [dot] wisc [dot] edu (Catherine Kelley, MD)

Project Description
This project aims to have all one-year-olds with MA insurance blood tested for lead, and to routinely screen all other children using the HealthLink well-child visit lead screening questions or a blood test if indicated.

Improving Patient Education

Project Site
University Station–General Pediatrics Clinic

Project Contacts
mbartosh [at] uwhealth [dot] org (Marilyn Bartosh)
kelley [at] pediatrics [dot] wisc [dot] edu (Catherine Kelley, MD)

Project Description
This project aims to improve the patient education process at the clinic, thereby reducing follow-up phone calls, improving patient satisfaction as families will be better informed, and improving clinic efficiency.

Postpartum Depression Screening

Project Site
University Station–General Pediatrics Clinic

Project Contacts
mbartosh [at] uwhealth [dot] org (Marilyn Bartosh)
kelley [at] pediatrics [dot] wisc [dot] edu (Catherine Kelley, MD)

Project Description
This project aims to increase the percentage of new mothers who complete the Edinburgh Postnatal Depression Scale at the two-week and two-month health supervision visit. Clinicians also provide resources to mothers whose score is 10 or greater or who answered the last question on the scale with a score of 1 to 3.

After Visit Summary Distribution

Project Site
University Station–General Pediatrics Clinic

Project Contacts
mbartosh [at] uwhealth [dot] org (Marilyn Bartosh)
kelley [at] pediatrics [dot] wisc [dot] edu (Catherine Kelley, MD)

Project Description
This project aims to more consistently distribute after visit summaries (AVS) and make them more valuable as a vehicle for patient education. Specifically, the team increased the percentage of patients under the age of 13 that picked up an AVS after their visit from 30 percent to 80 percent.

Increase Patient Safety for Patients taking Methotrexate

Project Site
American Family Children’s Hospital–Pediatric Rheumatology Clinic

Project Contacts
jdean [at] uwhealth [dot] org (Joni Dean, NP)
jsmith27 [at] pediatrics [dot] wisc [dot] edu (Judith Smith, MD, PhD)

MOC Credit Available
Pending

Project Description
This project aims to increase the capture rate of patients taking methotrexate in the Pediatric Rheumatology Clinic from 43 percent to 80 percent.


Last updated: 03/28/2014
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