Fantus QI Team

Presented by Marie Di Giacomo, Linda Jackson,
and Jodie Bargeron
» We have no commercial disclosures to make
prior to presenting
» We do not intend to discuss off-label use of FDA
approved products
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» By the end of this presentation, you will be able
to:
˃ Describe key aspects of Fantus’ Medical Home quality improvement
work from 2010 -2012
˃ Identify at least one strategy employed by Fantus QI team to adapt in
your ACHN site
˃ List areas of care Medical Home addresses, as identified by parent
partner
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» Fantus Pediatric Ambulatory Clinic and NICU
High Risk Follow-Up Clinic
» 5 physicians, 3 nurses, 1 social worker, 1 parent
» 2010 – 2012
» Monthly QI Meetings
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» Medical Home Index
» Medical Home Family Index
» Parent Partner Recruitment
» Choosing strategies to implement
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» High Risk Clinic patients over age 4
» Children with one or more chronic condition
» Social factors
6
» High Risk graduation plan
» Brochure
» IRIS
» CERNER
» Stroger Scheduling Call Center
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» Identified care coordinator
» Set special clinic hours
» Tracked patient care and follow-up
» Patient access to information
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» Easier to use medical advice and follow-up
» How many times do I tell my story?
˃ Patient experience with portable medical summary
» Resources to address multiple issues
» Central contact information for care provider
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» Streamlines patient care
» Better prepared for the day’s patients
» Tracking referrals and labs with registry
» Enhanced follow-up with families
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» Transient patient population
» Separate clinic within multi-speciality clinic site
» Broader geographic spread of patient
population
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Domain Scores
Individual Scores for Each Question within the Domain
(scale 1 to 8)
Percent
Improvement
From Baseline to
Follow-up
Total
Domain
Score
Avg. Per
Question
36
5.12
99%
#1
#2
#3
#4
#5
#6
#7
1. Organizational Capacity
6
6
6
6
3
5
4
2. Chronic Condition
Management
6
6
4
5
4
5
30
5.00
67%
3. Care Coordination
6
4
4
5
5
5
29
4.83
93%
4. Community Outreach
4
3
7
3.50
75%
5. Data Management
6
5
11
5.50
175%
6. Quality Improvement
5
6
11
5.50
550%
124
4.96
203%
Total
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» Identifying patients
» Response rate
» Creative solutions to include parent feedback
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» Importance of parent partnership
˃ In care setting
˃ In QI teams
˃ In learning about community resources
» Parents are experts on:
˃ Their child’s day-to-day activities
˃ Their child’s development
˃ The barriers to care in your community
» Effective self-advocacy for follow-up care
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» Q & A for presenters
» What is 1 strategy Fantus team used that your
site could use?
» Contact info:
˃ Marie Di Giacomo, [email protected], 312/903-8386
˃ Jodie Bargeron, [email protected], 312/733-1026 x 209
˃ Linda Jackson
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