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CHF assembles leading pediatricians to declare clinical initiatives to improve children’s health outcomes and rapidly develop, test and spread practical and sustainable improvements in pediatric care delivery processes. CHF staff include a highly effective blend of roles including physician, process engineering, quality improvement and analytical experts who are effective in championing the development and analytical aspects of Foundation programs which enables pediatricians and their practices to focus on implementation of care delivery processes and enhancing the quality of patient care.

Currently, CHF is focused on a number of evolving or established quality improvement initiatives:

  • Since 2012, CHF is facilitating a monthly Pediatric Care Management learning and sharing collaborative for twenty pediatric practices (100+ pediatricians) for implementation of proactive, targeted care management/coordination and pediatric medical home delivery.
  • Since 2012, CHF is supporting nineteen pediatric practices (100 pediatricians) with Pediatric Population Management including achieving an enhanced understanding of the medical and health management needs of their patients/families and effectively segmenting their population in a manner that facilitates improved care delivery and practice operations.
  • Since 2011, CHF is supporting twenty-five pediatric practices (100+ pediatricians) with implementation of patient-centered primary care medical home delivery models and data reporting methodologies.
  • Since 2010, CHF is supporting twenty-eight pediatric practices (100 pediatricians) in improving pediatric asthma care management including the following:
    • Asthma care training based on current NIH/NHLBI Asthma Guidelines
    • Measurement of clinical care goals
    • Use of a pediatric asthma patient registry as an effective clinical care management tool
    • Achievement of distinguished results across seven clinical measures
    • Credit of 40 points toward ABP Maintenance of Certification Part 4 requirements for all pediatrician participants
  • Since 2009, CHF is supporting twenty-eight pediatric practices (125+ pediatricians) who have implemented childhood and adolescent immunizations protocols and measurements achieving highest rankings in their states, and earning 30 points of credit toward ABP Maintenance of Certification Part 4 requirements for all pediatrician participants.
  • Since 2007, CHF has supported twenty-five CHF pediatric practices (100+ pediatricians) that have developed and implemented Developmental Screening improvements achieving distinguished results.

[+] Sustainability of Quality Improvement in the Pediatric Practice

Efforts must be recognized as adding clinical value to the care of pediatric patients and must consider evidence-based research or otherwise proven methodologies, or will entail leading-edge testing and development. Improvements must be practical for quick deployment with limited and stretched practice resources, and must be sustainable over time, which includes the need for alignment with regulatory or medical industry directives. Explicit consideration is also given to the sustainability of changes from quality improvement over time, which necessitates consideration and/or alignment with regulatory policy or medical industry directives. CHF facilitates collaboration between leading pediatricians and practices, and also engages with insurers, policy-makers and other industry stakeholders in order to influence policy with the voice of physicians and their private practices.

CHF recognizes that clinical improvement will only be effective and sustainable if:

  • Experienced physicians and clinical staff direct clinical improvements (ensures appropriateness, credibility and ownership)
  • Improvements lead to enhanced patient care, provider effectiveness and/or health outcomes (must provide recognized clinical value)
  • Actions allow resources to align with those needed to support regulatory or industry requirements (addresses resource constraints and optimization)
  • Clinical changes consider evidence-based research or otherwise proven methodologies, and are practical for quick deployment with the limitations of practice resources
  • Meaningful and actionable patient and/or population level data/information is accessible
  • Analytical expertise exists within the practice or through partnership with the Foundation

[+] Management and Analytical Support

CHF leaders also recognize the need to offer program management and analytical support to practices since the daily care delivery demands often leave pediatric practices with little capacity for comprehensive quality improvement program development, testing and implementation. The CHF staff are experts in the areas of pediatric medicine, process engineering, quality improvement and health data management/analysis. This support structure allows practices to contribute to program design, but lean on CHF staff to manage program development and measurement, thereby enabling practices to focus on care delivery and implementation.