Standard Grant Template Version 1.2
Grant Agreement Number __________________
Between the Minnesota Department of Health and Minnesota Academy of Pediatrics Foundation
Minnesota Academy of Pediatrics Foundation
August 25, 2014
Final Report
The Grantee shall complete the following tasks for the Minnesota Academy of Pediatrics
Foundation Patient- and Family-Centered Care Learning Community:
1.
2.
3.
Include a minimum of four (4) to five (5) clinical teams, with three (3) to four (4)
participants per team. Four teams identified thru 4-30-14 with a minimum of 3
participants, including one parent per team. One team had so many parents apply, that
they had to do a selection process. A copy of team leads/contacts is included as
Attachment A. Teams continue to meet through 8.30.14.
Assist in recruitment of clinic teams to the Learning Community, including developing
language and announcements for the Learning Community. Each hospital team recruited
a clinic team. Some integrated the clinic team into their hospital team to include a
Hospital-Clinic team, with reports occurring to a hospital-based quality team and a
clinic quality team. The integrated teams actually have been able to move more quickly
in project collaboration.
Develop a Learning Community curriculum implementation plan on the topic (i.e.,
Patient- and Family-Centered Care, Care Coordination, Quality Improvement
Techniques, Disease Prevention and Health Improvement, and Cost). Medical Home/
Health Care Home MOC4 module for use by teams distributed with instructions that any
pediatrician needing MOC4 points could use the module and any other team member
could also have it available. Other pediatricians, not on the teams, took advantage of
the module availability. The results of implementing their Medical Home MOC4 module
are included in Attachment B.
All team members were invited to June 13, 2014 panel presentation. The teams elected
to have one presenter per Clinic-Hospital dyad and a presentation from Medica Health
Plan. This has been archived as training for future medical home/HCH teams at
Medical Home/HCH Learning Collaborative for Clinics-Hospitals-Health Plan:
http://vimeo.com/102132795
(PowerPoint presentations integrated into video)
The training was approved for CME by the American Academy of Pediatrics and is still
in process of being reviewed for enduring CME for a 2 year period with online
acquisition, pre-testing, video access and post-testing. This will provide statewide and
national exposure to the learning collaborative and its unique partnership with clinics,
hospitals and health plan(s). Additional health plans have indicated their willingness to
participate in future collaboratives of this nature.
1
Standard Grant Template Version 1.2
Grant Agreement Number __________________
Between the Minnesota Department of Health and Minnesota Academy of Pediatrics Foundation
Three of the four clinic teams are HCH certified already. Working with Gillette team that
is not certified at this time.
a. Duration of Learning Community shall be no longer than six (6) months.
i. This learning collaborative was funded for a 6 month period which was
sufficient to get the project started, but not for completion. We were able to
achieve a number of project deliverables during the six month period, but
found that organizing a collaborative of this nature (among different
agencies, clinical sites and health systems) takes a longer time.
ii. The project recommends to MDH that future collaboratives be organized
as 6-9 month projects or as 6 month collaboratives with options for no-cost
extensions of 3-6 months.
b. Content and sessions shall be conducted in a manner consistent with the evidence
based change theory or using change packages.
i. Content of collaborative was consistent with quality improvement criteria
used by the national medical boards in their requirements for maintenance
of certification for “performance in practice.”
ii. Content of collaborative included Minnesota HCH criteria and training
modules available at MDH website as a resource for participants and for
publication in statewide media.
c. Design the Learning Community curriculum to meet the Minnesota Board of
Nursing Continuing Education Requirements.
i. Documentation for CME contact hours were prepared and submitted to The
American Academy of Pediatrics for Physicians, Nurse Practitioners, and
Physician Assistants.
ii. Documentation packets and certificates were provided to nurses attending
the June 13, 2014 group session.
iii. Over 35 attended the group session on June 13, 2014. A count of those who
participate in the download and enduring CME will also be tracked.
iv. An additional presentation was provided on June 23, 2014 at the Rural
Health conference in Duluth. Over 30 people attended that session.
d. Finalize the curriculum and implementation within 30 days of contract signing.
i. The Medical Home/HCH MOC4 module was sent to MDH contract liaison
by March 1, 2014.
e. Provide dates of all training sessions to MDH, so MDH can arrange for conference
calls, webinar, and/or videoconferencing technology for activities.
i. All dates of group sessions provided to MDH staff. Individual meeting dates
of teams were not provided to MDH staff
ii. Group meeting date included: June 13, 2014. Additional meeting
dates/conference calls for available team members included: Jan. 8, 2014,
March 5, 2014, May 6, 2014, May 7, 2014, June 4, 2014, and July 8, 2014.
2
Standard Grant Template Version 1.2
Grant Agreement Number __________________
Between the Minnesota Department of Health and Minnesota Academy of Pediatrics Foundation
4.
Identify key content to be presented at a combination of face-to-face sessions, webinars,
conference calls, and/or videoconferences.
a. At conference calls, offered individual consultation on use/concerns in
implementing the Medical Home/HCH MOC4 module
b. At team meetings, provided feedback on individual team issues/barriers that were
faced with transition and communications with parents/families
c. PowerPoint presentations available for each presenter on June 13, 2014
presentation
5.
Identify and schedule speakers for the content areas.
a. Speakers scheduled for June 13, 2014 summary presentation
b. Speakers included:
i. Robert Payne, MD-Children’s Hospitals and Clinics of Minnesota
ii. Abe Jacob, MD, MHA-University of Minnesota Children’s Hospital
iii. Erin Knoebel, MD-Mayo Clinic
iv. Mary Braddock, MD, MPH-Gillette Children’s’ Specialty Healthcare
v. Amy Burt, DO-Medica Health Plan
6.
Locate and secure free or low-cost conference room rental space and food for any faceto-face learning sessions.
a. Conference calls provided for monthly call-in
b. Donated space for group meetings on May 5, 2014 and July 8, 2014
c. Shared meeting space with other presentations on June 13, 2014
7.
Conduct an evaluation of the Learning Community, which measures both satisfaction
and whether the goals and objectives for the learning were met. Evaluation of participant
progress shall be conducted throughout the process, adapting learning according to the
needs of participants.
a. Evaluation from June 13, 2014 included in Attachment C.
b. Over 150 people attended the presentations, however only about 30 completed the
evaluations. A 90-day post-evaluation email will be sent to all attendees with postsession evaluation questions to be answered by email as required for CME
8.
Develop content and materials for training sessions, including: language for
recruitment/promotional materials and announcements, PowerPoint slides, session
handouts, and any audio-visual components. Provide the materials to MDH for
distribution and promotion.
9.
Ensure that all curriculum materials that are developed specifically for this project (e.g.,
electronic documents, webpages, or other electronic materials) are made fully accessible
in accordance with the applicable law. (Americans with Disabilities Act standards)
a. June 13, 2014 training is available as an audio version
b. Learners can utilize the written PowerPoint in large text or captioned by making
computer adjustments to their device.
10. Complete and submit periodic reports to HCH leadership that include delivery,
participation, observations, and evaluation outcomes. Completed with monthly
conference calls and mid-point report.
11. Complete and submit a final report to HCH leadership that addresses overall evaluation
results, total clinic/patient/family participation, measured qualitative and quantitative
outcomes. This serves as the final report based on contracted deliverables.
3
Standard Grant Template Version 1.2
Grant Agreement Number __________________
Between the Minnesota Department of Health and Minnesota Academy of Pediatrics Foundation
12.
Submit a copy of the final learning curriculum and any learning materials to MDH.
a. Attached Medical Home/HCH MOC4 Module but request it not be available for
general distribution since it includes secure web links for participants to report
audit results.
13. Actively participate in all meetings regarding grant/Learning Community activities, as
requested by MDH.
a. Learning Community presentation scheduled for Oct. 2, 2014 on project
b. Additional presentations on project provided June 23, 2014 to rural audience
c. Additional publication prepared for statewide distribution to physicians through
MN Physician and expected distribution in October, 2014
14. Submit detailed invoices for payment on grant activities on quarterly basis. Two invoices
submitted including Final invoice
Deliverables
Deliverable
Learning Community
Curriculum and
Finalized
Implementation Plan
Due Date
30 days after
signing of contract.
Completed
Curriculum/Learning
Materials
Upon completion
of project, no later
than July 15, 2014.
Periodic Progress
Reports
Written progress
report at 3 months
and monthly
conference calls.
Final Report
Upon completion
of project, no later
than July 15, 2014.
Requirements
Grantee shall submit a finalized copy of the
Learning Community Implementation Plan /
Timeline of Activities. A copy of the Medical
Home/HCH MOC4 module was submitted and
offered to each team as an evaluation and
training module.
Grantee shall submit copies of the final
curriculum and any learning materials used in
the Learning Community. A copy of the
Medical Home/HCH MOC4 module was
submitted and offered to each team as an
evaluation and training module. The training
video link is included in this report. A
PowerPoint used at the Rural Health
conference is included in this report.
Grantee shall complete and submit periodic
reports which detail: curriculum development
and delivery, learning community recruitment
goals and outcomes, participation in learning
events, observations and feedback on events,
and evaluation outcomes. Meeting updates
were provided during monthly conference calls
with contract liaison. Previous conference call
notes submitted via email; Monthly update
conference calls held with Marcia Carlson.
Grantee shall complete and submit a final
project report which details: overall evaluation
results, total clinic/ patient/ family
participation, measured qualitative and
4
Standard Grant Template Version 1.2
Grant Agreement Number __________________
Between the Minnesota Department of Health and Minnesota Academy of Pediatrics Foundation
Deliverable
Due Date
Requirements
quantitative outcomes, plans for sustainability.
This serves as the final report based on
contracted deliverables. It includes Attachment
A- Teams; Attachment B- Medical Home/HCH
MOC4 Dashboard results on outcomes;
Attachment C- presentation evaluation;
Attachment D-Initial Solicitation/Interest form
Presentation of Project
and Outcomes at a
HCH Learning Days
Event
Upon completion
of project, as
mutually agreed
upon by MDH and
grantee.
Grantee shall prepare and present an
informative presentation on the Learning
Community project during a HCH Learning
Days event. June 13th panel presentation
scheduled with update of projects completed/in
process. Scheduled presenters for Oct. 2, 2014
HCH Learning Day; additional presentation
made at MDH Rural Health conference on
June 23, 2014.
5
Standard Grant Template Version 1.2
Grant Agreement Number __________________
Between the Minnesota Department of Health and Minnesota Academy of Pediatrics Foundation
Attachment A
Hospital-Clinic-Health Plan Teams
Team
U of M Children’s
Hospital and Fairview
Children’s Clinic
Participants
*Physician Champion
*Abe Jacob, MD, MHA
[email protected]
Joan Lanasa (parent)
[email protected]
Karl Chun, MD
Katherine Cairns
Children’s Hospitals and
*Rob Payne, MD
[email protected]
Clinics of Minnesota
Tammy Menthe, PNP
and Children’s Primary
Julie Martindale (parent)
(Not released)
Care Clinic
Susan Chambers (clinic
manager)
Mayo Children and
Randall Flick, MD
[email protected]
Adolescent Clinic and
*Erin Knoebel, MD
[email protected]
Mayo Eugenio Litta
David Soma, MD
Children's Hospital
Dawn Hucke (parent)
Laura Swenson (pt.
education)
Gillette Children’s
*Mary Braddock, MD, MPH [email protected]
Specialty Healthcare
Parent Advisory group
Other participants in
Amy Burt; Mark Matthias;
planning/implementation Anna Youngerman; Bobbie
group
Carroll; Julie LeBlanc; Keri
Rateliff; Marcy McCracken;
Margaret Heisel; Sara
Weigel; Skye Peltier; Diane T
Nalezny; Michele Island; Gail
Pries; Karen Brill; Trish
Scherrer; Andrew Kiragu;
Drew Zinkel; Shaun Frost;
Kari Cambern; Dan Gronseth;
Charles Huskin; Susan Kline;
Stacy Milene; Kate E. Morris;
Sandeep Tripathi; Katherine
Cairns; Mark Sonneborn;
Joseph Segeleon; Jeff Schiff;
Lisa Iverson; Daniel A.
Saltzman; Severyn Skoug;
Mari Findley; Marie Dotseth
6
Standard Grant Template Version 1.2
Grant Agreement Number __________________
Between the Minnesota Department of Health and Minnesota Academy of Pediatrics Foundation
Attachment B
MNAAP Medical Home Maintenance of Certification Part 4
(MOC4) Dashboard
MN-AAP Pediatric Medical Home/HCH
MOC4 Progress Dashboard
July, 2014
Participating Pediatricians
Pediatric HCH MOC4 Collaborative
July 2014
5
Measure 1: Patients (%) with chronic
condition in electronic registry
MNAAP Pediatric HCH Collaborative- July
2014
100
4
80
3
Baseline
60
1
40
Audit 3
0
20
Audit 4
June '13
July '13
Aug '13
Sept '13
Oct '13
Nov '13
Dec '13
Jan '14
Feb '14
March '14
April '14
May '14
June '14
July '14
Aug. '14
2
0
A
100
100
80
80
% Audit 1
% Audit 2
B
C
D
E
Measure 3: % pediatric patients with chronic
conditions with care plan given to
parents/patients MNAAP Pediatric HCH
Collaborative July, 2014
Measure 2: % Pediatric patients with Chronic
conditions with care plan at clinic
MNAAP Pediatric HCH Collaborative- July
2014
60
Audit 2
Audit 1
60
Audit 2
40
% Audit 3
40
Audit 3
20
% Audit 4
20
Audit 4
0
0
A
B
C
D
E
A
B
C
D
E
Comments on July 2014 report:
7
Standard Grant Template Version 1.2
Grant Agreement Number __________________
Between the Minnesota Department of Health and Minnesota Academy of Pediatrics Foundation
Four pediatricians completed a baseline audit and action plan. Two pediatricians completed the HCH
MOC4 module in December 2013 and two were in progress through June 2014. Data on first cohort
using Pediatric Medical Home/HCH MOC4 module include:
• 140 encounters of pediatric patients with chronic conditions were audited;
• 50% of pediatricians had a parent/patient on their pediatric quality team at baseline;
• Measure 1: 100% of patients with chronic conditions were included in a clinic-based electronic
health registry;
• Measure 2: Average of 77% of pediatric patients had a documented care plan at baseline audit for
the patient;
• Measure 3: Average of 55% of pediatric patients had documentation that a care plan was provided
to the patient/parent at baseline;
• Pre-implementation of module questions indicate that the initial participants are experienced with
Quality improvement and expect that they expect to dedicate 12-18 or over 18 hours to this project
over the next 6 months.
8
Standard Grant Template Version 1.2
Grant Agreement Number __________________
Between the Minnesota Department of Health and Minnesota Academy of Pediatrics Foundation
Attachment C
Evaluation of Group Session on June 13, 2014
Medical Home Learning Collaborative for Clinic-Hospitals-Health Plan
Speakers:
Rate your satisfaction with the speaker’s content and presentation skills:
Robert Payne, MD
Abe Jacob, MD, MHA
Erin Knoebel, MD
Mary Braddock, MD,
MPH
Amy Burt, DO
Objectives met?
Yes No
2
(Excellent)
(Excellent)
(Excellent)
(Excellent)
5(2)
5(2)
5(2)
5(2)
4
4
4
4
3
3
3
3
2
2
2
2
1
1
1
1
(Poor)
(Poor)
(Poor)
(Poor)
(Excellent)
5(2)
Objectives met?
4
3
2
1
(Poor)
1.
Learners will increase knowledge of medical home strategies to improve transitions in
pediatric care and increase parent/family involvement
American Academy of Pediatrics Evaluation Questions:
How would you rate your overall satisfaction with this CME activity?
Not Satisfied
1
2
Satisfied
3 (1)
4 (4)
Very Satisfied
5 (5)
As a result of participating in this CME activity, do you intend to make a change in practice to
provide better patient care?
__1__ No
__10__ Yes If yes: Please describe what you will do differently in practice: 1) Universal Lipid
Screening 9-11; 2) Food Insecurity Surveillance; 3) Screening for food insecurity in obese children; 4)
Work at changing food sourcing for hospitals; 5) Unfortunately, my practice obligations do not allow time
for what I would like to do on community engagement
How will you accomplish this change in practice? 1) Use the two question screening
discussed in Dr. Cutt’s talk; 2) Committee work, public policy involvement
(MNAAP will send you an email 90 days after this event asking what change you have
implemented as a result of this conference)
How well did this CME activity meet your educational expectations?
Did NOT Meet Expectations
Met Expectations
Exceeded Expectations
1
2
3 (2)
4 (4)
5 (5)
How important was the AAP’s reputation as a CME provider to your decision to attend
this CME activity?
Not Important
Somewhat Important
Very Important
9
Standard Grant Template Version 1.2
Grant Agreement Number __________________
Between the Minnesota Department of Health and Minnesota Academy of Pediatrics Foundation
1
2
3 (2)
4 (3)
5 (5)
Do you feel a commercial product, device, or service was inappropriately promoted in the educational
content?
__10__ No
_____ Yes - If yes, please comment: _________________________________
Attachment D
Hospital- Clinic INTEREST FORM
Minnesota Hospital-Clinics-Health Plan Learning Collaborative
Aim: To improve systems of care for children/teens who receive care at a primary care clinic and at a
pediatric hospital
Outcomes:
 Hospitals, clinics, pediatric providers in conjunction with their parent partners and other local
partners they designate will strengthen or improve their capacity for collaboration/coordination
of services and education delivered to children and their families.
 Examples of potential products of the local collaboration include:
- Patient safety education implementation of interventions determined by the hospital and
clinics;
- Data to demonstrate process improvement and results of implementation of
interventions;
- A Medical Home Maintenance of Certification (MOC) Part 4 module that could be used to
maintain Board certification for project participants.
Timeline: February, 2014 – July, 2014 (and possibly through December 2014)
Expectations:
Participants are expected to:
• Participate in one learning session (June 13,2014) and team meetings;
• Devote time and staff needed to implement practice-determined interventions;
• Provide leadership with monthly team meetings for the collaborative work at the local level;
• Identify data needs from Medica Health Plan;
• Collaborate on at least one project across Hospital and Clinic;
• Collect data related to the work of the team; and
• Share information with other members of the Hospital-Clinics-Health Plan collaborative
including improvements made and lessons learned.
Yes, we are interested in participating in the Hospital-Clinic-Health Plan Learning Collaborative.
Name of Primary Contact Person for Collaborative
E-mail Address
Team members include:
10
Standard Grant Template Version 1.2
Grant Agreement Number __________________
Between the Minnesota Department of Health and Minnesota Academy of Pediatrics Foundation
Name
Email
Role
Pediatrician, PNP, other
Parent
Return this form to Katherine Cairns, MN-AAP
[email protected]
Additional Attachments
Medical Home/HCH MOC4 module
PowerPoint presentation on learning collaboratives from MN Rural Health Conference
Article on Learning Collaborative for Minnesota Physician published November 2014 at
http://issuu.com/mppub/docs/minnesota_physician_november_2014 go to pages 26-29.
11