Colorado Pediatric Collaborative

TO IMPROVE THE QUALITY AND COORDINATION OF CARE FOR CHILDREN IN COLORADO

CPC FOCUSES ON SUPPORTING PRACTICES WITH ACHIEVING THE TRIPLE AIM, A CONCEPT DEVELOPED BY THE INSTITUTE FOR HEALTHCARE IMPROVEMENT. THE GOAL OF THE TRIPLE AIM IS TO IMPROVE THE HEALTH OF THE POPULATION, TO ENHANCE THE PATIENT EXPERIENCE OF CARE (INCLUDING QUALITY, ACCESS, AND RELIABILITY), AND TO REDUCE/CONTROL THE PER CAPITA COST OF CARE. DURING 2016, CPC CONTINUED TO PROMOTE PROGRESSIVE QUALITY AND CARE COORDINATION INITIATIVES WHICH INCLUDE: IMMUNIZATIONS, ASTHMA, AND CHILDHOOD OBESITY. THE INITIATIVES ARE BASED ON A TESTED MODEL AND CORE MODEL COMPONENTS THAT CPC HAS USED TO DEMONSTRATE IMPROVEMENTS IN POPULATION MANAGEMENT AND HEALTH. NONETHELESS, CPC'S ROBUST CLINICAL INITIATIVES HAVE HELPED PAVED THE WAY FOR TRANSITIONING PAYER REIMBURSEMENT FROM A FEE-FOR-SERVICE MODEL TO ONE THAT FOCUSES ON QUALITY AND IMPROVED HEALTH OUTCOMES FOR PATIENTS AND THEIR FAMILIES.CPC HAS BEEN DILIGENTLY WORKING ON ADVANCING THE HEALTHY LIVING INITIATIVE. EARLY 2016, CPC SUCCESSFULLY LAUNCHED THE HEALTHY LIVING REGISTRY. DATA GENERATED IN THE REGISTRY IS USED TO IDENTIFY PATIENTS AT AN UNHEALTHY WEIGHT OR THOSE WHO MAY BE AT RISK OF DEVELOPING AN UNHEALTHY WEIGHT.ADDITIONALLY, CPC DEVELOPED AND IMPLEMENTED A PROVIDER SURVEY IN EARLY 2016. CPC HAD APPROXIMATELY 50 PROVIDERS COMPLETE THE SURVEY. CPC ASKED SURVEY PARTICIPANTS TO CHOOSE THE POSITION THEY THOUGHT WOULD BETTER HELP PROVIDERS AND THEIR PRACTICE SUPPORT CHILDREN AND THEIR FAMILIES BUILD HEALTHY LIFESTYLES. APPROXIMATELY 70% OF RESPONDENTS INDICATED THEY THOUGHT A REGISTERED DIETICIAN WOULD BETTER SUPPORT THEIR EFFORTS OVER A PATIENT NAVIGATOR. THROUGH THE HELP OF CLINICAL EXPERTS, CPC HAS DEVELOPED A PATIENT SURVEY THAT WILL BE ADMINISTERED IN THE 5 PILOT SITES. THE PURPOSE OF THE SURVEY IS TO ASSESS PATIENT/FAMILY SATISFACTION AND IDENTIFY GAPS IN CARE FROM PATIENTS WITH A BODY MASS INDEX (BMI) IN THE 85TH PERCENTILE OR HIGHER. IN ORDER TO VALIDATE THE TOOL AND THE DATA GENERATED FROM THE SURVEY, CPC APPLIED ANALYTIC RESOURCES TO IDENTIFY THE SAMPLE SIZE NEEDED. APPROXIMATELY 105 SURVEYS OF FAMILIES WITH OVERWEIGHT/OBESE KIDS, PRE AND POST WILL PROVIDE 90% POWER TO DETECT A DIFFERENCE OF 20% (E.G. AN INCREASE FROM 20% TO 40%) IN THE FREQUENCY OF FAMILIES WHO RESPOND YES TO SELECT QUESTIONS (CHI SQUARE TEST). AS OF JULY 2016, CPC HAS IDENTIFIED A REGISTERED DIETICIAN TO DEVELOP AND IMPLEMENT A 4-WEEK CURRICULUM IN THE PILOT SITES. IN ORDER FOR THE INTERVENTION TO BE SUCCESSFUL, IT IS IMPERATIVE THAT THE REGISTERED DIETICIAN HAVE EXPERIENCE FACILITATING IN A GROUP SETTING, WORKING WITH CHILDREN AND FAMILIES, AND CAN APPLY MOTIVATIONAL INTERVIEWING AND BEHAVIOR MODIFICATION TECHNIQUES TO ADDRESS THE CHALLENGES ASSOCIATED WITH AN UNHEALTHY LIFESTYLE.