{PROJECT ON HOLD} Improving Immunization Rates for Adolescents Project

MOC Part 2 & 4 and CME Credit available

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Dear Colleague,

We invite you to join the CQN Improving Immunization Rates for Adolescents Project, sponsored by the American Academy of Pediatrics (AAP) and funded by independent grants from Pfizer and Sanofi Pasteur. The Utah Chapter of the AAP will lead this quality improvement learning collaborative with 10-15 practices, aiming to improve immunization rates for adolescents 16-18 years of age.

The “Core QI Team”

Participating practices will form a “core QI team” composed of:

  1. A physician leader,
  2. A nurse or medical assistant, and
  3. A practice manager or office administrator

This team will lead the project in the practice and be required to attend the learning sessions and calls listed below. They will also be expected to lead Plan-Do-Study-Act (PDSA) cycles in their practices. Practices are encouraged to enroll additional physicians and other team members in the project, but those team members are not required to attend learning sessions or calls.  Participating practices are required to collect monthly data on the project measures, which are outlined on the next page.

Please refer to the IIRA Project Incentives document for a full list of participation requirements and criteria to receive MOC credit, and performance improvement CME credits (pending approval).

 

Meetings & Calls {PROJECT ON HOLD}

 

February – April 30, 2020 Practice enrollment into project & QIDA

April 27th: 10-11am MT/ 11am-12pm CT/ 12-1pm ET

-or-

April 29th:  5-6pm MT/ 6-7pm CT/ 7pm-8pm ET

 

Practice Onboarding Webinars hosted by National AAP Team (each practice should join one webinar only)

 

Join either webinar using this link:  https://aap.webex.com/meet/kmarcelle

Phone Number: 844-621-3956

Access Code: 809 929 170

 

May 2020

One-hour practice webinar #1 (hosted by UTAAP)

·       Baseline data QA & preparations for attending Learning Session 1

June 2020 Baseline data collection

June 1- June 30, 2020

Location:

Utah

Learning Session 1- Dates to be determined by chapter team

·       In-person, all-day session hosted by chapter

July 2020

Date & Time TBD

 

One-hour practice webinar #2

·       Practices will review data and share progress on PDSA cycles

August 2020

Date & time TBD

One-hour practice webinar #3

·       Practices will review data and share progress on PDSA cycles

September 2020

Date & time TBD

One-hour practice webinar #4

·       Practices will review data and share progress on PDSA cycles

October 2020

Date & time TBD

Learning Session 2

·       90-minute webinar

November 2020

Date & time TBD

One-hour practice webinar #5

·       Practices will review data and share progress on PDSA cycles

January 2021

January 4-January 31, 2021

Location:

Utah

Learning Session 3- Dates to be determined by chapter team

Learning Session 3- Dates to be determined by chapter team

·       In-person, all-day session hosted by chapter

February 2021

Date & time TBD

Chapter & Practice Sustainability Calls

March 2021

Date & time TBD

One-hour practice webinar #6

·       Practices will review data and share progress on PDSA cycles

·       Project Close-out

April 2021

Date & time TBD

Learning Session 4 Celebration Webinar

·       90-minute webinar

 

Required Measures

Project data will be collected on a monthly basis for 11 data cycles (including one baseline data cycle). Data will be collected at the practice level and submitted through the AAP’s data collection tool, the Quality Improvement Data Aggregator (QIDA).

 

Project measures

  • HPV Vaccination Rate: The percentage of patients 16-18 years old who are up-to-date on human papillomavirus (HPV) vaccines (series completion)
  • Tdap Vaccination Rate: The percentage of patients 16-18 years old who are up-to-date on the tetanus, diphtheria and acellular pertussis (Tdap) vaccine
  • MenACWY Vaccination Rate: The percentage of patients 16-18 years old who are up-to-date on quadrivalent meningococcal conjugate (MenACWY) vaccines (series completion)
  • HepA Vaccination Rate: The percentage of patients 16-18 years old who are up-to-date on hepatitis A (HepA) vaccines (series completion)
  • Influenza Vaccination Rate: The percentage of patients 16-18 years old who received an influenza vaccine within the past year
  • MenB Vaccination Rate: The percentage of patients 16-18 years old who have received the meningitis B (MenB) vaccine (series initiation) *
  • MenB Education Rate: The percentage of patients 16-18 years old who received education regarding the meningitis B (MenB) vaccine
  • Adolescent Well Visit Rate: The percentage of patients 16-18 years old who attended a well visit within the past year
  • Missed Opportunity Rate: The percentage of patients 16-18 years old that do not receive all eligible vaccinations when they present in the office**

 

* Measure inclusion will be finalized prior to initiation of baseline data collection

**The MenB vaccine will not be included in this measure

 

For the vaccination rate measures and the adolescent well visit measure, practices will be asked to collect data on their practice patient population of 16-18-year-olds.  For the MenB education measure and the missed opportunity measure, practices will be asked to collect data on a sample of 16-18-year-old patients with an office visit occurring during the data collection month.

 

How to Enroll in the Project

 

To enroll in the project, all participants should complete survey below:

https://www.surveymonkey.com/r/CQNIIRAEnrollment

  

Note: All participants must complete the enrollment survey by April 30th.

 

Chapter Quality Network (CQN) Improving Immunization Rates for Adolescents (IIRA)

Project Incentives & Requirements

 

Thank you for your interest in the IIRA project.  We want to ensure that you and your practice staff understand the various requirements and educational incentives that are available for participation in the project.  CQN IIRA will offer American Board of Pediatrics Maintenance of Certification (MOC) Part 2 and Part 4, as well as Performance Improvement Continuing Medical Education (PI CME) credits (pending approval).

 

General Requirements for Participating Practices

 

  1. Establish a core quality improvement (QI) team with at least three members, including:
    1. 1) a physician leader, 2) a nurse or medical assistant, and 3) a practice manager or administrator
    2. One member is asked to commit to be the day-to-day team contact.
  2. All core QI team members and active participants must acknowledge participation requirements and incentives through an enrollment survey. All clinical and non-clinical practice staff (even if they are not active participants) should be aware of and support the project.
  3. Complete the work outlined in the Pre-Work Orientation Packet.
  4. Core QI team members should attend and participate in each of the four learning sessions (2 in-person, 2 webinar). Specifically, the physician leader must attend.
  5. Core QI team members should attend chapter practice webinars (6 webinars) to review data and share best practices.
  6. At a minimum, the core QI team must meet once a month to plan and revise tests of change.
  7. All actively participating providers must participate in conducting tests of change.
  8. All participating practices must collect and submit practice-level data monthly (for 11 months) to the Quality Improvement Data Aggregator (QIDA) data collection tool. Use of QIDA will require acceptance of a disclosure statement.
  9. Participating practices must complete practice-level surveys to provide feedback, assess progress and identify barriers.
  10. The core QI team must share and review practice-level data with all project participants in the practice, as well as allow practice data to be shared across the CQN collaborative. Identifiable practice data cannot be shared outside of the collaborative without permission from the PI.
  11. The chapter physician leader will attest that participating physicians have met meaningful participation requirements for ABP MOC Part 2 and Part 4 credit.

 

The requirements for each type of credit are outlined below:

 

Maintenance of Certification Part 4 (50 points)

MOC Part 4 is awarded in two cycles for the project.  Each cycle will award 25 points of MOC4 credit upon completion of the required elements:

  • Cycle 1 will cover June 2020-November 2020, with credit awarded in November 2020.
  • Cycle 2 will cover December 2020-April 2021 and credit will be awarded in April/May 2021.

 

For each cycle, MOC Part 4 credit requirements are as follows:

 

MOC Part 4 Criteria for the Physician (Cycle 1: June 2020-November 2020; 25 points):

  • Meet once a month with practice project participants to review improvement data and plan tests of change
  • Lead a Plan-Do-Study-Act (PDSA) ramp during at least one action period, and post PDSA worksheet to the project online repository.

 

MOC Part 4 Criteria for the Physician (Cycle 2: December 2020 -April 2021; 25 points):

  • Meet once a month with practice project participants to review improvement data and plan tests of change
  • Lead a Plan-Do-Study-Act (PDSA) ramp during at least one action period, and post PDSA worksheet to the project online repository.
  • Implement and test a reminder/recall system to improve adolescent well visits.

 

MOC Part 4 Criteria for the Practice (Cycles 1 and 2):

  • Establish core quality improvement (QI) team (physician; nurse, nurse practitioner or medical assistant; and practice manager).
  • Members of core QI team attend all learning sessions and disseminate learnings to other practice members.
  • Members of core QI team attend six practice webinars with their chapter and submit at least one Plan Do Study Act (PDSA) cycle to the project online repository per month.
  • Collect and submit practice-level data on project measures for 11 monthly data cycles (baseline and 10 project data collection cycles).
  • Complete practice-level surveys to provide project feedback and assess progress and identify barriers.

 

Maintenance of Certification Part 2

MOC Part 2 will be awarded in April/May 2021 at the conclusion of the project.  There will be 20 points awarded for MOC Part 2.  There is no partial credit for MOC Part 2 awarded.

 

MOC Part 2 Criteria for the Physician:

  • Attend 2 of the following Learning Sessions:
    • Learning Session 1 (Full day, in person)
    • Learning Session 2 (2 hour webinar)
    • Learning Session 3 (Full day, in person)
  • Complete an end-of-project evaluation survey within 21 days of survey distribution.

 

 MOC Part 2 Criteria for the Practice:

  • Complete three practice-level surveys within 21 days of survey distribution.

 

Performance Improvement Continuing Medical Education Requirements (PI CME)

Physicians and other allied health professionals must meet the requirements below to receive up to 20 points of PI CME credit at the end of the project in April/May 2021.

 

A PI CME activity is one during which evidence-based performance measures and QI interventions are used to help physicians identify patient care areas for improvement and change their performance. This type of CME activity differs in structure from other CME learning models that may also use QI data (e.g., live activities, enduring materials).  All CME credit will be awarded   as follows:

 

PI CME Criteria for the Physician and Allied Health Professional:

  • Learning Session 1 (in-person) – 5 points
  • Learning Session 2 (webinar)– 5 points
  • Learning Session 3 (in-person)– 5 points

 

Participants who attend all 3 learning sessions will be awarded an additional 5 points, for a total of 20 points.  Partial credit for attending one or two of the above sessions will also be awarded.

 

Participation Stipend

Upon successful completion of the project, your practice will be awarded $1000 to cover expenses incurred as a result of your involvement. Up to 10 stipends awarded on a first registered basis.

 

Questions?

For questions regarding MOC and PI CME requirements, please contact:

  • Kristie Marcelle, MSW, PMP

Project Manager, Chapter Quality Network

kmarcelle@aap.org

630/626-6654

 

For more information: Contact Alisa Stoddard, UTAAP Executive Director

alisa@aaputah.org or call 801.968.3411

 

Sincerely,

William Cosgrove, MD, FAAP

UTAAP Immunization Champion and Physician Leader

Erin Avondet, MD, FAAP

UTAAP Immunization Champion and Chapter Subject Matter Expert

 

Deadline to enroll: April 30, 2020

 Enroll using the button below.