Abstract
Despite the existence of guidelines for attention deficit hyperactivity disorder (ADHD), clinical practices vary substantially. Practitioners can apply quality improvement (QI) strategies to adapt office processes and clinical practice towards evidence-based care. We identified facilitators and barriers to participation in a professional society-led structured collaborative to learn QI methods and improve care. Ten chapters of the American Academy of Pediatrics participated in the effort. Support to chapter leaders included conference calls, listserv, technical support, and data aggregation. Support from the chapters to participating pediatricians included online continuing medical education modules, a workshop, chart reviews, and QI coaching. Qualitative data were obtained through interviews of 22 project leaders and reviews of project progress reports. Quantitative results were obtained from surveys of 186 physician participants. Outcomes included facilitators/barriers to program implementation, evidence for sustained chapter QI infrastructure, and participant assessment of improvements in care. Facilitators included physician opinion leaders, a workshop, conference calls, QI support, and opportunities for shared learning. Ba...Continue Reading
References
Sep 6, 1995·JAMA : the Journal of the American Medical Association·D A DavisR B Haynes
Oct 1, 1996·Journal of Community Health·T S CareyR Harris
Sep 9, 1999·JAMA : the Journal of the American Medical Association·D DavisA Taylor-Vaisey
Aug 12, 2000·Journal of the American Academy of Child and Adolescent Psychiatry·A AngoldE J Costello
May 24, 2001·Medical Teacher·Craig Zimitat
Aug 21, 2001·Social Science & Medicine·L LocockJ Gabbay
Oct 3, 2001·Pediatrics·UNKNOWN American Academy of Pediatrics. Subcommittee on Attention-Deficit/Hyperactivity Disorder and Committee on Quality Improvemen
Mar 1, 1995·Science Communication·T W Valente, E M Rogers
Feb 10, 2004·BMJ : British Medical Journal·Peter A MargolisDonald E Moore
Feb 14, 2004·Medical Education·Sheldon D HorowitzPaul V Miles
Sep 2, 2004·JAMA : the Journal of the American Medical Association·Troyen A BrennanRebecca S Lipner
Sep 17, 2004·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Charles J HomerJim Phillips
Jul 20, 2005·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Eugenia ChanCharles J Homer
May 3, 2006·Pediatrics·Paul C YoungChuck Norlin
Aug 31, 2006·Pediatrics·Judith S ShawPatricia Berry
Feb 19, 2008·Joint Commission Journal on Quality and Patient Safety·Carole LannonPamela J Schoettker
Citations
Dec 31, 2011·Journal of Elder Abuse & Neglect·Julie A Sugita, Mario D Garrett
Feb 14, 2014·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Tamara JohnRachel Y Moon
Aug 30, 2014·Academic Pediatrics·David G BundyGautham K Suresh
Dec 7, 2013·Academic Pediatrics·Judith S ShawJane McGrath
Sep 11, 2009·Congenital Heart Disease·John D KuglerCarole Lannon
Jun 7, 2011·Medical Care·Adam A PowellMelissa R Partin
Aug 2, 2015·Critical Care Nurse·Sue SendelbachPam Shotts
May 7, 2014·Pediatrics·Sharon B MeropolLeona Cuttler