Supporting Practices in Integrating AAP-recommended Preventive Screenings into Well-Child Visits
The NH Pediatric Improvement Partnership with funding from Harvard Pilgrim Health Care is supporting two pediatric practices in integrating the following two AAP-endorsed care processes: developmental screening of young children with a standardized screening and assessing and responding to negative social determinants of health(SDOH) a family is experiencing. This project builds off two previous developmental screening learning collaboratives conducted by NHPIP and will support practices by providing:
- Training on developmental screening recommendations, including workflow development, administration of the Ages and Stages® screening tool, and responding to significant results
- Three webinars on the topics of patient registries, screening for SDOH, and trauma-informed care.
- Tools including a referral resource guide customized to their locale, a patient registry template, and information about coding/billing for developmental screening
- Coaching support to support the use of the Model for Improvement to plan and pilot their screening workflow(s)
The timeline for this project is July 2019-July 2020
Trauma-informed Care in Pediatrics Project
With funding from the NH Children’s Health Foundation, the NHPIP is conducting the Trauma-informed Care in Pediatrics Project. The goals of this project are to:
1) increase pediatric general practitioner knowledge about trauma-informed care and existing tools to support addressing trauma in primary care settings
2) support 4 NH pediatric primary care clinics in using quality improvement principles to pilot process(es) to detect and respond to patients experiencing toxic stress.
This project is focusing on four NH target communities/areas: Coos County, the Monadnock Region, Manchester, and Nashua.
This project will run through fall 2021.
NH Mental Health Care in Pediatrics (NH MCAP) Project
In collaboration with the NH Maternal Child Health Bureau, the NH Pediatric Improvement Partnership is conducting the NH Mental Health Access In Pediatrics (NH MCAP) Project. Funded by a multi-year Health Resources and Services Administration Cooperative Agreement, the goal of NH MCAP is to promote behavioral health integration in pediatric primary care by:1) training and supporting NH's health care providers to identify and care for children with pediatric mental health conditions; 2) enabling front-line health providers to receive provider teleconsultation services about the identification and treatment of children with a mental health condition; 3) enhancing the delivery of services through the creation of a referral directory of pediatric mental/behavioral health services and supports.
NHPIP is responsible for conducting a three-pronged effort for this project. These three strategies include:
- Annual implementation of the NH MCAP ECHO® series. The Project ECHO© model is an evidence-based method to support community providers in improving their ability to manage patients with complex conditions. Developed by researchers at the University of New Mexico Health Sciences Center, Project ECHO© is an interdisciplinary model that uses web-based videoconferencing to link specialist teams with community-based practice sites to increase their knowledge, skills, and confidence through short didactics coupled with case-based learning.
- The 2020 NH MCAP ECHO series is focusing on pediatric depression and anxiety. These monthly 1.5 hour sessions are scheduled from March-December 2020. When available, we will post recordings/slides of didactic presentations from the monthly ECHO sessions on the publication/resource section of the NHPIP Website.
- The second major strategy focuses on implementing a Teleconsult Service Model (TSM). The TSM will support pediatric primary care clinicians in accessing appropriate NH Project MCAP faculty experts for telephonic or videoconference teleconsults about specific pediatric patients. Clinicians participating in the NH MCAP ECHO Series are eligible for teleconsults.
- This third strategy includes developing and updating annually a Referral Directory of local agencies and organizations offering pediatric mental/behavioral health services.
This project will run through September 2023.