Measurement work

11/15/23

1. Planning for Lab Screening Measure Scale and Spread

2. Planning for Follow Up QI Collaborative in Primary Care

3. Dissemination and Data Analyses follow up

4. Brief update on Micronutrients work

1. Nita to join Legacy Call in December to briefly orient them to this work. Launch call and orientation in January. Sarah Price to update Jessica Wallace (SME/Legacy Team lead) to this work and coordinate. Perhaps develop a more simple guide with Mona/Sara Barlow, clinicians to talk this through--lab quality measure vs. screening vs. diagnostic ---elevated levels ONCE are not diagnostic…they are screening that leads to more exploration. How it compares to the algorithm. --Do a mini convening in December with folks . Other linkages: Million Hearts--Sarah talk to Meg about the familial hypercholesterolemia. Pediatricians in Clinical Practice Committee---a solidified ask to go out to CPC.

2. Launch in January--by the next meeting, a proposed workflow and MI intervention from AAP toolkit will be shared on this call.

3. a. AAP conference poster--very successful. b. Possible work with Puerto Rico on food insecurity. c. Next up: Standard Slide Deck content--Nita to send data spreadsheet

10-18-23

1. Year 6 Obesity Related activities overview (Analyses, QI collaboratives, Measures work, MOC, Collaborations with PHII and AAP)

2. AC Dissemination Focus: AAP meeting, planned publications

3. Brief update on Micronutrients work

1. Y5 48 to 62% improvement within the cohort--NACHC/CDC to create a formal letter of congratulation--Nita will draft, send to CDC to formalize

Y6, focus on reworking the follow-up workflow instead of focus on screening. Continue screening MOC. Based on AAP guidelines and instructions. Include Motivational Interviewing/culture. Focus in NOT on a MEASURE, but rather on Quality Improvement.

OR

More work on Lab measure--goal is to scale it to more practice settings to prove to CMS? Maybe test this in Denver Health, Missouri, rather than through the cohort, Boriquien, El Rio. Pressure from CMS to get this quality measure in place.

From AAP:

Just sharing the link to the Treatment Flow which has specific guidance that the sites in our QI projects and ECHOs have found helpful: https://downloads.aap.org/AAP/PDF/Obesity/Treatment%20Flow_12.19.22.pdf  See below for relevant experts that address the frequency, timing and key operations. Also the QI package has additional resources and supports (it can be found at the bottom of left of this section of the CPG site). The key driver diagram (found within the QI resources) is also helpful  in outline key elements, change concepts and resources to support the treatment visits.