Ohio QI2U – Adolescent Health Recruitment Packet

Thank you for your willingness to participate in the Adolescent Health – QI 2 U Collaborative.  The Ohio Chapter of the American Academy of Pediatrics will coordinate the project’s planning, implementation, and evaluation. This project will assist health providers in improving adolescent health care in their practice.  Participating providers will implement interventions to improve their practice’s adolescent well visit rate and the quality of their care.

The collaborative is a small (5-6 clinics), hands-on QI collaborative with MOC IV credit where the AAP QI team goes into each clinic in January 2018 for an on-site pre-collaborative assessment to evaluate adolescent-friendly services/culture, baseline data and provide an educational component if desired by clinic site.  This is followed by monthly, individualized touch-base phone meetings with each clinic to review progress and monthly data from February through May.  Finally, there will be a post-collaborative on-site re-assessment and final data collection in June to wrap up the collaborative, along with either an individualized or group phone meeting to discuss “lessons learned” and assist clinics in strategizing “next steps”.  In addition, the participating clinics will attend the 3 statewide webinars for additional educational components and MOC II/CME.

For specific information about the project requirements, please review this recruitment packet, which includes a checklist to help you understand the requirements and a link to enroll your practice in the learning collaborative. Should you have any questions, please do not hesitate to contact any of the project team listed below.

We look forward to partnering with you to build smoke free homes for Ohio’s children!

Michele Dritz, MD, FAAP

Kristen Fluitt, MS

Ohio QI2U - Adolescent Health - Practice Checklist

Ohio QI2U - Adolescent Health - Practice Checklist

This checklist serves as a guide to help you understand the requirements of the Ohio QI2U-Adolescent Health Collaborative, and to gauge your practice's readiness for participation. Read over each requirement and click "agree."

Requirement Checklist

1. Identify a practice Quality Improvement team or "QI core team." The team consists of a physician leader, a nurse/nurse practitioner or someone with clinical responsibility, administrative staff/office manager and any additional members that the participating clinic feel would be appropriate. One of the team members must commit to being the day-to-day contact. In addition, the QI team members need to formally devote some of their time to the project.

Rationale: A multidisciplinary team is a key to practice success. The leader of the practice needs to help carve out time for each team member to do this work.

2. All physicians within a practice should agree to support the project and, if they choose, can also choose to participate in ways that meet "Meaningful Participation" requirements for MOC IV credit. However, one or more physicians within a practice must agree to also actively participate in the core QI team to help lead the clinic efforts.

Core QI team participation is defined as a physician who:
  • Attends monthly mentor calls
  • Oversees the development and implementation of the interventions
  • Assures the collaborative requirements are met by the clinic to (a) collect the baseline and monthly data (may be collected with AAP support) and (b) submit documentation of 2 of the clinic's PDSA cycles over the course of the collaborative
  • Participates in at least 2 of the 3 educational webinars (live or recorded version)
  • Intends to complete the requirements for American Board of Pediatrics, Maintenance of Certification Part 4 Credit by participating in the project

A supportive, participating physician will:
  • Supports the clinic QI changes, and of the overall project
  • Supports the work of the QI team as needed
  • Participates in various testing and eventual adoption of successful interventions
  • Participates in at least 2 of the 3 educational webinars (live or recorded version)
  • Intends to complete the requirements for American Board of Pediatrics, Maintenance
  • of Certification Part 4 Credit by participating in the project


A non-participating physician will:
  • Supports the clinic QI changes, and of the overall project
  • Potentially adopts some changes for QI
  • Does NOT intend to complete the requirements for American Board of Pediatrics,
  • Maintenance of Certification Part 4 Credit since is not actively participating in the project

Rationale: Although successful QI work often starts with small scale tests of change initiated by a core QI team, meaningful and sustainable QI necessitates broader testing over time, with eventual implementation and/or spread of successful interventions to other physicians' work in the practice. When you get general participation agreements from all physicians in the beginning and offer opportunities for participation, you help the clinic QI team spread their improvements when the time is right and build clinic buy-in through the process.

3. Senior practice leaders should be informed of and prepared to support project.

Rationale: The office administrator, director, and physician partners all need to support and help remove barriers for the practice team in order for the practice team to meet their goals.

4. As many physicians as plan to claim MOC credit should participate in the project for the total length of the Collaborative, from baseline data collection in January 2018 until the final data entry in June 2018.

5. The QI team should work with the Ohio Chapter AAP staff to collect meaningful clinic baseline and monthly data
Rationale: This is critical for the success of the practice; tracking improvement in data results requires an accurate baseline measurement.

6. At least one, but as many members as possible, of the practice core QI team should participate in the monthly mentor calls.
Rationale: This is critical for the success of the practice; team engagement assures that the clinic's QI efforts are vetted, purposeful, and rooted in an understanding of the clinic's improvement data over time.

7. Each QI team (or practice group if working in concert with one another) should plan to submit a total of 2 PDSA worksheets demonstrating tests of change during the Collaborative timeframe.
Rationale: This is critical for the success of the practice; demonstrating methods used to achieve improvements and results require accurate tracking of changes, and is required for Part IV MOC credit claiming.

8. Provide the program manager with the following, which is required for all actively participating physicians for the sole purpose of documenting meaningful participation for the American Board of Pediatrics, Maintenance of Certification Program at the completion of the program:
  • AAP Identification Number
  • American Board of Pediatrics Identification Number (can be located by logging into the ABP's website, abp.org)
  • Date of birth
  • Current level of training (Resident versus Faculty/Attending)


Practice Consent

This recruitment packet outlines the general collaborative goals, the requirements for meaningful participation and acts as the consent for MOC IV credit participation once signed. All physicians within a practice who choose to participate in this collaborative will be asked to agree to this recruitment packet consent and their names will be documented. Practices will be provided the recruitment packet consent form at the beginning of the program.

We recommend that even non-participating physicians have an opportunity to review this recruitment packet. The rationale for having all practice physicians review the recruitment packet is to assure that all members of the practice are aware of the project and understand the role of the practice within the project. In addition, QI science shows that wider clinic buy-in often leads to the most sustainable improvement over time.

However, please note that all physicians within a practice are not required to actively participate in the project, and can choose not to participate or receive MOC IV credit for this collaborative.

Physicians who are actively participating in the project (either as a core QI team member or other participating physicians) will be required to:
  • Attend monthly mentor calls and/or have relevant information relayed to them by their core QI team
  • Participate in the development and/or implementation of the interventions
  • Assist the core QI team (as needed) in meeting the clinic's requirements of data collection and PDSA submissions
  • Participate in at least 2 of the educational webinars (live or recorded versions)
  • Intend to complete the requirements for American Board of Pediatrics, Maintenance of Certification Part 4 Credit by participating in the project
Definitions for ABP Maintenance of Certification Meaningful Participation Requirements
The following definitions for meaningful participation requirements will be helpful to share with each physician as they are enrolled in the project so that they are clear as to what is expected of them to obtain American Board of Pediatrics Maintenance of Certification Part 4 credit.

The team leader within the practice will need to attest for each physician's meaningful participation using the criteria below.

Participating practices are expected to:
  1. Organize a core team of at least 3 team members (includes Physician Leader, Nurse/Nurse Practitioner or Medical Assistant, Administrative Staff/Office Manager - one of whom must commit to being the day-to-day team contact).
  2. Secure senior leadership's commitment for the improvement team's work in the Collaborative
  3. Perform any pre-work activities, assessments, data collection
  4. Align the goals of the Collaborative work to the strategic plan of the participating organization
  5. Perform at least 2 tests of changes that lead to improvements towards the desired outcomes and submit 2 PDSA worksheets demonstrating these tests over the course of the collaborative
  6. Collect and report required data
  7. Participate in webinars, teleconferences, and emails to learn from one another and share improvement ideas, tools and methodologies
  8. Share and review practice-identified data transparently across the collaborative (identifiable practice data cannot be shared outside of the collaborative without permission from the involved practices and from the Medical Director)
  9. Physician practice leaders attest to other physicians' meeting participation requirements for ABP MOC Part 4 credits
  10. Submission of monthly progress reports to the Collaborative leadership as requested

The project team is expected to:
  1. Provide evidence-based information on improving adolescent health care
  2. Offer coaching to improvement teams on applying the Model for Improvement to implement key changes, on mentor calls, and through email communications
  3. Provide each team monthly feedback on data and narrative reports
  4. Provide a library of tools and training materials
  5. Provide documentation of project results to meet American Board of Pediatrics Maintenance of Certification standards
  6. Provide communication support to keep teams connected to faculty and colleagues during the Collaborative
Click here to view the program outcomes and timeline.