Quality Improvement for Well Child Care

Presented to the Faculty of University of Alaska Anchorage in Partial Fulfillment of Requirements for the Degree of MASTER OF SCIENCEThe American Academy of Pediatrics (AAP) Bright Futures (BF) guidelines for well child care were designed to provide quality pediatric care. Adherence to AAP-BF guidelines improves: screenings, identification of developmental delay, immunization rates, and early identification of children with special healthcare needs. The current guideline set is comprehensive and includes thirty one well child exams, thirty three universal screening exams and one hundred seventeen selective screening exams. Many providers have difficulty meeting all guideline requirements and are at risk of committing Medicaid fraud if a well exam is coded and requirements are not met. The goal of this quality improvement project was to design open source and adaptable templates for each pediatric age group to improve provider adherence to the BF guidelines. A Plan-Do-Study-Act (PDSA) quality improvement model was used to implement the project. Templates were created for ages twelve months to eighteen years and disseminated to a pilot clinic in Anchorage, Alaska. The providers were given pre-implementation and postimplementation surveys to determine the efficacy and usefulness of the templates. Templates were determined to be useful and efficient means in providing Bright Futures focused well child care. The templates are in the process of being disseminated on a large scale to assist other providers in meeting BF guideline requirements.Title Page / Table of Contents / List of Tables / List of Appendices / Abstract / Introduction / Background / Clinical Significance / Current Clinical Practice / Research Question / Literature Review / Framework: Evidence Based Practice Model/ Ethical Considerations and Institutional Review Board / Methods / Implementation Barriers / Findings / Discussion / Disseminatio

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Benefits and swot analysis of iknow estudent services system

The implementation of new robust and complex overall systems in any area is in the very least demanding, complicated, extensive, particularized and delicate. Especially if they are planned to be designed for almost entire higher education system in a country. Inevitably at the beginning, the stakeholders in the existing processes and resources will be reluctant to radical change such as the one in the case of iKnow system implementation, setbacks can be experienced in the mentality shifts, workflow adjustments and adaptation, but also in the different starting points in different institutions for such implementations. And this is only before the beginning of usage of the system. As with any big, ERP-like software solution, the first period of implementation may be the scariest, until everyone gets on board. Then the impressions from the intuitive interface, completion of tasks from distance, the overview of many aspects, maybe never even considered before, and the usefulness of the reports will kick in. That is the point from which the added value from the iKnow eStudent Services System will start to pile up improvements in many directions and depths. This paper can serve as an introduction to the benefits, strengths and opportunities that can be expected from iKnow, and food for thought for the involved parties in the realization of the project for its weaknesses and threats. By observing the requirements for the system on one side, and the technical documentation and the software itself on the other, we can conclude that what is asked for has been delivered in the construction area, and time will show that the objectives will be reachable in the very least, if not completely, with timely implementation and proper usage