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I know what’s best for my children. The schools they should

attend. The kinds of friends they should spend time with. And

the place they need to be if one of them becomes ill: Levine

Children’s Hospital. Where dozens of world class specialists

in over 30 specialty areas provide the most advanced pediatric

care in our region. It’s my child. I have a voice.

www.levinechildrenshospital.org

Annual Forum for Improving Children’s Healthcareand Childhood Obesity Congress

March 8-11, 2010 — Atlanta Georgia

About NICHQ

NICHQ is an independent, non-profi t organization dedicated solely to ensuring every child receives the high quality healthcare they need. To achieve this goal, we partner with healthcare systems, foundations, governments, payors, and family and community organizations to:

• Optimize pediatric healthcare system performance; and

• Identify and spread pediatric quality healthcare best practices and innovations.

A national organization with its home offi ce in Boston, MA, NICHQ also works with staff and faculty across the country.

Th e Annual Forum for Improving Children’s Healthcare and Childhood Obesity Congress brings together

healthcare professionals of all disciplines to improve children’s healthcare quality.

Welcome to the Annual Forum for Improving Children’s Healthcare and Childhood Obesity Congress

Sessions will cover:

• Patient Safety

• Childhood Obesity

• Chronic Conditions

• Quality Improvement—linked to fi nance, advocacy and equity in care.

• Health Information Technology (HIT) linked to quality and safety.

Objectives

• Build will for improvement;

• Create a community of healthcare organizations, patients and families, communities and policy makers — working together and sharing information to transform healthcare for children;

• Disseminate promising strategies to improve quality of care; and

• Mobilize eff orts to eliminate the gap in care for children within the areas of NICHQ’s agenda for improving children’s healthcare.

Intended Audience

• Quality Improvement Professionals

• Healthcare Leaders

• Physicians and Physician Assistants

• Nurses and Nurse Practitioners

• Public Health Professionals

• Patients and Parents

Table of Contents

Special Th anks 2

General Information 4

Conference at a Glance 6

Workshops 8

Childhood Obesity Congress 12

General Conference Sessions 18

Sponsors and Exhibitors 34

Storyboards 36

Maps 45

Table of Contents

Dear Friends,

Ten years ago we started the National Initiative for Children’s

Healthcare Quality. Why? Children were suff ering, their

families were suff ering, and our future was suff ering because

children were not getting the healthcare they needed. Health

professionals and healthcare organizations didn’t recognize

how short of the mark their care was—and didn’t have the

tools to get better. Quality improvement professionals had

their hands full fi xing the system of care for adults—where

most of the dollars and attention went then, and go now.

Why did we do it? Why did we leave the comfortable academic homes that had nurtured our careers?

Because we knew that unless we devoted all our energies—our hearts, our minds, and our hands—

every waking hour of every day to the task of making children’s healthcare better, we could not

change the world fast enough.

For me, as some of you know, the drive was personal, too. Th e care my son received for his

attention defi cit hyperactivity disorder was inconsistent—fragmented across systems and only

rarely connected to evidence. I knew that if my son, the child of a healthcare professional living in a

community overfl owing with healthcare resources, could not reliably receive eff ective, compassionate

and coordinated care, it must be even harder for others in less fortunate settings. So I committed

myself to building an organization that would raise awareness of the need for change, bring ideas and

capabilities to the fore, and help systems put these ideas into practice.

Ten years later, our job is far from done, but we have made a good start. Th e nation now knows that

our healthcare system—even that for children—is far from the best in the world, and that all health

systems could be much better. We now have examples of tremendous progress, beacons that defy

fatalistic arguments that healthcare is too complex to fi x, that children’s systems are too diff erent

for quality improvement to work. And we are just beginning to see the outlines of what it will take

to create a system that can fulfi ll our promise to reliably provide the right care to every child, every

time, and to use these same tools to help change our communities so they promote the health and

well-being of our children.

Th ank you for coming to Atlanta, and welcome to the Annual Forum for Improving Children’s

Healthcare and Childhood Obesity Congress. See what your colleagues are accomplishing every day

to make care better. Learn from experts and be inspired by leaders. Understand what policy changes

are underway to amplify your work. Join us as we celebrate together, “10 years and growing.”

Sincerely,

Charles J. Homer MD, MPH

President and CEO

National Initiative for Children’s Healthcare Quality (NICHQ)

Annual Forum for Improving Children’s Healthcareand Childhood Obesity Congress

Th ank you for supporting our green initiatives

at the Annual Forum for Improving Children’s

Healthcare. We have chosen to go paperless

wherever possible, and have used recyclable

materials for our tote bags and organic cotton

for our lanyards.

2 1 0 y e a r s a n d g r o w i n g . . . • W W W. N I C H Q. O R G

Th e National Initiative for Children’s Healthcare Quality would like to express our sincere

gratitude to the following individuals for their generous commitment of time and energy in developing

the program for the Annual Forum for Improving Children’s Healthcare and Childhood Obesity Congress:

W. Carl Cooley MD

Medical Director

Crotched Mountain Foundation

Lenny Feld MD, PhD, MMM

Chief Medical Offi cer

Levine Children’s Hospital

Bonnie Gance-Cleveland PhD, RNC, PNP

Associate Professor

Director, Center for Improving Health Outcomes

in Children, Teens & Families

Arizona State University

Sister Teresa George

VP and COO

Dell Children’s Medical Center of Central Texas

Patrick J. Hagan MHSA

President and COO

Seattle Children’s Hospital

David E. Hall MD

Clinical Professor of Pediatrics

Director, Diagnostic Referral Center

Cincinnati Children’s Hospital Medical Center

University of Cincinnati

Steve W. Kairys MD, MPH

Chairman of Pediatrics

Jersey Shore University Medical Center

William P. Kanto Jr. MD

Senior Associate Dean for Clinical Aff airs and

Professor of Pediatrics

Medical College of Georgia

Susan Lacey RN, PhD

Director of Nursing Workforce and Systems Analysis

Children’s Mercy Hospitals and Clinics

Iris R. Mabry-Hernandez MD, MPH

Medical Offi cer

Senior Advisor for Obesity Initiatives

Center for Primary Care, Prevention & Clinical Partnerships

Agency for Healthcare Research and Quality

Keith Mandel MD

Vice President of Medical Aff airs

Cincinnati Children’s Hospital

Ginnie Miller

Parent Leader


Gary Nelson PhD

President

Healthcare Georgia Foundation

Sarah Hudson Scholle MPH, DrPH

AVP, Research

National Committee for Quality Assurance

Bonnie Strickland PhD

Director

HRSA

Special thanks

3A n n u a l F o r u m f o r I m p ro v i n g C h i l d re n ’s H e a l t h c a reand C h i l d h o o d O b e s i t y C o n g re s s

NICHQ Board of Directors

Karen Cox RN, PhD, FAAN

Chairman of the Board

Executive Vice President, Co-Chief Operating Offi cer, Children’s Mercy

Hospitals & Clinics

Linda Th ompson Adams Dr.PH, RN, FAAN

Dean and Professor of the School of Nursing at Oakland University

Polly Arango

Principal, Algodones Associates

Jonathan R. Bates MD

President and CEO of Arkansas Children’s Hospital

David A. Bergman MD

Associate Professor in Pediatrics at the Stanford University

School of Medicine

Molly P. Cole

Associate Director, University of Connecticut Center on Disabilities;

National Field Coordinator, Family Voices

James B. Conway MS

Board Clerk

Senior Fellow at the Institute for Healthcare Improvement; Senior

Consultant at the Dana-Farber Cancer Institute (DFCI)

Stephen Dance

Board Treasurer

Former Senior Vice President, Finance, and Chief Financial Offi cer,

ViaCell, Inc.

Fay Donohue

President and CEO of Dental Service of Massachusetts

Th omas Hansen MD

Chief Executive Offi cer, Seattle Children’s Hospital

Steven Kairys MD, MPH

Chairman of Pediatrics, Jersey Shore University Medical Center

Barbara Royal MA, CASE

Executive Director, MOMENTUM

Amy Whitcomb Slemmer, Esq.

Executive Director, Health Care For All

Joan Wood

Senior Vice President, Leadership and Organization

Development,Genzyme Corporation

NICHQ Staff

Hillary Anderson,

Senior Project Coordinator

Bob Bower,

Director of Finance

Alexandra Charrow,


Emily Clermont,

Project Manager

Allison Cunningham,

Project Coordinator

Katie DuBoff ,

Marketing Coordinator

Laura Falvey,


Emily Fallon,

Project Manager

Mary Hathaway-Evans,

Director of Training and

Curriculum Development

Melanie Hayden,

Director of Development

Priya Heatherley,

Senior Project Manager

Charles J. Homer

MD, MPH,

President and Chief

Executive Offi cer

Aaron Kirby,


Erika McCarthy,

Director of Marketing and

Communications

Marianne McPherson,

Evaluation Advisor

Rachelle Mirkin,

Executive Program Director

Tracy Munro,

Executive Assistant

Rachel Steele,

Chief Operating Offi cer and

Program Director

Karthi Streb,



General conference information

Meeting Materials

In an eff ort to be environmentally responsible, all meeting

materials, aside from the conference guide, will be available at

www.nichq.org only, both pre-and-post event.

Handouts

Session handouts will be available on the NICHQ website both

pre-and-post conference for you to download.

See www.nichq.org for more information.

Name Badges

Name badges must be worn at all times during the Forum.

It is your ticket into the conference.

Dressing for Comfort

Appropriate dress for the Forum is business casual; comfortable

shoes are recommended. You may wish to wear a sweater/jacket

(meeting rooms can be cold).

Evaluations

Your feedback is extremely important to us! All session

evaluations and the general conference evaluation are available

online. In order to receive a continuing education credit

certifi cate, attendees must complete the general conference

evaluation and evaluations for every session attended no later

than two months after the event (May 21, 2010). A link to the

evaluations will be emailed to you after the Forum.

Continuing Education Credit Information

Th e National Initiative for Children’s Healthcare Quality

(NICHQ) is accredited by the Accreditation Council for

Continuing Medical Education to provide continuing medical

education for physicians. NICHQ designates this educational

activity for a maximum of 15.25 category 1 credits toward

the AMA Physician’s Recognition Award. Each physician

should claim only those credits that he/she actually spent in

the activity.

NICHQ is an approved provider of continuing nursing

education by the Vermont State Nurses’ Association, Inc.,

an accredited approver by the American Nurses Credentialing

Center’s Commission on Accreditation. NICHQ designates this

educational activity for a maximum of 15.25 contact hours.

Each nurse should claim only those credits that he/she actually

spent in the activity.

If circumstances prevent you from completing the

evaluations by the specifi ed deadline, please email

[email protected] for further instructions on how

to receive your certifi cate. Please note that any certifi cates

requested after this date will be subject to a service charge.

Certifi cates of Attendance Available for Non-Physicians/Non-Nurses

For all non-physician or non-nurse attendees, NICHQ will

provide certifi cates of attendance, at your request, for

submission to your certifi cation review board. See instructions

above for completing evaluations.

Faculty Disclosure Policy

Consistent with NICHQ’s continuing education policy, faculty

for this conference are expected to disclose at the beginning

of their presentation(s), any economic or other personal

interests that create, or may be perceived as creating, a confl ict

related to the material discussed. Th e intent of this disclosure

is not to prevent a speaker with a signifi cant fi nancial or

other relationship from making a presentation, but to provide

listeners with information to make their own judgments.

All Faculty Bios and Disclosures can be found on our website

at www.nichq.org.

Business Center

Photocopying, computers, facsimiles, shipping and other

services are available at the full-service Business Center,

located on the Main Lobby Level of the hotel.

Internet Access

All hotel guest rooms are equipped with wired and wireless

Internet access, which is included in your NICHQ group room

rate. In addition, some common areas within the hotel are

equipped for wireless Internet access.


Hotel Check-Out

Check-out from the Hyatt Regency Atlanta is at 12:00 noon.

Please see hotel guest services if you would like to store any

luggage or to arrange airport transportation.

Guests

We encourage you to bring friends and family with you to

Atlanta, but regret that hotel space can accommodate only

registered participants at the Keynote Address, workshop

presentations and meal functions. Your guests, however, are

welcome to join you at the Annual Forum receptions. Tickets for

the Opening Keynote Dinner can be purchased for an additional

$75 at www.nichq.org or at the Forum registration desk.

Messages and Faxes

If you are staying at the Hyatt Regency Atlanta, your phone

messages will go directly to your room. If a caller identifi es you

with the NICHQ Forum, urgent messages/faxes will be posted

on the message board next to the NICHQ registration desk.

Contact numbers for the hotel are:

• Telephone: 404-577-1234

• Fax: 404-588-4137

Emergencies

If for any reason there is an emergency during the NICHQ

Forum, you may dial “0” on any hotel phone to request

assistance from the operator. You can always ask NICHQ

or any hotel staff member for help as well.

Please note that due to unforeseeable circumstances, last-minute

changes in program titles, speakers or presentations may be

unavoidable.

6 1 0 y e a r s a n d g r o w i n g . . . • W W W. N I C H Q. O R GT h r i v e To g e t h e r6

Conference at a glance

6 1 0 y e a r s a n d g r o w i n g . . . • W W W. N I C H Q. O R GT h r i v e To g e t h e r 1 0 y e a r s a n d g 1 0 y e a r s a n d g6666

Monday, March 8, 2010

5:00 p.m. – 7:00 p.m. Conference Registration Opens

Tuesday, March 9, 2010

7:00 a.m. – 6:00 p.m. Information Desk Open

7:00 a.m. – 6:00 p.m. Conference Registration Open

7:00 a.m. – 7:45 a.m. Continental Breakfast

8:00 a.m. – 9:00 a.m. Keynote Address, David Katz, MD, MPH, FACPM, FACP,

Director and Co-Founder, Yale Prevention Research Center

9:00 a.m. – 9:15 a.m. Break

9:15 a.m. – 12:15 p.m. Half Day Workshops

9:15 a.m. – 4:15 p.m. Full Day Workshops

Obesity Congress

11:00 a.m. – 6:00 p.m. Exhibit Hall and Storyboards Open

12:15 p.m. – 1:15 p.m. Lunch

1:15 p.m. – 4:15 p.m. Half Day Workshops

GENERAL CONFERENCE BEGINS

5:15 p.m. – 6:00 p.m. Meet the Faculty Reception

6:00 p.m. – 9:00 p.m. Opening Keynote Keynote Address, Patrick J. Hagan MHA, President and COO, Seattle Children’s Hospital

Awards Dinner Entertainment with Lakeside Jazz Band under the direction of Band Director David C. Fairchild

Wednesday, March 10, 2010


7:00 a.m. – 6:00 p.m. Conference Registration Open

7:00 a.m. – 6:00 p.m. Exhibit Hall and Storyboards Open

1 0 y e a r s a n d g r o w i n g . . . • W W W. N I C H Q. O R G


GENERAL CONFERENCE CONTINUES

6:00 a.m. – 7:00 a.m. Morning Stretch


8:00 a.m. – 9:00 a.m. Keynote Address, Charles J. Homer MD, MPH,

NICHQ President and CEO

9:00 a.m. – 9:15 a.m. Break

9:15 a.m. – 10:30 a.m. Concurrent Sessions

10:30 a.m. – 11:00 a.m. Break

11:00 a.m. – 12:15 p.m. Concurrent Sessions

12:15 p.m. – 1:30 p.m. Lunch and Learn Sessions

1:30 p.m. – 2:30 p.m. Keynote Address,

Daniel Salinas MD, Senior Vice President and

Chief Medical Offi cer, Children’s Healthcare of Atlanta

2:30 p.m. – 2:45 p.m. Break

2:45 p.m. – 4:00 p.m. Concurrent Sessions

4:00 p.m. – 4:30 p.m. Break

4:30 p.m. – 6:00 p.m. Storyboard Reception

6:00 p.m. Dinner on your own

Th ursday, March 11, 2010

6:00 a.m. – 7:00 a.m. Yoga



7:00 a.m. – 11:00 a.m. Exhibit Hall and Storyboards Open

8:00 a.m. – 9:00 a.m. Keynote Address, Lisa Simpson MB, BCh, MPH,

FAAP, Director, Child Policy Research Center,


9:00 a.m. – 9:15 a.m. Break


10:30 a.m. – 11:00 a.m. Break


12:15 p.m. Adjourn


g C h i l d re n ’s H e a l t hh o o d O b e s i t y

8:00 a.m. – 9:00 a.m. Keynote Address, Lisa Simpson MB, BCh, MPHPH,

FAAP, Director, Child Policy Research Center,


9:00 a.m. – 9:15 a.m. Break


10:30 a.m. – 11:00 a.m. Break


12:15 p.m. Adjourn



Keynote Address: 8:00 a.m. – 9:00 a.m.

Food, Forks and the Fate of ChildrenREGENCY VII BALLROOM

David Katz MD, MPH, FACPM, FACPDirector and Founder of Yale University’s Prevention Research Center

Th is keynote address will off er an in-depth exploration into the masters of medical destiny. Learn who

controls these masters and how much infl uence to they exert over health.

David L. Katz MD, MPH, FACPM, FACP is an internationally renowned authority on nutrition, weight

control, and the prevention of chronic disease and has appeared on ABC News as the medical contributor

and written articles as a syndicated health/nutrition columnist for Th e New York Times and ‘O,’ the Oprah

Magazine. He is also recognized internationally as an authority on evidence-based, integrative medicine.

He is an Associate Professor (adjunct) of Public Health Practice, and formerly the Director of Medical Studies in Public Health, at the Yale

University School of Medicine. Dr. Katz directs Yale University’s Prevention Research Center (http://www.yalegriffi nprc.org/) which he

co-founded in 1998. As director of this clinical research laboratory dedicated to chronic disease prevention, Katz has served as Principal

Investigator for numerous community and clinical trials, and has acquired and managed over $25 million in research funds.

Dr. Katz earned his BA from Dartmouth College (in 3 years), his MD from the Albert Einstein College of Medicine, and his MPH from the

Yale University School of Public Health. He is board-certifi ed in Internal Medicine and Preventive Medicine/Public Health.

TuesdayWorkshops

Monday, March 8, 2010

5:00 p.m. – 7:00 p.m. Conference Registration Opens, Grand Hall West

Tuesday, March 9, 2010

Workshops and Childhood Obesity Congress

7:00 a.m. – 6:00 p.m. Information Desk Open, Grand Hall West

7:00 a.m. – 6:00 p.m. Conference Registration Open, Grand Hall West

7:00 a.m. – 7:45 a.m. Continental Breakfast, Grand Hall West

8:00 a.m. – 9:00 a.m. Keynote Address, David Katz MD, MPH, FACPM, FACP

9:00 a.m. – 9:15 a.m. Break


9:15 a.m. – 12:15 p.m. Half Day Workshops

Without a Tracer…Your Hospital May Fail to See Risks Lurking Within the System

Hanover D, Exhibit Level

Ginny Boos RN, BSN, CPHQ, Clinical Safety Offi cer, Children’s Mercy Hospitals and Clinics (CMHC);

Carol Kemper RN, PhD, CPHQ, Senior Director of Quality and Safety, CMHC;

Carol Moore RN, BSN, QI Project Coordinator Department of Quality and Safety, CMHC;

Sheryl Chadwick, Family Centered Care Coordinator, CMHC;

DeeJo Miller, Family Centered Care Coordinator, CMHC

Keeping patients safe within the healthcare organization requires an understanding of the eff ectiveness of internal processes and risks

inherent in the system. Tracer methods are used to evaluate system functioning proactively and guide quality initiatives. Th is session will guide

participants in the development of a tracer program and describe how tracers enhance an established quality improvement program. Children’s

Mercy Hospitals and Clinics (CMHC) implemented a qualitative program consisting of 4 types of tracers. Th e four types of tracers that will be

discussed are Traditional, High Risk, Patient Flow and Patient Experience.

I Had a Dream of Healthcare (E)quality

Hanover G, Exhibit Level

Boris Kalanj, MSW, LISW, Director of Healthcare Equity, Children’s Hospitals and Clinics of Minnesota;

Douglass L. Jackson DMD, MS, PhD, Chief, Center for Diversity at Health Equity, Seattle Children’s Hospital

John D. Cowden MD, MPH, Assistant Professor in Pediatrics, Medical Director, Offi ce of Equity and Diversity, Children’s Mercy Hospitals and

Clinics

Pediatric hospitals should have a particular interest in eliminating racial and ethnic disparities in healthcare, because U.S. children, as a

population, disproportionately come from demographic minority groups compared to the population overall. While it is common for healthcare

organizations to assume that the care they provide is equitable, without purposeful measurement they will not know whether this is true.

Seattle Children’s Hospital and Children’s Hospitals and Clinics of Minnesota have taken proactive steps to assess healthcare equity and

have implemented interventions in key areas to reduce disparities and address equity on a routine basis. Th is session will highlight the steps

needed to examine equity, including creating a sense of urgency and crafting an organizational vision. Participants will learn about the specifi c

processes, measures, interventions and programs that have been implemented to reduce the disparities and discuss how these can be adapted

to meet similar needs in other pediatric hospitals.


9:15 a.m. – 4:15 p.m. Full Day Workshops

Quality Improvement Fundamentals: An Introduction to Jump-Start Curriculum

Hanover E, Exhibit Level

Lloyd Provost MS, Improvement Advisor, Associates in Process Improvement

Th is full day session will focus on the Model for Improvement and is designed as a beginning or refresher course on methodology.

Participants will learn how to implement the Model for Improvement in their own organizations through interactive activities

and examples. Participants will be able to create a program, design an eff ective aim statement and develop defi ned measures

for an improvement project.

Developing a Safety Program: How to Move Your “Dots”

Hanover C, Exhibit Level

Peter Lachman, Consultant, Great Ormond Street Hospital for Children NHS Trust and Royal Free Hospital Hampstead NHS Trust;

Jayant Deshpande MD, MPH, Executive Physician for Patient Quality and Safety, Monroe Carell, Jr. Children’s Hospital at Vanderbilt;

Anne Matlow MD, Medical Director of Patient Safety and the Director of the Infection Prevention and Control at Sick Kids Hospital in

Toronto, Professor in the Departments of Pediatrics, and Laboratory Medicine and Pathobiology at the University of Toronto;

Stephen Muething MD, Associate Professor at the University of Cincinnati and Cincinnati Children’s Hospital Medical Center;

Matt Scanlon MD, Associate Professor of Pediatrics in Critical Care at Medical College of Wisconsin, and Associate Medical Director of

Information Services at Children’s Hospital of Wisconsin;

Paul Sharek MD, Assistant Professor of Pediatrics at Stanford University, a pediatric hospitalist, and Medical Director of Quality Management

and Chief Clinical Patient Safety Offi cer at Lucile Packard Children’s Hospital

Patient safety is now a prerequisite in healthcare. All services need to defi ne their outcomes in terms of safety and quality. Th e vulnerability of

children makes the importance of patient safety a key factor in the delivery of healthcare delivery. Th is session will be an in-depth examination

of the fundamentals of patient safety in pediatrics and child heath and the specifi c risks children and neonates face. Th e session will focus on

measurement and how it can be used to accelerate change.

12:15 p.m. – 1:15 p.m. Lunch, Grand Hall West

TuesdayWorkshops


1:15 p.m. – 4:15 p.m. Half Day Workshops

Quality Improvement in Cystic Fibrosis Care


Michael S. Schechter MD, MPH, Cystic Fibrosis Center Director, Emory University School of Medicine;

Kathryn Sabadosa MPH, Quality Improvement Project Manager, Th e Dartmouth Institute for Health Policy and Clinical Practice;

Elizabeth Revilla MS, RD, CSP, Clinical Nutritionist, Children’s Healthcare of Atlanta and Emory Cystic Fibrosis Center;

Brandy Jones, Parent Advisor, Emory Cystic Fibrosis Center;

Tamila Dulaney BSN, RN, CPN, Staff Nurse 3, Resource, Children’s Healthcare of Atlanta-Egleston Hospital;

Hartley Price MPT, Physical Th erapist, Children’s Healthcare of Atlanta-Egleston Hospital;

Christine Middour BS, RRT, Airway Clearance Specialist, Children’s Healthcare of Atlanta- Egleston Hospital;

Amy R. Shipp LMSW, Social Worker, Children’s Healthcare of Atlanta;

Alissa Siragusa CCLS, Child Life Specialist, Children’s Healthcare of Atlanta

Eff orts regarding quality improvement and the evolution of expectations regarding Cystic Fibrosis care that has occurred in the last decade

are best understood in the context of the overall healthcare delivery system. Th is session will begin with a description of the national

quality initiative sponsored by the Cystic Fibrosis Foundation. Discussion will include the key role of patient registry data in spreading an

appreciation of variations in performance and outcomes; the formation and adoption of Cystic Fibrosis QI learning collaboratives; the national

benchmarking projects as a novel way to learn of eff ective approaches to care; the development of practice guidelines; and support of patient/

family involvement and transparency. Th e second part will feature a presentation of outpatient initiatives introduced by care teams at the

Emory University Cystic Fibrosis Center and affi liate program to improve processes and disease outcomes.

Making Pediatric Health Information Technology Meaningful

Hanover G, Exhibit Level

Daniel Nigrin MD, MS, Senior VP for Information Services & Chief Information Offi cer Division of Endocrinology & Informatics Program,

Children’s Hospital Boston;

Marvin B. Harper MD, Chief Medical Information Offi cer, Children’s Hospital Boston;

Darlene Vendittelli MSM, IT Project Director, Children’s Hospital Boston;

Christoph U. Lehmann MD, Director, Clinical Information Technology, JHCMSC

Inpatient and outpatient electronic health records are becoming more and more widespread; stimulus dollars promise to accelerate adoption

even more. Happily for those committed to improvement in care, health IT eff orts increasingly focus on its use to improve care.

What are the keys to using health information technology to meaningfully improve care—not simply meeting criteria, but actually improving

important processes and outcomes of care? In this workshop, you will hear from leaders in one real world integrated children’s healthcare

organization—Children’s Hospital, Boston — and how they are using technology to improve care across the continuum of care—inpatient,

outpatient and community and patient directed. Th e emphasis will be on what the keys have been to their success so that you can apply these

lessons in your own setting. Th e session will also point to some cutting edge initiatives with even greater potential to enhance quality and

family engagement. In addition, participants will learn about the federal policy environment aff ecting health IT, how it may aff ect you and

what you can do to shape that policy so that the specifi c needs of children’s healthcare are addressed.

Tuesday Childhood Obesity Congress

2010 Obesity Congress Agenda

8:00 a.m. – 9:00 a.m. Keynote Address, David Katz MD, MPH, FACPM, FACP, Director and Co-Founder,

Yale Prevention Research Center

9:00 a.m. – 9:15 a.m. Break

9:15 a.m. – 4:15 p.m. Full Day Workshop

Advocacy Training from RWJF

9:15 a.m. – 10:30 a.m. Breakout Session

10:30 a.m. – 11:00 a.m. Break

11:00 a.m. – 12:15 p.m. Breakout Session

12:15 p.m. – 1:15 p.m. Lunch

1:15 p.m. – 2:30 p.m. Breakout Session

2:30 p.m. – 3:00 p.m. Break

3:00 p.m. – 4:15 p.m. Breakout Session

9:15 a.m. – 4:15 p.m. Full Day Workshop

Childhood Obesity Advocacy Training for Healthcare Professionals

★ LEVEL 1

Hanover A, Exhibit Level

Dexter Louie MD, JD, Chair, CMA Foundation;

Elissa K. Maas MPH, Vice President of Programs, CMA Foundation;

Victoria Weeks Rogers MD, Director, Th e Kids CO-OP (Clinical Outcomes and Outreach Program) at Th e Barbara Bush Children’s Hospital

at Maine Medical Center;

Lisa Simpson MB, BCh, MPH, FAAP, Director, Child Policy Research Center, Cincinnati Children’s Hospital Medical Center

Th is training is intended for healthcare professionals who are interested in impacting the obesity epidemic through community advocacy.

After completing the all day training session, participants will have a greater understanding of how to impact change through policy, media,

coalition building, and the legislative process. Participants will leave the session with a personal advocacy plan based on best practices to use

in their fi ght against childhood obesity. All healthcare disciplines and levels, novice to advanced advocates, are welcome.


★ LEVEL 1

★ ★ LEVEL 2

★ ★ ★ LEVEL 3

= CORE

= INTERMEDIATE

= ADVANCED STUDIES


9:15 a.m. – 10:30 a.m. Morning Workshops

Fit for Life: Family Centered Approach in Promoting Health and Wellness in Infants and Toddlers

★ ★ LEVEL 2

Regency V, Ballroom Level

Acklema Mohammad MD, Pediatrics Department Section Head, Urban Health Plan, Inc.;

Shamiza Ally MD, Pediatrician, Urban Health Plan, Inc.;

Justine Springer, Project Coordinator, Fit for Life

Th e Fit for Life performance improvement team uses an interdisciplinary team based, family-centered approach by targeting

caregivers of children from birth through 36 months of age for intervention. Th e project design provides comprehensive

services that lay the groundwork for the caregivers to continue healthy eating habits, which promotes healthy weight

maintenance throughout the child’s life. Th e Program engages in a preparation of a family focused self-management

plan supported by monthly visits to a nutritionist, and telephone support. Participants will learn how to set simple yet

eff ective self-management goals with caregivers and how to implement this program in their own organizations.

Project Healthy Schools: Community-University Collaboration to Reduce CVD Risk Factors in Youth

★ LEVEL 1

Hanover B, Exhibit Level

Jean DuRussel-Weston RN, MPH, CHES, Manager, Project Healthy Schools, University of Michigan Health System

Project Healthy Schools is a community-university partnership providing school-based programming to reduce childhood

obesity and its long-term health risks. Th is session describes 5 years of survey and physiologic data and introduces a

toolkit for program implementation. Th e toolkit will be available on our website along with consultation as needed.

Using Photovoices to Engage Latina Teens in Research and Advocacy for a Healthier Community

★ ★ LEVEL 2

Learning Center, Ballroom Level

Robert Dudley MD, National Public Health Scholar, Community Health Center Inc., New Britain, Connecticut;

Jayme Hannay PhD, MPH, Special Projects Consultant, Community Health Center Inc.

Participants will learn about Photovoices, a summer youth employment program for Puerto Rican teens. Using

disposable cameras, the youth took photos answering three questions. Th e youth organized the photos into a poster

and presented their research at the Spanish Speaking Center. Photovoices can be used to focus on a single gender,

age, or racial/ethnic group but it is equally appropriate for promoting dialogue, understanding and collective action

across multiple generations, races, and genders. Photovoices is a feasible, cost-eff ective, culturally relevant and fun

intervention for teaching leadership and advocacy skills to teens in an obesity prevention program.


11:00 a.m. – 12:15 p.m. Midday Workshops

QI Learning Collaborative to Improve the Documentation of BMI, Nutrition and Activity Counseling

★ ★ LEVEL 2


Steve Cook MD, MPH, Assistant Professor, University of Rochester;

Jan Schriefer DrPH, Assistant Professor, University of Rochester

Th e Greater Rochester Obesity Collaborative is working with local pediatric practices using a quality improvement learning collaborative

approach as the framework to improve BMI documentation, classifi cation and counseling rates for nutrition and activity. Participants

will learn about the documented improvements in all of the targeted process measures and how these results suggest that the learning

collaborative eff orts promoted improvements in obesity identifi cation and counseling.

Th e Lean Team: Enhancing School-Based Obesity Prevention Programs by Including Services for Teachers

★ ★ LEVEL 2


Coleen Martin MS,RD,LD, Program Director, Medical University of South Carolina;

Janice D. Key MD, Faculty, MUSC College of Graduate Studies

Th is presentation describes a unique method for implementation of school-based obesity programs. Th e Lean Team uses an inclusive

and coordinated approach to involve the school as well as the community in its school-based obesity prevention program. Th e

Lean Team program initially targets teachers and school staff . Th is implementation plan leads to improved behaviors modeled by

teachers and their participation in the program results in increased participation by students. Team members also are involved in

implementation of other program components including a needs assessment of the school and promotion of policy changes at the

school. Th is model was found to be particularly eff ective in schools with predominantly minority or low-income students which had

little parental involvement.

We Can!™: Science-Based Childhood Obesity Prevention via Clinical Settings

★ LEVEL 1


Karen Donato, Acting Branch Chief, Enhanced Dissemination and Utilization Branch Coordinator, Overweight and Obesity Research

Applications National Heart, Lung, and Blood Institute;

Wanda Montalvo RN, MSN, ANP, Clinical Director, New York State Diabetes Campaign

In response to the public health crisis associated with childhood overweight, the National Institutes of Health (NIH) has developed We

Can!™, Ways to Enhance Children’s Activity & Nutrition, a national education program that brings families and communities together

to promote healthy weight in children ages 8 through 13. Th is presentation will provide participants with an overview of the science

behind the program and will off er a clear understanding of the program’s available resources, together with ways to implement the

program in their own outpatient and offi ce settings.

Tuesday Childhood Obesity Congress


1:15 p.m. – 2:30 p.m. Afternoon Workshops

MEND: Implementing a Scalable, Community-Centered and Family-Focused Obesity Intervention Part 1

★ ★ LEVEL 2


Chris Calitz BA (Hons), Partnership Development Director (North America), MEND UK;

Joann Donnelly MA, CHFI, Training and Innovation Director, MEND Foundation;

Sarah E. Barlow MD, MPH, Associate Professor of Pediatrics, Baylor College of Medicine;

James Finck BA, President /CEO, YMCA of Austin

Th e MEND Program is the one of the world’s largest after school, evidence-based obesity interventions that is family-focused and

community-centered. Th e program uses trained multidisciplinary teams to deliver a standardized, multi-component curriculum

in community settings such as recreation centers, schools and community halls. Th e program was adapted to US dietary, physical

activity and policy guidelines. Pilot testing commenced in Fall 2009 in Austin and Houston, Texas, through public-private

partnership funding. Th is session will provide a history and overview of the MEND Program, its international clinical research and

implementation, the US adaptation and a discussion on its role and delivery within the context of the US healthcare system.

Stay’NHealthy Growing Strong - Th e Nashua Youth Overweight Collaborative

★ ★ LEVEL 2


Lila H. Monahan MD, FAAP, Pediatrician, Partners in Pediatrics;

Wanda Kennerson CMA, Clinical Liaison, Advantage Network PHO, Southern NH Medical Center

Th is session will highlight the multidisciplinary Stay’NHealthy - Growing Strong, Nashua (NH) Youth Overweight Collaborative.

As a result of participating in the collaborative practice teams were able to improve documentation of correct BMI percentile for

overweight/obese patients, knowledge of motivational interviewing techniques, routinely address nutrition and screen time with

their overweight/obese patients and families. A framework for developing and implementing similar programs in participant’s home

areas will be discussed.

Healthy for Life: An Innovative Approach to Childhood Obesity

★ LEVEL 1


Marie-Hortence Prosper MPH, MBA, Research Analyst, St. Joseph Health System

Healthy for Life is a school-based childhood obesity reduction program focusing on the areas of school environment through the

Centers for Disease Control and Prevention’s School Health Index, physical activity, and nutrition. Participants will learn how the

program curriculum and components may be replicated in local settings or integrated into current physical education classes to

enhance them.

16

TuesdayChildhood Obesity Congress

1 0 y e a r s a n d g r o w i n g . . . • W W W. N I C H Q. O R G

3:00 p.m. – 4:15 p.m. Afternoon Workshops

MEND: Implementing a Scalable, Community-Centered and Family-Focused Obesity Intervention Part 2

★ ★ LEVEL 2


Chris Calitz BA (Hons), Partnership Development Director (North America), MEND UK;

Joann Donnelly MA, CHFI, Training and Innovation Director, MEND Foundation;

Sarah E. Barlow MD, MPH, Associate Professor of Pediatrics, Baylor College of Medicine;

James Finck BA, President /CEO, YMCA of Austin

Th e MEND Program is the one of the world’s largest after school, evidence-based obesity interventions that is family-focused and

community-centered. Th e program uses trained multidisciplinary teams to deliver a standardized, multi-component curriculum in

community settings such as recreation centers, schools and community halls. Th e program was adapted to US dietary, physical activity

and policy guidelines. Pilot testing commenced in Fall 2009 in Austin and Houston, Texas, through public-private partnership funding.

Th is session will provide a history and overview of the MEND Program, its international clinical research and implementation, the US

adaptation and a discussion on its role and delivery within the context of the US healthcare system.

Preventing Childhood Obesity Th rough the Teen Lens

★ LEVEL 1


Jenne Johns, Deputy Director for Programs, Summit Health Institute for Research and Education, Inc (SHIRE)

Ward 8 is located in the District of Columbia, which had the highest rates of childhood obesity in the nation. In an eff ort to prevent

obesity SHIRE implemented the Summer Teen Health Education Program. Th is program trained youth ages 12 – 19 to become peer health

educators in the community. Of students recruited to participate signifi cant increases were seen in pre-post test on health knowledge,

behaviors, and nutrition practices among youth. Participants will learn how this program can be applied to the outpatient setting by

encouraging clinicians and medical providers to refer patients to community based programs.

Th e POWER of a Healthier Tomorrow: A Walk in Our Shoes…with a Pedometer?

★ ★ ★ LEVEL 3


Carl A. Sather MD, MS, Assistant Professor of Clinical Medicine and Clinical Pediatrics, Clinical Nutrition Fellow, Indiana University

School of Medicine;

Sandeep K. Gupta MD, Professor of Clinical Medicine and Clinical Pediatrics, Indiana University School of Medicine;

Heather Cupp RD, CD, Program Dietician and Coordinator, POWER

Th is presentation will highlight the POWER (Pediatric OverWeight Education and Research) program, which utilizes current practice

guidelines according to each provider’s discipline along with established methods for motivational interviewing and readiness-to-change

evaluation in our patient care. Families are trained in methods of behavioral change through eff ective communication and parental

strategy during diffi cult lifestyle modifi cation. Th e POWER clinic off ers patients an initial intensive three-month phase during which they

visit with the multidisciplinary team including a dietitian, physical therapist, physician and psychologist. Participants will see the tools

utilized to evaluate patients and their families as well as the multi-disciplinary process used to evaluate the program.


GENERAL CONFERENCE BEGINS

5:15 p.m. – 6:00 p.m. Meet the Faculty Reception, Grand Hall West

6:00 p.m. – 9:00 p.m. Opening Keynote Patrick J. Hagan, MHSA

Award Dinner

Entertainment with Lakeside Jazz Band under the direction of Band Director David C. Fairchild

Keynote Address: 6:00 p.m. – 7:00 p.m.

Innovation and the Paradox of Standard WorkREGENCY VII BALLROOM

Patrick J. Hagan MHSA, President and COO, Seattle Children’s Hospital

Th e idea of using standardization to move healthcare forward contradicts one’s intuitive understanding

of what is needed to innovate and stay ahead in a complex industry. Yet the very practice of using

predictable, reliable methods within a continuous performance improvement (CPI) context is a proven

pathway to innovation and is yielding big benefi ts in quality, safety, cost, engagement and service

delivery at Seattle Children’s Hospital. Th is session will present the framework and results possible when

harnessing a data-driven and standard approach to improving processes in healthcare.

Learn about recent advances and innovations to benefi t patients, make the work of healthcare practitioners easier and achieve sustainable

change that could apply in your healthcare setting.

Patrick Hagan joined Seattle Children’s in May 1996 and currently serves as its President and Chief Operating Offi cer. Over the past 25 years he

has held executive positions at children’s hospitals in Ohio and Arizona, in addition to Seattle. Learning from the experiences of Toyota, Boeing,

Genie, and other companies utilizing continuous improvement principles and tools, Pat has led and helped develop the CPI strategy at Seattle

Children’s. Uniquely, Seattle Children’s CPI strategy builds not only upon continuous improvement methodology but also upon the Service

“Hardwiring” lessons of Quint Studer and others, and the Engagement philosophy espoused by the Gallup Organization. Th is multi-dimensional

approach has much to do with Children’s outstanding success in improving its performance in service quality, clinical access, patient safety,

staff engagement, and fi nancial results. Pat has sponsored, led, or participated in several Rapid Process Improvement Workshops, and teaches

Children’s week-long CPI Leader Training course. Over the past several years Pat has spoken at numerous conferences and institutions about CPI

and Seattle Children’s successful application of this transformative strategy.


WednesdayConcurrent Sessions

WEDNESDAY CONCURRENT SESSIONS


7:00 a.m. – 6:00 p.m. Conference Registration Open, Grand Hall West

7:00 a.m. – 6:00 p.m. Exhibit Hall and Storyboards Open, Grand Hall West

GENERAL CONFERENCE CONTINUES

6:00 a.m. – 7:00 a.m. Morning Stretch, Lenox Room, Conference Center Level


8:00 a.m. – 9:00 a.m. Keynote Address, Charles J. Homer MD, MPH


10 Year Retrospective on the Progress

Made in Children’s Healthcare QualityREGENCY VII BALLROOM

Charles J. Homer MD, MPH, NICHQ President and CEO

Dr. Homer will discuss the most promising work being done in children’s healthcare quality today,

progress being made towards achieving a vision of better care, trends in pediatric healthcare to

look for in 2010, how today’s healthcare professionals can leverage their roles to improve future

outcomes and the role the new administration will have on addressing the health and healthcare

needs of children and families.

Charles J. Homer is a Founder and the CEO and President of the National Initiative for Children’s Healthcare Quality (NICHQ).

Dr. Homer is a pediatrician with advanced training in epidemiology. He is an Associate Professor of the Department of Society, Human

Development and Health at the Harvard University School of Public Health and an Associate Clinical Professor of Pediatrics at Harvard

Medical School. He was a member of the third US Preventive Services Task Force from 2000 – 2002 and served as chair of the American

Academy of Pediatrics Steering Committee on Quality Improvement and Management from 2001 – 2004. Prior to his position at NICHQ,

he was director of the Clinical Eff ectiveness Program at Children’s Hospital Boston, and served as program director of the fi rst federally

supported fellowship training programs in pediatric primary care and health services research. Dr. Homer is a frequent speaker on quality

measurement and quality improvement for children’s healthcare.


9:00 a.m. – 9:15 a.m. Break

9:15 a.m. – 10:30 a.m. CONCURRENT SESSIONS A

Access to and Utilization of Health Services by Rural-Dwelling Children: Challenges in Appalachia

★ ★ LEVEL 2


Laureen H. Smith PhD, RN, Assistant Professor, Th e Ohio State University

Th is session will present research fi ndings comparing health status, general health and BMI, of rural dwelling children to children living

in Appalachia. Comparisons also are made between rural children and two sub-groups within Appalachia with the incorporation of

controls for insurance status. Th is study is unique because most geographical comparisons have been between rural and urban children.

Participants will learn about policy and healthcare practice implications based on the study fi ndings.

Implementing Developmental Screening in Urban Practices Using the EHR

★ ★ LEVEL 2

Hanover AB, Exhibit Level

James Patrick Guevara MD, MPH, Associate Fellow, Center for Public Health Initiatives, University of Pennsylvania;

Robert Grundmeier MD, Informatics Director, Th e Children’s Hospital of Philadelphia;

Anneliese E. Butler MSW, Study Coordinator/Research Assistant, Th e Children’s Hospital of Philadelphia

Developmental screening is recommended to improve identifi cation of children with delays. Th is session will present methods to

implement a developmental screening protocol using an EHR. Participants will learn key aspects of implementation including garnering

provider buy-in, selecting validated tools, developing workfl ow procedures, providing staff training, and collaborating with EI agencies. Th e

session will highlight strategies participants can apply to implement developmental screenings in their own institutions and they will learn

through simulated presentations how the electronic health record can be utilized to facilitate screening implementation including the use

of automated reminders, clinical decision support, training reinforcement, and EI referrals.

Quality Improvement 201: Context-Relevant QI Leadership Training for the Busy Clinician

★ ★ LEVEL 2


Christopher Stille MD, MPH, Academic Generalist Pediatrician, Researcher, Associate Professor, University of Massachusetts Medical School;

Jeanne McBride RN, BSN, MM, QI Project Manager, UMass Medical School/UMass Memorial Center, Advancement of Primary Care

Th e University of Massachusetts Medical School developed a 20-session “Quality Scholars” curriculum designed to be completed by faculty

interested in leading QI projects in their practice environments. Th is session will present the structure of the Quality Scholars program, list

resources needed for attendees to create such a program in their own institutions, deliver a short sampling of program content, describe

evaluation methods for the project, and describe how this program can meet the current and future needs of QI leaders.


Building Safety Teams to Identify and Prevent Errors in Ambulatory Pediatrics

★ ★ LEVEL 2

Hanover FG, Exhibit Level

Daniel R. Neuspiel MD, MPH, Director of Ambulatory Pediatrics, Levine Children’s Hospital;

Erin H. Stubbs MD, Chief Pediatric Resident, Levine Children’s Hospital of Carolinas Medical Center

Mandatory hospital incident reporting systems miss many medical errors, appear punitive, seek to blame individuals for mistakes, and are

underutilized. A non-punitive systems approach, rather than the traditional blaming culture, is more eff ective in identifying and addressing

errors. Th e presentation will summarize what is currently known about the sources of medical error in ambulatory pediatrics. An eff ective

model will be detailed, including building a multidisciplinary safety team, setting up a non-punitive reporting system, doing root-cause

analysis of error reports, developing and implementing rapid system changes to prevent future errors, and sustaining changes. Participants

will learn how to implement a similar model in their own settings.

Family Leaders: Our Equal Place at the Table

★ LEVEL 1Family Leader Session

Chicago ABC, Exhibit Level

Sheryl Chadwick, Family Centered Care Coordinator, Children’s Mercy Hospitals and Clinics;

DeeJo Miller, Family Centered Care Coordinator, CMHC

Families are an integral part of the healthcare team. NICHQ values the involvement of patients and parents in all of their work while

recognizing that the family’s experiences and input is critical to improving children’s healthcare. Th is session will enlighten family leaders

about their signifi cant role at the NICHQ conference and empower them to expand their roles as Family Leaders during the conference and

in their local settings.

HIT Policy and Practice: Making Information Technology Work for Child Health

★ LEVEL 1

Regency VII, Ballroom Level

Gary Frank MD, MS, Pediatric Hospitalist, Scottish Rite Pediatric and Adolescent Consultants, Medical Director of Quality

and Medical Management, Children’s Healthcare of Atlanta;

David A. Bergman MD, Associate Professor in Pediatrics, Stanford University School of Medicine

Lisa Simpson MB, BCh, MPH, FAAP, Director, Child Policy Research Center, Cincinnati Children’s Hospital Medical Center

Federal policy is seeking to rapidly accelerate the adoption and use of health information technology to improve care and lower costs.

Will it work? Will children receive the benefi t? Th is panel will discuss the latest federal initiatives, how the pediatric community is seeking

to infl uence that policy so that it better addresses the needs of children and their providers, and some cutting edge applications of what

health

IT is doing to improve care.



10:30 a.m. – 11:00 a.m. Break

11:00 a.m. – 12:15 p.m. CONCURRENT SESSIONS B

Partnering with Your Doctor - Th e Medical Home Approach



Rev. David Hoff man, Associate Pastor, Worthington United Methodist Church, Member of the Parent Advisory Committee

for the Bureau of Children with Medical Handicaps of the Ohio Department of Health;

Jodi A. Griffi n MPA, Project Coordinator, Systems Reform Program Michigan Public Health Institute

Participants will learn about a guide that was created by a multidisciplinary team to promote medical home. Th is tool is a part

of the partnership development process between families and healthcare providers to provide children with access to quality

care. Th e session will provide a variety of tools, resources, and a free hard copy of the guide itself to utilize in addition to

post-Forum access to resources on promoting the use of the medical home model through marketing and e-communication

strategies. Based on what is known of the medical home model, the development of this guide and family-doctor partnership

off er promising results in the increased access of quality care and advocacy for children with special healthcare needs.

Offi ce Based Prevention of Child Abuse: Th e Practicing Safety Project

★ ★ LEVEL 2Family Leader Session


Steven Kairys MD, MPH, Chairman of Pediatrics, Jersey Shore University Medical Center

Th e presentation will provide detailed information about offi ce based approaches to child abuse prevention. It will

highlight a learning collaborative process and will review the evidence to date about the capacity of primary care to

impact the epidemic of child abuse. One such approach is Practicing Safety (PS), which is designed to increase the

capacity of pediatric practices to prevent abuse and neglect. Results showed that practices made fundamental

changes in decision-making, assessment and parent education processes. Practices tailored change to their

unique practice culture based on complex adaptive system theory. Participants will learn detailed data about

the intervention, the role of primary care in child abuse prevention, and the barriers to dissemination.


Development and Implementation of a Quality Program in a Pediatric Emergency Setting

★ ★ LEVEL 2


Tracy Hartman MHA, CPHQ, ASQ SSGB, Quality Improvement Project Coordinator, Children’s Mercy Hospitals and Clinics;

Stacy L. Doyle RN, BSN, MBA, CPN, Emergency Department Manager, Children’s Mercy Hospitals and Clinics

Quality improvement eff orts in the emergency setting are often diffi cult due to many factors, which include multiple specialties, variances in

patient population, variety in practice, typical personalities in the emergency setting, constantly changing activities, and issues in the department.

Th e presentation demonstrates the implementation of rapid cycle improvement and evaluates the special challenges and opportunities related to

improvement in an emergency setting by following an example of decreasing the rates of blood culture contaminations in the Emergency Room

and two Urgent Care Centers at Children’s Mercy Hospitals and Clinics. While leading participants step-by-step through a rapid cycle project with

positive clinical outcomes, this presentation will show how to maintain gains and discover new improvement opportunities.

Implementing Lean to Improve Emergency Department Th roughput

★ LEVEL 1


Jennifer Berdis RN, BSN, CPN, Manager of Emergency Services, Children’s Healthcare of Atlanta;

Jeff Rehberg BIE, ME, Manager of Process Improvement, CHOA;

Marianne Hatfi eld BSN, RN, CENP, System Director of Emergency Services, CHOA;

David Allen Werner MD, Pediatric Emergency Medicine Physician and Chief Financial Offi cer, CHOA

Th e Emergency Department on the Scottish Rite Campus of Children’s Healthcare of Atlanta, utilized Lean principles to improve the time from

triage to physician assessment, to decrease the overall length of stay for emergency department patients, and to improve the equity of physician

assignment by decreasing decision-making choices, and aligning available resources to start patient treatment. Th e new process has resulted in

marked success with no increase in staffi ng, while seeing a signifi cant increase in patient volume. Participants will learn how implementation of

Lean principles can be applied in their settings with similar results.

FutureCare: Redesigning Our Child Health Model within the Long Term Revenue Reality

★ LEVEL 1


David Ford, CEO, CareOregon;

Pam Mariea-Nason RN, MBA, Director, Health Policy & Community Engagement, CareOregon;

Dana Nason MD, Senior Pediatrician, Hillsboro Pediatrics

Th is recession has evolved into a long term global economic reset which will not return to previous levels of prosperity. Economists predict

declines in Public Revenue, particularly State revenues which support Medicaid, principally Children. Th e general business economy and

private health insurance is declining or has such severe deductibles that offi ce visits are increasingly paid directly by patients. In light of this

economic shift, the classic forms of practice will face fi nancial viability challenges. How do we envision, and transform our practices to not

only meet these new fi nancial challenges while continuing to improve care and outcomes for children.



Improving Medical Care for Autism through Patient Registries and Guideline Development

★ LEVEL 1

Chicago DEF, Exhibit Level

Daniel Coury MD, Medical Director, Autism Treatment Network;

Clara Lajonchere PhD, Vice President of Clinical Programs, Autism Speaks;

Michael Schechter MD, MPH, Director of the Emory University Cystic Fibrosis Center

Th is session will describe the development of a patient registry and guidelines for patient care to improve medical treatment of autism

spectrum disorders. Th e role of family input and the dissemination of the philosophy of the Autism Treatment Network (ATN) will be

discussed. Participants attending this session will learn how conducting multidisciplinary evaluations have changed care models to provide

more comprehensive, patient centered care. Recommended assessment batteries and development of clinical models will also be presented.

12:15 p.m. – 1:30 p.m. Lunch and Learn—choose from one of the four following lunchtime discussions

Healthy Kids, Healthy Future: Promising Practices and Policies for Obesity Prevention and Health Promotion in Early Care and Education


Anne DeBiasi MHA, Director of Child Health Policy and Advocacy, Nemours

Th is session will focus on the importance of the child care setting to prevent childhood obesity including highlighting promising policies and practices

in states and communities. Th e work of Nemours in Delaware will also be shared which is a comprehensive initiative that includes statewide policy

change and eff orts to help child care centers implement healthy eating and physical activity standards. Th e later involved a collaborative learning

process, modeled after the IHI quality improvement process. In addition, program and policy eff orts that are occurring nationally related to early

education and obesity prevention will be shared based on 1) a recent national conference where the goals were to identify and promote innovative

model state and local policies and practices and assess the evidence base and 2) follow-up work to develop a national strategy and action plan.

Improving the System - Helping the Child: A Focus on Children and Youth with Special Healthcare Needs


Carolyn Anderson, Consultant, NICHQ, Integrated Systems of Care Project

Supported by a contract with the Maternal and Child Health Bureau and utilizing a collaborative learning model, clinical teams focusing on Newborn

Hearing Screening and Epilepsy have made improvements in the system of care of children and youth with special healthcare needs. An integral part

of the collaborative is the focus on building the capacity of state Title V programs to create and sustain eff ective community based systems of care

for this population. During this session, we will explore how government agencies—and by extension other large delivery or support systems--can

promote the use of quality improvement methods to enhance the systems of care for children and youth with special healthcare needs.

Advancement in the Care for NICHQ ADHD Projects


Steven Kairys MD, MPH, Chairman of Pediatrics, Jersey Shore University Medical Center

With the upcoming release of the AAP’s revised guidelines on ADHD, NICHQ has been working with clinics to update the toolkit to refl ect the

revisions. Approximately 40 sites across the country are working piloting the revised and newly developed tools that will complement the 2001

version of the toolkit, making the re-released toolkit appropriate for use with the new guidelines.

A Closer Look at Family Support for Autism Spectrum Disorders

Chicago DEF, Exhibit Level

Daniel Coury MD, Medical Director, Autism Treatment Network

Th is session will examine the integral role of family participation in the care

and treatment of children with Autism spectrum disorders.


1:30 p.m. – 2:30 p.m. Keynote Address, David Salinas MD

Keynote Address: 1:30 p.m. – 2:30 p.m.

Zero is a Real Number: Th e Children’s Journey to

Excellence in Pediatric Quality OutcomesREGENCY VII BALLROOM

Daniel Salinas MD, Senior Vice President and Chief Medical Offi cer, Children’s Healthcare of Atlanta

When two formal pediatric hospital rivals came together a little more than ten years ago,

the one commonality between the two medical staff s was a dedication to high quality

pediatric care. Th is is the story about the Children’s Healthcare of Atlanta journey to

Quality and improved patient outcomes—and the guiding principle lighting that journey

is the understanding that zero is a real number. Learn what Children’s has done to bring its organization closer to zero, and what

Daniel Salinas, M.D., SVP, Chief Medical Offi cer for Children’s, envisions for the future of quality pediatric healthcare, not just for

Children’s, but for the industry as a whole.

In his role, Dr. Salinas provides visionary leadership for the clinical delivery systems and draws on his skills as a relationship-builder

and facilitator to forge partnerships with physician practices. In addition, he provides oversight to the Children’s Medical Directors,

service line Chief Medical Offi cers, Medical Aff airs department and Child Health Promotion—the advocacy arm of Children’s.

Dr. Salinas has a proven track record as a well-known pediatrician and physician leader committed to the care of Georgia’s children.

Before coming to Children’s, he served as Regional Vice President and National Medical Director for WellPoint Inc. Previously,

he was Vice President and Medical Director for Blue Cross Blue Shield of Georgia and served in a number of leadership roles at

Kaiser Permanente.

A native of Houston, Texas, Dr. Salinas earned his medical degree at the University of Texas Medical School, after earning his

bachelor’s degree from Texas Lutheran College. He currently serves on the HSOC Board of Trustees and is a member of the

Children’s Healthcare Surgery Center at Meridian Mark Plaza and the Fragile Kids Foundation Board.



2:30 p.m. – 2:45 p.m. Break

2:45 p.m. – 4:00 p.m. CONCURRENT SESSIONS C

Step Up to Health - Addressing Obesity & Diabetes in Minority Youth

★ ★ LEVEL 2


Warren Isenhour, Director, Step Up to Health;

Kimberlee Wyche-Etheridge MD, Director - Family, Youth, & Infant, Metro Nashville Public Health Department

Participants will learn about a cutting edge program designed to get youth physically active and combat diabetes and obesity through

the use of the culturally unique art form of stepping. Presenters will share in depth the programs structure, implementation, and

successes. Th is program targets minority youth and addresses the disparities in health and wellness facing them. Participants will be

able to recognize the art form of stepping, explain it to others, and replicate it while understanding how the use of culturally specifi c art

forms and activities can enhance the ability to reach demographic groups that associate with this specifi c cultural art form.

Performance Improvement Team Eff orts Reduce Incidence of Severe Retinopathy of Prematurity Requiring Laser Th erapy

★ ★ LEVEL 2


Grace Propper RN, MS, CPNP, NNP-BC, Quality Management Practitioner at Stony Brook University Hospital;

Paul F. Murphy BA, Data Manager, Continuous Quality Improvement, Stony Brook University Hospital;

Shanthy Sridhar MD, Medical Director, Stony Brook University Hospital

Retinopathy of prematurity (ROP) is a disease that aff ects the immature vasculature of premature infants, all babies less than 1500g

birth weight or younger than 32 weeks gestational age at birth are at risk of developing ROP. One goal of our team is to decrease the

number of premature infants that require laser therapy to treat ROP. Participants will learn how ventilator management and O2

saturation goal protocols were developed and implemented applying best practice and how the use of daily goal sheets coupled with

multidisciplinary “lightning rounds” improved compliance with maintaining infants in the preferred saturation range.


Early Childhood Caries (ECC): Disease Management Using a Chronic Care Model


Havover D, Exhibit Level

Man Wai Ng DDS, MPH, Chief of the Department of Dentistry, Children’s Hospital Boston;

B. Alex White DDS, DrPH, Director of Analytics, DentaQuest Institute

Early childhood caries (ECC) is an almost completely preventable disease but eff ective prevention and management requires risk indicators be

identifi ed early in children and preventive practices implemented in infancy. Participants will learn about a successful evidence-based, risk-

based disease management approach to ECC using the chronic care model, adopted from the concept of chronic care management of medical

conditions. Practical strategies will be off ered on how to redesign any dental/medical practice to implement risk-based ECC prevention and

management to address the causes of the disease in patients and not just the consequences.

Designing a Robust Quality Improvement Program for Pediatric Residents

★ ★ LEVEL 2


Greg Randolph MD, MPH, Co-Director, North Carolina Children’s Center for Clinical Excellence;

Laura Noonan MD, Director, Center for Pediatric Excellence, Department of Pediatrics, Levine Children’s Hospital at Carolinas Medical Center

Th is session will describe two models that have successfully aligned resident education with the need for improved quality of care. Th e

Residency Programs at University of North Carolina and Carolinas Medical Center have developed comprehensive Resident QI Programs

to assure each resident acquires knowledge about QI methods and tools and learns how to incorporate QI into their clinical practice. Th ese

programs incorporate QI by providing a standardized, longitudinal, mentored, experiential curriculum with the goal of increasing residents’

knowledge, skills, and abilities to apply QI. Participants will be provided with the basic tools and implementation strategies that can be used

to create or improve their organization’s residency QI program.

Th e Core Set of Child Health Quality Measures – Th e Measures Selected for Inclusion in the Core Set Required by the CHIP Reauthorization Act

★ LEVEL 1


Jeff rey S. Schiff MD, MBA, Medical Director, Minnesota Department of Human Services;

Denise Dougherty PhD, Senior Advisor, Child Health and Quality Improvement, Agency for Healthcare Research and Quality;

Rita Mangione-Smith MD, MPH, Center for Child Health, Behavior, and Development, Seattle Children’s Hospital Research Institute

Th e Children’s Health Insurance Program Reauthorization Act sets a roadmap for child health quality improvement. Th e law requires

identifi cation of quality measures of preventive and health promotion services, services for acute and chronic conditions, integration of

care across setting, family experience of care, duration of enrollment, and availability of services. Measures selected and opportunities and

challenges of implementation will be discussed.



Th e Future of Nursing: Better Capacity to Improve Quality and Safety

★ LEVEL 1


Susan B. Hassmiller PhD, RN, FAAN, Senior Advisor for Nursing, Robert Wood Johnson Foundation

Session will describe how the road to improved quality of care will require a new set of skills by nurses including an

enhanced curriculum on safety and quality at all schools of nursing, an appreciation for interdisciplinary Collaboration,

better partnerships between academia and practice, a seat at all quality/safety decision making tables, and a new sense of

responsibility and accountability to patients by following an evidence based practice.

4:00 p.m. – 4:30 p.m. Break

4:30 p.m. – 6:00 p.m. Storyboard Reception, Grand Hall West

6:00 p.m. Dinner on your own


Turning 10: Personal Learning and Policy ProgressREGENCY VII BALLROOM

Lisa Simpson MB, BCh, MPH, FAAP, Director, Child Policy Research Center, Cincinnati Children’s HospitalMedical Center

Th is keynote will refl ect on the progress we have made in the last decade in understanding

quality of care for children, how well we are applying that knowledge in the design of policy

and system strategies to sustain care improvement, and what opportunities exist in the

coming years to truly transform care for children.

Dr. Simpson is Director of the Child Policy Research Center at Cincinnati Children’s Hospital Medical Center and a Professor of

Pediatrics in the Division of Health Policy and Clinical Eff ectiveness, Department of Pediatrics, University of Cincinnati. Th e

Center provides evidence based information to inform policy and program decisions at the local, state, and national levels with an

emphasis on strategies to improve the quality of healthcare, the eff ectiveness of public policies, and child well being.

Dr. Simpson, a board-certifi ed pediatrician, was formerly the Deputy Director at the Agency for Healthcare Research and

Quality at the US Department of Health and Human Services. She has served as a Clinical Assistant Professor for John Hopkins

University School of Public Health and University of Hawaii’s Schools of Public Health and Medicine. She has received numerous

awards including the Excellence in Public Service Award from the American Academy of Pediatrics, the Senior Executive Service

Meritorious Presidential Rank Award, and the DHHS Secretary’s Distinguished Service Award for the development of a user-driven

and integrated planning, budget and evaluation strategy for the Agency.


Th ursdayGeneral Conference

THURSDAY—GENERAL CONFERENCE

6:00 a.m. – 7:00 a.m. Yoga, Lenox Room, Conference Center Level



7:00 a.m. – 11:00 a.m. Exhibit Hall and Storyboards Open, Grand Hall West

8:00 a.m. – 9:00 a.m. Keynote Address, Lisa Simpson MB, BCh, MPH, FAAP


9:00 a.m. – 9:15 a.m. Break

9:15 a.m. – 10:30 a.m. CONCURRENT SESSIONS D

Th e Confl uence of HIT, Medical Home, and P4P for Pediatric Quality

★ ★ ★ LEVEL 3


William Millar Zurhellen MD, FAAP, President and Chief Executive Offi cer, Putnam Valley Pediatrics, P.C.;

Christopher Stille MD, Professor, University of Massachusetts

Th e innovative session is designed to acquaint participants with the use of health information technology to produce the data required to satisfy

the requirements for NCQA certifi cation, and HEDIS measures involved in P4P programs. Th e confl uence of three important factors has fi nally

provided the basis for promoting quality in healthcare. Th is presentation discusses HEDIS measures, data requirements, NCQA certifi cation for

the Medical Home, and then provides the background for IT systems that can integrate quality and fi nancial factors for quality care. Participants

will develop thorough understanding of payer mechanisms for measuring quality and designing P4P, P4Q, and PQRI programs as well as NCQA

Medical Home certifi cation is conducted and how a structured framework can enhance accreditation eff orts.

ENERGIZE! Lessons Learned: A Type 2 Diabetes Prevention Program is Replicated Across North Carolina

★ ★ LEVEL 2


Julie Paul MS, RD, LDN, CDE, Program Coordinator, ENERGIZE!, WakeMed Health and Hospitals;

Marjorie Wilson BA, AFFA, ACE, Education Specialist

ENERGIZE! is a 12-week, 3 days per week, community-based program, led in collaboration with local youth fi tness organizations, designed to educate

families about healthy eating, physical activity, and behavior change. Participants will learn about the diabetes screening tools, physician training,

community partnerships, program curriculum, program evaluation and assessment tools utilized by this program. Th is screening process utilized has

taught many physicians the importance of tracking BMI and evaluating children with high risk factors for diabetes and cardiovascular disease.

Exploring and Testing a Comprehensive Approach for Measuring the Quality of Well Child Care

★ ★ LEVEL 2


Sarah Hudson Scholle MPH, DrPH, Assistant Vice President for Research, National Committee for Quality Assurance;

Sepheen C. Byron MHS, Assistant Director, Performance Measurement, National Committee for Quality Assurance

Performance measurement is a powerful tool that can drive improvements in quality of care. Current measures for children’s well care often focus

on whether visits occur rather than the content of care. National Committee for Quality Assurance (NCQA) proposed measures to promote quality

in child health by focusing on broader, age-appropriate targets, including an emphasis on obesity and chronic conditions. Th is session will consist

of a presentation summarizing eff orts to identify a strategy for expanding quality measurement focused on children. Participants will gain insight

on how performance measures are conceptualized, developed and implemented, and understand initial results from the fi eld.

30 1 0 y e a r s a n d g r o w i n g . . . • W W W. N I C H Q. O R G30

Operation Prevent Flu Meets H1N1-Th e Unseasonal Surge in a Children’s Healthcare System



J. Renee Warner Watson, Manager-Infection Control and Occupational Health, Children’s Healthcare of Atlanta;

Marianne Hatfi eld BSN, RN, CENP, System Director of Emergency Services, CHOA;

Dan Kotz CHEC, Emergency Management Coordinator, CHOA

Children’s Healthcare of Atlanta (CHOA) experienced extreme surges of emergency room volumes during August and September 2009. Th is surge

related to the highest prevalence of H1N1 infl uenza within the United States. Th e healthcare system could have been disabled had it not been for

the multidisciplinary approach and the development of seven related teams working to ensure patient safety, and employee safety in the face of

staff shortages and supply shortages. Participants will learn how the team process was utilized and will be provided the tools developed to balance

science with logistics to ensure that no negative outcomes were realized.

Quality Improvement in the Management of Children with Sickle Cell Disease



Peter A. Lane MD, Director, Sickle Cell Disease Program, Afl ac Cancer Center and Blood Disorders Service, CHOA;

C. Jason Wang MD, PhD, Assistant Professor of Pediatrics and Public Health, Boston University and Boston Medical Center

Specialized, comprehensive healthcare markedly improves outcomes in children with sickle cell disease (SCD), but national quality indicators for

SCD have not been developed and implemented. Th is two-part session will: 1) review experience with standardizing and assessing the quality of

care at a SCD program that provides comprehensive outpatient and inpatient services to >1,600 children with SCD, and 2) review recent progress

towards the development of national quality-of-care indicators for SCD.

Health Reform, CHIPRA and Child Health Quality

★ LEVEL 1


Sarah deLone, Program Director, National Academy for State Health Policy;

Polly Arango, Writer, Advocate, Co-Founder of Family Voices

Barbara Dailey RN, BSN, MS, CPHQ, Director, Division of Quality, Evaluation, and Health Outcomes, Family and Children’s Health Programs

Group, Center for Medicaid and State Operations

Th e children’s healthcare environment has changed dramatically in the last year—CHIPRA is being implemented, and by the time of the Forum,

we may have health reform. Will change be an improvement? Th is session will examine what has already been accomplished, what is coming down

the pike, and what it means. Panelists will present the federal, state and family/consumer perspectives on these recent policy directions, and what

we can expect.


Family and Children’s Health Prog

ed, and by the time of the Foru

ccomplished, what is comi

se recent policy directions


Care Coordination and the Pennsylvania Medical Home Program-Benefi ts, Barriers, and Big Successes


Chicago Ballroom, Exhibit Level

Renee M. Turchi MD, MPH, Faculty, Drexel University School of Public Health and Drexel University College of Medicine;

Molly Gatto, Associate Program Director, Pennsylvania Medical Home Program

Th e Pennsylvania PA Medical Home Program, EPIC IC, is working on quality improvement, adoption, and implementation of medical home

with pediatric practices. Th is presentation highlights a central component of medical home adoption and implementation for practices caring

for children with chronic conditions-care coordination. Th e lessons learned, data and tools highlighted will include tangible lessons and practical

tips for easy and rapid implementation in the outpatient, inpatient and community practice setting. Examples of reimbursement for care

coordination activities will be discussed.

10:30 a.m. – 11:00 a.m. Break

11:00 a.m. – 12:15 p.m. CONCURRENT SESSIONS E

New Jersey Smiles: A Medicaid Quality Collaborative to Improve Oral Health in Young Kids



Sheree Neese-Todd MA, Senior Program Offi cer, Children’s Health Quality, Center for Health Care Strategies

Th e Center of Health Care Strategies (CHCS) bought together New Jersey’s (NJ) fi ve Medicaid managed care health plans (MCOs), NJ Medicaid,

and other regional partners committed to improving access to oral health services for young children. Th e collaborative developed standardized

tools for community providers, teachers, and families. Th e innovations developed and tested during this 18 month NJ Smiles collaborative

benefi ted from the current national “cross system” policy initiatives that target oral health improvements for very young children. Participants

will learn about plans to extend and apply the lessons learned from the NJ Smiles quality collaborative in other settings.

Making the White Board the “Right Board:” Integrating IT to Improve Ward Patient Awareness

★ ★ ★ LEVEL 3


Troy L. McGuire MD, FAAP, Director of Medical Informatics, Pediatric Hospitalist, Children’s Hospital of Orange County (CHOC);

Jill Fargo MSN, FNP, RN, NEA-BC, Clinical Director, Medical Surgical Services, CHOC;

Ruth Slater, Director Patient Care Informatics, CHOC

Background Miscommunication is at the root of most signifi cant medical error. Incorporating the Pediatric Early Warning System (PEWS)

physiology-based monitoring of ward patients, we converted from a traditional Nursing Station white board to a large, EMR-connected

LCD, providing an instant “snapshot” of patient acuity thereby advancing eff orts to improve communication and situational awareness

of patient status. Our design dramatically improves organizational awareness of non-ICU patient status by attempting to reduce the

chances for miscommunication to occur. Participants will learn how this eBoard model can readily be applied to inpatient settings

by design. Modifi cations could easily be performed in almost unlimited fashion to almost any clinical scenario.


Adolescent and Parent Attitudes About Obesity in an Urban Community Health Center

★ ★ LEVEL 2


Sandra Goldsmith MS, RD, CDN, Director of Nutrition Services, Community Pediatric Programs (CPP), Th e Children’s Health Fund and

Montefi ore Medical Center

Th e South Bronx Health Center for Children and Families (SBHCCF), a program of the Children’s Health Fund and the Children’s Hospital

at Montefi ore created Starting Right, a multi-disciplinary pediatric obesity program that is integrated into its primary care practice.

Th e Starting Right Initiative conducted a qualitative study exploring adolescent and parent attitudes about obesity and behavior change to

enhance provider-patient communication and inform program development. Th e session will detail programmatic changes that resulted from

this research, the development of provider training and how SBHCCF linked with other community based organizations to deliver nutrition

and fi tness programming to its patients. Th is session will take participants through the conclusions drawn from this research.

Scope of a Tertiary Center Care Coordination Program for Medically Complex and Fragile Children with Chronic Conditions



John B. Gordon MD, Medical Director, Special Needs Program, Children’s Hospital of Wisconsin;

Holly Colby RN, MS, Children’s Hospital of Wisconsin;

Anne Juhlmann BSN, Nurse Planner, Children’s Hospital of Wisconsin

Th e goal of this presentation is to describe the clinical and academic activities of a well established tertiary academic center care coordination

program with particular emphasis on ensuring seamless inpatient and outpatient care through partnerships with families and Medical

Homes, approaches to educating the next generation of physicians and nurses about the needs of this growing population; and strategies

for ensuring sustainability and ability to replicate the model.

Quality Improvement in Pediatric Literacy Promotion: Th e Reach Out and Read Experience



Lee M. Sanders MD, MPH, Associate Professor of Pediatrics, University of Miami;

Barbara Ducharme MBA, EdM, National Programs Director, Reach Out and Read

Reach Out and Read (ROR) QI is a clinic-based model developed to improve delivery of the ROR model of early literacy promotion. It

measures delivery of care outcomes and family perception of those outcomes. Th e ability to input and review data instantaneously on-line

allows for real-time review and immediate allowing for improved coordination of care, better delivery of systems and improved outcomes.

Participants will learn about how all team members to identify current systems, initiate change, and collecting data, and to monitor progress.


itudes About Obesity in an Urban Community Health Cente

Nutrition Services, Community Pediatric Programs (CPP), Th e Children’s Health Fund and

ilies (SBHCCF), a program of the Children’s Health Fund and the Children’s Hospi

ary pediatric obesity program that is integrated into its primary care practi

study exploring adolescent and parent attitudes about obesity and beh

rm program development. Th e session will detail programmatic cha

ng and how SBHCCF linked with other community based organ

ssion will take participants through the conclusions drawn fro

ordination Program for Medically Complex and Fragile

ector Special Needs Program Children’s Hospital of Wisconsin;

cadem

th

of this pres

program with part

Homes, approach

for ensuring sus

Quality Imp

★ ★ LEVEL 2Family Leader Sess

Hanover D, Exhibit Le

Le

phy

odel.

y Promotion: Th e

s, U


Improving Outcomes for Children with Complex Chronic Conditions through Co-Management Among Specialists, Primary Care and the Family

★ ★ LEVEL 2

Chicago Ballroom, Exhibit Level

W. Carl Cooley MD, Medical Director, Center for Medical Home Improvement;

Polly Arango, Writer, Advocate, Co-Founder of Family Voices;

Christopher Stille MD, MPH, Associate Professor, University of Massachusetts Medical School;

Th omas Klitzner MD, PhD, Director Pediatric Cardiology, Mattel Children’s Hospital at UCLA;

Carolyn Green MD, Associate Professor, UC Denver and Th e Children’s Hospital Denver

Th is panel discussion will feature the experience of two nationally recognized medical home experts, two tertiary level pediatric

subspecialists, and a parent with vast personal and general experience with the healthcare system and the perspective of families.

Each panel member will make brief presentations from their respective points of view and pose questions for an interactive

discussion on issues such as: “Are there conditions that are too rare and complex for primary care involvement?,” “Should the

specialist provide the medical home?,” “Who decides who does what and when?”

12:15 p.m. Adjourn

Each panel member will make brief presentations from their respective points of view and pose questions for an interactiveh l b ll k b f f h f d f

discussion on issues such as: “Are there conditions that are too rare and complex for primary care involvement?,” “Should the

specialist provide the medical home?,” “Who decides who does what and when?”

12:15 p.m. Adjourn


Forum sponsorsNICHQ would like to thank all the generous sponsors and exhibitors at

the Annual Forum for Improving Children’s Healthcare and

Childhood Obesity Congress.

Arkansas Children’s Hospital, a private, nonprofi t healthcare facility, is the only pediatric medical

center in Arkansas and one of the largest in the United States. ACH has an internationally renowned

reputation for medical breakthroughs and intensive treatments. Th e 29-block campus houses 316 beds,

approximately 500 physicians, 80 residents in pediatrics/pediatric specialties and 4,200+ employees.

Children’s Mercy Hospitals and Clinics in Kansas City, Mo., is a regional leader in pediatric clinical

care, research and academics. Children’s Mercy is a Magnet recognized hospital and off ers a Level

1 Trauma Center, a Level IIIc Neonatal Intensive Care Unit, and clinics representing more than 40

pediatric subspecialty services.

Children’s Healthcare of Atlanta off ers more than 30 specialties and manages more than 500,000

patient visits annually at three hospitals and 16 neighborhood locations. Ranked a top pediatric hos-

pital by Parents magazine and U.S.News & World Report, Children’s is also named one of the 100 best

places to work for by Fortune magazine. www.choa.org

Serving a 46-county service area, Dell Children’s

Medical Center of Central Texas is the only dedicated

pediatric hospital in the region.

Bronze Sponsors

Seattle Children’s is the pediatric referral center

for Washington, Alaska, Montana and Idaho

and the primary pediatric teaching, clinical and

research site for the University of Washington

School of Medicine.

Silver Sponsors

Kaiser Permanente is a health care provider and

not-for-profi t health plan serving more than 8.6

million members in the U.S. Th e organization is

headquartered in Oakland, CA.

CVS Caremark, the largest pharmacy health care

provider in the United States, is uniquely positioned

to provide greater access, engage patients in behaviors

that improve their health and lower overall health care

costs through our more than 7,000 retail pharmacies;

Caremark Pharmacy Services division; MinuteClinic

retail-based health clinics; and online pharmacy,

CVS.com.


Supporting Sponsors

Aetna is one of the nation’s leading diversifi ed

health care benefi ts companies, serving

approximately 36.3 million people with

information and resources to help them make

better informed decisions about their health care.

Epic provides integrated software to many

of the nation’s leading pediatric organizations.

One database spans clinical, access and revenue

functions and extends into the home.

Oakland’s School of Nursing (Rochester,

MI) meets the needs of the high-tech work

environment by integrating clinical knowledge,

communication, caring skills and information

management into a curriculum that develops skills

necessary for the 21st century. www.oakland.edu

QuesGen is a web-based application developed

for research studies and clinical operations.

It provides a comprehensive electronic health

record solution targeting pediatric obesity.

ACPRC utilizes 4D Echocardiography to aid

physicians in the evaluation of their complex

patients with a focus on PAH, cardiac disease,

and obesity.

Children’s Hospital Boston is one of the nation’s

leading pediatric medical centers and the largest

provider of health care to Massachusetts children.

Visit www.childrenshospital.org.

Th e DentaQuest Institute

(www.dentaquestinstitute.org) is the leader in

quality improvement and technical assistance

programs to promote eff ective prevention and

management of oral disease.

Th e 296-bed Children’s Hospital of Wisconsin

is a national leader in pediatric health care

with more than 22,000 admissions and 60,000

emergency visits each year.

Nemours is a child health system dedicated to

improving quality and health outcomes through

an integrated spectrum of medical care, research,

advocacy, education, and prevention.

ExhibitorsOther Sponsors

Grantor

Cyber Café Sponsors

Cincinnati Children’s, a recognized leader

in transforming healthcare, is committed to

providing children with the best outcome

through patient care, research, education and

quality improvement.

Meet the Faculty Reception Sponsor

Health and Wellness Sponsors


Storyboards

Storyboard 105

Interdisciplinary Assessment

and Intervention for Childhood

Behavior Disorders in Family

Practice

Caroline Family Health Team of

Burlington

Jean Clinton MD;

Kelly Waid

Storyboard 106

Managing ADHD in a Pediatric

Special Needs Medicaid Health

Plan Environment

Health Services for Children with

Special Needs, Inc.

Constance M. Yancy MBA, BSN, RN,

CPHQ

Storyboard 107

Changing Patterns of Pediatric

Asthma Care and Education in the

Urban Setting (Part III)

Cooper Health System, Camden, NJ

Vatsala Ramprasad MD;

Sally Hinkle RN, BSN, MPA

Storyboard 108

Pediatric Asthma Faculty

Champions Initiative: A Successful

Model to Improve Pediatric

Asthma Care

National Environmental Education

Foundation

Leyla McCurdy

Storyboard 109

Standardizing and Improving

Inpatient Airway Clearance

Using an Incentive Program

Children’s Healthcare of

Atlanta - Egleston

Clara Hopkins MBA, RRT

Childhood Obesity:

Storyboard 200

Pediatric Obesity Related to

Nutrition Counseling

Old Dominion University School of

Nursing

Melanie J. Wilhelm CPNP, MSN, DNP

Storyboard 201

Fit Kids for Life Part I-Sustaining

Healthful Behavior: Program

Development and Study Findings

Stony Brook University

Sharon Martino;

Peter J. Morelli MD

Storyboard 202

Fit Kids for Life Part II-Sustaining

Healthy Behavior: A Psychosocial -

Behavioral Approach

Stony Brook University

Robbye Kinkade;

Rosa Cataldo DO

Storyboard 203

Th e Healthy House: A Novel

Pediatric Obesity Prevention and

Treatment Program

Catawba Valley Medical Center’s

Healthy House

Vondell Henry Clark MD, MPH;

Diana Lynn Winkler MA, RD, LDN

Storyboard 204

Weight Loss Regimens which

Control for Carbohydrate Quality

or Quantity

Charleston Area Medical Center

Stephen Sondike MD

Storyboard 205

Childhood Obesity Prevention in

NYC Community Health Centers:

Best Practices and Lessons

Learned

Community Health Care Association

of New York State

Monti Castaneda MA, MPH;

Debbie Lester

Chronic Conditions:

Storyboard 100

Children with Diabetes: Meeting

Challenges from Hospital to

Home to Community

Tallahassee Memorial Diabetes Center

Adela Mitchell RN, BSN, CDE;

Roberta Stevens RD, LD/N, CDe

Storyboard 101

Improving Nutritional Intake and

Outcomes in Pediatric Patients

with Cystic Fibrosis

Children’s Healthcare of Atlanta, Emory

University Cystic Fibrosis Center

Elizabeth Revilla MS, RD, CSP

Storyboard 102

Improving Outcomes for

Extremely Low Birth Weight

Infants: Th e ELBW Protocol

Levine Children’s Hospital at Carolinas

Medical Center

Andrew C. Herman MD;

Callie Dobbins RN

Storyboard 103

Using a Daily Schedule &

Incentive Program to Improve

Hospitalizations in Pediatric

Patients with CF

Children’s Healthcare of Atlanta

Tamila Dulaney BSN, RN, CPN

Storyboard 104

Eff ectiveness of a Proactive

Inpatient Physical Th erapy

Program for Pediatric Patients

with CF


Hartley Price

Storyboard 206

Using Teen Mentors to Deliver an

Obesity Prevention Program in an

After School Setting

Ohio State University College of

Nursing

Laureen H. Smith PhD, MS, BSN

Storyboard 207

Th e Delaware Primary Care

Initiative on Childhood

Overweight: Successful

Sustainability Strategies

Nemours Health and Prevention

Services

Sandra G. Hassink MD;

Denise Hughes MS

Storyboard 208

Learning Collaboratives to Address

Childhood Obesity in Primary

Care, Schools and Child Care

Nemours Health and Prevention

Services

Dave Nichols M.Ed;

Mary Neal Jones MS;

Judi Feinson MCP, MPH

Storyboard 209

Medical Sequelae and

Psychological Aspects of Children

in a Hospital-Based Weight

Management Program

East Tennessee Children’s Hospital

Nicole Swain PsyD;

Jennifer Nicklas MS, MPH, RD

Storyboard 210

Steps to Grow On: An Approach to

Improving the Lives of Georgia’s

Young Children


Antonio D. Cain MBA, RD, LD;

Dan Fesperman MS

Storyboard 211

Fitting a Square Peg into a

Round Hole without a Hammer:

Identifi cation and Treatment of

Childhood Obesity

Primary Care Coalition of

Montgomery County

Mary Joseph RN, BC, CPHQ


Storyboard 226

Partnering to Improve Student

Health: Austin School District and

Dell Children’s Medical Center

Dell Children’s Medical Center of

Central Texas

Stephen J. Pont MD, MPH, FAAP;

Ava Wood BSN, RN, NE-BC

Storyboard 227

Improving Quality of Life for

Obese Adolescents

University of Michigan

Susan Woolford MD, MPH;

Bethany J. Sallinen PhD

Storyboard 228

Catch 5 for a Healthy Weight: WIC

and Pediatric Providers Fighting

Against Childhood Obesity

University of Texas Health Science

Center at Houston

Amalia Guardiola MD;

Rosana P. Arruda MS,RD,LD

Storyboard 229

Using Quality Improvement to

Tackle Attrition in Pediatric Weight

Management Programs


Sarah E. Hampl;

Meredith L. Dreyer PhD

Storyboard 230

Identifying & Managing

Overweight/Obesity in a Medicaid

Health Plan Environment


Special Needs, Inc.

Constance M. Yancy MBA, BSN,

RN, CPHQ

Storyboard 231

Improving Child Obesity Counseling

in a Time-Limited Setting: Lessons

from “Get Healthy Together”

ILSI Research Foundation

Debra L. Kibbe;

Frederick Trowbridge MD, MSc

Storyboard 219

Pediatric Weight Management: A

Community-Based In-Offi ce Model

UPMC

Jennifer Dee MHA;

Kathy Guatteri RN, MBA

Storyboard 220

An Offi ce Based Integrative

Approach to Childhood Obesity

DuPage Medical Group

David Dungan MD

Storyboard 221

Beyond Restrictive Eating:

Reframing Childhood Obesity

Seattle Children’s Hospital

Alicia Dixon Docter MS, RD;

Lenna Liu, MD, MPH

Storyboard 222

Using an Electronic Medical

Record for Real-Time Program

Evaluation: Th e Healthy Hearts

Experience

Pediatric Cardiology Medical Group

- East Bay, Children’s Hospital and

Research Center at Oakland

Carolyn Bradner Jasik MD;

June Tester MD, MPH

Storyboard 223

Can You Resist Your Child’s

Request?

Stamford Hospital

Madhu Mathur MD, MPH;

Jonathan Hoch

Storyboard 225

Advocating for Environmental

& Policy Change to Address

Disparities in Children’s Physical

Activity

Active Living Research

Deborah Lou

Storyboard 232

Development and Implementation

of Web-based Tools to Address

Pediatric Obesity

Children’s Hospital of Pittsburgh

of UPMC

Michael J. Drnach;

Jodi Krall PhD

Storyboard 233

Is Acanthosis Nigricans Reliable at

Identifying Cardiovascular Disease

Risk Among Obese Children?

Nationwide Children’s Hospital/Th e

Ohio State University

Michelle Battista;

Samantha Anzeljk

Storyboard 234

Strategy for Combating Childhood

Obesity in the Classroom

StepN2Education

Mary Kohlmayer;

James Kohlmayer MS, Ed

Storyboard 235

My Step Counts: Effi ciency of

Automated Reminders for a

Healthy Lifestyle

Sutter Medical Center

Gnanagurudasan Prakasam MD

Storyboard 236

Health Information Prescriptions

for Parents and Caregivers of

Overweight Children

University of Pittsburgh

Marilyn A. Davies

Storyboard 237

Th e Nutrition Prescription

Carolinas Medical Center

Elizabeth Super MD

Storyboard 212

Fighting Childhood Obesity with

Physical Education Nutrition and

Activity Programs

PE Fit

Betty Kern MS, CSCS

Storyboard 213

Successful Integration of a

Community Pediatric Obesity

Program with FQHC’s

AltaMed

Alberto Gedissman MD, MMM, FAAP

Storyboard 214

BodyWorks: A Community-Based,

Parent-Focused Approach to

Adolescent Obesity Prevention

Altarum Institute

Jennifer A. Pooler MPP;

Elizabeth M. Fassett MS, CHES

Storyboard 215

Bridging Cultural Gaps to

Eliminate Childhood Obesity

Th e Center for Closing the Health Gap

in Greater Cincinnati

Dwight Tillery JD

Storyboard 216

Connecting Children with Nature

to Combat Obesity

National Environmental Education

Foundation

Leyla McCurdy

Storyboard 217

Motivating At Risk Teen Girls

with a Physical Education Based

Personalized Fitness Program

PE FIT

Betty Kern MS, CSCS

Storyboard 218

How A Community Hospital

Combats Childhood Obesity

Atlantic General Hospital

Dawn M. Denton RN, BS


Storyboard 238

IN4Kids: Data from a Study of RD

Integration into Primary Care

Duke Healthy Lifestyles Program

Mina Silberberg PhD;

Sarah Armstrong MD

Storyboard 239

Improving Healthy Behaviors

through Nutrition and Physical

Activities at the OKC Indian Clinic

Oklahoma City Indian Clinic

Diane Clayton

Storyboard 240

“5-4-3-2-1 Go!”: Resident

Education to Address the Obesity

Epidemic in Children and Youth

University of Illinois at Chicago

Christiane Ellen Stahl

Storyboard 241

Lessons Learned from an

Interagency Governmental

Approach to Childhood Obesity

Prevention in Chicago

Center on Obesity Management

and Prevention

Katherine Kaufer Christoff el MD,

MPH

Storyboard 242

Expansion of MATCH – An

Eff ective Middle-School-Based

Obesity Intervention

East Carolina University

Suzanne Lazorick MD, MPH;

George T. Hardison MA

Patient Safety:

Storyboard 300

NICU/ Pediatrics Collaboration

Standardizes Syringe Medication

Flush to Improve Quality and

Consistency

Mission Hospitals

Julie Bell MS, RN;

Anne Ramirez RNC, MSN

Storyboard 301

Access to Care for Children with

Epilepsy through Systems Change

Center on Obesity Management and

Prevention

Cary Kreutzer MPH, RD;

Valerie Hill MPH, CHES

Storyboard 302

Home Lead Assessment Project


Special Needs, Inc.

Cecil Doggette;


RN, CPHQ

Storyboard 303

NICU Unplanned Extubation

Project


Lynette Farmer RRT

Storyboard 304

Improving Admission

Temperatures of Premature

Infants Contributes to Improved

Mortality

Stony Brook University Medical Center

Grace Propper RN, MS, CPNP,

NNP-BC

Storyboard 305

Applying the Lean Process to

Patient Safety Event Response and

Analysis


Natalie Tillman RN, BSN

Storyboard 306

Under Pressure: An Educational

Approach to Braden Q Scale

Implementation


Marie Sosebee BSN, RN, CWOCN;

Traci Antes RN, BSN, CPN

Storyboard 307

Reducing Surgical Site Infections

in the Pediatric Neurosurgical

Patient

Th e Children’s Hospital Westmead

Elizabeth Harnett BApp, Sc

Storyboard 308

Improving Hand Hygiene:

Diffi cult, but not Impossible

Th e Children’s Hospital Westmead

Ahmed Jamal

Storyboard 309

WE ID: Involving Patients,

Families and Staff in the Process of

Accurate Patient Identifi cation


Mary Stevens RN, BSN

Storyboard 310

Novel H1N1 Infl uenza: Managing

Patients with Flu-like Illness in a

Pediatric Emergency Department

North Shore Long Island Jewish

Health System

Donna Armellino RN, DNP, CIC

Storyboard 311

Profi le of a Bully

University of South Florida

Miltiadis Kerdemelidis;

Donna Ettel Ph.D

Storyboard 312

Parental Characteristics and Child

Safety Interventions on Childhood

Injury Rates

Tufts Medical Center

Leslie Rideout RN

Storyboard 313

Health Literacy Universal

Precautions Toolkit

Carolinas Medical Center

Elizabeth Super MD

Quality Improvement:

Storyboard 400

“Watchful Eye” Retinopathy of

Prematurity Parent Education

Program

St Luke’s Hospital & Health Network

Suzanne Lisa Bijou RN;

Carol Scott RNC

Storyboard 401

Th e Medical – Legal Partnership:

An Interdisciplinary Improvement

Program

Children’s Healthcare of Atlanta at

Hughes Spalding

Robert Pettignano MD, FAAP,

FCCM, MBA;

Sylvia Caley JD, MBA, RN

Storyboards


Storyboard 407

Going Lean: A Streamlined Approach

to Care Delivery at Children’s

Healthcare of Atlanta Transplant


Ann Knowles RN, BSN, CNOR;

Stephanie Hawthorne RN, BSN

Storyboard 408

Non-Urgent ED Visits: Caregivers’

Preferences, Needs and Perceptions

Children’s Healthcare of Atlanta, Emory

University

Shabnam Jain MD;

Jon Rochlin MD

Storyboard 409

Omnipaque vs. Gastroview


Brenda Th ompson RN;

Linda Churchill RN

Storyboard 410

Psychopedagogical Interventions in

Young School Children with ADHD

G. Lazar National College

Valeria Purcia MD

Storyboard 411

Interdisciplinary Problem-solving:

Including Lawyers on the Sickle Cell

Care Team

Children’s Healthcare of Atlanta at

Hughes Spalding

Robert Pettignano MD, FAAP,

FCCM, MBA;

Sylvia Caley JD, MBA, RN

Storyboard 412

Improving Early Literacy Promotion

in Reach Out and Read Programs

Reach Out and Read

Regina Roberson

Storyboard 402

Ensuring the Appropriateness

of Homecare Services and

Monitoring Associated Costs and

Satisfaction


Special Needs, Inc.


RN, CPHQ;

Derdire Coleman RN

Storyboard 403

Medical Homes Served Best

by Ownership: Connecticut

Decentralizes Management and

Services

Stamford Hospital

Madhu Mathur MD, MPH;

Mark Keenan RN, MBA

Storyboard 404

Health Information Technology

Linked to Quality and Safety

University of Texas at Austin

M. Reese Pepper RD

Storyboard 405

Building Capacity for the

Medical Home

Th e Pediatric Physicians’

Organization at Children’s Boston

Lester Hartman MD

Storyboard 406

Phase One Synopsis - Evaluation

of Interpreter Competency:

Adherence to NCIHC Standards

Creighton University School of

Medicine

Cristina Fernandez MD;

Roberto Cervantes


Tooth decay is themost common chronicchildhood disease……and it’s almost entirely preventable.

The DentaQuest Institute is committed to workingwith clinical partners across the country to developmore effective approaches to prevent and manageoral disease. Join us!Learn more at our session “Early Childhood Caries: Disease ManagementUsing a Chronic Care Model” on March 10, 2:45 p.m.– 4 p.m.

508.329.2280 • dentaquestinstitute.org

©2010 DentaQuest Institute. OH117 (2/10)

Consultation for primary care medical home

transformation since 1994

The new CMHI Medical Home TAPPP™ (Gap) Analysis (pediatric & adult versions) provides a transformational guide for primary care practices/networks to build better medical homes.

TAPPP™ - Team, Access, Population, Planned/Coordinated &

Patient and Family-Centered Care

Who CMHI Helps

Primary Care Networks

Individual Practices

Medicaid & State Programs

Health Plans/Organizations

Professional Organizations

Interested Consumer Groups

What CMHI Offers

Medical Home TAPPP™

Quality Improvement and Learning Collaborative Efforts

Presentations/Workshops

Development of Practice Facilitation /Coaching Capacity

Go to: www.medicalhomeimprovement.org to learn more.

CMHI, Crotched Mountain Foundation, Greenfield, NH


I WILL NOT BE PART OFGENERATION XXL.

We believe you’re never too young to learn the importance of balance. That bodies yearn

for both cupcakes and kickball. At Kaiser Permanente, we’re committed to helping find

that balance through exercise and nutritional programs. Learn more at kp.org.

4 4 1 0 y e a r s a n d g r o w i n g . . . • W W W. N I C H Q. O R G

Notes:

annual forum improving children’s healthcare childhood ... · annual forum for improving...

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