Partnership to Improve Children's Healthcare Quality

尽管有良好的意愿和极好的护理，但存在着改善儿童及其家庭护理的重大机会，因为许多护理仍然是以与证据不一致的方式提供的。 拟议的项目合作伙伴的国家儿童保健质量倡议（NICHQ）， 该组织与美国儿科学会（AAP），一个医学专业协会和美国儿科学会（ABP），一个认证机构合作，致力于儿童医疗保健的改善。它们将与致力于改善儿童照料的其他国家组织和个人的咨询意见和援助一起，利用其协调一致的努力和资源，支持已证明对改善儿童照料有效的大规模活动。 首先将努力改善对注意力缺陷多动障碍儿童的护理。ADHD影响4-12%的学龄儿童，是儿童最常见的神经行为障碍。在项目的第一年，该伙伴关系将制定一项战略，支持地方一级的改进。在NICHQ成功改善ADHD儿童护理的基础上，这一伙伴关系将使大约五个州的AAP分会参与系统和循证协作学习课程，沿着一个互动的基于网络的CME质量改进工具（eQUIPP）。ABP将通过将eQUIPP作为满足新认证要求的工具进行合作。今后几年的工作重点是 支持这些地方改善网络，将这些努力推广到其他AAP分会，并开始与儿科住院医师培训计划合作。在规划和项目期间，该伙伴关系将与一个以家庭为基础的全国性组织-患有注意力缺陷障碍的儿童和成人-联合起来，以确保儿童和家庭适当关注改善工作。 这项申请涉及儿童精神保健的优先供资领域，并直接建立在AHRQ先前赞助的将研究转化为实践的努力的结果基础上。它还涉及“2010年健康人”的目标，即增加有心理健康问题的儿童接受治疗的比例。

Despite excellent intentions and pockets of superb care, a major opportunity exists to improve care for children and their families, as much care is still delivered in ways that are not consistent with the evidence. The proposed project partners the National Initiative for Children's Healthcare Quality (NICHQ),an organization for children's healthcare improvement with the American Academy of Pediatrics (AAP), a medical specialty society, and the American Academy of Pediatrics (ABP), a certifying body. Together with advice and assistance from other national organizations and individuals working to improve care for children, they will use their coordinated efforts and resources to support large-scale activities that have been shown to be effective in improving care for children. Efforts will initially be applied to improving care for children with attention deficit hyperactivity disorder (ADHD). Affecting 4-12% of school-aged children, ADHD is the most common neurobehavioral disorder of childhood. In the first project year, the partnership will develop a strategy to support improvements at the local level. Building on NICHQ's success improving care for children with ADHD, this partnership will engage about five state AAP chapters in systems- and evidence-based collaborative learning sessions along with an interactive web-based CME quality improvement tool (eQUIPP). ABP will collaborate by including eQUIPP as a vehicle for satisfaction of new certification requirements. Efforts in subsequent years will focus on supporting these local improvement networks, spreading these efforts to additional AAP chapters, and beginning work with pediatric residency training programs. During the planning and project years, the partnership will join forces with a national family-based organization, Children and Adults with Attention Deficit Disorder (CHADD), to ensure an appropriate child and family focus to improvement efforts. This application addresses the priority funding area of mental health care for children, and builds directly on findings resulting from a number of prior AHRQ-sponsored efforts to translate research into practice. It also addresses the Healthy People 2010 objective of increasing the proportion of children with mental health problems who receive treatment.