Advancing Implementation and Quality Improvement Science Conference

摘要 需要提高能力以加速有效、可靠和可持续的改进 在儿科医疗保健方面。随着医学质量改进（QI）活动的成熟， 近几十年来，研究设计和分析方法已经出现，可以产生 关于QI策略和结果的科学合理的、可推广的知识。同时， 实施科学已成为一个侧重于改进实施工具的领域， 规模，特别注意可能促进或阻碍 实施.学术儿科协会（阿帕），它已经组织了以前的 在QI科学成功的培训会议，现在建议扩大范围， 未来会议的影响，包括执行科学方法，并明确联系 研究方法培训，并就新兴医疗保健进行基础讨论 美国儿童的运输系统。 拟议的3个年度会议的目的是1）培训和激励与会者， 使用来自QI研究和实施科学的广泛工具，以及 使他们能够开发，实施和评估儿科护理的创新模式; 2）开发 并实施专门针对初级教师的创新课程改进 参加一个新的阿帕质量和安全改进学者计划;和3）专注于 连续三次会议的每一次都围绕着儿童保健服务的一个关键主题- 提高价值，消除差距，改善对儿童的护理协调， 慢性病。 拟议的年度会议将在3年内由一个 经验丰富的规划团队，在实施科学，QI研究， 和卫生服务研究。会议将先于儿科学术协会 会议，儿科医生和其他卫生保健专业人员的最大的学术会议。 会议将包括各国专家的全体会议， 小组分组会议和其他专业网络机会。与会者将 鼓励提交自己的作品供海报会议审议和介绍 在一次有节制的全体会议上。将进行一次全面评价，其中包括 活动参与者调查，以及至少一次活动后6-12个月的与会者调查。 会议评估对研究合作和生产力的长期影响。 这里提议的会议将把执行科学与质量结合起来 改进方法，以支持科学家和卫生系统领导人， 为儿童提供更有效和高效的护理。这种融合不仅会导致 更好地训练儿科研究人员，但将有助于明显改善健康 为所有儿童带来成果。

Abstract Increased capacity is needed to accelerate effective, reliable, and sustainable improvements in pediatric health care. As quality improvement (QI) activities in medicine have matured over recent decades, research designs and analytic methods have emerged that can produce scientifically sound, generalizable knowledge regarding QI strategies and outcomes. In parallel, implementation science has emerged as a field focused on refining tools for implementation at scale, with particular attention to organizational and other factors that may facilitate or impede implementation. The Academic Pediatric Association (APA), which has organized prior successful training conferences in QI science, now proposes to broaden both the scope and impact of future conferences to include implementation science methods, and to explicitly link research methods training with foundational discussions regarding emerging health care delivery systems for U.S. children. The aims of the proposed 3 annual conferences are to 1) train and motivate attendees to use a broad spectrum of tools derived from both QI research and implementation science, and equip them to develop, implement, and evaluate innovative models of pediatric care; 2) develop and implement innovative curriculum enhancements specifically tailored to junior faculty participating in a new APA Quality and Safety Improvement Scholars Program; and 3) to focus each of the three successive conferences around a critical theme for child health care delivery— enhancing value, eliminating disparities, and improving care coordination for children with chronic illness. The proposed annual conferences will be developed and implemented over 3 years by an experienced planning group with diverse experiences in implementation science, QI research, and health services research. Conferences will precede the Pediatric Academic Societies Meeting, the largest academic meeting of pediatricians and other health care professionals. Conference sessions will include plenary sessions by national experts, a wide selection of small group breakout sessions, and other professional networking opportunities. Attendees will be encouraged to submit their own work for consideration for a poster session and for presentation in a moderated plenary session. A comprehensive evaluation will be conducted, including post- event participant surveys, and a survey of attendees 6-12 months following at least one of the conferences to assess longer term impacts on research collaborations and productivity. The conferences proposed here will integrate implementation science with quality improvement methods in order to support scientists and health system leaders in making health care delivery for children more effective and efficient. This integration will not only result in better trained pediatric researchers, but will contribute to demonstrably improved health outcomes for all children.