Advancing Implementation and Quality Improvement Science Conference

摘要 需要增加容量以加快有效、可靠和可持续的改进 在儿科医疗保健方面。随着医疗质量改进(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策略和结果的科学的、可概括的知识。同时， 实施科学已经成为一个专注于完善实施工具的领域 规模，特别注意可能促进或阻碍的组织因素和其他因素 实施。学术儿科协会(APA)，它已经组织了 在气机科学方面成功的培训会议，现在建议扩大范围和 未来会议的影响，包括实施科学方法，并明确联系 关于新兴医疗保健的基础讨论的研究方法培训 为美国儿童提供的分娩系统。 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 使他们有能力开发、实施和评估创新的儿科护理模式；2)开发 并实施专门为初级教员量身定做的创新课程增强 参与新的APA质量和安全改进学者计划；以及3)专注于 连续举行的三次会议都围绕儿童保健提供的关键主题- 提高价值，消除差异，改善对患有疾病的儿童的护理协调 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、 和健康服务研究。在儿科学术学会之前将举行会议 这是儿科医生和其他医疗保健专业人员参加的最大规模的学术会议。 会议会议将包括国家专家的全体会议，广泛选择的小型 小组分组会议，以及其他职业社交机会。出席者将是 鼓励提交他们自己的作品，以供海报会议和演示文稿审议 在一次主持的全体会议上。将进行全面评估，包括后评估。 活动参与者调查，以及在至少一项活动结束后6-12个月对参与者进行的调查 评估对研究合作和生产力的长期影响的会议。 这里提出的会议将把实施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使健康 为儿童提供更有效和高效的护理服务。这种整合不仅会导致 训练有素的儿科研究人员，但将为明显改善健康做出贡献 所有儿童的结果。

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.