Pediatric Quality Improvement Methods, Research and Evaluation Conference, Advanc

描述(申请人提供)：2011年4月29日，在医疗研究和质量机构(AHRQ)的资助和参与者注册费的帮助下，首届“改进质量改进(QI)研究和评估方法”年会召开。这次会议是由学术儿科协会(APA)主办的，APA是学术普通儿科的专业之家。101名与会者以压倒性多数将这次会议评为优秀(满分为5分，满分为4.11分)，并强烈表示有必要在今后举行类似的会议。因此，本申请是对PA-09-231关于举办第二届为期一天的关于设计、实施和传播QI研究的年度方法会议的建议的回应。虽然拟议的第二届年会的主要重点与第一届类似，即QI研究的科学，但具体内容已被修改，包括几个以前没有涵盖的新领域，以及第一届会议与会者提出的高度感兴趣的领域。具体来说，分组会议领导人和与会者将参加互动会议，重点讨论的主题包括：准实验方法，如阶梯式楔形设计和中断的时间序列；在QI评估中使用统计过程控制；使用混合方法，包括形成性评估/定性分析；大型数据库的导航和统计管理；QI研究中患者登记的使用；风险调整；以及发布和传播QI研究结果。根据第一次会议的评价，许多分组会议将在一天中举行两次，其中一些是入门级的，另一些是较高级的。该计划还为与会者提供了更多机会与参与一线QI干预实施的组织的领导人互动，这些组织包括：美国儿科学会(AAP)质量改进和创新网络(QUIIN)、美国家庭医生学会分布式动态治疗研究网络(DARTNet)、国家儿童医疗保健质量倡议(NICHQ)、住院设置儿科研究(PRIS)网络和AAP门诊儿科研究(PROS)网络。该计划旨在补充和促进AHRQ的核心研究和实施活动，为机构利益相关者和其他人提供一个机制，以(1)更好地了解如何应用卫生服务研究和流行病学方法进行与儿童相关的质量改进研究，(2)传播和实施可能有助于评估卫生保健提供情况的QI研究信息，以及(3)提高卫生保健的质量和有效性，特别是关注儿童。类似于就职典礼 为推广广泛参与，我们将于2012年儿科学术学会会议(2012年4月27日)前一天举行会议。会议的成果将包括一系列与儿科QI研究和评估中的方法学问题有关的白皮书，这些白皮书将通过APA网站和适当的出版物传播。 公共卫生相关性：尽管质量改进(QI)对儿科保健的重要性已经确定，但在QI研究的知识和理解方面仍然存在很大差距。产生证据来描述具体的QI干预措施的有效性是具有挑战性的。本次会议旨在传播和推进与儿科护理相关的QI研究的最新研究方法(例如，准实验方法，如阶梯式楔形设计和间断时间序列；在QI评估中使用统计过程控制；混合方法的使用，包括形成性评估/定性分析；大型数据库的导航和统计管理；QI研究中患者登记的使用；风险调整；以及发布和传播QI研究结果)。会议还将促进国家一级的联网，从而加强儿科保健领域的QI科学的合作和进步。会议的最终目标是进一步发展儿科QI研究的科学和共同语言，以支持改善儿童健康和保健。

DESCRIPTION (provided by applicant): On April 29th, 2011, with funding from the Agency for Healthcare Research and Quality (AHRQ) and participant registration fees, the first annual conference on "Improving Quality Improvement (QI) Research and Evaluation Methods," was held. The conference was sponsored by the Academic Pediatric Association (APA), the professional home for academic general pediatrics. The 101 conference attendees overwhelmingly rated the conference as excellent (4.11 on a 5 point scale) and strongly indicated the need for similar future conferences. Thus, this application is a proposal in response to PA-09-231 to hold a second annual one-day methods conference on designing, implementing, and disseminating QI research. Although the primary focus of the proposed second annual conference is similar to the first, i.e., the science of QI Research, the specific content has been modified to include several new areas not covered previously as well as areas of high interest suggested by attendees of the first conference. Specifically, breakout session leaders and conference participants will engage in interactive sessions focused on topics including: quasi-experimental approaches such as stepped wedge designs and interrupted time series; use of statistical process control in QI evaluation; use of mixed methods including formative evaluation/qualitative analysis; navigation and statistical management of large databases; use of patient registries in QI research; risk adjustment; and publishing and disseminating QI research results. In response to evaluations from the first conference, many of the breakout sessions will be offered two times during the course of the day, with some at an introductory level and others at a more advanced level. The program also provides greater opportunities for meeting participants to interact with leaders of organizations engaged in frontline QI intervention implementation including: the American Academy of Pediatrics (AAP) Quality Improvement and Innovations Network (QUIIN), the American Academy of Family Physicians' Distributed Ambulatory Research in Therapeutics Network (DARTNet), the National Initiative for Children's Healthcare Quality (NICHQ), the Pediatric Research in Inpatient Settings (PRIS) Network, and the AAP Pediatric Research in Outpatient Settings (PROS) Network. This program is intended to complement and promote AHRQ's core research and implementation activities by providing a mechanism for Agency stakeholders and others to (1) gain a better understanding of how to apply health services research and epidemiological methods for quality improvement research relevant to children, (2) disseminate and implement QI research information that may be useful to evaluate health care delivery, and (3) improve the quality and effectiveness of health care, with special attention to care for children. Similar to the inaugural AHRQ funded version of this conference, to promote broad attendance, we will schedule the meeting one day before the 2012 Pediatric Academic Societies meeting (April 27, 2012). Products of the meeting will include a series of white papers related to methodological issues in pediatric QI research and evaluation, which will be disseminated through the APA website and appropriate publications. PUBLIC HEALTH RELEVANCE: Although the importance of quality improvement (QI) for pediatric health care has been established, substantial gaps in the knowledge and understanding of QI research remain. Generating evidence to describe the effectiveness of specific QI interventions is challenging. This conference seeks to disseminate and advance state-of-the-art research methods for QI research relevant to pediatric care (eg, quasi-experimental approaches such as stepped wedge designs and interrupted time series; use of statistical process control in QI evaluation; use of mixed methods including formative evaluation/qualitative analysis; navigation and statistical management of large databases; use of patient registries in QI research; risk adjustment; and publishing and disseminating QI research results). The conference will also facilitate networking at the national level and thus enhance collaboration and advancement of QI science in pediatric health care. The ultimate goal of the conference is to further develop the science and common language of pediatric QI research in support of improved child health and health care.