Pediatric Quality Improvement Methods, Research and Evaluation Conference, Advanc

描述（由申请人提供）：2011年4月29日，在美国卫生保健研究与质量局（AHRQ）的资助下，首届“改善质量改进（QI）研究与评估方法”年度会议召开。本次会议由学术儿科协会（APA）主办，该协会是学术普通儿科的专业之家。101名与会者绝大多数认为这次会议非常好（满分5分，4.11分），并强烈表示未来需要举行类似的会议。因此，本申请是响应PA-09-231召开第二次关于设计、实现和传播QI研究的为期一天的年度方法会议的提议。虽然提议的第二届年会的主要焦点与第一届相似，即QI研究的科学，但具体内容已被修改，以包括以前未涉及的几个新领域以及第一届会议与会者建议的高度感兴趣的领域。具体来说，分组会议的领导者和与会者将参与互动会议，重点讨论的主题包括：准实验方法，如阶梯楔形设计和中断时间序列；统计过程控制在质量评价中的应用；使用混合方法，包括形成性评价/定性分析；大型数据库导航与统计管理；在QI研究中使用患者登记；风险调整;发布和传播QI研究成果。根据第一次会议的评价，许多分组会议将在一天中提供两次，其中一些是介绍性的，另一些是高级的。该计划还为与会者提供了更多机会，与从事第一线空气质量干预实施的组织的领导进行互动，包括：美国儿科学会（AAP）质量改进和创新网络（QUIIN）、美国家庭医生学会治疗学分布式门诊研究网络（DARTNet）、国家儿童医疗保健质量倡议（NICHQ）、住院儿科研究网络（PRIS）和AAP儿科门诊研究网络（PROS）。本项目旨在补充和促进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种机制，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有关的质量改进研究，(2)传播和实施可能有助于评估卫生保健服务的QI研究信息，以及(3)提高卫生保健的质量和有效性。特别注意照顾孩子。和就职典礼类似

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.