Partnership to Improve Children's Healthcare Quality

尽管有良好的意图和极好的护理，但仍存在改善对儿童及其家人的护理的重大机会，因为许多护理仍然以与证据不一致的方式提供。 拟议的项目与国家儿童医疗质量倡议(NICHQ)合作，并 儿童保健改善组织与美国儿科学会(AAP)和美国儿科学会(ABP)合作，前者是一个医学专业协会，后者是一个认证机构。他们将与致力于改善对儿童的照料的其他国家组织和个人提供的咨询和援助一起，利用其协调的努力和资源，支持已被证明在改善对儿童的照料方面有效的大型活动。 最初的努力将用于改善对患有注意力缺陷多动障碍(ADHD)儿童的护理。ADHD是儿童时期最常见的神经行为障碍，影响着4%-12%的学龄儿童。在第一个项目年，伙伴关系将制定一项支持地方一级改进的战略。在NICHQ成功改善ADHD儿童护理的基础上，这一合作伙伴关系将在系统和基于证据的协作学习会议以及基于网络的交互式继续医学教育质量改进工具(Equipp)方面参与约五个州AAP分会。总部基地将合作，将设备作为满足新认证要求的工具。今后几年的努力将集中在 支持这些地方改善网络，将这些努力扩展到更多的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--儿童和成人注意力缺陷障碍(CHADD)--联手，以确保适当关注儿童和家庭的改善工作。 这项申请涉及儿童精神卫生保健的优先资助领域，并直接建立在AHRQ先前赞助的一些将研究转化为实践的努力的结果的基础上。它还涉及2010年健康人目标，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.