Thank you for a successful LS3

8:00 – 9:00 AM

Registration, Storyboard Viewing and Continental Breakfast

9:00 – 9:10 AM

Welcome & Overview of Learning Session Three

Divvie Powell & Nancy Griffin

1.     Recognize the faculty, participating teams and staff

2.     Describe the objectives for the learning session

9:10 – 9:30 AM

Why We Are Here

Key Driver: Care Transition

Kay Fricke- moderator

1.     Describe the need for improved care from a parent’s point of view

9:30 – 10:00 AM

Progress to Date:

Robert Beekman, Carole Lannon

1.     Describe the current variation in delivery and outcomes of care for pediatric patients with HLHS target population

2.     Use data to identify gaps and opportunities for improvement during Action Period 3

10:00 – 10:15 AM

BREAK  & Storyboard Viewing

10:15 – 11:30 AM

PLENARY: Achieving Health Literacy

Key Driver: Care Transition - Discharge Protocol and Communications

Michael Wolf, Northwestern University, Director of Health Literacy

1.     Define concepts of health literacy

2.     Identify aspects of the health literacy framework applicable to your practice

11:30 – 12:00 PM

Team Presentations

Key Driver: Care Transition

Arizona Pediatric Cardiology Consultants and Primary Children’s Medical Center- Utah

1.     Describe the experience of two Collaborative teams with implementing small tests of change to improve care transitions and discharge processes during Action Period 3

2.     Describe at least one lesson learned from the presenting teams that can be applied to your team’s work during Action Period 3

12:00 – 1:00 PM

LUNCH, Networking, Storyboard Viewing

Parents: Please join other parents at a reserved table

New Teams: Please look for a table reserved for you to meet with NPC QIC staff

1:00 – 2:10 PM

Breakout A:   Rapid Fire/ Team Sharing

Key Drivers: Jeffrey Anderson, Robert Beekman, Nancy Griffin, Tom Klitzner, John Kugler, Carole Lannon,  Divvie Powell, Srikant Iyer

1.     Plan the most effective changes and how to implement them

2.     Identify means of overcoming common barriers

Teams will be assigned to groups to share their work at a detailed level. Room assignments will be given before lunch.

2:10 – 2:20 PM

Transition Time

2:20 – 3:05 PM

Breakout B:  Measurement for Improvement

Key Drivers: All

Each team will attend a breakout for all three drivers. Two sessions will be conducted on Day 1 and the third session on Day 2. Measures will be discussed, results reviewed, and new feedback reports will be referenced.

B1.  Optimizing Nutritional Status

Srikant Iyer, Julie Slicker, Robert Beekman

1. Discuss rationale for changes to the growth measures
2. Describe new growth measure

B2.  Care Transition: Discharge Protocol and Communications

Carole Lannon & Thomas Klitzner

1. Describe aggregate results for process measures for discharge and care transition
2. Discuss specific measures in the care transition bundle

B3.  Care Coordination During Interstage

Jeff Anderson & John Kugler

1. Describe aggregate results for process measures for care coordination during interstage
2. Discuss specific measures in the complete clinic visit bundle

3:05 – 3:15 PM

BREAK

3:15 – 4:00 PM

Repeat Breakout B sessions

[Final session repeated on Friday]

4:00 – 4:55 PM

Team Meeting One

Nancy Griffin

1. Describe the importance of setting 90 day goals for improvement
2. Draft 90 day goals based on data reviewed prior to LS3
3. Generate PDSA list for further work on Day Two

4:55 – 5:00 PM

Wrap Up

Nancy Griffin

5:00 PM

Adjourn

5:30 – 7:00 PM

Reception at American Academy of Pediatrics (across the street)

7:00 – 8:00 AM

Continental Breakfast

8:00 – 8:40 AM

Welcome Back - Overview of Day One

Nancy Griffin

Hot Topics:

Robert Beekman & Carole Lannon

• Task Force Update
• Data Collection Concerns
• New Feedback Reports
• Questions from Day One

1. Describe guidelines for data use in the collaborative
2. Discuss key issues from Day One to assist in implementing improvement work

8:40 – 9:00 AM

Family Experience During the Interstage Period

Key Drivers: Care Coordination and Nutrition

Kay Fricke- moderator

9:00 – 10:00 AM

The Collaborative Care Teams: A Strategy for Care Coordination

Key Driver: Care Coordination

Panel Discussion          Moderator: Thomas Klitzner

1. Describe the roles of the primary care pediatrician, referring cardiologist and surgical center cardiologist in this process
2. Establish a collaborative care team approach at your site
3. Discuss how to include pediatric residents on the team
4. Describe evidence for care coordination activities for the medically complex child

10:00 – 10:30 AM

BREAK, Storyboard Viewing & Transition Time

10:30 – 11:00 AM

Team Presentation

Key Driver: Care Coordination

Advocate Hope

1. Describe the experience of a Collaborative team with implementing small tests of change to      improve care coordination during Action Period 2
2. Describe at least one lesson learned from the presenting team that can be applied to your team’s work during Action Period 3

11:00 – 11:45 AM

Breakout B Repeat:  Measurement for Improvement (Final Session)

Key Drivers: All

B1.  Optimizing Nutritional Status

Srikant Iyer, Julie Slicker, Robert Beekman

1. Discuss rationale for change in growth measures for the collaborative
2. Describe new growth measure

B2.  Care Transition: Discharge Protocol and Communications

Carole Lannon & Thomas Klitzner

1. Describe aggregate results for process measures for discharge and care transition
2. Discuss specific measures in the care transition bundle

B3.  Care Coordination During Interstage

Jeff Anderson & John Kugler

1. Describe aggregate results for process measures for care coordination during interstage
2. Discuss specific measures in the complete clinic visit bundle

11:45 – 11:55 AM

Transition Time (back to plenary room)

11:55 – 1:15 PM

WORKING LUNCH – Team Meeting Two

Nancy Griffin

1. Finalize Aim and 90 day goals
2. Finalize 2 PDSAs for each goal
3. Submit required materials

1:15 – 2:15 PM

Breakout C – Discipline Groups

Key Drivers: All

1. Discuss care as it pertains to your practice.
2. Describe barriers and strategies for accelerating improvement
3. List ideas for focus in the collaborative action period 3

C1.  Nutritionists/Dieticians

Facilitator: Julie Slicker

C2.  Nursing

Facilitator: Jenny Strawn

C3.  Physicians

Facilitators: Robert Beekman & John Kugler

C4.  Parents

Facilitator: Kay Fricke

2:15 – 2:25 PM

Break & Transition Time

2:25 – 2:45 PM

Report out from Discipline Breakout  (5 min each)

Divvie Powell

2:45 – 2:55 PM

What Needs to Happen in the Next Action Period

Nancy Griffin

1. Articulate due dates for next PDSA submission, and co-leading the Action Period 4 Collaborative conference calls
2. Identify resources for Action Period 3 and plans for sharing knowledge
3. Commit to co-leading conference call in AP3

2:55 – 3:00 PM

Wrap Up and Closing Remarks

Robert Beekman

3:00 PM

Adjourn