Practicing Safety: A Child Abuse and Neglect Prevention Project

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Practicing SafetyA Child Abuse and Neglect
Prevention Project
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Agenda
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Background

• In 2006, an estimated 906,000 children were found
  to be victims of child abuse and neglect in the
  United States and Puerto Rico
• Practicing Safety Phase 1 (2003)
• 9 practices
• Complex Adaptive Theory (5 practices)
• Toolkit consisting of 7 bundles
• Found success in practice change around coping
  with crying, maternal depression screening,
  effective discipline ,and toilet training
• Current state
• Revised toolkit 3 bundles

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Project Overview

• 3 bundles/4 topics
• Infant (coping with crying)
• Mother/Caregiver (maternal depression)
• Toddler (discipline and toilet training)
• Overarching Goal to test the 3 Practicing Safety
  bundles with practicing pediatricians and their
  staff over 6 months to determine feasibility, as
  well as make improvements to the bundle set.
• Aims
• Test the toolkit to see if it improves
  assessment/screening and anticipatory guidance by
  pediatric physicians and staff with
  parents/caregivers on topics of crying, maternal
  depression, toilet training, and discipline.
• Test use of the Practicing Safety tools for
  education by pediatric physicians and staff with
  parents/caregivers on topics of crying, maternal
  depression, toilet training, and discipline.
• Test the usefulness of the Practicing Safety
  tools and ease of use of the tools and determine
  strategies for use of the tools.

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What to Expect

• Select a team of 3 to participate
• Prework period (baseline chart review and
  pre-inventory survey)
• Learning Session (May 30, 2009)
• Orient to the Practicing Safety themes and tools
• Orient to quality improvement science, including
  data collection and measurement and the Model for
  Improvement
• Introduce practice through storyboards
• Begin planning for Action Period

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What to Expect

• Action Period 6 months
• Monthly Chart Review
• 10 charts of patients at the 2-month visit
  (infant and mother/caregiver bundles)
• 10 charts of patients at the 18-month visit
  (toddler bundle)
• Monthly Progress Reports
• Monthly Team Calls
• Review of Run Charts to guide improvements
  (posted to a Project Workspace Web site)
• Follow-up
• Post-Inventory
• Post-Telephone Interviews

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Next Steps

• Select your team
• March 1, 2009 Deadline for Project Application
• March 13, 2009 Practices notified of acceptance
• March 17/26, 2009 Orientation call for selected
  practices
• April 1-30, 2009 Pre-work
• May 30, 2009 Learning Session
• June-Nov, 2009 Action Period
• December 2009/January 2010 Post-work

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Questions