Disclaimer
I have no relevant financial relationships with the manufacturers of any commercial products and/or provider of commercial services discussed in this CMS activity. I do not intend to discuss an unapproved/investigative use of a commercial product/device in their presentation.
Pediatric and Adolescent Health
Partners
Located in Midlothian, VA
We have 10 staff doctors and 1 pediatric rheumatologist with 3 locations serving 20,000 patients.
Team Members: Peter Blakey, MDTracie Williams, LPNStephanie Fitzgibbons, LPN
AimBy January 1, 2012 we plan to have
procedures and protocols in place to ensure: 100% return of NBS results by the 6 week well baby visit
100% of parental notification of the NBS results documented in the chart100% of providers utilizing ACT sheets where appropriate
Changes Implemented
Reliable Systems of CareEMR Template ChangesPDSA CyclesStaff ResponsibilitiesProtocol for Abnormal/ACT SheetsCHSCN Registry
Changes ImplementedFinance
Purchase Printed Information for Pre-NatalMeetings
Planning for Additional Staffing
Changes ImplementedCommunity-based Care
Established Communication with State Newborn Screen Services
Established Communication with Local Genetics Resources- MCV/VCU
Introduction of NBS at Pre-Natal Meetings
Changes Implemented
Active Well-informed Patients
NBS Procedure/Protocol Established from Initial Well Visit thru 6 week well baby visit.
Cycles of ImprovementMaking parents aware of the NBS and its importance.
~PLAN Begin introduction of NBS at pre-natal meetings with
printed materials provided to parents ~DO
NBS information provided to parents at pre-natal meetings
~STUDY Parents received information well by demonstrating
awareness of NBS at first well baby visit. We learned that there is a benefit to providing NBS
information prior to delivery~ACT
We have continue to provide this information at all subsequent pre-natal meetings.
Cycles of ImprovementDeveloped protocol to ensure timely return
of results and notification of parents.~Plan
Establish a protocol to involve doctors and nurses in the acquisition of NBS results in a timely manner.
~Do Initial visit (3-5 days)-nurse inquires about NBS
performed 2 week well baby visit-nurse ensures that NBS
results are available, provider discusses
Cycles of Improvement~Study
Discovered inconsistencies in physician and nurse documentation and performance
We have learned that we need better communication between nurses and doctors as it relates to NBS protocol.
~Act Planned additional meetings and inter-office email
between doctors and nurses.
What You Have Learned
We have learned that change was a challenge, the lack of communication was a surprise.
Inconsistent performance was a challenge.
Staffing shortage along with a busy daily schedule provided a challenge.
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