ABOUT

Problem Statement

The Child and Adolescent Wellness Workgroup, Chaired by Dr. Schwalm and Co-Chaired by Dr. Jennifer Corder, has collected a wealth of local data from providers on well child check utilization rates among providers in the county, beginning with a provider opinion and service utilization survey. This group has also conducted comprehensive scans for both middle and high schools on each end of the county to assess student and parent opinions on well child checks and child and adolescent health services in the county. Based on CMS data reported in the Maryland State Health Improvement Plan, Garrett County was the worst in the state for adolescent well child checks among this population (38.4%, 2017 https://opendata.maryland.gov/Health-and-Human-Services/SHIP-Adolescents-Who-Received-A-Wellness-Checkup-I/neq8-2z7a) – no other data was previously available for private/insured pay services. A previous, limited-run campaign was conducted in 2018/19 with no supplemental budget. Data Sources: Maryland Department of Health State Improvement Plan (MD SHIP) https://opendata.maryland.gov/Health-and-Human-Services/SHIP-Adolescents-Who-Received-A-Wellness-Checkup-I/neq8-2z7a Unpublished High School Student Opinion and Service Utilization Survey by the Garrett County Child and Adolescent Wellness Group (Report Pending Release) Unpublished High School Parent Opinion and Service Utilization Survey by the Garrett County Child and Adolescent Wellness Group (Report Pending Release) Unpublished Middle School Student Opinion and Service Utilization Survey by the Garrett County Child and Adolescent Wellness Group (Report Pending Release) Unpublished Middle School Parent Opinion and Service Utilization Survey by the Garrett County Child and Adolescent Wellness Group (Report Pending Release) Unpublished Provider Survey by the Garrett County Child and Adolescent Wellness Group (Internal Planning)

Aim / Overall Goal / Desired Result

Project AIM:

By July 31, 2020, the Population Health, Innovation & Informatics Unit will launch a marketing campaign collaboratively designed with stakeholders to improve adolescent well child visits in Garrett County.  Our goal is that two physician offices will participate and use the marketing campaign as a coordinated approach to increase well child visits across the county while tracking the visits by each practice on a longitudinal basis utilizing the action group found here: https://mygarrettcounty.com/groups/increase-adolescent-well-child-checks/ to increase visits across  Garrett County.

Change Idea

PDSA Objective

PDSA Cycle Number:

Estimated PDSA Implementation Timeline

From 2020-07-31 to 2020-10-31

What questions do you want answered for this change?

PLAN

Predict what will happen when this test is carried out:

List the tasks needed to set-up this change: (Please include the person responsible, when the task is to be completed, and where the task is to be completed for each task.)

Related Improvement Measure:

No related measure has been set yet. Please connect this Quality Improvement project to a raw data measure.

DO

Describe what happened when you ran the test:

STUDY

Describe the measured results, and how they compared to the predictions:

# of physician offices Increase in well child visits

ACT

Describe what modifications in the plan will be made for the next cycle from what you learned:

Source: https://mygarrettcounty.com/groups/increase-adolescent-well-child-checks/qi.