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AAP task force adding to resources on pediatric practice change :

June 2, 2016

The AAP Task Force on Pediatric Practice Change continues to assess the rapidly changing health care environment to help members address change. Several new resources are available, with others coming in the next few months.

The task force focuses on 1) fostering practice change and team-based care to support population health, 2) reforming payment in Medicaid and private sectors, and 3) using new technologies to enhance pediatric care. A key goal of the task force is to help pediatricians address the complex needs of children and families, including the Academy’s recent emphases on poverty, epigenetics, early brain and child development, and social determinants of child health.

Its work is central to many parts of the Academy, with members representing subspecialty pediatrics, community pediatrics, quality, hospital medicine, administration and practice management, and child health financing, among others.

Much effort has gone into revising and updating the AAP practice transformation website (http://bit.ly/1IKzHoM), which will be complete by the end of June. One new resource is a glossary of key terms, available at http://bit.ly/1p22e2r.

The Department of Practice, with advice from the task force, also has developed new modules on Leading Change, Empowering Team-Based Care, Population Health, Achieving Quality Improvement, Adopting Telehealth Care and Thriving in Alternative Payment Models. Teams reviewed web resources for pediatricians on practice change, with an initial focus on small community practices and young physicians. The teams identified gaps, deleted outdated materials, and worked to make existing and new resources easily accessible for pediatricians. The practice transformation website also connects with other AAP efforts, especially the state government affairs systems transformation materials.

A small grant from the Physicians Foundation will support internship opportunities around leadership for young AAP physicians as well as new leadership resources for the practice transformation website. This effort will help younger physicians build skills in practice change.

The task force also presented at the Annual Leadership Forum; collaborated with the Council on Clinical Information Technology and the Child Health Informatics Center Project Advisory Committee on mobile health; has several sessions at the National Conference & Exhibition; presented a session at the Pediatric Academic Societies meeting titled “Evolution and Progress in Pediatric Practice: Managing Change for Pediatrics in the 21st Century”; and attended the National Academy of Medicine Value Incentives and Systems Innovation Collaborative meeting in March. Next year the task force will hold a State Medicaid Program Innovation Models Summit: Forging New Paths to Practice Transformation with support from the Friends of Children Fund.

The task force collaborates with the Section on Telehealth Care, leading AAP efforts in new technologies. The section has 377 members, provides an online toolkit to help members consider how to add telehealth to their practices, and offers a mentoring program for section members, linking telehealth “beginners” with seasoned practitioners. Over the next few months, the task force will provide guidance to AAP national and local efforts on linking practices with telehealth and retail-based clinics and the AAP role in partnering with these programs in areas such as setting standards, pediatric oversight and non-acute care (e.g., smoking cessation, management of asthma).

Drs. Perrin and Edwards are co-chairs of the AAP Task Force on Pediatric Practice Change.

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