Unaka Ndidi, Steller Jeff, Eaton Sarah, Seger Brandy, McClure Jessica M, Mansour Mona, Rich Kate, Beck Andrew F, Burkhardt Mary Carol, Lacasse Nicole, Robinson Crystal, Anderson Jeff
Division of Hospital Medicine Cincinnati Children's Hospital Cincinnati Ohio USA.
Department of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA.
Learn Health Syst. 2024 Dec 9;9(2):e10462. doi: 10.1002/lrh2.10462. eCollection 2025 Apr.
Care gaps in routine and preventive care are common among youth. To close care gaps, health systems should take a population health approach and create opportunities for partnership, collaboration, shared learning, and scale via learning networks (LNs).
We describe the Pediatric Improvement Network for Quality (PINQ), a regional population health LN with the aim of closing well-child and mental and behavioral health (MBH) care gaps. We initially launched PINQ with 2 primary care domains: well-child care (WCC) and MBH and later added the third domain of PINQ focused on community MBH organizations. We defined measures for the primary care WCC (well-child visits for infants 0-15 months; lead screening by 2 years of age, childhood immunization status 3 completion) and MBH domains (depression screening in youth 12-17 years, 30-day follow-up for positive depression screen, mental health emergency department utilization) and established system-level key drivers.
PINQ launched in September 2022 with 7 teams (5 in primary care WCC and 2 in primary care MBH domains, respectively). All teams participate in a monthly meeting that alternates between the Action Period call and Solutions Labs. We highlight two case studies that illustrate the impact of shared learning and quality improvement support on Improvement Team efforts.
We foresee PINQ as a means of moving the needle toward high quality, comprehensive health care for Greater Cincinnati youth. The next steps include growing PINQ by adding Improvement Teams and expanding the network focus to include other primary care-centric metrics and conditions.
青少年在常规和预防性医疗保健方面存在的护理差距很常见。为了弥合护理差距，卫生系统应采取人群健康方法，并通过学习网络（LN）创造伙伴关系、协作、共享学习和扩大规模的机会。
我们描述了儿科质量改进网络（PINQ），这是一个区域人群健康学习网络，旨在弥合儿童健康以及精神和行为健康（MBH）护理差距。我们最初启动PINQ时有两个初级保健领域：儿童健康护理（WCC）和MBH，后来又增加了PINQ的第三个领域，专注于社区MBH组织。我们定义了初级保健WCC（0至15个月婴儿的儿童健康检查；2岁时进行铅筛查，完成3次儿童免疫接种）和MBH领域（对12至17岁青少年进行抑郁症筛查，对抑郁症筛查呈阳性者进行30天随访，精神科急诊科利用率）的衡量标准，并确定了系统层面的关键驱动因素。
PINQ于2022年9月启动，有7个团队（分别在初级保健WCC领域有5个团队，在初级保健MBH领域有2个团队）。所有团队都参加每月一次的会议，会议在行动期电话会议和解决方案实验室之间交替进行。我们重点介绍了两个案例研究，以说明共享学习和质量改进支持对改进团队工作的影响。
我们预计PINQ将成为推动为大辛辛那提地区青少年提供高质量、全面医疗保健的一种手段。下一步包括通过增加改进团队来扩大PINQ，并将网络重点扩大到包括其他以初级保健为中心的指标和病症。
