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Quality through Technology & Innovation in Pediatrics

South Carolina was one of 10 grantees selected to participate in this federal quality demonstration grant. The grant is aimed at establishing and improving the quality of children’s healthcare through measures of quality, promotion of health information technology, and evaluation of provider-based models. South Carolina was awarded $9.2 million for this demonstration project.

The South Carolina grant has four key goals:

  1. Quality:   demonstrate that newly developed quality indicators can be successfully utilized in pediatric practices;
  2. Technology:   share key clinical data through a statewide electronic quality improvement network;
  3. Innovation:   develop a physician-led, peer-to-peer quality improvement network; and
  4. Pediatrics:   expand the use of pediatric medical homes to address mental health challenges of children in our state.

The CHIPRA QI project represents a unique opportunity for South Carolina pediatricians to help develop quality improvement tools that will lead to better health outcomes for current and future generations of patients. The grant also provides generous incentives to participating practices. These include:

  • $18,000 annual stipends for each of the four years practices participate;
  • Support to achieve at least a level 2 NCQA certification for a patient centered medical home;
  • Credit for Part IV of maintenance of certification credit, with no tuition charges;
  • Assistance and resources to meet the mental health needs of their patients; and
  • Free consultation and assistance to ensure existing health information systems (EMRs) are linked into the state quality improvement network.

Eighteen primary care pediatric practices across South Carolina were recently selected as part of our grant to improve patient care through the use of clinical quality measures and health information technology.  South Carolina has a heterogeneous mix of practices; they vary in location, practice size, integration of mental health and are at various stages of electronic medical record adoption.

Each practice will identify a lead practitioner to implement the quality improvement efforts within the practice, along with an internal QI team. In addition to the stipends and assistance outlined above, South Carolina will be introducing the quality indicators and quality improvement cycles at bi-annual Learning Collaboratives which will coincide with the South Carolina American Academy of Pediatric meetings.  QTIP staff will provide assistance to the practices to support their learning and quality improvement methods; examples include:  peer-to- peer visits to the practices, quality reports, education on academic detailing, and assistance on electronic medical systems.

QTIP is a partnership between the SC Department of Health and Human Services, the South Carolina Chapter of the American Academy of Pediatrics, the University of South Carolina – Office of Research and Statistics and the School of Pharmacy, Care Evolution, and Thomson Reuters.

QTIP Project Overview



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