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The myADHDportal.com Improvement Program: An innovative quality improvement intervention for improving the quality of
Jeffery N Epstein1, Joshua M Langberg, Philip K Lichtenstein
1University of Cincinnati College of Medicine ; Cincinnati Children's Hospital Medical Center.
Insights
Pediatricians can now improve attention-deficit/hyperactivity disorder (ADHD) care with myADHDportal.com, an online program that helps implement American Academy of Pediatrics guidelines. This digital tool enhances quality improvement and streamlines ADHD management for better patient outcomes.
Area of Science:
- Pediatric Health
- Quality Improvement Science
- Digital Health Interventions
Background:
- Community-based pediatricians face challenges implementing evidence-based guidelines for attention-deficit/hyperactivity disorder (ADHD) care.
- There is a need for improved strategies to enhance ADHD care quality and guideline adherence.
- An existing quality improvement intervention has demonstrated effectiveness in improving ADHD care provided by pediatricians.
Purpose of the Study:
- To describe the online adaptation of a quality improvement intervention for ADHD care, named the myADHDportal.com Improvement Program.
- To detail the functionalities of the online intervention, including data collection and communication features.
- To present the integration of quality improvement tools within the online platform to support guideline implementation.
Main Methods:
- Modification of an evidence-based quality improvement intervention for online delivery.
- Integration of online ADHD rating scales for parents and teachers.
- Implementation of online communication channels for parents, teachers, and physicians.
- Inclusion of quality improvement tools: patient flow wizard, quality report card, and Plan-Do-Study-Act (PDSA) cycle guidance.
Main Results:
- The myADHDportal.com Improvement Program facilitates the delivery of quality ADHD care through integrated clinical and quality improvement tools.
- The online intervention addresses obstacles to implementing American Academy of Pediatrics-recommended practice behaviors.
- Initial results indicate the intervention model's effectiveness in improving ADHD care delivery.
Conclusions:
- The myADHDportal.com Improvement Program offers a scalable solution for disseminating effective ADHD care strategies.
- Online delivery of quality improvement interventions can enhance pediatrician adoption of evidence-based guidelines.
- This digital approach supports continuous quality improvement in pediatric ADHD management.
Abstract:
Though the American Academy of Pediatrics has developed and disseminated clear evidence-based guidelines for ADHD care, community-based pediatricians often have difficulty implementing these guidelines. New strategies are needed to improve the quality of care received by children with ADHD and to improve utilization of the AAP consensus guidelines by pediatricians. An evidence-based quality improvement intervention has been developed that effectively improves the quality of ADHD care delivered by community-based pediatricians. In order to facilitative widespread dissemination of this intervention model, the entire intervention has been modified for online delivery. The intervention is called the myADHDportal.com Improvement Program. The full functionality of this online intervention is described including the collection of online ADHD rating scales from parents and teachers and online communication between parents, teachers, and physicians. In addition, the web portal integrates several innovative quality improvement features including an online wizard for mapping ADHD patient flow, an online report card for monitoring quality of care, and an online wizard for guiding practices through the Plan-Do-Study-Act (PDSA) cycle process. The combination of clinical utility and quality improvement tools facilitates delivery of quality ADHD care and reduces several of the obstacles to implementing AAP-recommended practice behaviors. Initial results with this intervention model are reviewed and goals for dissemination are described.
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