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Pediatrics CLINIC RESEARCH & QI

This section provides information for ongoing research, quality improvement, and schoarly activity at our clinic. Please read through and follow the instructions to help out your colleagues. Thanks!

Resources

INCREASED discussions of asthma action plans in our clinic visits with patients diagnosed with asthma.

Dr. Shield Olabamiji & Dr. Erum Chowdry

started 1/2024

Smart objectives : Increase provider utilization and review of asthma's action plans with our asthma patient’s by 30% within 1 year
Increase patient’s knowledge of asthma action plans by 20% within 6 months

Pathways to integrate maternal-child health and nutrition interventions to transform equity and human potential

UNLV School of Public Health, Dr. Simangan - 8/2022

This community-based participatory research is designed to inform how best multi-sectoral maternal-child health and food security interventions can be integrated to promote transformation on the maternal-child health and nutrition of historically marginalized communities in the Southwest US. Our hypothesis is that reducing household food insecurity and its severity level will positively transform the developmental trajectories of pregnant women and their young children, nurture their potential, and ultimately enable them to thrive.

Primary Objective: This community-based participatory research is designed to inform how best multi-sectoral maternal-child health and food security interventions can be integrated to promote transformation on the maternal-child health and nutrition of historically marginalized communities in the Southwest US. Our hypothesis is that reducing household food insecurity and its severity level will positively transform the developmental trajectories of pregnant women and their young children, nurture their potential, and ultimately enable them to thrive.

Secondary Objective: To assess the effectiveness of a system-level intervention to integrate maternal-child health and nutrition in decreasing food insecurity frequency and severity levels and improving pregnant women and young children health and nutrition outcomes

How you can help!

As a provider, complete this survey! (about your thoughts on hunger screening our patients)
Make sure to check the screening tab for the hunger screening tool and address if the family screens positive (then DIAGNOSE them) and provide them resources.
If you have a patient under 3 years old (or pregnant mom) that lives in the zip codes 89030, 89031, 89032, 89011 or 89106, please give them a flyer (ask Dr. Simangan) or find the flyer in the workroom. Families can get a $25 giftcard

Increasing COVID Vaccination Rates at UNLV Pediatrics Clinic

Dr. Amy Dao

Problem statement: In May of 2021, the Pfizer COVID vaccine became available for children older than 5 years old and up. In June 2022, the FDA granted EUA to Pfizer’s COVID-19 vaccine to children from 6 months old to 5 years and to Moderna’s vaccine from 6 months old to 6 years old. 38 % of 5-11 year old has at least 1 dose of either vaccine series for COVID nationwide as of 09/14/2022. For children from age 6 months to 4 years old, this rate is less than 2 %. In the UNLV Pediatrics clinic, this rate is probably the same or worse.

AIMS statement: To increase the number of eligible children between the ages of 6 months to 11 years old who coming into clinic for either well or sick visit who have started their primary series against COVID by 5% percent.

Procedure: I've put flier that can be handed out to interested families in both the gold and silver rooms. I've let Nubia and the front know to hand out the short survey to be filled by the parent for 6 month old well checks and up and would appreciate if the attendings/resident can put them in the boxes so I can review later.

CARING FOR YOUR NEWBORN

Dr. Jessica Budiaman, restarted 5/16/22

"I'm starting another round of the Nursery QI! My goal is to try and see if providing education in clinic is more beneficial to moms compared to when we were giving education in the nursery right after they've delivered.

At each Newborn visit, parents will get a yellow Pre-Test. After parents have filled it out, please go through the correct answers with them and provide them with a "Caring for your Newborn" handout and place the tests in the black bin by the gloves in the resident room.

At the 2nd NBS visit, parents will get a yellow Post-Test if you could just collect these and place them in the same black bin.

The forms are all bright yellow and come in both English and Spanish."

CARING FOR YOUR NEWBORN.pdf

Car Seat Safety

Dr. Freya Shroff, started 2/2022

I’ll be starting the first cycle on my QI project assessing parental knowledge of car seat safety. You will be seeing a new question asking parents at what age they can safety switch from rear facing to forward facing car seats for your 12 mo and 15 mo WCC. Please make sure that you have the parents fill this out and place the WCC form in my basket. Next to my basket, you’ll see a flyer in either Spanish or English that you can hand out. The answer is on the flyer, so when you’re doing the after visit portion of the visit, please make sure you go over it with the parents.

SUGARY DRINKS

Dr. Will Quach, restarted 12/22021

I am starting my QI project at Lied Clinic about educating parents about Sugary Drinks. If you guys see stray survey forms from parents or just things lying around if you can throw them in my black data collect basket (with a post it on it) in the main resident room next to the brown cabinets (pretty much next to Ryan's QI basket).

Much appreciated!

PHySICAL ACtivity screening in Kids

Dr. Ryan Frome, started 10/1/2021 - completed 12/2021

My goal is to increase the number of families who are familiar with the AAP guidelines on physical activity. These are the questions I have on the well child check handouts.

2 months through age 2: Is your child getting at least 30 minutes of tummy time and other interactive play, spread throughout the day
3 years through age 5: The question will be: Is your child getting at least 3 hours of physical activity per day, or about 15 minutes every hour they are awake?
Age 6 and up: Is your son/daughter getting 60 minutes of moderate to vigorous physical activity on most days of the week?

How you can help: Please place the WCC intake forms in the baskets located in each work room. Thanks!

Phase 2:

I'm starting phase 2 of my QI project today(11/2/21). It involves having the parents of each patient fill out some questions on physical activity in the clinic. The questions will be on the well child check handout. The folks at the front desk will hand the well child check handout to the parents who will fill it out as usual. The residents and all other physicians just need to take the handout from the parents after it has been filled out and after the visit is completed and place the handout in one of two paper baskets. One basket will be located in the resident work room next to the cabinet with the dental supplies we give out to families. The other basket will be located in the old work room where the residents used to work. My name will be located above the baskets. I will be collecting the handouts intermittently throughout the next two weeks. I have placed reminder signs in both rooms on the walls.

milestones in the Digital Age

Dr. Boneh & Dr. Meyers, started 7/22/2020

The project requires having a medical student researcher come to the waiting room, consent parents for participation and ask parents presenting for well child checks to complete a form and to do a quick task with the child (for example, draw a circle or turn a page in a book). Our medical student researcher will be masked and following all COVID protocols.

Our plan is to have our packet of papers, which consists of an ASQ and a questionnaire, printed on orange paper. We will place a collection basket in the resident room and at the front desk. We would like to ask you all to please place any orange papers from our study in one of those two baskets so that we can collect them.

Well Child Check INTAKE Forms

Dr. Koletic, started (7/1/2020 - 9/2021)

This project involves distribution of Well Child Check questionnaires to help assist in efficiency and accuracy in documentation. Parents are given the forms at Check-In and you are free to use them during the clinic visit and for your documentation. You do not need to collect these forms, and PLEASE shred them after you are done. A questionnaire will be distributed to physicians monthly, please complete this as well.

Improving Lipid Screening

Dr. Pavandeep Rakhra (11/4/20 - 3/24/21)

Conclusions: "Overall, this project was successful and met its goal to improve lipid screening by pediatric residents at Lied Clinic by 50% as screening increased from 19.6% to 70.3%. I believe this project is sustainable as the physical reminders posted in resident workspace still serve as reminders to perform lipid screening. However, as the data shows, the lipid screening lecture also played a vital role in improving our lipid screening rate. Though I would not be able to give this lecture annually, this information could still be covered in didactics or as part of continuity clinic curriculum."

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