The New York City Research and Improvement Networking Group (NYC RING)

Bronx Ongoing Pediatric Screening (BOPS)

This project is a quality improvement initiative aimed at establishing and institutionalizing ongoing, coordinated Pediatric screening practices in the Medical Home throughout the Bronx.

Participating Practices
Montefiore Medical Group sites in Bronx, NY: Astor Avenue Pediatrics, Bronx East, Comprehensive Family Care Center (CFCC), Family Care Center (FCC), Family Health Center (FHC), Grand Concourse, Marble Hill Family Practice, University Ave. Family Practice, Williamsbridge Family Practice Center
Montefiore School Health Program sites in Bronx, NY: DeWitt Clinton High School, Evander Childs Educational Campus
Castle Hill Family Practice, Bronx, NY
South Bronx Health Center, Bronx, NY

Principal Investigator
Andrew Racine, MD, PhD

Project Timeline
Launch: April 2010
Current through March 2015

Study Overview
This project proposes to develop, implement, and evaluate, in a practice network in the United States’ poorest urban county, a state-of-the-art program that incorporates continuous, comprehensive, coordinated, evidence-based, culturally appropriate screening strategies across the lifespan from birth through adolescence. We will concentrate on four particularly difficult elements for pediatric practitioners. They are: 1) newborn screening for genetic, metabolic and infectious diseases, 2) infant and toddler screening for developmental, behavioral and social/emotional disorders, 3) school age and adolescent mental health screening, and 4) screening of sexually active adolescents for sexually transmitted infections. Success in establishing these screening programs will pave the way for future medical home initiatives to encompass a comprehensive regimen of universal pediatric screening. A modified learning collaborative fashioned after the Institute for Health Improvement’s Breakthrough Series and a pay-for-quality monetary incentive for participating practices will be used to provide immediate material incentives linked to goal achievement and to prefigure eventual reimbursement advantages envisioned by New York State for practices that achieve certain characteristics of the medical home. These two implementation strategies are linked to a rigorous evaluation effort of process and outcome measures captured with a state-of-the-art ambulatory electronic medical record at all participating sites and an extensive dissemination undertaking. At its conclusion, BOPS will have successfully established ongoing screening for the four domains throughout 13 NYC RING practices, will have conducted and summarized a comprehensive set of knowledge, attitude, process, behavior, outcomes, and cost evaluations and will disseminate effectively lessons learned with a view toward institutionalizing adoption of these coordinated screening practices as widely as possible.

Contact information:
Andrew D. Racine, MD, PhD, Principal Investigator, aracine@montefiore.org
Deborah York, MPH, Project Director, deborah.york@einstein.yu.edu
Kelsey Hoidal, B.S., Research Assistant, kelsey.hoidal@einstein.yu.edu

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