Preventive Services

Although clinical trials demonstrate the efficacy of quality improvement outreach in improving service delivery, evidence for broad community effectiveness has been lacking. The objective of this study was to test the effectiveness of a statewide pediatric quality improvement outreach program in improving preventive services for children who are younger than 5 years.

All pediatric practices in Vermont were invited to participate in a preventive services quality improvement initiative.

Practices that selected a specific preventive service area as a quality improvement goal were more likely to demonstrate improvement in that area than practices that did not choose to focus on that preventive services area.

The work in this project has provided the evidence for an effective statewide pediatric quality improvement outreach program to improve preventive services for children who are younger than 5 years. Practices' decision to focus on a specific preventive service area as a quality improvement goal seems necessary for improvement in that area. This approach may be effective in other states or regions.

Findings from this project were reported in an article published in Pediatrics.

Shaw, J.S., Wasserman, R.C., Barry, S.E., Delaney, T., Duncan, P., Davis, W.S., Berry, P. (2006). Statewide quality improvement outreach improves preventive services for young children. Pediatrics, 118(4) 1039-1047. https://doi.org/10.1542/peds.2005-2699