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 Course Goals

The goals of EQIPP: GERD course include:

By the end of this course, you will

  • Be familiar with the following:
    • 2018 Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN).
    • AAP 2013 Clinical Report, Gastroesophageal Reflux: Management Guidance for the Pediatrician
  • Help you create plans for improvement to address gaps identified in key clinical activities of your healthy supervision visits. You will collect baseline and follow-up data as you work to improve care and processes through Plan, Do, Study, and Act (PDSA) cycles. 

Learning Objectives

By the end of this course, you will:

  • Be familiar with the following:
  • Recognize how the following key activities contribute to high-quality, ongoing pediatric care of patients with reflux conditions.
    • Diagnosis and Testing: Accurate diagnosis of GERD, recognition of red flag or warning signals, knowing when diagnostic tests are appropriate
    • Treatment: Knowing when nonpharmacologic treatment is recommended and when and what pharmacologic treatment is recommended
    • Referral: Knowing when to appropriately refer a patient to a pediatric subspecialist and what referral information is needed
    • Education, Follow-up, and Communication: Providing anticipatory guidance and GER/GERD education resources to patients and family; follow-up to ensure treatment is successful, and communicating effectively with other care team physician members and the patient/family including maintaining a care plan
  • Measure and improve care delivery and processes for the above key activities by doing the following:
    • Collect and analyze baseline data to establish a starting point for improvement.
      • Identify 1 or more performance gaps in key clinical activities of care.
      • Create an improvement plan for closing identified gap(s) by clarifying the improvement idea to be tested:
        • AIM: What are we trying to improve or accomplish?
        • MEASURES: How will we know that a change made is an improvement?
        • CHANGES: What changes can we make that will result in improvement?
      • Test your ideas quickly on a small scale so you can determine if the changes lead to improvement.
      • Collect and analyze 2 follow-up data cycles to measure the results of your test.

Determine how to sustain successful changes to systematically integrate them into the culture, processes, and workflow of your practice.