Ohio AAP's Approach to Infant Safe Sleep Initiatives
Ohio AAP has implemented comprehensive safe sleep initiatives focusing on increasing pediatrician awareness, conducting injury prevention projects, and launching statewide campaigns. Their Quality Improvement Program has successfully assisted pediatricians in screening families for risks and addressing high-risk issues, leading to significant improvements in addressing key safety topics like car seat safety, sleep practices, and injury prevention. The ongoing Wave 2 program aims to enhance family discussions and behavioral changes related to safe sleep practices.
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Presentation Transcript
Ohio AAPs Comprehensive Approach to Infant Safe Sleep Mike Gittelman, MD Sarah Denny, MD Hayley Southworth, MS Melissa Wervey Arnold, BSJ
The Problem of Safe Sleep In Ohio
Ohio AAPs Safe Sleep Initiatives Increase pediatrician discussion and awareness through Injury Prevention QI project Statewide marketing campaign Children s Hospitalist program
OH AAP Quality Improvement Program Developed a tool to assist pediatricians in screening families for injury risk Enabled them to spend more time on high-risk issues Enrolled pilot group of pediatricians in QI program Offered MOC Part 4 Credit for participation
Wave 1Sept 2011May 2012 Concentrated on < 1 year Least surveyed age Different tool for each of 6 WCVs Primary goal = Use the tool consistently Topic % Addressed Pre-Study (n) % Addressed at End of QI Program (n) 80.12 (332) 93.89 (262) 92.61 (176) 91.19 (261) 87.96 (407) 94.42 (251) 95.67 (231) 95.35 (172) 86.27 (153) 93.51 (154) 91.56 (154) % Car seat Sleep Fire/burn Family Fall Supervision Water Choking Ingestion Play Home 41.16 (396) 48.0 (300) 35.5 (200) 28.0 (300) 38.06 (494) 20.81 (298) 10.77 (195) 44.67 (197) 34.01 (197) 17.86 (196) 40.31 (196) 38.96 45.89 57.11 63.19 49.9 73.61 84.9 50.68 52.26 75.65 51.25
Wave 2 Currently Underway Tool condensed to 2 forms Birth-4mos & 6mos-1yr Funding for practices Healthy Tomorrow s Grant Sleep sacks provided funded by Children s Trust Fund Primary goals Increase family discussions Assess behavior change based on counseling
Statewide Campaign Mirrored after our bike helmet initiative Goal = Increase helmet usage to at least 30% in next 5 years Marketing Campaign Helmet dispersement Data Collection Pediatrician initiative Passage of legislation
Statewide Media Outreach Print TV radio Social Media Put A Lid on it FB page FB add targeting parents of kids < 15 years Marketing Campaign Legislative Advocacy School Outreach Elementary School Administrators Association Grassroots outreach Bike shops E-news to AAP members OIPP, ODH, OPHA Childrens Hospital Association
Initiatives Toolkits Educators Legislatives Partners Media Helmet giveaways Schools, churches, etc. Legislator events
Safe Sleep Marketing Paid and unpaid media Brochures Developed through ODH focus groups Sleep sack dispersements Legislative, hospital, and pediatrician buy-in
Safe Sleep Compliance Other Children s Hospitals Arkansas Initial audit 20% prone, 48% multiple blankets, 8% positioning devices Kansas Initial audit Only 17% of infants in a safe sleep environment
Action Plan Hospital champion teams selected February-March 2014 8 weeks Audits at each hospital baseline data April 2014 February 2015 10 months Education of staff Continued audits / data tracking Expansion to birthing hospitals
