The California ASD Breakthrough Learning Collaborative

1
The California ASD Breakthrough Learning
Collaborative

• Patrick Maher
• North Bay Regional Center
• Gregg Shibata
• Center for Health Improvement

2
Objective of this Presentation

• Provide basic information about the California
  ASD Breakthrough Collaborative
• What it is and isnt
• Keys to success of the Collaborative
• Expectations
• Provide information about how to get ready to
  join the California ASD Collaborative
• Prework

3
Legislative Mandate

• AB430
• Develop diagnostic and evaluation procedures
• Implement corresponding training program
• Best Practice Guidelines
• Available onlinehttp//www.ddhealthinfo.org/

4
California ASD Collaborative

• Statewide initiative that focuses on
  collaboration among Regional Centers to
• Improve clinical and organizational practices
• Share information

5
What the ASD Collaborative Is

• Regional Center directed effort
• Collaborative environment that fosters
• Sharing of ideas
• Group problem-solving
• Peer-to-peer networking

6
Collaborative Focus

• Screening
• Includes education and outreach to internal and
  external stakeholders
• Improve the referral process
• Diagnosis
• Comprehensive, quality diagnosis
• Consistency of diagnosis throughout Regional
  Center

7
CHI Collaborative Methodology

• Builds on proven national model
• Institute for Healthcare Improvementwww.ihi.org
• Quality improvement
• Harnesses collective wisdom
• Keys to success
• Leadership
• Measurement

8
Leadership

• Requires senior management support
• Requires Regional Center champion to motivate
  and challenge team members

9
Collaborative Timeline Elements
10
Measurement

• The ASD Collaborative is about improvement of
  care for children suspected of having an ASD.
• Measurement will help regional center teams
  evaluate the impact of their improvements

11
NBRC Experience Results in 6 Month Decrease in
Age of Referral
12
Examples of Previous Activities

• M-CHAT training with community partners
• Trained 4 HeadStart schools on screening
  techniques
• First Signs and awareness training at five local
  day care facilities
• Rural area pediatric screening training
• ADOS training and interpretation
• Developed interagency diagnostic clinic
• Trained Early Start, intake, medical director and
  case managers on function/purpose of adaptive
  measures using ABAS
• Mail/Online parent/teacher questionnaire
• Etc.

13
Next Steps Prework

• Register for the Collaborative
• Identify team members
• Gather baseline data
• Develop aims

14
Expectations

• Participating Regional Centers will
• Conduct prework
• Define own measurable aims
• Share their experiences, successes and obstacles
• Evaluate the impact of their improvements

15
Expectations (cont)

• Collaborative Staff will
• Provide coaching during the Prework
• Facilitate the Learning Sessions
• Develop and provide supports for shared learning
• Assess progress and provide regular feedback

16
Executive Committee

• Gregg ShibataCenter for Health
  Improvementgshibata_at_chipolicy.org916.930.9216
• Lisa Benaron, MDFar Northern Regional
  Centerlbenaron_at_farnorthernrc.org530.879.4440
  x4449
• Steven Graff, PhDTri-Counties Regional
  Centersgraff_at_tri-counties.org800.664.3177 x226
• Ron Huff, PhDCA Department of Developmental
  Servicesrhuff_at_dds.ca.gov916.654.1976

• Patrick Maher, MDNorth Bay Regional
  Centerpatrickm_at_nbrc.net707.256.1111
• Nancy Oswald, PhDCenter for Health
  Improvementn.oswald_at_comcast.net510.526.5558
• Felice Parisi, MDGolden Gate Regional
  Centerfparisi_at_ggrc.org415.546.9222

17
Questions