1421 BACKGROUND The American Academy of Pediatrics (AAP) develops policies that promote attainment of optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults. These documents are valued highly not only by clinicians who provide direct health care to children but by members of other organizations who share similar goals and by parents, payers, and legislators. To increase clarity and action of AAP clinical guidance and recommendations for physicians at the point of care, the AAP formed the Partnership for Policy Implementation (PPI). The PPI is a group of pediatric medical informaticians who partner with authors of AAP clinical practice guidelines and clinical reports to help assure that clinical recom- mendations are stated with the precision needed to implement them in an electronic health record (EHR) system. Partnership for Policy Implementation volunteers focus on helping content experts develop clinical guidance that specifies exactly who is to do what, for whom, and under what circumstances. VISION The vision of the PPI is that all AAP clinical recommenda- tions include clear guidance on how pediatricians can imple- ment those recommendations into their patient care and that AAP clinical guidance can be easily incorporated within EHR ­ decision-support systems. MISSION The mission of the PPI is to facilitate implementation of AAP recommendations at the point of care by ensuring that AAP documents are written in a practical, action-oriented fashion with unambiguous recommendations. WHAT THE PPI IS The PPI is a network of pediatric informaticians who work with AAP authors and clinical practice guideline subcommittees throughout the writing process. Contributions of the PPI to the AAP writing process include disambiguation and specification development of clear defini- tions clearly defined logic implementation techniques action- oriented recommendations, including clinical algorithms transparency of the evidence base for recommendations and health information technology (HIT) standard development. WHAT THE PPI HAS ACCOMPLISHED Since inception of the PPI, more than 30 statements have been pub- lished using the PPI process, covering a wide variety of child health topics, including attention-deficit/­hyperactivity disorder in chil- dren and adolescents (Pediatrics. 2019 144[4]:e20192528), influ- enza prevention and control (Pediatrics. 2019 144[4]:e20192478), infantile hemangiomas (Pediatrics. 2019 143[1]:e20183475), main- tenance intravenous fluids (Pediatrics. 2018 142[6]:e20183083), child passenger safety (Pediatrics. 2018 142[5]:e20182460), and high blood pressure in children and adolescents (Pediatrics. 2018 142[3]:e20182096). One example of how a statement developed using the PPI process has gained broader acceptance is the AAP annual influ- enza statement. Since 2007, the Centers for Disease Control and Prevention has adopted components of the PPI statement (spe- cifically, the clinical algorithm) within its own statement on the same topic. WHAT THE PPI IS DOING NOW In addition to creating practical, action-oriented guidance that pediatricians can use at the point of care, the PPI works to make it easier for these recommendations to be incorporated into electronic systems. To date, the PPI has focused its involvement on the statement development process. Involvement of the PPI during the writing process helps produce a clear, more concise document. As these standards of care become well documented, the PPI can begin to focus on building or mapping pediatric vocabulary once solidified, this vocabulary can be built into EHR systems. The standards of care can also be matched to various logical and functional HIT standards that already exist today. Through this work, the PPI improves AAP policy documents by providing specific guidance to pediatricians at the point of care, helping ensure that EHRs are designed to assist pediatricians in providing optimal care for children. The PPI developed a short video that provides an overview of its mission and process. This video is available on the PPI website (https://www.aap.org/en-us/professional-resources/quality- improvement/Pages/Partnership-for-Policy-Implementation. aspx) as well as the AAP YouTube channel at www.youtube. com/watch?v=woTfeoNcxn4. The PPI continues to expand and mentor new members. For more information on the application process and about the PPI, please visit its website (https:/ /www.aap.org/en-us/profes- sional-resources/quality-improvement/Pages/Partnership-for- Policy-Implementation.aspx) or contact Kymika Okechukwu (kokechukwu@aap.org or 630/626-6317). Appendix 1 PPI: AAP Partnership for Policy Implementation
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