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Overview 
QI Collaborative Framework 
Improvement Glossary 

TICR Prework Checklist 
TICR Selecting a QI Core Team
TICR Core Team and Provider Expectations 
TICR Practice Important Dates 
TICR Action Period Timeline  
TICR Welcome Packet

Key Driver Resources

TICR Key Driver 
Resources in this section support TICR Quality Improvement Activities 

Prepare Practice 

Develop shared knowledge of role of pediatrician and pediatric office in promoting positive childhood experiences and providing trauma informed care
*Items required for providers seeking MOC

Trauma Informed Care and Resilience Promotion Pedialink Course* 
Infant and Early Childhood Mental Health AAP Pedialink Kick Off Webinar and Slides
Book: Childhood Trauma & Resilience A Practical Guide 
PATTerCHAT Level 1 and Handouts 
The Three Rs and Responding to Behaviors- English
The Three Rs and Responding to Behaviors- Spanish

Key Articles 

• Preventing Toxic Stress* 
• Trauma Informed Care 
• Trauma Informed Care in Child Health Systems 
• Optimal Development: Screening for Behavioral and Emotional Problems 
• Mental Health Competencies in Pediatric Practice 
• Positive Childhood Experiences and Adult Health Outcomes 
• Encouraging Strengths in Parents and Youth to Promote Positive Childhood Experiences 
• 8 Things to Remember About Child Development 
• Forkey Commentary on Screening for ACEs 

Complete Educational Online Webinars 

• Gardner Webinar*
• Review one webinar based on screen selected* 
  • Postpartum Depression
  • Social Determinants of Health_ Screen & Intervene: Addressing Food Insecurity
  • Social-Emotional

Message rationale for TICR care supporting Positive Childhood Experiences 

• Develop a Trauma Informed Office 
• Recommendations for Integrating TIC into Pediatric Practice
• Framing Early Relational Health

Utilize a Strengths Based Approach 

Establish standards for communication 

Review options and develop a standard script for a strengths based approach for practice 

• Standardize Script and Documentation
• Promoting First Relationships
• Reach Out and Read- Click here to learn more about getting involved 
• New Mexico 3 Questions 
• 4 Building Blocks of HOPE (Healthy Outcomes from Positive Experiences)
• Bright Futures 

Utilize AAP Recommended communication approaches 

• Common Factors(HEL²P³)
• Common Elements
• Eliciting Strengths Scripts 

Standardize documentation for practice 

• Standardize Script and Documentation

Screen for Potential Barriers to SSNR 

Select Screen

Strengths-Based Approaches and Screening Worksheet
Questions to Consider When Selecting a Screen 
Explore Available Screens 
Bright Futures- Common Screening Tools

Standardize Management for Positive Screens 

Worksheet Implementing a New Screen

Standardize Documentation for Positive Screens 

Documenting Early Relational Health

Establish Intervention Tracking for Completion

TICR Referral Tracking Tool

Define Billing and Coding Pathway

AAP Billing Codes
Z Code Commentary

Explore Perinatal Depression Screening Resources 

The How and Why of Perinatal Depression Screening Webinar
Incorporating Perinatal Depression Screening into Pediatric Practice
Depression Algorithm 
Stress Algorithm 
Perinatal Mental Health Support in Alabama

Explore Social Determinants of Health Resources 

Screen & Intervene: Addressing Food Insecurity Webinar
Promoting Food Security 
Screen and Intervene Food Toolkit  
IPV Role of Pediatrician 
SEEK IPV Algorithm 
AAP EQIPP Social Health and Early Child Wellbeing 
Screening for SDH American Cancer Society Toolkit  
NEJM SDH Moving Beyond Screen and Refer 
NEJM Appendix
SDH A Work in Progress AAP Commentary 
Identifying Family Strengths and Addressing Health-Related Social Needs  
Screening with Dignity 2023

Explore Social Emotional Screening Resources 

Social-Emotional Screening ASHEW Webinar 
Optimal Development
Mental Health Competencies
AAP EQIPP Social Health and Early Child Wellbeing

Foster and Continually Expand Referral Networks and Resources 

Resource Directories 

AL-AAP
Alabama Family Central 
AAP STAR Center Referral Resource Directory 

Cross-Cutting Resources 

AL Partnership for Children 
Help Me Grow
United Way 2-1-1 
PATHS
Reach Out and Read 

What is a Process Map?
PDSA Ramp and Worksheet BLANK 
PDSA Ramp and Worksheet EXAMPLE  
sFMEA (blank)  
sFMEA (example) 
Practice Planning Timeline

TICR Measure Definitions 
TICR Data Due Infographic 
TICR Data Packet 

Baseline Data

• TICR Baseline Data Instructions

• TICR Baseline Data Tracker (Excel)

• TICR Baseline Data Printable

• Strengths-Based Approaches and Screening Worksheet

• Strengths-Based Approaches and Screening Worksheet Example 

 Monthly Data

Quantitative 

• TICR Monthly Data Instructions

• TICR Monthly Data and Intervention Tracker (Excel)

• TICR Monthly Data and Intervention Tracker Printable  

Qualitative 

• PDSA Ramp and Worksheet 

TICR MOC Requirements

QI Modules

NICHQ Quality Improvement 
NICHQ Quality Improvement 102: (The PDSA Story) 

Early Relational Health Modules

• AAP Pedialink: TIC and Resilience 
• Promoting Relational Health- Dr. Gardner 
• Review on webinar based on screen selected:
  • Postpartum Depression 
  • Social Determinants of Health 
  • Social Emotional

TICR Faculty and Staff Contact Information
TICR Expert Faculty Bio