As part of Maine Quality Count’s effort to positively impact the health of Maine’s population, QC has a Child Health initiative also known as QC for Kids with various programs under that umbrella.
Mission: To optimize the health of Maine children by initiating and supporting measurement‐based efforts to enhance child health care by fostering public/private partnerships.
Vision: All practices providing health care to children will have the skills, support, and opportunities for collaborative learning needed to deliver high quality health care.
Select a program below to learn more about QC for Kids initiatives.
ME Child Health Improvement Partnership (ME CHIP)
Quality Counts for Kids coordinates the ME CHIP advisory group. ME CHIP is part of the National Improvement Partnership (NIPN). One of the first projects overseen by ME CHIP was First STEPS Project. First STEPS (Strengthening Together Early Preventive Services) was a quality improvement initiative focusing on improving children’s health care and improving preventive health screenings. First STEPS was a collaborative effort of the Maine Child Health Improvement Partnership (ME CHIP) and was funded by a Federal CHIPRA grant called Improving Health Outcomes for Children (IHOC) in Maine and Vermont from 2011-2016.
The ME CHIP Advisory Group meets the 2nd Friday, every other month, from 1-2 pm via Zoom. Click here for upcoming meeting dates and past meeting materials.
Find more information on NIPN.
Developmental Systems Integration (DSI)
The Maine Developmental Systems Integration (DSI) initiative focuses on systems integration to assure the health and developmental needs of infants and young children are identified early. Many of the organizations that serve children ages birth to three in Maine, including Maine Families, Public Health Nursing, Early Head Start, child health care providers, and Child Development Services, participate in developmental surveillance and screening. Since 2013, the Developmental Systems Integration (DSI) Steering Committee has worked to develop a strategy and plan to coordinate efforts and share results among different organizations, working toward the goals of reducing duplicate screening, ensuring that children who require further evaluation and services receive appropriate and timely follow-up care, and completing the communication loop to make sure screening and evaluation results are communicated back to child health care providers and referring organizations working with children and their families. In 2015, Maine became a Help ME Grow (HMG) Affiliate state and is doing planning work to understand the framework that would be required to implement HMG in the state. Since starting the DSI work and partnering with the state CHIPRA grant, Improving Health Outcomes for Children and First STEPS project, the rates of developmental screening for children birth to age three from 2011 MaineCare baseline data from 1-3% to over 21-28%, surpassing the target of 20%. Currently the DSI work is funded through the Maine CDC through the Maternal and Child Health Block Grant.
Developmental Screening Community Initiative (DSCI)
Maine Quality Counts for Kids, under the guidance of DSI, created the Developmental Screening Community Initiative (DSCI) to implement and test best practices for improving developmental screening efforts at the local level. Three DSCI mini-grants were provided to multi-disciplinary teams in the Bangor, Waterville and Midcoast regions to implement and test developmental systems integration.
MaineHealth and the United Way of Greater Portland have been the leaders of the stakeholders in this project. In May of 2016, they initiated an intervention to increase the rate of developmental screening and the quality of communication between different sectors which perform this screening and support families in successful connection to services to meet the objectives above thus starting the Cumberland County Developmental Screening Initiative.
The Cumberland County DSCI is a collaborative cross sector community work group with the goal of developing a coordinated system for communication and referrals between primary care clinics, community organizations and early education providers in order to share developmental screening results and ensure families receive optimal developmental services.
Collaborative ADHD Learning in Maine (CALM)
Maine Quality Counts (QC) in collaboration with Maine Chapter of the American Academy of Pediatrics (MAAP) are working with practices to elevate the health of children by measurably improving the screening, diagnosis, and treatment for Attention Deficit and Hyperactivity Disorder (ADHD) with the CALM Project. This project is managed by the American Academy of Pediatrics and supported by an independent grant from Pfizer, Inc.
To achieve improved care for children with ADHD, this learning collaborative will focus on improving proper ADHD diagnosis and management, so that patients are assessed for ADHD using a validated instrument across multiple major settings; parents of patients diagnosed with ADHD are given an educational ADHD booklet; and patients diagnosed with ADHD are prescribed behavior therapy and/or parenting guidance.
Through this learning collaborative, practices will have access to the Positive Parenting Program (Triple P) parenting model at the Edmund N. Ervin Pediatric Center as well as Lives in the Balance tools developed by Dr. Ross Greene.
We also want to welcome our practice partners and state experts: Midcoast Pediatrics, InterMed Pediatrics, EMMC Family Medicine Center and Residency Program, SMHC Biddeford Pediatrics, Dr. Harry E Davis Pediatric Center, MMP Developmental-Behavioral Pediatrics, Edmund Ervin Center, MaineGeneral, MMP South Portland
Community Partners: UCP of Maine, Maine Parent Federation, Sequel Care of Maine, Maine Schools
Data Entry: Select QI Teamspace to enter your monthly data. Remember, data is due by the 15th of each month.
Funding for the CALM Project is provided by the Pfizer Independent Grants for Learning and Change (IGL&C) group, which provides independent grant support to organizations for healthcare quality improvement and learning and change initiatives. The Pfizer Foundation is independent from the commercial entity, Pfizer.
From The First Tooth
Tooth decay is the most common disease impacting children, yet it is mostly preventable. It is now standard for medical providers to be involved in pediatric oral health. Over the years practices have worked to embed this evidence based practice within well child visits applying fluoride varnish which has been proven to be a safe and effective method for preventing tooth decay in children.
QC is teaming up with From the First Tooth to provide technical assistance to practices to fast track the 2014 USPSTF Recommendation on fluoride varnish application. From the First Tooth initiative aims to improve the oral health of Maine children from the eruption of the child’s first tooth through 47 months of age by implementing an evidence-based preventive oral health intervention. Some studies suggest that it takes an average of 17 years for new evidence based-findings to reach clinical practice. We want to work with practices and health systems to get this evidence based practice into clinical settings sooner, in order to improve public health and the quality of health care.
FTFT has trained over 200 practices statewide on how to perform an oral health assessment and apply fluoride varnish. The goal is for children to receive at least four fluoride varnish applications by four years old. The work of improving the oral health of Maine children continues through our Healthy Smiles 2020 statewide Challenge.
The Healthy Smiles 2020 Challenge is a clinically based challenge and recognition program. All pediatric and family medical practices are invited to join. The aim is to raise the percentage of children ages 6-48 months in Maine who receive a fluoride varnish annually to 60% by the end of 2020. FTFT is partnering with Quality Counts to provide quality improvement services that will help increase this metric.
This Challenge promotes the integration of the USPSTF Recommendation B – Dental Caries in Children from Birth Through Age 5 into family medicine and pediatric practices. Your practice will track and self-report the percentage patients 6-48 months who receive a fluoride varnish at any office visit. Your practice will be recognized annually on our website and awarded with fun incentives! Join us today in reducing early childhood caries in the state of Maine. Register your practice today by visiting From the First Tooth!
Funding: This work is done in conjunction with MaineHealth with Funding from the Sadie and Harry Davis Foundation
Perinatal Quality Collaborative (PQC4ME)
The purpose of the Perinatal Quality Collaborative for Maine (PQC4ME) is to improve maternal and newborn health in Maine. The PQC4ME is an initiative at Maine Quality Counts (QC) under the Child Health Program, QC for Kids that is kicking off in 2018.
PQC4ME is a stakeholder and member-driven collaborative and will be seeking funding for projects in the upcoming year.
- If you have an interest in affecting the outcomes for women and their babies during the childbearing year and the newborn period, we welcome your support and involvement. For more information about the PQC4ME, or to request an application to join the PQC4ME Steering Committee please contact: email@example.com.
- To donate funds for this effort click here and type PQC4ME in the Comment Field
Mission, Vision, Goals
Vision: The vision of the PQC is that all women and families will have seamless access to the maternity and newborn care they want and that is indicated, across the perinatal continuum. The maternity care system actively facilitates this access, including respect for the woman’s chosen practitioner(s) and birth setting. This vision will be accomplished by bringing together all stakeholders from across the maternity care system to focus on and improve the quality of care and the experience of women and newborns throughout the perinatal period and in every care setting.
Mission Statement: The mission of the PQC4ME is to improve the state of perinatal health care in Maine, under the direction of expert perinatal clinicians who represent the full range choices and care option, with inclusion of all interested stakeholders in the process, and without undue influence from any one sector.
- Facilitate transition to a perinatal care system that provides all women and newborns access to safe, quality maternity and neonatal care in the setting of their choice.
- Provide ongoing interprofessional educational opportunities that create the potential for positive system-wide impact on perinatal outcomes.
- Make evidence-informed recommendations to support rules, laws, policies and practices that remove barriers and improve outcomes.
- Support effective respectful communication across disciplines and among stakeholders using existing and future guidelines.
- Strategize to support and develop perinatal quality initiatives to improve perinatal outcomes in Maine.
- Collaborate with existing agencies and utilize data to assess outcomes.
Improving Care and Coordination for Women and Children Affected by Substance Use During Pregnancy
In Maine, the number of infants treated for prenatal drug exposure has risen dramatically from 165 to over 1000 infants a year from 2005 to 2017. In response to this growing crisis affecting our state’s youngest children and families, the Family Health Division of the Maine CDC and the Maine Chapter of the AAP identified this as a priority area in the spring of 2010 and partnered to create the “Snuggle ME” project. This is an effort to improve care coordination for affected families with the goal of providing appropriate counseling and care prenatally, in the hospital setting, and post-discharge through early intervention services.
The Snuggle ME project is an integrated effort of the Maine Quality Counts, Maine Chapter of the AAP, Maine CDC, maternity care providers including high risk maternal fetal medicine, OB/GYN, family medicine, nurse midwives, nurse practitioners, pediatricians and neonatologists with representatives from EMMC, MMC, and CMMC, MaineGeneral, Penobscot Bay Medical Center, Franklin Memorial, Mayo Regional, ACOG, Office of Substance Abuse, WIC and lactation consultants that came together to create recommendations for care. The original Snuggle ME guidelines (2012) are posted Maine CDC website. Click here In 2017, the statewide group met again to update the guidelines and they should be available in early 2018. Kelley Bowden, MS, RN, the Perinatal Outreach Nurse Educator for the Maine CDC can be contacted with questions.
- Navigate to the Resources tab if you are looking for documents and materials in relation to a project
- Navigate to the Learning Opportunities tab if you are looking for upcoming learning opportunities including webinars and online modules
- Navigate to the Learning Archives tab if you are looking for past webinars
First STEPS (ME CHIP)
- First Steps Building a Healthy Future Poster
- First STEPS Change Package
- First STEPS Charter Document Feb 2012
Developmental Screening (DSI)
Developmental Screening Resources:
- Your Child’s Early Development is a Journey Magnet Template
- Developmental Milestones Brochure
- First STEPS Change Package for Developmental Delays and Autism Spectrum Disorder (ASD)
- Why is Developmental Screening Important Fact Sheet
- Outreach to Families Guidance on Dev Screening -Understanding Developmental Screening Tips for Families
- Developmental Screening Age Ranges for Critical Ages FACT SHEET
- CDS Online Referral
- CDS Consent Form to Share Information
- Consent to Share Screening Information
- Referral Sources for Children and Families Ages Birth to Three Fact Sheet Jan 17
- CQN ADHD Change Package- July 2017
- AAP Coding Fact Sheet
- The final learning session for the Collaborative ADHD Learning in Maine (CALM) project was held on Friday, April 13th in conjunction with the Maine AAP 2018 Spring Conference. For materials and presentations please visit: http://www.maineaap.org/conferences
Oral Health (FTFT)
Perinatal Quality Collaborative
- Clinical Guidance for Treating Pregnant and Parenting Women with Opioid Use Disorder and Their Infants
- Final Report – Opioid Use, Misuse and Overdose in Women, 2017: www.womenshealth.gov/printables-and-shareables/federal-reports and www.womenshealth.gov/about-us/what-we-do/programs-and-activities).
- Principles of Substance Abuse for Early Childhood: A Research-based Guide
- NIH-NIDA Children Substand Abuse Prevention
New outreach materials from SAMHS (order materials by contacting 1-800-499-0027 or firstname.lastname@example.org)
- Consumer-friendly webpage on substance use and pregnancy (with additional resources on Drug Affected Babies and Fetal Alcohol Spectrum Disorders): www.maine.gov/fas
- Marijuana and Pregnancy Rack Card
- Marijuana and Breastfeeding Rack Card
- Substance Use and Pregnancy Brochure
- Alcohol-free Pregnancy Poster
Upcoming QC for Kids Webinars & Sessions
- Webinar: Aug 14, 2018, 12-1 pm, Integrating Oral Care into Pediatric Practices, Rachel King, MD and Jeff Stone, MD, sponsored by From the First Tooth, Register
- Eat Sleep Console Training: QC is hosting an ESC training with NNEPQUIN on October 30, 2018, at MMC for 10 hospital teams who are interested in learning about ESC and joining NNEPQIN. NNEPQIN is collecting data on substance exposed infants and hosts monthly case based webinars. QC has funding for this training from a MEHAF discretionary grant as the first work of the PQC. Registration will be sent out in July for the October training and there will be a webinar on September 11, 2018 at noon to provide information on the training. REGISTER for the overview session.
- Perinatal Quality Collaborative: QC is developing a PQC steering committee of a multidisciplinary group of 10-15 members to improve maternal and newborn health in Maine.. Please complete the Survey if you are interested in learning more about this work. The first meeting is July 24, 2018 from 10-12 noon at QC.
- Adolescent Transition Workgroup: QC will be bringing together stakeholders to form a work group and hold 4 two-hour sessions on the topic of Transition of Care for adolescents with special health care needs focusing on ages 12-16 and 16-18 year old transition in the primary care office. These sessions will help guide an environmental scan to identify what resources currently exist for transition of care and to identify the gaps while establishing action steps to be included in an implementation plan. Please sign up through the following LINK before July 1 if you are interested in participating in this critical work. An introductory informational call will be held on Wednesday July 25, 2018, from Noon-1 via zoom.
Online Learning Modules
- QC has 2 online modules around Improving ADHD Care of Children in Maine with funding from the Pfizer Independent Grants for Learning and Change (IGL&C) group, which provides independent grant support to organizations for healthcare quality improvement and learning and change initiatives. The Pfizer Foundation is independent from the commercial entity, Pfizer.
Past QC for Kids Webinars
June 12, 2018, Integrated Care for Pregnant and Parenting Women with Opioid Use Disorders
Integrated Care for Pregnant and Parenting Women with Opioid Use Disorders
Speaker: Daisy Goodman
- Audio Recording
- Snuggle ME Guidelines & Brochure
- The Pregnancy Recovery Center: A women-centered treatment program for pregnant and postpartum women with opioid use disorder
- SAMHSA Clinical Guidance Document:
- Alliance for Innovation in Maternal Health Patient Safety Bundle
- Wright, T. (ed). Opioid-Use Disorders in Pregnancy: Management Guidelines for Improving Outcomes. Cambridge, UK: Cambridge University Press. 2018 (Available on Amazon, or Cambridge University Press)
March 20, 2018: Snuggle ME Guidelines- What's Next?
March 8, 2018: Collaborative and Proactive Solutions for Children with Challenging Behavior: Lives in the Balance
Speaker: Ross Greene, PhD, Founding Director, served on the faculty at Harvard Medical School for over 20 years, and is now adjunct Associate Professor in the Department of Psychology at Virginia Tech and adjunct Professor in the Faculty of Science at the University of Technology Sydney in Australia.
February 8, 2018: ADHD Managing Medication and Co-Morbid Conditions
January 31, 2018- Healthy Smiles 2020: Going the Extra Smile
January 11, 2018: Collaborative ADHD Learning in Maine Practice Teleconference
Collaborative ADHD Learning in Maine Practice Teleconference
Speakers: Sue Butts-Dion, Steve Meister and Kayla Cole
December 12, 2017: Using Health Literacy Strategies to Connect with Patients about the Importance of Oral Health
November 9, 2017: Lessons Learned in the Previous National AAP ADHD Pilot and How We Can Apply Lessons to the CALM Project in Maine and More Information on ADHD Medication Management
October 20, 2017: Kickoff Learning Session
Collaborative ADHD Learning in Maine (CALM) Kickoff Learning Session
Speakers: Deb Hagler, Amy Belisle, Stephen Meister, Kayla Cole, Melissa Bowker-Kinley, Carol Hubbard, Sue Butts-Dion
- Welcome October Learning Session Presentation
- Begin with End in Mind
- ADHD Practice Guidelines, Diagnosis, and Basic Management
- Treating ADHD in Young Children
- Developing Aim Statement and Measures
- Key Components of the ADHD Change Package
- Making an Action Plan with Your Practice- The First 90 Days
September 14, 2017: CALM Welcome and Materials
CALM Welcome and Materials
Speakers: Amy Belisle, Sue Butts-Dion, Deb Hagler, Steve Meister
August 22, 2017: HPV-related Cancer Prevention in Maine
August 8, 2017: Addressing Oral Health in Pediatric Care – Good, Better, Best!
June 8, 2017: Fostering Care in ME: Improving the Health Care of Children in Foster Care in Maine
May 11, 2017: How Can We Actively Address the Opioid Epidemic in Maine: Starting with Prevention and Substance Abuse Screening in Adolescents
Caring for ME and QC for Kids: How Can We Actively Address the Opioid Epidemic in Maine: Starting with Prevention and Substance Abuse Screening in Adolescents
Speaker: John Knight