​The overarching goal of the family engagement quality improvement project (FEQIP) was to improve family engagement in pediatric primary care practices by...
      • Increasing knowledge of concepts and strategies related to family engagement among participating practice teams
      • Increasing the capacity of participating teams to make practice improvements related to family engagement

The FEQIP was implemented over the course of ten months with eight primary care pediatric practices participating. 

This comprehensive quality improvement toolkit is available to assist American Academy of Pediatrics (AAP) Chapters, Title V programs, clinical practices, and other organizations interested in implementing a quality improvement/Maintenance of Certification project. All resources are free of charge and available for customization.

Updated: October 2017

 Learning Session

​Learning Session
Two in-person learning sessions allowed participants to meet project staff and other participants face-to-face and discuss the project and available resources. Materials for these meetings are included below. To access PowerPoint slides for the presentations listed below, please email medical_home@aap.org.

      • Learning Session 1
          • Agenda
          • Agenda Book
          • Presentation Topics
              • Helpful Tools for Parent Partners
              • Introduction to Family Engagement
              • Model for Improvement
              • Quality Improvement for Parent Partners
              • Shared Decision Making
              • Sustainability
          • Story Board Presentations
              • Instructions
              • Presentation Template
      • Learning Session 2
          • Presentation Topics
              • Sustain and Spread
              • Parent Panel Template Presentation

 Action Period

​Action Period
The action periods of this project involved participants implementing interventions as small scale changes using the Plan, Do, Study, Act (PDSA) cycle. The action period also included data collection, narrative progress reports, and educational webinars. Resources used for the action period are included below.


Once the action period is complete, these post-implementation resources can assist in evaluating successes and challenges of the project.

 Lessons Learned

​Lessons Learned

      • Family engagement is a continuum and each clinical team is diverse in their level of engagement.
      • Practices are beyond the "what" and "why and want to focus on "how"; Title V programs can support practice teams in these efforts.
      • Parent/caregiver partners are important, but clear roles and responsibilities are crucial to success.
      • Small changes are key to success.
      • Quality improvement methodology takes time to learn and implement.
      • Teams can be busy and it is not always possible to meet face to face. Innovative strategies to meet as a team are needed.
      • The fact sheet below provides more information about lessons learned during this project...



      • Participating teams reported a 77.8% increase in knowledge of family engagement
      • All participants reported that they made clinical improvements because of the project, including the following…
          • Focusing on family strengths
          • Communicating directly with the patient rather than just the parent
          • Incorporating shared decision making
          • Utilizing the Teach-back method for improving patient-provider communication
      • Most participants reported that they had implemented practice-level improvements as well, including…
          • Developing policies and procedures for referral tracking and follow-up
          • Making their patient portal and website more parent-friendly
          • Adding front desk staff
          • Creating handouts to help parents choose a specialist
          • Inviting parents to speak at staff meetings
      • Final aggregate run charts
      • Summary of Key Findings



The National Center for Medical Home Implementation is supported by the Health Resources and Services Administration (HRSA) of the US Department of Health and Human Services (HHS) under grant number U43MC09134. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the US Government.

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