by Jessica Pupillo • Correspondent
Steven W. Crouch, M.D., FAAP,
wanted to change how his hospital
cared for patients with bronchiolitis, a leading cause of hospitalization in children. The pediatric
hospitalist and medical director at
Stormont-Vail HealthCare in Topeka, Kan., had grown frustrated by
the lack of progress he was making.
His attempts to reduce the use
of bronchodilators and chest physiotherapy — two interventions for
bronchiolitis not backed by evidence — were met with skepticism
by some of his fellow doctors.
In 2013, he joined A Quality
Collaborative to Improve Hospitalist Compliance with the AAP
Bronchiolitis Guideline (B-QIP),
a project of the Academy’s Value
in Inpatient Pediatrics (VIP) Network, part of the
Quality Improvement Innovation Networks. Dr.
Crouch and his team, along with 20 other hospital
site leaders throughout the country, worked with
national quality improvement (QI) experts to de-
termine which tools and resources best improve the
quality of care for children hospitalized with bron-
“There’s quite a bit of evidence that suggests that
the things we try (to treat bronchiolitis) don’t help
by Devin Miller • Washington Correspondent
With strong support from both sides of the
aisle, Congress passed the Medicare Access and
Children’s Health Insurance Program Reauthorization Act of 2015 (MACRA), which was signed
into law by President Barack Obama on April 16.
The bipartisan legislation will extend funding
for the Children’s Health Insurance Program
(CHIP), renew the Maternal, Infant and Early
Childhood Home Visiting (MIECHV) program,
and permanently repeal the Sustainable Growth
Rate formula, known as Congress’ annual “doc
fix,” to avoid annual cuts to Medicare payments.
“Every child needs sound nutrition, nurturing
relationships and safe environments. Home visiting programs and CHIP help meet these needs by
ensuring access to critical services in and outside
the home for every child,” said AAP President
Sandra G. Hassink, M.D., FAAP, in a press release
following MACRA’s passage. “Pediatricians have
been speaking up in support of these programs on
Capitol Hill and in state governors’ offices, and
the bipartisan action we’ve seen from our federal
www.aapnews.org Volume 36 • Number 6 • June 2015
Guidance: HPV vaccine
HPV9 joins HPV4 and HPV2 on the adolescent immunization
platform. AAP issues guidance on the three-dose series.
Don’t be overwhelmed by the ICD-10-CM changes. Coding
Corner offers tips on navigating the injury code set. Page 26
to expand Maintenance
of Certification offerings
by Melissa Jenco • News Content Editor
The Academy has been renewed as a Maintenance of Certification (MOC) portfolio sponsor
and continues to add ways to help members earn
The designation allows the Academy to streamline the MOC process by approving and overseeing
activities and make it more meaningful by connecting groups exploring similar topics.
A “core member benefit” is how AAP Associate Executive Director and Director of the AAP
Department of Subspecialty Pediatrics Ramesh
Sachdeva, M.D., J.D., Ph.D., M.B.A., FAAP,
characterized the AAP portfolio.
“Our goal at the Academy is to continue to
make sure we don’t lose sight of our mission, and
MOC certainly is a catalyst or a step toward that
mission,” Dr. Sachdeva said. “And we continue to
work on trying to improve the MOC experience.”
The MOC process for pediatricians is a points-based system governed by the American Board
of Pediatrics (ABP). It has four components: 1)
professional standing; 2) lifelong learning and
self-assessment; 3) cognitive expertise — secure
examination; and 4) performance in practice.
Every five years, pediatricians must earn 100
points — 40 from Part 2, 40 from Part 4 and the
remaining 20 from either Part 2 or 4.
The Academy has more than 60 active or upcoming activities to help pediatricians earn credit
for both parts and recently launched a website at
www.aap.org/mocinfo to consolidate its resources
in one place.
Since 2007, nearly 78,000 pediatricians have
received some form of MOC credit through AAP
Dr. Sachdeva said the Academy provides a
“You can go to five different stores and buy
five different things, but here you can get it all
together,” he said.
In this issue
See CHIP, page 4
AAP’s advocacy for CHIP, home visiting pays off
Bronchiolitis QI project spurs
significant improvements in care
AAP Executive Director/CEO Errol R. Alden, M.D., FAAP,
(left) talks with Speaker of the House John Boehner
prior to remarks by President Barack Obama in the White
House Rose Garden to celebrate passage of the Medicare Access and Children’s Health Insurance Program
Reauthorization Act of 2015, a bipartisan achievement.
See MOC, page 4
AAP News photo by Jeff Knox
Leaders at 21 hospitals worked with national quality improvement
experts to determine which tools and resources best improve the
quality of care for children hospitalized with bronchiolitis.