Previous PHiiT Projects

Please note these projects are not currently active and do not have current video education.

Best Practice Provider Resource (BPPR)

In the 16 years since the Institute of Medicine released “To Err is
Human,” translational and quality science research has had little impact
on medical quality and value.  Kleinman et al. describe a need to
progress on 2 intersecting fronts: empirical work needs to document and
improve care in real time; and stakeholder engagement to develop a
meaning-based understanding of health care.  PHiiT has brought a large
stakeholder group together to define a high-value metrics panel to
evaluate best practice in ambulatory pediatric practices.  These metrics
were aggregated from CHIPRA, HEDIS and the National Improvement
Partnership quality measures.  PHiiT has assisted practices in
collecting these metrics, analyzing individual practice performance and
assist QI Teams in each practice improvement.  This practice improvement
will occur through coaching design tools, sharing solutions across
practices and collaborative learning from the success and failures of
participating practices.

Click here for the full BPPR project summary

Breastfeeding Sustainment

The pediatrician’s role in advocating and supporting proper breastfeeding practices is essential to improve outcomes for both newborn and mother. Currently Tennessee newborns have poor breastfeeding success rates. In Tennessee, only 15.4% of mothers are exclusively breastfeeding at 6 months. This project assisted practices in identifying, implementing and maintaining process changes regarding breastfeeding support.

Click here for the full Breastfeeding Sustainment project summary.


Newborn Tobacco Exposure Reduction

Both clinicians and the public tend to underestimate the effects of
tobacco use and exposure on pregnancy and human development, though the
science is now clear.  Pre-term and underweight births are more likely
to result from tobacco use than alcohol, marijuana or harder drugs. We
also know that 20% of children have at least one smoking parent. Tobacco
use by caregivers represents a major modifiable risk factor for
multiple poor health outcomes.  We know that pregnancy and the immediate
post-partum period are a time of high motivation to alter tobacco use.
This project assisted practices in identifying, implementing and
maintaining simple steps to assess newborns tobacco exposure and
increase the rate of caregivers that decrease tobacco exposure to improve health outcomes of their children.

Click here for the full Tobacco Exposure Reduction project summary.



This educational and practice improvement project was designed for primary care providers. This project presented, incorporated and sustained the use of high-value, chronic-care management processes for asthma. These key processes included:

  • Timely and scheduled chronic-care visits that mirror the trigger pattern for patients,
  • Appropriate use of inhaled corticosteroids in persistent asthmatics,
  • Updated asthma action plans,
  • Regular asthma control testing,
  • Annual spirometry,
  • Tobacco exposure reduction and
    Influenza prevention.



To learn more about PHiiT, please contact

Becky Brumley, RDH, MPH
Program Director/Quality Coach