Firearm Safe Storage Quality Improvement (QI) Project Registration

Firearm Safe Storage QI Project Registration
Thank you for your interest in the ICAAP Firearm Safe Storage Quality Improvement Project. Funding for this project was made possible by funds received from the Office of Health Promotion, through the Illinois Department of Public Health.
Project Requirements
To earn American Board of Pediatrics Part 4 Maintenance of Certification (MOC) credit each physician agrees to the following:
- Participants will need to attend at least 3 out of 5 scheduled 1-hour monthly webinars live to share data and best practices across participating sites. Participants should view webinar recordings for sessions they cannot attend live.
- Participants should contribute to practice PDSA cycle and data collection.
To earn MOC Part 4 credits each practice team agrees to the following:
- Practices are encouraged to establish a team to engage in the project, which may include physicians, nurses, medical assistants, and practice managers. The practice team should designate one physician as the local leader.
- Practice teams should have at least one person in attendance live at 4 out of the 5 scheduled webinars to share data and best practices across participating sites.
- Practices should complete at least one Plan Do Study Act (PDSA) cycle and share at least one Plan Do Study Act (PDSA) cycle with other practices during a project webinar.
- Practices should collect and submit practice-level data on project measures for 4 monthly data cycles (baseline and 3 project data collection cycles).
Important Dates

This project will run from January 20, 2026 through May 19, 2026. The sessions will be held on the following dates:

Tuesday, January 20 12pm - 1pm	Project Onboarding Clinical Topic: The Role of the Pediatrician in Firearm Safe Storage QI Topics: Model for Improvement, Monthly Data Collection Process and Instructions
Tuesday, February 3 12pm - 1pm	Optional Office Hours
Tuesday, February 17 12pm - 1pm	Clinical Topic: Safe Storage Counseling as Routine Anticipatory Guidance at Well-Visits for Children 0-6 QI Topics: Model for Improvement, PDSA Tests
Tuesday, March 3 12pm - 1pm	Optional Office Hours
Tuesday, March 31 12pm - 1pm	Clinical Topic: How to Handle Tricky Conversations About Safe Storage QI Topics: Scaling PDSAs, Data Review, Interactive Discussion
Tuesday, April 21 12pm - 1pm	Clinical Topic: Counseling Families on How to Talk About Firearm Safety With Others QI Topics: Leading Change, Data Review, Interactive Discussion
Tuesday, May 19 12pm - 1pm	Clinical Topic: Next Steps: Educational Materials & Resources for Clinicians and Parents QI Topics: Sustainability, Data Review, Interactive Discussion

Upon completion of your registration for this project, you will receive calendar invitations with the Zoom link for these sessions.

Registration Details
Name*

First NameLast Name
Credentials*
Email*
example@example.com
Please enter your AAP ID *
Note: This is essential to accessing the project data collection tool. If you do not have an AAP ID click here to create one. It is free to create! Please do not enter a shared AAP ID number or a practice/organization AAP ID.
Are you seeking American Board of Pediatrics (ABP) Maintenance of Certification (MOC) Part 4 credit for your participation in this project?*

YesNo
Your American Board of Pediatrics (ABP) ID number is essential to award you MOC credit once you have met the participation criteria. Please provide your ABP ID below.
If you require accommodations to participate in this project, please describe below.

Team Member #1 Information
Team Member's Name*

First NameLast Name
Team Member's Credentials*
Team Member's Email*
example@example.com
Team Member's AAP ID *
Note: If your team member does not have an AAP ID, please have them click here to create one - it's free! Please do not enter a shared AAP ID number or a practice/organization AAP ID. If you will provide this later, please note that and email (staff email) with the ID.
Team Member's Role in Practice
Do you have other team members to register?*

YesNo

Team Member #2 Information
Team Member's Name*

First NameLast Name
Team Member's Credentials*
Team Member's Email*
example@example.com
Team Member's AAP ID *
Note: If your team member does not have an AAP ID, please have them click here to create one - it's free! Please do not enter a shared AAP ID number or a practice/organization AAP ID. If you will provide this later, please note that and email (staff email) with the ID.
Team Member's Role in Practice
Do you have other team members to register?*

YesNo

Team Member #3 Information
Team Member's Name*

First NameLast Name
Team Member's Credentials*
Team Member's Email*
example@example.com
Team Member's AAP ID *
Note: If your team member does not have an AAP ID, please have them click here to create one - it's free! Please do not enter a shared AAP ID number or a practice/organization AAP ID. If you will provide this later, please note that and email (staff email) with the ID.
Team Member's Role in Practice
Do you have other team members to register?*

YesNo

Team Member #4 Information
Team Member's Name*

First NameLast Name
Team Member's Credentials*
Team Member's Email*
example@example.com
Team Member's AAP ID *
Note: If your team member does not have an AAP ID, please have them click here to create one - it's free! Please do not enter a shared AAP ID number or a practice/organization AAP ID. If you will provide this later, please note that and email (staff email) with the ID.
Team Member's Role in Practice
Do you have other team members to register?*

YesNo

Team Member #5 Information
Team Member's Name*

First NameLast Name
Team Member's Credentials*
Team Member's Email*
example@example.com
Team Member's AAP ID *
Note: If your team member does not have an AAP ID, please have them click here to create one - it's free! Please do not enter a shared AAP ID number or a practice/organization AAP ID. If you will provide this later, please note that and email (staff email) with the ID.
Team Member's Role in Practice
If you have additional team members to register, please provide their details below.

Thank you! Please press submit to complete your registration.
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Firearm Safe Storage QI Project Registration

Project Requirements

Important Dates

Registration Details

Demographic Information

Practice Information

Team Member #1 Information

Team Member #2 Information

Team Member #3 Information

Team Member #4 Information

Team Member #5 Information