Our mission is to dramatically improve the outcomes
of care for children with rheumatic conditions.

About the PR-COIN Collaborative

PR-COIN is a multicenter Learning Network that develops and evaluates specific Juvenile Idiopathic Arthritis (JIA) disease management strategies to increase remission rates, improve functional status, and decrease levels of pain. PR-COIN is modeled on the Institute for Healthcare Improvement's successful Breakthrough Series Collaborative Model and employs quality improvement methodology meeting the American Board of Pediatrics maintenance of certification (Part 4, MOC) requirements.
Monthly webinars and bi-annual conferences allow PR-COIN teams to review data, share best practices, and participate in Improvement Science training. Armed with new knowledge, PR-COIN teams are able to test innovative ideas and processes at their clinic sites. All participating PR-COIN members benefit, as teams continually share the tools and techniques that have proven successful. The data submitted into the population registry is analyzed, and aggregate and site specific reports are produced.  These reports are used to identify patterns of care associated with better outcomes.

Funding Sources

PR-COIN is grateful to our current supporters:
  • Patient Centered Outcomes Research Institute (PCORI)
  • American College of Rheumatology (data platform)
  • PR-COIN Participating Member Centers
  • Novartis
  • Medac Pharma

PR-COIN Steering Committee

Esi Morgan, MD, MSCE

Cincinnati Children’s

Ronald Laxer, MDCM, FRCPC

The Hospital for Sick Children

C. April Bingham, MD

Penn State Milton S Hershey Children's Hospital

Laura Noonan, MD

Levine Children's Hospital

Sandy Burnham, MD, MSCE

Children's Hospital of Philadelphia

Judy Olson, MD

Medical College of Wisconsin

Laura Curtis

Parent from Children's Hospital of Philadelphia

Anne Paul, MBA

Cincinnati Children's

Beth Gottlieb, MD, MSc

Steven & Alexandra Cohen Children’s Medical Center of New York

Vora Sheetal, MD, Msc

Levine Children's Hospital

Nancy Griffin, BSN, MPA, CPHQ

Cincinnati Children's

Jennifer Weiss, MD

Hackensack University Medical Center

Karla Jones, RN, MS, CPNP

Nationwide Children's Hospital

Angela Young

Parent from Cincinnati Children's Hospital Medical Center


PR–COIN Coordinating Team (pr-coin@cchmc.org)

Esi Morgan, MD, MSCE
Quality Improvement Lead 
Cincinnati Children’s
Peter Margolis, MD PhD
Improvement Advisor
Cincinnati Children’s
Anne Paul, MBA
Project Manager
Cincinnati Children’s
Carole Lannon, MD, MPH
Director of Learning Networks
Cincinnati Children’s
Nancy Griffin, BSN, MPA, CPHQ
Quality Improvement Consultant
Cincinnati Children’s
Stephanie Sullivan,
Regulatory Specialist
Cincinnati Children's
Jesse Pratt, MA, MS
Data Analyst
Cincinnati Children's
Katie Pendergraft, BS
Project Coordinator
CIncinnati Children's














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Pediatric Rheumatology Care and Outcomes Improvement Network (PR-COIN) by PR-COIN is licensed under a
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