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Strengthening the evidence for maternal and child health programs

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Displaying records 1 through 7 (7 total).

Gray C, Fox K,Williamson ME. Improving Health Outcomes for Children (IHOC): First STEPS II Initiative: Improving Developmental, Autism, and Lead Screening for Children: Final Evaluation. Portland, ME: University of Southern Maine Muskie School of Public Service; 2013.

Link: http://digitalcommons.usm.maine.edu/cgi/viewcontent.cgi?article=1014&context=healthpolicy

NPM: 6: Developmental Screening
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Expert Support (Provider), Modified Billing Practices, Screening Tool Implementation Training, Office Systems Assessments and Implementation Training, Chart Audits (Provider), Expert Feedback Using the Plan-Do-Study-Act-Tool, Collaboration with Local Agencies, Engagement with Payers, STATE, POPULATION-BASED SYSTEMS

Intervention Results:

  • Average percentage of documented use of a developmental screening tool increased substantially from baseline to followup for all three age groups (46% to 97% for children under one; 22% to 71% for children 18-23 months; and 22% to 58% for children 24-35 months)
  • Rate of developmental screening based on MaineCare claims increased from the year prior to intervention implementation to the year after implementation for all three age groups (5.3% to 17.1% for children age one; 1.5% to 13.3% for children age two; and 1.2% to 3.3% for children age 3)

Barry S, Paul K, Aakre K, Drake-Buhr S, Willis R. Final Report: Developmental and Autism Screening in Primary Care. Burlington, VT: Vermont Child Health Improvement Program; 2012.

Link:

NPM: 6: Developmental Screening
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Educational Material (Provider), Participation Incentives, Quality Improvement/Practice-Wide Intervention, Expert Support (Provider), Modified Billing Practices, Data Collection Training for Staff, Screening Tool Implementation Training, Office Systems Assessments and Implementation Training, Chart Audits (Provider), Expert Feedback Using the Plan-Do-Study-Act-Tool, Collaboration with Local Agencies, Engagement with Payers, STATE, POPULATION-BASED SYSTEMS

Intervention Results:

  • Percentage of developmental screenings at 9-, 18-, 24-, and 30-months all increased from baseline to follow-up (P<.001)
  • Percentage of children screened using standardized developmental screening tool completed by parents increased from baseline to follow-up (11.6% to 32.4%; P<.001)

Earls MF, Hay SS. Setting the stage for success: implementation of developmental and behavioral screening and surveillance in primary care practice--the North Carolina Assuring Better Child Health and Development (ABCD) Project. Pediatrics. 2006;118(1):e183-188.

Link: https://www.ncbi.nlm.nih.gov/pubmed/16818532

NPM: 6: Developmental Screening
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Educational Material (Provider), Expert Support (Provider), Participation Incentives, Modified Billing Practices, Data Collection Training for Staff, Screening Tool Implementation Training, Office Systems Assessments and Implementation Training, Chart Audits (Provider), Expert Feedback Using the Plan-Do-Study-Act-Tool, Collaboration with Local Agencies, Engagement with Payers, STATE, POPULATION-BASED SYSTEMS

Intervention Results:

Percentage of screenings using ASQ increased from 15.5% at baseline to 76% at last follow-up

Lannon CM, Flower K, Duncan P, Moore KS, Stuart J, Bassewitz J. The Bright Futures Training Intervention Project: implementing systems to support preventive and developmental services in practice. Pediatrics. 2008;122(1):e163-171.

Link: http://pediatrics.aappublications.org/content/122/1/e163

NPM: 6: Developmental Screening
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Educational Material (Provider), Expert Support (Provider), Quality Improvement/Practice-Wide Intervention, Data Collection Training for Staff, Office Systems Assessments and Implementation Training, Chart Audits (Provider), Expert Feedback Using the Plan-Do-Study-Act-Tool, POPULATION-BASED SYSTEMS, STATE, Collaboration with Local Agencies

Intervention Results:

  • Percentage of SDA use overall increased from 12.5% at baseline to 44.67% at follow-up
  • Among sites providing complete data, 6 sites with 0% SDA screening at baseline increased use of SDA to between 25-100% at follow-up

Malik F, Booker JM, Brown S, McClain C, McGrath J. Improving developmental screening among pediatricians in New Mexico: findings from the developmental screening initiative. Clin Pediatr. 2014;53(6):531-538.

Link: https://www.ncbi.nlm.nih.gov/pubmed/24658910

NPM: 6: Developmental Screening
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Educational Material (Provider), Expert Support (Provider), Participation Incentives, Quality Improvement/Practice-Wide Intervention, Data Collection Training for Staff, Chart Audits (Provider), Expert Feedback Using the Plan-Do-Study-Act-Tool, Collaboration with Local Agencies, STATE, POPULATION-BASED SYSTEMS

Intervention Results:

  • Percentage of use of any screening tool increased from 62% at baseline to 92% at follow-up (P<.001)
  • Percentage use of validated screening tool increased from 32% at baseline to 92% at follow-up (P<.001)

Honigfeld L, Chandhok L, Spiegelman K. Engaging pediatricians in developmental screening: the effectiveness of academic detailing. J Autism Dev Disord. 2012;42(6):1175-1182.

Link: https://www.ncbi.nlm.nih.gov/pubmed/21826585

NPM: 6: Developmental Screening
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Chart Audits (Provider)

Intervention Results:

  • Percentage of screening at 18-month well-child visits increased (P<.05) in all intervention practices
    • Average screening percentages were 70.8% for intervention practices, 46% for control practices
    • One intervention practice had a lower screening % than matched control practice (P=.37)
  • Number of screens performed on the same day as a well-child visit increased from 3,442 in 2008 to 12,533 in 2009

King TM, Tandon SD, Macias MM, et al. Implementing developmental screening and referrals: lessons learned from a national project. Pediatrics. 2010;125(2):350-360.

Link: https://www.ncbi.nlm.nih.gov/pubmed/20100754

NPM: 6: Developmental Screening
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Educational Material (Provider), Expert Support (Provider), Participation Incentives, Quality Improvement/Practice-Wide Intervention, Data Collection Training for Staff, Screening Tool Implementation Training, Chart Audits (Provider)

Intervention Results:

Percentage of screenings increased across all practices from 68% to 86% for 9, 18, 24/30-month well-child visits
   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. 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 U.S. Government.