Measure Status: Active
Evidence Level: This ESM measures access to/receipt of care, thus doesn’t align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.
Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")
Service Type: Public health services and systems level of pyramid
Essential Public Health Services: 7. Assure effective and equitable health systems
Service Recipient: Activities related to systems-building
Goal: All Connecticut children receive age appropriate developmental screenings, well-child visits, oral health assessments and ACIP recommended vaccines.
Numerator: Number of developmental screening claims code 96110 for children less than 3 years old (1-2 years 364 days old)
Denominator: Number of children less than 3 years old (1-2 years 364 days old) in HUSKY
Significance: As many as one in four children between the ages of zero and five is at a moderate or high risk for a developmental, behavioral or social delay. (The Health and Well-Being of Children: A Portrait of States and the Nation, 2011-2012)
The American Academy of Pediatrics, Recommendations for Preventive Pediatric Health Care, Bright Futures/American Academy of Pediatrics, 2017 recommends that children be screened for developmental delays or disabilities during the 9-month, 18-month, and or 30-month well-child visits (Identifying Infants and Young Children with Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening) and specifically for autism spectrum disorders at 18 and 24 months (Screening Should Occur per "Identification and Evaluation of Children with Autism Spectrum Disorders).
Screening for healthy development can help identify potential delay areas for further evaluation and diagnosis, and reduce the likelihood of developing other delays. (Pediatrics 2001; 108(1), 192-196).
The rising incidence of autism spectrum disorder and developmental disabilities and heightened focus on early identification and intervention has led to an increased demand on states to develop and improve systems of care to assure all children receive early developmental screening and those with ASD/DD receive timely identification, diagnosis and intervention services. (AMCHP Environmental Scan: State Strategies and Initiatives to Improve Developmental and Autism Screening and Early Identification Systems, August 2014)
Developmental screening, consistent with the AAP Guidelines, is highlighted in the Action Agenda for the Connecticut State Health Improvement Plan (SHIP) as part of the Maternal, Infant and Child Health Workgroup. The State Health Improvement Plan is a roadmap for improving the state’s health and ensuring that all people in Connecticut have the opportunity to attain their highest potential.
Data Sources and Data Issues: Data Source: Department of Social Services Claims Data for developmental screening according to claims code 96110 (developmental screening). Claims data provides a good method to track screening.
Unit Type: Percentage, Unit Number: 100