Measure Status: Active
Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)
Service Type: Middle level: enabling services
Service Recipient: Activities directed to families/children/youth
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 years 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 (AAP) recommends that children be screened for developmental delays or disabilities during the nine-month, 18-month, and 24- or 30-month well-child visits (Pediatrics 2006; 118 (1):405-420) and specifically for autism spectrum disorders at 24 and 30 months (Pediatrics. 2007;120(5):1183-1215).
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