Find State ESMs

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: To increase from 43 (WMG, 2015) to 100 the number of provider sites including, but not limited to, child care centers, health care providers and other community-based organizations completing and reporting ASQ/ASQ-SE results to WMG

Numerator: Number of sites reporting ASQ/ASQ-SE results to WMG

Denominator: N/A

Significance: According to the Spark NH’s Framework for Action 2016, 1 in 5 New Hampshire children under the age of 5 are at risk for developmental or behavioral concerns. Yet the majority of New Hampshire’s children do not receive standardized screening designed to identify these concerns in the early years (Spark NH, 2015). As a result, some children with delays do not have access to early identification and services that could change the trajectory of their learning and ability to thrive.

Data Sources and Data Issues: NH’s statewide developmental screening system, Watch Me Grow (WMG), maintains a database that tracks individual ASQ/ASQ-SE results, referrals and information regarding the providers administering the tool. The data is generally reported on annually. The data system is being evaluated for capacity to follow up on referrals and outcomes.

Year: 2017/2019

Unit Type: Count, Unit Number: 100

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of parent-completed early childhood developmental screens using an online ASQ screening tool.

Numerator: The number of parent-completed early childhood developmental screens using an online ASQ screening tool for children 0 - 5 years old.

Denominator: 1

Significance: Early identification of developmental disorders is critical to the well-being of children and their families. It is an integral function of the primary care medical home. Promoting parent-completed early childhood developmental screening using an online ASQ screening tool (ESM6.1) through the ECCS Impact Program will raise community awareness of available parent-completed developmental screening tools and will lead to an increase in NPM #6 (Percent of children, ages 10 through 71 months, receiving a developmental screening using a parent-completed screening tool).

Data Sources and Data Issues: Developmental Screening data using the online ASQ Tool from the ECCS Impact Grant with NJ DCF.

Year: 2017/2019

Unit Type: Count, Unit Number: 10,000

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: Increase the number of Title V Child Health clients and Medicaid enrolled receiving a developmental screening using a standardized tool.

Numerator: Medicaid claims data for children ages 9 through 71 months for whom CPT code 96110 or HCPCS code G0451 was billed.

Denominator: All children ages 9 through 71 months with Medicaid coverage.

Significance: Earlier detection of social-emotional and developmental delays and family risk-related factors in children will increase the needed referrals, interventions and follow-up.

Data Sources and Data Issues: Medicaid claims data.

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

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: To ensure supportive programming for developmental screenings.

Numerator: Number of MCH program providers serving children (ages 9 through 35 months) that are utilizing a parent-completed developmental screening tool as part of an infant or child well visit

Denominator: Number of MCH program providers in the state

Significance: The Title V Maternal and Child Health Services Block Grant to States Program guidance defines the significance of this goal as follows: Early identification of developmental disorders is critical to the well-being of children and their families. It is an integral function of the primary care medical home. The percent of children with a developmental disorder has been increasing, yet overall screening rates have remained low. The American Academy of Pediatrics recommends screening tests begin at the nine month visit.

Data Sources and Data Issues: Data Application and Integration Solution for the Early Years (DAISEY): Web-based comprehensive data collection and reporting system/shared measurement system used by all MCH grantees to capture client and visit/service data

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

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: By 2020, increase the proportion of young children who are screened, evaluated, and enrolled in special services in a timely manner fro baseline to 25%, 5% each year.

Numerator: Number of children ages 6 months thru 36 months seen at the CHCC Children's Clinic for a Well Child visit who had an ASQ completed.

Denominator: Number of children ages 6 months thru 36 months seen at the CHCC Children's Clinic for a Well Child visit.

Significance: Developmental screening is critical to the early identification of developmental delays and the provision of early intervention services that could improve both short and long-term developmental outcomes of children who may be experiencing delays or have a developmental disability.

Data Sources and Data Issues: CHCC RPMS, Electronic Health Record (EHR), CHCC Children's Clinic ASQ Screening log.

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

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.

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

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: Increase developmental screenings in children by supporting MIECHV program to provide Ages and Stages Developmental Screening tool with clients.

Numerator: Number of children enrolled in home visiting with a timely screen for developmental delays using a validated parent-completed tool (ASQ tools)

Denominator: Number of children enrolled in home visiting eligible for screening

Significance: The American Academy of Pediatrics recommends routine developmental screening for infants and young children based on the Bright Futures periodicity schedule. Home visiting nurses have ongoing opportunities to complete these screenings with parents. The Ages and Stages Questionnaire (ASQ) is a validated tool for use in infants and children from 4 to 60 months of age. The developmental screening process empowers families by giving them anticipatory guidance on developmental tasks and allowing them to appreciate their child’s unique way of accomplishing developmental milestones.

Data Sources and Data Issues: Nurse Family Partnership Program Data

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: Increase the number of pediatric practices who sign up to use the PEDS tool and receive training and TA.

Numerator: The number of practices that sign up and receive subsequent training and TA.

Denominator: N/A

Significance: In order to increase developmental screening, additional providers need to screen using a validated tool within the new recommended AAP guidelines. It is important for Delaware to continue to recruit new practices to receive training and offer ongoing TA to utilize the PEDs tool enhancing early detection and intervention.

Data Sources and Data Issues: DE APP

Year: 2017/2019

Unit Type: Count, Unit Number: 45

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: To increase general awareness of the need for developmental screening

Numerator: Number of site views from webpage and mobile app to the Developmental Milestones and Developmental Screenings site during the past 12 months

Denominator: n/a

Significance: The audience of this strategy is the general public. Kidcentraltn.com is the state platform used to reach the general public across the state via the website, Facebook, twitter, and mobile app. By creating additional content and intentionally promoting this content, we can drive site views to the Developmental Screenings and Milestones screens.

Data Sources and Data Issues: Kidcentraltn.com annual site traffic report from ioStudio

Year: 2017/2019

Unit Type: Count, Unit Number: 1,000

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: To increase the number of LHD providers trained on appropriate use of valid and reliable developmental, psychosocial, and behavioral health screening tools for children. This includes staff in child health clinics and care managers with CC4C. Provide

Numerator: Number of training opportunities to LHD providers on appropriate use of valid and reliable developmental, psychosocial, and behavioral health screening tools for children during state fiscal year

Denominator: N/A

Significance: The risk for developmental delay is increased in the population of low income children seen in LHDs. The appropriate use of evidence-based tools in developmental, psychosocial, and behavioral health screening for children greatly improves the ability to elicit and identify developmental concerns from parents. Formal tools are much more effective than in informal interview. Screening examines the general population to identify those children at most risk. Children identified with concerns are at risk for developmental delay and are referred for further evaluation. Evaluation goes beyond screening to ascertain diagnosis and develop recommendations for intervention or treatment. This is generally not done by the primary care medical home, unless co-located or integrated professionals are in the practice. The evaluation determines the existence of developmental delay or disability which generates a decision regarding intervention. Ongoing periodic screening gives a longitudinal perspective of an infant or child’s developmental progress. All concerns must be clarified and a need for a referral for further evaluation and intervention needs to be determined. Early referral for diagnosis and intervention helps to: • prevent or reduce the impact of developmental delays • identify, build and reinforce developmental strengths in the child and family • prevent fully developed developmental conditions or disorders; and • support school readiness.

Data Sources and Data Issues: The Pediatric Medical Consultant in the Children & Youth Branch will collect this information annually as she provides the majority of these trainings.

Year: 2017/2019

Unit Type: Count, Unit Number: 100

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: To increase the number of providers accessing education on early childhood developmental screening guidelines.

Numerator: Number of individual users completing one or more Texas Health Steps Online Provider Education (OPE) developmental screening modules per year

Denominator: N/A

Significance: The American Academy of Pediatrics recommends that all children be screened for developmental disabilities and delays at well-child doctor visits at 9 months, 18 months, and 24-30 months. Research has shown that early intervention treatment services can greatly improve a child’s development. However, many children with developmental disabilities/delays are not identified before age 10, by which time significant delays might already have occurred and opportunities for treatment might have been missed. One of the Healthy People 2020 goals is to increase the proportion of parents who receive information from their doctors or other health professionals when they have a concern about their child’s learning, development, or behavior (EMC-2.4). Increasing providers’ understanding of the importance of developmental screening guidelines will ensure more providers are screening children when recommended/required, and are referring parents to resources and additional assessment tools to follow their children’s developmental progress.

Data Sources and Data Issues: Data Source: Texas Health Steps Online Provider Education (OPE) website data Texas Health Steps OPE course data will be utilized to measure provider trainings on developmental screening for children. Texas Health Steps OPE is an award-winning online program offering free continuing education modules for primary care providers and other health professionals. These modules offer updated clinical, regulatory, and best practice guidelines for a range of preventive health, oral health, mental health, and case management topics. Completion of at least one of the following developmental screening modules will be assessed for this measure: 1. ADHD and ASD: Diagnosis and Management 2. Developmental Surveillance and Screening 3. Newborn Hearing Screening 4. Newborn Screening 5. Using Developmental Screening Tools Data Issues: Texas Health Steps OPE modules offered may be subject to change, which could impact analysis of trends over time.

Year: 2017/2019

Unit Type: Count, Unit Number: 100,000

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: Increase number of medical providers utilizing a parent-completed screening tool in the past year.

Numerator: Number of Providers utilizing a parent-completed screening tool in the past year to parents/guardians of children ages 9 through 35 months.

Denominator: Total number of providers in the Community Health Center.

Significance: This ESM will ensure that there is adequate number of medical providers in American Samoa who are confident to provide developmental screening tools for children. This will definitely increase the proportion of children who are screened early for Autism Spectrum Disorder and other Developmental Disorders and are referred to the CYSHCN program, Helping Hands and other early intervention programs.

Data Sources and Data Issues: Community Health Center UDS

Year: 2017/2019

Unit Type: Percentage, Unit Number: 100

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient:

Goal: Disseminate resources to child care providers, home visitors, and other early learning professionals about Bright Futures Guidelines for Infants, Children, and Adolescents.

Numerator: Number of primary care providers that received resources about Bright Futures Guidelines for Infants, Children, and Adolescents.

Denominator: N/A

Significance: Bright Futures Guidelines provide the most up-to-date information on preventive screenings and services by visit for infants, children, and adolescents. The Guidelines provide visit-by-visit anticipatory guidance for health care providers.

Data Sources and Data Issues: MSDH Child Health Program

Year: 2017/2019

Unit Type: Count, Unit Number: 10,000

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: Conduct QI improvement process with primary care providers around developmental screening practices

Numerator: Number of practices participating in QI process around developmental screening practices

Denominator: NA

Significance: MQC conducted a pilot project as part of Maine’s CHIPRA grant to increase developmental screening using learning collaboratives. This process was so effective that the Office of MaineCare Services (i.e., Maine’s Medicaid program) has continued to fund learning collaboratives focused on other health concerns. A learning collaborative approach promotes not only screening, but also effective referrals and increased access to services by reviewing practice protocols beyond screening.

Data Sources and Data Issues: Source: Maine Quality Counts (MQC) reports Maine Quality Counts applied for the HRSA Early Childhood Comprehensive System Grant (ECCS). As part of this initiative, MQC plans to engage practices in QI processes to improve developmental screening practices. If Maine does not receive ECCS funding, the number of practices engaged will be lower, but MQC will receive Title V funding to ensure this effort moves forward. They will report on the number of providers participating through their annual contract.

Year: 2017/2019

Unit Type: Count, Unit Number: 27

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities related to systems-building

Goal: By tracking this measure, the state can better assess and ensure that partners with identified roles on the screening to referral continuum are using evidenced-based best practices relative to their role.

Numerator: Number of local public health agencies, community, and/or health care partners in Colorado that have implemented ABCD quality standards that support early childhood screening, referral, and treatment services

Denominator: Not applicable since ESM is a count

Significance: Having an agreed upon set of quality standards based on evidence and best practices, creates a common foundation for community and health care partners to implement screening and referral processes. Quality standards provide common launching points for partners with various skills and knowledge to implement their roles, increasing the likelihood that the continuum of screenings, referral and treatment will be completed.

Data Sources and Data Issues: Colorado Assuring Better Child Health and Development (ABCD) surveys

Year: 2017/2019

Unit Type: Count, Unit Number: 423

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: To increase developmental screening rates for all children in Virginia.

Numerator: Number of LHDs, community partners, and providers receiving developmental screening resources, training, or TA

Denominator: N/A

Significance: Increasing early identification of disease or conditions through developmental screening will improve referral and treatment for children with special needs.

Data Sources and Data Issues: Virginia Department of Health, Office of Family Health Services, Division of Child and Family Health

Year: 2017/2019

Unit Type: Count, Unit Number: 150

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Increase awareness of the importance of developmental screening by implementing an education campaign promoting the use of the Learn the Signs Act Early application.

Numerator: Number of milestone letters issued with birth certificate requests for children younger than three years of age

Denominator: Number of milestone letters issued with birth certificate requests for children younger than three years of age

Significance: Programs such as the CDC’s Learn the Signs Act Early Campaign encourage increased attention to children’s language and social development.

Data Sources and Data Issues: ADH Vital Records

Year: 2017/2019

Unit Type: Count, Unit Number: 75,000

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Report on the number of ASQs completed through WithinREACH

Numerator: Number of ASQs completed through WithinREACH

Denominator: N/A

Significance: WithinReach is a major partner in many of the State’s educational and outreach activities for the MCH population. Having a way to evaluate their work and the population’s access to it will help efforts to offer services and referrals to children and families that need them. A change in the number of people accessing the service might indicate other changes affecting the MCH population in Washington.

Data Sources and Data Issues: The data will come directly from WithinReach. The organization is presently collecting these data so there is no anticipation of difficulty in obtaining these data in the future.

Year: 2017/2019

Unit Type: Count, Unit Number: 100,000

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Increase support and implementation of the Help Me Grow System

Numerator: No. of LHJs that implement at least two core components of the Help Me Grow System

Denominator: n/a

Significance: Developmental screening is a critical element of well-child care and an important opportunity to engage families in the process of developmental promotion. The screening process is used to determine if development skills are progressing as expected or if there is cause of concern and further evaluation is necessary. When a developmental delay is not recognized early, children must wait to get the help they need. This can make it hard for them to learn when they start school and do well in social settings. During this time, the child could have received help for these problems and may even have entered school more ready to learn. Adoption of at least two of the core components of Help Me Grow by each health jurisdictions will improve access to existing resources and services for children at risk for developmental or behavioral problems in their communities. Help Me Grow system has four components: (1) provider outreach to support early detection and intervention; (2) community outreach to provide networking opportunities among families and service providers; (3) centralized telephone access point for connecting children and their families to services and care coordination and (4) data collection to understand and monitor service delivery and identification of gaps and barriers.

Data Sources and Data Issues: Local MCAH Annual Progress Report or Annual local MCAH survey; Data is self-reported by local MCAH Director

Year: 2017/2019

Unit Type: Count, Unit Number: 61

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities related to systems-building

Goal: Increase the number of interagency meetings held to facilitate communication among providers in support of developmental screening with the ASQ developmental screening tool.

Numerator: Number of Interagency committee meetings held within the past year.

Denominator: Number of Interagency committe meetings scheduled within the past year.

Significance: Early identification of developmental disorders is critical to the well-being of children and their families. It is an integral function of the primary care medical home. The percent of children with a developmental disorder has been increasing, yet overall screening rates have remained low. The American Academy of Pediatrics recommends screening tests begin at the nine month visit.

Data Sources and Data Issues: VI Learn the Signs Committee

Year: 2017/2019

Unit Type: Count, Unit Number: 4