Enhancing developmentally oriented primary care: an Illinois initiative to increase developmental screening in medical homes.

Abstract:

:In 2005, the Enhancing Developmentally Oriented Primary Care (EDOPC) project of the Illinois chapter of the American Academy of Pediatrics and the Illinois Department of Healthcare and Family Services began a project to improve the delivery and financing of preventive health and developmental services for children in Illinois. The leaders of this initiative sought to increase primary care providers' use of validated tools for developmental, social/emotional, maternal depression, and domestic violence screening and to increase early awareness of autism symptoms during pediatric well-child visits in children aged 0 to 3 years. These screenings facilitate identification of children at risk and those who need referral for further evaluation. Primary barriers to such screenings include lack of practitioner confidence in using validated screening tools. In this article we describe the accomplishments of the EDOPC project, which created training programs to address these barriers. This training is delivered by EDOPC staff and peer educators (physicians and nurse practitioners) in medical practices. The EDOPC project enhanced confidence and intent to screen among a large group of Illinois primary health care providers. Among a sample of primary care sites at which chart reviews were conducted, the EDOPC project increased developmental screening rates to the target of 85% of patients at most sites and increased social/emotional screening rates to the same target rate in nearly half of the participating practices.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Allen SG,Berry AD,Brewster JA,Chalasani RK,Mack PK

doi

10.1542/peds.2010-1466K

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

S160-4

eissn

0031-4005

issn

1098-4275

pii

126/Supplement_3/S160

journal_volume

126 Suppl 3

pub_type

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