The AAP Bright Futures guidelines for preventive pediatric healthcare recommend developmental surveillance at all visits during early childhood, and standardized screening with a validated tool at the 9-, 18-, and 30-month visits.
OPIP has led a number of efforts focused on supporting practices and health systems to meaningfully implement these Bright Futures recommendations.
- Assuring Better Child Health and Development (ABCD III) project: A Performance Improvement Project (PIP) of eight managed care organizations that covered 1 in 3 children in the state, focused on follow-up to developmental screening. This effort included system and practice-level efforts focused on follow-up to developmental screening, coordination with Early Intervention, and examination of claims and medical chart review data.
- Medical Home/Patient Centered Primary Care Home facilitation: Through working with practices on medical home activities, OPIP has supported practices through:
- Practice decision supports and implementation strategies related to developmental screening.
- Coaching practices on using the 96110 billing code: One way to measure and track developmental screening is through the use of the 96110 billing code. OPIP provides coaching and technical assistance to practices on issues to consider in using the 96110 claim.
- Metrics Focused on Developmental Screening: OPIP’s Director, Colleen Reuland, developed and is the measure steward for the national CHIPRA Core Set metric on developmental screening.
OPIP also led a large number of efforts on follow-up to developmental screening and ensuring that young children identified received follow-up.
Follow-up to developmental screening:
- Practice decision supports and implementation strategies related to developmental screening.
- OPIP has worked with over 30 practices on implementing standardized follow-up decision supports in a majority of the counties across the state.
- We also have provided implementation supports.
- Asset Mapping Follow-Up Support and
- Referring to Community-Based Providers: Once a child is identified as being at-risk for a behavioral, developmental, or social delay, it is imperative that they are referred to community-based resources.
- OPIP’s numerous projects in this area have been focused on:
- Asset mapping of what follow-up resources exist
- Collective impact work across community partners on referral pathways
- Addressing gaps in referral pathways
- Then developing and supporting implementation projects that enhance follow-up referrals to those community-based resources
- Care Coordination for Children Identified as At-Risk:
- For children and their families that are identified as at-risk for a delay, navigating the system can be very challenging.
- Through past quality improvement efforts, OPIP supported better coordination between primary care providers and medical, educational, and community-based systems to ensure families receive the services they need.
