the dc primary
play

the DC Primary Care Setting [Name of Presenter] Title of Presenter - PowerPoint PPT Presentation

Apr 07, 2023 •476 likes •799 views

Developmental Screening in the DC Primary Care Setting [Name of Presenter] Title of Presenter A A P H e a l t h y P e o p l e 2 0 2 0 Why This Matters Taking action to support a childs development from birth to 5 alters the trajectory

  1. Developmental Screening in the DC Primary Care Setting [Name of Presenter] Title of Presenter

  2. A A P – H e a l t h y P e o p l e 2 0 2 0 Why This Matters Taking action to support a child’s development from birth to 5 alters the trajectory of a child’s academic career and life path. Children who receive needed services before age 5: • See their conditions fully treated or substantially mitigated • Are better prepared for Kindergarten Achieve higher rates of educational attainment • • Live in families that have greater support and reduced stress Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  3. A A P – H e a l t h y P e o p l e 2 0 2 0 A A P - H E A L T H Objectives of this Presentation 1. Describe DC’s early intervention services and process. 2. Summarize evidence regarding effectiveness of developmental screenings by primary care providers. 3. Discuss implementation of the American Academy of Pediatrics (AAP) recommendations. Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  4. A A P – H e a l t h y P e o p l e 2 0 2 0 AAP – Healthy P eople 2020 DC’s Early Intervention Services and Process Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  5. A A P – H e a l t h y P e o p l e 2 0 2 0 IDEA in Washington, DC • The Individuals with Disabilities Education Act (IDEA) is the federal law that outlines the rights of children with special needs from birth through age 21. • In DC, two programs serve children under age 5:  Strong Start (0 to 3) run by Office of the State Superintendent  Early Stages (3 through 5) run by DC Public Schools Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  6. AAP – Healthy People 2020 Making Referrals Strong Start Early Stages Age Range: Birth to 2 years 8 months 2 years 8 months to 5 years 10 months Reason: • Developmental delay • Same as Strong Start • Diagnosed condition or risk • Concerns over school factor associated with readiness and social- developmental delay emotional issues • Parental concern Examples: Very low birth weight, genetic Most common: speech delay, condition, prematurity, hearing developmental delay, and or vision impairments, birth behavioral concerns, as well defects, delayed speech as physical and fine motor concerns. >> See handouts for information on how to refer << Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  7. AAP – Healthy People 2020 Early Intervention in DC: How are we doing? Percentage of children found eligible for services. 12.00% 10.00% 8.00% DC 6.00% National 4.00% 2.00% 0.00% 0-3 Eligibility 3-5 Eligibility We need to find more children and find them earlier. Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  8. AAP – Healthy People 2020 Evidence regarding developmental surveillance and screening in primary care settings Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  9. How Pediatricians Currently Assess Child Standardized 6% Development Screening Tool 23% Developmental Surveillance 71% Other/No Assessment Sand, 2005 Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  10. How Effective is Developmental Surveillance? A LOOK AT TWO STUDIES: Hollie Hix-Small, et.al. 2007 R. Christopher Sheldrick, et.al. 2011 Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  11. AAP – Healthy People 2020 DC Early Intervention Program and Early Stages Identification of Developmental-Behavioral Problems in Primary Care: A Systematic Review R. Christopher Sheldrick, et.al. 2011 Context: a systematic review of 11 studies on the effectiveness of surveillance Developmental surveillance has low rates of sensitivity  Sensitivity: 14% to 54%  Specificity: 69% to 100% Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  12. AAP – Healthy People 2020 DC Early Intervention Program and Early Stages Impact of Implementing Developmental Screening at 12 and 24 Months in a Pediatric Practice Hollie Hix-Small, et.al. 2007 Context: a study of 1428 children in private practices Developmental surveillance missed 67.5% of children later identified by ASQ as needing referral Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  13. A A P – H e a l t h y P e o p l e 2 0 2 0 Why does developmental surveillance miss children? • Inaccuracy of clinical judgment • Tends to identify most severe delays • Non-standardized administration • Partial vs. complete administration • Targeted vs. universal screening • Parental report when direct observation was intended Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  14. How Effective is Standardized Developmental Screening? A LOOK AT TWO STUDIES: North Carolina ABCD Project 2004 Hollie Hix-Small, et.al. 2007 Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  15. A A P – H e a l t h y P e o p l e 2 0 2 0 North Carolina ABCD Project, 2004 Context: Broad implementation of developmental screening (ASQ) during Medicaid well child visits Result: • Increase in referrals to early intervention from 3.9% to 7% of all children <36 months • 70% of these children were found eligible for services Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  16. A A P – H e a l t h y P e o p l e 2 0 2 0 Hollie Hix-Small, et.al. 2007 Context: a study of 1428 children in private practices were screened at 12- and 24-month well-child visits. Result: • Referral rate increased 224% once developmental screening process was implemented. • 94% of referred children were found eligible for services. Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  17. AAP – Healthy People 2020 Implementation of the AAP Recommendations for Screening Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  18. A A P – H e a l t h y P e o p l e 2 0 2 0 AAP Recommendations Key Points The Screening Tool is Standardized Screening is Universal • All children screened, regardless of risk Screening is Periodic • Completed at 9, 18 and 30* months *If 30-month visit is not routine, 3 rd screening at 24 months Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  19. A A P – H e a l t h y P e o p l e 2 0 2 0 AAP Recommendations Why? The Screening Tool is Standardized • Eliminates inconsistent surveillance techniques Screening is Universal Eliminates problem of low sensitivity of surveillance • Screening is Periodic • Ensures children are not missed • Tracks developmental changes over time Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  20. A A P – H e a l t h y P e o p l e 2 0 2 0 AAP Recommendations: Response to Failed Screening If a screening reveals a concern, providers should • Refer to early intervention programs ( Strong Start/Early Stages: see Special Ed Cheat Sheet handout for details ) • Refer to medical subspecialists Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  21. A A P – H e a l t h y P e o p l e 2 0 2 0 Ages & Stages Questionnaire • Well-validated • One-time cost – Unlimited duplication • Milestone/skill-based – Facilitates parent education • Options: parent administration or parent self-report – Waiting room/exam room Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  22. A A P – H e a l t h y P e o p l e 2 0 2 0 Use of ASQ-3 in DC (FY 2011) • Widespread use: – Used as intake tool by both Strong Start and Early Stages – DCPS screens all Head Start children (4,500) with ASQ-3 • Strong correlation to eligibility in DC: – Strong Start: 57% of ASQ-referred children were eligible. – Early Stages: 65% of ASQ-referred children were eligible. Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  23. A A P – H e a l t h y P e o p l e 2 0 2 0 Developmental Surveillance and Screening Policy Implementation Pilot Established by the AAP to test the feasibility of implementing the 2006 AAP screening guidelines. A 9-month project involving 17 practices using ASQ 3 Results: 85% of presenting patients were screened. Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

  24. A A P – H e a l t h y P e o p l e 2 0 2 0 Lessons from the AAP Pilot Practices struggled most in three areas: 1. Conducting screening at 30-month visit. 1. Administering a screening after surveillance suggested a concern. 1. Referring children to both medical subspecialists and local early intervention programs. (Only 61% of children with failed screenings were referred.) King, Tandon et al. 2010 Strong Start I T: 202.727.3665 Early Stages I T: 202.698.8037 I www.earlystagesdc.org

Download Presentation
Download Policy: The content available on the website is offered to you 'AS IS' for your personal information and use only. It cannot be commercialized, licensed, or distributed on other websites without prior consent from the author. To download a presentation, simply click this link. If you encounter any difficulties during the download process, it's possible that the publisher has removed the file from their server.

Recommend

moderations Schools taking part: Stockwell Primary, Loughborough Primary, Hill Mead Primary, St

moderations Schools taking part: Stockwell Primary, Loughborough Primary, Hill Mead Primary, St

BLC Year 5 joint writing moderations Schools taking part: Stockwell Primary, Loughborough Primary, Hill Mead Primary, St Saviours Primary, Jessop Primary, St Johns Angell Town Primary. The process In June 2015, Year 5 teachers from

661 views • 44 slides
Welcome to Cockenzie Primary School To find out information about Cockenzie Primary

Welcome to Cockenzie Primary School To find out information about Cockenzie Primary

Curious Positive Successful Welcome to Cockenzie Primary School To find out information about Cockenzie Primary Schools transition programme from Nursery to Primary 1 Find out how you can support your child in preparing for primary 1

438 views • 31 slides
AKI in Primary Care AKI: Context and focus for primary care Definition, staging and

AKI in Primary Care AKI: Context and focus for primary care Definition, staging and

Acute Kidney Injury (AKI) In Primary Care Supporting early detection and consistent management Responding to AKI Warning Stage Test Results for Adults in Primary Care: Best Practice Guidance AKI in Primary Care AKI: Context and focus for

783 views • 35 slides
MATHEMATICS Information for Primary Two Parents Primary Primary Mathem Mathematics atics

MATHEMATICS Information for Primary Two Parents Primary Primary Mathem Mathematics atics

MATHEMATICS Information for Primary Two Parents Primary Primary Mathem Mathematics atics (Laying (Laying a str a strong foundati ong foundation) on) The Primary Mathematics syllabus aims to enable all students to: Acquire

553 views • 24 slides
PRIMARY BUSINESS PARTNERSHIP and Businesses DID YOU KNOW Children at primary school age are

PRIMARY BUSINESS PARTNERSHIP and Businesses DID YOU KNOW Children at primary school age are

A coordinated and planned approach for Primary Schools PRIMARY BUSINESS PARTNERSHIP and Businesses DID YOU KNOW Children at primary school age are making choices which can impact their future? Low expectations or social stereotypes restrict

305 views • 9 slides
The International Primary Curriculum The International Primary Curriculum (IPC) is an

The International Primary Curriculum The International Primary Curriculum (IPC) is an

Welcome to the IPC The International Primary Curriculum The International Primary Curriculum (IPC) is an internationally-minded, thematic, cross-curricular and rigorous teaching structure used in over 50 countries . The International Primary

617 views • 40 slides
Commissioning and Enabling Primary Care in Doncaster Laura Sherburn 30 June 2016 Primary Care

Commissioning and Enabling Primary Care in Doncaster Laura Sherburn 30 June 2016 Primary Care

Commissioning and Enabling Primary Care in Doncaster Laura Sherburn 30 June 2016 Primary Care Strategic Model Proactive Responsive Primary Keeping people Coordinated Extended Primary Care well Primary Care Care Bringing care closer

466 views • 9 slides
ERWP Woody Invasive Committee Update March 9, 2017 2016 2016 Wrap-up up Primary Treatment:

ERWP Woody Invasive Committee Update March 9, 2017 2016 2016 Wrap-up up Primary Treatment:

ERWP Woody Invasive Committee Update March 9, 2017 2016 2016 Wrap-up up Primary Treatment: 310 acres Secondary Retreatment: 1320 acres USFS State Private Year NPS Primary BLM Primary Total Primary Primary Primary Primary

241 views • 10 slides
Introduction to Primary Care First and Direct Contracting Models Introduction to Primary Care

Introduction to Primary Care First and Direct Contracting Models Introduction to Primary Care

Introduction to Primary Care First and Direct Contracting Models Introduction to Primary Care First (PCF) Primary Care First Goals Primary Care First Overview 5-year alternative payment model To reduce Medicare spending by 1 preventing

550 views • 19 slides
UEA Outreach Primary School Project DARREN MCMORRAN OUTREACH OFFICER Primary School Project

UEA Outreach Primary School Project DARREN MCMORRAN OUTREACH OFFICER Primary School Project

UEA Outreach Primary School Project DARREN MCMORRAN OUTREACH OFFICER Primary School Project Aims To encourage WP primary pupils to consider going to university in the future To engage Target A primary schools in all Primary

752 views • 22 slides
Bukit View Primary School Parent Engagement Session Primary 2 &amp; Primary 3 11 January 2020

Bukit View Primary School Parent Engagement Session Primary 2 &amp; Primary 3 11 January 2020

Bukit View Primary School Parent Engagement Session Primary 2 &amp; Primary 3 11 January 2020 Overview 1. The Bukit Viewan School Experience Primary 2 &amp; 3 (Non-Academic and Academic Areas) 2. Partnership with Parents Trends of

840 views • 42 slides
Primary Care Network Development in Havering Jordanna Hamberger Primary Care Delivery Manager

Primary Care Network Development in Havering Jordanna Hamberger Primary Care Delivery Manager

Primary Care Network Development in Havering Jordanna Hamberger Primary Care Delivery Manager Emily Plane Head of Primary Care 24 July 2019 Why Primary Care Networks? - PCNs are the key building block of the NHS Long Term Plan. - At

1.1k views • 14 slides
Yura Barabash Lori Patterson Primary Capital Baker Donelson Kurt Reuss Primary Capital

Yura Barabash Lori Patterson Primary Capital Baker Donelson Kurt Reuss Primary Capital

SEC COMPLIANCE SERVICES OFFERED BY PRIMARY CAPITAL John Leo Arthur Magee Primary Capital Primary Capital Yura Barabash Lori Patterson Primary Capital Baker Donelson Kurt Reuss Primary Capital 1 No legal advice is being

381 views • 10 slides
REMINDERS Glow SAC Planners Vocabulary Guides SAC PLANNER OVERVIEW Nursery

REMINDERS Glow SAC Planners Vocabulary Guides SAC PLANNER OVERVIEW Nursery

REMINDERS Glow SAC Planners Vocabulary Guides SAC PLANNER OVERVIEW Nursery Primary 1 Primary 2 Primary 3 Primary 4 Primary 5 Primary 6 Primary 7 Greeti tings name and Greeting name and how Greetings and where you

468 views • 22 slides
REMINDERS Glow SAC Planners Vocabulary Guides SAC PLANNER OVERVIEW Nursery

REMINDERS Glow SAC Planners Vocabulary Guides SAC PLANNER OVERVIEW Nursery

REMINDERS Glow SAC Planners Vocabulary Guides SAC PLANNER OVERVIEW Nursery Primary 1 Primary 2 Primary 3 Primary 4 Primary 5 Primary 6 Primary 7 Greeti tings name and Greeting name and how Greetings and where you

564 views • 29 slides
Sherborne Abbey CofE VC Primary School Sherborne Primary School St Andrew's CofE VC Primary

Sherborne Abbey CofE VC Primary School Sherborne Primary School St Andrew's CofE VC Primary

Buckland Newton CofE VC Primary School Sherborne Abbey CofE VC Primary School Sherborne Primary School St Andrew's CofE VC Primary School St Mary's CofE VC Primary School The Gryphon School Thornford CE VA Primary School Sherborne Learning

586 views • 36 slides
Things to Do Before your Presentation Resource review: It is recommended that you review the

Things to Do Before your Presentation Resource review: It is recommended that you review the

Things to Do Before your Presentation Resource review: It is recommended that you review the resource list. You also might want to review resources on standards and regulations such as the following: State Regulations: Prior to given your

416 views • 3 slides
and Reducing Overuse Task Force on Low-Value Care April 27, 2017 Outline Defining waste (and

and Reducing Overuse Task Force on Low-Value Care April 27, 2017 Outline Defining waste (and

Defining, Measuring, and Reducing Overuse Task Force on Low-Value Care April 27, 2017 Outline Defining waste (and its several varieties) (1) Significance of waste and overuse (2) Examples of overuse (3) Reducing overuse: what works? (4)

667 views • 35 slides
United States Court of Appeals for the Federal Circuit 2008-1279 SYNTHES (U.S.A.),

United States Court of Appeals for the Federal Circuit 2008-1279 SYNTHES (U.S.A.),

United States Court of Appeals for the Federal Circuit 2008-1279 SYNTHES (U.S.A.), Plaintiff-Appellant, v. G.M. DOS REIS JR. IND. COM. DE EQUIP. MEDICO (also known as GMReis), Defendant-Appellee. Jeffrey M. Olson, Sidley Austin LLP, of Los

753 views • 26 slides
American Academy of American Academy of Orthopaedic Surgeons Orthopaedic Surgeons 2010

American Academy of American Academy of Orthopaedic Surgeons Orthopaedic Surgeons 2010

American Academy of American Academy of Orthopaedic Surgeons Orthopaedic Surgeons 2010 Annual Meeting 2010 Annual Meeting Off- -Label Device Use: When Clinical Label Device Use: When Clinical Off Need Outpaces Regulatory Approval

510 views • 23 slides
Ohio AAP Annual Meeting Jerry Tiberio, FAAP District V Vice-Chairperson, AAP S O M UCH W INNING

Ohio AAP Annual Meeting Jerry Tiberio, FAAP District V Vice-Chairperson, AAP S O M UCH W INNING

Ohio AAP Annual Meeting Jerry Tiberio, FAAP District V Vice-Chairperson, AAP S O M UCH W INNING ! B UT M ORE W ORK A HEAD Gun Violence Prevention Immigrant Children and Families Opioids/SUD ACA Market Stabilization

519 views • 24 slides
Kilmer Middle School Academic Level IV Center Program Introduction Assistant Principals:

Kilmer Middle School Academic Level IV Center Program Introduction Assistant Principals:

Kilmer Middle School Academic Level IV Center Program Introduction Assistant Principals: Debra David and Chris Musgnug English: Marnie Hennessy Math: Eunice Park Social Studies: Steve Thomas Science: Marileigh Blake

652 views • 22 slides
Key Findings from the AAP MRoTF Survey Mark Cooper, IACC #IACCaap19 1 A little background AAP

Key Findings from the AAP MRoTF Survey Mark Cooper, IACC #IACCaap19 1 A little background AAP

Key Findings from the AAP MRoTF Survey Mark Cooper, IACC #IACCaap19 1 A little background AAP 2018 Survey An overview of the meeting room of the future initiative Review the key findings from the What we will research look at today.

491 views • 48 slides
C E N T E R F O R M E X I C A N A M E R I C A N S T U D I E S 2 W H O A R E W E ? 2 3 C

C E N T E R F O R M E X I C A N A M E R I C A N S T U D I E S 2 W H O A R E W E ? 2 3 C

1 C M A S C E N T E R F O R M E X I C A N A M E R I C A N S T U D I E S 2 W H O A R E W E ? 2 3 C M A S MEET OUR AWESOME TEAM PA M E L A Q U I R O Z J E R O N I M O C O R T I N A J E S S I C A T H I A M DIRECTOR &amp;

545 views • 25 slides

More recommend