• Blog >
  • Increasing Early Childhood Screening in Primary Care Through a Quality Improvement Collaborative
RSS Feed

Increasing Early Childhood Screening in Primary Care Through a Quality Improvement Collaborative

Abstract

OBJECTIVES: Multiple early childhood screenings are recommended, but gaps persist in implementation. Our aim for this project was to improve screening, discussion, referral, and follow-up of development, autism spectrum disorder (ASD), maternal depression, and social determinants of health (SDoH) to 90% by July 2018.

METHODS: This 1-year national quality improvement collaborative involved 19 pediatric primary care practices. Supported by virtual and in-person learning opportunities, practice teams implemented changes to early childhood screening. Monthly chart reviews were used to assess screening, discussion, referral, and follow-up for development, ASD, maternal depression, and SDoH. Parent surveys were used to assess parent-reported screening and referral and/or resource provision. Practice self-ratings and team surveys were used to assess practice-level changes.

RESULTS: Participating practices included independent, academic, hospital-affiliated, and multispecialty group practices and community health centers in 12 states. The collaborative met development and ASD screening goals of >90%. Largest increases in screening occurred for maternal depression (27% to 87%; +222%; P < .001) and SDoH (26% to 76%; +231%; P < .001). Statistically significant increases in discussion of results occurred for all screening areas. For referral, significant increases were seen for development (53% to 86%; P < .001) and maternal depression (23% to 100%; P = .008). Parents also reported increased screening and referral and/or resource provision. Practice-level changes included improved systems to support screening.

CLICK HERE TO VIEW FULL ARTICLE AND DOWNLOADS

Our Location

Find us on the map

Hours of Operation

Our Regular Schedule

After Hours Urgent Care Available

Monday:

8:00 am-7:00 pm

Tuesday:

8:00 am-7:00 pm

Wednesday:

8:00 am-6:30 pm

Thursday:

8:00 am-7:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

8:00 am-12:00 pm

Sunday:

Closed