Alan Weil, Executive Director, National Academy for State Health Policy (NASHP)
Melinda Abrams, Senior Program Officer, Child Development and Preventive Care and Patient-Centered Care, The Commonwealth Fund
This session will offer an overview of the ABCD Screening Academy, the learning session, and the resources available to ABCD Screening Academy participants.
At the end of this session, participants will:
- Know what they are expected to accomplish during the learning session and the Screening Academy.
- Be aware of the resources available to help accomplish their goals.
Edward L. Schor, Vice President, Child Development and Preventive Care, The Commonwealth Fund
Kay Johnson, President, Johnson Group Consulting Services, Inc.
This session will examine Medicaid requirements, especially EPSDT, with a particular emphasis on how these requirements support the delivery of child development services. Further, this session will examine the relationship between school readiness, EPSDT/well child care, and child health outcomes.
At the end of this session, participants will be able to:
- Describe EPSDT requirements
- Describe the relationship between EPSDT and child development services.
- Identify the contribution of EPSDT to health promotion, school readiness, and child health outcomes.
Laura Sices, Assistant Professor, Department of Pediatrics, Case Western Reserve University
Paul Lipkin, Director, Center for Development and Learning, Kennedy Krieger Institute
Marian Earls, Medical Director, Guilford Child Health, Inc.
This session will highlight why surveillance and standardized screening are so crucial to early identification, lessons learned from the 17 national pilot sites implementing the AAP policy statement on developmental screening, providers’ concerns about standardized screening, and how screening enhances primary care and the medical home.
At the end of this session, participants will be able to:
- Connect the evidence base for standardized screening and the importance of early identification to facilitate intervention and school readiness.
- Understand the recent AAP recommendation and algorithm to implement standardized developmental screening in primary care practices
- Make the case to primary care providers’ about the benefits and viability of implementing standardized screening in their practices.
Dennis Drotar, Professor, Pediatrics, Case Western Reserve University
Chuck Norlin, Chief, Utah Pediatric Partnership for Improving Healthcare Quality (UPIQ), and Associate Professor, General Pediatrics, University of Utah School of Medicine
Julie Olson, Bureau of Eligibility Services, Utah Department of Health
This session will review resources, including findings from a review of general developmental screening tools, available to help states and practices select screening tools and the issues to consider in making selections. By the end of this session participants will be able to:
- Identify factors they should consider when selecting screening tools for use in their pilots sites and in policy improvement.
- Identify approaches to reaching consensus on recommendations for screening instruments.
- Compare some popular screening tools in terms of important psychometric and practice-specific variables.
- Know where to access additional information (e.g., accuracy and cost) about the screening tools they might consider for selection.
- Melinda Abrams, The Commonwealth Fund
- Scott G. Allen, Executive Director, Illinois Chapter, American Academy of Pediatrics
- M. Jane Borst, Bureau Chief, Family Health, Iowa Department of Public Health
- Chris Collins, ABCD Coordinator, Community Care of North Carolina
- Marian Earls, Guilford Child Health, Inc.
- Glenace Edwall, Director, Children’s Mental Health Division, Minnesota Department of Human Services
- Carrie Fitzgerald, Child Health Policy Associate, Child and Family Policy Center
- Russell Frank, Health Programs Integration Administrator, Office of Vermont Health Access
- Alfred Healy, Professor Emeritus, University of Iowa College of Medicine
- Neva Kaye, NASHP
- Peter Margolis, Professor, Pediatrics, University of Cincinnati College of Medicine, and Co-Director of the Cincinnati Children's Center for Health Care Quality
- Jennifer May, Senior Policy Analyst, National Academy for State Health Policy
- Chuck Norlin, UPIQ
- Julie Olson, Utah Department of Health
- Jill Rosenthal, Program Manager, National Academy for State Health Policy
- Deborah Saunders, Chief, Illinois Office of Healthcare and Family Services, Illinois Department of Public Aid (IDPA)
- Judith Shaw, Executive Director, Vermont Child Health Improvement Program (VCHIP) and Bright Futures, and Associate Professor of Pediatrics, University of Vermont College of Medicine
- Lori Smith, Mental Health Promotion Specialist, Community and Family Health Services, Utah Department of Health
- Edward L. Schor, The Commonwealth Fund
- Judith Shaw, University of Vermont College of Medicine
- Lori Smith, Utah Department of Health
Floating Resource People
- Peter Margolis, University of North Carolina
- Marian Earls, Guilford Child Health, Inc.
- Paula Duncan, VCHIP
- Chuck Norlin, UPIQ
Teams will meet to refine their state’s plans and identify next steps based on the morning’s discussion. This discussion will focus on (1) developing messages for key audiences on the benefits and viability of standardized screening and (2) refining plans for working with stakeholders to choose the standardized screening tools that will be used at pilot sites and/or statewide.
At the end of this session each state team will have:
- Developed at least 2 messages on the benefits and viability of standardized screening that are tailored to the concerns of (1) pediatric and family physicians, (2) decision makers in Medicaid, (3) decision makers in public health agencies, and (4) parents.
- Reviewed their workplan for selecting screening tools and identified any changes needed based on the morning’s discussion.
- Identified the next steps that need to be taken upon returning home to select screening tools and secure the support of critical stakeholders, and assigned responsibility for those steps.
Each team will be assigned a resource person to participate in their discussions and additional resource people with particularly relevant knowledge will be available for consultation during this session. Also, each team will be provided with a worksheet to complete during the session. At the end of the session resource people will be responsible for gathering the completed worksheets for copying—these will be returned to the state teams before the end of the meeting.
The session will provide an introduction and overview to working with physician practices to improve the care they deliver, both as part of a demonstration and for spreading innovation. In this session we will examine critical factors in developing effective quality improvement approaches. Three intervention models will be highlighted: learning collaboratives, CME workshops, and in-office training. By the end of this session participants will be able to:
- Describe three models of working with physician practices to improve quality;
- Identify some strengths and weaknesses of each model as a means of (1) working with a small number of practices to develop and implement an innovation and (2) spreading innovation.
Moderator
Judith Shaw, VCHIP and Bright Futures
Speakers
Marian Earls, Guilford Child Health, Inc
Chuck Norlin, UPI
This session will present ‘case studies’ examining how two states used different models to help physician practices incorporate standardized screening into well child care. Each speaker will describe the model, as well as discuss the strategies used to fund the initiative, recruit practices, and support practice change during and after the event. The two case studies will be (1) Utah’s learning collaboratives, and (2) North Carolina’s CME workshops. Each case study will be followed by comments from the other presenters and participant discussion. By the end of the session participants will be able to:
- Describe three states’ experiences with working with physicians to promote standardized developmental screening.
- Identify the major tasks in developing and implementing a learning collaborative and a CME workshop.
- Identify at least two potential barriers to a practice’s participation in an improvement model and at least one way to address each barrier.
This session will provide participants with the opportunity to reflect back on the day’s sessions and discuss how the information presented and lessons shared apply to their particular states’ circumstances and plans for moving forward. During this session, participants will have the opportunity to ask additional questions of each other and of the topic experts, as well as convey what they may need after the Learning Session to move forward with their plans.
