pathways to school readiness in nassau county: improving developmental screening, one clinic at a...
TRANSCRIPT
PATHWAYS TO SCHOOL READINESS IN NASSAU COUNTY:
Improving Developmental Screening, One Clinic at a Time
About Docs for Tots
23
About Docs For Tots
Docs for Tots is a non-profit, non-partisan organization lead by pediatricians with a mission of bringing together children’s doctors and communities to promote practices, policies and investments in children from prenatal to five that foster children’s healthy development and future success.
Our vision is that all families are able to
fully support the healthy development of their children during early childhood. Supporting children’s development is the foundation for a healthy and successful society. Docs for Tots has five priority areas that are critical to realization of our vision: promoting the early childhood medical home, increasing developmental screening, improving access to high quality early care and education, improving social-emotional health, and addressing poverty.
344
Overview
45
Overview
• Importance of Developmental Screening
• Pediatric Primary Care
• Why Screening Works
• Common Barriers & Opportunities for Growth
• Accepting the Challenge!
566
Why is Developmental Screening Important?
67
Why Developmental Screening is Important
• Developmental and behavioral guidance and surveillance have always been an integral part of care of young children. The use of standardized screens at specific ages builds and strengthens this long tradition.
• Parents expect their doctor to identify developmental and behavioral problems early and accurately and by integrating standardized screening you can better meet this expectation.
• Formalized, evidence-based screening
detects far more delays than surveillance alone. Developmental screening and appropriate referral are critical for school readiness and lifelong health.
788
Why Developmental Screening is Important
New York lags behind the rest of the country, ranking 49 out of 50 states in implementing developmental screenings. Implementing AAP recommendations across Nassau County can improve school readiness by identifying needs and providing necessary services at the earliest, most effective times, saving against intervention and remediation costs later.
91010
Pediatric Primary Care
1011
Pediatric Primary Care: How We can Help Bride the Gaps
• As someone in the pediatric primary care field, you are uniquely situated to promote children’s developmental health– Long-term, trusted
relationship with families– Unique access to children
from birth to school age
111212
Screening Works
1214
Screening Works
1314
Detection Rates
Without standardized, valid, reliable tool
With standardized, valid, reliable tool
• 30% of developmental disabilities identified
(Palfrey et al. JPEDS. 1994; 111:651-655)
• 70-80% with developmental disabilities correctly identified
(Squires et al., JDBP 1996; 17:420-427)
Common Barriers & Opportunities for Growth
1416
Common Barriers & Opportunities for Growth
Common barriers to developmental screening:
• Time• Office capacity • Comfort with referral process and
sources • Reimbursement
What are some barriers you can identify in your work place, and what are some ways to work through these barriers?
151717
Accepting the Challenge!
1618
Accepting the Challenge!
• Change is never easy, and success in implementing change is dependent on perseverance. In order to persevere, you will need to accept the challenge that current practice–whatever that is for you—is inadequate.
• The literature on developmental screening implementation points to critical barriers in physician knowledge and attitudes towards screening. Without addressing these barriers it is difficult to implement change. 171919
Survey Questions
Survey Questions Standardized screening significantly improves referral rates compared to surveillance alone in randomized clinical trial. TRUE or
FALSE Parents expect and desire standardized screening TRUE or
FALSE Standardized screening is possible in busy urban settings, it does not increase length of visit, and in some respect improves visit efficiency TRUE or
FALSE Screening can improve detection rates of developmental delays from 20% without tools to 80-90% with the use of tools TRUE or
FALSE Parents CAN complete the screens and their input is accurate TRUE or
FALSE If you answered TRUE to ALL the questions you are ready for the challenge!Guevara Pediatrics 2013;131;30Blumberg, Pediatrics 2004, Marion Earls PEDIATRICS –and commonwealth piece (king?) Palfrey JPEDS 1987Morelli et al BMC Pediatrics 2014, 14:16
Thank You!
[email protected] 856-DOC4TOT
(856-362-4868)
For more information regarding developmental screening and Docs
For Tots, log on to www.docsfortots.org
2022