Summary of rates of screening for potential delays in social and emotional development in ABCD II demonstration sites

State California Description of Numerator and Denominator Numerator: # children screened with the ASQ or ASQ-SE as part of a specified well child visit Denominator: # children who had an 12, 18 or 24 month well-child visit during the intervention period Numerator: # children screened with the ASQ-SE as part of a specified well child visit Denominator: # children who had a 6, 9, 18 or 24 month well-child visit during the intervention period at the practice-based pilot Numerator: # children adequately screened for potential social or emotional developmental delays with either the Iowa Health Maintenance Clinical Notes or a standardized tool as part of a specified well child visit Denominator: # children under age 3 who had a well-child visit from one of the pilot practices during the intervention period Numerator: # children age birth to five who had a targeted well-child visit and who were screened with the ASQ-SE during that visit Denominator: # children age birth to five who had a well-child visit and belonged to intervention the group (defined by day of appointment or physician) Numerator: # children in the target age group (<1 or 2-3) who had a wellchild visit and who were screened with a standardized tool during that visit Denominator: # children in the target age group who had a well-child visit Source of Data for Measures Pre-intervention: Provider report that no formal tool was used. Post-intervention: Practice-level information including appointment books, copies of completed screening tools and referral forms, providercompleted tally sheets. Pre-and Post-intervention: Physicians completed a card for each well child visit indicating whether the child was screened and, if so, whether they used the ASQ:SE, an informal checklist, or clinical judgment-only. They began this practice one month prior to the training and continued it for 13 months following the training2 Pre-and Post-intervention: Chart review —400 charts to collect baseline information and 400 to collect postintervention information. Screening Rate1 Pre Post 0% 94%

Illinois

Practice centered site-only 2 ASQ:SE 150 Screen ASQ:SE (≈ 0%) Screens (≥43%)

Iowa

53%

93%

Minnesota

Utah

Pre-intervention: Provider report that no formal tool was used. Post-intervention: Practice-level information: • Urban: copies of completed and scored screening tools • Rural: electronic medical records, scheduling system, and company that provides electronic platform for screening Pre-intervention: Provider report that no formal tool was used. Post-intervention: Practice-level information: monthly audit form completed based on a sample of charts documenting the care provided to children who had a well-child visit in the previous month.

Urban practice 0% 93% Rural practice 0% 93%

Infant Screen pilots 0% 76%

Toddler Screen pilots 0% 84%

1 2

The screening rates reported here represent experience across all demonstration sites except where noted. Illinois reported the number of well-child visits for the period from April 2005 (one month prior to the training) to July 2006 (the 13th month following the training) as a single number. Therefore it is not possible to separately calculate a pre- and post-training screening rate. But, since only two ASQ:SEs were provided in the month before the screening the baseline is presented here as effectively 0 and the post-training rate as at least 43%.