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| Enhancing Developmentally Oriented Primary Care
(Archived Project) |
|
|---|---|
| Investigator (PI): | Berry, Anita |
| Performing Organization (PO): |
(Current): Advocate Health Care / (800) 238-6283 |
| Supporting Agency (SA): | Michael Reese Health Trust |
| Initial Year: | 2004 |
| Final Year: | 2007 |
| Award Type: | Grant |
| Abstract: | Enhancing Developmentally Oriented Primary Care is a collaborative project of the Illinois Chapter of the American Academy of Pediatrics, Illinois Academy of Family Physicians, Advocate Health Care, and the Ounce of Prevention Fund. The overall goal of the project is to improve the delivery and financing of preventive health and developmental services for children birth to three, in Chicago and in Illinois. The partnership is building on the "Healthy Steps for Young Children" model and other programs to develop a range of strategies that primary care settings can implement to most effectively provide comprehensive, developmentally-oriented health care to Illinois's youngest children. Using the partners' experience and relationships, tools already developed to assist parents, clinicians, and primary care settings, the project team is focusing on the following: 1) Quality: Identifying elements of quality preventive health and developmental services including: core competencies for primary care providers; practice enhancements that promote a developmentally oriented practice; and a set of indicators that have proven successful in assessing the developmental orientation of practice. 2) Enhanced care delivery: Offering training and technical assistance to physicians, nurse practitioners, physician assistants and other primary care office staff involved in the delivery of primary care to children, and physicians in pediatric and family practice residency programs and faculty in nurse practitioner and physician assistant training programs to address the developmental needs of children under three and their families. 3) Policy, advocacy, and financing: Identify and promote opportunities for policy, advocacy, and funding to support the delivery of developmentally-oriented services to children under three and their families in primary care settings. 4) Effective use of community resources: Linking primary health care providers with community-based programs that provide services to expectant parents and families with children under three. 5) Education for parents and guardians: Strengthening parents' expectations for comprehensive developmentally-oriented primary care services. The specific goals of the implementation project are to: 1) expand the delivery of comprehensive developmental and social-emotional assessments; 2) ensure appropriate developmental and mental health referrals; and 3) increase parent education on developmental issues in primary care practices in Chicago and throughout Illinois. The project's approach targets the education of primary care clinicians and staff using a series of training options that address the practical challenges surrounding practice change, focusing initially on developmental screening (including the delivery of preventive services, early identification, referral and follow-up) but expanding to encompass social-emotional and maternal depression screening in the second and third years. Residency education, and training at practice sites, ongoing technical assistance, and brief teleconference and hospital presentation will engage all types of primary care clinicians serving Illinois children. The project has multiple process objectives corresponding to each project component. However, the five overarching project objectives are to: 1) Increase the number of primary care clinicians (PCCs) using validated tools for developmental screening with all children by the one year well-child visit. 2) Increase the number of PCCs using validated screening tools to screen for postpartum depression as a family risk factor by the six month well-child visit and child social-emotional risk factors by the two year well-child visit. 3) Increase the number of PCCs who have established at least three referral relationships with early intervention, family case management, local public health departments and other providers of developmental and social-emotional services. 4) Increase the number of referrals of children and families who are identified as at-risk through developmental, social-emotional and post-partum depression screenings for further evaluation and follow-up; and 5) Increase the number of parents who report being asked by clinicians about their concerns regarding their child's development/behavior. Multiple evaluation strategies, including time series chart reviews, "pre" and "post" questionnaires, practice assessment tools and technical assistance and training logs are being used to document achievement of project objectives. |
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| Country: | United States |
| State: | Illinois |
| Zip Code: | 60068 |
| UI: | 20061009 |
| Project Status: | Archived |