|
 |
Child Development Screening FAQPromoting Child Development Screening in MichiganPrepared by Michigan Chapter American Academy of Pediatrics
BackgroundStandardized developmental screening was identified in 2007 as the Michigan Child Health Improvement Partnership’s (MICHIP) first initiative. The Michigan Chapter of the American Academy of Pediatrics (MIAAP) has received a grant demonstration project issued by the Medical Services Administration (MSA) at the Michigan Department of Community Health to spread standardized developmental screening in pediatric practices that serve Medicaid enrolled children throughout Michigan.
MIAAP will identify, recruit, and train pediatric and family practices during FY2009-2010 to implement child development screening.
Successful completion of this project will result in increased numbers of pediatric providers serving Medicaid enrolled children conducting standardized developmental screening, early identification of children with potential developmental issues, and timely referral for further evaluation and intervention. [ back to top ]
How much time does the developmental screening take?There are various screening tools recommended by the AAP. For example, the ASQ Ages and Stages screening tool is completed by parents in the waiting room or prior to the visit and this takes about 10 minutes. A nurse typically scores which should only take a few minutes. The doctor reviews during the regular well-child visit which helps in a facilitated conversation about child development.
When do we complete developmental screening?AAP recommends doing developmental surveillance at every well-child visit and developmental screening at 9, 18, and 24 or 30 months depending upon if insurance will pay for them.
What developmental screening tool options do you recommend?The AAP recommends using evidence-based developmental screening tools including but not limited to:
[ back to top ]
What developmental screening tool does Early On use?The State of Michigan Early On program uses Ages and Stages (ASQ) to conduct developmental assessments at the Intermediate School District.
Can we bill for developmental screening?We will be training on how to bill various health insurance programs for screening.
When do we refer children on for further evaluation or services?Developmental Evaluations to identify disability Medical Evaluations to identify etiology, counsel on diagnosis or prognosis, genetics, and implement medical treatments Early Intervention for delays in speech, language, large and small motor function, etc. [ back to top ]
Where do we refer children for intervention services?There are various options within health systems and communities. The services are divided into medical and non-medical services such as early intervention, audiology, speech, physical therapy and occupational therapy.
Partners for community services can include:
[ back to top ]
How do we track children who have been referred to Early On or other community-based intervention services?Tracking of children can be done in a variety of ways: paper, electronic, web-based. Many of the screening tools have web-based systems to help doctors monitor children. Early On has a new Management Information System. Release forms should be obtained from parents before referrals are made to Early On.
One of the expectations of being a participant for PCDS will be sitting down with your local Early On staff person at the Intermediate School District to clarify roles and communication. We are going to work with the Great Start Collaboratives to help facilitate this. Go to www.ecic4kids.org to find out more about Great Start Early Childhood System plans in your community. [ back to top ]
How long is the training and what is the content?We will offer training that will take approximately 1.5 hours for the whole staff or doctor/nurse/billing team on evidence-based developmental screening tools, how to bill, how to refer, how to track referrals.
What kind of support will you give to our practice for participating in this project?Training, technical assistance and mentoring. Followup training will probably be available in webinars.
Dr. Teresa Holtrop, Medical Director, , 313-745-4323 Michele Strasz, Program Director, , 517-712-2014 [ back to top ] |
