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Developmental
Surveillance and Screening Policy Implementation
Algorithm | Office
Systems | Training/Education |Mentorship
Resources
for Practices|Forming
Partnerships
|National Screening Initiatives|Parent
Resources
The office system page provides information
on how to integrate developmental screening into your
practice. It provides informational websites, handouts,
and powerpoint presentations on how to get started in your
practice. There are also many screening, coding and referral
resources.
Getting
Started |
Screening Resources |Surveillance
Resources| Coding
Resources| Referral Resources|Tools
Used by D-PIP Practices
Getting Started
Resources to Help the Practice Change
Process
Powerpoint Presentations 
- Introduction to Policy Statement Algorithm; Nancy Swigonski,
MD, MPH, FAAP: Presentation
Provides case studies of how the developmental
surviellance and screening algorithm can be used in office
settings
- Putting the Office Systems in Place/Overview of Data
Collection; Paula Duncan, MD, FAAP: Presentation
Provides example of office system resources
and data collection strategies
- Screening
Tools: Those Used and Others to Consider; Paul Lipkin,
MD, FAAP Presentation
Provides an overview of developmental screening instruments
Screening
Resources
Developmental
and Behavioral Pediatrics Online (DB Peds)
This site is aimed at professionals interested in child development and behavior,
especially in the medical setting. They have increased their focus on primary
care development and behavior, especially early identification and screening.
The Learning section features the Toolbox, which is your link to special
article features, keywords, and evidence. You can also explore their Handouts,
which include both original and borrowed material, suitable for parents.
Developmental
Screening Tool Kit- Children's Hospital of Boston
This site is for primary care providers considering or planning to start screening
children for developmental needs using a validated tool.
First
Signs, Inc
The mission of First Signs is to promote the early identification
of, and intervention for, autism and other developmental
disorders.
Integrating
Screening and the Medical Home 
Surveillance within a Medical Home is a flexible, continuous
process,
in which knowledgeable professionals perform skilled observations
of children throughout the provision of health care. This
is often
done in consultation with families, specialists, child care
providers,
and other health care professionals. This factsheet explains
how to combine this important services.
Medicalhomeinfo.org
The National Center of Medical Home Initiatives for Children with Special Needs
provides support to physicians, families, and other medical and non-medical
providers who care for children with special needs so that they have access
to a medical home.
Screening
Tools Grid
(Description | Age Range | No. of Items | Administration
Time | Psychometric Properties | Scoring Method | Cultural
Considerations | Purchase/Obtainment Information | Key References)
Other Documents
Developmental Screening Practice
Initiatives
Bibliography
Powerpoint Presentations
- Developmental
Surveillance and Screening; Paul Lipkin, MD, FAAP Presentation
The Developmental Surveillance and Screening
Policy Implementation Project Principle Invesigator,
Paul Likin presentation discusses the componets of surveillance
and screening.
- Developmental Screening Tools; Michelle Macias, MD,
FAAP Presentation
D-PIP Faculty member, Michelle Macias's presentation
on developmental screening tools provides information on
benefits and challeges of screening
Surveillance
Resources
Developmental Surveillance
Surveillance is the process of recognizing children who
may be at risk of developmental delays. Developmental
surveillance is a flexible, longitudinal, continuous,
and cumulative process whereby knowledgeable health
care professionals identify children who may have developmental
problems. There are 5 components of developmental surveillance.
- Eliciting and attending to the parents’ concerns
about their child’s development
- Documenting and maintaining a developmental history
- Making accurate observations of the child
- Identifying the risk and protective factors
- Maintaining an accurate record and documenting the
process and findings
ASD Video Glossary
The ASD Video Glossary, an innovative web-based
tool designed to help parents and professionals learn more
about the early red flags and diagnostic features of autism
spectrum disorders, contains over a hundred video clips and
is available free of charge.
CDC-
Learn the Signs Act Early
The Centers for Disease Control and Prevention
(CDC), in collaboration with a coalition of national partners,
is launching a new phase of the "Learn the Signs. Act Early" public
awareness campaign. This childhood development campaign is
designed to help increase awareness about the importance
of tracking a child's social and emotional development, including
the potential early warning signs of autism and other developmental
disabilities.
CDC-
Learn the Signs Act Early- Developmental Toolkits
The Centers for Disease
Control and Prevention and the National Center on Birth
Defects and Developmental Disabilities have produced a
toolkit to help parents learn about the milestones in their
children's growth, from birth to age 5 years, as well as
developmental delays and other disabilities. The "Learn
the Signs. Act Early" campaign
and toolkit are designed to help parents recognize any
delays so that their children can be screened and receive
early treatment, if necessary.
Available in both English and Spanish, the toolkit includes
an informational card on developmental milestones, a growth
chart, and a series of factsheets on milestones and developmental
and behavioral delays. These materials can be downloaded
from the website or ordered in bulk. In addition, the "Learn
the Signs. Act Early" website has an interactive tool for
parents and information for health providers on becoming
involved with the campaign.
Coding
Resources
Handouts
- Sample appeals letter to insurers advocating separate
payment for developmental screening Handout
- AAP’s appeal letter regarding reporting CPT Code
96110 separately from a preventive medicine services
code Sample
- 96110/96111 Payment by State Handout
- Developmental Screening/Testing Coding Fact
Sheet
Developmental screening, surveillance, and assessment
are often complemented by the use of special tests, which
vary in length. This Coding Fact Sheet provides guidance
on how pediatricians can appropriately report limited
and extended developmental screening and testing services.
Powerpoint
Presentations
- Developmental Screening: Billing and Coding; Michelle
Macias, MD, FAAP Presentation
Provides information on Terminology and principles
of CPT coding
- Developmental
Screening Billing and Payment: Stories from the Front
Line; Michelle Macias, MD, FAAP Presentation
Explains ICD-9-CM, V codes, and basic priciples of use
Referral Resources
Resources to Implement Practice Changes
- Community
Resource Template
Developed for use by the D-PIP project, the Community
Resource Template helps track patients referral programs/contact
information
- Chart
Labels
Chart labels can be attached to patient charts to document
surveillance actions
- Referral
Tracking Worksheet
This form can be used the track referral, feedback, and
diagnosis information
American Academy of Pediatrics; Council on Children
With Disabilities. Role
of the Medical Home in Family-Centered Early Intervention
Services. Pediatrics. 2007;120(5):
1153-1158
The
National Dissemination Center for Children with Disabilities,-
Early Intervention eNews Page.
This page provides
a wide range of information and sources of assistance
regarding Early Intervention, including: resources in
your state, key agencies involved with EI, and tools
and materials for parents and providers.
NECTAC:
National Early Childhood Technical Assistance Center
Supports the implementation of the early childhood provisions
of the Individuals with Disabilities Education Act (IDEA)
Early
Intervention- Health Topics Page
This page provides a variety of resources related to
early intervention including policy statements, referral
forms, parent resources, and provider resources
Early
Intervention Referral Form
This editable form is designed to simplify the referral process
to early intervention programs and allows primary care professionals
to indicate the types of information they would like to receive
from the early intervention program.
Referral Forms
on Medicalhomeinfo.org
A collection of other referral
forms for use in practice.
Tracking,
Referral and Assessment Center for Excellence (TRACE)
The major goal of TRACE is to identify and promote the
use of evidence-based practices and models for improving
child find, referral, early identification, and eligibility
determination for infants, toddlers, and young children
with developmental delays or disabilities who are eligible
for early intervention or preschool special education.
Powerpoint
Presentations
- Screening Implementation: Referral and Follow-up; Paul
Lipkin, MD, FAAP Presentation
Provides information on what to do when a screening test
is concerning
Tools
used by D-PIP Practices
Boys Town CME Proposal
Example of a proposal to develop a continuing education
program for health care providers on developmental surveillance
and screening of infants and young children in primary
care clinics.
For additional information on the D-PIP, please contact
Ginny Chanda ext 7081 or gchanda@aap.org
Algorithm | Office
Systems | Training/Education |Mentorship
Resources
for Practices|Forming
Partnerships
|National Screening Initiatives|Parent
Resources
The D-PIP is funded by a cooperative agreement
between the AAP and the National Center on Birth Defects
and Developmental Disabilities at the Centers for Disease
Control and Prevention and a cooperative agreement between
the AAP and the Maternal and Child Health Bureau.
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