11 1 2007 COMMUNITYPRACTICE LEVEL ABCD Pilots ABCD

11. 1. 2007 COMMUNITY/PRACTICE LEVEL (ABCD Pilots) ABCD LOGIC MODEL OUTCOME: To Promote healthy development for all children Systems are in place for effective prevention and developmental care KEY DRIVERS STRATEGIES Use of structured screening tools • Clinicians are using validated tools • Clinicians receive results of tools completed elsewhere Address parent observations & concerns • Parents’ input is elicited • Understand prioritize parent needs and warning signs • Reinforce transactional nature of development Communication between medical home and ECEs/ Early intervention programs • Parents consent to sharing of information between medical home and ECEs/ early intervention programs • Teachers/staff have relationship with PMDs • Medical homes for children identified Systems for preventive services/ parent education • Educate community about surveillance • Preparents to discuss development with their child’s clinicians and teachers • Support parents’ need to help them navigate through system • Medical practices function as part of community system Relationships with community resources • Develop continuity of care with community resources • Transparent information on referrals • Innovative strategies on communicating resources Work as a team Build continuous learning system • Consultation model for providers (ECE, other providers) • Provide resources for consultative support and serve as a resource • Distribute work within the setting • Consensus on measures and reporting • Ongoing learning collaborative; ongoing support for learning and practice change (CME); training on quality improvement SYSTEM LEVEL (Policy) Policies and organization encourage effective care & improvement KEY DRIVERS Incentives and motivation Vision & engagement Community supports Capacity and capability for care Leadership and collaboration Continuous learning culture Performance measurement (Gauging success) STRATEGIES • Recognized and agreed upon tools with training and support and reimbursement source • Adequate reimbursement for all activities for quality well child visit • Expectations for care identified, prioritized and promoted • Reconcile expectations with resources & practice realities • Public and professional messages for key audiences (e. g. , universal developmental screening, child development milestones, etc. ) including parent activation • Making the case for decision-makers • Provide training and support to ECEs • State agencies (CDE, DHS, DPH, DMH, DDS, etc. ) articulate linkages between systems • Promote consultation as a strategy where there are limited resources, knowledge and/or capacity • Leverage 211 • State agencies conduct joint planning to identify/address service gaps • Advocate for enhanced payment • Developmental Surveillance Systems of Care • Professional training of residents • Review needs of children with pool of specialists (workforce development) • Consensus on measures and reporting • Ongoing learning collaborative • Make learning resources readily available • Leverage UC system and resident training