adapted from marian earls, abcd project, commonwealth fund ()
TRANSCRIPT
Adapted from Marian Earls, ABCD project, Commonwealth Fund (www.cmwf.org)
The Office Process
Assess Current Protocols Identify a leader for the project Select a Screening Tool “Map the Workflow” Identify System Supports Conduct Staff Orientations
Office ProcessOffice Process Select a developmental screening tool Decide on the “routine” screening ages for your
setting or follow guidelines from the American Academy of Pediatrics
Determine what supportive tools you will use in integrating the initiative, i.e. anticipatory guidance, early intervention brochures
Identify and meet your community partners to understand roles in the referral system
Determine how the screening and referral process will be systematically integrated into the practice workflow
Map the workflow (Remember to orient all staff
to the new procedures and workflow and to the value of early intervention and early detection)
Parent checks in/Regsiters- updateddemographics, insurance is collected)
Encounter Form sentto Nurses Station
Nurse pullschart,
encounterform,
anticipatorydevelopment
guideline sheet,.
Nurse takeschild's vitals
Nurse putsparent in examroom and gives
them the PEDS Response Form to
Complete. Nurse reviewsimmunization
record preparesshots, educationsheets on shots
Child examed by MD.MD scores PEDS discusses results
with parents, asksfor permission to refer if needed
Nurse administers shots-Nurse obtains consentand puts copy on chart. Children who failed referred
by nurse IDEA or schools with specific requestfor feedback on child referred.
Parent checks out- Staff toassist with check-out
Primary Care Practice - - Screening & Referral Practice FlowExample 1
scores PEDS attaches to chart
Parent checks in/Registers- presents PEDS
Med Tech pullschart,
encounterform,
anticipatorydevelopment
guideline sheet,.
Med Tech takes vitals, places
family in exam room
MD examines childDiscusses PEDSresults, seeks consentto refer if needed, Retrieves/discusses patient ed materials, etc.
Med Tech administers shots, contacts referral sources if needed
Parent checks out- Staff toassist with check-out
Primary Care Practice - - Screening & Referral Practice FlowExample 2
Receptionist attaches to chart for nurse to score
PEDS sent home with appointment reminder
PEDS results scored automatically, transmitted to
office and inserted into electronic medical records
Or staff enter PEDS into online site/EMR
MD examines childdiscusses PEDS results, seeks consentto refer if needed, Retrieves/discusses patient ed materials, etc.
Med Tech administers shots, opts to print PEDS results referral letter automaticallygenerated by software, emails referral
resources, prints copy for family
Parent checks out- Staff toassist with check-out
Primary Care Practice - - Screening & Referral Practice FlowExample 3 Parent completes PEDS in waiting room with
paper and pencil or computer kiosk
Receptionist keys PEDS responses into electronic medical
record. Results scored automatically, inserted into electronic medical records
Or results transmitted to office
MD examines childdiscusses PEDS results, seeks consentto refer if needed, Retrieves/discusses patient ed materials, etc.
Med Tech administers shots, opts to print
referral letter automaticallygenerated by software, emails referral
resources, prints copy for family
Parent checks out- Staff toassist with check-out
Primary Care Practice - - Screening & Referral Practice FlowExample 4 Parent completes PEDS online in waiting
roomkiosk or at home
