MCH Best. NPM 6: Developmental Screening
Quality Improvement Programs in Health Care Settings
MCH Strategy. Support practice-based learning collaborative for primary care practices.
Overview. Research shows that quality improvement interventions in health care settings appear to be effective for increasing developmental screening rates.1
Evidence. Moderate Evidence. Quality improvement in health care settings appears to be effective. This strategy could include a statewide learning collaborative for pediatric practices. Programs based on this strategy are likely to work. This strategy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Health care practices.
Outcome. Increased developmental screenings performed with a validated screening tool (>80% sensitivity and specificity). The literature shows a dramatic increase during well-child visits. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. There are currently 4 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the strategy “Support practice-based learning collaborative for primary care practices,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 Malik F, Booker JM, Brown S, McClain C, McGrath J. Improving developmental screening among pediatricians in New Mexico: findings from the developmental screening initiative. Clin Pediatr. 2014; 53(6):531-538.