ECHO Autism: Integrating Maintenance of Certification with Extension for Community Healthcare Outcomes Improves Developmental Screening.
Objective: Recent estimates indicate that most pediatricians do not consistently meet the American Academy of Pediatrics developmental screening guidelines, contributing to the delay of vital evaluations and interventions for autism spectrum disorder (ASD). Our objective was to evaluate the utility...
| Published in: | Journal of Developmental & Behavioral Pediatrics Vol. 41; no. 6; pp. 420 - 428 |
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| Main Authors: | , , , |
| Format: | research Journal Article |
| Published: |
Lippincott Williams & Wilkins
Aug2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=145479203&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 145479203 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0196206X 8CM jtl: Journal of Developmental & Behavioral Pediatrics issn: 0196206X maglogo: N pubinfo: dt: Aug2020 vid: 41 iid: 6 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 145479203 145479203 NLM32735419 145479203 10.1097/DBP.0000000000000796 NLM32735419 145479203 ppf: 420 ppct: 8 formats: tig: atl: ECHO Autism: Integrating Maintenance of Certification with Extension for Community Healthcare Outcomes Improves Developmental Screening. aug: au: Bellesheim, Katherine R. Kizzee, Richard L. Curran, Alicia Sohl, Kristin affil: Thompson Center for Autism and Neurodevelopmental Disorders, Columbia, MO; sug: subj: Rural Health Services Standards Primary Health Care Standards Rural Health Services Statistics and Numerical Data Certification Statistics and Numerical Data Health Personnel Education Health Screening Statistics and Numerical Data Health Personnel Health Screening Standards Health Personnel Statistics and Numerical Data Certification Standards Practice Guidelines Standards Education, Non-Traditional Statistics and Numerical Data Primary Health Care Statistics and Numerical Data Quality Improvement Statistics and Numerical Data Quality Improvement Standards Medically Underserved Area Child, Preschool Human Infant Prospective Studies Adult Comparative Studies Multicenter Studies Evaluation Research Validation Studies Ferrans and Powers Quality of Life Index Questionnaires Child, Preschool: 2-5 years Infant: 1-23 months Adult: 19-44 years ab: Objective: Recent estimates indicate that most pediatricians do not consistently meet the American Academy of Pediatrics developmental screening guidelines, contributing to the delay of vital evaluations and interventions for autism spectrum disorder (ASD). Our objective was to evaluate the utility of Maintenance of Certification (MOC) Quality Improvement (QI) training designed to improve developmental screening rates in underserved, rural primary care practices. Trainings on best screening practices were disseminated to primary care providers (PCPs) through Extension for Community Healthcare Outcomes (ECHO) Autism, a virtual learning network.Method: Across 2 cohorts, 24 PCPs were enrolled in MOC Part 4 training modules delivered through the ECHO Autism QI Learning Network. Throughout the 12 months of enrollment, PCPs reported information on general and ASD-specific developmental screenings conducted at 18- and 24-month well-child visits. A 1-year follow-up was conducted to assess the maintenance of screening rates.Results: Baseline rates for general and ASD-specific developmental screenings were 53.3% and 68.3%, respectively. By the end of the 12-month learning module, screening rates increased significantly for general development (88.6%) and ASD-specific screenings (99.0%). At the 1-year follow-up, the rate for general developmental screening was 96.7% and for ASD-specific screening was 97.1%.Conclusion: Maintenance of Certification Part 4 training delivered through the ECHO Autism QI Learning Network was found to be incentivizing and highly effective in shaping and maintaining PCP developmental screening practices. Improved screening rates show promise in decreasing time to critical developmental evaluations, interventions, and resources. Our methodology is likely transferable to other ECHO communities and may facilitate expedient implementation of best practice standards in primary care. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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