Medical Home Colorado

Referral Condition Information

A primary pediatric health care provider will make a referral based on one of the following conditions:

 

What follows are additional resources related to each of those conditions.

 

 

A) Developmental Screening Resources

    Screening tool information from ABCD (Assuring Better Child Health and Development)

    There are a variety of screening tools that may be used. However the following paragraph from the ABCD project in North Carolina outlines considerations in choosing a tool.

     

    “In choosing a screening tool, the factors that were considered include the type of screen, staff required, time, and cost. Parent-completed tools required little staff time, were not costly, and could fit nicely into the office flow. Most importantly, these tools engage parents as experts on their child and recognize the provider-parent partnership in the care of the child. In addition, there was a choice of a few such tools that met sensitivity and specificity (70%–80%), were available in other languages (particularly Spanish), and had fourth- to fifth-grade reading levels”. This is discussed in more detail in the article referenced below. http://pediatrics.aappublications.org/cgi/content/full/118/1/e183

     

    Coding and billing information for developmental screening: http://lnk.nu/cdc.gov/jc9.pdf

     

    Five developmental domains screened by the ASQ:

     

    1. cognitive functioning,
    2. physical functioning,
    3. hearing and vision,
    4. speech and language, and
    5. social and emotional development

     

     

    Link to Project Bloom for Social Emotional screening tool information

Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening (PEDIATRICS Vol. 118 No. 1 July 2006, pp. 405-420) http://aappolicy.aappublications.org/cgi/content/full/pediatrics;118/1/405

 

B) Parent Concern Information


    General question proposed by Glascow and others regarding 'parent concern':

     

    "Please tell me any concerns you have about how your child is learning, behaving and developing."

     

    Resources for parents:

 

C) Risk Factor Information

 

 

D) Complicated Medical Issues Information

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