Barbara J Howard1,2, Raymond Sturner1,3. 1. The Johns Hopkins U School of Medicine. 2. Total Child Health. 3. Center for Promotion of Child Development through Primary Care.
Abstract
PURPOSE OF REVIEW: To describe benefits and problems with screening and addressing developmental and behavioral problems in primary care and using an online clinical process support system as a solution. RECENT FINDINGS: Screening has been found to have various implementation barriers including time costs, accuracy, workflow and knowledge of tools. In addition, training of clinicians in dealing with identified issues is lacking. Patients disclose more to and prefer computerized screening. An online clinical process support system (CHADIS) shows promise in addressing these issues. SUMMARY: Use of a comprehensive panel of online pre-visit screens; linked decision support to provide moment-of-care training; and post-visit activities and resources for patient-specific education, monitoring and care coordination is an efficient way to make the entire process of screening and follow up care feasible in primary care. CHADIS fulfills these requirements and provides Maintenance of Certification credit to physicians as well as added income for screening efforts.
PURPOSE OF REVIEW: To describe benefits and problems with screening and addressing developmental and behavioral problems in primary care and using an online clinical process support system as a solution. RECENT FINDINGS: Screening has been found to have various implementation barriers including time costs, accuracy, workflow and knowledge of tools. In addition, training of clinicians in dealing with identified issues is lacking. Patients disclose more to and prefer computerized screening. An online clinical process support system (CHADIS) shows promise in addressing these issues. SUMMARY: Use of a comprehensive panel of online pre-visit screens; linked decision support to provide moment-of-care training; and post-visit activities and resources for patient-specific education, monitoring and care coordination is an efficient way to make the entire process of screening and follow up care feasible in primary care. CHADIS fulfills these requirements and provides Maintenance of Certification credit to physicians as well as added income for screening efforts.
Entities:
Keywords:
Maintenance of Certification; care coordination; clinical decision support; developmental screening; mental health screening; pediatrics
Authors: Mark Wolraich; Lawrence Brown; Ronald T Brown; George DuPaul; Marian Earls; Heidi M Feldman; Theodore G Ganiats; Beth Kaplanek; Bruce Meyer; James Perrin; Karen Pierce; Michael Reiff; Martin T Stein; Susanna Visser Journal: Pediatrics Date: 2011-10-16 Impact factor: 7.124
Authors: Mark L Wolraich; David E Bard; Martin T Stein; Jerry L Rushton; Karen G O'Connor Journal: J Atten Disord Date: 2009-08-25 Impact factor: 3.256
Authors: J Michael Murphy; Paul Bergmann; Cindy Chiang; Raymond Sturner; Barbara Howard; Madelaine R Abel; Michael Jellinek Journal: Pediatrics Date: 2016-08-12 Impact factor: 7.124