Innovation to Improve Detection of Early Developmental and Behavioral Concerns - Report - MDSpire

Innovation to Improve Detection of Early Developmental and Behavioral Concerns

  • By

  • Kate E. Wallis

  • Alexander G. Fiks

  • May 4, 2026

  • 0 min

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Clinical Report: Advancements in Enhancing the Identification of Early Developmental and Behavioral Issues

Overview

The Early Developmental Screening Program (EDSP) demonstrates improved screening completion rates for developmental and autism concerns by utilizing asynchronous screening methods and administrative support. This innovative approach addresses existing barriers in pediatric practices and aims to enhance early intervention for children at risk.

Background

Early identification of developmental delays and autism is crucial for timely intervention, yet screening processes remain inconsistent and often ineffective. Many pediatric practices experience low screening completion rates, particularly among underserved populations, which can exacerbate health disparities. Addressing these challenges through innovative screening programs is essential for improving outcomes in child health.

Data Highlights

The EDSP showed improved rates of returned screens and decreased time to return screens through the use of an electronic tracking dashboard embedded in the electronic health record.

Key Findings

  • The EDSP supplements well-child visits with asynchronous screening, allowing for improved screening rates.
  • Administrative staff support reduces the burden on clinical teams for data collection and triage.
  • Electronic health record dashboards enhance tracking of screening completion and follow-up.
  • Potential drawbacks include the risk of separating developmental care from well-child visits, which may impact engagement.
  • Innovations in screening processes may help address workforce shortages in developmental pediatric care.

Clinical Implications

Healthcare providers should consider implementing asynchronous screening methods to improve developmental and autism screening rates. Additionally, leveraging administrative support can enhance the efficiency of screening processes and ensure timely follow-up for children identified at risk.

Conclusion

The EDSP represents a promising advancement in the early identification of developmental issues, though careful consideration of its implementation and potential barriers is necessary to ensure equitable access to care.

References

  1. Davignon et al, BMC Psychiatry, 2025 -- Thorough clinical child psychiatric diagnostic evaluation and validation of the Autism- Tics, ADHD and other comorbidities inventory (A-TAC) in a population-based sample of 9-year-olds
  2. JAMA Network Open, 2025 -- Electronic Health Record Monitoring Dashboard and Developmental Screening in Pediatric Patients
  3. npj Digital Medicine, 2025 -- Automated AI based identification of autism spectrum disorder from home videos
  4. BMC Psychiatry (Springer), 2025 -- Caregiver psychiatric symptoms, assessment delay, and access to supports for children with neurodevelopmental conditions
  5. American Academy of Pediatrics, Surveillance/Monitoring and Screening, 2025 -- Current guideline consensus
  6. Sensitivity and Specificity of the Modified Checklist for Autism in Toddlers, JAMA Pediatrics, 2025
  7. Surveillance/Monitoring and Screening
  8. Sensitivity and Specificity of the Modified Checklist for Autism in Toddlers (Original and Revised): A Systematic Review and Meta-analysis | Autism Spectrum Disorders | JAMA Pediatrics | JAMA Network
  9. Survey of Well-being of Young Children: Implementation and Impact on Care Quality - PubMed

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