Clinical Scorecard: Monitoring Dashboards for Electronic Health Records and Developmental Assessments in Children

At a Glance

Key Highlights

• Early identification and treatment of developmental delays improve outcomes.
• Standardized screening processes and electronic tools can enhance screening rates.
• Disparities exist in screening rates among racial/ethnic minorities and low-income families.
• Implementation of EHR dashboards is associated with improved tracking and referral processes.
• The study utilized a diverse patient population to analyze screening outcomes.
• Addressing clinician-level challenges is crucial for improving screening rates.

Guideline-Based Recommendations

Diagnosis

• Utilize standardized developmental and autism screening tools at well-child visits.

Management

• Refer patients with developmental concerns to the Early Developmental Screening Program (EDSP) for further evaluation.

Monitoring & Follow-up

• Employ EHR dashboards to track patient progress through the screening process.

Risks

• Low screening rates can lead to delayed identification of developmental delays and autism.

Patient & Prescribing Data

Use of electronic questionnaires, including ASQ-3 and autism screening tools, and follow-up strategies to improve screening completion.

Clinical Best Practices

• Implement electronic screening tools to streamline the referral process.
• Provide culturally responsive strategies to address disparities in screening rates.
• Regularly review and update screening protocols based on patient demographics and needs.
• Utilize EHR dashboards for effective tracking and monitoring of screening processes.

References

• American Academy of Pediatrics
• Healthy People 2030
• Kaiser Permanente Northern California