Clinical Scorecard: Advancements in Enhancing the Identification of Early Developmental and Behavioral Issues
At a Glance
Category
Detail
Condition
Key Mechanisms
Use of asynchronous screening, electronic tracking dashboards, administrative support for follow-up, and careful coordination to mitigate potential inequities.
Target Population
Care Setting
Key Highlights
Low rates of screening completion in pediatric practices despite existing recommendations.
High rates of false-positive and false-negative results in commonly used screening tools.
Innovative Early Developmental Screening Program (EDSP) improves screening completion and follow-up.
Equity concerns in screening accuracy and completion across different demographics.
Potential for community health workers to enhance follow-up and equity in care.
Consideration of potential drawbacks of asynchronous screening and the need for careful coordination.
Guideline-Based Recommendations
Diagnosis
Utilize standardized screening tools for developmental and autism concerns during well-child visits.
Management
Implement administrative support to assist families with screening and triage processes.
Monitoring & Follow-up
Incorporate equity metrics into screening dashboards to monitor impact across diverse patient groups.
Risks
Potential inequities in care if developmental screening is separated from well-child visits.
Patient & Prescribing Data
Asynchronous screening may improve access but requires careful coordination and follow-up to avoid inequities.
Clinical Best Practices
Ensure screening tools are culturally and linguistically validated.
Support families with varying levels of digital literacy to enhance access to screening.
Embed community health workers in screening programs to improve follow-up and equity.
