The Pediatric Developmental Surveillance Program (PDSP)

1. The Pediatric Developmental Surveillance Program (PDSP) • Putting principles into practice for Children’s Health and Development Wake County Human Services (WCHS) partnering with Wake County Pediatric & Family Practices. Grant from Wake County Smart Start.

2. “Developmental” History of the PDSP Two previous projects in Wake County from the mid 1990’s: • Healthy Start project - providing PE’s and developmental assessments in child care settings with funding by Wake County Smart Start. • NC Health Choice enrollment initiative – a collaborative between Wake County Human Services and NC Pediatric Society for Wake County practices.

3. “Developmental” History – Why was developmental surveillance chosen? • AAP Committee on Children with Disabilities recommends the use of standardized screening tests periodically at well visits. • North Carolina Division of Public Health mandated new screening guidelines.

4. “Developmental” History - Lessons learned about working with primary care practices • Assessing and monitoring children’s developmental status is a priority for the primary practices. • Practices welcome assistance to provide quality care IF it can be integrated into their individual office setting.

5. Conceptual Models Used in Development of PDSP • Academic Detailing – targeted one-on-one educational program • Process Planning – structured approach to implementation of a new program or procedure

6. PDSP Staff • Developmental-Behavioral Pediatrician • Child Health Nurse Supervisor • Developmental Specialists: 1 RN, 1 MSW, & 1 BA in Child Development

7. Getting Started: Selling the idea • Align with local PHD organizational goals – shared with WCHS leadership how program would address specific agency goals. • Identify funding - discussed with Wake County Smart Start concept of development as integral part of children’s health. • Educate practices - Grand Rounds presentations about what program was and advantages for their practice.

8. Pediatric Developmental Surveillance Program Training • Implementation/Training • Mentoring/consultation • Surveillance/support • Continuing Quality Improvement (CQI)

9. WHAT MAKES IT WORK - within the individual practices? • Identify problem • Understand program • Identify leadership

10. Problem Identification The whole practice staff: • Agree there is a problem • Identify they need help to solve the problem

11. Understand Program • Understand the specifics • Understand what the program will do for them as individual staff as well as the practice • Learn expectations for practice staff and program staff

12. Identify Leadership • Identify a ‘champion’ for the plan • Have a commitment to help implement and maintain the plan

13. The Pediatric Developmental Surveillance Program Putting principles of developmental surveillance into practice andprimary care practices

14. REFERENCES Principles of educational outreach (‘academic detailing’) to improve clinical decision making. Soumerai and Avorn, JAMA 1990; 263: 549-556. Translating guidelines into practice. www.jr2.ox.ac.uk/bandolier/booth/mgmt/tranguid.html