Michigans Assuring Better Child Health and Development ABCD Project

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Michigans Assuring Better Child Health and
Development (ABCD) Project
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ABCD Screening Academy

• 15-month initiative, supported by the
  Commonwealth Fund and National Academy for State
  Health Policy (NASHP)
• Selected states received technical assistance,
  access to on-line resource center, opportunities
  to exchange expertise
• Project goal
• Promote use of objective developmental screening
  tool as part of well-child care

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Michigans ABCD Progress

• Target group children ages 0 to 3
• 9 pilot pediatric practices
• Primary care providers chose from a list of
  validated standardized developmental screening
  tools.
• All practices have implemented standardized
  developmental screening as of 12/1/07.

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Historical Overview
May 2008
Measurement via retrospective medical record
review in 9 pilot practice sites
Pilot Provider Guided Discussion
3/08 6/08
Recruitment/start of standardized developmental
screening in 9 pilot practice sites
5/07 12/07
6/07
Vermont Child Health Improvement Program (VCHIP)
grant to MI
4/07
ABCD Screening Academy NASHP grant to MI Medicaid
2/07
AAP CATCH Planning grant, MIAAP, focus on
Detroit/Wayne County.
1/07
Setting the Stage for Success, Commonwealth Fund
grant to MIAAP, 6 statewide pilot practices
recruited to start screening
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ABCD Interventions

• Assist practice with obtaining standardized
  developmental screening tools
• Collaborative learning
• Pilot practice technical assistance
• Medicaid policy revision
• Address billing issues
• Communicate information regarding community
  resources (e.g. community partners meeting)
• Part C/Early On training sessions.

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Screen Results

• Screen results discussed with parent
• Pilot offices have implemented processes for
  children screening positive
• Referred by the provider office to
• Early on
• Head Start
• Developmental behavioral pediatrician
• Community Mental Health
• Audiology, speech therapy, neuro, rehab
• Other local resources in area (e.g. Detroit
  Institute for Children, developmental clinics)
• Referral information and screen results provided
  to referral agency

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Screen Results

• Most pilot providers have tickler system to
  follow up with parent regarding referral status
• Early on most utilized referral resource may be
  done via web, email, phone or fax
• www.1800earlyon.org
• vmeeder_at_edzone.net (email)
• 1-800-Early-On (phone)
• 1-517-668-0446 (fax)

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Medicaid Policy Improvement

• Medicaid policy changes include
• List of recommended validated standardized
  screening tools in the EPSDT Policy
• Recommended use of approved guidelines and
  minimal screening standards based on AAP policy
  and Bright Future Guidelines
• Clarification of Medicaid billing process for
  developmental screening (i.e., coding and
  reimbursement) in the form of a provider letter.

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Measurement/Evaluation

• Data for pilot site practice measures is being
  collected via medical record review
• Screening rates will include children screened
  with standardized tool children with abnormal
  result children with evidence of referral.
  Rates will be reported in aggregate and by
  practice.
• Provider survey/focus group conducted in May of
  2008
• Member survey (3-5 questions in postcard format)
  conducted in June 2008

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ABCD Spread Strategy

• Spread within pilot sites - an essential
  component
• ABCD stakeholder organizations to
• promote developmental screening using existing
  communication mechanisms meetings, written
  communication, web sites
• participate in regional and statewide efforts
• Regionally, community stakeholders to
• expand local partnerships
• assess and create referral capacity
• create public awareness at the community level
• identify opportunities for networking and ongoing
  communication

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ABCD Spread Strategy

• Statewide efforts include
• dissemination of pediatric preventive care
  guidelines
• clarifying and revising policy
• promoting consistency in payment, billing and
  coding
• Stakeholders will continue to meet after the
  conclusion of the formal project to sustain
  momentum and increase developmental screening
  rates.

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Michigan Child Health Improvement Partnership
(MICHIP)

• Michigan awarded a grant from the Vermont Child
  Health Improvement Program (VCHIP) to form an
  enduring, sustainable quality improvement
  partnership.
• Partnership to address health issues and
  well-being for all Michigan children and their
  families.
• ABCD is the initial project
• Advisory and stakeholder partnerships established
  for the Michigan ABCD initiative are also the
  platform for the development of the IP.

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Questions?Contact InformationSuzette
Burkitt-Wesolek, BSNABCD Project
ManagerSuzette.Burkitt-Wesolek_at_hc.msu.edu
517-432-1701