“No practice has been inclined to use rigid screening tools for inclusion of children in their identified population but rather a guided prospective process of informed practitioner identification and family confirmation.”
Source: Building Medical Homes: Improvement Strategies in Primary Care for Children with Special Health Care Needs, Pediatrics, 2004; W. Carl Cooley & Jeanne W. McAllister
Early Identification Resources - Wisconsin Early Childhood Collaborating Partners
Definition of Children with Special Health Care Needs, American Academy of Pediatrics
The Commonwealth Fund
CSHCN Screener (link)
Wisconsin Medical Home Teams used a variety of methods to identify children, youth and families to begin implementing new ways of coordinating care. Here is a summary of key strategies for an integrated system of identification and screening in a Medical Home:
In the video, two physicians discuss their approaches to identifying children and families in the practice who would benefit from more coordinated care. They tested their strategies in small patient groups and expanded the approach using electronic medical record systems.
Medical Home Resources
Providers in Wisconsin can use the Early Identification Checklist to refer families to the Birth to 3 Program. Developmental screening tools include The Developmental Surveillance and Screening Algorithm, published in Pediatrics in 2006, and links to several national Web sites with training modules.