ABCD LOGIC MODEL 11.1.2007 COMMUNITY/PRACTICE LEVEL (ABCD Pilots) OUTCOME: To Promote healthy development for all children SYSTEM LEVEL (Policy) Systems are in place for effective prevention and developmental care Policies and organization encourage effective care & improvement KEY DRIVERS STRATEGIES KEY DRIVERS STRATEGIES Use of structured screening tools Clinicians are using validated tools Clinicians receive results of tools completed elsewhere Recognized and agreed upon tools with training and support and reimbursement source Adequate reimbursement for all activities for quality well child visit Expectations for care are identified, prioritized and promoted Reconcile expectations with resources & practice realities Incentives and motivation Address parent observations & concerns Parents’ input is elicited Understand and prioritize parent needs and warning signs Reinforce transactional nature of development Vision & engagement Public and professional messages for key audiences (e.g., universal developmental screening, child development milestones, etc.) including parent activation Making the case for decision-makers Communication between medical home and ECEs/ Early intervention programs Parents consent to sharing of information between medical home and ECEs/ early intervention programs Teachers/staff have relationship with PMDs Medical homes for children identified Community supports Provide training and support to ECEs State agencies (CDE, DHS, DPH, DMH, DDS, etc.) articulate linkages between systems Promote consultation as a strategy where there are limited resources, knowledge and/or capacity Leverage 211 Capacity and capability for care Educate community about surveillance Prepare parents to discuss development with their child’s clinicians and teachers Support parents’ need to help them navigate through system Medical practices function as part of community system Systems for preventive services/ parent education Leadership and collaboration State agencies conduct joint planning to identify/address service gaps Advocate for enhanced payment Relationships with community resources Develop continuity of care with community resources Transparent information on referrals Innovative strategies on communicating resources Developmental Surveillance Systems of Care Professional training of residents Review needs of children with pool of specialists (workforce development) Continuous learning culture Consultation model for providers (ECE, other providers) Provide resources for consultative support and serve as a resource Distribute work within the setting Work as a team Performance measurement (Gauging success) Consensus on measures and reporting Ongoing learning collaborative Make learning resources readily available Leverage UC system and resident training Build continuous learning system Consensus on measures and reporting Ongoing learning collaborative; ongoing support for learning and practice change (CME); training on quality improvement