1. 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