1. Parent checks in/Regsiters- updated demographics, insurance is collected) Encounter Formsent to Nurses Station Nursepulls chart, encounter form, anticipatory development guideline sheet,. Nurse takes child's vitals Nurseputs parent in exam room and gives them the PEDS Response Form to Complete. Nursereviews immunization record prepares shots, education sheets on shots Child examed byMD. MD scores PEDS discussesresults with parents, asks for permission to refer if needed Nurseadministers shots-Nurseobtains consent and puts copyon chart. Children who failed referred by nurse IDEA or schools with specific request for feedback on child referred. Parent checks out- Staff to assist with check-out Primary Care Practice - - Screening & ReferralPractice Flow Example 1

2. scores PEDS attaches to chart Parent checks in/Registers- presents PEDS Med Techpulls chart, encounter form, anticipatory development guideline sheet,. Med Tech takes vitals, places family in exam room MD examines child Discusses PEDS results, seeks consent to refer if needed, Retrieves/discusses patient ed materials, etc. Med Tech administers shots, contacts referral sources if needed Parent checks out- Staff to assist with check-out Primary Care Practice - - Screening & ReferralPractice Flow Example 2 Receptionist attaches to chart for nurse to score PEDS sent home with appointment reminder

3. PEDS results scored automatically, transmitted to office and inserted into electronic medical records Or staff enter PEDS into online site/EMR MD examines child discusses PEDS results, seeks consent to refer if needed, Retrieves/discusses patient ed materials, etc. Med Tech administers shots, opts to print PEDS results referral letter automatically generated by software, emails referral resources, prints copy for family Parent checks out- Staff to assist with check-out Primary Care Practice - - Screening & ReferralPractice Flow Example 3 Parent completes PEDS in waiting room with paper and pencil or computer kiosk

4. Receptionist keys PEDS responses into electronic medical record. Results scored automatically, inserted into electronic medical records Or results transmitted to office MD examines child discusses PEDS results, seeks consent to refer if needed, Retrieves/discusses patient ed materials, etc. Med Tech administers shots, opts to print referral letter automatically generated by software, emails referral resources, prints copy for family Parent checks out- Staff to assist with check-out Primary Care Practice - - Screening & ReferralPractice Flow Example 4 Parent completes PEDS online in waiting room kiosk or at home

5. ____ types results into online scoring or scores print measures Parent checks out Screening & Referral, Parent EducationPractice Flow Parent completes screens in waiting room with paper-pencil _____conducts screens by interview, assesses need for parenting information _______distributes measures in clinic ____ distributes parent information sheets _____retrieves online results and adds to chart Parent completes screens online at home or via waiting room computer ____makes referrals if needed ____explains results to parents ____updates patient chart ____implements follow-up plan ____ adds coding to the billing sheet