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Baseline rates of preventive services.
Percentage of children fully immunized at 24 months of age
Percentage of children screened for anemia by 24 months of age.
Percentage of children screened for TB by 24 months of age.
Percentage of children screened for lead exposure by 24 months of age.
Potential Elements of Office Systems
Characteristics of Participating Practices
Ped indicates pediatrician; FP, family practitioner; CHC, community health center; Univ, university; NA, not applicable.
↵* Total number of clinicians employed by the practice.
Frequency of Use of Various Office Tools in the 8 Study Practices
Numbers in parentheses represent practices that already had these systems in place before intervention.
Mean Changes in Proportion of Children Receiving Preventive Services From Basline Across All Practices
Immunization 12: DTP × 3, OPV/IPV × 2, Hib × ≥2.
Immunization 19 and Immunization 24: DTP × 4, OPV/IPV × 3, MMR, Hib × ≥3 (with 1 Hib given at ≥11.5 months).
Anemia: Hematocrit or hemoglobin between 6 and 18 months
Tuberculosis: Risk assessment or skin testing prior to age 24 months
Lead screening: Risk assessment or blood lead level (BLL) prior to age 24 months
↵* P = .01 compared to baseline group.
↵** P = .001 compared to baseline group.
NA not applicable because children in the sampled age range were younger than the cutoff for the outcome.
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