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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Quality Report

Improving Delivery of Bright Futures Preventive Services at the 9- and 24-Month Well Child Visit

Paula M. Duncan, Amy Pirretti, Marian F. Earls, William Stratbucker, Jill A. Healy, Judith S. Shaw and Steven Kairys
Pediatrics January 2015, 135 (1) e178-e186; DOI: https://doi.org/10.1542/peds.2013-3119
Paula M. Duncan
aDepartment of Pediatrics, University of Vermont College of Medicine, Burlington, Vermont;
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Amy Pirretti
bDepartment of Prevention, American Academy of Pediatrics, Elk Grove Village, Illinois;
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Marian F. Earls
cDepartment of Pediatrics, Community Care of North Carolina, Raleigh, North Carolina;
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William Stratbucker
dDepartment of Pediatrics, Helen DeVos Children's Hospital, Grand Rapids, Michigana;
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Jill A. Healy
eAmerican Academy of Pediatrics, Elk Grove Village, Illinois; and
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Judith S. Shaw
aDepartment of Pediatrics, University of Vermont College of Medicine, Burlington, Vermont;
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Steven Kairys
fDepartment of Pediatrics, Jersey Shore University Medical Center, Neptune, New Jersey
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Abstract

OBJECTIVES: To determine if clinicians and staff from 21 diverse primary care practice settings could implement the 2008 Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd edition recommendations, at the 9- and 24-month preventive services visits.

METHODS: Twenty-two practice settings from 15 states were selected from 51 applicants to participate in the Preventive Services Improvement Project (PreSIP). Practices participated in a 9-month modified Breakthrough Series Collaborative from January to November 2011. Outcome measures reflect whether the 17 components of Bright Futures recommendations were performed at the 9- and 24-month visits for at least 85% of visits. Additional measures identified which office systems were in place before and after the collaborative.

RESULTS: There was a statistically significant increase for all 17 measures. Overall participating practices achieved an 85% completion rate for the preventive services measures except for discussion of parental strengths, which was reported in 70% of the charts. The preventive services score, a summary score for all the chart audit measures, increased significantly for both the 9-month (7 measures) and 24-month visits (8 measures).

CONCLUSIONS: Clinicians and staff from various practice settings were able to implement the majority of the Bright Futures recommended preventive services at the 9- and 24-month visits at a high level after participation in a 9-month modified Breakthrough Series collaborative.

  • preventive health care
  • primary care
  • screening
  • collaborative learning
  • performance measurement
  • Accepted June 19, 2014.
  • Copyright © 2015 by the American Academy of Pediatrics

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Pediatrics
Vol. 135, Issue 1
1 Jan 2015
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Improving Delivery of Bright Futures Preventive Services at the 9- and 24-Month Well Child Visit
Paula M. Duncan, Amy Pirretti, Marian F. Earls, William Stratbucker, Jill A. Healy, Judith S. Shaw, Steven Kairys
Pediatrics Jan 2015, 135 (1) e178-e186; DOI: 10.1542/peds.2013-3119

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Improving Delivery of Bright Futures Preventive Services at the 9- and 24-Month Well Child Visit
Paula M. Duncan, Amy Pirretti, Marian F. Earls, William Stratbucker, Jill A. Healy, Judith S. Shaw, Steven Kairys
Pediatrics Jan 2015, 135 (1) e178-e186; DOI: 10.1542/peds.2013-3119
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