Assuring Better Child Health and Development

The Assuring Better Child Health and Development (ABCD) model is a proven program approach to screening young children in primary health care settings. ABCD works to increase developmental and autism screening and referral rates for all young children within the medical home, targeting practices serving Medicaid-eligible children. It integrates developmental screening into well-child visits, using a validated tool, such as the Ages and Stages Questionnaire (ASQ) or the Parents Evaluation of Developmental Skills (PEDS). Medical professionals are also taught to use the Modified Checklist for Autism in Toddlers (MCHAT) and refer children needing follow-up to appropriate community services. The goal of the ABCD Project was to increase the percentage of children being screened, and of those referred for follow-up/treatment, increase the percentage who receive follow-up services, targeting medical practices serving Medicaid-eligible young children.

The North Carolina Partnership for Children (NCPC) worked with existing local Smart Start-funded ABCD programs to link with the Community Care Network of NC (CCNC) to expand ABCD training and support statewide. CCNC is a quality assurance network of physicians utilizing Medicaid to provide incentives to improve medical care based on the American Academy of Pediatrics Bright Futures National Standards. NC has 14 Community Care Regions and NCPC expanded Smart Start’s ABCD coordinator model to all 14 CCNC regions. The Smart Start and CCNC partnership builds on the quality improvement work occurring statewide through the CCNC network and adds intensive training, technical assistance and coaching to targeted medical practices with lower screening rates.

This Activity was completed December 2016

RTT-ELC Reform Area: Promoting Early Learning and Development Outcomes for Children