TY - JOUR KW - Child KW - Child Behavior KW - Child Behavior Disorders -- Diagnosis KW - Child Behavior Disorders -- Prevention and Control KW - Child Development KW - Child Health Services -- Administration KW - Child Health Services -- Standards KW - Child Welfare KW - Child, Preschool KW - Developmental Disabilities -- Diagnosis KW - Developmental Disabilities -- Prevention and Control KW - Health Screening -- Administration KW - Infant KW - North Carolina KW - Pediatric Care KW - Primary Health Care -- Administration KW - Primary Health Care -- Standards KW - Program Development AU - M. F. Earls AU - S. S. Hay A1 - AB - Early identification of children with developmental and behavioral delays is important in primary care practice, and well-child visits provide an ideal opportunity to engage parents and perform periodic screening. Integration of this activity into office process and flow is necessary for making screening a routine and consistent part of primary care practice. In the North Carolina Assuring Better Child Health and Development Project, careful attention to and training for office process has resulted in a significant increase in screening rates to >70% of the designated well-child visits. The data from the project prompted a change in Medicaid policy, and screening is now statewide in primary practices that perform Early Periodic Screening, Diagnosis, and Treatment examinations. Although there are features of the project that are unique to North Carolina, there are also elements that are transferable to any practice or state interested in integrating child development services into the medical home. Included here are lessons learned and a listing of practical tools for implementation. BT - Pediatrics C5 - Medical Home; Healthcare Policy CP - 1 IS - 1 JF - Pediatrics N2 - Early identification of children with developmental and behavioral delays is important in primary care practice, and well-child visits provide an ideal opportunity to engage parents and perform periodic screening. Integration of this activity into office process and flow is necessary for making screening a routine and consistent part of primary care practice. In the North Carolina Assuring Better Child Health and Development Project, careful attention to and training for office process has resulted in a significant increase in screening rates to >70% of the designated well-child visits. The data from the project prompted a change in Medicaid policy, and screening is now statewide in primary practices that perform Early Periodic Screening, Diagnosis, and Treatment examinations. Although there are features of the project that are unique to North Carolina, there are also elements that are transferable to any practice or state interested in integrating child development services into the medical home. Included here are lessons learned and a listing of practical tools for implementation. PY - 2006 SN - 0031-4005 EP - 8 (15 ref) EP - e183+ T1 - Setting the stage for success: Implementation of developmental and behavioral screening and surveillance in primary care practice -- the North Carolina Assuring Better Child Health and Development (ABCD) Project T2 - Pediatrics TI - Setting the stage for success: Implementation of developmental and behavioral screening and surveillance in primary care practice -- the North Carolina Assuring Better Child Health and Development (ABCD) Project U1 - Medical Home; Healthcare Policy U2 - 16818532 VL - 118 VO - 0031-4005 Y1 - 2006 ER -