Beyond Developmental Screening: Children Identified At-Risk

Webinar Date: 
Thursday, March 23, 2017 - 8:00am to 9:00am

Developmental screening is a priority in our state, with metrics related to developmental screening included in the Coordinated Care Organization (CCO) incentive metrics,  as a standard in the Patient Centered Primary Care Home Program (PCPCH), and as a metric for Early Learning Hubs.  The purpose of developmental screening is to ensure that children identified at-risk for delays receive assessment and services that address those delays early.

The webinar will provide an overview of a project the Oregon Pediatric Improvement Partnership (OPIP) led in three communities to develop and implement community-specific pathways for children identified at-risk. The webinar will spotlight methods used to conduct community-level asset mapping of follow-up resources and the seven priority pathways identified.  The webinar will then highlight specific strategies patient-centered primary care homes can use in their office to follow-up for children, including making best match referrals based on the child and family needs and care coordination supports.  Lastly, the webinar will spotlight specific efforts being piloted to enhance communication and coordination between primary care and early intervention.

This webinar is useful for patient-centered primary care homes, staff with CCO’s who are focused on the developmental screening metric, and Early Learning Hub staff focused on enhanced collaboration with primary care practices who are conducting developmental screening to ensure follow-up.

What you should know about this topic

  1. Approximately 1 in 5 children (20%) who receive a developmental screen in primary care practices will be identified “at-risk”for developmental, behavioral or social delays and should receive follow-up.
  2. Services that address delays have been shown to positively impact development and subsequent Kindergarten readiness.
  3. OPIP has found that a majority of children identified “at-risk” on developmental screening are not receiving follow-up services from their primary care provider.
  4. State and local data also indicate that a substantial number of children identified “at-risk” are not being referred to services to address those delays.  For example, while the number of children receiving developmental screening quadrupled over two years, the number of children served by EI in that same time period increased by 10.5%.
  5. Our community-level project across three counties found that of children identified as “at-risk” that were referred to Early Intervention (915), 562 (61%) were able to be evaluated. There are a number of reasons for the 39% of referrals not being evaluated, including parental delay (18.6%), an inability to contact the family (16.8%), and the family declining the evaluation (2.4%).


Following this webinar, participants will be able to: 

  • Provide an overview of community-level asset mapping conducted to identify follow-up resources and supports for children identified “at-risk” on developmental screening tools. 
  • Describe applied methods and processes patient-centered primary care homes can use to follow-up for children identified at-risk. 
  • Describe applied care coordination methods used to enhance the number of children identified at-risk for delays to receive services that are the best match for the child and family. 

Presented By

Colleen Reuland


Oregon Pediatric Improvement Partnership (OPIP)

Ms. Reuland is the Director of the Oregon Pediatric Improvement Partnership (OPIP), and an Instructor in the Pediatrics Department at Oregon Health & Science University (OHSU). Ms. Reuland serves as the Principal Investigator on a number of quality measurement and improvement projects focused on screening, referral, and care coordination for children at-risk for developmental, behavioral, and social delays, and medical home implementation. She has significant experience working with State Medicaid/CHIP programs and front-line practices on quality measurement and improvement activities, and has specific expertise and commitment to ensuring these measurement and improvement efforts have a patient-centered focus and that methods are used to engage and partner with patients. Ms. Reuland is also the measure steward or the CHIPRA measure focused on developmental screening, and serves as an expert reviewer for The Journal of Developmental & Behavioral Pediatrics.

Suzanne Dinsmore, MD


Childhood Health Associates of Salem

Suzanne Dinsmore, MD. Suzanne Dinsmore graduated from Willamette University with a BA in 1975. She received her MD from the University of Oregon Medical School in 1979. Dr. Dinsmore completed her residency training at Michael Reese Hospital in Chicago, Illinois in 1982. Before coming to Childhood Health, Dr. Dinsmore worked for the Cook County Health Department in Chicago, and for Kaiser Permanente in Portland. She joined Childhood Health in 1985. She is board certified in Pediatrics. She is involved in the Community Connection Clinic in Salem and the Community Based Early Autism Identification Project through Oregon Center for Children and Youth with Special Health Needs.  She also serves on the Institute on Development and Disability (IDD) Advisory Board.

  • AttachmentSize
    File PCPCI_BeyondDevelopmentalScreening.pptx7.72 MB
    PDF icon HSD 0-5 Diagnosic Crosswalk, 2017 3-1-17Final.pdf382.13 KB
    PDF icon 2016 - December - EI-ECSE Pathways Progress Report.pdf461.45 KB
    File Scripting- 36 hr phone follow up_9-16.docx14.62 KB