Summary of rates of screening for potential delays in social and emotional

development in ABCD II demonstration sites

State Description of Numerator and
Denominator
California Numerator: # children screened with
the ASQ or ASQ-SE as part of a
specified well child visit
Denominator: # children who had an
12, 18 or 24 month well-child visit
during the intervention period
Illinois Numerator: # children screened with
the ASQ-SE as part of a specified well
child visit
Denominator: # children who had a 6,
9, 18 or 24 month well-child visit
during the intervention period at the
practice-based pilot
Iowa Numerator: # children adequately
screened for potential social or
emotional developmental delays with
either the Iowa Health Maintenance
Clinical Notes or a standardized tool
as part of a specified well child visit
Denominator: # children under age 3
who had a well-child visit from one of
the pilot practices during the
intervention period
Minnesota Numerator: # children age birth to
five who had a targeted well-child
visit and who were screened with the
ASQ-SE during that visit
Denominator: # children age birth to
five who had a well-child visit and
belonged to intervention the group
(defined by day of appointment or
physician)
Utah Numerator: # children in the target
age group (<1 or 2-3) who had a well-
child visit and who were screened
with a standardized tool during that
visit
Denominator: # children in the target
age group who had a well-child visit
Source of Data for Measures Screening Rate1
Pre Post
Pre-intervention: Provider report that no 0% 94%
formal tool was used.
Post-intervention: Practice-level
information including appointment
books, copies of completed screening
tools and referral forms, provider-
completed tally sheets.
Pre-and Post-intervention: Physicians Practice centered site-only
completed a card for each well child visit 2 ASQ:SE 150
indicating whether the child was screened Screen ASQ:SE
and, if so, whether they used the (≈ 0%) Screens
ASQ:SE, an informal checklist, or (≥43%)
clinical judgment-only. They began this
practice one month prior to the training
and continued it for 13 months following
the training2
Pre-and Post-intervention: Chart review 53% 93%
—400 charts to collect baseline
information and 400 to collect post-
intervention information.
Pre-intervention: Provider report that no Urban practice
formal tool was used. 0% 93%
Post-intervention: Practice-level
information:
• Urban: copies of completed and Rural practice
scored screening tools 0% 93%
• Rural: electronic medical records,
scheduling system, and company
that provides electronic platform for
screening
Pre-intervention: Provider report that no Infant Screen pilots
formal tool was used.
Post-intervention: Practice-level 0% 76%
information: monthly audit form
completed based on a sample of charts Toddler Screen pilots
documenting the care provided to
children who had a well-child visit in the 0% 84%
previous month.

1
The screening rates reported here represent experience across all demonstration sites except where noted.
2
Illinois reported the number of well-child visits for the period from April 2005 (one month prior to the training) to
July 2006 (the 13th month following the training) as a single number. Therefore it is not possible to separately
calculate a pre- and post-training screening rate. But, since only two ASQ:SEs were provided in the month before
the screening the baseline is presented here as effectively 0 and the post-training rate as at least 43%.