Best Practice

The Cycle of Engagement Well Visit Planner Approach to Care

State/Jurisdiction: National
Setting: Clinical Community Virtual
Population: Children Families & Caregivers Medical & Public Health Professionals
Topic Area: Family & Youth Engagement Primary & Preventative Care Health Screening
NPMs:

The Cycle of Engagement Well Visit Planner (COE WVP) Approach addresses persistent gaps in the utilization and quality of early childhood well-child visits by providing a family-centered model that supports high-quality, personalized care while streamlining collaboration across health care, home visiting, and other state and local early childhood systems. Since 1990, the nation’s Bright Futures Guidelines have delineated best practice services for each of the 15 well visits recommended to take place for children before age six. Yet, the majority of young children do not receive all recommended visits. This is especially true for our youngest children (under 15 months of age) where the opportunities to promote healthy development and identify and address risks early are greatest. For children who do receive care, quality of care has remained consistently low for decades. For example, even today, only about one in three young children receive any screening for their development before age three. To address utilization, quality, and cross-system collaboration barriers to implementing Bright Futures Guidelines, the Child and Adolescent Health Measurement Initiative (CAHMI) developed the COE WVP approach to care, which includes the brief and comprehensive Well Visit Planner (WVP) pre-visit planning digital health tool, the Personalized Connected Encounter (PCE) model, and the Online Promoting Healthy Development Survey (PHDS), a digital quality of care assessment tool. The COE WVP engages families before, during, and after well visits, empowering families and their child health professionals to transform screening into a whole-child family learning and personalized care experience, ensuring time is used to address family goals, needs, and priorities.

The WVP is an evidence-based digital health tool that takes about ten minutes for families to complete and can be used by any child health professional (e.g., pediatricians, community health workers, home visitors, educators, etc.). The WVP engages families to identify strengths and goals, complete all age-specific screeners, and easily learn about and identify their priorities for education and counseling, and receive personalized resources for the needs and priorities identified. The WVP automatically generates and enables interoperable sharing of an “at a glance” summary of findings, resource links, and tips for both the family and child health professionals. The WVP enables all time to focus on the provision of a Personalized Connected Encounter (PCE) that celebrates strengths, engages families in shared decision-making, counseling, and referrals while deepening trust and connection between providers, families, and children. Periodically, child health professionals can also engage families to assess and get actionable feedback about the quality of care received using the PHDS. Child health professionals receive a population-level report summarizing quality across all families completing the PHDS to help them learn about and partner with families and other early childhood health systems to continuously improve care.



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Implementation Handout
Example of Clinical Summary of Well Visit Planner Findings
Example of Child's Personalized 18 Month Well Visit Guide

CONTACT INFORMATION
Child and Adolescent Health Measurement Initiative (CAHMI)
Christina Bethell
cbethell@jhu.edu
info@cahmi.org

Practice Website