Clinical Practice


  • For information and guidance for health care professionals regarding COVID-19, click here
  • For a list of frequently asked questions related to COVID-19 (including information related to 
    well-visits), click here. ​

​​​​​​​​​​​​​​​​​​​BF-tipsheets-thumb.pngMany pediatric health care professionals have asked whether it is really possible to implement the recommendations in Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 4th Edition in daily clinical practice. The answer is Yes!  

In fact, you may already be using many of the Bright Futures principles and recommendations. The material in this section makes implementation even easier for you. These handy NEW and UPDATED tip sheets offer practical advice to help you integrate the Bright Futures approach, tools and resources into your daily practice. 

 Get to Know the Bright Futures Guidelines and Core Tools

 Take Advantage of Other Practice Tools and Resources that Support Implementation of the Bright Futures Guidelines

 Organize Your Office Practice to Make Implementing Bright Futures Easy

  • Start gradually. Some health care providers may see efforts to implement all recommendations in the Bright Futures Guidelines at once as overwhelming. Implementing Bright Futures recommendations in parts and stages can ease the transition.
  • Involve your entire team. Include, for example, a physician, nurse practitioner, medical ancillary staff or assistant, child development specialist, nutritionist, and administrative office system staff. These individuals help ensure that Bright Futures components permeate the entire practice and that all workers are invested in the implementation effort.
  • Use the Bright Futures Preventive Services Quality Improvement Measures, which will help you incorporate quality improvement into your practice on an ongoing basis.
  • Set up a preventive services prompting system to ensure that your patients receive all the preventive services recommended in the Bright Futures Guidelines, 4th Edition.
  • Develop and use a recall-and-reminder system.
  • Connect and build relationships with community resources that can reinforce your work with patients and families.
  • Integrate the Bright Futures Guidelines, 4th Edition​ into your electronic health record (EHR) system. See reviews of various EHR systems.

Visit the Quality Improvement section to learn more about these items and download useful tools and tips.

 Use a Strength-based Approach to Partnering With Patients and Families

  • Work with the patients and families in your practice to assess and build their strengths so that they can say YES! to a healthy life. 
  • When encouraging behavior changes from patients and families, use shared decision-making strategies and motivational interviewing techniques to arrive at a workable plan to solve problems. 
  • Become familiar with the Strengthening Families Protective Factors Framework.
  • Review this resource​ that operationalizes the 5 Protective Factors with suggested questions and feedback that clinicians could use with parents to elicit and discuss these family strengths.

 Share Bright Futures Materials With Families


 Share Your Bright Futures Knowledge With Others

  • Promote preventive care in your community by using the About Bright Futures video, presentation templates and handouts, and the online resources available from this Web site.  
  • Connect with your state child health department and your local AAP chapter or other professional organizations whose members are involved in state or local partnerships that promote healthful child activities.​