Oregon

 How Oregon is implementing Bright Futures

Partnerships: Established in 2010, the Oregon Pediatric Improvement Partnership (OPIP), creates meaningful, long-term collaborations with stakeholders invested in child health care quality to improve the health of the children and youth of Oregon. OPIP collaborates on quality measurement and improvement activities in the state and supports evidence-guided quality activities in clinical practices. It has led several learning collaboratives, provided practice and health system-based facilitation, and supported the development and dissemination of policy briefs. Over the past 4 years, OPIP projects have focused on Bright Futures elements related to developmental screening, adolescent screening, family psychosocial screening, anticipatory guidance and parental education, care coordination, and medical homes. OPIP also facilitates a Partner Committee to ensure synergy across public and private sectors that include representatives from state government, the Oregon Chapter, Medicaid, and Oregon Health and Science University.

Training: OPIP has conducted trainings and Webinars for primary care providers focused on a number of Bright Futures-related topics. Several of these trainings are available on the OPIP Web site.

The local American Academy of Pediatrics group, the Oregon Pediatric Society, provides training to members through its Screening Tools and Referral Training (START) program. Through this program, members can receive training on basic screening tools, including the developmental, autism, and maternal depression screenings recommended in the Bright Futures Guidelines. Since 2008, CareOregon, Northwest Health Foundation, FamilyCare Inc., and the Autzen and Clear One Foundations have contributed funding for the START program to teach providers how to detect and manage developmental and behavioral health issues and screen for maternal depression. START provides training on the medical home model for pediatric primary care providers (physicians, nurse practitioners, and physician's assistants) and office personnel. Entire office staffs learn about the importance of and science behind standardized screening, what community resources are available for children and families, and how to improve coordination of care to ensure services are appropriate and effective.

Adaptation: Child and Adolescent Health Measurement Initiative Director Christina Bethell headed a project to develop the Well-Visit Planner, an online tool that practices and parents across the country can use. It was developed to improve well-child care for children younger than age 4 and is based on recommendations established by Bright Futures. The tool helps parents customize well-child visits to their family's needs by helping them identify and prioritize their health risks and concerns before their appointments. The preplanning ensures parents and providers can better communicate and address the family's needs during the well-child visit.

Online, parents can:

  • Provide basic information about their child who is scheduled for the well-child visit.
  • Answer questions about their child and family that will help the health care provider know what to focus on during the visit.
  • Create a visit guide that they can use during the well-child visit. Parents bring this guide to the visit to remind them of the topics they want to discuss.

The Well-Visit Planner has a component that allows providers to integrate elements into their practice operations, including electronic health record systems. Overall, the Well-Visit Planner aims to improve interactions between families and providers, creating a partnership for the child's health and well-being.

 Related resources:

Oregon Pediatric Improvement Partnership

The Child and Adolescent Health Measurement Initiative

Well-Visit Planner – developed by the Child and Adolescent Health Measurement Initiative and based on Bright Futures, this planner helps parents understand their child's development and pediatric well-visit appointments. It also includes provider resources for easy implementation and training.

 Contacts:

Oregon Pediatric Society

www.oregonpediatricsociety.org

For more information about maternal and child health activities in your state, visit the Health Resources and Services Administration's Web site to find local contact information for the Maternal and Child Health and Children With Special Health Care Needs representatives.