Utah

 How Utah is implementing Bright Futures

Adaptation Utah's Medicaid Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program has been adopted from the Bright Futures/American Academy of Pediatrics (AAP) Periodicity Schedule, although there are differences with respect to the timing and frequency of exams during the prenatal and early infancy stages. Specifically, the Bright Futures/AAP Periodicity Schedule recommends a prenatal visit and visits at birth, between 3 and 5 days, by 1 month, and at 2 months, whereas the state's schedule recommends visits at birth, 2 weeks, and 2 months.

Implementation: In 2014, Utah selected 10 of the 11 pediatric preventive care measures to focus on child and adolescent access to primary care providers, well-child visits in the first 15 months, well-child visits for children ages 3 to 6, adolescent well-child visits, childhood immunization status, adolescent immunization status, human papillomavirus (HPV) vaccination, chlamydia screening, body mass index (BMI) assessment of children and adolescents, and preventive dental visits. The only measure the state did not select was developmental screening in the first 3 years. All the measures are closely aligned to the Bright Futures Preventive Services Quality Improvement Measures.

In 2014, Utah's quality performance rates were higher than national averages for primary care visits for infants and toddlers ages 12 to 24 months, preventive care visits for infants up to 15 months, childhood and adolescent immunizations, HPV vaccination rates, BMI assessments, and preventive dental visits. However, the state was lower than national averages for primary care visits for 7- to 11-year-olds, preventive visits for children 3- to 6-year-old, adolescent well-child visits, and chlamydia screening.

Utah has a statewide program, the Early Childhood (Ages 0 to 4) Targeted Case Management Program, operated by public health nurses from local health departments. The program aims to promote the early identification of health, developmental, and behavioral issues by using standardized screening questionnaires. The program hopes to improve well-child care utilization and immunization and to better link families to a medical home and community resources.

 Contacts:

Utah AAP Chapter
www.aaputah.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.