1. 1 ABCD Screening Academy Overview of Lessons Learned in Iowa Working with Demonstration Sites Carrie Fitzgerald Alfred Healy, MD

2. 2 Healthy Mental Development of Young Children in Iowa State of Iowa –Population of 3 million –96,000 birth-5 receiving Medicaid –82% received a Medicaid screening –316 pediatricians –1,340 Family Physicians ABCDII Project –Co-sponsors: Medicaid, University of Iowa, State Departments of Human Service and Public Health, and Professional Associations –Statewide Analysis of need: Barriers Clinical Model

3. 3 Healthy Mental Development of Young Children in Iowa Demonstration Sites Selected in Consultation with: –Iowa Chapter of the American Academy of Pediatrics –Iowa Association of Family Physicians –Iowa Association of ARNPs / Physician Assistants –EPSDT and Title V MCH Care Coordinators

4. 4 Healthy Mental Development of Young Children in Iowa Mechanics of Demonstration Site Implementation –Base your project on solid principles, sound science, and documented community/state need –Always consider your project as a “community” project to ensure public/private partnership –Know your project design and potential barriers well so that you can “sell” it to a variety of audiences –Determine the characteristics of the community so that the project corresponds with needs and priorities –Spend sufficient time with the practice leaders to ensure they fully understand the purpose, what is expected of them, and that they endorse the project purpose and plan

5. 5 Healthy Mental Development of Young Children in Iowa Strategies Used to Select Demonstration Sites –Determine Community and Practice Champions and “alpha persons” –What do they need? Knowledge? Orientation? Skills? –How Best Accomplished? Improvement not change! –Devise Evaluation Plan Before Implementation –Reassure – not total practice revision (but it was our end goal!)

6. 6 Healthy Mental Development of Young Children in Iowa Maintain Communication with Practices –Be flexible with communication styles with each practice –Plan and coordinate consultation with community time schedules and desires –Maintain ongoing dialogue with all components of the community project and respond to questions and concerns quickly

7. 7 Healthy Mental Development of Young Children in Iowa Demonstration Site Ongoing Support –Analyze evaluation data –Share family stories with practices on a timely basis –Conduct post-project focus groups –Share data with practices and stakeholders –Use data to revise implementation strategies

8. 8 Contact Information Alfred Healy 608/734-3282 alfred-healy@uiowa.edu Carrie Fitzgerald Carrief@cfpciowa.org