View in EDS PDF Full Text

HealthySteps: Transforming the Promise of Pediatric Care.

Saved in:
Bibliographic Details
Title: HealthySteps: Transforming the Promise of Pediatric Care.
Authors: Valado, Trenna1, Tracey, Jennifer2, Goldfinger, Jonathan3, Briggs, Rahil4
Source: Future of Children. Spring2019, Vol. 29 Issue 1, p99-122. 24p.
Subject Terms: *Developmental disabilities, *Behavior disorders, *Child care workers, *Child development, *Immunization, *Caregiver attitudes, *Attitudes of mothers, *Adverse childhood experiences, *Disabilities, Diagnosis of mental depression, Continuum of care, Family medicine, Health care teams, Integrated health care delivery, Medical needs assessment, Medical protocols, Pediatrics, Poverty, Risk assessment, Health insurance reimbursement, Well-being, Population health, Evaluation of human services programs, Disease risk factors, Psychology
Company/Entity: American Academy of Pediatrics
Abstract: In this article, Trenna Valado, Jennifer Tracey, Jonathan Goldfinger, and Rahil Briggs highlight the potential to expand the promise of pediatric care to encompass the full array of child and family needs that can affect the long-term wellbeing of infants and toddlers. Pediatric care is not stigmatized, nearly universally accessed, and oriented toward prevention. The American Academy of Pediatrics already urges pediatricians to screen for adverse childhood experiences, maternal depression, behavioral and developmental risk, and even the effects of poverty on children. Most pediatricians would like to extend their narrow health care mandate to broader social-emotional and behavioral care and education, but they're often constrained by issues of time, training, and reimbursement. Valado and her colleagues offer a solution to those constraints: HealthySteps, a risk-stratified, population health model that integrates a skilled child development professional--called a HealthySteps specialist--into the pediatric care team. The model comprises eight core components that can be divided into three tiers of service, beginning with universal screening that allows practices to identify children and families at higher risk of negative outcomes. These families are then offered the more intensive service tiers, in which they receive customized support based on their needs. The evidence supporting HealthySteps comes from a large multi-site evaluation conducted by Johns Hopkins University, which included a randomized controlled trial component, as well as several site-level research studies. Results from this research indicate that HealthySteps had an array of positive impacts on practices that adopted the program and clients they served, including increased physician and caregiver satisfaction, improved continuity of care, greater adherence to recommended well-child visits and vaccinations, and increased rates of developmental screening and other services. There were also positive impacts on children and parents over time, though many of these impacts were modest. The HealthySteps National Office is continuing to evaluate implementation, training, impact, and cost as the program spreads across the nation. Questions that remain to be answered include how such a model should be financed and how health insurance could pay for it. [ABSTRACT FROM AUTHOR]
Copyright of Future of Children is the property of Future of Children and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
FullText Links:
  – Type: pdflink
Text:
  Availability: 0
Header DbId: ehh
DbLabel: Education Research Complete
An: 136738637
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: HealthySteps: Transforming the Promise of Pediatric Care.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Valado%2C+Trenna%22">Valado, Trenna</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Tracey%2C+Jennifer%22">Tracey, Jennifer</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Goldfinger%2C+Jonathan%22">Goldfinger, Jonathan</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Briggs%2C+Rahil%22">Briggs, Rahil</searchLink><relatesTo>4</relatesTo>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Future+of+Children%22">Future of Children</searchLink>. Spring2019, Vol. 29 Issue 1, p99-122. 24p.
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: *<searchLink fieldCode="DE" term="%22Developmental+disabilities%22">Developmental disabilities</searchLink><br />*<searchLink fieldCode="DE" term="%22Behavior+disorders%22">Behavior disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22Child+care+workers%22">Child care workers</searchLink><br />*<searchLink fieldCode="DE" term="%22Child+development%22">Child development</searchLink><br />*<searchLink fieldCode="DE" term="%22Immunization%22">Immunization</searchLink><br />*<searchLink fieldCode="DE" term="%22Caregiver+attitudes%22">Caregiver attitudes</searchLink><br />*<searchLink fieldCode="DE" term="%22Attitudes+of+mothers%22">Attitudes of mothers</searchLink><br />*<searchLink fieldCode="DE" term="%22Adverse+childhood+experiences%22">Adverse childhood experiences</searchLink><br />*<searchLink fieldCode="DE" term="%22Disabilities%22">Disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis+of+mental+depression%22">Diagnosis of mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Continuum+of+care%22">Continuum of care</searchLink><br /><searchLink fieldCode="DE" term="%22Family+medicine%22">Family medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Health+care+teams%22">Health care teams</searchLink><br /><searchLink fieldCode="DE" term="%22Integrated+health+care+delivery%22">Integrated health care delivery</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+needs+assessment%22">Medical needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatrics%22">Pediatrics</searchLink><br /><searchLink fieldCode="DE" term="%22Poverty%22">Poverty</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Health+insurance+reimbursement%22">Health insurance reimbursement</searchLink><br /><searchLink fieldCode="DE" term="%22Well-being%22">Well-being</searchLink><br /><searchLink fieldCode="DE" term="%22Population+health%22">Population health</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+human+services+programs%22">Evaluation of human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology%22">Psychology</searchLink>
– Name: SubjectCompany
  Label: Company/Entity
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22American+Academy+of+Pediatrics%22">American Academy of Pediatrics</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: In this article, Trenna Valado, Jennifer Tracey, Jonathan Goldfinger, and Rahil Briggs highlight the potential to expand the promise of pediatric care to encompass the full array of child and family needs that can affect the long-term wellbeing of infants and toddlers. Pediatric care is not stigmatized, nearly universally accessed, and oriented toward prevention. The American Academy of Pediatrics already urges pediatricians to screen for adverse childhood experiences, maternal depression, behavioral and developmental risk, and even the effects of poverty on children. Most pediatricians would like to extend their narrow health care mandate to broader social-emotional and behavioral care and education, but they're often constrained by issues of time, training, and reimbursement. Valado and her colleagues offer a solution to those constraints: HealthySteps, a risk-stratified, population health model that integrates a skilled child development professional--called a HealthySteps specialist--into the pediatric care team. The model comprises eight core components that can be divided into three tiers of service, beginning with universal screening that allows practices to identify children and families at higher risk of negative outcomes. These families are then offered the more intensive service tiers, in which they receive customized support based on their needs. The evidence supporting HealthySteps comes from a large multi-site evaluation conducted by Johns Hopkins University, which included a randomized controlled trial component, as well as several site-level research studies. Results from this research indicate that HealthySteps had an array of positive impacts on practices that adopted the program and clients they served, including increased physician and caregiver satisfaction, improved continuity of care, greater adherence to recommended well-child visits and vaccinations, and increased rates of developmental screening and other services. There were also positive impacts on children and parents over time, though many of these impacts were modest. The HealthySteps National Office is continuing to evaluate implementation, training, impact, and cost as the program spreads across the nation. Questions that remain to be answered include how such a model should be financed and how health insurance could pay for it. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Future of Children is the property of Future of Children and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=136738637
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1353/foc.2019.0007
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 24
        StartPage: 99
    Subjects:
      – SubjectFull: Developmental disabilities
        Type: general
      – SubjectFull: Behavior disorders
        Type: general
      – SubjectFull: Child care workers
        Type: general
      – SubjectFull: Child development
        Type: general
      – SubjectFull: Immunization
        Type: general
      – SubjectFull: Caregiver attitudes
        Type: general
      – SubjectFull: Attitudes of mothers
        Type: general
      – SubjectFull: Adverse childhood experiences
        Type: general
      – SubjectFull: Disabilities
        Type: general
      – SubjectFull: Diagnosis of mental depression
        Type: general
      – SubjectFull: Continuum of care
        Type: general
      – SubjectFull: Family medicine
        Type: general
      – SubjectFull: Health care teams
        Type: general
      – SubjectFull: Integrated health care delivery
        Type: general
      – SubjectFull: Medical needs assessment
        Type: general
      – SubjectFull: Medical protocols
        Type: general
      – SubjectFull: Pediatrics
        Type: general
      – SubjectFull: Poverty
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Health insurance reimbursement
        Type: general
      – SubjectFull: Well-being
        Type: general
      – SubjectFull: Population health
        Type: general
      – SubjectFull: Evaluation of human services programs
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
      – SubjectFull: Psychology
        Type: general
      – SubjectFull: American Academy of Pediatrics
        Type: general
    Titles:
      – TitleFull: HealthySteps: Transforming the Promise of Pediatric Care.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Valado, Trenna
      – PersonEntity:
          Name:
            NameFull: Tracey, Jennifer
      – PersonEntity:
          Name:
            NameFull: Goldfinger, Jonathan
      – PersonEntity:
          Name:
            NameFull: Briggs, Rahil
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 03
              Text: Spring2019
              Type: published
              Y: 2019
          Identifiers:
            – Type: issn-print
              Value: 10548289
          Numbering:
            – Type: volume
              Value: 29
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Future of Children
              Type: main
ResultId 1