North Carolina

North Carolina developed a best practice comprehensive community model that builds on its “physician driven” enhanced primary care case management program, Community Care of North Carolina, and is characterized by introduction and integration of a standardized validated screening tool and collaboration with local and state agency staff and families. Since The Commonwealth Fund support for the ABCD project ended, the stakeholder group has continued to meet, policy improvements have been adopted at the state level, and additional practices have replicated the ABCD model.

Title Description Date Published Activity
Comments: 12 Years of ABCD (Marian Earls) This document contains comments from Dr. Marian Earls, Lead Pediatric Consultant, Community Care of North Carolina. Dr. Earls has been involved with ABCD in North Carolina since its inception with ABCD I in 2000. In this document Dr. Earls discusses the outcomes that North Carolina has achieved through its ABCD work over the past twelve years. November 2012 Improving Policy and Spreading Results
Setting the Stage for Success: The NC ABCD Project 2000 – Present (Marian Earls: Presentation at 2012 NASHP Annual Conference) This presentation by Dr. Marian Earls provides a history of ABCD in North Carolina. The presentation details the start of ABCD in North Carolina with ABCD I in 2000 and how Community Care of North Carolina has sustained the work since Commonwealth funding for ABCD ended. The presentation also details results and successes achieved by the project, and offers lessons learned for other states. October 2012 Improving Policy and Gauging Success
Provider Survey (North Carolina ABCD I Project Provider Survey Evaluation) This survey was distributed to family practice and pediatric providers in three categories and analyzed according to a specific protocol. The survey instrument consists of questions designed to measure the provider’s perception of their individual knowledge and attitudes regarding developmental screening tools, early intervention services, and particular federal laws. December 2007 Spreading Results
History of the North Carolina ABCD Initiative (North Carolina ABCD Project) This PowerPoint presentation highlights the success and accomplishments of the North Carolina ABCD initiative, as well as ongoing project replication activities. March 2007 Spreading Results
Parent Survey (North Carolina ABCD Project) This parent survey was used to evaluate whether standardized screening was being implemented in primary care practice and to assess further parental needs. December 2006 Gauging Success: Measurement and Evaluation
North Carolina Early Childhood Resource List (North Carolina ABCD Project) This document lists current resources relevant to early childhood development service providers and policymakers. December 2006 Addressing Needs
Survey of Primary Care Providers: Developmental Screening and Referral for Early Intervention Services (North Carolina ABCD Project) This survey was designed to enable North Carolina staff who were conducting Quality Improvement trainings to gain an understanding of health care providers’ views on, and experience with, developmental screening and referral services. December 2006 Addressing Needs
Community Care Fact Sheet (North Carolina ABCD Project) This newsletter provides an overview of relevant information for Medicaid providers in North Carolina. Through resources such as this newsletter, Community Care provider networks are working to put into place the local systems needed to achieve long-term quality, cost, access and utilization objectives in the management of care for Medicaid recipients. June 2006 Spreading Results
Survey of Primary Care Providers: Developmental Screening and Referral for Early Intervention Services (North Carolina ABCD Project) This survey was designed to enable North Carolina staff who were conducting Quality Improvement trainings to gain an understanding of health care providers’ views on, and experience with, developmental screening and referral services. December 2006 Addressing Needs
States in Action Archive: North Carolina is Assuring Better Child Health and Development (The Commonwealth Fund: September 6, 2005) This state profile details the positive outcomes of North Carolina’s ABCD project. The profile also discusses how the success of the ABCD program led to a change in state Medicaid policy. Providers in NC are now required to screen children for developmental disorders at specific time periods with a standardized screening tool, following the ABCD model. September 2005 Identifying Children and Families at Risk and Gauging Success
“If it Worked for Us…” (William Hensel; Greensboro, NC: Guilford Access Partnership, Guilford County Department of Public Health) Letter from William Hensel, Medical Director of the Guilford Access Partnership, to Sherry Hay, North Carolina’s ABCD Coordinator, describing the successes of the ABCD I program implementation. December 2004 Spreading Results
Providing Developmental Services in Primary Care: The North Carolina ABCD Project (The Commonwealth Fund: August 9, 2004) This is an overview of the North Carolina ABCD project. The page includes information on the issue of developmental screening, the background in North Carolina, the participants in the NC ABCD project, and successes experienced by North Carolina – including statstics on screening rates in areas that adopted the ABCD model. The page also details lessons learned and next steps. August 2004 Identifying Children and Families at Risk and Gauging Success
Letter of Support to Colleagues on Standardized Screening (Marian Earls; Greensboro, NC: Guilford Child Health, Inc.) This letter from a pilot site provider was sent to peers and colleagues in an effort to promote the use of the Ages and Stages Questionnaire. April 2004 Spreading Results
Communication Tool Telephone Survey Morrisville Pilot Site (North Carolina ABCD I Project) This telephone survey assesses provider perceptions of the implementation of peri-natal and pediatric communication tools developed for use at the pilot sites. December 2003 Testing Models
Evaluation Data on the Number of Children Screened and Referred Under ABCD (North Carolina ABCD I Project) These charts contain data on the number of children screened and referred with the Ages and Stages questionnaire and include baseline and post intervention rates. December 2003 Gauging Success: Measurement and Evaluation
Assuring Better Child Health and Development (ABCD) Evaluation (North Carolina ABCD I Project) This resource outlines a stakeholder group’s work plan to measure and evaluate program goals, screening rates, and ongoing data tracking/trending. Strategies were designed to track improvements throughout the initiative. December 2003 Gauging Success: Measurement and Evaluation
Survey of Primary Care Providers: Developmental Screening and Referral for Early Intervention Services (North Carolina ABCD I Project) This survey was designed to elicit an understanding of primary care providers’ views on, and experience with, developmental screening and referral services. December 2003 Gauging Success: Measurement and Evaluation
Setting the Stage for Success, an Introduction for North Carolina Providers (North Carolina ABCD I Project) This brochure was used as an introductory informational guide for providers on the Ages and Stages Questionnaire. December 2002 Spreading Results
A Practice Survey 2002, ABCD Pilot in Raleigh, North Carolina (North Carolina ABCD I Project) This report details findings from the ABCD provider/practice survey. December 2002 Gauging Success: Measurement and Evaluation
The North Carolina ABCD Project: A New Approach for Providing Developmental Primary Care Practice (Helen Pelletier, Melinda Abrams: National Academy for State Health Policy) This field report provides an overview of the North Carolina ABCD project, its accomplishments to date, and lessons for other states. July 2002 Testing Models

 

 

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