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|Requirement ID:||Req-429: Screening tool status||Req-2004: Screening tool status|
|Release Package:||2013 Format||2015 Priority List|
|Title:||Screening tool status||Screening tool status|
|Description:||The system SHALL capture the administration, completion, and evaluation of screening tools.||The system shall capture the administration, completion, and interpretation of screening tools.|
|Topic Area(s):||Well Child/Preventive Care||Well Child/Preventive Care|
|Provenance:||IH Gap Analysis||Not Applicable|
|Requirement Type:||Normative Statements||Normative Statement|
|Comments:||Critical for identifying performance, missed opportunities, and implementing/improving clinical/operational processes.|
|Implementation Notes:||The system shall allow for the documentation that standardized screening tools to identify the particular conditions that have been administered, including the identity of the screening tool, the date it was completed, and the interpretation of the results of the screen. The preferred approach to adminster and share screening tools is described in Req-2043 Specialized Scales and Scoring and ideally should be accomplished using a standardized data-driven approach to defining scales and scoring that should be a high priority for standard development to assist adding this functionality with minimal need for custom development for each scale. A variety of screening tools exist to identify developmental delays or behavioral health care conditions. It is suggested that screening tools used should meet the sensitivity/specificity threshold established in NQF measure #1448 (see https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0CB4QFjAA&url=http://www.qualityforum.org/workarea/DownloadAsset.aspx?id%3D52734&ei=fVdsVZPmOoSusAXJtoPQCw&usg=AFQjCNHr0eVXLelOhJfJmAddyqYufxvmTQ&sig2=fRcvw8SSxstN3dV8DqAOPg). In addition, the American Academy of Pediatrics is in process of preparing a consensus statement on developmental screening tools at the time of this writing (June 2015) and should be considered when it becomes available. Consideration and review also should be given to the activities and direction provided by the Birth to 5: Watch Me Thrive! Initiative which has produced and published a Compendium of Screening Measures for Young Children. The initiative is a coordinated Federal effort to encourage healthy child development, universal developmental and behavioral screening for children, and support for the families and providers who care for them (see http://www.acf.hhs.gov/programs/ecd/child-health-development/watch-me-thrive).|