Available at: https://sites.google.com/site/swycscreen/home
Scoring Available at: https://sites.google.com/site/swycscreen/home
Scoring • Score each item – Not yet= 0 – Somewhat = 1 – Very much = 2 • Add items 1-10 • Match age in far left column • “Below average” requires further evaluation Available at: https://sites.google.com/site/swycscreen/home
Making this work in your practice: Case studies
Case 1: Clara Maas • Clara is an 18 month old girl who you have followed since birth presenting for well child care • Her mother was also your patient. She is now 22 years old and has transitioned to an adult provider • Clara recently started day care and her mother expresses concerns about recent upper respiratory infections
How might surveillance and screening look? • As part of developmental surveillance you ask “ Do you have any specific concerns about your child’s development, learning or behavior ?” • The mother replies “no” • The front desk handed mother the SWYC Milestones which she completed in the waiting room and the medical assistant scored it after obtaining weight and height • You review the results
Raw score: 6
Case 2: Robert W. Johnson • Robert is a 9 month old boy presenting for well child care • Dad would like to know when Robert is supposed to start walking
How might surveillance and screening look? • Dad completed the SWYC milestones on a computer in your waiting room • You review the results in your EMR
Raw score: 5
Additional resources • CDC – http://www.cdc.gov/ • Birth to 5: Watch me thrive – http://www.acf.hhs.gov/programs/ecd/child-health- development/watch-me-thrive • American Academy of Pediatrics – http://www2.aap.org/sections/dbpeds/screening.asp • Center for Medical Home Implementation – http://www.medicalhomeinfo.org/
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