Clinical Care Information and Organization

Clinical care information and organization addresses the use of standards of care and implementation of evidence-based resources, such as:

  • Problem lists
  • Growth charts
  • Age appropriate developmental screening tools

Providing a high quality medical home means that your practice has well-organized medical records with all pertinent clinical information. Below are examples of resources and tools to enhance the organization of clinical care information.

Please note that this page provides additional resources as to what is provided in the Clinical Care Information section of the "Building Your Medical Home" resource .

Preventive Care

Bright Futures

The Bright Futures Web site hosts a three volume set of materials that facilitate the implementation of Bright Futures using quality improvement strategies. This comprehensive resource is free. You can download the entire set or select elements.

Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, Third Edition, released in 2008, provides detailed information on well-child care for health care practitioners. This text is considered the gold standard for pediatric care, and its Pocket Guide boils down the information for quick reference.

Bright Futures reflects the Recommendations for Preventive Pediatric Health Care (PDF).  These guidelines emphasize the great importance of continuity of care in comprehensive health supervision and the need to avoid fragmentation of care, a consensus by the American Academy of Pediatrics (AAP) and Bright Futures.

Additional Preventive Care Resources:

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Evidence-based Guidelines

Evidence-based guidelines are available for many common acute illnesses and chronic conditions. The use of such guidelines has been shown to improve quality and reduce costs. The following portals are good access points:

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Screening Resources

Developmental Screening
By incorporating developmental surveillance and screening into preventive health care visits, the pediatrician has the ideal opportunity to offer anticipatory guidance to the family about supporting their child's development and to facilitate early detection of a disorder.

Understanding the importance of medical home in identifying developmental/behavioral issues ensures early treatment, access to early intervention programs, better school placement, and ultimately better developmental outcomes.

Developmental Screening Resources:

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Adolescent Health

The following resources provide information on the role of pediatric medical homes in provide care to adolescents:

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Health Information Technology

Health care providers across the country and around the world are feeling pressure to convert their paper medical records to electronic health records (EHRs). A good pediatric EHR must be designed from the beginning with pediatric requirements in mind. For more information, visit The National Center for Medical Home Implementation Health Information Technology Information Page .

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The use of a patient registry can help primary care providers effectively manage a patient population as part of a successful medical home, especially in the management of chronic conditions.

Registries vary in format, from simple Excel spreadsheets to more advanced electronic record systems. If implementing registries for the first time, it is recommended to start with one condition or area in which the practice would like to improve on care delivery.

Registry Resources:

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Complexity Scores

The complexity score is a component of a practice registry for children and youth with special health care needs (CYSHCN) to help improve chronic condition management. The benefit of assigning a complexity score is that it allows a practice to not only quantify but qualify their population and to plan for care coordination needs and staffing.

There is not a universal definition or coding system that defines complexity. As with defining who has special health care needs, it is up to the practice to decide what level of complexity to assign a patient, as well as how to establish and interpret its own guidelines.

Complexity Score Resources:

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