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Measurable Actions

The following table shows the topics presented in this EQIPP course, the measurable actions associated with each topic, and the health supervision visit age when these actions should occur.

KCA: Family Concerns and Engagement

Topic

Measurable Actions

Timing

Patient/Family Concerns

Elicit and address.

All health supervision visits 

Family Strengths

Identify and discuss.

All health supervision visits

Anticipatory Guidance on Bright Futures Priorities

Counsel and discuss educational materials provided.

All health supervision visits

Social Determinants (Drivers) of Health

Assess and address.

All health supervision visits

KCA: Preventive Care Activities and Services

Topic

Measurable Actions

Timing

Perinatal Depression 

Screen and follow-up on positive screens.

By 1 month and at 2-, 4-, and 6-month visits

Developmental Screening and Surveillance

Screen and follow-up on positive screens.

Surveillance: All health supervision visits 

Screening: 9-, 18-, 30-month visits

Growth

Weight for Length and Head Circumference <2 yrs

BMI ≥2 yrs

Measure/plot and follow-up on growth concerns.

All health supervision visits

Immunization Status

Verify and address missed vaccines.

All health supervision visits

Oral Health 

Provide oral health risk assessment and follow-up (includes recommendation to a dental home and fluoride application). 

All health supervision visits

Autism Spectrum Specific Disorder

Screen and follow up on positive screens.

18- and 24-month visits

Age-appropriate Risk Assessment

Assess risk and follow up on positive assessments.

All health supervision visits

Behavioral-Social-Emotional Screening

Assess and follow up on positive screening.

All health supervision visits

Lipid

Screen and follow up on positive screens.

At least once for patients ages 9–11 years; (and at least once for patients ages 17–21 years)

Substance Use

Screen and follow- p on positive screens.

Annually for patients ages 11–21 years 

Adolescent Depression and Suicide Risk

Screen and follow up on positive screens.

Annually for patients ages 12–21 years

HIV Screen and follow up on positive screens. At least once for patients ages 15–18 years (more often if risk factors are present)
Chlamydia Screen and follow up on positive screens. Annually for patients ages 11–21 years who are female and sexually active or male who are sexually active and at increased risk