Minnesota’s ABCD III Project: Communities Coordinating for Healthy Development

ABCD III tools and resources
ABCD III upcoming events

Tools and resources from other organizations

Related websites

Minnesota is one of five states chosen by the National Academy for State Health Policy (NASHP) to participate in the Assuring Better Child Health and Development Consortium (ABCD III Consortium). The focus of Minnesota’s ABCD III project is to improve care coordination and community linkages for children and their families. This initiative will assure that children birth to age 5, identified through standardized developmental and mental health screening performed in the primary care setting as at-risk for delays, receive appropriate services in a timely manner. The initiative will also develop a strategy to support additional communities statewide in implementing care coordination and effective referral systems based on the success of the project’s four pilot sites. The pilot sites are located in Ramsey, Anoka, St. Louis and Olmsted counties.

Activities in the four pilot sites are funded with a grant from The Commonwealth Fund, and run from November 2009 to October 2012. Activities in the four communities strive to create efficient linkages between pediatric primary health care providers and other child and family service providers in the community. Participating clinics are incorporating care coordination into their clinics and building referral systems and feedback methods with community partners, such as Early Intervention, Head Start, mental health professionals and the Follow Along Program.

Overall project direction is provided by NASHP, with local direction coming from the Minnesota Child Health Improvement Partnership (MNCHIP), the Minnesota Department of Human Services (DHS), the Minnesota Department of Health (MDH), the Minnesota Department of Education (MDE), the pilot sites and community partners. Technical assistance is provided to participating communities through on-site education and learning collaborative sessions using the Institute for Healthcare Improvement’s Breakthrough Series ‘Model for Improvement,’ as well as webinars and other assistance as needed. The project is being evaluated by Wilder Research.

Through an earlier Commonwealth Fund grant, the Minnesota ABCD II (Great Start Minnesota Project) introduced the use of standard screening tools during Child and Teen Checkups at two large pediatric clinic pilot sites, Head Start and Early Head Start programs. The pilot sites have incorporated the pilot experience into their general practice, including the co-location of mental health professionals at their clinics. This model has also spread among other pediatric clinics throughout the state and has provided a firm base for the ABCD III project.

ABCD III tools and resources

  • Interagency Consent Form (DOC)
  • Interagency Referral Communication Form (DOC)
  • Monthly team report form (DOC)
  • Visit Coordination Form (DOC)
  • Minnesota's ABCD III Project Objectives (PDF)
  • ABCD III Press Release by NASHP, October 2009
  • Early Childhood Mental Health Screening presentation by DHS (PDF)
  • Minnesota’s ABCD III Initiative: Communities Coordinating for Healthy Development, Measurement and Evaluation Activities presentation (PDF)
  • Minnesota Child and Teen Checkups (C&TC) fact sheet for primary care providers (PDF)
  • ABCD III upcoming events

  • Technical Assistance Events, March - September 2011 (PDF)
  • Tools and resources from other organizations

    Forms and worksheets

  • AIM Statement Worksheet, American Academy of Pediatrics
  • Project Planning Form, Institute for Healthcare Improvement
  • PDSA Worksheet for Testing Change, Institute for Healthcare Improvement
  • Guidelines for Appraisal and Publication of PDSA Quality Improvement, National Center for Biotechnology Information
  • Screening Implementation Worksheet (Word), the Commonwealth Fund
  • Steps to using Screening and Surveillance in your Office, The Commonwealth Fund
  • Research and journal articles

  • Pediatric Care Coordination Framework, The Commonwealth Fund
  • Tips for Change Management, TransforMED (a subsidiary of the American Academy of Family Physicians)
  • Implementing Developmental Screening and Referrals: Lessons Learned From a National Project, Pediatrics: Official Journal of the American Academy of Pediatrics
  • Benefits of Care Coordination for Children with Complex Disease: A Pilot Medical Home Project in a Resident Teaching Clinic, The Journal of Pediatrics; Elsevier
  • Coordination of Care by Primary Care Practices: Strategies, Lessons and Implications, Center for Studying Health System Change
  • Improvement Partnerships: Building Collaborations to Improve Child Health Care, The University of Vermont College of Medicine
  • Related websites

    Help Me Grow

  • Refer a child to Help Me Grow, Minnesota ParentsKnow
  • Minnesota ParentsKnow website
  • Description of Help Me Grow, MDH
  • Importance of early childhood screening

  • Overview of Young Child Screening, MDH
  • All Instruments at a glance, MDH
  • Screening Task Force, MDH
  • Screening Training Resources, MDH
  • Other Screening Initiatives, DHS
  • Primary Care Clinics and Children's Mental Health, DHS
  • Screening instruments

  • Ages and Stages: Social-Emotional (ASQ:SE), Brookes
  • Ages and Stages: Third Edition (ASQ: III), Brookes
  • Brief Infant Toddler Social Emotional Assessment (BITSEA), Pearson
  • Pediatric Symptom Checklist (PSC), Massachusetts General Hospital
  • Strengths and Difficulties Questionnaire (SDQ), youth in mind
  • Beck Depression Inventory (BDI), Pearson
  • Edinburgh Postnatal Depression Scale (EPDS), Childbirth Solutions, Inc.
  • Patient Health Questionnaire (PHQ-9), The Macarthur Initiative
  • Child Development Review (CDR-PQ), Behavior Science Systems, Inc.
  • Infant Development Inventory (IDI), Behavior Science Systems, Inc.
  • Parents’ Evaluation of Developmental Status (PEDS), PEDSTest.com, LLC
  • Health care homes (aka medical homes)

  • National Center for Medical Home Implementation
  • Minnesota's Health Care Homes Initiative, MDH
  • Description of Medical Home, MDH
  • Minnesota Health Care Programs (MHCP) Health Care Homes, DHS
  • MHCP Health Care Home payment policies (MHCP Provider Manual), DHS
  • Legislative Language for Health Care Homes, MDH
  • Children’s health topics

  • Children’s Mental Health, American Academy of Pediatrics
  • Developmental stages: Prenatal – Infancy, American Academy of Pediatrics
  • Developmental Stages: Early Childhood (1-4 years), American Academy of Pediatrics
  • Developmental Stages: Middle Childhood (5-10 years), American Academy of Pediatrics
  • Organization partners

  • ABCD III – Year 1, The Commonwealth Fund
  • ABCD III Project, National Academy for State Health Policy
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