Janet Cady, MN, ARNPNeighborcare Health
University of Washington2013
Disease Prevention and Health Promotion/Screening Guidelines
Child Safety Seats
Fluoridation Immunizations
Bike Helmets
Home SafetyBack to Sleep
Prevention Works!
Least likely to use health services20-34% received no health care in
previous yearParent level of education & insurance
status impact utilizationPoverty= less preventive health careMinority = less preventive health careAnd annual routine preventive services
are recommended for all adolescents
Utilization of Preventive Services
Bright Futures Charter- 1994
Risk & Protective FactorsIndividualPeerFamilySchoolCommunity
+ Protective Factors= + Health Outcomes+ Risk Factors= - Health Outcomes
Catalano & Hawkins- UW~ SDRG
We know what works…
Bright Futures Steering & Advisory Committees- 2008
American Academy of Pediatrics
American Academy of Family Physicians
Ambulatory Pediatric Association
Family Voices
National Association of Pediatric Nurse
Practitioners
American Dietetic Association
HRSA, Maternal & Child Health Bureau
American School Health Association
American Academy of Child & Adolescent
Psychiatry
American College of Preventive Medicine
Mental Health America
American Academy of Pediatric Dentistry
Centers for Disease Control & Prevention
Indian Health Service
National Initiative for Children’s Healthcare
Quality
American Medical Association
and more…
Effective PartnershipsCommunicationPromoting Health & Preventing IllnessManaging TimeEducating FamiliesAdvocating
PATIENT & FAMILY-CENTERED CARE
Bright Futures Core Concepts
Use of a preventive services prompting sheetUse of structured tools to assess the child and
family’s developmental and behavioral needs Evaluation of parental strengths and needs,
including assessment of protective factors Use of recall and reminder systems Linkage of the child and family to appropriate
community resources Use of assessment strategies at well-child visits
to identify children with special health care needs
Six Key Components
Surveillance
Screening
Assessment
Guidelines
Anticipatory Guidance
Surveillance, Screening, Assessment, Guidelines, & Anticipatory Guidance
Solicits concerns from parent & child
Surveillance and screeningAssessment of strengthsDiscussion of certain priorities for improved child & adolescent health & family function over time.
Bright Futures Visit
Health History & Physical Examination
Vision, Hearing, Dental, & Risk-based Screening
Anticipatory Guidance PrioritiesPhysical Growth & DevelopmentSocial & Academic CompetenceEmotional Well-beingRisk ReductionViolence & Injury Prevention
Adolescent Health Care Bright Futures- 2008
Goals for Quality Improvement
Immunization
CRAFFT
“HEADS” Assessment/Screening
HOME
EATING
Energy/Exercise/Sleep
DRUGS & ALCOHOL
SAFETY
SEXUALITY
STRENGTHS & SKILLS
Bright Futures at AAPwww.brightfutures.aap.org
Bright Futures at Georgetownwww.brightfutures.org
Internet Resources