Bright Futures

TM

Preventive Services Quality Improvement Measures

Bright Futures is a vision and a philosophy of children's health care. It is also a set of up-to-date guidelines suggesting a comprehensive approach to health care for all children from birth through adolescence. Using CHADIS to assure that the age-appropriate Bright Futures topics are addressed is the easiest way to do this. 

The CHADIS version of Bright Futures was reviewed by Dr. Joseph Hagan, the editor of Bright Futures, who concluded that “CHADIS finally makes Bright Futures possible.”  Adhering to "Bright Futures Guidelines" is required by the Affordable Care Act.

 

CHADIS offers hundreds of screening, diagnostic and data collection tools and questionnaires including tools in every category advised by Bright Futures below and associated clinical decision support.  CHADIS has been updated to completely cover the latest (4th) version of Bright Futures.  


Pediatricians can meet MOC-4 requirements while following Bright Futures guidelines through CHADIS.

Preventative Quality Measures - Infancy & Early Childhood

  •  Elicit and address patient/family concerns and goals

  • Elicit and discuss patient/family strengths

  • Perform developmental and autism screening and follow-up, including the only validated way to automate the M-CHAT-R Follow-up Interview  (as well as a validated more accurate alternative for 18 months)

  • Perform age-appropriate risk assessment and medical screening

  • Perform maternal depression screening and follow-up

  • Perform oral health risk assessment

  • Fulfills Bright Futures safety guidance guidelines by identifying non-adherence or lack of information in families and then provides targeted handouts in CHADIS Care Portal or to print.  

2 Week Checkup - 2 Month Checkup

2 Month - 9 Month Checkup

12 - 15 Month Checkups

18-month Checkup

24-month Checkup

36-month Checkup

4 - 13 Year Checkups

Preventative Quality Measures - Adolescence

 

  • Elicit and address patient/family concerns

  • Perform developmental surveillance/identification of youth strengths

  • Perform risk assessments and medical screening (vision, hearing, TB, anemia, dyslipidemia, alcohol/substance abuse, STIs, and measure and plot BMI % based on age and gender)

  • Perform chlamydia screening and follow-up

  • Perform HIV screening and follow-up

  • Perform adolescent depression screening and follow-up

  • Perform cholesterol screening and follow-up

  • Provide anticipatory guidance

 

6 Office-Based System Measures (for both age groups)

 

  • Use a preventive services prompting system

  • Prior to the visit, patients complete online questionnaires that are automatically assigned appropriately for the type of planned visit and the patients’ age and sent by email to patient/caregiver.

  • Use a recall/reminder system (to address immunizations and well-child visits)

  • Use a system to track referrals (paper-based or electronic)

  • Use a system to identify children with special health care needs

  • Link families to appropriate community resources

  • CHADIS supports clinicians in assigning to patient’s MemoryBook Care Portal

web page and/or printing: 

  • Personalized patient educational messages

  • Resources specific to their situation – text, videos, games, websites and local and national resources

  • Personalized treatment plans (e.g. Asthma Action Plan)

  • Resource free text search opportunity within CHADIS database

  • Use a strength-based approach and a shared decision-making strategy

 

14 - 18 Year Checkups

Decision Support

The CHADIS Clinician Worksheet provides instant, scored and analyzed questionnaire results and links to decision support information including Clinician E-Chapters, Parent Handouts and local and national resources.  Once resources are selected, they are instantly delivered to the child’s Care Portal or may be printed. CHADIS documents handout dissemination as well as other interventions for Quality Improvement programs.