Gauging Success: Measurement and Evaluation

The ABCD collaborative experience confirms the importance of being able to show results for improving, sustaining, and spreading innovation and provides valuable information for others seeking to use data to support policy and practice improvements, especially in the delivery of child development services. Three immediate suggestions for those initiating such work are:

  • Ensure that plans for measurement are in place at the start,
  • Identify an individual who is responsible for managing all measurement activity, and
  • Pilot measurement approaches early in the effort.

Specific examples of strategies used by the ABCD states to gauge success include:

  • Including developmental screening and surveillance in your state quality strategy as well as in routine assessment and audit of state systems
  • Enhancing the reporting of Early and Periodic Screening, Diagnostic, and Treatment (EPSDT)
  • Using claims and enrollment data effectively
  • Using provider and/or family surveys and focus group as well as medical chart review data effectively
  • Partnering with other state agencies to collect robust, child-centered data

This section highlights resources for measuring and evaluating the important work of improving the quality of child development services.

 

Title Description Date Published Resource State
Assuring Better Child Health & Development (ABCD) in Minnesota: 2003 – 2012 (Glenace Edwall, October 2012) This is a set of slides that was presented by Glenace Edwall of the Minnesota ABCD team at the 2012 NASHP Annual Conference in Baltimore, Maryland. The presentation details the history of ABCD in Minnesota and includes information about Minnesota’s ABCD II, ABCD Screening Academy, and ABCD III projects. January 2013 State-specific Minnesota
Setting the Stage for Success: The NC ABCD Project 2000-Present (Marian Earls: Presentation at 2012 NASHP Annual Conference) This presentation by Dr. Marian Earls provides a history of ABCD in North Carolina. The presentation details the start of ABCD in North Carolina with ABCD I in 2000 and how Community Care of North Carolina has sustained the work since Commonwealth funding for ABCD ended. The presentation also details results and successes achieved by the project, and offers lessons learned for other states. October 2012 State-specific North Carolina
ABCD III: Lessons Learned Through Year 2 Wilder Research (Minnesota ABCD III Team: February 2012) This document, developed by Minnesota’s project evaluator, Wilder Research, details activities through year 2 of Minnesota’s ABCD III project. It describes pilot site activities, sustainability and spread plans, and lists lessons learned. The document also has several appendixes including one that details recent changes to Minnesota’s Early Intervention system, a summary of key reporting measures, data collection tools, and several interview protocols. June 2012 State-specific Minnesota
ABCD III: Lessons Learned Through Year 2 Summary Wilder Research (Minnesota ABCD III Team: February 2012) This document is a summary of the full report listed above and contains a brief overview of lessons and recommendations through the second year of Minnesota’s ABCD III project. June 2012 State-specific Minnesota
Oklahoma Practice Feedback Form Oklahoma ABCD III Team (Oklahoma University Health Sciences Center: December 2011) Upon completion, this document provides primary care practices with an update on the requests for early childhood services that have been made via the electronic web portal. It lists the number of pending, processing, responded, and completed requests and offers reminders for practices when using the web portal. May 2012 State-specific Oklahoma
Tracking Linkages: A Closer Look at Data Tools in Minnesota and Oklahoma (NASHP/CMWF: June 2011) This is a recording of two state presentations from an ABCD III Evaluation Workgroup Webcast. This recording features presentations from Minnesota on its Access Database and from Oklahoma on its Web Portal. The  speakers described how these data tools 1) track information for the common outcome (and additional measures), 2) fit into clinic or organization office flows, 3) interact with EHRs, 4) change over time, and 5) inform (or might potentially inform) other state projects. June 2011 NASHP – Commonwealth
Measurement to Support Effective Identification of Children at Risk for Developmental Delay (Neva Kaye, Jennifer May, Colleen Peck Reuland: NASHP)  This State Health Policy Briefing is the third in a series examining the efforts of 19 states, the District of Columbia and Puerto Rico to improve identification of children with or at risk for developmental delay. For 15 months, ending in July 2008, these states and territories worked together, with the support of NASHP and the Commonwealth Fund, to make policy and practice changes that supported primary care providers’ use of a validated developmental screening tool as part of well child care. April 2009 NASHP – Commonwealth
CAHMI Pediatric Preventive and Developmental Health Care Survey (CAHMI) This survey is part of the Child and Adolescent Health Measurement Initiative (CAHMI)  project focused on providing useful information about the preventive and developmental health care delivered to young children (0-3 years old) in the Pediatrics Department at Kaiser Permanente Northwest (KPNW). This survey is designed to gather information on providers’ practices, perceptions of, and barriers to preventive and developmental health care for young children. (www.cahmi.org/) January 2009 Other
Medicaid and SCHIP Quality Practices: Tools, Tips, and Protocols (The Centers for Medicaid and Medicare Services) CMS developed a useful kit of quality practices for use in Medicaid and CHIP programs. Quality Tools, Tips and Strategies. A number of resources are available on this website to assist states in enhancing their external quality review activities. Specific tips related to medical chart (or record) reviews are provided. January 2009 Other
“Creciendo Juntos” Chart Review Process (Puerto Rico ABCD Screening Academy “Creciendo Juntos” Project) Description of preferred chart review process of children eligible for the ABCD Screening project. December 2008 State-specific Puerto Rico
Developmental Screening Initiative New Mexico Chart Audit Tool (and Evaluation Tool) (New Mexico ABCD Project) Chart audit tool used in New Mexico as a source for measurement data. Chart review is performed at baseline and one-month visits. December 2008 State-specific New Mexico
Preliminary Ohio Measurement Plan (Ohio ABCD Project) Ohio developed a control chart using Medicaid claims data that assesses the number of screening claims (96110 and 96111) for children at one and two years of age. The state plans on tracking data quarterly and annotating the chart to assess how changes have impacted screening and its documentation. Ohio is also discussing chart review to measure and analyze data at the individual practice level and compare this with claims data, as a way to confirm the validity of these methods. December 2008 State-specific Ohio
Medicaid Paid Claims for Extended Developmental Testing under 96111 code (Virginia ABCD Project) Chart providing visual display of claims paid under 96111 code for children birth through 5 years of age by month of service in Virginia, January 2005 through December 2007 (preliminary). December 2008 State-specific Virginia
Findings from Virginia’s 2007 Primary Care Provider Developmental Screening Survey (Virginia ABCD Project) Summary of Findings of 2007 Provider Survey. This report summarizes results of 30 completed and returned surveys of pediatric providers that were distributed at the fall 2007 Virginia Chapter of the American Academy of Pediatrics (AAP) meeting in Williamsburg, Virginia. This survey obtained a rough assessment of the use of developmental screening practices in the community. December 2008 State-specific Virginia
Medicaid Paid Claims for Extended Developmental Testing under 96110 code Virginia ABCD Project. (2008). Chart providing visual display of claims paid under 96110 code for children birth through 5 years of age by month of service in Virginia, January 2005 through December 2007 (preliminary). December 2008 State-specific Virginia
New Jersey’s ABCD Screening Academy Grant Baseline Chart Review New Jersey ABCD Screening Academy Project (2008). Data from New Jersey’s sample chart review, using 5 charts each from 9 month, 18 month, and 30 month well-child visits. December 2008 State-specific New Jersey
Number of infant screenings by pilot site Delaware ABCD Screening Academy Project (2008). Table showing number of infant screenings by pilot site between January and June. December 2008 State-specific Delaware
California AAP Pilot Site Data Collection Template California AAP (2008) Excel spreadsheet developed for recording and analyzing data from pilot sites implementing developmental screening. Results and indicators are immediately tabulated as data is entered. This file can take a few moments to download and open. If you experience any difficulties, please contact Ann Cullen, acullen@nashp.org, and she will send you a copy of the Excel tool. December 2008 State-specific California
Sample summary of data collected during Minnesota’s parent survey of well-child visits Minnesota ABCD Screening Academy Project (2008). Summary of findings from first administration of parent survey of well-child visits, arranged by: Parent and Family Concerns; Provider-Patient Discussions; Experience of Care; Family Questions; and Health Care Provider. December 2008 State-specific Minnesota
Virginia’s Medicaid Paid Claims for 96110 code for January 2005 through April 2007 Virginia ABCD Screening Academy Project (2008). Two charts showing Medicaid Paid Claims for Developmental Screening For Children Birth through 5 Years of Age by Month of Service Virginia, January 2005 through April 2008, and Children with a Medicaid Paid Claim for Developmental Screening For Children Birth through Five by Age and Year of Service Virginia, Calendar Years 2005, 2006, and 2007. July 2008 State-specific Virginia
Virginia’s Medicaid Paid Claims for 96111 code for January 2005 through April 2008 Virginia ABCD Screening Academy Project (2008). Two charts showing Medicaid Paid Claims for Developmental Testing For Children Birth through 5 Years of Age by Month of Service Virginia, January 2005 through April 2008, and Children with a Medicaid Paid Claim for Extended Developmental Testing For Children Birth through Five by Age and Year of Service Virginia, Calendar Years 2005, 2006, and 2007. July 2008 State-specific Virginia
ASQ screenings performed at Piedmont Health Department WIC Clinic January-May 2008 Virginia ABCD Screening Academy Project (2008). Table showing data on ASQ Screenings performed at Piedmont Health Department WIC Clinic January-May 2008. June 2008 State-specific Virginia
Proposal for ABCDII Evaluation Study Focus Groups The Iowa ABCDII Evaluation Committee (March 2006) This document details the ABCD project’s recommendations for using focus group methods to obtain data regarding project-related questions of interest beyond the three required NASHP performance measures. December 2007 State-specific Iowa
Summary of interviews with Ohio ABCD Screening Academy pilot practices Ohio ABCD Project (2007) Summary of interviews with pilot practices regarding use of standardized developmental screening practices. December 2007 State-specific Ohio
Preliminary Ohio Measurement Plan Ohio ABCD Project (2007) Ohio developed a control chart using Medicaid claims data that assesses the number of screening claims (96110 and 96111) for children at one and two years of age. They are also considering chart review to measure and analyze data at the individual practice level and compare this with claims data, and exploring how to track referrals using Help-Me-Grow data. December 2007 State-specific Ohio
Medicaid Paid Claims for Developmental Screening Virginia ABCD Project (2007) Two charts showing Medicaid paid claims for developmental screening for children from birth through 5 years of age in Virginia for calendar years 2005 and 2006. December 2007 State-specific Virginia
Description of Wisconsin Division of Public Health- DHFS Developmental Screening Survey Wisconsin DHFS (2007) This resource provides a description of the Wisconsin survey designed to identify what methods primary care providers in Wisconsin are using to assess child development. December 2007 State-specific Wisconsin
Questions for Wisconsin Division of Public Health- DHFS Developmental Screening Survey Wisconsin DHFS (2007) This survey was developed to collect information on the use of developmental screening in clinical practice by Wisconsin primary care providers. December 2007 State-specific Wisconsin
Claims Data Cheat Sheet Colleen Reuland (2007) Cheat sheet for using claims data to measure the percent of children screened to identify developmental concerns. December 2007 NASHP-Commonwealth
Parent Report Cheat Sheet Colleen Peck Reuland (2007). This document (shared at the June 5, 2007 ABCD TA call) contains key clarifying questions and helpful hints for using parent reports to measure the percentage of children screened to identify developmental concerns. December 2007 NASHP-Commonwealth
Measuring the “Fruits of Your Labor” Colleen Peck Reuland. (2007). This presentation (shared during the June 5, 2007 ABCD TA call) includes tips and strategies to identify, develop, and implement measures to assess screening and evaluate Screening Academy Efforts. It covers medical chart review, parent reports, and claims data. December 2007 NASHP-Commonwealth
Measuring your progress, approaches, resources, and considerations Colleen Peck Reuland. (2007). PowerPoint presentation for ABCD Screening Academy Learning Session, July 2007. This presentation describes measurement criteria and provides tips specific to using different data sources. July 2007 NASHP-Commonwealth
Medical Chart Cheat Sheet Colleen Peck Reuland. (2007). This document (shared at the June 5, 2007 ABCD TA call) contains key clarifying questions and helpful hints for using medical charts to measure the percentage of children screened to identify developmental concerns. July 2007 NASHP-Commonwealth
The Promoting Healthy Development Survey (PHDS)-PLUS: Implementation Guidelines for Medicaid and Other Settings Christina Bethell, Colleen Reuland, and Brooke Latzke. (New York, NY: The Commonwealth Fund, February 2007). This manual provides detailed guidelines for implementing the Promoting Healthy Development Survey-PLUS (PHDS-PLUS) in Medicaid and other programs and settings. February 2007 NASHP-Commonwealth
Measuring and Evaluating Developmental Services: Strategies and Lessons from the ABCD Consortium States Colleen Peck Reuland and Christina Bethell. (Portland, ME: National Academy for State Health Policy, December 2006) This paper explores how ABCD Consortium states measured the effectiveness of their efforts to improve the delivery of mental health services for very young children. It provides states seeking to implement efforts similar to those in ABCD II Consortium information on evaluation methodologies as well as real-world examples and lessons learned by the ABCD II states during their measurement efforts. December 2006 NASHP-Commonwealth
Promoting Healthy Development Survey – PLUS (PDHS-PLUS) CAHMI (The Child and Adolescent Health Measurement Initiative, 2006) This document provides a high-level summary of the questions asked in the PHDS-PLUS, a 128-item telephone/interviewer-administered survey largely derived from the mail/self-administered Promoting Healthy Development Survey (PHDS). (From Survey cover) December 2006 NASHP-Commonwealth
Evaluation summary from Assuring Better Child Development (ABCD) Project Training Session Three March 30th, 2006 Iowa ABCD Project (2006). This resource is summary of evaluation responses from the ABCD Training Session Three held on March 30th, 2007. December 2006 State-specific Iowa
Iowa ABCD II Focus Groups: Selected Participant Comments Iowa ABCD Project (2006) A summary of comments from a focus group of selected participants that examined the implementation of standardized screening and referral protocols during the ABCD project. December 2006 State-specific Iowa
ABCD Healthy Beginnings Evaluation: Lessons Learned–Stakeholders Illinois ABCD Healthy Beginnings. (2006). This resource lists interview questions for the Healthy Mental Development panel workgroup and subcommittee members regarding their overall experience with the ABCD project. December 2006 State-specific Illinois
ABCD Healthy Beginnings Pediatric practice Social/Emotional (S/E) and Maternal Depression questionnaire Illinois ABCD Healthy Beginnings. (2006). This survey is the final questionnaire for pediatric practices on their use of Social/Emotional (S/E) and Maternal Depression screening. December 2006 State-specific Illinois
ABCD Healthy Beginnings: Parent Satisfaction Survey Illinois ABCD Healthy Beginnings (2006) This survey was given to parents who had completed the ASQ:SE to evaluate their satisfaction with the instrument. December 2006 State-specific Illinois
Illinois’ 2005 Perinatal/Postnatal Evaluation Tool for maternal depression screening Illinois Department of Healthcare and Family Services. (2006). This evaluative resource identifies the percentage of enrolled women that were screened for depression – as documented in the medical record – during the prenatal and/or postpartum period. In addition, the study was designed to collect data on whether or not treatment and follow-up occurred if the screening was positive for depression. December 2006 State-specific Illinois
Minnesota Early Childhood Comprehensive Screening Systems Focus Group Report Minnesota ABCD Project. (2005). This resource summarizes an environmental scan of Minnesota’s screening for young children. 11 focus groups were held during March and April 2004 at five Minnesota sites—Detroit Lakes, Grand Rapids, Redwood Falls, Rochester, and Roseville. The focus groups were designed to gather information from regional experts to assess how the early childhood screening system for children from birth to age five addresses the five key elements of the Minnesota Early Childhood Comprehensive Screening Systems (MECCSS) Planning Grant. December 2006 State-specific Minnesota
Parent Survey North Carolina ABCD Project. (2006). This parent survey was used to evaluate whether standardized screening was being implemented in primary care practice and to assess further parental needs. December 2006 State-specific North Carolina
Practice Screening Tool Usage Survey UPIQ. Survey of practice screening tool usage. December 2006 State-specific Utah
ABCD II Evaluation Physician Focus Group Iowa ABCD Project. (April 2006). A summary of a provider focus group examining the implementation of standardized screening protocols in the Pella demonstration sites conducted on April 20, 2006. April 2006 State-specific Iowa
Using External Quality Review Organizations to Promote Young Children’s Healthy Mental Development NASHP. (Portland, ME: National Academy for State Health Policy, April 2006) This brief examines case studies of states’ use of EQRO’s in collaborative performance improvement projects. April 2006 NASHP-Commonwealth
Focus Group Results–Physicians and Nurse Practitioners at an Urban Pediatric Practice Iowa Focus Group Results (April 2006). This resource is a summary of participant comments at a focus group examining the implementation of standardized screening and referral protocols in the Dubuque demonstration sites conducted on April 6, 2006. April 2006 State-specific Iowa
Studying and Tracking Early Child Development from a Health Perspective: A Review of Available Data Sources Brett Brown and Martha Zazlow (Washington, DC: Child Trends, February 2006) In this report, the authors review existing national data sources in terms of their capacity to inform child health policy and practice in their efforts to promote early child development. The body of the report provides an overview of existing areas of strength, identifies gaps, and makes recommendations for future data development. February 2006 Peer-reviewed
Questionnaire for Best PCP Stakeholders Cricket Mitchell. California ABCD Project (2005). A questionnaire used to glean information regarding potential stakeholder interests & potential roles. December 2005 State-specific California
Parent Satisfaction with Edinburgh survey Illinois ABCD Healthy Beginnings. (2005). This resource is a survey of parent experience with standardized maternal depression screening. December 2005 State-specific Illinois
State Approaches to Promoting Young Children’s Healthy Mental Development: A Survey of Medicaid, Maternal and Child Health, and Mental Health Agencies (Jill Rosenthal and Neva Kaye, NASHP/CMWF: 2005) This report examines how states are addressing the healthy mental development of children ages birth to 3 and is based on a survey of Medicaid, maternal and child health, and children’s mental health agencies in all 50 states and the District of Columbia. The report addresses critical issues confronting states, common approaches to addressing them, and promising new initiatives that states have undertaken to improve systems of care for young children’s social/emotional development. November 2005 NASHP – Commonwealth
States in Action Archive: North Carolina is Assuring Better Child Health and Development (The Commonwealth Fund: September 6, 2005) This state profile details the positive outcomes of North Carolina’s ABCD project. The profile also discusses how the success of the ABCD program led to a change in state Medicaid policy. Providers in NC are now required to screen children for developmental disorders at specific time periods with a standardized screening tool, following the ABCD model. September 2005 Commonwealth and State-specific North Carolina
Using External Quality Review Organizations to Promote Young Children’s Healthy Mental Development Henry Ireys, Tara Krissik, James Verdier, et al. (New York, NY: The Commonwealth Fund, June 2005). This study provides state Medicaid programs, managed care organizations, EQROs, and other child health professionals with strategies for using EQROs to enhance the quality of preventive and developmental services for young children. (From Abstract) June 2005 NASHP-Commonwealth
Developmental Screening Practices and Autism Awareness of Utah’s Primary Care Physicians: 2004 Survey Results Jennifer Chapman Lloyd et al. (Utah Department of Health; University of Utah School of Medicine, April 2005). Results from a mail survey of Utah family physicians and pediatricians about developmental screening and referral practices, and autism spectrum disorder. April 2005 State-specific Utah
California Best PCP measures of outcomes – Diagram California ABCD Project (February 2005) Flowchart: California Best PCP Measures of Outcomes showing the relationships between Primary Care and “Outside” resources. February 2005 State-specific California
Providing Developmental Services in Primary Care: The North Carolina ABCD Project (The Commonwealth Fund: August 9, 2004) This is an overview of the North Carolina ABCD project. The page includes information on the issue of developmental screening, the background in North Carolina, the participants in the NC ABCD project, and successes experienced by North Carolina – including statstics on screening rates in areas that adopted the ABCD model. The page also details lessons learned and next steps. August 2004 Commonwealth and State-specific North Carolina
Integrating Measures of Early Childhood Health and Development into State Title V Maternal and Child Health Services Block Grant Plans Holly Grason, Catherine Hess, Karen Van Landeghem, et al. (Baltimore, MD: Johns Hopkins University, June 2004). This brief provides information about measures of preventive health and developmental services for children from birth to age five and how those measures can be integrated into MCH plans. The brief also is intended to assist policymakers, program managers, and providers concerned with early childhood health and development learn about opportunities with state MCH programs. (From Overview) June 2004 Other
Measuring the Quality of Preventive and Developmental Services for Young Children: National Estimates and Patterns of Clinicians Christina Bethell, Colleen Reuland, Neal Halfon, and Edward Schor. Pediatrics, June 2004; Vol. 113, pp. 1973-83. This study, part of a special issue of Pediatrics, generates a national picture of performance in the area of preventive and developmental services for young children using four composite quality measures in the areas of 1) anticipatory guidance and parental education, 2) screening for family psychosocial risks, 3) screening for smoking and drug and alcohol use in the home, and 4) provision of family-centered care. (From Abstract) June 2004 Peer-reviewed
The National Survey of Early Childhood Health Stephen J. Blumberg, Neal Halfon, and Lynn M. Olson. Pediatrics Vol. 113 No. 6 June 2004, pp. 1899-1906. The National Survey of Early Childhood Health (NSECH) is a new survey that was designed to provide nationally representative data on the health and development of children and to fill an information gap in the pediatric literature on parents’ views of the delivery of health care to their young children. June 2004 Peer-reviewed
Evaluation data on the number of children screened and referred under ABCD North Carolina ABCD I Project These charts contain data on the number of children screened and referred with the Ages and Stages questionnaire and include baseline and post intervention rates. December 2003 State-specific North Carolina
Assuring Better Child Health and Development (ABCD) Evaluation North Carolina ABCD I Project. (2003). This resource outlines a stakeholder group’s work plan to measure and evaluate program goals, screening rates, and ongoing data tracking/trending. Strategies were designed to track improvements throughout the initiative. December 2003 State-specific North Carolina
Survey of Primary Care Providers: Developmental Screening and Referral for Early Intervention Services North Carolina ABCD I Project.(2003). This survey was designed to elicit an understanding of primary care providers’ views on, and experience with, developmental screening and referral services. December 2003 State-specific North Carolina
The Health and Well-Being of Children: A Portrait of States and the Nation 2005 U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. The National Survey of Children’s Health 2003. This chartbook (based on data from the National Survey of Children’s Health) includes state-level information about the percentage of children ages 0-5 whose parents reported one or more concerns about learning, development or behavior. December 2003 Other
Summary of Interviews & Focus Groups with Parents of Young Children: Reporting the Promoting Healthy Development Survey (PHDS) Findings to Parents CAHMI (2003) CAHMI summary of focus groups and interviews with parents. Information about how to report on quality of care findings about well-child care. December 2003 Other
National Evaluation of the ABCD Initiative Center for Health and Public Service Research, New York University and University of Kansas (October 2003) This report examines results from a national evaluation of the ABCD I program conducted by a combination of researchers from Northwestern University, New York University and University of Kansas funded by The Commonwealth Fund as the national evaluators for ABCD. The evaluation team adopted a case study approach, involving primarily qualitative data collection. October 2003 NASHP-Commonwealth
Touchpoints Implementation Survey Vermont ABCD I Project. This survey was used to collect data about provider and staff implementation of the Touchpoints guiding principles presented during the Touchpoints seminar. July 2003 State-specific Vermont
Touchpoints Post-Training Assessment Form Vermont ABCD I Project. This post-training assessment of Touchpoints for University of Vermont faculty and other trainees was designed to determine the sustainability of the Touchpoints model. July 2003 State-specific Vermont
A Practice Survey 2002, ABCD Pilot in Raleigh, North Carolina North Carolina ABCD I Project (2002) This report details findings from the ABCD provider/practice survey. December 2002 State-specific North Carolina
A summary of the FACCT survey findings NASHP. (Portland, ME: National Academy for State Health Policy, October 2002) News from the Assuring Better Child Health and Development Program: This brief discusses the findings from a survey of parents assessing the quality of preventive and developmental services for young children enrolled in Medicaid.

October 2002 NASHP-Commonwealth
Partnering With Parents to Promote the Healthy Development of Young Children Enrolled in Medicaid: Results From a Survey Assessing the Quality of Preventive and Developmental Services for Young Children Enrolled in Medicaid in Three States Christina Bethell, Colleen Peck, Melinda Abrams, et al. (The Commonwealth Fund, New York, NY, September 2002). This paper presents results of a survey of 1,900 parents of children under age four who were covered by Medicaid. The Promoting Healthy Development Survey-PLUS survey of parents also examined issues surrounding the health of young children and their parents as well as family health behaviors and routines. The survey was administered in three states participating in the ABCD program: North Carolina, Vermont, and Washington. (From the Executive Summary) September 2002 NASHP-Commonwealth
Evaluation Plan for Vermont’s Healthy Babies, Kids, and Families Program Judith Shaw, Annette Rexroad. (Vermont ABCD I Project, May 24, 2002) This Evaluation Plan submitted as part of the Vermont Healthy Babies, Kids, and Families Expansion grant focuses primarily on documenting the processes by which Medicaid services are administered. May 2002 State-specific Vermont
Methods for evaluating the provision of well child care Kathleen M. Schneider et al. Joint Commission Journal on Quality Improvement. Dec 2001;27(12):673-82.  This article compares administrative data and medical record review to ascertain the number of well child visits provided. December 2001 Peer-reviewed
Using Peer Review for Self-Audits of Medical Record Documentation Ronald Bradshaw (2000) American Academy of Family Physicians 7 no. 4 (April 2000) A good general overview about medical chart reviews. April 2000 Peer-reviewed