Parent checks in/Regsiters- updateddemographics, insurance is collected)

Encounter Form sentto Nurses Station

Nurse pullschart,

encounterform,

anticipatorydevelopment

guideline sheet,.

Nurse takeschild's vitals

Nurse putsparent in examroom and gives

them the PEDS Response Form to

Complete. Nurse reviewsimmunization

record preparesshots, educationsheets on shots

Child examed by MD.MD scores PEDS discusses results

with parents, asksfor permission to refer if needed

Nurse administers shots-Nurse obtains consentand puts copy on chart. Children who failed referred

by nurse IDEA or schools with specific requestfor feedback on child referred.

Parent checks out- Staff toassist with check-out

Primary Care Practice - - Screening & Referral Practice FlowExample 1

scores PEDS attaches to chart

Parent checks in/Registers- presents PEDS

Med Tech pullschart,

encounterform,

anticipatorydevelopment

guideline sheet,.

Med Tech takes vitals, places

family in exam room

MD examines childDiscusses PEDSresults, seeks consentto refer if needed, Retrieves/discusses patient ed materials, etc.

Med Tech administers shots, contacts referral sources if needed

Parent checks out- Staff toassist with check-out

Primary Care Practice - - Screening & Referral Practice FlowExample 2

Receptionist attaches to chart for nurse to score

PEDS sent home with appointment reminder

PEDS results scored automatically, transmitted to

office and inserted into electronic medical records

Or staff enter PEDS into online site/EMR

MD examines childdiscusses PEDS results, seeks consentto refer if needed, Retrieves/discusses patient ed materials, etc.

Med Tech administers shots, opts to print PEDS results referral letter automaticallygenerated by software, emails referral

resources, prints copy for family

Parent checks out- Staff toassist with check-out

Primary Care Practice - - Screening & Referral Practice FlowExample 3 Parent completes PEDS in waiting room with

paper and pencil or computer kiosk

Receptionist keys PEDS responses into electronic medical

record. Results scored automatically, inserted into electronic medical records

Or results transmitted to office

MD examines childdiscusses PEDS results, seeks consentto refer if needed, Retrieves/discusses patient ed materials, etc.

Med Tech administers shots, opts to print

referral letter automaticallygenerated by software, emails referral

resources, prints copy for family

Parent checks out- Staff toassist with check-out

Primary Care Practice - - Screening & Referral Practice FlowExample 4 Parent completes PEDS online in waiting

roomkiosk or at home

____ types results into online scoring or scores print measures

Parent checks out

Screening & Referral, Parent Education Practice FlowParent completes screens in waiting

room with paper-pencil

_____conducts screens by interview, assesses need for

parenting information

_______distributes measures in clinic

____ distributes parent information sheets

_____retrieves online results and adds to chart

Parent completes screens online at home or via waiting room computer

____makes referrals if needed____explains results to parents

____updates patient chart

____implements follow-up plan

____ adds coding to the billing sheet