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Quality Improvement

Projects

  • Maternal & Child Health
    • ABCD - Developmental Screening
    • Early Perodic Screening, Diagnosis and Treatment
    • EPSTD Clinician Toolkit
    • Maternal & Child Health Collaboration
    • Maternal Infant Health Program
    • Tobacco Cessation Module
  • Disease Management
    • Asthma
  • Disparities
  • Managed Care Quality Improvement and Accreditation
    • Technical Assistance
    • NCQA Seminars
    • Case Mgt/Disease Mgt.
  • Education
  • Case Management Seminars

Presentations

EPSDT Clinician Toolkit

EPSDT/Well Child Exam

NOTE: Well Child Exam Forms (Updated 4/2011) correspond with the current AAP/Bright Futures guidelines. Please refer to the periodicity table link below.

The Well Child Exam forms consist of four pages. The fist page is the physical exam; the second page is Developmental Surveillance and may be used if a Validated Developmental Screener is not used; the third page is required for foster care children; and the fourth page is a parent information handout.

Newborn-1 Week

Newborn-1 Week (PDF)

9 Months

9 Months (PDF)

30 Months

30 Months (PDF)

6-10 Year

6-10 Year (PDF)

4 Weeks

4 Weeks (PDF)

12 Months

12 Months (PDF)

3 Year

3 Year (PDF)

11-14 Year

11-14 Year (PDF)

2 Months

2 months (PDF)

15 Months

15 Months (PDF)

4 Year

4 Year (PDF)

15-18 Year

15-18 Year (PDF)

4 Months

4 Months (PDF)

18 Months

18 Months (PDF)

5 Year

5 Year (PDF)

 

6 Months

6 Months (PDF)

2 Year

2 Year (PDF)

Child IAC Immunization Schedule (PDF)

Spanish language parent information sheets (for use with above Well Child Exam forms). These forms are available in both Word or PDF format..

Newborn - 1 week

Newborn - 1 week (PDF)

9 months


9 months (PDF)

30 months


30 months
(PDF)

11-14 year


11- 14 year
(PDF)

4 weeks

4 weeks (PDF)

12 months

12 months
(PDF)

3 year

3 year
(PDF)

15-18 year

15 - 18 year
(PDF)

2 months

2 months (PDF)

15 months

15 months
(PDF)

4 year

4 year
(PDF)

 
4 months

4 months (PDF)

18 months

18 months
(PDF)

5 year

5 year
(PDF)

 

6 months

6 months (PDF)

24 months

24 months
(PDF)

6-10 year

6 - 10 year
(PDF)

 

Arabic language parent information sheets for use with above Well Child Exam forms. These forms are available in both Word or PDF format.

Newborn - 1 week

Newborn - 1 week (PDF)

9 months


9 months (PDF)

30 months


30 months (PDF)

11-14 year


11 - 14 year (PDF)

4 weeks

4 weeks (PDF)

12 months

12 months (PDF)

3 year

3 year (PDF)

15 - 18 year

15 - 18 year (PDF)

2 months

2 months (PDF)

15 months

15 months (PDF)

4 year

4 year (PDF)

 

4 months

4 months (PDF)

18 months

18 months (PDF)

5 year

5 year (PDF)

 

6 months

6 months (PDF)

24 months

24 months (PDF)

6 - 10 year

6 - 10 year (PDF)

 

 

AAP/Bright Futures Periodicity Table

Reminder Postcard for Parents
(designed for Avery Laser Index and Postcard 5389)

EPSDT brochure for Parents

Billing Codes

  • Well Child and Immunization Codes (Currently unavailable, document being updated.)

Social, Emotional, and Developmental Health

  • EarlyON Information Sheet
  • Head Start Information
    Michigan Health Start Association
    Great Start for Kids - Michigan Head Start Collaboration Office
  • Social-Emotional Development in Young Children Guide
  • Medicaid Behavioral & Mental Health Benefits General Information

Immunization Websites

  • Alliance for Immunization in Michigan (AIM) Provider Toolkit
  • CDC Immunization information
  • Immunization Schedule from CDC Web Site

Resources

  • MDCH Clearinghouse Resources
  • State of Michigan Childhood Lead Poisoning Prevention Program
  • Resource Directory (Currently unavailable, document being updated)
  • Links to immunization and Lead Pamphlets and other MDCH brochures
  • Reminder Labels
    May be printed on Avery 8196 Diskette labels
  • Michigan Chapter of the American Academy of Pediatrics

Women, Infants, & Children (WIC)

  • Michigan WIC Program Guidelines
  • WIC Information

Institute for Health Care Studies
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