Evidence-based Shared Decisions

Bright Futures

Bright FuturesTM
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 so. 

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.”  It should be noted that adhering to “Bright Futures Guidelines” is specifically included in the Affordable Care Act.  

Preventative Quality Measures - Infancy & Early Childhood

  • Elicit and address patient/family concerns
    • CHADIS enables families to list their concerns and goals before the visit improving patient-centered care.
  • Perform developmental and autism screening and follow-up
  • CHADIS offers over 300 screening, diagnostic and data collection tools and questionnaires including:
  • Elicit and discuss patient/family strengths
  • Perform age-appropriate risk assessment and medical screening
  • Measure and plot weight for length at 9 months and body mass index (BMI) at 24 months
  • Perform maternal depression screening and follow-up
  • Perform oral health risk assessment
  • Provide anticipatory guidance

2 Week Checkup - 2 Month Checkup

Bright Futures 2 week - 2 month check-up

2 Month - 9 Month Checkup

Bright Futures 2 month -  9 month check-up

12 - 15 Month Checkups

Bright Futures 12-15 month Check-up

18-month Checkup

Bright Futures 18-month check-up

24-month Checkup

Bright Futures 24-month Check-up

36-month Checkup

Bright Futures 36-month Check-up

4 - 13 Year Checkups

Bright Futures 4-13 Year Check-ups

Preventative Quality Measures - Middle Childhood & 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 on-line 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

Bright Futures 14-18 Year Check-ups

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.

 

 

Supporter Testimonials

"CHADIS has been a great timesaver and has improved the quality of the care that I deliver in the office. I used to have a large stack of paper on my desk, of questionnaires and surveys, that needed to be scored and evaluated. With CHADIS that paper has all disappeared because the parents complete those surveys and the scoring is done automatically and is imported into Office Practicum. That benefit in and of itself is worth the investment."

Dr. Robert Stephens
Cornerstone Pediatrics, Sequin, Tx

"Getting CHADIS is definitely worthwhile. If you were to take each of those questionnaires and buy them individually, at an online pre-visit basis, the cost is actually cheaper through CHADIS."

Dr. Selam Bullock
Kids' First Pediatric, Raleigh, NC

"My short time experience with CHADIS integrated has been great!  It’s a product that actually does what it says it will do!  I am really liking this product!  The discrete data elements and the ease of use have made the transition rather painless."

Becky Senesac, CPC, EFPM
Primary Care Health Partners, Williston, VT

“We have been using CHADIS for 5 years.  The recent interface between Allscripts Pro and CHADIS has had a positive impact on our clinic, for the questionnaires that are supported.  Prior to the interface, almost 100% of our questionnaires were completed in the office.  Now we are seeing an increasing percentage of questionnaires being completed at home. We find it is fairly seamless now. [This is a] significant savings of work and time…”

 
Grace Stout, Practice Manager
The Children's Clinic, Anchorage, AK

“Dr. Lindgren’s patients access a cool web tool, called CHADIS, that allows them to help him screen for all kinds of conditions including developmental delays, behavioral issues, or even learning problems.  You see, this doc is big into prevention. But it’s hard to get the info he needs in a regular office visit since parents often have their hands full with a sick child.  Now his patients can be way ahead of the game and parents love it.”

 

Dr. Carl Lindgren
Healthy Futures Pediatrics