Evidence-based Shared Decisions

Bright Futures

Bright Futures Preventive Services Quality Improvement 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
  • 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

Middle Childhood & Adolescence

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 type of the 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
      webpage 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

Supporter Testimonials

“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

CHADIS has been a really great resource for my practice. With CHADIS, I have access to a comprehensive list of screening and assessment tools. I can use the tools to accomplish multiple goals, including early screening and intervention. As a physician, I know that early intervention DOES WORK!



Janice Loeffler, MD

Treehouse Pediatrics has used Chadis as a part of its day to day operations for the past couple of years. We have found it to be a tremendous asset in our operational efficiencies.  Parents appreciate the convenience of completing their child’s developmental, ADHD, and asthma questionnaires at home, and it has proven to help make all of our visits requiring questionnaires run more smoothly.  Furthermore, we appreciate the interpretation and documentation that Chadis provides for these questionnaires. We feel that Chadis has become an integral part of our operational efficiencies.  We do not know what we would do without it.

Bill James, MHA
Treehouse Pediatrics

“I just wanted to say thank you for such a wonderful opportunity…so so helpful for me to better understand my patient, and to have ideas on where to go next. So thank you so much for a really incredible opportunity to be part of CHADIS.”

Laura Lieberman, MD