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Screening
Components, Tools, and Related Resources
As a primary care provider, you recognize that child
development is a dynamic process. You know that early identification,
coupled with early intervention and treatment, is the most effective way
to promote a child's healthy mental, social, emotional, and physical
growth. The challenge is to identify those children who have
developmental concerns.
Regular EPSDT screenings,
following the
Iowa Recommendations for Scheduling Care for Kids Screenings, provide an ideal
opportunity to:
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EPSDT SCREENING COMPONENTS |
Comprehensive histories
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Health, nutrition, and development |
Assessment of development, health, nutrition
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Iowa Child Health and Development Records
(Iowa CHDR)
provide useful, age-specific tools |
Review of family risk factors and stressors
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Follow
Guidelines for the
Identification of Developmental, Social, Emotional, and
Behavioral Concerns in Children 0-3 |
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Unclothed
physical exam |
Assess:
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Growth, using CDC
online
growth charts to plot and evaluate length, head circumference,
height, weight, and body mass indices (BMI) for children
age 0-20 years
- Ears, nose, mouth, and
throat
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All organ systems
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Immunization
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Follow
CDC
immunization guidelines |
Age-appropriate
laboratory tests
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Follow
Iowa Screening Recommendations |
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Lead screening |
Determine a child's level of risk for lead poisoning by
administering the IDPH lead questionnaire (available in
English
and in Spanish).
When you have determined the child's level of risk,
administer blood lead level testing:
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For children
at low risk: Test at 12 and 24 months.
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For children at higher risk: Test at 12,
18, and 24 months, then annually up to age 6 years
Blood lead tests -
A blood lead test result equal to or greater than 15 ug/dl
obtained by capillary specimen (finger stick) must be
confirmed using a venous blood sample.
If you have questions, please contact the
IDPH Childhood Lead
Poisoning Prevention Program .
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Oral health screening |
Oral health screening is an important part of every well child visit. Healthy teeth are
essential for healthy growth and development, and research shows that
the bacteria that cause decay is transferred from the mother to the
baby after the baby's teeth erupt, usually around the age of 6
months.
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Oral screening
at each visit, beginning at age 6 months; referral to a dentist for
routine examination beginning at age 12 months.
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Iowa's
I-Smile
program is working to create a "dental home" for all Iowa children participating in
EPSDT, where they will receive dental screening and preventive care.
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Y our
EPSDT Care Coordinator
can talk with you about participating dentists in your area.
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Tools for screening
and documentation of screening services
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For more information contact the
EPSDT Provider Training Consultant. |
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Other resources, including anticipatory guidance
information and materials to share with parents. |
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