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Change Package for Community Health Centers Part 2: Early Childhood Development Surveillance and Screening

ECDHS: Evidence to Impact Center
Tool/Toolkit
March 25, 2026
These change ideas focus on early childhood development surveillance and screening, as part of the Change Package for Community Health Centers: Integrating the Early Childhood Development Continuum of Care.
Woman and young girl with glasses smiling and looking at each other. Resource title is Change Package for Community Health Centers: Early Childhood Development Surveillance and Screening
Early Relational Health
Family Engagement and Leadership
Partnerships and Collaboration
Pediatric Care
Surveillance and Screening
Workforce Development
Community Health Centers
Implementation Strategies
Transforming Pediatrics for Early Childhood
Early Childhood and Family Support Professionals
Health Care Practitioners

Part 2 focuses on early childhood development surveillance and screening, providing 10 actionable change ideas for health centers and pediatric practices. Click on the links below to get started.

Access all parts of the Change Package for Community Health Centers: Integrating the Early Childhood Development Continuum of Care here.

Surveillance and Screening Change Ideas

Each change idea link below includes a PDF with step-by-step guidance for pediatric practices. The related sample tools (e.g., checklists, scripts) can be edited and customized.

  1. Incorporate family-engaged developmental surveillance into well-child visits.
  1. Establish a family advisory group to guide developmental surveillance and screening procedures.
  1. Integrate the Online Promoting Healthy Development Survey (PHDS) as a routine family feedback tool to improve developmental screenings.
  1. Establish a family advisory role to inform and co-design developmental surveillance and screening processes.
  1. Integrate the National CLAS Standards into screening and surveillance processes to ensure responsiveness for all families.
  1. Embed a workflow to streamline recommended screenings into the electronic health record to support comprehensive care planning and documentation.
Sample Tools

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  1. Created automated electronic health record reminders that alert staff when screenings are due at specific well-child visits to improve timely completion and follow-up.
Sample Tools

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  1. Develop a screening compliance process using retrospective chart reviews, real-time electronic health record alerts, and clinical decision support to improve completion of required screenings during well-child visits.
Sample Tools

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  1. Embed electronic health record pop-up alerts to notify providers and staff of previously missed screenings during well-child visits.
Sample Tools

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  1. Develop a training protocol for new hires to ensure consistent implementation of early childhood screening and referral workflows.
Sample Tools

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