Getting Started Guide: Implementing a Screening Process

ECDHS: Evidence to Impact Center
Guide
May 27, 2025
This guide is a fillable worksheet to help pediatric practice teams develop a screening workflow tailored for their practice and the families they serve.
woman and young child with health professional in exam room

Routine screening in pediatric practice is essential for identifying risks to a young child’s development early, linking families to follow-up services, and improving outcomes. Our Getting Started Guide: Implementing a Screening Process is designed to help pediatric practice teams to develop a screening workflow tailored for their practice and the families they serve. The guide is a fillable worksheet with step-by-step planning considerations and questions, implementation guidance, and links to additional resources.  

Step-by-Step Prompts to Develop a Screening Process

When completing this guide, pediatric practice teams will work through the steps below. We recommend that the full team – including clinicians, nurses, office staff, family leaders, and others – is included when completing the guide to ensure that the process is best tailored to your practice’s needs and structure.

  • Step 1. Identify Current Screening Tools: List the formal assessments that are used for different screening types, including developmental, social-emotional, autism, perinatal depression, and social drivers of health.
  • Step 2. Identify Your Practice Champion: Assign who will lead the screening process.
  • Step 3. Identify the Practice Team Members Who Will Be Part of the Process: Determine what team members will provide support and what their roles will be.
  • Step 4. Select the Screening Tool(s) and Education Materials That Will Be Used: Identify tools for each screening type that best meet your practice’s needs.
  • Step 5. Plan Key Parts of the Workflow for Each Screening Category: Establish your team’s workflow across each screening type.
    • Step 5 includes a multi-question worksheet to help you consider all key screening process steps, such as how to discuss screening with families, how to document at-risk scores in diagnosis, and more.
  • Step 6. Identify Screening Program Support: Determine the national and local partners and resources that can support your screening process.
    • Step 6 lists several possibilities for your team to consider, including programs to help enhance your practice, family-facing education materials, partners for child developmental support needs, community and state partners, child and family mental health partners, and additional resources.
  • Step 7. Engage Staff in the Concepts, Principles, and Process: Plan for how staff will be involved throughout the screening process, such as developing a screening tool “script” and monitoring progress.

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