In an effort to sustain the child health improvement work of the MHLC, our core partners have elected to adopt a child health improvement partnership model. CHIP IN for Quality will continue to support the system changes necessary to improve quality within the Medical Home and optimize the health and health care of Indiana’s children and youth through collaborative, measurement-based, quality improvement initiatives.

Current Initiatives

CHIP IN’s Developmental Screening Initiative with Indiana State Department of Health (ISDH), Children’s Special Health Care Services Program (CSHCS)

In Indiana, the average age of diagnosis for autism is 5.3 years. The diagnosis is “stable” at about 24 months, allowing early interventions to promote optimal functioning by exploiting early brain plasticity. The American Academy of Pediatrics recommends developmental screening at 9, 18 and 24 or 30 months of age, including an autism screen at 18 and 24 months of age. However, early screening with standardized tools has not yet been widely adopted by practices in Indiana.

The Child Health Improvement Partnership (CHIP IN for Quality) Developmental Screening Initiative with CSHCS involves implementing system change by supporting the primary care medical homes to improve developmental screening in Bloomington and the surrounding “doughnut” counties. The Bloomington location is chosen for the strong community support through the HANDS in Autism cadres and because it is the pilot site for Indiana University’s Neurodevelopmental and Behavioral Center (NDBC). To improve the quality of health care (related to developmental screening with standardized tools and referrals) for children (18-42 months), the CHIP IN for Quality team will help pediatric health care providers implement sustainable practice/system change through:

  • Measuring the baseline of autism screening.

  • Improving the proportion of children receiving autism screening by 30% over 6 months.

  • Increasing the proportion of children with autism who receive a diagnosis before 42 months old.

To accomplish these goals, CHIP IN for Quality will work with community partners including the HANDS in Autism Cadres, Autism Society of IN (ASI) and other statewide networks to activate communities around early screening. Our team will work closely with the Riley Hospital Community liaisons who meet regularly with practices in the community to bring screening tools and referral information on-site. We will also give Grand Rounds at local hospitals and physician practice meetings to introduce implementation science/quality improvement and developmental screening with the goal of garnering interest in developing practice changes. Practices who are interested, may also participate in a learning collaborative that will begin in May and allow them to get credit for Part IV of their Maintenance of Certification.

Please contact us if you know of a pediatric practice in the Southern Indiana region that would like to learn more about developmental and autism screening!

For more information about CHIP IN for Quality projects and activities contact:

Nancy Swigonski, MD, MPH
Associate Professor, IU School of Medicine
Medical Director, CHIP IN for Quality

Mary Jo Paladino, MSA
Executive Director, CHIP IN for Quality

Angela Paxton
Parent Consultant, Administrative Support, CHIP IN for Quality


Medical Home Videos uploaded to YouTube!

The CHIP IN Medical Home Resource Team is producing a series of  medical home videos. They are ready to view on the CHIP IN YouTube site.