Fitting ASQ and coaching into 15 minutes

Anyone else struggling to fit ASQ-3 and a quick teach-back into a 15-minute 18-month visit? I want to catch delays early and empower parents with simple play-based language routines, but I’d love your workflow tips or tools (I use M-CHAT at 18/24 months) that make this smoother.

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Have ASQ-3/M-CHAT pre-completed via portal; use 90-second teach-back + CDC app https://www.cdc.gov/ncbddd/actearly/milestones-app.html. Do you pre-send for 15-minute visits?

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I do a 60–90 second pre-brief with my MA where they flag only ASQ-3 gray/black items, then I walk in with one play routine (“pause and wait” at snack, often pulled from Vroom: https://www.vroom.org/) and a single teach-back — “show me how you’d try that tonight.” It reliably keeps coaching to about 2 minutes, but it hinges on the ASQ being in the chart before vitals. Would that fit your flow?

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