Simplifying developmental screening in well visits

But how are you building reliable developmental screening into 9-, 18-, and 30‑month checks? I’m a PNP using ASQ‑3 plus M‑CHAT‑R/F, piloting QR codes to load forms on an iPad in the waiting room, and I want parents leaving feeling confident about their child’s growth and next steps. What workflows or brief scripts help you promote milestones while keeping the visit upbeat and on time?

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We preload the iPad ASQ-3 via your QR code and have the MA auto-score before I walk in, then I do a 20-second ‘one win, one practice’ summary and hand one next-step link like https://www.cdc.gov/ncbddd/actearly/milestones/index.html to keep it upbeat. Small tweak on timing: I keep M-CHAT-R/F at 18 and 24 months and use the 30-month visit for ASQ-3 only to cut survey fatigue while still reinforcing milestones.

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Right after the ASQ‑3/M‑CHAT‑R/F scores, I use: “Here’s what we expect at 18 months, here’s what to try for 4 weeks, and if it’s not there, we’ll loop in EI,” then hand the ASQ‑3 Parent Summary so they leave with a plan… If the QR/iPad hiccups, we keep pre‑highlighted paper forms and have the MA observe one skill in‑room to anchor the feedback. Want a quick EHR template for that one‑liner?

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