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Journal of Autism and Developmental Disorders

Gepubliceerd in:

30-01-2024 | Original Article

Enhancing Diagnostic Follow-up and Care Coordination for Children with Autism in a Busy Resident Continuity Clinic: Leveraging the Electronic Health Record

Auteurs: Laleh Bahrami, Cara T. Miller, Holly Miller, Kathryn L. Carlson, Tori E. Foster, Abhinaya Ganesh, David Johnson, Barron L. Patterson, Jeffrey F. Hine

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 3/2025

Abstract

Purpose

A high-quality primary care clinic should provide clear action points and important care coordination for a child receiving a new diagnosis of autism spectrum disorder (ASD). Unfortunately, a substantial proportion of caregivers report little-to-no post-diagnosis support from their home clinics and primary care providers often report lack of training and resources in providing these supports.

Methods

We implemented an intervention package to investigate the impact on the frequency and quality of follow-up care for children with ASD in a busy, high-volume resident continuity clinic. The package consisted of a care coordination scheduling pathway and a standardized clinical template—embedded in the electronic health record (EHR)—that guided providers through best-practice recommendations and patient resources.

Results

As a result of these interventions, 74% of patients had ASD-specific follow-up, a more than threefold increase from baseline with a majority of providers using the EHR-embedded template to guide their visit. Providers also indicated a high degree of usability for the system and that it aided them in following best-practice guidelines for ASD care.

Conclusion

Through explicit scheduling pathways and a novel EHR template, we saw a significant increase in ASD-specific follow-up visits and implementation of best practices for ASD care, demonstrating a new process for training and engaging primary care providers in clear action steps for post-diagnostic care without having to rely on tertiary referrals.

vorige artikel Similar Gap-Overlap Profiles in Children with Fragile X Syndrome and IQ-Matched Autism

volgende artikel Coherence of Parental Representations Following Therapy for Autistic Children

[Redacted for peer review].

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Titel: Enhancing Diagnostic Follow-up and Care Coordination for Children with Autism in a Busy Resident Continuity Clinic: Leveraging the Electronic Health Record
Auteurs: Laleh Bahrami
Cara T. Miller
Holly Miller
Kathryn L. Carlson
Tori E. Foster
Abhinaya Ganesh
David Johnson
Barron L. Patterson
Jeffrey F. Hine
Publicatiedatum: 30-01-2024
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 3/2025
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-024-06253-1

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Enhancing Diagnostic Follow-up and Care Coordination for Children with Autism in a Busy Resident Continuity Clinic: Leveraging the Electronic Health Record

Abstract

Purpose

Methods

Results

Conclusion

Andere artikelen Uitgave 3/2025

Correction: How do Children with Intellectual Disabilities Empathize in Comparison to Typically Developing Children?

Similar Gap-Overlap Profiles in Children with Fragile X Syndrome and IQ-Matched Autism

The Validity and Reliability of the Turkish Version of the Autism Family Experience Questionnaire (AFEQ)

Sociability: Comparing the Effect of Chlorpyrifos with Valproic Acid

Valence and Intensity of Emotional Expression in Autistic and Non-Autistic Toddlers

A Window into the Use of Post-diagnostic Services for Autism and Parents’ Perspective on the Quality of Early Childhood Services Trajectory in a Canadian Province

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Welkom bij Scalda & Bohn Stafleu van Loghum

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Abstract

Purpose

Methods

Results

Conclusion

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Correction: How do Children with Intellectual Disabilities Empathize in Comparison to Typically Developing Children?

Similar Gap-Overlap Profiles in Children with Fragile X Syndrome and IQ-Matched Autism

The Validity and Reliability of the Turkish Version of the Autism Family Experience Questionnaire (AFEQ)

Sociability: Comparing the Effect of Chlorpyrifos with Valproic Acid

Valence and Intensity of Emotional Expression in Autistic and Non-Autistic Toddlers

A Window into the Use of Post-diagnostic Services for Autism and Parents’ Perspective on the Quality of Early Childhood Services Trajectory in a Canadian Province