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Improving Developmental-Behavioral Pediatric Care Workflow

Soares, Neelkamal S. MD*; Baum, Rebecca A. MD; Frick, Kevin D. PhD

Journal of Developmental & Behavioral Pediatrics: January 2015 - Volume 36 - Issue 1 - p 45–52
doi: 10.1097/DBP.0000000000000113
Special Article

ABSTRACT: Experience and available research suggest that Developmental Behavioral Pediatric (DBP) practice is both complex and variable. Variability involves multiple aspects of DBP care, from activities before the visit (e.g. triage and collecting information) to activities during (e.g. history taking and testing) and after the visit (e.g. care coordination). Together these activities represent workflow, a series of clinical events by which health care is delivered. In complex systems, workflow variation often suggests the presence of inefficiency or inconsistent quality. Given the current environment of increasing health care costs and an increasing focus on quality, DBP practitioners must be mindful of these concepts for the field of DBP to remain viable. In order to characterize current DBP practice and identify common challenges, a workshop was developed with the ultimate goal of identifying potential solutions for improving both quality and efficiency. This paper summarizes the workshop findings and proposes future directions to foster improvements in DBP workflow.

*Autism & Developmental Medicine Institute, Geisinger Health System, Danville PA;

Developmental-Behavioral Pediatrics, Nationwide Children's Hospital, Columbus, OH;

The Johns Hopkins Carey Business School, Baltimore, MD.

Address for reprints: Neelkamal S. Soares, MD, 120 Hamm Drive, Suite 2A, Lewisburg, PA 17837; e-mail:

Disclosure: The authors declare no conflicts of interest.

Received August , 2014

Accepted October , 2014

© 2015 by Lippincott Williams & Wilkins