What is CHADIS? CHADIS is a web-based screening, diagnostic and management system that administers and analyzes pre-visit, online questionnaires completed by parents, teens or teachers and provides Clinicians with instant access to valuable clinical data and resources. Through its process, CHADIS improves the diagnosis and management of health, emotional and behavioral issues, helping Clinicians address parents concerns about their child s development while streamlining other routines of Pediatric care. CHADIS generates and supports: Online pre-visit questionnaires completed anywhere Internet access is available Scored results accessible in a user-friendly Electronic worksheet Risk scores and provisional diagnoses based on screened responses Clinical decision-support and management information Web-based, multiple language platforms Handouts and Community resource lists specific to child and family needs A local and national resources database of over 16,000 listings Data collection for quality improvement efforts
How does CHADIS work? It s easy 1. CHADIS delivers the doctor s pre-selected questionnaires and families complete them online at home or in the waiting room 4. CHADIS selects informational handouts and community resources specific to the child and family needs 2. CHADIS collects all the answers, and automatically scores and tabulates them in an user-friendly electronic worksheet 5. CHADIS captures additional Clinician comments and information during the office visit 3. CHADIS presents provisional diagnoses and links to decision-support information based on the responses 6. CHADIS stores all visit data, creating a full record that can be copied into EMRs for referrals, billing, positive screen registry and patient diagnoses tracking
Why use CHADIS? PROVIDE BETTER PATIENT CARE Empowers a family to more fully express their concerns pre-visit, ensuring these issues are addressed during the visit Covers all AAP and Bright Futures recommendations for child health supervision and valid screening Establishes one system that captures input from all parties, promoting exchange of information for coordinated care EARN PART 4 MOC CREDITS CHADIS offers ABP approved programs for Part 4 MOC credit Pediatricians can earn all 40 credits required for re-certification for the Autism and Developmental screening modules CHADIS automates the baseline data collection, tracks interventions and documents progress IMPROVE OFFICE FLOW Due to pre-visit documentation, CHADIS frees up the Clinician s time to focus on the families concerns and issues, not routine questions CHADIS documents evidence-based care and can provide reports for Quality Assurance or Medical Home efforts INCREASE SUCCESS & COMPETITIVENESS Many CHADIS tools qualify for 96110 billing to insurance or Medicaid, which increases practice income CHADIS has the required scoring, interpretation & documentation for 96110 and verifies the complexity to bill for 99214-99215 visits Total annual income from 96110 billing can be over $5,000 depending on state insurance rates
CHADIS: Special Features CHADIS RESOURCE DATABASE Resources from a >20,000 listing database can be compiled and printed for the family and are automatically suggested by questionnaire results and searchable by name and zip code in the following categories: Health providers Software / CDs Clinical Programs Books and Videos Patient Handouts (>600) Equipment Chadis E-Textbook 22 chapters on mental health, health-risk and developmental issues including care algorithms for instant decision-support 96110 BILLING SUPPORT ACCESSIBILITY OPTIONS Patients can complete every questionnaire on a touch screen tablet or smart phone and certain questionnaires on touchtone telephones responding to recorded questions ONLINE CONSENT & DATA SHARING Parents can consent online for data on their child to be collected from and shared instantly and securely with teachers or other professionals MULTI-LINGUAL CAPABILITY Many CHADIS questionnaires and handouts and the main CHADIS interface can be viewed in both English and Spanish CHADIS supports billing 96110 for screening assessments with the necessaryscoring, interpretation and documentation
CHADIS Assessment Tools Infant & Young Child (Ages 0-5) Ages & Stages 3rd Ed. (ASQ-3 ) 2009 Brookes M-CHAT and M-CHAT Follow-up Infant Development Inventory (IDI) CHADIS 0-3 (eating, sleeping, mental health) Pediatric Autism Features Observation Scale Parents Evaluation of Developmental Status (PEDS) School Age (Ages 6-12) Pediatric Symptom Checklist (17 and 35 item) CHADIS-DSM Comprehensive Assessment Vanderbilt Parent Revised & Follow-up (w/ graphics) Adolescent (self-administered) Pediatric Symptom Checklist - Youth Patient Health Questionnaire (PHQA & PHQA-9) Kutcher Adolescent Depression Screen CRAFFT (substance abuse screen) SCARED (Parent & Youth) for anxiety Tool covering all GAPS topics General Health Safety; Guidance topics; Concerns Health Risk (EPSDT questions) Review of Systems & Past Medical History Asthma Control Test Brenner FIT (nutrition and exercise) Family / Environment Edinburgh Postnatal Depression Scale Multidimensional Scale (MSPSS) McMaster Family Assessment Device, GFS Adverse Childhood Experiences (ACE) Partner Violence Screen Family Medical History Family Cardiac History Quality Monitoring ProPHDS Child and Adolescent Needs Strength (CANS) Strengths & Difficulties (SDQ - FA) Teacher Data (collected by online invitation link) Vanderbilt: Teacher Informant (initial and follow-up) School Services and Discipline Questionnaire
Who is CHADIS? TOTAL CHILD HEALTH INC. Total Child Health Inc. (TCH) is the management company which licenses the use of CHADIS. TCH is a for-profit Limited Liability corporation incorporated for the specific purpose of promoting the usage of CHADIS in Pediatric care. Barbara Howard, MD President, Total Child Health Inc. Assistant Professor of Pediatrics, The Johns Hopkins University School of Medicine. Dr. Howard is a developmental-behavioral pediatrician, past president of the Society for Developmental and Behavioral Pediatrics and a contributing author for Bright Futures and DSM-PC. She has served on national committees of the American Academy of Pediatrics. Raymond Sturner, MD Executive Chairman, Total Child Health Inc. Associate Professor of Pediatrics, The Johns Hopkins University School of Medicine Dr. Sturner is a developmental-behavioral pediatrician, the former Director of the Developmental and Behavioral Pediatrics Fellowship Training Program at Johns Hopkins University. He was previously Director of the Child Development Unit at Duke University, and has been the principal investigator of some 60 research grant years. Not-for-Profit Partner The Center for Promotion of Child Development through Primary Care The Center is the developer and owner of CHADIS, and currently the largest shareholder of Total Child Health Inc. The Center seeks to improve the lives of children and families through research, training and support for parents and healthcare providers through the Primary Care application of child development expertise.
Comprehensive Screening, Care and Decision Support Updated and expanded for consistency with the AAP Mental Health Task Force clinical algorithms CHADIS will be an important part of the future of pediatrics. Dr. David Bergman, Stanford University, Annual Meeting, Pediatric Academic Societies 2008 Total Child Health Inc. 6017 Altamont Place Baltimore, MD 21210 www.chadis.com