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EPSDT preventive services in a low-income pediatric population: impact of a nursing protocol
Pamela C Hull1, Baqar A Husaini, Susanne Tropez-Sims
1Center for Health Research, Tennessee State University, Nashville, TN 37209, USA. pamhull@tnstate.edu
Insights
A nursing protocol significantly improved the initiation of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services for children in primary care. This approach enhances pediatric preventive care delivery and adherence to Medicaid mandates.
Area of Science:
- Pediatric Nursing
- Preventive Healthcare
- Health Services Research
Background:
- Medicaid mandates coverage for essential child preventive services through the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program.
- Integrating these services into routine pediatric primary care visits presents challenges.
- Optimizing the delivery of EPSDT services is crucial for child health and development.
Purpose of the Study:
- To evaluate the effectiveness of a nursing protocol in delivering comprehensive EPSDT services within pediatric primary care.
- To assess the feasibility and impact of a structured nursing intervention on EPSDT service initiation rates.
- To determine if a nursing protocol can improve adherence to mandated preventive care for children.
Main Methods:
- A controlled trial analyzed secondary data from a low-income pediatric clinic.
- An intervention group (n=514) received a 52-item nursing protocol administered by a prevention nurse.
- A comparison group (n=115) received "usual care," with data extracted from medical records.
Main Results:
- The nursing protocol group achieved near-perfect initiation of EPSDT service needs (100.0%, 11,607/11,607).
- The "usual care" group initiated significantly fewer EPSDT service needs (21.2%, 572/2,695).
- Statistical analysis showed a significant difference between groups (P < .001), highlighting protocol effectiveness.
Conclusions:
- A nursing protocol is a feasible and highly effective method for integrating comprehensive EPSDT clinical preventive services into pediatric primary care visits.
- This structured approach significantly increases the initiation rate of mandated preventive services for children.
- Implementing nursing protocols can enhance the delivery of pediatric preventive healthcare and improve health outcomes.
Abstract:
Medicaid mandates coverage of clinical preventive services for children under the Early and Periodic Screening, Diagnosis, and Treatment program (EPSDT). This article assesses the usefulness of a nursing protocol for delivering comprehensive EPSDT services to pediatric patients during any primary care visit. Secondary data from a recent controlled trial were analyzed. An intervention group received the clinical protocol (n = 514 children in a low-income pediatric clinic), whereas data from a "usual care" comparison group were obtained from medical records (n = 115 children). The nursing protocol included 52 items corresponding to EPSDT services and was administered by a prevention nurse. In the intervention group, 11 605 out of 11 607 (approximately 100.0%) EPSDT service needs were initiated, as compared to 21.2% (572 out of 2695) in the comparison group (P < .001). The study demonstrates the feasibility of using a nursing protocol to integrate EPSDT clinical preventive services into pediatric visits.
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