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A Primary Care-Based Approach to Improving Kindergarten Readiness.

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This quality improvement project provided personalized literacy plans (PLPs) to promote kindergarten readiness. Most children received a PLP, and nearly half were linked to early education programs, showing promise for early literacy initiatives.

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Area of Science:

  • Pediatrics
  • Early Childhood Education
  • Public Health

Background:

  • Primary care settings are crucial for early childhood development.
  • Promoting kindergarten readiness is essential for academic success.
  • Busy pediatric practices require efficient methods to support literacy development.

Purpose of the Study:

  • To develop and implement personalized literacy plans (PLPs) during routine preventive care visits.
  • To enhance kindergarten readiness in 3- and 4-year-old children.
  • To integrate early literacy support within primary care.

Main Methods:

  • Two clinics implemented a quality improvement project with trained kindergarten readiness coordinators (KRCs).
  • KRCs assessed child literacy and provided PLPs, including parental guidance and home literacy kits.
  • Children were referred to early literacy programs, with follow-up to track service linkage.

Main Results:

  • The proportion of eligible children receiving a PLP reached 64% after 12 months.
  • During a 24-month period, 85% of children with a PLP were referred to early education.
  • Confirmed linkage to early education programs was achieved for 43% of referred children within 3 months.

Conclusions:

  • The project successfully provided personalized literacy plans to most children.
  • A significant portion of children were linked to early education programs.
  • Further research is needed to evaluate the impact on kindergarten readiness and program sustainability.