TABLE 3.
WCC Framework Created by CABs
| Structural Element | Redesign Element | WCC Service | |||||
|---|---|---|---|---|---|---|---|
| Physical Exam | Immunizations | Anticipatory Guidance | Developmental Screening | Psychosocial Screening | Acute Carea | ||
| Nonphysician providers: Who provides the care? | Additional MAs | ✓ | ✓ | ✓ | ✓ | ||
| Person to conduct previsit screenings in waiting room | ✓ | ✓ | ✓ | ||||
| “Floater” physician/NP/PA | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Triage nurse | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Health educator (consider both bachelors or masters level) | ✓ | ✓ | ✓ | ||||
| Lactation consultant/nutritionist | ✓ | ||||||
| Mental health specialists (eg, therapists) | ✓ | ✓ | |||||
| Behavioral/developmental specialists (eg, BA level) | ✓ | ✓ | |||||
| Shared social worker | ✓ | ||||||
| Location: Where is the care provided? | Schools, day care centers, head start | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Other community locations: community centers, libraries, etc | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Format: How is the care provided? | Internet, Web-based services | ✓ | ✓ | ✓ | |||
| Text messaging | ✓ | ✓ | |||||
| Group visits | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Waiting room: video, physical activities, nutritionist | ✓ | ||||||
| Telehealth at remote community sites | ✓ | ✓ | ✓ | ✓ | |||
The 2 CABs populated this WCC Framework with tools and strategies for WCC redesign that they wanted to consider for the models that they developed. The CAB used a “✓” to indicate for each tool/strategy which WCC services it could be used for. Not all elements were used for the models developed by the CABs.
a
Acute care was included in the WCC Framework because children presenting for WCC often have simultaneous minor acute care needs.