Promoting Healthy Development Survey (PHDS)

The Promoting Healthy Development Survey (PHDS) is a 43-item parent survey that can be used by health care providers, health systems, Medicaid agencies, and other stakeholders to measure and improve the quality of preventive and developmental care for children ages 0-48 months. The survey is designed to measure parent’s experience with care and the extent to which they received preventative and developmental services in accordance with nationally recommended guidelines put forth by the American Academy of Pediatrics and Bright Futures practice guidelines (3rd edition).1
The PHDS contains 11 modules. The first six items represent measures. Taken together, the six measures also make up a composite PHDS Comprehensive Care Measure. These measures are the focus of this application. Items #7-11 are, respectively, an individual quality measure submitted separately by another steward (Standardized developmental and behavioral screening; NQF measure number 1448), not a quality of care measure (Access to care), used for stratification (Follow-up for children at risk and the CHSCN screener), or provide demographic and background information. Taken individually or as a whole, the PHDS provides valid measures for system, plan, and provider-level assessments.2
1. Anticipatory guidance
2. Parenting information, resources in community
3. Family centered care
4. Ask about and address parental concerns
5. Assessment of family safety, alcohol use and substance abuse
6. Assessment of family psychosocial screening
7. Standardized developmental and behavioral screening
8. Access to care and care coordination
9. Follow-up for children at risk
10. CSHCN screener;
11. Parent and family behaviors and respondent health;

References:
1. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd Edition. https://brightfutures.aap.org/materials-and-tools/guidelines-and-pocket-guide/Pages/default.aspx
2. Bethell, C. Peck, C et. al. Assessing Health System Provision of Well-Child Care: The Promoting Healthy Development Survey. Pediatrics. Vol 107(5) 2001. 1084-1094