|Paul Lipkin, MD, FAAP
Director of the Center for Development and Learning
Paul Lipkin, MD, FAAP is the Director of the Center for Development and Learning at the Kennedy Krieger Institute in Baltimore, Maryland. Dr Lipkin is also an Assistant Professor of Pediatrics at The Johns Hopkins University School of Medicine.
Dr. Lipkin is currently serving as the Chairman of the Council on Children with Disabilities (COCWD). Prior to this position, Dr Lipkin was the Chair of the Section on Children with Disabilities. "I have found my work first in the Section and now the Council to be exciting and rewarding. It has offered opportunities to effect change in both policy and practice related to the care of children with disabilities and other special health care needs. My work on behalf of the AAP has broadened my perspective on the issues confronting children and the pediatrician, particularly in primary care settings. I have gained greater familiarity and respect for the medical home model for this population of children. I have also come to learn and appreciate the power behind the AAP name, as local and national leaders turn to the AAP for advice and support. The AAP is truly the strongest advocate in the world for health care and well-being of children, and I am proud to be a part of it and contribute to its mission."
Dr Lipkin also chairs the Policy Revision Committee (PRC) of the AAP for revision of its policy statement on developmental surveillance and screening. The content of the new statement, "Identifying Infants and Young Children with Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening," focuses on how child health professionals should perform continuous surveillance and structured screening within the medical home and includes an algorithm, definitions of surveillance and screening, ages to perform structured screening, coding procedures, and a grid of acceptable screening instruments.
To measure the impact this new policy can make in pediatric offices, Dr Lipkin is leading the Developmental Surveillance and Screening Policy Implementation Project (D-PIP). For this study, 15 pilot primary care pediatric practices will be selected to implement the new AAP policy statement to determine if the use of the policy, specifically, the algorithm, changes the delivery of developmental surveillance and screening. In particular, the project aims to determine if the algorithm is efficiently and effectively implemented into pediatric practice, recognize strategies for implementing the algorithm, and examine outcomes of implementing the algorithm.
"From my beginnings in Pediatrics, I have been interested in developmental screening and evaluation. In choosing to work as a developmental subspecialist, I focused my efforts towards evaluation and now regularly engage in developmental evaluation of children with delayed development. However, the primary care provider remains challenged in doing screening for developmental problems. We have not, as a professional community, been effective in improving screening by pediatricians. Through my involvement in the DSS project, a challenge and an opportunity were created for creating a new model for developmental screening, which will hopefully increase screening of children and improve identification of children with developmental disabilities. With implementation of the new algorithm, I hope that children will be identified earlier and receive the specialized medical care and developmental intervention that will improve their health and developmental outcomes."
The project will involve the 15 practices collecting baseline assessments, completing a pre-implementation survey, attending a training/planning workshop, conducting 9 months of data collection, and completing a post-implementation survey. Following the project, information will be shared with pediatric clinicians and other health care professionals who are seeking to improve the delivery of developmental surveillance and screening.