Response to COVID-19: Improving the Experience of Telediagnostic Evaluations for Autism Spectrum Disorders (ASD)
The sudden transition to telemedicine raised significant concerns about our ability to diagnose ASD using this technology, as well as potentially widening disparities in care for families who require interpreters or who have limited access to technology. However, this also offered us the opportunity to assess and improve caregiver and clinician experience with telemedicine ASD evaluations and determine which families may be best suited for telediagnostic assessments. This has implications for access to ASD evaluations even after the pandemic.
Standardizing the Autism Spectrum Center (ASC) Intake process
Our team conducted a Lean Six Sigma Green Belt project to improve a complex, cross-departmental intake process that often leads to family frustration and staff distress. We successfully developed a culture of collaboration among intake staff to redesign the intake process, resulting in a standard workflow with scripts, forms, clear communication channels, and a unified triage meeting.
Complex ADHD Clinical Pathway
We have led our field in developing treatment pathways for Complex ADHD since 2012. Our algorithms are the model for the recently published Society for Developmental and Behavioral Pediatrics (SDBP) Complex ADHD guideline (February 2020). This year, we added to the pathway algorithms for ADHD with co-morbid Substance Use Disorder, ASD, and Trauma and Stressor-related Disorder.