1. KP DEVELOPMENTAL
PEDIATRICS & AUTISM
SERVICES
Mission
Provide high quality, affordable care across the care continuum to pediatric
members who have or may have an Autism Spectrum Disorder.
Luisa Bryce Leah Brines Mary Byrd
Linda Rollert Melissa Zuel Bruce Doenecke
Christina Fixari Heather Whittall

2. INTRODUCTIONS AND HISTORY OF DEVELOPMENTAL
PEDIATRICS & AUTISM SERVICES
 2000 Development of Early Childhood Developmental Clinic
 2010 HIMAT-Autism bill; First ASD psychologist
 2013 Clinical psychologist part of ECDC team
 2014 Integrated autism team evaluations

3. OUR TEAM AND OUR WORK
 The Developmental Pediatrics & Autism Services team provides an
interdisciplinary clinic that serves a high-needs patient population
presenting with a variety of complex neurodevelopmental disorders.
 Team members:
 Speech-language therapists
 Occupational therapist
 Clinical psychologists
 Pediatrician
 Nurse care coordinator
 Medical assistant

4. PROBLEM WE ARE TRYING TO SOLVE
 No show rate for the Developmental Pediatrics & Autism Services Clinic
was 18%. For every patient that no showed, we lost an average of 9
hours of clinical service time.
 All patients received the same comprehensive service (evaluation by
speech, occupational, psychology, and pediatrics) regardless of their
specific needs.
 Time and energy wasted to schedule/reschedule and outreach patients.

5. OUR SOLUTION: “WE WILL DECREASE OUR
OVERALL NO SHOW RATE FOR CLINIC
EVALUATIONS FROM 18% TO 13% BY
12/31/15.”
 We redesigned and improved our intake questionnaire (it is now more
comprehensive, concise, and patient friendly).
 We now require the return of the intake questionnaire and any
developmental evaluations completed prior to scheduling the clinic
appointment.
 Our team reviews submitted materials prior to scheduling the clinic
appointment to determine which portions of the interdisciplinary
evaluation are clinically indicated.
 We continue to provide patients with a confirmation letter and
reminder call.

6. OUTCOMES
 Service: We decreased average wait from 59 days to 33 days.
 Quality: Customized, efficient evaluations, reduction of duplication.
 Affordability: Reduced no show costs from average of $2545 per month
to $194 per month ($25,914 per year)
 Employee/Physician satisfaction: Feel prepared, effective, patient-
centered. Team morale improvement. UBT level 4.

7. DATA
Average Day Wait (new) No Show Rate for Clinic
0
10
20
30
40
50
60
70
8/31/2015 9/30/2015 10/31/2015 11/30/2015 12/31/2015 1/31/2016
0
2
4
6
8
10
12
14
16
18
20
9/1/2015 10/1/2015 11/1/2015 12/1/2015 1/1/2016

8. THANK YOU FOR YOUR RECOGNITION
OF OUR PROGRAM!
Quote from parent on patient satisfaction survey:
“Everyone we encountered throughout the process at Kaiser was
professional and helpful. I never felt rushed and had ample time to have
questions answered. I am grateful to the entire team for their patience
toward me and my child.”