Bright Futures eNews

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August 2022 eNews
Bright Futures Highlights
New Look & Feel: Bright Futures National Center Website
The Bright Futures National Center’s website has been re-designed to help you easily and quickly access information with easy-to-use navigation. The new website address is: https://www.aap.org/brightfutures.
New Resources: Clinical Implementation Tip Sheets & Bright Futures/AAP Resource List
The Bright Futures National Center published 4 new clinical implementation tip sheets and updated the Bright Futures/AAP resource list. The new tip sheets offer practical advice to help you integrate the Bright Futures approach, tools, and resources into your daily practice. The new tip sheets address the following:
• Practical Tips for Promoting Relational Health
• Promoting Healthy Development of Sexuality and Gender Identity
• Promoting Physical Activity
• Promoting Safety and Injury Prevention
New Resource: Bright Futures Family Pocket Guide, 3rd Edition
The Bright Futures Family Pocket Guide: Raising Healthy Infants, Children, and Adolescents, 3rd Edition, was written by families for families to share important health promotion information and activities in a family-friendly, accessible way. Family Voices and the Bright Futures National Center co-created this new pocket guide to help families and health care professionals work together to promote the health and wellness of children. The Bright Futures Family Pocket Guide, 3rd Edition, is based on the Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 4th Edition.
This new family pocket guide can be viewed online and downloaded in both English and Spanish. Visit the webpage to watch an introductory video and access both clinician and family-friendly tip sheets.
New Opportunity: AAP Systems of Care for Healthy Mental Developmental ECHO
The AAP is recruiting primary care practices, AAP members, behavioral/mental health professionals, and other collaborators to join an 8-month learning collaborative aimed to build capacity for systems of care to support healthy mental development for pediatric patients and their families.
This ECHO will have a quality improvement (QI) component. Practices/organizations who wish to participate in the QI component must provide primary care to patients 0-12 years of age, complete monthly de-identified retrospective chart reviews, and submit a monthly PDSA (Plan, Do, Study, ACT) worksheet.
Practices will engage in the ECHO (Extension for Community Healthcare Outcomes) mode™, a telementoring platform that leverages video conference technology to connect subject matter experts with primary care teams in local communities, fostering an “all teach, all learn” approach. Find more details in this flyer.
Register here or contact Kristen Conrad, Program Manager ECHO Initiatives, at kconrad@aap.org.
Reminder: 2022 Bright Futures/AAP Periodicity Schedule and 2022 Coding for Pediatric Preventive Care Booklet are Available
The 2022 Bright Futures/AAP Recommendations for Preventive Pediatric Health Care, also known as the Periodicity Schedule, was published in the July 2022 issue of Pediatrics. The Bright Futures/AAP Periodicity Schedule is updated annually. Be sure to check the date in the top right corner to ensure that you are referencing the most updated version.
In addition to the 2022 Bright Futures/AAP Periodicity Schedule, the 2022 Coding for Pediatric Preventive Care booklet has been revised and is available both online and in hard copy.
If you have any questions or would like to receive a few hard copies of either/both resources to share with your clinics, colleagues, students, or families, contact us.
AAP Features
New Chapter Grant Opportunity: Supporting Children and Families through AAP Partnerships with Prevent Child Abuse America/Healthy Families America
The AAP is pleased to announce a grant opportunity for AAP Chapters to enhance collaboration with their state Prevent Child Abuse America (PCA America) Chapter or Healthy Families America (HFA) site to support families in providing positive childhood experiences and preventing child maltreatment. Grants of up to $12,500 will be awarded to 3 AAP Chapters. Chapters will be asked to develop a leadership team with their partner organizations and engage in a variety of collaboration activities. Chapters are encouraged to propose activities that will address the unique needs of children and families within their communities.
The deadline to complete the application is August 26, 2022.
Contact: Please reach out to Lauren Geary (lgeary@aap.org) if you have any questions.
New Notice of Funding Opportunity: Healthy Tomorrows Partnership for Children Program
The purpose of the Healthy Tomorrows Partnership for Children Program is to support innovative, community-based initiatives to improve the health of infants, children, adolescents, and their families in rural and other underserved communities by increasing their access to preventive care and services.
The deadline to complete the application is October 12, 2022.
New PediaLink Course: Addressing Equity for Black CYSHCN
The National Resource Center for Patient/Family-Centered Medical Home (NRC-PFCMH) is offering a FREE PediaLink course, Addressing Equity for Black CYSHCN. This course examines factors impacting equitable health care for Black children and youth with special health care needs (CYSHCN).
This activity has been approved for AMA PRA Category 1 Credit™.
Updated Resource: AAP EHDI Improving Vocabulary Outcomes
The American Academy of Pediatrics (AAP) Early Hearing Detection and Intervention (EHDI) program is excited to share an updated resource titled, Improving Vocabulary Outcomes in Children who are Deaf or Hard of Hearing (D/HH). This resource will support pediatric health care professionals and other partners caring for children who are D/HH and their families to meet all of the EHDI guidelines to increase vocabulary outcomes and receive comprehensive and coordinated care within the medical home model that maximizes language outcomes. For more information on the AAP EHDI program, visit aap.org/ehdi.
New Resources: Perinatal Mental Health and COVID Vaccination
Developed under the Maternal-Infant Health Outcomes for Pregnant, Postpartum & Parenting Persons (MIP4) project, here is a list of new and already existing AAP resources on perinatal mental health.
Animated PPD explainer, PPD factsheet, and perinatal mental health and social support webpage
Two new communication tools pediatric health care professionals can use during health supervision visits encourage parents who are feeling sad or anxious to talk with their health care professional. An animated video in both English and Spanish explains that feeling more than the “baby blues” is common and that talking with the health care professional can help connect parents to support. You can share the video on social media or play in clinic waiting areas. Pediatric health care professionals can also download and print a one-page flyer in English and Spanish for new parents to take home. Visit the Perinatal Mental Health and Social Support webpage for more patient care tools and resources.
Integrating PPD Screening in your practice in 4 steps
This new guide provides practical tips on how to integrate postpartum depression (PPD) screening into pediatric practices. The article breaks down the AAP policy statement on PPD using four steps for identification, screening, treatment referral, and payment with links to resources that can help with each step. Learn more.
Postpartum Depression and Anxiety: How to Start the Conversation
Health supervision visits provide pediatric health care professionals with an opportunity to check on a new parent’s mental health. A well-placed question can open a crucial conversation that can make a big difference to the health of a parent, infant, and the whole family. But how do you start the conversation? In a new patient care resource, four pediatricians share meaningful ice breakers they have found successful with new parents that go beyond just, “How are you doing?”
COVID-19 Vaccines During Pregnancy & Breastfeeding: Parent FAQs – Available in English and Spanish
Is the COVID vaccine safe during pregnancy or breastfeeding? Dr Lisa Costello can answer “yes” as a pediatrician AND one of the hundreds of thousands of pregnant people living in the US who have been vaccinated with no safety problems.
Ask the Pediatrician: Is it normal to feel completely overwhelmed after having a baby? – Available in English and Spanish. If you are always feeling sad, anxious, or hopeless after having your baby, those may be signs of postpartum depression, Gerri Mattson, MD, MPH, FAAP, explains how – and why it is so important – to get help.
June 2022 eNews
2022 Bright Futures/AAP Periodicity Schedule is Now Available
The 2022 Bright Futures/AAP Recommendations for Preventive Pediatric Health Care policy statement (also known as the Periodicity Schedule) will be published in the July 2022 issue of Pediatrics (released online on June 21, 2022). The Bright Futures/AAP Periodicity Schedule is updated annually. Be sure to check the date in the top right corner to ensure that you are referencing the most updated version. Here is a summary of the changes to the 2022 Bright Futures/AAP Periodicity Schedule:
Hepatitis B Virus Infection
• Assessing risk for HBV infection has been added to occur from newborn to 21 years (to account for the range in which the risk assessment can take place) to be consistent with recommendations of the USPSTF and the 2021–2024 edition of the AAP Red Book: Report of the Committee on Infectious Diseases.
• Footnote 31 has been added to read as follows: “Perform a risk assessment for hepatitis B virus (HBV) infection according to recommendations per the USPSTF (https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-b-virus-infection-screening) and in the 2021– 2024 edition of the AAP Red Book: Report of the Committee on Infectious Diseases, making every effort to preserve confidentiality of the patient.”
Sudden Cardiac Arrest and Sudden Cardiac Death
• Assessing risk for sudden cardiac arrest and sudden cardiac death has been added to occur from 11 to 21 years (to account for the range in which the risk assessment can take place) to be consistent with AAP policy (“Sudden Death in the Young: Information for the Primary Care Provider”).
• Footnote 33 has been added to read as follows: “Perform a risk assessment, as appropriate, per ‘Sudden Death in the Young: Information for the Primary Care Provider’ (https://doi.org/10.1542/peds.2021-052044).”
Depression and Suicide Risk
• Screening for suicide risk has been added to the existing depression screening recommendation to be consistent with the GLAD-PC and AAP policy.
• Footnote 16 has been updated to read as follows: “Screen adolescents for depression and suicide risk, making every effort to preserve confidentiality of the adolescent. See ‘Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management’ (https://doi.org/10.1542/peds.2017-4081), ‘Mental Health Competencies for Pediatric Practice’ (https://doi.org/10.1542/peds.2019-2757), ‘Suicide and Suicide Attempts in Adolescents’ (https://doi.org/10.1542/peds.2016-1420), and ‘The 21st Century Cures Act & Adolescent Confidentiality’ (https://www.adolescenthealth.org/Advocacy/Advocacy-Activities/2019-(1)/NASPAG-SAHM-Statement.aspx).”
Behavioral/Social/Emotional
• The Psychosocial/Behavioral Assessment recommendation has been updated to Behavioral/Social/Emotional Screening (annually from newborn to 21 years) to align with AAP policy, the American College of Obstetricians and Gynecologists (Women’s Preventive Services Initiative) recommendations, and the American Academy of Child & Adolescent Psychiatry guidelines.
• Footnote 14 has been updated to read as follows: “Screen for behavioral and social-emotional problems per ‘Promoting Optimal Development: Screening for Behavioral and Emotional Problems’ (https://doi.org/10.1542/peds.2014-3716), ‘Mental Health Competencies for Pediatric Practice’ (https://doi.org/10.1542/peds.2019-2757), ‘Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents With Anxiety Disorders’ (https://pubmed.ncbi.nlm.nih.gov/32439401), and ‘Screening for Anxiety in Adolescent and Adult Women: A Recommendation From the Women’s Preventive Services Initiative’ (https://pubmed.ncbi.nlm.nih.gov/32510990/). The screening should be family centered and may include asking about caregiver emotional and mental health concerns and social determinants of health, racism, poverty, and relational health. See ‘Poverty and Child Health in the United States’ (https://doi.org/10.1542/peds.2016-0339), ‘The Impact of Racism on Child and Adolescent Health’ (https://doi.org/10.1542/peds.2019-1765), and ‘Preventing Childhood Toxic Stress: Partnering With Families and Communities to Promote Relational Health’ (https://doi.org/10.1542/peds.2021-052582).”
Fluoride Varnish
• Footnote 37 has been updated to read as follows: “The USPSTF recommends that primary care clinicians apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption (https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prevention-of-dental-caries-in-children-younger-than-age-5-years-screening-and-interventions1). Once teeth are present, apply fluoride varnish to all children every 3 to 6 months in the primary care or dental office based on caries risk. Indications for fluoride use are noted in ‘Fluoride Use in Caries Prevention in the Primary Care Setting’ (https://doi.org/10.1542/peds.2020-034637).”
Fluoride Supplementation
• Footnote 38 has been updated to read as follows: “If primary water source is deficient in fluoride, consider oral fluoride supplementation. See ‘Fluoride Use in Caries Prevention in the Primary Care Setting’ (https://doi.org/10.1542/peds.2020-034637).”
2022 Coding for Pediatric Preventive Care Booklet is Available
In addition to the 2022 Bright Futures/AAP Periodicity Schedule, the 2022 Coding for Pediatric Preventive Care booklet has been revised and is available online and in print. This complementary resource contains comprehensive listings of codes and services that coincide with the 2022 Bright Futures/AAP Periodicity Schedule.
If you have questions about the 2022 Bright Futures/AAP Periodicity Schedule or 2022 Coding booklet or would like to receive a few hard copies to share with your clinics, colleagues, students, or families, contact us.
April 2022 eNews
New Resource: Bright Futures Mini Training Modules
The Bright Futures National Center introduces new, ready-to-use Bright Futures Mini Training Modules for pediatric residents, trainees, and any pediatric health care professionals interested in a refresher. These modules are intended to meet the needs of busy pediatric residents and trainees to be used anywhere and anytime. This series of free, asynchronous modules review clinical topics utilizing Bright Futures Guidelines, 4th Edition content, Bright Futures Tool & Resource Kit, 2nd Edition forms and handouts, and additional resources. The modules include a PowerPoint presentation, script, and highlighted resources. Browse the series of Bright Futures Mini Training Modules (average time: 15-30 minutes per module) and check back for new topics!
Topics currently available are:
• Promoting Developmentally Appropriate Toilet Training
• Promoting Oral Health
• Agenda Setting in the Clinic
Note: The modules are for learning purposes only and are NOT approved for continuing education credit.
New Resource: Adolescent Mental Health Concerns Tip Sheet
In partnership with the Association of Maternal & Child Health Programs (AMCHP), the Bright Futures National Center collaborated on the Applying Principles of a Shared Plan of Care for Adolescents Living with Mental Health Concerns tip sheet which applies 10 Shared Plan of Care (SPoC) principles to the Bright Futures health supervision visits. These principles form bridges between pediatric primary care and behavioral health care with a focus on adolescent social/emotional well-being. Each SPoC principle features relevant considerations, resources, and tools.
New Opportunity: AAP Systems of Care for Healthy Mental Developmental ECHO
The AAP is recruiting primary care practices, AAP members, behavioral/mental health providers, public health officials, Title V/CSHCN directors or staff, and other collaborators to join a 3-month learning collaborative aimed to build capacity for systems of care to support healthy mental development for pediatric patients and their families. The program will increase participants’ knowledge and self-efficacy around identification, assessment, and management of disruptions to healthy mental development. Practices will engage in the ECHO (Extension for Community Healthcare Outcomes) model™, a telementoring platform that leverages video conference technology to connect subject matter experts with primary care teams in local communities, fostering an “all teach, all learn” approach. See this flyer for more information.
Apply Online
Contact Kristin Conrad, ECHO Manager at kconrad@aap.org for any questions.
Reminder: Pedialink Course Bight Futures - Building Positive Parenting Skills Across Ages
The Bright Futures National Center offers this free PediaLink course. The course is free to the public, including non-AAP members. Learners who will only be required to create an AAP login (if they don’t already) to obtain access to the course. Some highlights:
• Provides residents, nurse trainees, and other pediatric health care professionals the knowledge and skills to provide developmentally appropriate parental support and advice.
• Pediatric health care professionals play a vital role in reinforcing parenting skills by modeling parenting skills during a health supervision visit.
• Teaching and reinforcing parenting skills during the course of a health supervision visit can be useful to address common behavioral concerns and ameliorate parental stress.
Questions? Contact Us!
Would you like more information about Bright Futures materials and resources? Contact us.
AAP Features
New Resource: Healthy Beverage Quick Reference Guide
The AAP Institute for Healthy Childhood Weight (IHCW) designed this reference tool to compile the various policy and clinical recommendations into an easy-to-use guide that spotlights the age-specific AAP healthy beverage recommendations for infants, toddlers, children and adolescents. Recommendations are categorized by age groups and beverage type (with easy to identify icons) for ease of use.
New Podcast Episodes: IHCW Conversations About Care Podcast
The Conversations About Care podcast series, created in partnership with Bright Futures, features pragmatic and lively conversations between health care professionals focuses on providing quality patient-centered care within the changing landscape of medicine and social norms. New episodes include topics from obesity care during the pandemic to addressing weight bias and stigma.
New Resources: Developmental Screening
The AAP, with support from the CDC, offers resources for developmental surveillance and screening. The resources can be a help with challenges that were identified during the COVID-19 pandemic. Find them here:
• Free PediaLink Course: Innovative Strategies for Improving Developmental Surveillance and Screening
• Emerging Practice Pearls
This project is supported by the Centers for Disease Control and Prevention of the US Department of Health and Human Services (HHS) as part of a financial assistance award totaling $200,000 with 100 percent funded by CDC/HHS. © 2021 American Academy of Pediatrics. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by American Academy of Pediatrics, CDC/HHS, or the US Government.
New Webinar: Implementing Equitable Care Coordination
The National Resource Center for Patient/Family-Centered Medical Home (NRC-PFCMH), in partnership with the National Center for Care Coordination Technical Assistance (NCCCTA) and Family Voices of Wisconsin and Wisconsin Title V, will host a free webinar on the role of care coordination in supporting equitable care for children and youth with special health care needs (CYSHCN) and their families. This 60-minute webinar will feature faculty from Family Voices of Wisconsin and Title V who will share practice strategies used to build a sustainable care coordination system for CYSHCN and their families in their state. Faculty from the NCCCTA will highlight care coordination tools and resources for implementation at the clinical, community, and systems levels. Participants will have the opportunity to ask questions of faculty during the Q & A session.

Thursday, April 28th 11:30am CT
Register in advance
For any questions, contact Melannie Vallejo at mvallejo@aap.org.
New Webinar: Lessons Learned About Survivor-Centered Support During the COVID-19 Pandemic: Recommendations for Pediatric Healthcare Providers
In partnership with a CDC-funded initiative at the AAP, Futures Without Violence will host a webinar focusing on best practices and innovative strategies that pediatric healthcare professionals can implement to form stronger support networks for survivors of violence and abuse that continue to function in emergency conditions
Wednesday, April 27th 1pm CT
Register in advance
Reminder: Perinatal Depression Curriculum
ASHEW launched this free perinatal depression curriculum, available on PediaLink. Participating in this curriculum will provide learners with a deep dive into perinatal depression and will enable health care professionals and trainees to engage in small group discussions and promote peer-to-peer learning. The goal of these interventions is to address the process skills needed; skills in problem solving, critical thinking, group process, change management and lifetime learning. Upon successful completion of the curriculum, participants will possess the necessary skills and knowledge when screening for, and management of perinatal depression. The course is to the public, including non-AAP members. Learners will be required to create an AAP login to obtain access to the course. Once users are logged in, click on the Teaching & Learning Resource Center – Training Curricula.
Updated Resource: Early Hearing Detection and Intervention FAQ Guide
The recently updated EHDI Frequently Asked Question (FAQ) Guide is an introductory resource for pediatric health care professionals serving families with a child or children who is or are deaf or hard of hearing (D/HH). This resource provides linkages and connections to important resources in states, critical components of working with families, and tips and strategies for billing and coding.
To stay current at the state and local levels to address newborn hearing concerns, partner with your state EHDI Coordinator. The state EHDI coordinator serves as a statewide consultant to improve the early hearing detection and intervention system, which screens and enrolls infants identified as deaf and/or hard of hearing into early intervention services. For more information, please contact the AAP EHDI program at aapehdi@aap.org.
Reminder: Early Hearing Detection and Intervention Program/Bright Futures Tip Sheet
The Early Hearing Detection and Intervention (EHDI)/Bright Futures Implementation Tip Sheet provide checklists and screening algorithms for the birth to 6-month period to ensure that screening, surveillance, referral, and intervention can occur at appropriate times for optimal development. Use the EHDI Literature Review Table to find articles focused on the role of the primary care pediatrician in addressing EHDI within the medical home model; a focus on EHDI systems of care; as well as articles focused on advancing health equity. This literature review table outlines recent data, and seminal literature pertaining to EHDI, specifically for the field of pediatrics.
Reminder: AAP Response to COVID-19
The AAP continues to provide necessary support to pediatric health care professionals, patients, and families during this public health crisis. The AAP provides streamlined, accurate, and up-to-date information to its members and the public.
For information and guidance for health care professionals regarding COVID-19, click here.
For families, visit HealthyChildren.org

Quick links:
• COVID-19 Pandemic 2-Year Anniversary Video
• COVID-19 Interim Guidance (recently updated)
• Caring for Children and Youth With Special Health Care Needs During the COVID-19 Pandemic
• Guidance on Providing Pediatric Well-Care During COVID-19
• COVID-19 Interim Guidance: Return to Sports and Physical Activity
AAP Spotlight: AAP Blueprint for Youth Suicide Prevention
The AAP and American Foundation for Suicide Prevention (AFSP) are proud to share a new free resource: Blueprint for Youth Suicide Prevention, developed in collaboration with experts from the National Institute of Mental Health (NIMH). This practical guide is designed to support pediatric health clinicians in identifying strategies and key partnerships to support youth at risk for suicide. The Blueprint outlines clinical pathways, community partnerships, and advocacy strategies to better identify and support youth at risk for suicide. Pediatric health care professionals, public health professionals, educational and community professionals, and policy makers can find these materials at www.aap.org/suicideprevention.
Other Resources
New AMCHP Post: #ScreentoInterveneForAYAs
The Association of Maternal & Child Health Programs (AMCHP) recent blog post highlights the Arizona Maternal and Child Health program’s approach to enhancing equitable and optimal initiatives that positively impact the emotional, physical, and social well-being of adolescents. Arizona is one of five state teams participating in the Adolescent & Young Adult (AYA) Behavioral Health CoIIN project, which seeks to increase the rate of depression screenings among AYAs with an appropriate follow up care plan, if necessary.
New AMCHP Resource: Interactive Toolkit for Lead Poisoning Prevention
The interactive MCH Lead Toolkit is the final product of the AMCHP-led, HRSA-funded national Maternal and Child Environmental Health Collaborative Improvement and Innovation Network (MCEH CoIIN). This Toolkit shares best practices and lessons learned from the MCEH CoIIN, its national partners, and state teams. It aims to help public health professionals access resources, strategies, tools, and ideas that they can replicate or adapt in their states, jurisdictions, and communities. Contact MCHLeadToolkit@amchp.org for additional questions or information requests.