Using lessons learned from the 2006 Bright Futures Training Intervention (BFTI) project (described below), plus other tips from practitioners, nurses, and office staff members who have implemented the Bright Futures Guidelines in their practice settings, consider the following ways to organize your office practice to implement Bright Futures recommendations.


The Bright Futures Training Intervention project served as the foundation for the Education in Quality Improvement for Pediatric Practice (EQIPP) courses. Conducted by AAP Bright Futures in 2006, with funding from the Commonwealth Fund, the BFTI project tested a framework that included 6 office system components:

  1. Using a preventive services prompting system
  2. Using structured screening to assess developmental and behavioral needs
  3. Evaluating parental strengths and needs
  4. Using recall-and-reminder systems
  5. Linking to community resources
  6. Identifying children with special health care needs

BFTI represents a unique office-systems approach to specifically improving the delivery of developmental screening and preventive services for children younger than age 5. This approximately 1-year collaborative learning intervention involved engaging multidisciplinary office teams from primary care practices in implementing all 6 of the key components and strategies that embody the Bright Futures philosophy. Learn more by visiting the Quality Improvement section of this website.

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American Academy of Pediatrics