Thanks to the collective efforts of Healthy Start CoIIN members, MCH Bureau officers, JSI/EPIC Staff and Healthy Start grantees, together we have developed and refined a set of standardized, evidence-based screening tools that will substantially improve our ability to document our participants’ needs for care coordination and satisfy our required reporting. These screening tools received official OMB approval in November 2016 and are ready for implementation. The Healthy Start EPIC has created opportunities to assist you with implementation.
HRSA has given the HS EPIC Center permission to post the OMB approved versions of these tools here for easy access.
Please refer to this recently updated Screening Tool Terminology Clarification Document to prevent any confusion.
These tools have been recently updated. Please View this Table of Updates to see changes. The date of each change is noted in this document.
- Demographic Intake (doc) (Updated 3/9/17)
- Pregnancy History (doc) (Updated 5/12/17)
- Prenatal (doc) (Updated 3/9/17)
- Preconception (doc) (Updated 3/9/17)
- Postpartum (doc) (Updated 5/12/17)
- Interconception/ Parenting (doc) (Updated 5/12/17)
In addition to completing the OMB-approved screening tools as indicated for each perinatal phase, repeat screening of select questions will ensure that programs capture the best data to inform performance measures. It is recommended that the program re-screen participants at least once near the end of the perinatal period. If more frequent update screening is performed, the most recent data will overwrite prior responses and will be used to calculate performance measures.
During the remainder of this funding period, JSI/EPIC Center will provide technical support to sites adopting the screening tools including working with grantees who plan to use the tools in their current form and grantees who will integrate questions from the tools into their existing screening processes. Find information on training and technical assistance, and implementation resources here.