Download the full text: Dunlap_2021_Reach Out and Read and developmental screening – using federal dollars through a health services initiative
study descriptionSecondary data analysis.
core topic(s)Reach Out and Read (ROR)
Population CharacteristicsInfant/Newborn , Medicaid , Urban
Exposures, Outcomes, OtherHome Language/Literacy/Learning Environment , Language and Literacy Development , Technology and Digital/Screen-Based Media
objectivesThe purpose of this study is to see if using federal funding would facilitate ROR expansion and if this expansion would improve developmental screening and EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) visits in Oklahoma.
exposureReach Out and Read (ROR) during infancy.
outcomes evaluatedDiagnostic developmental screenings performed and EPSDT visits.
settingPrimary care providers throughout Oklahoma, ROR providers compared against non-ROR providers.
methodsMedicaid billing data for state fiscal year (SFY) 2018 and 2019 were analyzed. Standard statistical methods were used to analyze the data descriptively to determine the proportion of developmental screenings performed and EPSDT visits. Comparisons were made between ROR and non-ROR sites. Nine new ROR sites were added with 26 new providers/staff and 130 providers/staff at existing sites trained in ROR from November 2018 to June 2019.
sample sizen=156 (providers' Medicaid billing data)
Measure of Screenings and Visits: Providers’ Medicaid billing data reviewed for paid claims for Sooner Care members used to determine percentage of members receiving developmental screenings during WCVs; procedure codes used to identify screenings and WCVs. Specific diagnosis codes used to identify EPSDT visits.