Developmental Surveillance Resources
for Healthcare Providers
CDC’s milestones and parent tips have been updated and new checklist ages have been added (15 and 30 months). To see answers to frequently asked questions about these changes click hereexternal icon. For more information about the recent updates to CDC's developmental milestones, please view the Pediatrics journal articleexternal icon describing the updates.
In addition to early childhood screenings, the American Academy of Pediatrics also recommends developmental surveillanceexternal icon, a flexible, longitudinal, continuous, and cumulative process, at each health supervision visit to help identify children with developmental concerns. CDC’s “Learn the Signs. Act Early.” program has FREE parent-friendly milestone checklists and other resources for children 2 months to 5 years of age to support healthcare providers with this process. Watch a webinar hosted by the American Academy of Pediatricsexternal icon, that focuses on understanding and incorporating Developmental Surveillance into your practice.
Print Milestone Checklist
English pdf icon[4 MB, 24 Pages, 508]
Spanish pdf icon[4 MB, 24 Pages, 508]
CDC’s Learn the Signs. Act Early. materials include developmental milestone checklists to help parents track milestones between visits and provide guidance about what steps to take if they have concerns, like talking with their child’s healthcare provider. They have been tested for clarity, ease of understanding, have an engaging design and are written at a fifth grade reading level. Encouraging parents to complete checklists can help with developmental surveillance during health supervision visits.
The checklists are
- Available within CDC’s free Milestone Tracker app
- Free to download and print in your office
- Available to order in limited quantities
- Available in English and Spanish, with some in simplified Chinese, Vietnamese and Korean, and other languages
- Able to be customized by adding your practice’s logo
View, print, or order milestone checklistspdf icon, CDC’s Milestone Tracker app, and other free resources to help with developmental surveillance at www.cdc.gov/ActEarly/Materials.
- This video from the AAPexternal icon discusses developmental surveillance recommendations, tips, and resources.
- This studyexternal icon showed that children receiving developmental monitoring and screening together were more likely to receive early intervention.
- Perform the 6 steps of developmental surveillance at each health supervision visit:
- 1.) review checklists/developmental history;
- 2.) ask about concerns;
- 3.) assess strengths and risks;
- 4.) observe the child;
- 5.) document; and
- 6.) obtain and share results with others (early childhood educators, WIC providers, home visitors, etc.).
- Encourage parents to monitor milestones between visits and share results with you:
- Print and post FREE Milestone Tracker app posters pdf icon[617 KB, 1 Page, 508]in exam rooms; encourage families to download the app and complete a checklist.
- Print and give milestone checklists pdf icon[4 MB, 24 Pages, 508]to families who prefer paper or speak languages other than English or Spanish; laminate and reuse them as needed.
- Conduct early childhood screenings as recommended by the AAP, using validated screening toolsexternal icon at recommended ages and if surveillance reveals a concern.
- Refer children with concerning results for further evaluation AND to your state’s early intervention program.
These free resources can help healthcare providers obtain Continuous Medical Education (CME) and Maintenance of Certification (MOC), and implement a Quality Improvement (QI) project in healthcare settings.
Milestones Matter: Don’t Underestimate Developmental Surveillanceexternal icon
The AAP offers this FREE online PediaLink course that highlights the importance of developmental surveillance as an essential component of the new recommendations in the clinical report titled, “Promoting Optimal Development: Identifying Infants and Young Children with Developmental Disorders Through Developmental Surveillance and Screening.” You do not need to be an AAP member to register and receive credit. This course will help pediatricians recognize the value of early identification and intervention when developmental delays are suspected, and to identify the key surveillance and screening steps to incorporate into practice. Participants are eligible for 1 AMA PRA Category 1 Credit™ and 1 Maintenance of Certification (MOC) Part 2 point.
The AAP offers this FREE, self-paced, online PediaLink course to educate pediatric clinicians about evidence-based practices in caring for children with autism spectrum disorder (ASD). You do not need to be an AAP member to register and receive credit. The course consists of 7 units, each grounded in recommendations from the AAP clinical report, “Identification, Evaluation and Management of Children with Autism Spectrum Disorderexternal icon.” Learners may complete all units or select specific units they would like to complete based on their needs, capacity, and professional interests. Units within the course are eligible for AMA PRA Category 1 Credit™ and Maintenance of Certification (MOC) Part 2 points.
Toolkit to Implement Your Own Quality Improvement (QI) Projectexternal icon
This toolkit was developed by CDC and AAP to assist providers with implementing a MOC part 4 project on developmental surveillance and screening in the office.
Identify and discuss developmental surveillance best practices in your office setting. This free training, developed with support from the Centers for Disease Control and Prevention, includes a ready-to-use PowerPoint presentationpdf iconexternal icon, facilitator scriptpdf iconexternal icon, and case studypdf iconexternal icon. The training can be facilitated by providers or staff in various roles and is specifically designed to “spark” discussion and reflection. Facilitators can anticipate the training to last approximately 15-30 minutes and can be presented anywhere from staff meetings to professional development opportunities. Content in the training is grounded in the recently published AAP clinical report, “Promoting Optimal Development: Identifying Infants and Young Children with Developmental Disorders Through Developmental Surveillance and Screening.” Download a copy to present to your team today!
Identifying Risks, Strengths, and Protective Factors for Children and Familiespdf iconexternal icon: A Resource for Clinicians Conducting Developmental Surveillance
A study from the Journal of Developmental & Behavioral Pediatricsexternal icon indicates LTSAE may improve developmental surveillance by increasing parent’s awareness of and discussion about milestones.
A study from the Journal of Developmental & Behavioral Pediatricsexternal icon suggests that LTSAE materials may help improve developmental surveillance by increasing parent-physician communication about development.
Early Intervention
Early intervention contact information by state.
Physical Developmental Delays: What to Look Forexternal icon
A tool developed by AAP and CDC on physical developmental delays and what to look for.
STAR Centerexternal icon
American Academy of Pediatrics’ Screening Technical Assistance and Resource Center for information on screening tools, practice resources, and technical assistance.
Birth to 5: Watch Me Thrive!external icon.
- A Healthcare provider guide pdf iconexternal iconto encourage healthy child development, universal developmental and behavioral screening for children, and support for the families.
Developmental Monitoring and Screening for Health Professionals
Access information on developmental monitoring and screening for health care providers from CDC.
AAP’s Clinical Reports Recommending Developmental Surveillance and Screening
- Promoting Optimal Development: Identifying Infants and Young Children with Developmental Disorders Through Developmental Surveillance and Screeningexternal icon
- Identification, Evaluation, and Management of Children with Autism Spectrum Disorderexternal icon
Identify and discuss developmental surveillance best practices in your office setting. This free training, developed with support from the Centers for Disease Control and Prevention, includes a ready-to-use PowerPoint presentationpdf iconexternal icon, facilitator scriptpdf iconexternal icon, and case studypdf iconexternal icon.
