# Developmental Pediatrics Quality Management System

This repository contains template documents for implementing a Quality Management System (QMS) specifically designed for **Developmental Pediatrics** practices, neurodevelopmental clinics, and interdisciplinary evaluation teams.

## Purpose

Designed for clinical practices that provide:
- Autism spectrum disorder (ASD) diagnostic evaluations
- Developmental delay assessments
- Intellectual disability evaluations
- ADHD and learning disability testing
- Early intervention coordination
- School-based service planning and advocacy

## Designed For

- Developmental-Behavioral Pediatric Practices
- Neurodevelopmental Evaluation Clinics
- University-Based Child Development Centers
- Hospital-Based Developmental Pediatrics Departments
- Multidisciplinary Assessment Teams
- Early Intervention Programs

## Repository Structure

```
developmental-pediatrics/
├── Policies/                     # Quality policies and management commitment
├── SOPs/                         # Standard Operating Procedures
│   ├── Diagnostic-Evaluations/   # ASD, ID, ADHD evaluation protocols
│   ├── Screening/                # ASQ, M-CHAT, developmental surveillance
│   ├── School-Liaison/           # IEP, 504 plans, educational coordination
│   ├── Clinical/                 # Clinical operations and protocols
│   ├── Administrative/           # Scheduling, billing, records management
│   └── Safety/                   # Safety protocols and incident reporting
├── Work Instructions/            # Detailed work instructions for assessments
├── Forms/                        # Record forms and templates
│   ├── Screening-Results/        # Screening documentation templates
│   ├── School-Reports/           # IEP, 504, school liaison forms
│   ├── Assessment-Tools/         # Score sheets and data collection forms
│   └── Case-Management/          # Care coordination and referral tracking
└── Templates/                    # Document templates
```

## Document Numbering Convention

- **POL-XXX**: Policies
- **SOP-DE-XXX**: Diagnostic Evaluation SOPs
- **SOP-SCR-XXX**: Screening SOPs
- **SOP-SCH-XXX**: School Liaison SOPs
- **SOP-CLI-XXX**: Clinical SOPs
- **SOP-ADM-XXX**: Administrative SOPs
- **SOP-SAF-XXX**: Safety SOPs
- **WI-XXX**: Work Instructions
- **FRM-XXX**: Forms and Records

## AI-Powered Document Creation

This template includes **AtomicAI** integration. Simply create an issue and mention `@atomicai` to:
- Generate standardized assessment protocols
- Create screening and evaluation forms
- Draft IEP and school liaison documentation
- Develop behavioral intervention procedures
- Update existing clinical protocols

## Getting Started

1. Create a new repository using this template
2. Customize documents with your practice's information
3. Create issues with `@atomicai` to generate new documents
4. Review and approve AI-generated content via Pull Requests

## Key Clinical Protocols

This template supports documentation for:

### Diagnostic Evaluations
- **Autism Spectrum Disorder (ASD)**: ADOS-2, ADI-R, DSM-5-TR criteria
- **Intellectual Disability**: Standardized cognitive and adaptive assessments
- **ADHD**: Comprehensive multimodal evaluations
- **Learning Disabilities**: Psychoeducational testing and differential diagnosis

### Screening Programs
- **Ages & Stages Questionnaires (ASQ-3)**
- **M-CHAT-R/F** (Modified Checklist for Autism in Toddlers)
- **PEDS** (Parents' Evaluation of Developmental Status)
- **Developmental milestone surveillance**

### School-Based Services
- **IEP Development**: Individualized Education Program documentation
- **Section 504 Plans**: Accommodation planning and monitoring
- **Educational Advocacy**: School liaison and communication protocols
- **Transition Planning**: Early intervention to school-age services

### Multidisciplinary Coordination
- Team evaluations with OT, PT, SLP, Psychology
- Integrated care planning
- Family-centered care delivery
- Referral management

## Regulatory Compliance

These templates support compliance with:
- **IDEA** - Individuals with Disabilities Education Act
- **Section 504** - Rehabilitation Act accommodations
- **ADA** - Americans with Disabilities Act
- **HIPAA** - Health Information Privacy and Security
- **FERPA** - Family Educational Rights and Privacy Act
- **21 CFR Part 11** - Electronic Records (if applicable)
- **AAP Guidelines** - American Academy of Pediatrics developmental surveillance
- **CDC Milestones** - Developmental milestone recommendations
- **DSM-5-TR** - Diagnostic criteria for neurodevelopmental disorders

## Assessment Standardization

Protocols ensure:
- Standardized administration of diagnostic tools
- Fidelity to published assessment protocols
- Inter-rater reliability for team evaluations
- Evidence-based diagnostic decision-making
- Cultural and linguistic competency

## Family-Centered Care

Documentation supports:
- Shared decision-making with families
- Culturally responsive service delivery
- Family psychoeducation and support
- Collaborative treatment planning
- Care coordination across providers and systems

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