What impact did we have?

• Important impact on clinical care- routine child abuse screening in all children <13 years old at NW and <10 years old at UW

• The screening rates for the CAS were impressively high at both sites and have been sustained since the end of the live period as the sites move this into clinical care.

Three validated clinical prediction tools Challenges to Implementation

Themes:

• Cultural Challenges of adopting prediction rules

• Difficult to integration into EMR

• Complex clinical environment with varying workflows hard to influence

• Difficult integration with outside agency

• Complex changes in diagnostic/therapeutic regimens