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The Cycle of Engagement
The Cycle of Engagement (COE) model was initially designed in 1997 and has undergone continued development by the CAHMI to guide and catalyze CAHMI’s work to advance data driven partnerships among families, providers, health plans, and communities to:
Promoting positive health and flourishing of children, youth and families is our greatest public health need and opportunity! Trusting relationships, personalized
care, reliable and comprehensive data and ongoing engagement of families and communities is required. This is the goal of the CAHMI’s Cycle of Engagement model and tools.
a personalized, relationship-centered model of child and family care focused on building trust and customizing care based on child and family strengths, social context, needs, and priorities
a family-centered, integrated approach to screening and providing comprehensive whole-child and whole-family based services anchored to best practice evidence and guideline-based care
a measurement process for continuously updating a family-led agenda and assessing and improving the quality of care aligned with family-centered medical homes and value and team-based care
a population health strategy to learn about and use aggregate data on child and family needs and priorities and quality of care to guide and drive cross-sector collaborations to improve systems of care
Since 1997, the Child and Adolescent Health Measurement Initiative (CAHMI) has partnered with families, providers, and experts to design, test, and make available two sets of tools that
operationalize the Cycle of Engagement model:
If you are interested in the CPK, please visit www.carepathforkids.org.
If you are interested in the COE WVP, please see below to learn more.
Cycle of Engagement Well Visit Planner Approach to Care: Your Families, Your Partners
Personalized - Family Centered --- Guideline and Evidence-Based... Flexible...
“The WVP helped me think about what’s going well with my child and family. I have a better relationship with my child’s doctor now that we focus on my
concerns and priorities. Our time together is more productive and satisfying.”
The Well Visit Planner (WVP)
A family completed pre-visit planning tool resulting in a personalized Well Visit Guide for the family and care team based on family reports on screenings, priorities, strengths and other topics aligned with Bright Futures Guidelines
for fast facts about the WVP
The Personalized Connected Encounter (PCE)
A relationship-centered encounter anchored to findings on the Well Visit Guide, providing time to create deeper connections by focusing on priorities, needs and linking to community resources and support.
for fast facts about the PCE
The Online Promoting Healthy Development Survey (Online PHDS)
A validated, family reported, post-visit assessment of the quality of well child services resulting in reports and improvement resources for care teams and providers, with feedback and resources shared with families.
for fast facts about the PHDS
*These COE WVP tools can be used together or individually, and with all or only some of the families you serve.
The COE model and tools give families a voice and drive more efficient and effective care. Care teams report:
Research on the Well Visit Planner® shows improved developmental and psychosocial screening and follow up, reduced urgent care, and increased family and provider satisfaction.
CLICK HERE for a summary of the Cycle of Engagement Well Visit Planner Approach to Care.
CLICK HERE for an overview of:
“Using the Well Visit Planner I found out more about [the child’s] home, family, and how the parent was doing than I otherwise would … we talked about topics we wouldn’t have before without the Well Visit Guide. Most parents were prioritizing
topics about their child’s development, how to parent and discipline.” - Provider
Read our two-page overview on the Cycle of Engagement Well Visit Planner Approach to Care!
See a recent national webinar on the CARE_PATH for Kids!
Watch an overview about the Well Visit Planner!
If you would like to request a demo of the Cycle of Engagement and/or would like to create a Cycle of Engagement account for your practice or organization, please contact us at email@example.com with your name and interest in using the tools. We will be in touch with information regarding how you can sign up for an account and be an early pioneer adopter of the COE model and tools.
Request a Demo and COE Account
Don't Have an Account? Register Here.
If you would like to request a demo of the Cycle of Engagement and/or would like to create a Cycle of Engagement account to for your practice or organization, please contact us at firstname.lastname@example.org with your name and interest in using the tools. We will be in touch with information regarding how you can sign up for an account and be an early pioneer adopter of the COE model and tools.
Please fill in the following form with your name, email, and your questions. Please provide as much detail as possible in the “How can we help?” box, so we can direct and answer your question in the best way possible. Your inquiry will be responded to within 48 hours.
I. Introduction: The Child and Adolescent Health Measurement Initiative (CAHMI) takes the responsibility of ethical data stewardship seriously and invests considerable time and resources to assure that all the data we collect is protected and secured. As a “Business Associate”—as defined under the Health Information Portability and Accountability Act of 1996 (HIPAA)—CAHMI is required to comply with the HIPAA Security Rule, Breach Notification Rule, the use and disclosure provisions of the Privacy Rule, and be prepared to honor a covered entity’s request concerning patient rights. Since 2020, CAHMI has partnered with a third-party consultant (Gazelle Consulting, LLC) to make certain that CAHMI's data is protected according to HIPAA compliance standards and to elevate CAHMI’s security in the domains of people, processes, data, technology, and documentation to ensure that CAHMI remains a leader in safeguarding patient privacy.
II. Data Collection & Storage: CAHMI’s Cycle of Engagement Well Visit Planner (COE/WVP) model and digital tools were created for use by clinicians, providers, practices, organizations, and families to promote high quality well child care services and promote child and family health. Designed with data security and user privacy in mind, the COE/WVP tools collect the minimum data necessary to advance these goals. Certain identifiable information is collected with consent from families (e.g., child’s first and last name or child’s initials, birth month and year). These data are encrypted, isolated, and stored on dedicated hardware-encrypted drives housed in a physically secure data center with continuous monitoring, badge and biometric access controls, redundant power/communication/environmental controls, and fire and flood prevention. Access control for CAHMI staff and contracted developers is governed by standardized procedures, which are regularly reviewed to ensure the correct level of information access is being granted, especially as it pertains to PII and system administrator-level access.
III. Data Transport Security: All CAHMI web traffic passes through a corporate firewall equipped with intrusion protection, application control, gateway anti-malware, SSL/TLS v3, inspection, and URL filtering. Servers run a built-in firewall included with the operating system. Antivirus scanning software is configured for real-time scanning on all devices; library definitions are updated daily; full system scans are performed weekly with results recorded in system logs reviewed weekly by IT personnel.
IV. Data Backup: CAHMI’s operating systems, its file systems, and its databases are protected by an automated backup server with encrypted local and cloud-based replication. CAHMI maintains an Incident Response and Business Continuity Plan with procedures to ensure a consistent and effective approach to security events including but not limited to a data breach.
V. Conclusion: It is CAHMI’s mission to maximize the security and integrity of the data entrusted to us while protecting user confidentiality in the event of a data breach. However, no policy or procedure is capable of eliminating every potential data security incident or attempt at malicious data theft. Users should exercise standard data security precautions and review CAHMI’s Use Agreement and Privacy Notice. To this end, we make every reasonable effort to protect and secure your data and mindfully develop our business models and strategy in a manner consistent with the belief that everyone has a right to privacy-protection and confidentiality.
If you have questions about CAHMI’s compliance, privacy, or security, please contact the Security Team at email@example.com.