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About



The Cycle of Engagement Model and Tools were designed and tested by the Child and Adolescent Health Measurement Initiative in partnership with families, providers, experts, and researchers.

The Child and Adolescent Health Measurement Initiative (CAHMI)

The Child and Adolescent Health Measurement Initiative (CAHMI) is a national initiative started in 1996 to keep the focus on children, youth, and families in health care and public health services, systems, and policy change. We focus on engaging families, providers, and system leaders to build the supply of health outcomes and systems performance measures, advance new knowledge into policy, and develop and test translational tools to improve systems and care. We work to disseminate and build the demand to use family-centered, outcomes-oriented data and tools to inspire, inform, and support transformational partnerships that aim to improve the early and lifelong flourishing of children, youth, families, and communities.

Our Mission

The mission of the CAHMI is to promote the early and lifelong health of children, youth, and families through the translation of the science of healthy child development and thriving into public health and health services research, policy, and practice.

How We Do Our Work

The work of the CAHMI is guided by our values: (1) equity and positive health development for all children, youth, families, and communities; (2) child, youth, and family partnership and engagement at all levels; (3) translation of science, data, and evidence into policy and practice; (4) cross-sector collaboration and innovation to achieve culture and systems change

Early Childhood Cycle of Engagement (EC_COE): Our Journey and Commitment

The EC_COE has been a labor of love for the CAHMI. We are driven by our dedication to partner with you to meet the great need and possibilities to promote the early and lifelong health of children, families, and communities. As a part of our broader Advancing Tools and Technologies to Achieve Child Health (ATTACH) work, since 1997 the Child and Adolescent Health Measurement Initiative (CAHMI) has partnered with families, providers, and experts at the national, state, health plan, practice, and provider levels to design, develop, and test the EC_COE model and tools. With initial support from The Commonwealth Fund and the Health Resources and Services Administration, CAHMI has worked in close collaboration with Family Voices and leaders of the American Academy of Pediatrics’ Bright Futures Guidelines for Health Supervision of Infants, Children and Adolescents to translate guidelines into family-friendly, actionable tools to customize and improve the quality of well child care services based on family reported assessments and priorities. The Well Visit Planner includes standardized assessments, including the Survey of Well-Being Young Children (SWYC), for which the CAHMI holds a license for use in the EC_COE. Other guideline-aligned content was designed and tested by CAHMI.

Be A Partner: Early Childhood Cycle of Engagement

CAHMI aims to continue to innovate and partner to help all children thrive! We need your partnership and support. Current funding for the Early Childhood Cycle of Engagement (EC_COE) comes from a grant from the Robert Wood Johnson Foundation to the CAHMI at the Johns Hopkins School of Public Health and other support from the Center for the Advancement of Innovative Health Practices. If you wish to partner or support this work please contact Christina Bethell, PhD, MBA, MPH at cbethell@jhu.edu.

Background on Research and Development

If you are interested in learning more about our research, please see some of our published work and related links below


Well Visit Planner and Personalized, Connected Encounter

Design and Quasi-Experimental Study (2008-2012)

Randomized Clinical Trial and Qualitative Study

Video Summaries and Presentations


Promoting Healthy Development Survey (PHDS)

Development and Testing

National Application of the PHDS


Relationship-Centered, Engagement-Based Roadmap
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Read our two-page overview on the Early Childhood Cycle of Engagement!

LEARN MORE
ABOUT THE EC_COE
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See a recent national webinar on the CARE_PATH for Kids!

CLICK HERE
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Watch an overview about the Well Visit Planner!

CLICK HERE