The accomplishments of the ABCD Consortia have continued beyond the life of the states' individual grants. Each continues to sustain the innovations first developed and tested in their selected demonstration sites. Many have developed key partnerships that have continued beyond the project, including provider organizations, state agencies, and other public/private partnerships that have been crucial in the efforts to spread policy and practice improvements statewide. These partnerships enable states to pool resources and to more effectively support providers in practice improvements. This ‘spontaneous lateral spread’ serves to make the case for Medicaid agencies to improve and/or clarify policies that promote child health and development and as an impetus for states to begin addressing creating efficient systems linkages that support families in securing appropriate care and services once needs have been identified.
This section will provide resources to assist states in sustaining and spreading the policy and practice improvements first tested in demonstration sites and designed to improve the quality of pediatric preventive services throughout their states.