Overview of the PHDS	The Promoting Healthy Development Survey (PHDS) assesses whether young children age 0–3 receive nationally recommended preventive and developmental services.  The full-length PHDS takes approximately 15–18 minutes to complete and the reduced-item PHDS takes approximately 5 minutes to complete. The PHDS includes additional items related to the child's health, parents' health, and family behaviors. An additional version of the PHDS for telephone administration (PHDS-PLUS).  To date, over 45,000 surveys have been collected by ten Medicaid agencies, four health plans, 38 pediatric practices and nationally through the National Survey of Early Childhood Health. Components of the PHDS have also been included in the National Survey of Children’s Health.  The Promoting Healthy Development Survey has been endorsed by the National Quality Forum as a valid measure for system, plan and provider-level assessment of patients' experiences with preventive and developmental health care.
Quality of Care Topics Assessed in the PHDS	The PHDS collects data on 10 health care quality topics related to clinical and patient-centered care preventive and developmental services for young children:   Appropriate Clinical Care Anticipatory guidance and parental education provided by doctors or other health care providers. Assessment of parental concerns about their child's learning, development, and behavior. Provision of specific information to address parental concerns. Follow-up for children at risk for developmental, behavioral, or social delays. Administration of a standardized, parent-completed developmental and behavioral screening tool.  Assessment of psychosocial issues in the family. Assessment of smoking, substance abuse and safety in the family. Coordination of care for children requiring multiple types of health care services or seeing more than one health care provider. (Items not included in the ProPHDS.) Patient-Centered Care Provision of family-centered care that respects and partners with parents. Helpfulness of care provided to parents. (Items included in the PHDS only.) Effect of care provided on parental confidence. (Items included in the PHDS only.) Health Information  Provision of written or other types of health information to parents on caring for their child, preventing injuries, and ensuring optimal development. (Items included in the PHDS only.) Provision of information about resources in the community for parents. Minimum Comprehensive-Care Composite – “Got All Care Measure” Provision of comprehensive care, meaning patients were provided a minimum threshold of care for the components of care listed above.
Additional Information Collected by the PHDS	The PHDS also gathers information useful for quality improvement and community assessment:   Child health and descriptive characteristics (risk for developmental, behavioral or social delays, special health care need, overall health status, premature birth, birth order).  Parental health and socio-demographic characteristics (risk for depression, problems paying for child's basic health and medical needs, relationship to child, education level, marital status). Parenting behaviors (breastfeeding, reading, screen time, actions parents take to protect their child from injury). Child's health care utilization (number of regular or routine care visits, ER visits).  Access issues (problems getting necessary care, use of health care)