Healthcare: Pediatric Neurodevelopmental Telehealth
1. Problem
1a. Statement
Neurodivergent children in rural areas face 12-18 month wait times for developmental screenings and specialist evaluations, with families traveling 100+ miles for appointments. A pediatric healthcare provider serving underserved communities needed a telehealth platform with AI-powered screening tools that could identify developmental concerns earlier, connect families with remote specialists, and coordinate care across schools, therapists, and primary care providers while meeting the unique needs of children with autism, ADHD, and learning differences.
1b. Client Profile
1c. Motivation
2. Analysis
2a. Requirements
The platform required AI-powered developmental screening using validated instruments adapted for remote administration. Parent-reported and clinician-administered assessments covered autism spectrum indicators, attention and executive function, language development, and sensory processing. Screening algorithms flagged children requiring specialist evaluation while reducing false positives that waste scarce specialist time. Telehealth video integration with pediatric-friendly interfaces accommodated children who struggle with traditional clinical settings. Care coordination tools connected families, schools, therapists, and medical providers with shared care plans. The system needed to support offline assessments for families with limited internet access in rural areas.
The platform required AI-powered developmental screening using validated instruments adapted for remote administration. Parent-reported and clinician-administered assessments covered autism spectrum indicators, attention and executive function, language development, and sensory processing. Screening algorithms flagged children requiring specialist evaluation while reducing false positives that waste scarce specialist time. Telehealth video integration with pediatric-friendly interfaces accommodated children who struggle with traditional clinical settings. Care coordination tools connected families, schools, therapists, and medical providers with shared care plans. The system needed to support offline assessments for families with limited internet access in rural areas.
2b. Constraints
3. Solution
3a. Architecture
3b. Implementation
4. Result
4a. DUBEScore™
4b. Outcomes
4c. Learnings
Interface design for neurodivergent children required extensive user testing. Partner with occupational therapists early.
School system integration was more complex than EHR. FERPA requirements needed dedicated legal review.
Offline sync for rural families was essential. 30% of screenings completed without consistent internet.
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