QI PROGRAMS / MOC IV

Injury Prevention Plus Safe Environment for Every Kid (SEEK) Quality Improvement (QI) Program

Research has found that social determinants of health (SDoH) in childhood can lead to lifelong health problems. These include living conditions, poverty level and mental health of caregivers. These experiences make-up 20% of children’s overall health and can have an impact on children reaching their full potential.

By screening for and discussing some of these risks with caregivers, providers are able to distribute needed resources to help ensure children are in safer environments and are able to build resiliency through positive relationships with caregivers.

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SEEK Toolkit

Program Partners

Ohio Department of Health logo

General Information

  • Ohio AAP’s Injury Prevention Plus Safe Environment for Every Kid (SEEK) Quality Improvement (QI) Program teaches pediatric healthcare providers how to implement a hybrid of Ohio AAP’s injury prevention screening tool and the nationally recognized SEEK Parent Questionnaire. This allows providers and staff to more effectively and efficiently screen for child abuse, caregiver mental health risks and the most common injury risks for children ages birth to five years old.  

For questions about this program, contact Program Manager Brooke Powell at bpowell@ohioaap.org.

Staff & Leadership

  • Jordee M. Wells, MD, MPH, FAAP – Content Expert
  • Liz Lendrum, MD – Content Expert
  • Brooke Powell, CPhT – Program Manager

History

  • The first Ohio AAP Injury Prevention QI Program launched in 2012. The program has grown from a focus on injury prevention in pediatric patients, which includes both intentional and unintentional injury risks for children up to five years of age. Social determinants of health (SDoH) are also addressed as part of the Injury Prevention Plus SEEK QI Program.
  • Ohio AAP, in partnership with the Ohio Department of Health’s (ODH) Violence and Injury Prevention Section (VIPS), implemented wave 6 of the Injury Prevention SEEK QI Program from October 2024 to June 2025.
  • This program has continued to address the persistent need for systematic, early identification of injury risks and SDoH challenges in families and households with young children. By equipping providers with tools and resources, the initiative sought to strengthen pediatric and family healthcare practices in supporting child safety, caregiver well-being, and health equity across Ohio.
  • Wave 6 engaged 14 practices across 10 Ohio counties, with 13 pediatric and 20 family healthcare providers participating. The program targeted caregivers of children ages birth to five, aiming to improve provider screening, counseling, and resource provision for topics such as car seat safety, safe sleep, home safety, maternal depression, parental stress, food insecurity, and housing needs.
  • Program Outcomes:
    • 1,609 caregivers screened, with an average of 2.4 risks identified per child
    • 74% of caregivers with identified risks received at least one resource, with over 1,200 caregivers supported during the QI period
    • Provider confidence increased by 1.4 points on a 10-point scale, with the greatest gains in addressing safe sleep and job resources
    • Caregiver readiness for behavior change: 89% of surveyed caregivers indicated willingness to change, with particularly high readiness in choking prevention (98%) and safe sleep practices (92%)
    • Sustained practice improvements: 100% of providers completing the exit survey reported that the program improved their efficiency in identifying injury and safety risks

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