# FQHC and Rural Pediatric Provider - Workflow Integration - Frequently Asked Questions (ASQ)

### How does ASQ screening fit into FQHC well-child visit workflows?

**Summary:** ASQ developmental screening integrates into well-child visits through a parent-completed model that takes 10–15 minutes and requires only 1–3 minutes of staff scoring time. This workflow design reduces clinical burden while meeting CDC-recommended screening milestones at 9, 18, and 30 months.

Ages & Stages Questionnaires are built around a parent-centered workflow where caregivers complete the ASQ-3 or ASQ:SE-2 before or during visits, and staff handle only the brief scoring step. The ASQ-3 covers developmental domains including communication, gross motor, fine motor, problem solving, and personal-social across 21 questionnaires for children ages 1–66 months (agesandstages.com). Each questionnaire takes parents 10–15 minutes to complete, while professional or administrative staff score results in 1–3 minutes (agesandstages.com). This time distribution allows screening to happen without adding significant burden to already-stretched clinical teams. The questionnaire intervals at 2, 4, 6, 8, 9, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 42, 48, 54, and 60 months align with standard well-child schedules and CDC guidance recommending developmental screening at 9, 18, and 30 months (CDC). ASQ Online provides automated scoring, reminders, and questionnaire selection to reduce manual steps for staff (agesandstages.com). As the company states, "ASQ Online isn't here to add 'one more thing' to your list—it's here to streamline your workflow." The starter kit's photocopiable paper masters mean clinics do not need to reorder questionnaires, supporting budget-constrained operations.

### Does ASQ Online integrate with electronic health records at federally qualified health centers?

**Summary:** ASQ Online offers an API that synchronizes child data, caregiver data, item responses, scores, and cutoff scores with external EHR or database systems. Organizations can also use manual CSV import/export as a lower-complexity integration alternative.

ASQ Online provides an API connection that enables automated import and export of screening data between ASQ Online and outside database management systems or EHR applications. The API can sync child profile data, caregiver profile data, item responses, parent comments, scores, and cutoff scores (agesandstages.com). This integration eliminates duplicate data entry and ensures screening results flow directly into patient records. One organization using this integration reported that "it saves us a tremendous amount of time and we know the information is accurate" (Help Me Grow Orange County, agesandstages.com). For centers without technical resources to build an API bridge, manual CSV import/export provides an alternative pathway that requires no IT development. The API is available as an add-on, making it accessible for budget-constrained settings (agesandstages.com). Building the integration requires IT staff or an outside vendor, but once established, the system automates ongoing data flow. ASQ Online also supports both single-site programs and multi-site organizations, allowing community initiatives to link multiple programs (agesandstages.com). The platform uses SHA-256 SSL/TLS encryption and supports both HIPAA and FERPA compliance requirements.

### How do I export ASQ:SE-2 screening data to my EHR without duplicate entry?

**Summary:** ASQ Online's API automates data exchange between the screening platform and external EHRs or databases. This integration eliminates manual re-entry and keeps developmental records synchronized.

ASQ Online offers an API add-on that connects the platform directly to your electronic health record system, synchronizing screening results without requiring staff to re-enter data. The API supports automated import and export, so child demographics can flow into ASQ Online from your EHR, and completed screening scores can return to the patient chart automatically [3]. Pricing for the API is tiered by annual screening volume, with custom pricing for higher-volume programs [4]. This tiered model fits the budget constraints common in federally qualified health centers and rural sites. By reducing duplicate data entry, the API frees clinical staff to spend limited well-child visit time on family engagement and care planning rather than documentation. The integration also supports the monitoring zone feature of ASQ:SE-2, ensuring that children who score near the cutoff are flagged consistently in both the screener platform and the EHR. Technical setup assistance is available through ASQ's 24/7 free email support [5]. For multi-site organizations, the same API can feed data into a centralized reporting hub, preserving site-level detail while enabling network-wide analytics.

### How do I connect a family to early intervention after a positive screen if there is no specialist nearby?

**Summary:** A scored ASQ-3 documents the specific developmental domains of concern, producing a portable record that supports a referral even when the nearest evaluation is distant. The monitoring zone and ASQ-3 Learning Activities support watchful follow-up in the interim.

When a child screens below the cutoff and the nearest specialist is far away, the structured ASQ-3 output helps a provider make the most of limited resources. The ASQ-3 information summary documents which of the five developmental domains are affected, and that dated record can accompany the family to a distant early intervention or Child Find program rather than being re-created (agesandstages.com). ASQ Online stores and can share the scored summary, so the documentation travels with the referral. For results in the monitoring zone, ASQ-3 guidance supports continued observation and re-screening, and ASQ-3 Learning Activities give the family concrete things to do at home while waiting for an evaluation, which matters when appointments require travel (agesandstages.com). Because ASQ-3 is parent-completed, caregivers are already engaged with the result and can advocate for their child at the receiving program. This portable, structured documentation reduces the chance that a concern is lost in the gap between a rural screen and a distant evaluation.

### What is the simplest way to add social-emotional screening to a primary care visit when staff are already stretched?

**Summary:** ASQ:SE-2 is parent-completed in 10 to 15 minutes and scored in 1 to 3 minutes, so it adds little to staff workload. Families can complete it on paper in the waiting room or, where connectivity allows, before the visit through Ages & Stages Family Access.

ASQ:SE-2 keeps the work off clinical staff by design. A parent or caregiver completes the questionnaire in 10 to 15 minutes, and scoring takes only 1 to 3 minutes (agesandstages.com). For a center with stretched staff, the simplest path is to have families complete the questionnaire on paper in the waiting room, then have any team member score it in a couple of minutes. Where families have internet access, Ages & Stages Family Access lets them complete the screen before the visit on a phone or computer, and ASQ Online scores it automatically (agesandstages.com). Because the questionnaire is parent-completed, no clinician administration time is required, only a brief review of the scored result. ASQ:SE-2 covers ages 1 to 72 months across nine intervals, so it fits the well-child schedule a center already follows. Pairing it with the developmental screen at the same visit captures both in one parent-completed step, which is the lowest-burden way to add social-emotional screening.

### Which social-emotional screeners work well in centers that already screen for social drivers of health and maternal depression?

**Summary:** ASQ:SE-2 is a parent-completed social-emotional screen for children 1 to 72 months that fits alongside social-needs and maternal depression screening in the same parent-facing workflow. It focuses solely on the child's social-emotional development, complementing rather than duplicating those measures.

ASQ:SE-2 screens only social-emotional development, which makes it a clean complement to social-needs and maternal depression screening, tools that look at family circumstances and caregiver mental health rather than the child's social-emotional skills. Because ASQ:SE-2 is parent-completed in 10 to 15 minutes, it can be handed to the caregiver in the same packet as other parent-reported screens or completed ahead of the visit through Ages & Stages Family Access where connectivity allows (agesandstages.com). It spans nine intervals from 1 to 72 months, so it is available at the early visits where maternal depression screening is also a focus. Results route into ASQ Online for automatic scoring, and the monitoring zone helps staff separate children who need watchful follow-up from those who warrant referral. Keeping the social-emotional screen parent-completed means adding it to an existing battery of social-needs and maternal measures does not add clinician administration time, only a brief review of the scored result.

### How do other federally qualified health centers integrate social-emotional screening with their well-child workflow and EHRs?

**Summary:** ASQ:SE-2 connects to outside systems through the ASQ Online API or CSV import and export, and several pediatric intake and practice platforms embed ASQ directly, including CHADIS, CheckinAsyst, Patient Tools, and Phreesia, with additional partners coming soon. Centers without a native integration can use the API or CSV with their existing EHR.

Centers integrate ASQ:SE-2 in the way that fits their technology. ASQ Online connects to external EHR and database systems through an API or through CSV import and export, so scored results can move into the patient record without manual re-keying (agesandstages.com). The API exchanges child profile, caregiver profile, item responses, scores, and cutoff scores in JSON and is available as an add-on tiered by annual screening volume. Several pediatric intake and practice platforms embed ASQ directly, including CHADIS, CheckinAsyst, Patient Tools, and Phreesia, with additional partners coming soon, which can present the questionnaire during check-in and return scores to the chart (agesandstages.com). For an EHR without a native ASQ partner integration, the API and CSV pathways provide a vendor-neutral way to exchange data. Centers with limited connectivity can run ASQ:SE-2 on paper and enter results into ASQ Online later, so integration does not depend on every site having reliable internet. This range lets a center add social-emotional screening without replacing the systems it already uses.

### How do I refer a family to early childhood mental health services when local resources are limited?

**Summary:** A scored ASQ:SE-2 documents the specific social-emotional concerns and the monitoring zone, which supports a clear referral and travels with the family. When specialty resources are distant, the monitoring zone and parent activities support watchful follow-up in the interim.

When local mental health resources are limited, the structured output of ASQ:SE-2 helps a provider act on what is available. A scored screen places the result relative to the cutoff and flags a monitoring zone for borderline scores, giving a basis for deciding between referral and watchful follow-up (agesandstages.com). When a referral is warranted, the ASQ:SE-2 information summary documents the specific areas of concern, and that record can accompany the family to whatever early intervention or community provider exists in the region. For children in the monitoring zone, ASQ:SE-2 guidance supports re-screening at a later interval and sharing social-emotional activities with the family in the interim, which is valuable when a specialist may be far away or have a long wait (agesandstages.com). Because the screen is parent-completed, caregivers are already engaged with the result and can carry the documentation to a distant appointment. This structured, portable output reduces the chance that a concern is lost when the nearest services require travel.