What is the Cycle of Engagement?


The Cycle of Engagement (COE) is a model for engaging parents in an ongoing, collaborative way to learn about, measure, and improve the quality and outcomes of care for children using a personalized and systems-integrated approach based on guidelines from the American Academy of Pediatrics and best practices.

The COE seeks to advance a relationship-centered process that covers the spectrum from pre- to post- well-child visit and the development of shared plans of care, engages parents as partners in the visit, and which can aid in identifying parent priorities and quickly linking families to services to support their child’s health.

The COE is comprised of pre-visit planning, within-visit engagement, and post-visit assessment. COE tools are web-based parent-centered tools, and consist of the Well Visit Planner (WVP) for pre-visit planning (4 months – 6 years), the Online Promoting Healthy Development Survey (Online PHDS) for post-visit assessment of quality of care given (3 months – 4 years), and the CARE_PATH for Kids (CPK) for care-coordination and care planning (0 - 18 years).

On this website, you can create an account to use the COE tools and tailor them to your practice or organization.

The COE tools are:
Benefits of the COE

The Cycle of Engagement is meant to improve the quality and outcomes of care for children by:

  • Engaging and supporting parents to promote the health and well-being of their children.
  • Streamlining visit preparation and optimizing visit time for parents and providers.
  • Early identification of physical, social, emotional and behavioral issues.
  • Fostering trusting relationships between providers and families.
  • Effective provision of critical anticipatory guidance, education and resources to parents.
  • Helping parents identify important topics to discuss with their child’s providers.
  • Promoting positive child and family health, resilience, social and emotional skills.
  • Providing pediatric practices with real time and continuous feedback on parent-reported aspects of Bright Futures recommended care.
  • Helping providers identify children and families needing higher levels of case management and care coordination and linking them with community-based services and support.
  • Helping providers partner with families to address their needs and priorities, develop shared goals, and identify action steps to achieve the goals.
  • Supporting aggregate population-level data assessment and improvement.
Learn more about the COE from this 2-page overview.
Get the COE Getting Started Toolkit

Ready to Get Started?

You can create an account to use the Cycle of Engagement tools, the WVP, the Online PHDS and the CPK. With an account you can:

  • Get access to the WVP portal, Online PHDS portal and CPK website
  • Customize the WVP and Online PHDS (get unique URL, add logo, and add tools and resources for families)
  • Track the WVP and Online PHDS usage by families (numbers started and completed)
  • Generate summary reports for the quality of care you provided (with Online PHDS)
  • Get access to educational, implementation and family engagement resources

Please note that the CAHMI is not charging any fee for early adopters of the COE. We encourage implementers to adopt the COE model and tools to learn about it, share their learnings with us and become a part of the growing COE learning community. In the future, there will be licensing fees for using the COE model and tools and additional costs for team education, engagement resources, implementation and evaluation support, and these would require the development of a business/license agreement with CAHMI. We will add more information here before a licensing fee is implemented.

Readiness Checklist

Please make sure you assess the readiness of your team to implement the COE. It is recommended that items 1 and 2 are in place before you continue. Other checklist items can be worked on as you proceed with your efforts.

Team Culture
  1. There is interest and stated intention for family engagement and improved care provided to children during visits
  2. The team possesses (or is willing to be coached in) quality improvement skills and the team is willing to try a new initiative that aims to improve the care provided to families of children
  3. Senior leaders link family engagement to organizational priorities and values and thus, the team has full support for the work
Team Training
  1. A core team is identified to test, adapt and implement the COE
  2. The team has learned about the COE model utilizing the educational resources, reviewed the demo websites, and is familiar with the COE tools
  1. The team has considered fit and feasibility of implementation of the COE
  2. The team has discussed direct and indirect benefits of using the COE with families
  3. The team has assessed the perceived value and concerns with implementing the COE

COE Registration

You can access the Cycle of Engagement (COE) tools by creating an account to tailor the tools for your practice or organization. To create an account with the COE click on “Register” below.

Prior to registering for an account, please review the Use Agreement.

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