Indiana Health

Clinical Care


The Neurodevelopmental Behavioral System of Care:

  • delivers comprehensive, integrated, evidence-based care
  • fosters family-centered partnerships
  • continuously implements data-driven quality improvement methods into care
  • provides enhanced and timely access, communication, facilitation and education for and with children and families

Important first-step drivers in the health care system for decreasing the age of identification of developmental delay and entry into interventional services are primary care physicians (who provide developmental screening) and diagnosis and evaluation services.  The Neurodevelopmental Behavioral System of Care  is working to address these drivers through outreach, training and coaching supports.

Early Evaluation Hubs

The Neurodevelopmental Behavioral System of Care Early Evaluation Hubs is a statewide effort in Indiana to improve early detection and intervention for children ages 1-4 years old with autism or developmental delay. The program addresses the long-standing nationwide problem of long wait times for families who are seeking evaluation for a developmental concern. At Riley Hospital for Children in Indianapolis, prior to the start of this project, the average wait time from referral to patient visit was over a year, meaning many children missed the early-detection window.

These Early Evaluation Hubs, where children with positive screens, who are at risk for developmental delay, can receive further evaluation and diagnosis—within their own communities. The hubs can also facilitate referral to Riley Hospital for Children for those who need additional assessments after the hub visit. The system has reduced the wait time for evaluation from one year to less than three months, resulting in reduced age of diagnosis.

Now, after seven years, the Early Evaluation Hub program has trained and coached 12 practices throughout Indiana to perform early evaluations of young children with developmental concerns. This has decreased the age of diagnosis of developmental delays and autism spectrum disorder among participants to under age three, but there is still additional outreach needed to drop the average age across the whole state.

Visits to Hubs (2018)
New Autism Spectrum Disorder (ASD) Diagnoses (37%)
New Developmental Delay (DD) Diagnoses (59%)

Services at Early Evaluation Hubs

At the Early Evaluation Hubs, children receive a Screening Tool for Autism in Toddlers and Young Children (STAT) assessment and diagnostic interview by a trained team of physicians, nurses and care coordinators. The Early Evaluation Hubs help families then navigate local services to get the interventions each child needs.  Hub teams participate in a learning community to work on quality and system improvements together.

Early Evaluation Hubs Locations

There are currently 14 Early Evaluation Hubs sites. IU School of Medicine recently submitted a funding proposal to add five more in the next five years.

Community Health Network
1629 Medical Arts Blvd., #200
Anderson, IN 46011
Internal health system referrals only

Margaret Mary Health
321 Mitchell St.
Batesville, IN 47006

IU Health Riley Physicians—Bloomington
4935 W. Arlington Rd.
Bloomington, IN 47404

Parkview Health Parkview Children’s Clinic
11115 Parkview Plaza Dr.
Fort Wayne, IN 46845

Riley Outpatient Center (ROC)
575 Riley Hospital Dr.
Indianapolis, IN 46202

IU Health Arnett – Lafayette
2600 Greenbush
Lafayette, IN 47905
Other referrals to Riley Child Development.
Internal health system referrals only

Community Pediatrics
611 E Douglas, Suite 401
Mishawaka, IN 46545

Meridian Health Pediatrics
205 N. Tillotson Ave.
Muncie, IN 47304

ALL IN Pediatrics
2305 Green Valley Rd.
New Albany, IN 47150

Deaconess Riley Children’s Specialty Center
4209 Gateway Blvd., MOB 2
Suite 1100
Newburgh, IN 47630

Beacon Medical Group Centennial Neighborhood Health Center
621 Memorial Dr., Suite 402
South Bend, IN 46601

Riley Child Development Center Purdue Outreach Clinic
MD Steer Speech & Language Clinic Purdue University
715 Clinic Drive
West Lafayette, IN 47906