Clinical Research Directory

Inclusion Criteria: Practice sites * The practice utilizes a centrally-integrated EHR. * The practice has signed a legally-binding engagement agreement with Lurie Children's Pediatric Practice Research Group. * The practice employs at least one physician who has completed a residency in general pediatrics and is practicing as a general pediatrician. Pediatric Clinicians: * Clinician is a physician, physician assistant, resident, advanced practice nurse, family practitioner, or pediatric nurse practitioner working in a pediatric practice. * Clinician is employed by a practice that is a member of one of the participating practices in the study. * Clinician provides well child care to infants ages 4 or 6 months. Infants • Infant has been seen by a pediatric clinician in the intervention or control arm for a 4- and/or 6-month WCC. Caregivers * Is the caregiver of an infant seen for a 4- and/or 6-month WCC by a pediatric clinician in a practice belonging to the study's intervention or control arms. * Is 18+ years of age or has parent or guardian permission to participate. * Is able to understand the study and provide informed consent for the 12- and 24-month (child's age) survey. Exclusion Criteria: Practice Sites * Sees \<50 newborn patients/year. * Has only temporary pediatricians on staff. * The practice pediatric clinicians do not use an EHR system. Pediatric clinicians * The clinician is a temporary employee. * The clinician begins employment at participating practice less than three months prior to end of the 18-month study enrollment period. Infants * The infant has a medical condition that chronically inhibits the ability to take food orally (i.e., dysphagia, muscular dystrophy, gastrostomy). * The infant has past or current medical problems or findings from physical examination or laboratory testing not listed above for which the pediatric clinician indicates that implementation of PPA Guidelines may pose a medical risk other than allergic reactions or may interfere with the infant's appropriate implementation of the PPA Guidelines or study investigators conclude that implementation of the PPA Guidelines was not possible or may have impacted the quality or interpretation of the data obtained from the study. Caregivers • Caregiver's primary language is not English or Spanish.