While established consensus guidelines for ADHD care exist, these guidelines can be challenging to implement in typical community-based pediatric practices. With a mission to improve the quality of ADHD care in the tri-state region, Cincinnati Children’s Hospital Medical Center (CCHMC) developed a program called the ADHD Collaborative to promote the adoption of these guidelines among local community pediatricians. The program focused on modifying the office system using academic detailing and quality improvement (QI) methodology to accommodate prescribed practice changes. The ADHD Collaborative was very successful at improving ADHD care,  and sustaining these practice behaviors over time at minimal cost to the project and to the office practice.  Unfortunately, the methods used in the ADHD Collaborative (i.e., didactic trainings, office-based training visits, provision of tools, monitoring through chart review) were not amenable to spreading the intervention nationally.
To address scalability, a team of clinical investigators at CCHMC developed mehealth for ADHD software with input from pediatrician-, parent-, and teacher- stakeholders. The mehealth for ADHD software integrates quality improvement methods with clinical utility that is specifically designed for use by community-based pediatric settings. The mehealth for ADHD software has been tested in two separate randomized controlled trials (RCT). Both RCTs showed dramatic improvements in the ADHD care quality at practices using the mehealth for ADHD intervention compared to control practices providing typical care. [3,4] Moreover, our most recent clinical trial demonstrated that children treated with ADHD medications at intervention practices had significantly greater ADHD symptom reductions than children treated at control practices. 
William B. Brinkman, MD, MEd, MSc, is the Carl Weihl Professor of Pediatrics and Director of the Division of General & Community Pediatrics. Dr. Brinkman leads a diverse, talented, multidisciplinary team who share a passion and commitment to transform the delivery of primary care and improve population health through exceptional clinical programs, high-impact clinical and translational research, innovative educational programs, and effective academic and community partnerships
Caitlyn Clark, BA, is research coordinator at Cincinnati Children’s Center for ADHD for an NIH-funded R01 aimed at the nationwide dissemination of mehealth for ADHD to improve the quality of ADHD care among community-based pediatricians. Caitlyn is also program coordinator for Cincinnati Children’s Summer Treatment Program (STP), an evidence-based summer program for children with ADHD, founded in 1980 by William E. Pelham, Jr., Ph.D.