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Evidence-based Shared Decisions


Our Company History

Total Child Health, Inc. (TCH), was established in 2004 by Drs. Barbara Howard and Raymond Sturner, both pediatricians and leaders in Developmental-Behavioral Pediatrics. TCH is the sole distributor of CHADIS and partners with the non-profit, Center for Promotion of Child Development through Primary Care. The Center’s mission is to conduct research and further develop computerized methods of assisting primary care clinicians in the detection, treatment and prevention of mental, behavioral and developmental problems in children, as well as promoting positive development in all children. The Center focuses on developing capabilities to enhance routine check-up visits for all children, including those with special health risk conditions. Physician training is a part of the core mission with a focus on innovation in moment of care decision support. The Center and TCH work closely together with more theoretical and early development research conducted by the Center and commercialization and business operations handled by TCH.

Our Mission 

The mission of Total Child Health, Inc. is to provide products and services that improve the mental and physical health of children. In particular, the company focuses on the development and distribution of a web-based platform called CHADIS (Child Health and Development Interactive System). While TCH focuses on providing technology-based tools and services to clinicians, the Center has provided much of the research-based findings that constitute the backbone to the technology developed by TCH. TCH has been a recipient of twelve of NIH and CDC Small Business Research Innovation awards. Together with the Center, CHADIS has received more than $12 million in federal and Foundation grants for research and development of the current system. The true driver for the company’s success and the need for further development of its products and services are the desires of all parents to seek the very best for their children.

Supporter Testimonials

Dr. Ari Silver-Isenstadt
MedStar Franklin Square Medical Center, Baltimore, MD

"CHADIS has been a great timesaver and has improved the quality of the care that I deliver in the office. I used to have a large stack of paper on my desk, of questionnaires and surveys, that needed to be scored and evaluated. With CHADIS that paper has all disappeared because the parents complete those surveys and the scoring is done automatically and is imported into Office Practicum. That benefit in and of itself is worth the investment."

Dr. Robert Stephens
Cornerstone Pediatrics, Sequin, Tx

"Getting CHADIS is definitely worthwhile. If you were to take each of those questionnaires and buy them individually, at an online pre-visit basis, the cost is actually cheaper through CHADIS."

Dr. Selam Bullock
Kids' First Pediatric, Raleigh, NC

"My short time experience with CHADIS integrated has been great!  It’s a product that actually does what it says it will do!  I am really liking this product!  The discrete data elements and the ease of use have made the transition rather painless."

Becky Senesac, CPC, EFPM
Primary Care Health Partners, Williston, VT

“We have been using CHADIS for 5 years.  The recent interface between Allscripts Pro and CHADIS has had a positive impact on our clinic, for the questionnaires that are supported.  Prior to the interface, almost 100% of our questionnaires were completed in the office.  Now we are seeing an increasing percentage of questionnaires being completed at home. We find it is fairly seamless now. [This is a] significant savings of work and time…”

Grace Stout, Practice Manager
The Children's Clinic, Anchorage, AK

“Dr. Lindgren’s patients access a cool web tool, called CHADIS, that allows them to help him screen for all kinds of conditions including developmental delays, behavioral issues, or even learning problems.  You see, this doc is big into prevention. But it’s hard to get the info he needs in a regular office visit since parents often have their hands full with a sick child.  Now his patients can be way ahead of the game and parents love it.”

Dr. Carl Lindgren
Healthy Futures Pediatrics

CHADIS has been a really great resource for my practice. With CHADIS, I have access to a comprehensive list of screening and assessment tools. I can use the tools to accomplish multiple goals, including early screening and intervention. As a physician, I know that early intervention DOES WORK!



Janice Loeffler, MD

Treehouse Pediatrics has used Chadis as a part of its day to day operations for the past couple of years. We have found it to be a tremendous asset in our operational efficiencies.  Parents appreciate the convenience of completing their child’s developmental, ADHD, and asthma questionnaires at home, and it has proven to help make all of our visits requiring questionnaires run more smoothly.  Furthermore, we appreciate the interpretation and documentation that Chadis provides for these questionnaires. We feel that Chadis has become an integral part of our operational efficiencies.  We do not know what we would do without it.

Bill James, MHA
Treehouse Pediatrics

“I just wanted to say thank you for such a wonderful opportunity…so so helpful for me to better understand my patient, and to have ideas on where to go next. So thank you so much for a really incredible opportunity to be part of CHADIS.”

Laura Lieberman, MD