First, the new one was on paper (or a tablet), something that a parent was able to fill out before I came into the exam room. Second (and this was the real innovation), on the new one, we listed the ten ACEs and specifically asked the patient’s parents not to tell us which of them their child had experienced, only how many. At the bottom of the page, the caregiver wrote the total number, and that’s the ACE score. We call this our “de-identified” screen because it doesn’t identify the individual ACEs, and it goes a long way to solving two of the biggest challenges—time (previously, a positive
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