The Oregon ABCD Screening Academy Project aims to increase surveillance and standardized developmental and social-emotional screening of children aged 0-5, and to improve referral, diagnostic, and intervention services for children identified with risks and delays. Oregon will build upon momentum initiated by state efforts such as the Early Childhood System (ECCS) Plan. Oregon will pilot a surveillance and screening system that ensures follow-up care and identify statewide policies that can increase standardized screening and follow-up. Oregon will also convene key stakeholders to spread practice-level changes.