Resources for Practices and Clinicians:
Recommendations for Preventive Pediatric Health Care
The 2014 Periodicity Schedule outlines recommendations for preventive services to be provided through pediatric well-child visits. Pediatric clinicians and practices, particularly medical homes, can integrate this schedule into their family-centered, coordinated care practices.
Coding for Pediatric Preventive Care
Developed by Bright Futures, this resource contains a comprehensive listing of codes that can be used by pediatric practices for routine preventive services provided to insured populations through public and private payers. Instructions on how to use the codes for new and established patients are included in the resource.
Implementation of the ACA Preventive Pediatric Services Provision
The Affordable Care Act (ACA) supports a multiple preventive care services for children by ensuring that multiple pediatric preventive services and screening are conducted with little to no cost. Pediatric clinicians can learn about these services and their implementation in the medical home through this Bright Futures fact sheet.
Well-Visit Resources for Pediatric Clinicians and Practices
Well-visits are a critical part of preventive primary care services for children within pediatric medical homes. The National Institute for Children’s Health Quality provides a number of resources for clinicians to assist with maximizing documentation and coordination of well-child visits, including health history forms, pre-visit questionnaires, and after visit summary forms.
Early Hearing Detection and Intervention Guidelines for Pediatric Medical Home Providers
Newborn hearing screening are covered through all Marketplace insurances. Although these screenings are hospital-based, pediatric primary care clinicians and medical homes should play an active role in the monitoring, diagnosis, and coordination of care related to hearing loss. This algorithm provides hearing screening guidelines related to monitoring and ongoing care of all infants, from birth through six months of age.
Resources for Families
From Coverage to Care
Created by the Centers for Medicare and Medicaid, this collection of resources provides information, technical assistance, and educational resources to connect newly insured individuals to primary care and preventive services, including those necessary for children and youth within pediatric medical homes.
A project of the Child and Adolescent Health Measurement Initiative, this tool assists parents with customizing their well-child visit to meet the unique needs of their child and family. The tool can help to maximize time spent with a child’s primary care provider to ensure the optimal provision of preventive services.
Vision Screening and Services in Pediatric Medical Homes
Vision screening is a preventive service (sensory screening) covered by all Marketplace insurance plans. This fact sheet educates families on the major signs of a vision problem in children and how to coordinate vision related services within a pediatric medical home.
Maximizing Well-Child Care
HealthyChildren.org, a family health information Web site created by the American Academy of Pediatrics, includes this informational article explaining the benefits and procedures of a well-child visit within a pediatric medical home specifically for families.
For a more detailed information on Implementation Resources, click here.
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Beyond Policy: Implementing Care Coordination in Practice
March 30, 2015, Noon – 1 pm Central Time
The National Center for Medical Home Implementation (NCMHI) is hosting the first webinar in a three part series focusing on implementation and evaluation of pediatric care coordination. This webinar will outline clinical guidelines and identify strategies and resources to help facilitate the implementation of care coordination in practice. Faculty will provide real life examples of successful care coordination and highlight outcomes for patients and families on the receiving end of care coordination services.
Additional information about "Beyond Policy: Implementing Care Coordination in Practice."
Registration Information for "Beyond Policy: Implementing Care Coordination in Practice."
Pediatric Academic Societies Annual Meeting
April 25 – 28, 2015, San Diego, CA
Join the largest meeting of international professionals focused on research in child health. The meeting brings together multiple societies, including the American Academy of Pediatrics, the Society for Pediatric Research, the American Pediatric Society, and the Academic Pediatric Association. With over 3,000 scientific presentations every year, the meeting will benefit multiple pediatric medical home stakeholders.
Additional Information about the Pediatric Academic Societies Annual Meeting
Pacific Rim International Conference on Disability and Diversity
May 18 – 19, 2015, Honolulu, HI
Hosted by the Center on Disability Studies at the University of Hawai’i this conference brings together a diverse group of professionals working to enhance accessibility and full community inclusion for all individuals. The conference will focus on strategies to integrate education, technology, advocacy, activism, and interdisciplinary research to strengthen diverse communities and enhance lives.
Additional Information about the Pacific Rim International Conference
For a more detailed listing of upcoming conferences, webcasts, and other educational offerings, click here.
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Early and Periodic Screening, Diagnostic, and Treatment Program
Although Open Enrollment has ended, children and families are eligible to enroll in Medicaid anytime throughout the year. The Early and Periodic Screening, Diagnostic, and Treatment Program (EPSDT) provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. Visit the EPSDT Web site for a full listing of services covered under this benefit.
Healthcare.gov: Coverage for Children’s Preventive Health Services
Healthcare.gov provides an overview of preventive services covered without a copayment through all marketplace health plans. View information related to developmental and behavioral screenings, immunizations, and dietary screening/supplements available through health plans.
InsureKidsNow.Gov: Providing Preventive Services to Children through Medicaid and CHIP
Although Open Enrollment ended in February 2015, families and children are eligible to enroll in Medicaid and the Child Health Insurance Program (CHIP) at any time. InsureKidsNow.Gov provides information about basic children’s health coverage under these payers, including information on preventive services offered.
Preventive Services Covered by Private Health Plans under the Affordable Care Act
Published by Kaiser Family Foundation, this report provides details on covered preventive services for adult and pediatric populations under private health insurance plans. Services for children discussed include screening for chronic conditions, immunizations, health promotion, and developmental and behavioral health.
Factors that Influence Preventive Service Utilization among Children Covered by Medicaid and CHIP
Published by the Urban Institute, this environmental scan and literature review summarizes preventive services covered under Medicaid and the Children’s Health Insurance Program (CHIP), utilization patterns and barriers, cost and health outcomes, and ongoing activities and efforts designed to improve preventive service delivery to pediatric populations.
United States Preventive Services Task Force
This independent volunteer-based network of national experts creates evidence-based recommendations for preventive services in primary care practices, including those featured in the Affordable Care Act for pediatric populations. This Web site outlines recommendations, implementation tools for primary care practices, and information for consumers and families which can be used in pediatric medical homes to enhance delivery of preventive services.
For a more detailed information on National Pediatric Medical Home Initiatives, click here.
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Financing Prevention: How States are Balancing Delivery System and Public Health Roles
Developed by the National Academy for State Health Policy, this paper provides highlights from programs in eight states that leverage provisions of the Affordable care Act to support community-based initiatives focused on the provision of preventive care. Examples included in the paper focus on utilization of community health workers, community health teams, home visiting programs, and school based health centers to ensure preventive services are delivered to adult and pediatric populations.
The Affordable Care Act: A Working Guide for MCH Professionals
Developed by the national Maternal and Child Health (MCH) Workforce Development Center in partnership with the Association of Maternal and Child Health Programs, this resource provides MCH professionals with information on multiple provisions of the Affordable Care Act. In particular, the resource outlines preventive benefits covered by all Marketplace insurance plans for pediatric populations.
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Special Feature: An Interview with Healthy Tomorrows Partnership for Children Program Grantees
“Clinic in the Park” is a Healthy Tomorrows Partnership for Children Program (HTPCP) that established an innovative community-based program which integrates community health and primary care to provide preventive health care services to children and youth. Located in Orange County, California, Clinic in the Park operates at a local farmer’s market during community gatherings and events. The clinic provides preventive health services to many newly insured children and their families including those related to general nutrition and behavioral health screenings.
In a recent interview with the National Center for Medical Home Implementation (NCMHI), Clinic in the Park medical director Phyllis Agran, MD, MPH, FAAP described this HTPCP project as an “enhancement to the pediatric medical home model.” Children who receive preventive services through the program are encouraged to share information provided with their primary care pediatric clinicians. As a strategy to enhance this information sharing, Dr Agran and her team are planning to pilot medical “passports” which are used for data tracking and subsequent coordination with the child’s primary care clinician and pediatric medical home team.
The clinic is also working with the local chapter of the American Academy of Pediatrics to promote coordination between Clinic in the Park and pediatric practices. Letitia Clark George, MPP, Executive Director of the AAP Orange County Chapter, works in partnership with the clinic team to encourage outreach and coordination with pediatric practices throughout the county. For more information visit the National Center for Medical Home Implementation California State Page or the Healthy Tomorrows Partnership for Children Program Web site.
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