Provider Update Winter 2018
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Recap and Resources from our October Training:
Addressing Social Determinants of Health in the
Pediatric Primary Care Setting
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Dayna Long, MD,
Division Chief, Department of Community Health and Engagement, UCSF Benioff Children’s Hospital Oakland presenting at "Addressing Social Determinants of Health in the Pediatric Primary Care Setting" on October 25, 2018
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Thank you to many of our providers who attended the excellent training! We were fortunate to hear first hand from CHDP Providers in our county about their experiences screening for ACES and providing referrals and follow-up to their patients and their families.
Key Points Shared by the Presenters:
Dayna Long, MD,
Division Chief, Department of Community Health and Engagement, UCSF Benioff Children’s Hospital Oakland |
View Presentation Slides
- UCSF-BCHO study, PEdiatric ACEs Screening and ResiLiency Study (PEARLS) is investigating biomarkers of stress, an ACEs screening tool and clinical interventions
- Patients get referrals to Social Work, Medical Legal Partnership, Developmental and Mental Health Services, Home Visiting, early intervention services
- Utilize Find Connect software for action plans and resources to address social and environmental determinants of health, as well as outcome tracking
Omoniyi Omotoso, MD, MPH,
Associate Medical Director, Lifelong William Jenkins Health Center
- LifeLong' s work as part of Resilient Beginnings Collaborative project
- A multi-generational approach to prevent and mitigate the effects of trauma in children age 0-5
- Early detection and intervention includes Family Centering groups
Erin Gonzales, MD
, La Clinica de La Raza
- La Clinica's ACES screening tool and practices administered at well child exams for 7-11 year olds- longer visit slot and fewer other screenings
- Families felt heard in response to screening, even if they did not want a referral
Resources:
Alameda Connections
Wraparound Program
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Brochure
(
Birth to age 8) |
Referral Form
(Birth to age 18)
| Wraparound is an intensive, holistic method of engaging with children, youth and families with complex needs through a defined model of care. Wraparound is an individualized care planning and management process aimed at achieving positive outcomes through structured, creative and individualized team planning.
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Postpartum Depression Screening at Well-Child Visits-
Billing Opportunity for Gateway and Fee-for-Service Patients
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Maternal depression puts children at higher risk of negative health outcomes from infancy through school age, including lower birth weight, behavioral issues, cognitive function, depression and anxiety disorders.
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Therefore, maternal depression screening and treatment is critical to promoting child health. AAP's Bright Futures recommends integrating postpartum depression surveillance and screening at the 1-, 2-, 4-, and 6-month visits. If indicated, referral should be given to an appropriate provider.
Providers of well-child care may submit claims for a maternal depression screening up to four times during the infant's first year of life.
- Screens that are positive for depression must be billed using HCPCS code G8431 and modifier HD.
- Screens that are negative for depression must be billed using HCPCS code G8510 and modifier HD.
- When a postpartum depression screening is provided at the infant's well-child visit, the screening must be billed using the infant's Medi-Cal ID. The only exception to this policy is that the mother's Medi-Cal ID may be used during the first two months of life if the infant's Medi-Cal eligibility has not yet been established.
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Helpful Resources For Your Families
(Call 888-604-4636 to order)
* Have “Care Before Card” postcards available to give to patients and families for other medical resources your office can not provide
(Call 888-604-4636 to order)
* Keep handy the following numbers:
Food Bank:
800-870-3663
Housing:
2-1-1
Dental Care Coordination:
510-208-5910
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"Care Before Card" Postcard
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February is National Children's Dental Health Month
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Updated Car Seat Guidelines from AAP
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The AAP's new recommendations were published in the
November 2018 issue of
Pediatrics
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Children should remain in a rear-facing car safety seat as long as possible, until they reach the highest weight or height allowed by their seat. The AAP previously recommended that children remain in rear-facing seats at least to age 2.
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Policy Updates Impacting Child Health and Safety
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- Responding to pressure from the American Academy of Pediatric and other child health advocates, the FDA issued restrictions on flavored and electronic cigarettes, with no effective date established. The restrictions include increasing the online purchasing age to 21, removing e-cigarette products marketed to children and banning flavors in cigars. However, the AAP is advocating that the FDA enact stronger protections for children, given that these products are addictive and cause harm to developing brains. Read More...
- AB 2119- Foster care: Gender Affirming Health Care and Mental Health Care. Signed into law by Gov. Brown in September, 2018. "This bill would provide that the rights of minors and nonminors in foster care, as described above, include the right to be involved in the development of case plan elements related to placement and gender affirming health care, with consideration of their gender identity. The bill would also provide that the right of minors and nonminors in foster care to health care and mental health care includes covered gender affirming health care and gender affirming mental health care, as defined."
- AB 2989 Starting January 1, motorized scooter riders under age 18 are required to wear a helmet.
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Provider Resources & Training Opportunities
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Required
CHDP In-Office
Measuring Height and Weight Training
with CHDP Nutritionist Mary DeBusman.
Flyer Here.
Free Flouride Varnish training for CHDP
providers, provided by Alameda County Office of Dental Health (ODH) staff and the Alameda County Integration of Oral Health Into Pediatric Primary Care Work Group. E-mail Mary Collett at mary.collett@acgov.org or call 510-208-5924 to schedule a training at your site.
Providing Inclusive Care for LGBTQ Patients
- online course from Essential Access. Best practices for providing LGBTQ-inclusive and adolescent-friendly services, with a heavy emphasis on sexual history-taking and STD/HIV screening. CEU's available.
The Inaugural Fatherhood Summit
hosted by the Fathers Corps on Saturday, March 16, 2019 will empower fathers and father figures by celebrating and honoring the important role fathers play in the lives of their children.
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Events and Resources for Patients & Families
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Lava Mae Holiday Event
| Dec. 21, 1-5 pm | Henry J. Kaiser Convention Ctr. Parking Lot, 10 10th St, Oakland |
FREE Showers, Haircuts, Hot Food, Clothing
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Flyer Here
Health Advancement for Pacific Islanders
program provides care coordination for pregnant Pacific Islander adults and teens at no cost. The program serves mothers and father |
Flyer Here
YMCA Foothill/Eastlake Head Start
has immediate openings for children 0-3 years-old.
Flyer
in English and Spanish.
Mobile Food Pantry
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Free food
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First Friday of the Month, 1- 3 pm |San Leandro Adult School
The
Care, Cope, Connect
resource,
created by Sesame Street in Communities in collaboration with the First 5 Association of California, helps parents cope with stress and provide safety and security for their children. Download the 10 page booklet:
English PDF
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Spanish PDF
Family Paths 24-Hour Parent Support Hotline:
1-800-829-3777.
Flyer
to hang in your office.
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Resources for Undocumented Patients
Alameda County has created a rapid response hotline
where those facing deportation proceedings can get legal services. You can also report Immigration and Customs Enforcement activity or raids to the hotline:
(510) 241-4011.
Health PAC
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comprehensive healthcare services in Alameda County for people not enrolled in or eligible for full scope Medi-Cal.
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The CHDP program is part of the
Family Health Services Division of the Alameda County Public Health Department.
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For questions, please call 510-618-2070.
Contributing Staff:
Mary DeBusman, Imelda Castaneda
, Lori Trigalet, Mimi Nguyen
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If you are receiving this email via fax and would like to receive it by email, please contact Kim Baranek to be added to the email list,
Kim.Baranek@acgov.org
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