November 2, 2023


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Fever Updates and Helpful Resources


Our continued mission at TCCN is to provide support and guidance to our member practices. Thank you for your continued support in providing the best possible care for our patients and families. We truly appreciate your efforts, especially as we round the corner into what promises to be a busy cold and flu season.

 

Weekly trends show that for this year, flu season is likely to start earlier than is typically expected. Likewise, we can expect the same uptick in patients diagnosed with either COVID-19 or RSV during the fall and winter seasons. All of these illnesses have at least one thing in common; as the illness progresses, patients may experience symptoms that are often accompanied with a fever.

 

Fever continues to be one of the leading causes of emergency room utilization in pediatric populations. Ongoing review of utilization statistics from Children’s show that the majority of visits to the emergency department (ED) are children with symptoms of fever or upper respiratory infection. Based on these statistics, we know that fever represents up to 1/3rd of all potentially avoidable ER visits, with cases typically reaching its peak in the month of October. 

Many of these ED visits could be safely managed at home or in the pediatrician’s office. Likewise, there are also steps we can take now to help mitigate some of the expected rise in ED volumes over the coming months.

 

One thing we can do is to ramp up communication efforts with parents early. Some of these activities include engaging in flu recall activities to start conversations with parents about the importance of getting their children’s flu vaccines.

 

Here are several resources to help educate parents about common respiratory illnesses including flu, COVID-19 and RSV.  


These include:



Please also refer to these guidelines and tips for providers:


 *This link has been updated from previous communications*


When children do get a fever, the following tool provides guidance for parents on the most frequently asked topics including symptoms to watch for, how parents can help their child, and when to call a doctor. Check out the Fever Patient Information Sheet. 

 

Parent education is also a key component to help alleviate some of the burden placed on both parents and healthcare systems caused by potentially avoidable ED visits for patients with fever. Uniform messaging such as that included in the Fever Patient Information Sheet should be provided to parents during in-office visits as well as posted onto your practice website for easy access when families return home.

 

As a network, all of our combined efforts matter in our mission to help keep the children and families in our communities healthy and safe. Together, we can work toward achieving positive outcomes as we head into the coming months.

 

If you have any questions, please contact us at contact@tccn-choa.org.  

2023 Anthem Quality Program Scorecards


Thank you all for your continued contributions this year as we work towards reaching our goals for the 2023 Anthem Quality Program. Month over month, we are making steady progress as a network- let's finish this year strong!


Highlight: Please keep up the improvement and let's keep the momentum going for the year!

 

We have updated our Anthem program flyer to reflect our current network performance. Please also click the updated scorecard links below to view your individual practice's performance. Remember, the goal is to monitor our ongoing progress and implement small improvements that can lead to big results!


View the latest scorecards for these Anthem measures of focus below:


 

As an added reference tool, we are also sharing the measure scorecard for Chlamydia Screening. Although this is not currently a measure of focus, we realize it is an important measure that many practices may want to evaluate their performance with their peers.


As a network we aim to improve all of these measures of focus listed above. To do this we need your help. Please review each scorecard linked above. A secret number is listed for your practice. If you do not recall your practice’s secret number, please reach out to Liz Hogan at Elizabeth.hogan@tccn-choa.org for assistance.


As promised, we have also included our updated measure definition sheets, which outlines the parameters and coding requirements of each measure included in the Anthem Quality Program along with additional resources to help you. These resources have been reviewed by specialists in the area to ensure we have the most up-to-date information and guidelines to share with you. 


Check out our measure definition sheets here:




Read More About the 2023 Anthem Quality Program Here.

Quality Programs

TCCN Minimum Standard Scorecards

TCCN is committed to Network Quality Improvement and the ability to demonstrate change in practice. As we continue to improve and evolve as a network, the setting of minimum standards is an important step to take in order to ensure compliance and meet Clinical Integration Requirements. 


For this year, we will continue to place a focus on Asthma Action Plan, BMI coding, and depression screening as important measures of focus.


As a reminder, the minimum standards for 2023 are:

 

  • All practices are required to meet the minimum standard of 15% for coding for Asthma Action Plans by 12/31/2023.
  • All practices are required to meet the minimum standard of 55% for coding for BMI by 12/31/2023.
  • All practices are required to meet the minimum standard of 45% for coding for Depression Screening by 12/31/2023.


Although the well child 3-21 metric is not currently a component of our minimum standard program; it is a measure of focus for this year and we are including it so that we can continue to monitor our progress on this important measure as a network.


Click Here to View the Latest Minimum Standard Scorecard.


As always, if you have questions about your practice's performance, need help with your practice's secret number, or have any other questions about the minimum standard requirement, please reach out to your dedicated TCCN provider relations rep or send an email to Laura Baldwin at laura.baldwin@tccn-choa.org.

Asthma Flu Recall Lists

Flu season is in full swing. One thing we can do to help our patients is to continue recall efforts so that we can start conversations with patients about the importance of getting their flu vaccine. The flu vaccine continues to be one of the best ways to help provide the greatest protection possible against the flu and other communicable diseases, especially for vulnerable populations including asthmatics.


To assist you in your recall efforts, TCCN sent your practice a list of Asthmatic patients that are due for the flu vaccine. Please use this list as a helpful tool in your patient communication efforts. This list is pulled from our population health management tool, Innovaccer, and is up to date as of the last time you sent claims data.


If you have any questions about your recall list, Asthma Action Plan, Asthma Control Test, or Flu patient education, please contact Laura Baldwin at Laura.Baldwin@tccn-choa.org.  

TCCN Webinar: New AAP Clinical Practice Guidelines for Obesity

The TCCN Obesity & Diabetes Webinar recording is now available. If you missed the webinar or would like a replay, please click here to view.

Continuous Education & Resources

TCCN Pediatric Coding Seminar- November 16th

Join us on November 16th at 10:00 am as we host our annual pediatric coding seminar to prepare for 2024 coding updates and guidelines.


Our presenter for this event is Mary Suhr, Director, Revenue Cycle Consulting with Revenue Cycle Coding Strategies.


RSVP today to save your spot!

Register Now

TCCN Antibiotic Stewardship Webinar: Antibiotic Dosing

Join us on November 29 at 12:30 pm as we continue our 3-part virtual series 'Antibiotic Stewardship: Why it's Important for Your Practice and Patients'.


This lunchtime series presents the new Georgia Pediatric Antibiotic Stewardship website, gpas-online.org, designed to help you in your busy practices with guidelines and a new antibiogram visualization tool.


Webinar #3: November 29, 12:30-1:30

  • Antibiotic Dosing: Maximize antibiotic adherence, limit wastage, and promote antibiotic stewardship


Please be sure to register in advance to receive the meeting link. Same-day registrations may experience issues with logging on.


Please submit any questions you may have to specialtyquality@tccn-choa.org, there will be a Q & A session at the end of the webinar if time permits.


If you missed it, click here to watch previous webinars: 


Webinar #1: How to Access and Use the Website


Webinar #2: Prescribing Guide

Register Now

In Case You Missed It (please use the links below to review)


TCCN Requirements




TCCN Resources




Community Updates


Questions?

We are here for you. Please reach out to contact@tccn-choa.org with any questions.