Developmental Pediatrics and the Community

Developmental Pediatrics and the Community - It Is Not A...

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It Is Not A Hospital Discharge… It Is A Community Admission
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It Is More Than Health Care ... Fitting the pieces together Literature Technol $ Socia l Dev/Educ
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OVERVIEW Medical Home for CWD - a little different Working with the educational system IFSP and early intervention programs IEP and the education system ITP and transition to adulthood Accessing community resources parent educ, advocacy, support community agencies respite and recreation financial Educating the PCP
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Special Kids Special Skills ??? (not really)
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But, a few more. ... assessment tools team members community supports minutes dollars
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Medical Home traditional pediatric care emphasizes a mutual relationship broad health care plan medical (traditional and non-traditional) developmental behavioral educational social long range (infancy to adulthood)
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Components of any Medical Home (MH) accessible continuous compassionate comprehensive coordinated culturally competent family-centered
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Community- Based Team Child/Family, includes family support resources Insurance providers/financial resources Pediatrician and other medical providers School , includes early intervention Social Services , includes mental health Religion /spiritual supports
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CWD: Additional Components Broader array of assessment tools Awareness of community resources Team Skills vs Care Coordination Skills : medical and surgical subspecialists social workers and home health nurses therapists, orthotists, prosthetists, DME vendors intervention specialists, teachers, ed diagnos counselors, psychol, behavior mgmt specialists Advocacy Skills : authorizations for medical care authorizations for school related services financial assistance programs public policy issues
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The “Standard” Assessment History Chief complaint History of present illness Pregnancy and neonatal history Family history Developmental and school history Review of systems Physical Exam Screenings hearing and vision growth and development dental Hct, etc
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Beyond the “Standard” Assessment Developmental Socio-emotional Functional Educational Transitional
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Developmental AAP emphasis on the developing brain Developmental monitoring Screening Surveillance Assessment Goal: Early referral to an early intervention program (EIP)
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Screening Tools Questionnaires PDQ AAP EIP Customized Observation Denver - II ELMS CAT/CLAMS BINS Dev Profile - II
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Surveillance The art of being suspicious Parental concerns are valid!!! Continuous monitoring at every visit
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Developmental Pediatrics and the Community - It Is Not A...

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