SPUC & What to know before you go to Fort Worth

1. SPUC & What to know before you go to Fort Worth Tiffany Addington, MD, FAAP

2. Learning Objectives • Define SPUC and understand its mission • Identify resources available through SPUC • List new opportunities offered in the SPUC CME 2019 • Name the first pediatric scholarship award in pediatric urgent care and list eligibility criteria

3. Urgent Care Presence • In the last 6 years, urgent care centers have doubled in number • From 4500 to 9100 • Pediatric focused urgent cares account for 10% of these sites • Pediatric visits to urgent care sites account for 28% of filed claims • Children are being seen in urgent care facilities • Impact on the medical delivery model

4. What is SPUC? • SPUC- Society for Pediatric Urgent Care • Formed in 2014 • Developed by multiple medical providers at top Children’s Hospitals across the country • Initially started as a small group of providers working with each other to develop pediatric urgent care in their hospital locations

5. SPUC Mission • The Society for Pediatric Urgent Care (SPUC) is the professional society for providers of Pediatric Urgent Care medicine. We strive to establish standards for high quality, unscheduled pediatric care outside of the emergency department setting in collaboration with the Medical Home. • We promote the importance of the specialty of Pediatric Urgent Care and set the practice and professional standards using evidence-based guidelines. We facilitate communication among national leaders and providers of pediatric urgent care in order to establish quality standards and national practice benchmarks. We define a career path for pediatric urgent care providers and establish educational opportunities to ensure the continued delivery of high-quality care.

6. Why SPUC? • Created due to limited resources on practice standards for pediatric urgent care • Pediatric population being seen in this new acute care model • Apparent/growing need for a model for this pediatric urgent care delivery • Developing SPUC allowed for collaboration and discussion of standards of care within the acute care setting for pediatrics

7. SPUC Resources • Board members tasks to find a way to meet needs of members nationally • Newsletter • Clinical Advisor link on website • Social Media • Yearly CME

8. SPUC Resources: Clinical Advisor • Link found on SPUC website: https://www.urgentcarepeds.org/ • Click on News/Resources Clinical Advisor • Provides abbreviated list of guidelines for common pediatric urgent care situations (not as medical advice) • Provides outpatient algorithms and AAP recommendations • Examples include: • Bronchiolitis • Anaphylaxis • Limp • Toddlers Fracture • Urinary Tract infections • Newsletter can also be found under News/Resources

9. SPUC Resources: Social Media SHARE A PHOTO SPUC Pediatric Urgent Care spucpediatricurgent FOLLOW US! Society for Pediatric Urgent Care@PedUrgentCare LIKESHARE COMMENT facebook.com/spucurgentcarepeds

10. SPUC Resources: Annual SPUC CME • First conference was in Cincinnati, OH • This year marks 5th year for the conference • THIS YEAR’S CONFERENCE WILL BE HOSTED BY……. COOK CHILDREN’S HOSPITAL FORT WORTH, TX

12. SPUC CME Schedule • Conference will take place Sept 26th-29th • Presentations/Workshops will be held on Cook Children’s Hospital campus in Fort Worth, TX • Hotel accommodations: • Omni Fort Worth Hotel in downtown Fort Worth • 1300 Houston Street Fort Worth, TX 76102 • Mobile Meeting Guide with details of schedule on SPUC website: • https://www.urgentcarepeds.org/

13. Mobile Meeting Guide • Save to your Home screen! • Complete Conference information on your • phone, tablet or laptop! • Program • Ask the Speaker • Faculty bios • Learning Objectives • Hotel • Transportation • Things To Do www.spucmmg.org

14. SPUC CME Schedule • September 26th: • Leadership Summit ½ day conference (afternoon) • September 27-28th: • Full days including general sessions • Workshops • Small group sessions • Cook Children’s tours • Walk-around poster sessions • September 29th: • ½ days conference • Hot topics • Award(s) presentation

15. Get Involved - Ask the Speaker! Have a question or comment about a presentation? Try using the “Ask the Speaker” feature in the Mobile Meeting Guide. Look for the “Ask the Speaker” icon in the Program section of the online meeting guide. Click on the icon and type in your question and/or comment. Moderators have access to questions and comments as they come in. Moderators will handle questions and comments as time allows when presentations are finished.

16. Firsts for SPUC CME • Nursing track: • Offered in previous years BUT FIRST YEAR for nursing education credits for those participating on the nursing track this year • Small Group Discussion • Highly requested by attendees • Includes topics such as Medical Director Roundtable, Caregiver Burn-out, and managing patient complaints on social media

17. General Information CME: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Texas Medical Association (TMA) through the joint providership of Cook Children’s Medical Center and Society for Pediatric Urgent Care. Cook Children’s Medical Center is accredited by Texas Medical Association to provide continuing medical education for physicians. Cook Children’s Medical Center designates this live activity for a maximum of 22.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CNE: Cook Children’s Medical Center is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction, by the American Nurses Credentialing Center’s Commission on Accreditation. This education activity is being jointly-provided by Cook Children’s Medical Center and Society for Pediatric Urgent Care. This activity awards 22.25 contact hours. You must sign in, attend the activity in its entirety, and complete and return the evaluation tool.

18. Pre-course Leadership SummitSeptember 26th 1:00-5:30 • Telemedicine (2 Panels) • How it fits into pediatric urgent care • What it takes to get started • How to talk to insurance companies (hospital vs. private) • Developing a helpful relationship with companies • Understanding the billing process

19. Friday September 27th • Keynote presenter: Beau McNeff • State of urgent care: Many pediatric patients seen within UC setting • Focus on Ortho: presentations/workshop • Separate UE/LE • Frequent complaint • Varied presentations • First time small group sessions • Medical director roundtable, DART module, managing patient complaints on social media, telemedicine and nursing track on fever

20. Friday September 27th • First session of workshops • Ortho exam • Simulation/Mock code • Woods/weeds • Dental emergencies • Welcome reception with walk around poster presentations • Improvements/adjustments of patient care and processes • Opportunity with Exhibitors

21. Saturday September 28th • Keynote: Brennan McCullars on Active Shooters in Healthcare setting • Active shooter incidents are on the rise • Casualties related to such incidents doubled between 2013-2017 • Top poster presenters • Decreasing LOS, Standardizing admission hand-offs, Improved efficiency of interventions via triage process, Needs assessment on pediatric urgent care education, and emergency preparedness via simulation and skills stations

22. Saturday September 28th • Additional workshops • Splinting, child life techniques, simulation, foreign body removal and nursing track on sepsis/hands-on scenarios • Complete day with tours of Cook Children’s UCs

23. Sunday September 29th • Keynote: Dr. Patrick Solari will be back!! • clinical updates in our pediatric urgent care setting • Presentation on reemerging illnesses as well as update on toxicology • Mike Moran Scholar Award • Pediatric resident or fellow training in pediatric urgent care • Scholarly product must be within the field of pediatric urgent care medicine • Abstract submission for the coming SPUC CME conference 2020 • Travel expenses and conference fee covered for the winner

24. Host a SPUC lunchtime Webinar SPUC Needs you! Host a lunchtime webinar! Weekly webinars, hosted by SPUC and CHW are designed to equip providers with knowledge of best practices for common Pediatric Urgent Care conditions.   The goal is to foster a community of providers through academically rigorous, web-based lectures. SPUC Webinars give providers an ongoing opportunity to earn CME in topics specific to Pediatric Urgent Care. For more information or to sign up to host a webinar, contactRachel Lucas, DOrlucas@chw.orgor sign up for additional information at the SPUCregistration desk.

25. References & Thank you(s) • Beau McNeff: Assistant Vice President of Cook Children's HCS • Brennan McCullars: • Carolyn Moffatt • Amy Romashko • Ayers, A. (2017, May 30).Recognizing and Preventing Provider Burnout in Urgent Care. Journal of Urgent Care Medicine. https://www.jucm.com/recognizing-preventing-provider-burnout-urgent-care/

26. Caregiver Burn-out • Urgent care providers are at increased risk due to many factors • Chaotic work environment • Lack of Autonomy • High tolerance for stress • Limited control over schedule • Weekends, late hours • Too little time spent in meaningful/satisfying work • Charting/administrative task • Work-Life balance is key to managing this challenge