Identification of the foster care population in the pediatric practice
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Identification of the Foster Care Population in the Pediatric Practice. Based on the Wilmington Health – Pediatrics experience. Disclaimer. No source is 100% accurate. This is a “weeding out” process. Determine your practice parameters Does your practice want to :.

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Identification of the foster care population in the pediatric practice

Identification of the Foster Care Population in the Pediatric Practice

Based on the Wilmington Health – Pediatrics experience


Disclaimer
Disclaimer Pediatric Practice

No source is 100% accurate. This is a “weeding out” process


Determine your practice parameters does your practice want to
Determine your practice parameters Pediatric PracticeDoes your practice want to:

  • Follow patients in county of practice

  • Follow patients in surrounding counties

  • Follow patients in traditional foster placement

  • Follow patients in non-traditional foster placements (trial home placement, relative/kinship placement, non relative placement)


At the beginning of project, Wilmington Health – Pediatrics chose to follow patients in New Hanover County DSS custody in both traditional and non-traditional foster placements. Due to great demand, we’re currently establishing a protocol for Pender and Brunswick County DSS.


Identification of current patients getting started
Identification of Current Patients – Getting started Pediatrics chose to follow

  • Utilize Medicaid Portal Informatics Center to filter your practice data to reflect patients receiving HSF or IAS Medicaid. You can also filter per set practice parameters. (Be aware: This will also pull adoption subsidy patients. Also, this may not capture patients in DSS custody in non-foster/relative placement and receiving other forms of Medicaid)

  • Work is in process so IC will provide more accurate information


Identification of current patients
Identification of Current Patients Pediatrics chose to follow

  • Obtain list from your DSS contact of children in foster care linked to your practice

  • Cross reference lists – this will aid in removing children who have been adopted and receiving IAS Medicaid as adoption assistance


Create a means to identify foster care population in your practice
Create a means to identify Foster Care Population in your practice

  • How will you know a child is in DSS custody?

  • Who is responsible for this task?

  • What will it look like in practice EMR?



Receiving new foster care patients
Receiving New Foster Care Patients staff

  • Establish a referral protocol with DSS for children coming into DSS custody who are not linked with another provider or being transferred from another provider

  • Develop forms for the referral process as well as forms within practice appropriate to the foster care population


Current protocol for receiving new referrals


  • Patients seen per AAP’s Foster Care Standards of Care Component, Foster Care PHI Authorization, and all available medical records

  • Screening tools applied (PEDS, MCHAT, PSC)

  • Referrals made for specialty care/behavioral health

  • Physical form/Health Summary form generated to DSS social worker.

Ongoing


  • 85 Foster Children served Component, Foster Care PHI Authorization, and all available medical records

  • Reduced Well Child Check delinquency rate from 21% (traditional) to 1 ½ % (foster care standards)

  • 74 Foster Care Well Child Checks completed

  • 21 Specialty referrals

  • Reduced ER visits – 5 ER visits in 3 months prior to program inception; 1 since

Foster Care Coordination program highlights from 10/1/12 – 1/31/13


Questions? Component, Foster Care PHI Authorization, and all available medical records


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