Identification of the foster care population in the pediatric practice
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Identification of the Foster Care Population in the Pediatric Practice PowerPoint PPT Presentation

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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

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Identification of the Foster Care Population in the Pediatric Practice

Based on the Wilmington Health – Pediatrics experience


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

Determine your practice parametersDoes 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

  • 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

  • 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

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

  • Who is responsible for this task?

  • What will it look like in practice EMR?

  • Pop ups created in scheduling database to alert scheduling staff

  • High Priority Reminder created in EMR – with AAP Foster Care Standard of Care Schedule

  • V61.06 or V61.05 indicated in Problem List

Receiving New Foster Care Patients

  • 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

  • DSS Social Worker forwards DSS-5243 – Child Health Status Component, Foster Care PHI Authorization, and all available medical records

  • Chart created (updated for current patients), pop ups/reminders added

  • Appointment scheduled

Current protocol for receiving new referrals

  • Patients seen per AAP’s Foster Care Standards of Care

  • Screening tools applied (PEDS, MCHAT, PSC)

  • Referrals made for specialty care/behavioral health

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


  • 85 Foster Children served

  • 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


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