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

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

determine your practice parameters does your practice want to
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)
slide4

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
  • 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
  • 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?
slide8

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
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
slide10

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

slide11

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.

Ongoing

slide12

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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