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Physician's Operations Manuals and Strategies
Bright Futures
Guidelines and Tools
Bright Futures: 3rd Edition Guidelines for
Health Supervision of Infants Children and Adolescents
Description:
The centerpiece of the Bright Futures program, the guidelines provide child health promotion information and guidance for health professionals from pediatricians to public health officials to school nurses.
Product Highlights:
Part 1 features 10 chapters on key themes that recur in each stage of child development.
Part 2 provides health supervision guidance and anticipatory guidance for the 31 recommended health supervision visits from infancy through late adolescence. Each visit:
- Starts with a context that captures the child at that age
- Contains handy lists and tables that summarize interval history questions, parent-child and developmental observation, physical exam, medical screening, and immunizations
- Lists five priorities that help you focus your discussions with parents and children on the most important issues for that visit
- Provides anticipatory guidance for each priority sample question's and discussion points help you talk to children and families
You can download PDF's of each chapter of the Guidelines by clicking on the links at the Bright Futures website or you can order the complete 3rd Edition Guidelines from the AAP Bookstore.
Bright Futures Pocket Guide
Description:
The 3rd Edition Pocket Guide summarizes each visit in a handy pocket-sized, 4- by 7-inch guide. With all the essentials, one easy reference summarizes each visit—developmental observation, physical exam, medical screening, immunizations, and anticipatory guidance. It includes four all-new appendices—medical screening tables, resources, screening tools, and sample scripts. This 2008 edition can be ordered online at Bright Futures 3rd Edition Pocket Guide.
Bright Futures for the PDA
Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd edition
Description:
Bright Futures for PDA: Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd edition - Download includes 3rd edition full text and Pocket Guide content.
Click here to purchase from the AAP bookstore
Medical
Home
Medical Home Toolkit - Improvement Strategies in Primary
Care for
Children with Special Health Care Needs
www.medicalhomeimprovement.org/mhik.htm
This kit has been designed to provide
a user-friendly resource for primary care providers, their
office staff, and the children and families whom they serve.
It will enable you to design family-centered medical homes. The kit offers:
- Provider/staff assessment tools (designed
for busy primary care practices)
- Parent assessment tools (to evaluate
care from the family perspective)
- A medical home quality improvement
process that works
- Practice enhancement tools, guides,
resources and suggestions (to assist your family-centered
medical home improvement process).
This kit will:
- Enable your practice’s “core
team” to implement an improvement model to build
and provide a primary care medical home for CSHCN and
their families.
- Guide you and the families whom your
practice serves to assess the quality of the care and
services provided; to develop practice tools and strategies
for improving care and outcomes; and to measure the impact
of practice improvements.
- Establish your practice as a center
of primary care excellence in the eyes of consumers, colleagues,
community members and payers.
Practicing Comprehensive Care: A
Physician's Operations Manual for Implementing a Medical
Home for Children with Special Health Care Needs
"This 45 page manual is written for physicians interested
in enhancing the way they care for children with special
health care needs in their local pediatric practices. The
authors describe the medical home model, a promising approach
to meeting the challenges of service delivery. The manual
also highlights the work and lessons learned from the Pediatric
Alliance for Coordinated Care, a consortium of Boston area
primary care and specialty providers that has created an
enhanced system of care for this group of children and their
families. The Division of General Pediatrics at Children’s
Hospital Boston provides the program coordination.
The manual offers practical advice and suggestions to support
the day-to-day operations of pediatric offices to more efficiently
and effectively serve children with special health care
needs."
This manual was created through a joint effort of the Division
of General Pediatrics/Institute for Community Inclusion
at Children ‘s Hospital, Boston; The Robert Wood Johnson
Foundation and the Center for Health Care Strategies, Inc.;
and the Health Resources and Services Administration’s
Maternal and Child Health Bureau.
To download this manual click on the link below:
archives.communityinclusion.org/publications/compcare.html
 Report from the Substance Abuse and Mental Health Services Administration (SAMSHA), Reimbursement of Mental Health Services in Primary Care Settings
A new report from the Substance Abuse and Mental Health Services Administration (SAMSHA) released by three agencies of the U.S. Department of Health and Human Services proposes strategies to overcome barriers associated with the reimbursement of mental health services provided in primary care settings. It includes recommendations for both State and Federal policy makers and programs.
The full report is available on the Web at: http://download.ncadi.samhsa.gov/ken/pdf/SMA08-4324/SMA08-4324.pdf.
Quality Improvement
Authors Discuss Quality Improvement and
Pediatric Practice Management
"It is critically important that providers,
health care organizations, hospitals, and physicians, be
able to document convincingly the quality of their services
in an increasingly competitive marketplace," state
the authors of an article published in the November 2003
issue of Pediatrics. The purposes of this article are to
(1) raise awareness of how important it is for pediatricians
to document the value of the care they provide, (2) offer
examples of published studies in this area, (3) discuss
measures of quality and initiatives to improve the quality
of pediatric care, and (4) encourage pediatricians to be
proactive with clients and payers in designing and choosing
health care plans.
Value of Pediatric Preventive
Services
To date, a small but growing number of studies have been
published in peer-reviewed journals on the value of immunizations,
anticipatory guidance and periodic preventive care visits,
continuity of care in a medical home, and secondary preventive
services for children with chronic illness (e.g., asthma).
However, several studies have also indicated that pediatricians
are not adhering to evidence-based guidelines, and others
have identified gaps in preventive health care, medication
errors, and long wait times for primary care appointments.
Payers are now monitoring the quality of primary preventive
practices much more closely and are basing contracting decisions
on documented evidence of high-quality care. The authors
suggest that pediatricians be diligent in documenting the
value of their services by measuring and publishing outcome
data.
Measures of Quality
Employers and federal and state governments use a variety
of quality measures to assess insurers, health care systems,
and health professionals. Measures include the Health Employer
Data Information Set, the Consumer Assessment of Health
Plans Survey, the Child and Adolescent Health Measurement
Initiative, and the "quality dividend calculator"
developed by the National Committee on Quality Assurance.
The authors assert that it is important for pediatricians
to be aware of measures that are used and of how they are
used. Information about these and other measures can be
found in the Agency for Healthcare Research and Quality
Child Health Toolbox at www.ahrq.gov/chtoolbx.
Initiatives to Support Quality
The American Academy of Pediatrics (AAP) and the National
Institute for Children's Healthcare Quality (NICHQ) have
partnered to develop programs to help pediatricians improve
the care they provide. For example, NICHQ has developed
toolkits
to help pediatricians understand and follow guidelines for
the diagnosis and treatment of attention deficit hyperactivity
disorder. AAP has made these tools available through
an online learning program called Education
in Quality Improvement for Pediatric Practice. The authors
note that insurers have provided financial incentives to
groups of pediatricians who successfully complete these
online courses.
"To meet the current health care challenges,"
the authors conclude, "pediatricians must (1) increase
efforts that document the value of well-child and CSHCN
[children with special health care needs] pediatric services;
(2) become more involved in implementing quality-improvement
methods into their practices; (3) develop better measures
of clinical performance and outcomes of care; and (4) promote
the demonstrated value of pediatric services to payers,
employers, insurers, and state and federal government agencies."
Assessing Your Practice, "The Green Book":
Know your patients, know your people, know your processes,
know your patters.
"Clinicians work very hard in today's health care
environment. Finding the time and tools to critically reflect
and analyze the practice is hard to do. This workbook is
a "map" that can be customized to local context
and needs in order to support practice evaluation and improvement.
Identification of dysfunctional processes, wastes and delays,
and deeper knowledge of patient and people can improve patient
care, outcomes, and staff work life.
The AIM of The Green Book is to provide an organized method
to assist practices in collecting information and data to
identify opportunities which can lead to significant improvements
which improve patient care, outcomes, and staff work life.
The forms and tools in The Green Book can be adapted to
local context and needs." clinicalmicrosystem.org.
Distance Learning Tool Provides
Strategies for Health Promotion in Pediatrics
Pediatrics in Practice, an online professional development
curriculum, provides educators and clinicians with innovative
strategies for enhancing health care encounters with children
and families. The Bright Futures Health Promotion Workgroup,
a national expert panel comprising pediatricians, clinician
educators, nurses, and parents, developed the curriculum
with support from the Maternal and Child Health Bureau.
The curriculum consists of six modules that cover the following
topics: partnership, communication, health promotion, time
management, education, and advocacy. A facilitator's guide
provides an overview of teaching strategies and instruction
on how to implement them. A PDF file library, community
resources, and other educational resources are also included.
The curriculum is intended to help educators and clinicians
effectively integrate health promotion into pediatric training
and practice. The curriculum is available at www.pediatricsinpractice.org.
Last updated
August 7, 2008
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