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Preventive Pediatrics 2011Kelly J. Kelleher, M.D., M.P.H.Director, Center for Innovation in Pediatric PracticeVice President, Health Services ResearchNationwide Children’s HospitalProfessor, Department of PediatricsOhio State University College of MedicinePreventive Pediatrics:Goals Why Preventive Pediatrics?What is Preventive Pediatrics?How do we do Preventive Pediatrics?Who can help with Preventive Pediatrics?Why PreventivePediatrics? Financial Benefit– Pay for Performance– Increase CPT Reimbursement– Capitation– Meaningful Use of HER– Medical Home CertificationWhy PreventivePediatrics? Clinical Benefit– Short term gains (immunizations/safety)– Long term gains (heart disease, mentalhealth, cancer)– Quality of life (obesity, mental health,development)
What is PreventivePediatrics? Immunizations and hygieneSafetyDevelopment/MHFitness and nutritionFamily wellnessCommunityHow do we do PP? Core resource for in-officepractice Preparation of patients Preparation of practicewww.PediatricCareOnline.org
Bright Futures Resourcesfor Recommended Visits Bright Futures Previsit QuestionnaireBright Futures Visit Documentation FormBright Futures Parent HandoutBright Futures Psychosocial Assessmentwww.PediatricCareOnline.orgPriorities for theNewborn VisitPreparation of Families Family readiness (eg Concerns andresources) Infant behaviors (eg sleep, calming) Feeding (satiation cues,hydration/jaundice) Safety (eg car safety seats, tobaccosmoke) Routine baby care (eg infant supplies,skin care, illness prevention,introduction to future visits) Practice intake and education Core materials and website/callline/educator Methods of communication Assessment of literacy– Rapid Estimate of Adult Literacy inMedicine—Short Form (REALM-SF)– Short Assessment of Health Literacyfor Spanish Adults (SAHLSA-50)
Local CommunityResourcesHealth Literacy video Health (Title V, SCHIP, Home visiting)Development (Head Start, Rec, Early Interv)Family Support (WIC, DV, Food Banks)Adult Assistance (ESL, Legal Aid, ADAMH)Preparation of Office Team roles, guidelines and registries QI activities Identification of surveys, tools andtracking Community resources for care/toolkit/index.html
Tablet screening videoWho can help withPP?Our patients, families andcommunitiesWho can help withPP? Patient completed surveys andassessments– Paper and pencil– Digital Patient and family edu/support websites Tablet and smartphone apps Integrating toolsWebsites for patientinformation, education andtraining Generic family health Condition specific Information vs. Participation
www.Healthychildren.orghttp://girlshealth.gov/Apps for Healthy KidsKidshealth.org
Integrating Tools forHealth Promotionwww.healthvault.com
PrincetonLivingWell.comConclusion Preventive Pediatrics growing inimportance Definition changing– More community focused– More patient/family engaged Preparation involves office, familyand community New tools available to make it easier
Preventive Pediatrics 2011 Kelly J. Kelleher, M.D., M.P.H. Director, Center for Innovation in Pediatric Practice Vice President, Health Services Research Nationwide Children's Hospital Professor, Department of Pediatrics Ohio State University College of Medicine Preventive Pediatrics:
