CCHAP Newsletter Seven
Contents:
- 8 Steps to enhance Cross-Cultural Skills -
- Fair Reimbursement for Medicaid Special Needs Children -
- Multilingual / Multicultural Education Materials -
- Diagnosis and Treatment of Post Partum Depression -
- Developmental Screening Training Workshop -
- Help Asthmatic Patient’s Parent Quit Smoking -
- Cross-Cultural Health Care Workshop -
- Spanish Interpretation Training -
- Next Practice Liaison Teleconference -
8 Steps You Can Take To Enhance Your Skills
In Cross-cultural Health Care
Adapted from Doc-for-Tots (www.docsfortots.org)
There is still time to sign up for the Cross-cultural Health Care Workshop on May 3rd in the afternoon (click here for more information). If you are not able to attend our Cross-cultural Health Care Workshop, then please consider…..
1. Participate in a free online CME course on effective cross-cultural health care that uses rigorous study designs, well-described interventions and measurable objectives that are linked to process and outcome variables.
A Physicians Practical Guide to Culturally Competent Care- CME credit
Culture And Health Care: An E-Learning Course- CME Credit
2. Learn more about strategies to prevent health disparities, and educate yourself on the different types of disparities that affect your patients.
Minority Health and Health Disparities
Provider’s Guide to Quality and Culture
3. Do a self assessment of your awareness around culturally competent care and identify opportunities for improvement.
Cultural Competence Assessment (.pdf)
4. Employ enhanced communication strategies during patient / family interactions using the LEARN mnemonic, interviewing techniques that are effective in eliciting cultural beliefs and social influences impacting decision making. These techniques enhance the patient provider relationship. (to learn more click here)
Listen with empathy and understanding of the patient's perception of the problem.
Explain your perceptions of the problem.
Acknowledge and discuss the differences and similarities.
Recommend treatment.
Negotiate agreement.
Elois Ann Berlin and William C. Fowkes Jr., A Teaching Framework for Cross-cultural Health Care. The Western Journal of Medicine , 1983, 139(6), 934
5. Practice your evolving skills using web-based cases and scenarios by going to The Provider’s Guide to Quality and Culture. (click here)
6. Become familiar with CLAS standards (National Standards on Culturally and Linguistically Appropriate Services) and assess how your practice measures up.
A listing of the 14 CLAS standards
14 CLAS Standards (.pdf)
The full 139 page report
National Standards on Culturally and Linguistically Appropriate Services (.pdf)
7. Stay current on policy and community-based strategies related to children's health and advocacy efforts around eliminating health disparities, and participate in the process. Periodically visit the websites devoted to helping you stay current:
The federal Office of Minority Health:
http://www.omhrc.gov/
The University of Michigan Program for Multicultural Health:
http://www.med.umich.edu/multicultural/index.htm
Docs for Tots:
http://www.docsfortots.org/default.asp
National Health Policy Training Alliance for Communities of Color:
http://www.healthpolicyalliance.org/
8. Observe the barriers families in your practice face in accessing medical care in your community. These could include time constraints and office hours, poverty, and financial difficulties, as well as problems accessing hospitals for non-emergency care. Take time to reflect upon the multiple factors influencing their access to health care and to their well-being. Is there something your practice could do to help?
Getting Reimbursed Fairly For All of the Care
That You Provide for Medicaid Special Needs Children
Once a year, update the child’s Individual Healthcare Plan (click here to download a copy from our website). Parents love this form, because they can take it to specialist and therapist visits, take it to ED visits, have it available when traveling, and show it to providers and staff during hospitalizations. It not only improves care, but it can help expedite treatments, reduce errors and medico-legal risk, and improve communication. The form takes 20-30 minutes to complete with the family the first time and then 10-15 minutes to update thereafter. Medicaid reimburses $103 each year. The code is 99215.
Keep a permanent log sheet in the chart of a Child with Special Health Care Needs (CSHCN). You can use the log sheet to keep track of the total time spent on the case during each calendar month that is not billed for a visit. For example, all of the time talking with specialists or therapists on the phone; time talking to the home health company, social worker or pharmacy to coordinate services or arrangements for supplies or medications; and time taking with the family to adjust the care plan, etc.
When the time adds up to 15-29 minutes in a month, bill at 99374 ($67.53)
When the time adds up to 30 minutes or more in a month, bill at 99375 ($124.30)
When you see a CSHCN patient for the first time, bill a comprehensive exam at a moderate complexity. This requires adequate documentation.
As you know, CSHCN and their parents often miss out on anticipatory guidance and health maintenance issues, because the provider is so busy attending to the multiple ongoing conditions. Be sure to schedule a health maintenance visit to discuss developmental age-appropriate anticipatory guidance. For the CSHCN who is 0-5 years old, for whom you assess development, you can be reimbursed as much from Medicaid as from commercial payers by coding for the preventive visit and the developmental screening. For Developmental Screening, code 96110, for which Medicaid pays $34.00
If a CSHCN is going in for surgery and you perform the pre-op physical and catch up on problems and medications, you can bill as an outpatient consultation, if you document appropriately.
Multilingual/Multicultural Quality Patient Education Materials
- Immunization Action Coalition is a source of childhood, adolescent, and adult immunization information and hepatitis B educational materials in over 30 languages. http://www.immunize.org/catg.d/noneng.htm
- Consumer Health Information in Many Languages contains links to resources with materials in many languages and a glossary by language. http://nnlm.gov/outreach/consumer/multi.html
- The 24 Languages Project by Spencer S. Eccles Health Sciences Library, in partnership with the Utah Department of Health provides electronic access to over 200 health education brochures in 24 different languages. Good information on common illnesses and immunization information. http://library.med.utah.edu/24languages/
Effective Diagnosis and Treatment of Post-Partum Depression
Integrating Developmental Screening in Primary Care Practice
Training Workshop
Wednesday, May 9, 2007, 12 – 4 PM
This presentation will include an overview of
- Learn about Colorado’s Assuring Better Child Health and Development (ABCD), a statewide effort to help practices incorporate standardized developmental screening tools into their practice.
- How to integrate standardized screening into a primary care practice.
- Information about the referral process for early intervention services.
Locations:
Denver (Live Site)
The Children’s Hospital, 1056 E. 19th Avenue, 6th Floor Lecture Hall (Parking available in the garage at Downing & 20th for $2)
Webconferencing – The live presentation will be available online through any computer with an internet connection with speakers. Limited spots are available for webconferencing, so we encourage groups to gather to view the presentation by projection through an LCD from a laptop with speakers. If you are a group gathering, only 1 person from the group should register and that person will be emailed directions and the URL for the seminar.
Check for registration information at http://www.jfkpartners.org/workshops.asp
Parental Smoking And Childhood Asthma:
What You Can Do To Clear The Air
Cross-cultural Health Care Workshop
Thursday, May 3, 2007
1:30 to 5:00 PM
Earn 2 ERS premium discount points with COPIC
Earn 7 category 1 CME credits (transferable for nursing CE credit, too)
The workshop has been developed by the cross-cultural care faculty at the University of Colorado School of Medicine.
The curriculum:
- Describes health disparities and ways of reducing them
- Reviews ways to recognize cultural issues and barriers
- Provides methods for improving cultural responsiveness
- Helps attendee develop awareness of personal beliefs and attitudes
that may interfere with culturally responsive care
“I got a lot out of the workshop.” Roxann Headley, MD
“The seminar was very effective. It certainly raised my awareness, understanding and sympathy. I would endorse this with my physicians and staff.” Mike Ripperton, practice administrator
To register, contact Joanie Muzzulin at
303-861-6309 or Muzzulin.joan@tchden.org
Spanish Interpretation Training for Pediatric Practices
Our Next Session Begins May 16th
CCHAP offers a convenient, time-efficient, cost-efficient medical Spanish interpretation training program for pediatric office staff and providers. It is provided as a telephone conference, during practice office hours at lunch time.
Medical (pediatric) terminology
The subtle differences in the two languages in word selection and grammar
Culturally appropriate communication skills
Professionalism and etiquette of interpretation
Confidentiality and HIPPA issues
Next Practice Liaison Teleconference
12:30 PM
to get call-in number
Muzzulin.Joan@tchden.org
303-861-6309
Contents:
- 8 Steps to enhance Cross-Cultural Skills -
- Fair Reimbursement for Medicaid Special Needs Children -
- Multilingual / Multicultural Education Materials -
- Diagnosis and Treatment of Post Partum Depression -
- Developmental Screening Training Workshop -
- Help Asthmatic Patient’s Parent Quit Smoking -
- Cross-Cultural Health Care Workshop -
- Spanish Interpretation Training -
- Next Practice Liaison Teleconference -
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