CCHAP Home > Newsletter Articles > Newsletter Fourteen, January 2008

CCHAP Newsletter Fourteen

January 2008

Provider Resource Hotline

Improving Quality and Improving Efficiency

Culturally Responsive and Effective Care
Cross-cultural Communication

Assistance in Getting Medicaid Children in for Immunizations

Parent Advisory Group (PAG)

Integrating Developmental Screening In a Pediatric Practice

Medical Spanish Training For Your Office Staff

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PROVIDER RESOURCE HOTLINE 


To Help You Find All Appropriate Services and Resources
           for Your Chronically Ill or Special Needs Patients

Including Case Management or Care Coordination for the Child

And Education Resources and Support Services for Their Parents

                       Call  1-877-731-6017

                       Fax: 303-691-0846

                       Email: providerhotline@familyvoicesco.org

The Provider RESOURCE HOTLINE assists  providers to identify all appropriate services and resources for children with chronic illness or special needs and for their parents:

  • Case management
  • Care coordination
  • Specialized services, resources, medical equipment, therapies
  • Parent/patient education about chronic illness / special needs
  • Parent/patient support services
  • Help in finding funding for uncovered services

Hotline is staffed Monday thru Friday from 8AM to 4PM
Voicemail available 24/7

Provides follow-up with the provider office and with families

Answers questions for parents like:

  • What support services or special programs is my child eligible for?
  • Can I have a visiting nurse or therapist come to our home?
  • How can I get them paid for?
  • What are waivers and how do they work?
  • Shouldn’t this child have a case manager or care coordinator?
  • Where can a family get additional funding to pay for services?

If the hotline can answer your questions immediately, you can pass the information to the family while they are in the office or we can contact the family and give the information to them.

If the information is not immediately available, we will research the question or case and provide the information to you and the family later in what ever manner you and the family wish (via phone, fax, or email).

If you feel the family needs more assistance or follow- up, just let us know and share the family’s contact information with us or provide the family with our number for them to contact us directly.

When contacting us, please provide us with the following information:
Your provider office and PCP name
Name of Child
Date of Birth
Medical Condition / Primary Disability
Type of insurance
Resource or service requested
Who should we contact with information?
Family Contact Information
How is it best to provide information back to you: phone, fax, email or voicemail

DOWNLOAD A REFERRAL FORM CLICK HERE

DOWNLOAD AN 8.5 x 11 FLIER TO KEEP ON HAND AS A REMINDER  CLICK HERE

Next time you see a special needs child, call us to see how we can help

Questions about the hotline?  Call 1-877-731-6017

The Provider Hotline Is Sponsored By
Family Voices and CCHAP

 
Family Voices Colorado
 
 

  

Improving Quality and Improving Efficiency
CCHAP-Affiliated Practices


New Program
CCHAP is pleased to introduce another new program and a new member of the CCHAP team.   CCHAP will offer practices assistance in evaluating practice processes and developing or adapting processes to improve quality of care.   CCHAP will be able to help you develop Continuous Quality Improvement processes for your practice.  The areas of focus during 2008 will be:

  • How to effectively, cost-efficiently identify those children in your practice who are not fully immunized and get them in for their immunizations
  • How to create processes that will ensure the best possible outcomes for your asthmatics
  • How to get kids in for their preventive care visits
  • How to reduce no-shows in your practice
  • How to reduce inappropriate use of emergency departments

You decide what you want to improve and we will help evaluate what you are currently doing, work together to decide how to improve what you are doing and help implement changes to improve efficiency and quality.    We will specifically help develop new strategies to improve outcomes for Medicaid and CHP+ children, but can also help you create systems to improve outcomes for all children in your practice. We will provide more specifics at our next Practice Manager’s Meeting (noon on January 15 at the new Children’s Hospital).

Introducing Tiffany Brown PhD  
CCHAP would like to introduce you to Tiffany Brown, PhD,  who is now available to work with your practice to help you choose the practice processes you would like to improve and then help you adapt those processes to improve the quality of care.
   
Tiffany received her PhD from the University of California at San Francisco in Sociology, specializing in Medical Sociology and Health Policy.  Her recent work has involved practice analysis and quality improvement processes.  For those practices interested in her help, she will begin by listening to your needs and concerns and by observing your practice processes.  She will share “best practices” from the medical literature and from what has been learned in other practices.  You will work together to find out what works best for your practice.  She can also help you develop continuous quality improvement systems in your practice.  
   
“I am excited to work with such a dedicated group of people who demonstrate their commitment to caring for disadvantaged populations.  I look forward to meeting you over the next few weeks.”  Tiffany Brown, PhD
  

 

Training and Consultation
Culturally responsive and Effective Care
Cross-cultural Communication and Problem-solving

    
Private pediatric practices have requested this training and consultation because their practices are becoming increasingly diverse.  Nearly 40% of Colorado newborns in 2008 will be born into a family which would describe their culture as a minority culture…..and 99% of private pediatricians in Colorado are White, non-Hispanic. As you know a major focus of the newsletter has been to share the wealth of information from the Medical School cultural competence curriculum, the Department of Pediatrics curriculum, the cross-cultural health care literature, the Colorado Foundation for Children and Families, and from other pediatric providers throughout Colorado regarding best practices in caring for children in minority and low income families. 
   
  
CCHAP is very fortunate to have another new member of our team, who is trained and experienced in cross-cultural communication and problem-solving.  She will offer training and consultation to your practice regarding culturally-responsive and -effective health care. 
  
She can provide training for staff, managers and providers on a variety of topics:
            Cross-cultural Communication
            Assessing your practice’s readiness to care for children from other cultures
            Adapting your practice to the special needs of children from minority cultures
            Pediatric Health Disparities and what you can do to reduce them
            How to help families with limited English proficiency 
            How to help families with limited health literacy
            Cross-cultural health care case studies
   
She can work with your practice manager,  practice liaison and/or providers to identify changes you may wish to make to improve the cultural responsiveness of your practice and to help implement those changes.
  
She can consult when there are cross-cultural care problems, concerns or questions.  For example, you may have a patient, who also is recently immigrated from another country, and whose chronic health problem is not improving as expected. 
  
She will be contacting your practice liaison or practice manager to see how she might be of assistance to your practice.
 
Introducing Marcia Carteret 
  
Marcia%20Carteret.JPG
Marcia has most recently worked as a trainer and consultant in cross-cultural communication for faculty, staff, and students at Daniels College of Business at the University of Denver.   Marcia has extensive training in cross-cultural communications at the Intercultural Communications Institute in Portland, Oregon where she studied with recognized pioneer in the field, Dr. Milton J. Bennett. Marcia earned her certification to administer the Intercultural Development Inventory (IDI) in September of 2006.   She also serves as a trainer and consultant for Real World Solutions, a Colorado-based intercultural communications training organization operating locally, nationally, and internationally.   
 
She has had direct experience with many countries and cultures and has extensive training.  We are very fortunate to have her working with CCHAP.
   

   

 Assistance Getting Medicaid Children Immunized

  
CCHAP and the Colorado Immunization Information System (CIIS), aka The Immunization Registry, are teaming up to assist CCHAP affiliated practices implement a reminder system for all Medicaid and CHP+ children in your practice who are not fully immunized.     The details will be shared at the next CCHAP Practice Manager’s Meeting at noon on January 15 at the new Children’s Hospital.
   

  

CCHAP announces the formation of a
Parent Advisory Group (PAG)

  
As part of CCHAP’s ongoing commitment to pediatric practices and Medicaid/CHP+ families in Colorado, we are forming a PAG to assist us with identifying unmet needs, barriers to care, areas for program growth, and ideas for  improving the  cultural responsiveness of  the services we provide.   The PAG will be available to CCHAP practices if they have questions they would like to ask parents.
  
Soon, we will be asking each practice to give us the names of 2 families from your practice for participation in our PAG.  We are looking for families that have Medicaid or CHP+ and/or who represent a minority group.  We hope they will provide valuable insight about the challenges Medicaid/CHP+ and uninsured families and minority families face when seeking health care in Colorado.  If you know the names now of the families you recommend, please send their contact information to poole.steven@tchden.org.  Thank you.
   

   
Integrating Developmental Screening
Into a Pediatric Practice

 

  • The Colorado Assuring Better Child Health & Development (ABCD) project has received a three year grant to provide training and technical assistance to providers to implement a “validated” developmental screening tool at well child visits for infants/toddlers birth to five.
  • The ABCD project is partnering with CCHAP to provide training and support to pediatric practices to implement developmental screening.
  • Medicaid will reimburse $34.00 to providers if you use a standardized, validated developmental screening test at an EPSDT visit.
  • The Colorado Chapter of the AAP supports the ABCD project.
  • Early detection and intervention improves outcomes.  Many delays in children’s development are missed in the first 4-5 years of life without a standardized, validated screening test. 
  • The most time-efficient tool is one in which the parent completes a questionnaire.
  • To comply with 2010 recertification guidelines by the American Board of Pediatrics, documentation will be required to show levels of involvement in practice improvement initiatives. By implementing the use of a “validated” developmental screening with a sensitivity and specificity rating of 70% or greater like the ASQ or PEDS, practices are taking steps to integrate quality improvement into their practices.
  • What are providers saying about implementing either the ASQ or the PEDS parent questionnaire developmental screening tools:
      • It takes 1-2 minutes for an MA, LPN or RN to score.
      • It takes less than a minute of the provider’s time if the MA, LPN or RN scores the questionnaire.
      • In many instances, it reduces the length of the visit.
      • It helps providers concentrate on the concerns/priorities of the parents.
      • It reduces the number of concerns that come up as you are walking out the door at a well care visit.
      • It improves patient satisfaction.
      • It promotes positive parenting practices.
      • It increases provider confidence in decision-making for when to refer a child for further developmental evaluation.
  • Eileen Auer Bennett, the Colorado State ABCD Coordinator and her team are available to assist providers in getting started. Training and technical assistance will be provided to practices to implement a standardized tool such as the ASQ or PEDS. Support will also be given to office staff on how to incorporate a standardized developmental screening tool into the current office work flow.

For more information, please contact:
            Eileen Auer Bennett
            720-333-1351
            ileanben@yahoo.com


The Ages & Stages Questionnaire (ASQ)
 

The Ages & Stages Questionnaire (ASQ) is a well respected screening tool.  It has the best sensitivity and specificity.  It is standardized across various common minorities.   Health care providers have identified the following advantages:

  • Parent completed—Parents are partners in their child’s
    assessment and intervention activities.
  • Serves as a talking guide with parents identifying a
    child’s strengths as well as things the child is not
    doing yet.
  • Practical—Scoring takes 1-2 minutes and can be done
    by paraprofessionals.
  • Cost-efficient—May be photocopied repeatedly.
  • Scoring is simple—Only three responses:
    1. Sometimes, occasional or emerging response from
      child = 5 points
    2. Yes, child performs specified behavior = 10 points
    3. Not Yet = 0 points
  • If the child’s total score falls in a shaded area of the bar
    graph for any developmental area, further diagnostic
    assessment is recommended.
Visit www.brookespublishing.com to view and order the ASQ tool online.

The Parents’ Evaluation of Developmental Status (PEDS)

PEDS is another tool commonly used by practices involved in
a pediatric surveillance program. Provider feedback has
been positive. “The PEDS is nice because physicians value
knowing the issues parents want to address before going
into the room.”
 
Below are other advantages outlined in an article by
Frances Glascoe, PhD, Associate Professor, Division of
Child Development, Vanderbilt University School of
Medicine:
  • Developed out of four cross-validation studies on a
    nationally representative sample of families.
  • Uses parent concerns or judgments about the child’s
    development and behavioral status.
  • Easy to score—two minutes to elicit and interpret.
  • Enables health care providers to determine the need to
    refer and where.

Visit www.pedstest.com to view and order the PEDS tool online.
 


   

Spanish Interpretation Training for Pediatric Practices

   
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.
   
    Training in medical Spanish interpretation includes:
               Medical (pediatric) terminology
               Subtle differences in the two languages in word selection and grammar
               Culturally appropriate communication skills
               Professionalism and etiquette of interpretation
               Confidentiality and HIPPA issues
   
Who: This program is for people in the practice who already speak Spanish and English
   
How: The sessions will be conducted via telephone, using handout materials and the Internet, and will also include role-playing.
   
When: Wednesdays from 12:15 to 1 pm.  The next session will begin as soon enough people are interested in attending.
   
How long: 45 minute sessions weekly for 6 weeks
   
Registration: Email the information below to ilssoto@aol.com. 
          Name of student:
          Job title:
          Pediatric practice name:
          Work phone number:
          Home phone number:
          Is your first language English or Spanish?
          If Spanish is your second language, how long have you been speaking it?
          What time is your usual lunch hour?
          What is your goal in enrolling in this class?
Price: $20 per session. 
          After your registration and start date is confirmed, please send a check for $120,
          payable to International Language Services
          12572 West Brandt Place, Littleton CO 80127.
  
An assessment of each individual’s skill level will be done during a 5-10 minute phone call prior to first telephone conference/class.  Maria will contact you to schedule this initial individual telephone call upon receipt of your registration email.  A certificate of completion will be given after completion of all 6 sessions. The faculty is Maria Soto, a certified Spanish interpreter and trainer with International Language Services.