Each year about 90 New York State (NYS) infants die from sleep-related causes, many of which are preventable. To eliminate sleep-related deaths in infants, the New York State (NYS) Department of Health (Department), in partnership with the NYS Office of Children and Family Services, has joined a national collaboration of state health departments, state agencies, and our professional and community partners.
The Department is working to update and deliver safe sleep messages to parents and caregivers across the state. In 2011, the Department adapted the American Academy of Pediatrics guidelines for educational materials related to Sudden Infant Death Syndrome and safe sleep in a consumer brochure entitled “Follow the ABCs of Safe Sleep.” The message is: Babies should sleep Alone, on their Backs, and in a safe Crib, right from the start. The “ABC”
message is simple and effective to help introduce safe sleep basics to parents and caregivers.
A recent study showed the more often mothers heard advice about safe sleep practices, the more likely they were to follow the advice. Please help to make this a reality by sharing safe sleep materials and education at every opportunity. These materials, available in English and six other languages, are free of charge for your use. Please visit www.health.ny.gov/safesleep for additional safe sleep information, including a brochure and poster that you can share with families in your practice.
The National Center for Medical Home Implementation (NCMHI), a cooperative agreement between the American Academy of Pediatrics (AAP) and the Maternal and Child Health Bureau of the Health Resources and Services Administration, published two new resources that may be of interest to AAP Chapter members:
- State Pediatric Medicaid and CHIP Medical Homes Initiatives: At-a-Glance Table
The National Center for Medical Home Implementation, in partnership with the National Academy for State Health Policy, recently updated its “State at-a-glance” table. The table provides an overview of publicly funded state programs that support the implementation and spread of the pediatric medical home model of care, including information on Health Home State Plan Amendments, and states that have active Medicaid payment for pediatric medical home programs.
- Language Access in Primary Care
Created in partnership with the National Center for Cultural Competence, this article provides examples of language access services and strategies to enhance language access services in pediatric primary care practices.
The Agency for Healthcare Research and Quality’s Integration Playbook, a new interactive guide to support the integration of behavioral health care in ambulatory care practices is now available on the AHRQ Academy for Integrating Behavioral Health and Primary Care portal. The free guide provides tips, resources, and real-world examples of how practices are integrating behavioral health care, pitfalls to avoid; an interactive self-assessment checklist; and access to an online forum for peer-to-peer networking and sharing. Visit the AHRQ Academy for Integrating Behavioral Health and Primary Care portal to access the Integration Playbook and other resources for integrating behavioral health care.
Stay abreast of ICD-10 news! Go to our ICD-10 page.
The National Center for Medical Home Implementation (NCMHI) in the American Academy of Pediatrics (AAP) is pleased to announce the launch of its new and improved Web site, www.medicalhomeinfo.org.
The Web site provides pediatric medical home information, tools, and resources for practices and clinicians, specifically pediatricians. Visit the Web site to learn about the following:
- Education and training opportunities
- Tools and resources for pediatric medical home implementation
- Evidence supporting the pediatric medical home model
- Information about pediatric medical home initiatives in 50 states and the District of Columbia
SBIRT – Evidence-based screening to screen patients and identify those who use alcohol and other drugs at risky levels.
Summer Food Service Program Materials with you.
In the following links, you’ll find the New York State-specific flyers (English/Spanish) and magnet promoting the Summer Food Service Program described by Sandy Sheedy (SED) at June’s Pediatric Obesity Prevention Work Group meeting. Please share in your offices to help promote the availability of free, nutritious meals for all children 18 and under.
For questions, please contact:
Director, Environmental Approaches
New York State Department of Health
Bureau of Community Chronic Disease Prevention
Riverview Center, 150 Broadway, Room 350
Albany, New York 12204
(518) 408-5142 | firstname.lastname@example.org
Aetna Denying HPV9
PPAAC has learned from our Aetna contact that Aetna will not be covering HPV9 for boys greater than 15 years of age and if submitted claims will not be paid for that age group. This is despite the ACIP recommendation and the recent AAP News publication that we shared with them. Aetna revisits these policies quarterly. This will stand at least until the fall. (Posted June, 2015)
Post-exposure Prophylaxis for HIV
Dr. Agins of the NYSDOH AIDS Institute highlights the updated 2014 clinical guidelines for prescribing post-exposure prophylaxis (PEP) in a recently published letter, and lists additional resources that support the provision of PEP. The aim of this letter is to encourage clinical providers across NYS to be vigilant in identifying cases where PEP may be prescribed to prevent HIV infection; a critical step in ending the epidemic in New York.
For Pediatricians in Albany, Columbia, Dutchess, Greene, Fulton, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Ulster, Warren and Washington Counties:
Health Resources and Services Administration (HRSA) has funded the Epilepsy Foundation of NJ to improve access to services for children and youth with epilepsy. A primary component of this improvement is the proposed pediatric practice training Improving Accurate Diagnosis & Treatment of Epilepsy: A Training for Pediatric Practice Teams. This training will be offered through a tri-state effort including territories in New Jersey, Northeastern New York, and Connecticut. The training will be presented by a pediatric neurologist, Epilepsy Foundation affiliate staff, and a parent partner in each region to ensure the proper education is given. The training will allow for pediatric practice team members to learn more about seizure recognition, diagnosis, treatment, and improved coordination of care and communication among providers. This will be a great opportunity for pediatricians and the other members of the practice to receive updated information on the care for children with epilepsy. Additional involvement will include basic data collection, identifying patients in the practice with epilepsy, completing pre- and post-surveys, as well as monthly technical assistance calls surrounding this project. Maintenance of Certification is pending for this project, or a monetary incentive will be offered for participation.
If you are interested in scheduling or finding out more about this training please contact:
Epilepsy Foundation of Northeastern New York
Get Smart: Know When Antibiotics Work
Many antibiotics prescribed in doctors’ offices, clinics, and other outpatient settings are not needed. This program sponsored by the CDC focuses on appropriate prescribing and use for common illnesses in children and adults. Resources include:
In addition, the MMWR has recently published a report related to antibiotic prescribing and patient desire for antibiotics, “Antibiotic Prescribing among Adult Consumers, Adult Hispanic Consumers, and Health Care Providers.”
Link to AAP Practice Transformation Tools – How to Build a Medical Home Practice Today…
The National Center for Medical Home Implementation (NCMHI) in the American Academy of Pediatrics (AAP) is excited to announce the launch of a brand new online resource guide, “Building Your Medical Home: An Introduction to Pediatric Primary Care Transformation” available at www.pediatricmedhome.org.
The guide provides direction, resources, and tools to pediatric medical home clinicians and practices seeking to advance their knowledge and understanding of the medical home concept as it relates to practice transformation. The guide provides resources and strategies for starting medical home transformation, integrating key functions of a medical home into practice, and sustaining changes.
There are over 7.6 million high school athletes in the United States, and at some point each one of them is going to need a preparticipation physical evaluation (PPE). Do you know what to do and how to do it? Click here…
Having Problems Getting Medicaid Managed Care Prescriptions Filled? Read on to get help from the NYSDOH!
Please contact the DOH with questions, concerns, or if you are experiencing difficulty with a plan:
The New York State Department of Health staff will assist you in contacting the plan and working towards resolutions of your issues.
- Frequently Asked Questions (FAQs),
- a timeline of communication activities,
- transition plan information,
- a single point of entry for access to managed care plan,
- pharmacy benefit manager
- and formulary information
Please visit the DOH website to find out more at:
If you continue to have problems, contact Elie Ward, the AAP District II Director of Policy and Advocacy, at email@example.com
Pediatric First Aid for Caregivers and Teachers (PedFACTs), developed by the dedicated Pediatrician members of the AAP, is a course for caregivers, teachers and others who care for children. The PedFACTs course focuses on what to do if a child in these individuals’ care suddenly becomes ill or gets injured. It is easy to implement, affordable, and based on the Caring for our Children standards.
As pediatricians with local practices, we appreciate your promotion and endorsement of this AAP resource in the communities where you practice. Some ways that you can raise awareness of the course include the following:
- Community events, such as health fairs, at which you provide clinical guidance
- Consultation with school and park districts
- Talks you are invited to give about first aid and health promotion
After completing the course, participants will be able to do the following:
- Recognize an ill or injured child.
- Identify specific types of medical problems and give appropriate first aid care.
- Know when to call emergency medical services (EMS).
- Know how to perform cardiopulmonary resuscitation (CPR).
- Understand what an automated external defibrillator (AED) does.
- Know what to do when a child is choking.
- Give rescue medication for a breathing problem.
- Given an epinephrine auto-injector for a severe allergic reaction.
The PedFACTs course can be offered in two formats – Onsite and Hybrid:
- Students take an online pretest before the course.
- Students attend a 4-hour classroom course.
- All content is presented by a PedFACTs instructor.
- Students take a written final examination.
- Students take an online pretest before the course.
- Students learn course content via self-directed online modules (about 2 hours).
- Students take an online final examination.
- Students attend a 2-hour classroom course for hands-on skills practice and instructor interaction.
To learn more about PedFACTs, visit the website at www.PedFACTsonline.com. On the site you will be able to find an instructor or locate a course, as well as learn about the qualifications to become an instructor to teach the course.
Federal Judge Upholds New York City Policy For Unvaccinated Children
The New York Times (6/23/14, Mueller, Subscription Publication) reports that Judge William F. Kuntz II of Federal District Court in Brooklyn upheld a New York City policy prohibiting unimmunized students from attending public school if another student carries a vaccine-preventable condition. He “ruled against three families who claimed that their right to free exercise of religion was violated when their children were kept from school, sometimes for a month at a time, because of the city’s immunization policies.” He also wrote in his ruling that the Supreme Court has “strongly suggested that religious objectors are not constitutionally exempt from vaccinations.”
AAP EBCD Training and Education Modules Are Now Available!
The AAP Early Brain and Child Development (EBCD) Leadership Workgroup is pleased to announce the availability of 5 new training and education modules for pediatricians and other health care providers. These modules provide key information and resources on the following early brain development topics:
- Module 1: Building Better Brains – The Core Story of EBCD
- Module 2: Toxic Stress – Why Environment Matters
- Module 3: Adverse Childhood Experiences – What Happens Early can Change Lives
- Module 4: Supporting Parents and Cultivating Community Relationships
- Module 5: EBCD Advocacy – An Opportunity to Change Childhood Outcomes
These modules are freely accessible and are designed to be flexible and adaptable to a variety of training needs, both for individual learners and group presentations.
To access these modules, visit www.aap.org/ebcd.
Revised, May, 2014.
National Institute CME Courses
The number of prescriptions filled for opioid pain relievers has increased dramatically, leading the CDC to identify prescription drug abuse a problem of “epidemic” proportions. To better equip family physicians, pediatricians, and other health professionals against this crisis, the National Institute on Drug Abuse offers two free online CMEs/CEs:
- Safe Prescribing for Pain (1.25 credits) teaches the prevalence of prescription opioid abuse and explores ways to effectively screen for and prevent abuse in patients with pain.
- Managing Pain Patients Who Abuse Rx Drugs (1.75 credits) identifies the prevalence of opioid addiction and dependence in patients with chronic pain, and assists health care providers in identifying emerging abuse behaviors.
Announcing the NEW GeneticsinPrimaryCare.org!
The Genetics in Primary Care Institute is pleased to announce the launch of their new Web site, GeneticsinPrimaryCare.org. This site houses practical tools and information for pediatric primary care providers (PCPs) regarding genetics and genomics, genetic testing, family history, genetic counseling, and patient communication. Visit our Provider Education page for resources, webinars, and live educational activities, including the upcoming Dive into the Gene Pool Conference. Explore the role of pediatric primary care providers in the provision of genetic medicine with the new Genetic Medicine & Primary Care Infographic.
Additional informational resources include:
- Video testimonials from experts providing insight and a variety of perspectives on genetic-related topics including genetic testing, family history, and genetic counseling.
- The What’s New page provides visitors with current and recently released policy statements, articles, online resources, and events
- The archived Time Out for Genetics webinar series is housed in the Provider Education section of the site and provides 30 minute overviews on genetic topics relevant to pediatric primary care providers. Each webinar in this series has a companion fact sheet that offers a brief summary of the information presented in each webinar.
- The 2013 Integrating Genetics into Your Practice webinar series is scheduled to kick off on June 6 at 12pm Central with the first webinar on Family History in Primary Care. Registration for these 60-minute educational webinars will be available on the GPCI Webinars page of the site in the coming weeks.
- Within the Patient Management and Guidelines page there are a number of resources available for PCPs to access and utilize in their everyday practice including a list of management guidelines for patients with genetic and genetic-related conditions, a “How-To” handout on building a genetic patient registry, and guides on the creation of both emergency and transition plans
- Pediatricians are invited to participate in a cutting edge conference, Dive into the Gene Pool: Integrating genetics and genomics into your pediatric primary care practice, to be held on August 9-10 in Chicago. Visit www.pedialink.org/cmefinder to Dive into the Gene Pool this summer!
New Children’s Electronic Health Record Format Announced
A new database developed by the Agency for Healthcare Research and Quality with support from the Centers for Medicare and Medicaid Services can help software developers create better Electronic Health Records (EHRs) for the care of children. The children’s EHR format establishes a blueprint for EHRs to better meet the needs of health care providers and pediatric patients by combining best-practices in clinical care, information technology, and insights from experts in children’s health. Since few EHRs have been created with children’s needs in mind, gaps in functionality, data elements and other areas tend to occur. The format guides EHR developers in understanding the requirements for functionality, data standards, usability and interoperability of an EHR system to more optimally support the provision of health care to children – especially those enrolled in Medicaid or the Children’s Health Insurance Program (CHIP). The format is readily accessible and adoptable by EHR developers for use during product development or enhancement.
In addition to providing guidance to developers, the format can provide guidance for EHR system purchasers and policy makers. For example, policy makers and purchasers can use the requirements when assessing functionality of EHRs. For more information or to access the format, select: http://healthit.ahrq.gov/childehrFormat.
Letter from District II to Governor Cuomo regarding Gun Control (Posted January 17, 2013)
The New York State Medicaid Managed Care Information Website, developed in partnership with the State University of New York at Stony Brook, is intended to provide easy access for members and providers looking for information on the drugs and supplies covered by different Medicaid and Family Health Plus managed care health plans. In the near future, the Department plans to release phase two of the project, which will allow interactive comparison of coverage searches. The Pharmacy Benefit Information Website is available at: http://pbic.nysdoh.suny.edu
AAP, District II, NYS formally supports New York City’s Initiative in Support of Breastfeeding. The New York City initiative tracks with AAP policy supporting breastfeeding for all healthy babies and mothers. [Click here for more…]
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