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Identification of the Foster Care Population in the Pediatric Practice. Based on the Wilmington Health – Pediatrics experience. Disclaimer. No source is 100% accurate. This is a “weeding out” process. Determine your practice parameters Does your practice want to :. - PowerPoint PPT Presentation
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Identification of the Foster Care Population in the Pediatric PracticeBased on the Wilmington Health –
Pediatrics experience
DisclaimerNo source is 100% accurate. This is a
“weeding out” process
Determine your practice parametersDoes your practice want to:
O Follow patients in county of practiceO Follow patients in surrounding
countiesO Follow patients in traditional foster
placementO Follow patients in non-traditional
foster placements (trial home placement, relative/kinship placement, non relative placement)
At the beginning of project, Wilmington Health – Pediatrics chose to follow patients in New
Hanover County DSS custody in both traditional and non-traditional foster placements. Due to great demand, we’re currently establishing a
protocol for Pender and Brunswick County DSS.
Identification of Current Patients – Getting started
O Utilize Medicaid Portal Informatics Center to filter your practice data to reflect patients receiving HSF or IAS Medicaid. You can also filter per set practice parameters. (Be aware: This will also pull adoption subsidy patients. Also, this may not capture patients in DSS custody in non-foster/relative placement and receiving other forms of Medicaid)
O Work is in process so IC will provide more accurate information
Identification of Current Patients
O Obtain list from your DSS contact of children in foster care linked to your practice
O Cross reference lists – this will aid in removing children who have been adopted and receiving IAS Medicaid as adoption assistance
Create a means to identify Foster Care Population in your practice
O How will you know a child is in DSS custody?
O Who is responsible for this task?O What will it look like in practice EMR?
O Pop ups created in scheduling database to alert scheduling staff
O High Priority Reminder created in EMR – with AAP Foster Care Standard of Care Schedule
O V61.06 or V61.05 indicated in Problem List
Receiving New Foster Care Patients
O Establish a referral protocol with DSS for children coming into DSS custody who are not linked with another provider or being transferred from another provider
O Develop forms for the referral process as well as forms within practice appropriate to the foster care population
O DSS Social Worker forwards DSS-5243 – Child Health Status Component, Foster Care PHI Authorization, and all available medical records
O Chart created (updated for current patients), pop ups/reminders added
O Appointment scheduled
Current protocol for receiving new referrals
O Patients seen per AAP’s Foster Care Standards of Care
O Screening tools applied (PEDS, MCHAT, PSC)
O Referrals made for specialty care/behavioral health
O Physical form/Health Summary form generated to DSS social worker.
Ongoing
O 85 Foster Children servedO Reduced Well Child Check delinquency rate
from 21% (traditional) to 1 ½ % (foster care standards)
O 74 Foster Care Well Child Checks completed
O 21 Specialty referralsO Reduced ER visits – 5 ER visits in 3 months
prior to program inception; 1 since
Foster Care Coordination program highlights from 10/1/12 – 1/31/13
Questions?
