September NEVHC pediatric provider meeting

Health Education

100

This class helps parents be their children's first teachers

What is Opening Doors/Abriendo Puertas, available on Tuesdays from 3:30-5 pm

200

This virtual support group is lead by WIC

What is the WIC virtual breastfeeding support group, available every Wednesday from 11-12:30, alternating weeks in English and Spanish

300

All sites that screen for food insecurity also offer this in person intervention

What are produce distributions?  Available at Vaughn's family and community center in Pacoima at noon on 10/10, Sun Valley at 11:30 am on10/17, Newhall on 10/20 at 11:30 am, and Van Nuys pediatrics on 10/27 at 11:30 am

400

This class sometimes includes a walk with a doc shared medical visit

What is Kids fit, offered Thursdays from 5-6 pm, in both English and Spanish

500

These health education opportunities help all patients learn more about eating well and being active

What are the Healthy eating, active living classes offered in English and Spanish, mornings and evenings; Whole body, whole health CSUN Nutrition and Yoga classes offered at Lanark Park in Canoga in person; Garden Workday and produce swap at the Vaughn community and family center 10/14 from 8:30a-10

Infectious Diseases and Antibiotics

100

This is the appropriate dose and duration of treatment for streptococcal pharyngitis

What is amoxicillin 50 mg/kg/day for 10 days

200

This is the appropriate treatment and duration for cellulitis

What is a 1st generation cephalosporin, trimethoprim sulfasoxazole or clindamycin for 5 days

300

This is the appropriate treatment and duration for an uncomplicated UTI in a child over 12 years of age

What is trimethoprim sulfasoxazole for 3 days, nitrofurantoin for 5 days, or a beta lactam like cephalexin for 3-7 days

400

This is the appropriate treatment and duration for pediatric acute otitis media

What is 

•WATCHFUL WAITING APPROPRIATE FOR MILD UNILATERAL CASES IN CHILDREN 6-23 MONTHS AND UNILATERL OR BILATERAL SYMPTOMS IN CHILDREN >2 YEARS

•Treat pneumococcus with high dose amoxicillin (90 mg/kg/day)

•<2 years:  treat for 10 days

•2-5 years:  treat for 7 days

•>6 years:  treat for 5 days

500

This is the appropriate treatment and duration for bacterial community acquired pneumonia in younger children

What is Amoxicillin 3 times a day for 5 days

Bright Futures Recommendations

100

This screening is recommended at all well child visits between 1 and 6 months

What is maternal depression screening

200

This screening tool is being introduced by NEVHC to complete the  recommended screening at 18 and 24 months

What is the Survey of Well Being of Childhood (SWYC) Parent's Observation of Social Interaction (POSI) to screen for Autism Spectrum Disorder? 

300

Patients who screen positive for food insecurity should also be assessed for this hematological disorder

What is anemia?  (also should assess menstruating female patients for heavy menstrual bleeding)

400

These 4 questions are helpful for screening for risk of sudden cardiac death, a bright futures recommendation from the age of 11 years on

• Have you ever fainted, passed out, or had an unexplained seizure suddenly and without warning, especially during exercise or in response to sudden loud noises, such as doorbells, alarm clocks, and ringing telephones?
• Have you ever had exercise-related chest pain or shortness of breath?
• Has anyone in your immediate family (parents, grandparents, siblings) or other, more distant relatives (aunts, uncles, cousins) died of heart problems or had an unexpected sudden death before age 50? This would include unexpected drownings, unexplained auto crashes in which the relative was driving, or SIDS.
• Are you related to anyone with HCM or hypertrophic obstructive cardiomyopathy, Marfan syndrome, ACM, LQTS, short QT syndrome, BrS, or CPVT or anyone younger than 50 years with a pacemaker or implantable defibrillator?

500

Pediatric care providers may either use one of these 2 recommended screening tools or this risk assessment tool followed by a brief intervention and referral to treatment for our patients >11 years of age

What are the Brief Screener for Tobacco, Alcohol, and other Drugs (BSTAD) and Screening to Brief Intervention (S2BI) or the CRAFFT screeners

Vaccines

100

This conjugated vaccine, currently in use in adults, prevents otitis media, bacteremia and pneumonia and is coming soon to our pediatric health centers

What is PCV-20

200

This vaccine, which no longer has any specific precaution for egg allergic people, prevented the equivalent of the capacity of Oracle Park and the Oakland Coliseum in hospitalizations during the 2019-2020 season

What is the influenza vaccine?

300

The new COVID booster targets this variant 

What is the XBB lineage of the Omicron variant?

NEVHC will have Pfizer for all pediatric patients initially

400

Primary COVID immunization in children under 5 requires this number of doses

What are 2 (Moderna) or 3 (Pfizer)?

500

This is the generic name for Beyfortus, the monoclonal antibody which will be given to all children <8 months of age during RSV season

What is Nirsevimab?

Potpourri

100

Patients should be rescreened or referred to audiology if they fail their screening within this time frame

2-6 weeks

200

Screening for this 2023 bright futures recommendation requires the use of the PHQ-9; this is a change from previous iterations of the bright future recommendations and is not in keeping with the USPSTF "I" recommendation

What is suicidality?

300

This family centered screening which may include asking about caregiver emotional and mental health concerns and social determinants of health, racism, poverty and relational health, is recommended by bright futures at every visit from the newborn visit through adulthood

What is behavioral/social/emotional screening

400

These are the 4 components of a brief intervention addressing unhealthy substance use, including alcohol, tobacco or other illicit substances

• Providing feedback to the patient regarding screening and assessment results; 
• Discussing negative consequences that have occurred and the overall severity of the problem; 
• Supporting the patient in making behavioral changes; and 
• Discussing and agreeing on plans for follow-up with the patient, including referral to other treatment if indicated. 

500

These 2 preventative therapies should be offered to sexually active adolescents 

What are contraception and HIV PrEP (pre-exposure prophylaxis)?