IBD: transition from pediatric to adult health care
|
|
- Maximillian Sparks
- 6 years ago
- Views:
Transcription
1 IBD: transition from pediatric to adult health care Johanna/Hankje Escher, pediatric gastroenterologist Falk Symposium 168: IBD in different age groups Madrid, March
2 Definitions Transition gradual process, between age years, aimed to prepare the adolescent with IBD for the transfer to the adult gastroenterologist Transfer actual moment when adolescent moves to adult caregivers IBD transition clinic multidisciplinary approach, enables coordination of transition process
3 Adolescent IBD: Transition to adult care Pediatric gastroenterologist years transition years adult GI doctor Child+parents young adult transfer
4 Why do we need transition? To bridge differences in pediatric and adult care To ensure continuity of care Goals in transition Have the patient ready at age years Have the parents ready Have the adult GI doctor ready and well-informed
5 Why do we need transition? To bridge differences in pediatric and adult care To ensure continuity of care Goals in transition Have the patient ready at age years Have the parents ready Have the adult GI doctor ready and well-informed
6 Differences in pediatric and adult health care: Pediatric growth, puberty, nutrition Adult cancer, surveillance, new drugs endoscopy under general anesthesia endoscopy: no anesthesia family oriented parents not appreciated (wives/husbands?) special patient, child-friendly approach patient is one of many, neutral approach pediatricians: nice, lots of time adult gastroenterologists: business-like approach, less time
7 What do patients say Jan, 16 years old, UC patient since age of 8: Whenever I feel bad, I ask my mom to call the doctor. My mom gets a prescription for those enemas that she gives me before I go to sleep. Marieke, 19 years old, CD patient diagnosed at 11: The new doctor told me and my parents I should come alone at the next visit. I felt relieved but my parents were a little angry. Daisy, 18 years old, UC patient since age of 15: The gastroenterologist told me at the first visit that I was going to have a colonoscopy every year to check for cancer. Me and my parents were in shock, the pediatrician had never told us about it! Elise, 15 years old, CD patient since age of 13: I just hate sitting in the waiting room in Children s Hospital. All those crying babies and toddlers with their fussy moms drive me mad. Please just send me to the adult department as soon as possible!
8 How to cross this bridge safely? nurse mom new doctor patient pediatrician
9 How and when to. Have the patient ready at age years Have the parents ready Have the adult GI doctor ready and well-informed
10 Patient Adolescent must shed the sheltered environment of childhood and achieve self-reliance and self-dependent living * Adolescence is a time of growth and change that causes frustration about the present and anxiety about the future * When is a good time to transfer patient to adult care? between years when disease is inactive when the adolescent has the skills and knowledge * NASPGHAN, J Ped Gastroenterol Nutr 2002
11 Skills and knowledge at age 14 Pediatrician adult system Child+parents Age 14 talk about his/her disease, medications, doses, side effects strategies to take medications use thermometer impact of IBD on school and daily life young adult Hait et al. Inflamm Bowel Dis 2006;12:70-73
12 Skills and knowledge at age 16 Pediatrician adult system Child+parents Age 16 identify medical team knows names and purposes of procedures and tests knows medical history knows name of IBD patient support organisations understands risk of non-adherence knows about cancer risk and surveillance young adult Hait et al. Inflamm Bowel Dis 2006;12:70-73
13 Skills and knowledge at age Pediatrician adult system Child+parents Age knows how to gather information on IBD ability to book appointments, fill prescriptions, contact medical team knows about insurance young adult Hait et al. Inflamm Bowel Dis 2006;12:70-73
14 How and when to. Have the patient ready at age years Have the parents ready Have the adult GI doctor ready and well-informed
15 Parents Reluctant to leave the pediatric team Sometimes feel left out after having been intimately involved with the care of their child Fear Transition is a family matter * NASPGHAN, J Ped Gastroenterol Nutr 2002
16 How and when to. Have the patient ready at age years Have the parents ready Have the adult GI doctor ready and well-informed What should the new doctor know? all about disease, past and present medications, surgery vaccinations, childhood diseases growth potential (target height) fears and concerns of patient and parents
17 The adult gastroenterologist Survey among 1132 adult gastroenterologists patient skills necessary for transfer problems occurring in patients transitioning to their practice check own knowledge on medical and developmental issues unique to adolescence response rate 34% 85% male, 62% more than 15 years in practice Hait et al. J Ped Gastroenterol Nutr 2008;48:61-5
18 Results from the survey in adult GI doctors important issues, thought often be a problem 69% knowledge of medications 55% knowledge of medical history 51% knowledge of impact of smoking, alcohol and drugs on health 51% written medical summary provided by pediatric gastroenterologist less important issues for transition: 15%: patient s capability to visit clinic alone 13%: patient s capability to undergo endoscopy under conscious sedation Hait et al. J Ped Gastroenterol Nutr 2008;48:61-5
19 Results from the survey in adult GI doctors Own expertise: 96%: to know about medical aspects of adolescent health care is important (73% felt competent) 89%: to know about growth, pubertal development is important (46% felt competent) Hait et al. J Ped Gastroenterol Nutr 2008;48:61-5
20 How to do transition? Combined visits yearly combined visits Pediatrician transition 14 yr 18 yr adult system Child+parents transfer young adult
21 How to do transition? Combined visits alternating visits Pediatrician transition adult system Child+parents young adult transfer
22 How to do transition? Combined visits one combined visit Pediatrician transition adult system Child+parents young adult transfer
23 Transitional clinic in Rotterdam the team: 2 pediatric gastroenterologists 1 adult IBD-gastroenterologist IBD nurse the outpatient clinic Located in the adult hospital, adjacent to Children s Hospital Patients visit at least 4 times a year starting at age 14 Combined visits once yearly (pediatric GI + adult GI) Other visits: pediatric gastroenterologist and/or nurse Nurse trains and checks self-management (SMS, mobile phones, )
24 How to measure the effect of transition? Adherence (to outpatient clinic visits, medications) Knowledge of disease Self-efficacy: Questionnaire on self-efficacy in IBD patients: IBD-yourself 17-item, 80-more statements, 8-page questionnaire, items on knowledge of disease, diagnostic tests, medication, nutritional therapy, hospital visits and transition, treatment behaviour and adherence Zijlstra et al. ECCO 2009
25 Self-efficacy Questionnaire tested cross-sectionally in transitional patients (n=50) mean age 15.7 years 96% states to be able to prepare medication and remembers to take it 90% actually does 74% states to be able to make appointment 31% actually does 82% states to be able to see the doctor alone 33% actually does Good internal consistency Positive correlation between number of visits to TC and self-efficacy
26 10 steps to successful transition 1. find a dedicated adult gastroenterologist, a nurse and start your team in order to coordinate transtion (combined or alternating visits) 2. tell the patient at age 14 that transition starts now 3. stop talking to the parents but instruct the patient to talk about his/her disease 4. talk about grown-up issues (sex, drugs, school, work, cancer) 5. teach and test the patient (checklist) 6. send report to patient after each visit 7. let the patient take care of his/her own medication and prescriptions 8. check if the patient can tell when the disease worsens 9. check if the patient can tell when treatment needs to be intensified 10.provide complete written information to the new doctor and patient
27 Transition in IBD pediatricians adult gastroenterologists
MY CROHN S AND COLITIS CARE YOUR GUIDE
MY CROHN S AND COLITIS CARE YOUR GUIDE Sometimes living with IBD is frustrating but having the right information and support has helped me to feel more in control of my life. Melissa, 44 Diagnosed with
More informationChronic Disease & Leading Cause of Death 36% 116,105 35,563 5% 43,634 12,643. Kent (West-slightly higher need) Renton (South-most need)
No physical activity Obese Smoker Diabetes Maternal & Child Care Stroke High blood pressure Heart Disease Cancer High Cholesterol Flu 2014 Community Benefit Report In our journey to be an Accountable Care
More informationTransitioning Adolescents to Adult Care. Beverly Kosmach-Park DNP Clinical Nurse Specialist Children s Hospital of Pittsburgh Pittsburgh, PA USA
Transitioning Adolescents to Adult Care Beverly Kosmach-Park DNP Clinical Nurse Specialist Children s Hospital of Pittsburgh Pittsburgh, PA USA Graft Survival Following Deceased Kidney Transplantation
More informationPAEDIATRIC AND ADOLESCENT EPILEPSY TRANSITION GUIDANCE
PAEDIATRIC AND ADOLESCENT EPILEPSY TRANSITION GUIDANCE Title: Executive Summary: Supersedes: Description of Amendment(s): This document outlines the pathway of transition for children and young people
More informationBehavioral Pediatric Screening
SM www.bluechoicescmedicaid.com Volume 3, Issue 5 June 2015 Behavioral Pediatric Screening Clinical recommendations, as well as behavioral pediatric screening best practices, indicate that you should administer
More informationInflammatory bowel disease service. Information for patients
Inflammatory bowel disease service Information for patients We ve written this leaflet to explain about our inflammatory bowel disease (IBD) service. If you have ulcerative colitis, Crohn s disease or
More informationAn Introduction to the Inflammatory Bowel Disease Service at Brighton and Sussex University Hospitals Trust
An Introduction to the Inflammatory Bowel Disease Service at Brighton and Sussex University Hospitals Trust Patient Information Leaflet at the Royal Sussex County Hospital and the Princess Royal Hospital
More informationSo You Want to Start a Down Syndrome Clinic?
So You Want to Start a Down Syndrome Clinic? Lessons Learned and Pitfalls to Avoid: Our 20 year Experience running a Down Syndrome Clinic in Ottawa, Canada Dr Mary Pothos, Dr Asha Nair, Dr Rob Laberge
More informationYour Choice 3-Tier Network Option Plan
. Your Choice 3-Tier Network Option Plan Your Top Questions What is Your Choice? Are my doctors in the plan? Are my medications covered by the plan? If I get sick, what do I do? How much will I pay out
More informationE-Learning Module B: Introduction to Hospice Palliative Care
E-Learning Module B: Introduction to Hospice Palliative Care This Module requires the learner to have read Chapter 2 of the Fundamentals Program Guide and the other required readings associated with the
More informationColorectal PGY3 Tuesday, February 02, 2016
Stanford University General Surgery Residency Program Colon and Rectal Surgery Service Goals and Objectives for Residents: R-3 Rotation Director: Andrew Shelton, MD Description The Colon and Rectal Surgery
More informationYour Choice. 3-Tier Network Option Plan
Your Choice 3-Tier Network Option Plan What is Your Choice? Click Here to Watch Video Your Top Questions What is Your Choice? Are my doctors in the plan? Are my medications covered by the plan? If I get
More informationMANAGEMENT OF NICU GRADUATE
MANAGEMENT OF NICU GRADUATE NICU GRADUATE BLOG When we left the hospital with Roxy, we were informed we would have an appointment card mailed to us with the date and time for her NICU Graduate Clinic checkup.
More informationExperience of inpatients with ulcerative colitis throughout
Experience of inpatients with ulcerative colitis throughout the UK UK inflammatory bowel disease (IBD) audit Executive summary report June 2014 Prepared by the Clinical Effectiveness and Evaluation Unit
More informationOverview: Principal Teaching/Learning Activities:
B. Endoscopy Overview: During the first year, the fellows will blend Consult Service with Endoscopy. In addition, there will be three months set aside for dedicated protected time on Endoscopy rotation
More informationNational report of the results of the UK IBD audit 3rd round inpatient experience questionnaire responses
National report of the results of the UK IBD audit 3rd round inpatient experience questionnaire responses April 2012 Prepared by the UK IBD Audit Steering Group on behalf of: 1 Table of Contents Report
More informationThe IBD Nurse Specialist Service at CUH GP education update evening
The IBD Nurse Specialist Service at CUH GP education update evening Dee Braim Nurse Specialist 17/10/20 Background 2006-1 st UK-wide IBD audit performed within gastroenterology 2009 IBD standards were
More informationWelcome to MGH Gastroenterology Associates!
Welcome to MGH Gastroenterology Associates! Dear Patient, At MGH Gastroenterology Associates our goal is to welcome each patient to our practice and ensure they receive the very best care. Our collaborative
More informationNational clinical audit of inpatient care for adults with ulcerative colitis
National clinical audit of inpatient care for adults with ulcerative colitis UK inflammatory bowel disease (IBD) audit Executive summary report June 2014 Prepared by the Clinical Effectiveness and Evaluation
More informationSTANDARDS OF CARE HIV AMBULATORY OUTPATIENT MEDICAL CARE STANDARDS I. DEFINITION OF SERVICES
S OF CARE Oakland Transitional Grant Area Care and Treatment Services J ANUARY 2007 Office of AIDS Administration 1000 Broadway, Suite 310 Oakland, CA 94612 Tel: 510. 268.7630 Fax: 510.268-7631 AREAS OF
More informationHaving a lower gastrointestinal endoscopy (colonoscopy)
Having a lower gastrointestinal endoscopy (colonoscopy) Patient name Appointment date Arrival time Endoscopy sessions run from 9am to 1pm and 1.30pm to 5pm. Every effort will be made to see you promptly
More informationDevelopmental Pediatrics of Central Jersey
PATIENT INFORMATION: CLIENT INFORMATION Date: Name: (Last) (First) (M.I.) Birthdate: Sex: Race: Address: City: State: Zip: Phone: (Home) (Work) (Cell) Email Address: Regarding the office staff or physician
More informationAbout me. This page was updated by. Date (dd/mm/yy) Name. has been diagnosed with. My home address. My date of birth is (dd/mm/yy) My NHS number is
About me This page was updated by Date (dd/mm/yy) Name has been diagnosed with My home address My date of birth is (dd/mm/yy) My NHS number is My hospital number is The hospital I go to is My contact at
More informationEarly and Periodic Screening, Diagnosis, and Treatment Program EPSDT Florida - Sunshine Health Annual Training
Early and Periodic Screening, Diagnosis, and Treatment Program EPSDT Florida - Sunshine Health Annual Training EPSDT Overview EPSDT purpose and requirements mandated by the Agency for Health Care Administration
More informationBright Futures: An Essential Resource for Advancing the Title V National Performance Measures
A S S O C I A T I O N O F M A T E R N A L & C H I L D H E A L T H P R O G R A MS April 2018 Issue Brief An Essential Resource for Advancing the Title V National Performance Measures Background Children
More informationDear Applicant: Sincerely, M. Beth Ball, CTRS, CCLS Child Life Program Manager. BB/vw 5/01
Dear Applicant: Thank you for your interest in the Child Life Program at The Children s Hospital of The Greenville Hospital System. Involvement of students with the Child Life Department promotes professional
More informationROTATION DESCRIPTION
ROTATION TITLE Psychiatry Pediatrics (PGY2) ROTATION DESCRIPTION PURPOSE The psychiatry rotation is designed to allow the resident to further refine skills in therapeutics, pharmacokinetics, drug information,
More informationPHYSICIAN S RECOMMENDATION FOR PEDIATRIC CARE INSTRUCTIONS FOR COMPLETING THE PEDIATRIC CARE FORM DMA-6(A)
PHYSICIAN S RECOMMENDATION FOR PEDIATRIC CARE INSTRUCTIONS FOR COMPLETING THE PEDIATRIC CARE FORM DMA-6(A) This section provides detailed instructions for completion of the Form DMA-6 (A). Before payment
More information10 Things to Consider When Choosing a Home Care Agency
10 Things to Consider When Choosing a Home Care Agency Introduction Diminishing health and frailty are not popular topics of conversation for obvious reasons. But then these are not areas of life we can
More informationFeasibility and Acceptability of an Internet-based Decision Aid for Ulcerative Colitis Patients
Feasibility and Acceptability of an Internet-based Decision Aid for Ulcerative Colitis Patients Dr Andrew Kim, FRACP PhD Candidate, Ingham Institute for Applied Medical Research, South Western Sydney Clinical
More informationABOUT THE CONE HEALTH NETWORK OF SERVICES
THE MOSES H. CONE MEMORIAL HOSPITAL (536 beds) Critical Care Services All system ICU patients are monitored with the help an electronic ICU monitoring system (VISICU ). Emergency Services Medical Intensive
More informationNational Update on Malnutrition
National Update on Malnutrition Dr Trevor Smith Consultant Gastroenterologist University Hospital Southampton BAPEN Executive Officer Chair, British Artificial Nutrition Survey British Association for
More informationNorth Central London Sustainability and Transformation Plan. A summary
Sustainability and Transformation Plan A summary N C L Introduction Hospitals, local authorities, GPs, commissioners, and mental health trusts across north central London have all come together to transform
More informationEndoscopy Suite Patient Information
Having a flexible sigmoidoscopy Endoscopy Suite Patient Information Contents Introduction 1 What is a flexible sigmoidoscopy? 1 What preparation will I need for my flexible sigmoidoscopy? 2 What should
More informationPhysicians Who Care for People with MS
Physicians Who Care for People with MS Neurologists: Specialize in the diagnosis and treatment of conditions related to the nervous system including the brain, spinal cord, and nerves. Many neurologists
More informationMember s Responsibility: Deductible, Copays, Coinsurance and Maximums
Benefits-at-a-Glance for GradCare 2018 This is intended as an easy-to-read summary. It is not a contract. Refer to the Your Benefits chapter in the Certificate for an official description of benefits.
More informationHealth Literacy & SDM in Taiwan Health Care Services
Health Literacy & SDM in Taiwan Health Care Services Ying-Wei Wang M.D., Dr. P.H. Director-General Health Promotion Administration, Ministry of Helth and Welfare Patientfriendly & Smarter Healthcare 25
More informationWelcome Package. Information for Families
Welcome Package Information for Families 35 Blackmarsh Rd. St. John s, NL A1E 1S4 Phone: 709-733-2273 Fax: 709-757-3551 Email: info@blueskyfamilycare.com Welcome to Blue sky Residential Care Blue sky is
More informationPatient satisfaction with intravenous conscious sedation during oral surgical procedure
Patient satisfaction with intravenous conscious sedation during oral surgical procedure Division: Site: Surgical Gloucestershire Royal Hospital, Report Date: 28th April 2014 Compiled by: Jean Tucker Supported
More informationChapter 2: Admitting, Transfer, and Discharge
Chapter 2: Admitting, Transfer, and Discharge MULTIPLE CHOICE 1. The patient is scheduled to go home after having coronary angioplasty. What would be the most effective way to provide discharge teaching
More informationMODULE 8 1. Module 8 Learning Objectives. Adolescent HIV Care and Treatment. Module 8: Module 8 Learning Objectives (Continued) Session 8.
Adolescent HIV Care and Treatment Module 8 Learning Objectives Module 8: Supporting Adolescents Retention in and Adherence to HIV Care and Treatment After completing this module, participants will be able
More informationHow to Write a Medical Note for the. Foundations of Doctoring Course and Beyond: Demystifying the Focused (SOAP) Note
How to Write a Medical Note for the Foundations of Doctoring Course and Beyond: Demystifying the Focused (SOAP) Note and the Comprehensive (H&P) Note by Todd Guth, MD Overview of the Medical Note Medical
More informationImpact of Educational Cartoon on Pediatric Bowel Preparation Quality at Time of Colonoscopy
Impact of Educational Cartoon on Pediatric Bowel Preparation Quality at Time of Colonoscopy The Harvard community has made this article openly available. Please share how this access benefits you. Your
More informationA WORD TO OUR PATIENTS ABOUT MEDICARE AND WELLNESS CARE
A WORD TO OUR PATIENTS ABOUT MEDICARE AND WELLNESS CARE Dear Patient, We want you to receive wellness care health care that may lower your risk of illness or injury. Medicare pays for some wellness care,
More informationExample. I like my doctor John, he is always very nice to and listens to what I have to say
1 People Flow Chart Please review the example before you start, your job is to draw dots and lines between different people you met during one previous medical experience, add extra people if you need
More informationPeople with a Learning Disability. Don t Miss Out! Your Annual Health Check
People with a Learning Disability Don t Miss Out! Your Annual Health Check Contents Why are health checks important? 2 What is a health check? 3 Preparing for your health check 4 While at the health check
More informationPutting children with complex conditions at the center of collaborative care
Putting children with complex conditions at the center of collaborative care An Aerodigestive Center Approach Amy Painter MSN, FNP Aerodigestive Clinical Program Manager and Nurse Practitioner Value Statement
More informationAdvocate Health Care Contact Hours for Continuing Nursing Education The Healthy Steps Interactive Multimedia Training and Resource Kit and The
Advocate Health Care Contact Hours for Continuing Nursing Education The Healthy Steps Interactive Multimedia Training and Resource Kit and The Healthy Steps Interactive Multimedia Training and Resource
More informationPLASTIC SURGERY ASSOCIATES OF LEHIGH VALLEY MEDICAL HISTORY QUESTIONNAIRE (MR: )
PLASTIC SURGERY ASSOCIATES OF LEHIGH VALLEY MEDICAL HISTORY QUESTIONNAIRE DATE: (MR: ) Office Use Only PATIENT S NAME: (FIRST, MIDDLE INITIAL, LAST) DATE OF BIRTH AGE SOCIAL SECURITY # MALE/FEMALE ADDRESS
More informationWhat are the potential ethical issues to be considered for the research participants and
What are the potential ethical issues to be considered for the research participants and researchers in the following types of studies? 1. Postal questionnaires 2. Focus groups 3. One to one qualitative
More informationAppendix 4. PCMH Distinction in Behavioral Health Integration
Appendix 4 PCMH Distinction in Behavioral Health Integration Appendix 4 PCMH Distinction in 4-1 Distinction Purpose and Background Behavioral health conditions (mental illnesses and substance use disorders)
More informationIt s not just Obs and Swabs!
It s not just Obs and Swabs! Developing a pre-operative assessment service in a complex tertiary referral centre a multidisciplinary approach Emma McCone- Lead Pre op Sister Healthcare at its very best
More informationYour guide to surgery at Edward Hospital
Your guide to surgery at Edward Hospital Please use this guide to help you know how to prepare for your surgery and what to expect on the day of surgery. Your Guide to Surgery Important information Your
More informationInclusive Planning Checklist: Home-Visiting Programs
Inclusive Planning Checklist: Home-Visiting Programs This checklist is a tool for providing collaborative home-based services to infants or toddlers with significant disabilities and their families. The
More informationEntrustable Professional Activity
Entrustable Professional Activity 1. EPA Title: Perform medical procedures related to gastrointestinal and liver disease for screening, diagnosis, and intervention 2. Description of Activity Endoscopy
More informationSPECIALTY DOCTOR IN GASTROENTEROLOGY BASED AT GLASGOW ROYAL INFIRMARY INFORMATION PACK REF: 23258D CLOSING DATE: 1 ST JULY 2011
SPECIALTY DOCTOR IN GASTROENTEROLOGY BASED AT GLASGOW ROYAL INFIRMARY INFORMATION CK REF: 23258D CLOSING DATE: 1 ST JULY 2011 BB004DEC2008 SUMMARY INFORMATION NHS GREATER GLASGOW AND CLYDE EMERGENCY CARE
More informationUK Inflammatory Bowel Disease Audit 3rd Round
UK Inflammatory Bowel Disease Audit 3rd Round Report of the results for the national organisational audit of paediatric inflammatory bowel disease services in the UK Prepared by the The UK IBD Audit Steering
More informationPlease answer each question completely and return to NOHN as soon as possible. Once we have received your completed
Thank you for participating in your Medicare Annual Wellness Visit with North Olympic Healthcare Network as recommended by your primary care provider. Your provider understands that as we age our preventive
More informationPain Transition Planning. University of Illinois at Chicago
Pain Transition Planning University of Illinois at Chicago Purpose To present a transition plan for a participant with pain. Included examples of a plan that can be adapted for participants with pain.
More informationSARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: PEDIATRIC FALL PREVENTION EFFECTIVE DATE: REVISED DATE: POLICY TYPE: Job Title of Reviewer: Director, Women & Children s Department (pediatrics)
More informationScotland and health literacy. Dr Phyllis Easton Health Intelligence Manager NHS Tayside
Scotland and health literacy Dr Phyllis Easton Health Intelligence Manager NHS Tayside I m like that, Oh no, they re wanting me to write something, start panicking and that seems to take over you and sometimes
More informationCASE MANAGEMENT POLICY
CASE MANAGEMENT POLICY Subject: Acuity Scale Determination Effective Date: March 21, 1996 Revised: October 25, 2007 Page 1 of 1 PURPOSE: To set a minimum standard across Cooperative agencies regarding
More informationDescriptions: Provider Type and Specialty
Descriptions: Provider Type and Specialty PROVIDER TYPE/SPECIALTY ADULT PRIMARY CARE Provides care for adults by treating common health problems, performing check-ups and providing prevention services.
More informationPREVENTIVE MEDICINE AND SCREENING POLICY
UnitedHealthcare Oxford Reimbursement Policy PREVENTIVE MEDICINE AND SCREENING POLICY Policy Number: ADMINISTRATIVE 238.19 T0 Effective Date: July 1, 2018 Table of Contents Page INSTRUCTIONS FOR USE...
More informationHealth Care Transition. A Parent, Family and Caregiver s Guide
Health Care Transition A Parent, Family and Caregiver s Guide Health Care Transition A Parent, Family and Caregiver s Guide The N.C. Family to Family Health Information Center A project of The Exceptional
More informationGlangwili Hospital General Surgery (including Colorectal) ~ Recruitment ~
Glangwili Hospital General Surgery (including Colorectal) ~ Recruitment ~ October 2017 What we do General Surgery (including Colorectal) Glangwili Hospital, Carmarthen There are currently seven surgical
More informationQUALITY NET REPORTING
5/18/15% A webinar series that keeps you in the know Brought to you by Progressive QUALITY NET REPORTING Sarah Martin, MBA, RN, CASC Progressive Huddle May 18, 2015 ASCQR ASC Quality Reporting started
More informationIntranet version. Bradford Teaching Hospitals. NHS Foundation Trust. Colonoscopy. Gastroenterology Unit patient information booklet
Intranet version Bradford Teaching Hospitals NHS Foundation Trust Colonoscopy Gastroenterology Unit patient information booklet What is a colonoscopy? A colonoscopy is a procedure generally performed under
More informationHow the GP can support a person with dementia
alzheimers.org.uk How the GP can support a person with dementia It is important that people with dementia have regular checkups with their GP and see them as soon as possible if they develop any health
More informationSoutheastern Pediatric Nutrition Conference
2018 Southeastern Pediatric Nutrition Conference Pediatric Malnutrition Diagnosis and Treatment: Are We Falling Short? THURSDAY, NOV 8-FRIDAY, NOV 9, 2018 HOLIDAY INN RESORT, WRIGHTSVILLE BEACH, NC Supported
More informationThen They Grow Up: Transition Challenges for Adolescents and Young Adults with Congenital Heart Disease. Karen Uzark, PhD, CPNP
Then They Grow Up: Transition Challenges for Adolescents and Young Adults with Congenital Heart Disease Karen Uzark, PhD, CPNP No relationships to disclose TAKE HEART CV TEAM SYMPOSIUM Saturday, March
More informationLiterature on health care transition and the pulmonary vascular disease population appears to be limited a single publication
Objectives Optimizing the Transition from the Pediatric to the Adult CHD Clinic Andrew Mackie, MD, SM Departments of Pediatrics and Public Health Sciences Stollery Children s Hospital University of Alberta
More informationVisitor s guide MOUNTAIN VIEW CAMPUS VISITING GUIDELINES
Visitor s guide MOUNTAIN VIEW CAMPUS VISITING GUIDELINES Welcome to El Camino Hospital. Please take a few moments to look over our visiting guidelines. We offer an open visiting policy At our main hospital,
More informationSARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: PEDIATRIC FALL PREVENTION EFFECTIVE DATE: REVISED DATE: POLICY TYPE: Job Title of Reviewer: Director, Women & Children s Department (pediatrics)
More informationNational Patient Experience Survey UL Hospitals, Nenagh.
National Patient Experience Survey 2017 UL Hospitals, Nenagh /NPESurvey @NPESurvey Thank you! Thank you to the people who participated in the National Patient Experience Survey 2017, and to their families
More informationQualityPath Colonoscopy Request for Proposal (RFP)
Introduction QualityPath Colonoscopy Request for Proposal (RFP) 1. Overview of The Alliance The Alliance moves health care forward by controlling costs, improving quality, and engaging individuals in their
More informationWellness: an Opportunity or an Oxymoron for Medical Educators?
Wellness: an Opportunity or an Oxymoron for Medical Educators? APPD LEAD Conference Richard P. Shugerman, MD Rebecca R. Swan, MD Goal for this session: For leaders in education to recognize the importance
More informationOptimising care for patients with Inflammatory Bowel Disease:
Optimising care for patients with Inflammatory Bowel Disease: - Rural patients burden of disease and perceived treatment barriers - Outcomes of transition care and - Evaluation of simple clinical tools
More informationSome Practical Tips on Being a Senior Pediatric Resident at McMaster
Some Practical Tips on Being a Senior Pediatric Resident at McMaster This document is meant to provide practical information to help Junior pediatric residents transition to the Senior pediatric resident
More informationMeeting the challenge of interdisciplinary care for psychological impact of pediatric trauma
Meeting the challenge of interdisciplinary care for psychological impact of pediatric trauma Nancy Kassam-Adams, PhD nlkaphd@upenn.edu Flaura Winston, MD, PhD Meghan Marsac, PhD Overview Quick review of
More informationTotal hip and knee replacement surgery:
Total hip and knee replacement surgery: Accompanying relatives role in supporting patients to comply with the need for active participation in accelerated intervention programs Mette Adler Stampe, Birte
More informationText-based Document. Staff Response to Flexible Visitation in the Post- Anesthesia Care Unit (PACU) Voncina, Gail; Newcomb, Patricia
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More informationThe New NHS What does this mean for the patient pathway?
The New NHS What does this mean for the patient pathway? Jesme Fox In general, Patients haven t noticed yet! Much anxiety / suspicion about quality of NHS care (Mid Staffs etc...) Focus should be on clinical
More informationDawn R. Luzetsky. Curriculum Vitae. Business Contact Information Johns Hopkins Hospital Pediatric Nursing Administration
Dawn R. Luzetsky Curriculum Vitae Business Contact Information Johns Hopkins Hospital Pediatric Nursing Administration E-mail: dluzets1@jhmi.edu EDUCATION 1998-2002 University of Maryland; Baltimore, Maryland
More informationReferral Required GP/Nurse or Self Referral Patient Request
Services available at Minchinhampton Surgery (and how to access first appointment):- Referral Required GP/Nurse or Self Referral Service (in alphabetic order) Acupuncture (Friday afternoons) Alcohol Advice
More informationPRE OPERATIVE MANAGEMENT FOR PEDIATRIC HOSPITALISTS
Before the Operating Room: PRE OPERATIVE MANAGEMENT FOR PEDIATRIC HOSPITALISTS Presenters: Anjna Melwani, MD Sonaly McClymont, MD David Rappaport, MD Sarah Denniston, MD David Pressel, MD Amy Vinson, MD
More informationPostdoctoral Fellowship in Pediatric Psychology
Postdoctoral Fellowship in Pediatric Psychology The pediatric psychology fellowship offers a variety of experiences in specialty areas and primary care. Fellows will provide both inpatient and outpatient
More informationEffective Use of Existing Licensed Healthcare Infrastructure During a Crisis or Catastrophe
Effective Use of Existing Licensed Healthcare Infrastructure During a Crisis or Catastrophe Kathy McCanna, Program Manager-Office of Medical Facilities Connie Belden, Team Leader-Office of Medical Facilities
More informationEssential Health Benefits Addendum. Office of the Insurance Commissioner Washington State
Essential Health Benefits Addendum Office of the Insurance Commissioner Washington State 1 Details, details Classification of Services Classification of a service may affect the scope of the available
More informationNational Cancer Patient Experience Survey National Results Summary
National Cancer Patient Experience Survey 2015 National Results Summary Introduction As in previous years, we are hugely grateful to the tens of thousands of cancer patients who responded to this survey,
More informationTune-Up Your Check Up, Mississippi! Jonathan Shook, MD, FAAP April 21, 2017
Tune-Up Your Check Up, Mississippi! Jonathan Shook, MD, FAAP April 21, 2017 Tune-Up Your Check Up, Mississippi! Topics in Well Child Care, Coding, Documentation, and Payment. Jonathan Shook, MD, FAAP April
More informationInova. Alexandria Hospital
Inova Alexandria Hospital About Us Inova Alexandria Hospital was founded in 1872 to meet the healthcare needs of the Alexandria community. Originally situated in the heart of Old Town Alexandria, the hospital
More informationSupporting Adolescents Retention in and Adherence to HIV Care and Treatment
Module 8 Supporting Adolescents Retention in and Adherence to HIV Care and Treatment Total Module Time: 240 minutes (4 hours) Learning Objectives After completing this module, participants will be able
More informationMedicare Plus Blue SM Group PPO. Summary of Benefits. Michigan Public School Employees Retirement System
2018 Medicare Plus Blue SM Group Summary of Benefits January 1, 2018 December 31, 2018 Michigan Public School Employees Retirement System www.bcbsm.com/mpsers This information is a summary document and
More informationThe Oncology Project Year 3
The Oncology Project Year 3 Dr Alison Brewster Consultant Clinical Oncologist, Velindre Hospital Introduction to the Oncology Project Why is it important? Learning objectives Process Tutorials Patient
More informationTennessee Neurology Specialists Affiliated with Baptist Healthcare Group
Tennessee Neurology Specialists Affiliated with Baptist Healthcare Group Oscar E. Mendez, M.D. Rejane Lisboa, M.D. Williamson Medical Center Tower 4323 Carothers Pkwy, Suite 303 Franklin, TN 37067 Phone:
More informationW EST BOCA. nurturing the healthy, happy growth of children
W EST BOCA S E R V I C E S nurturing the healthy, happy growth of children we re equipped to provide quality health care for children from birth to age 18 Part of being a parent is providing your children
More informationHMO West Pennsylvania Employees Benefit Trust Fund Benefit Highlights Active Eligible Members. Providers None $6,850 single / $13,700 family
Benefit Provision HMO Network Providers None $6,850 single / $13,700 family DEDUCTIBLE (Per Calendar Year) OUT-OF-POCKET MAXIMUM (includes costs for medical, mental health and substance abuse benefits
More informationStatement of Purpose. Date: October 2017 Review: April 2018 Version 3
Statement of Purpose Date: October 2017 Review: April 2018 Version 3 Oct 2017 This is the Statement of Purpose for the Berkshire West Community Endoscopy Service The full name & address of the registered
More informationREQUEST FOR PROPOSALS MEDICAL EDUCATION COMPANY PARTNER FOR SATELLITE SYMPOSIA AT THE 2018 CROHN S & COLITIS CONGRESS.
REQUEST FOR PROPOSALS MEDICAL EDUCATION COMPANY PARTNER FOR SATELLITE SYMPOSIA AT THE 2018 CROHN S & COLITIS CONGRESS July 7, 2017 CONTACT AMY WOODWARD SENIOR DIRECTOR, CORPORATE RELATIONS AMERICAN GASTROENTEROLOGICAL
More information