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Guide for Venice family clinic

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Included below:

  • Well child  schedule -yearly for 2+, please note date on f/u section

  • Developmental Screening - PEDS at every well child check thru 7 yo, MCHAT @ 18 & 24 mo

  • Developmental Resources

  • Lead Screening - 1 yr and 2 yr

  • Homeless Patients - document resources

  • Smoking Cessation - refer: 1800-NOBUTTS

  • VFC Pediatric Dentist - can refer from birth

  • Acupuncture for Peds > 12 yo

  • Telemedicine Referrals for Obese Patients to the UCLA FIT clinic

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Well Child Schedule

WCC = CPE Well child check = complete physical exam​

  • Schedule: A few days after hospital discharge, 2 weeks old - 1 month, 2 months, 4 months, 6 months, 9 months, 12 months, 15 months, 18 months.

  • Children 2 years and older should have a yearly checkup which includes height, weight, hearing, vision, hemoglobin (blood test for anemia), a full physical exam and a discussion of how they are eating, stooling, developing, sleeping, behaving, and learning.

  • To find out by looking at the chart when the last CPE was: look for the vision/hearing/hgb results, or look to see when the last PE was billed.  You CAN schedule another CPE sooner than the "next CPE” in the lower right hand corner billing area.  The next CPE just needs to be 365 days since the last one for patients 2 and up.

  • To help parents and call center know when the next CPE  is due, please figure it out during the patient visit, tell the parent, and include it on the follow-up section of the note. The coordinator will then enter into the appointment management system that will be accessible to the call center

  • Also, please be specific why you want them to return.  Please include this in the f/u section.

  • Ie: in __ days with Dr. ___ for f/u anemia and after 3/15/12 for 3 yo WCC.  This will help the MA's prepare the patient for the next visit if they know the purpose and the coordinator to schedule appropiately.

 

Developmental Screening (QI project)

  • For all well child visits 0-7 yrs, please ask parents if they filled out a PEDS form (Parents' Evaluation of Developmental Status). The front desk is giving parents the questionnaire, but unless the provider asks to see it, it may never make it out of the parents' possession.

  • Please score the PEDS, chart the score in the assessment section of the note (ex: PEDS: path C), and make appropriate referrals or follow-ups

  • All rooms at Rose also have questionnaires stocked in the rooms. In case the front desk did not offer one, please do so during the visit. 

  • Please do not copy PEDS forms. More are stored at the front desk at Rose, and can be ordered. 

  • PEDS FAQ http://www.pedstest.com/FAQ/FAQforPEDSandPEDSDM.aspx

  • MCHAT to be performed at 18 month and 24 month visits (free, available online). Currently the front desk is not handing these out. Grab a questionnaire from the charting room before entering the patient room.

 

Developmental and/or Family Social Resources -partial list: (outside referral sheet)

  • Early Head Start/Children First: for prenatal to 3 yr old, in-home health education, high-risk families to enhance development

  • Head Start: for ages 3-5,  health education in-home or at a program site

  • Regional Center: developmental evaluation for 0-3; OT, PT, Speech Tx for qualifiers

    • Also provide lifelong services for patients with select dx including: mental retardation, autism, cerebral palsy, epilepsy

  • WIN - Westside Infant Family Network: ages prenatal - 4yo, weekly in-home mental health by licensed therapist for children and parents. Consider depressed moms, poor bonding, or overwhelmed parents

 

Note: These programs are not mutually exclusive. For example, a family can receive speech therapy from regional center, have early head start, and also mental health services with WIN.   

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Lead Screening and Management Guidelines (QI project)

      http://www.cdph.ca.gov/programs/CLPPB/Documents/HAGS_201107.pdf

 

Homeless Patients: (QI project)

  • Homeless patients will have a stamp on their chart (or a section in the EMR). Please answer those questions regarding: housing, transportation, family structure, food resources, etc.

  • Homeless patients can be offered transportation tokens, clothing from our closet, shelter locations (near Venice or by finding shelters in their area from 2-1-1 Los Angeles)  http://www.211la.org/ or  http://www.211la.org/?page_id=62

 

Smoking Cessation: (QI project)

  • If teens or family members smoke, please offer them (and document) the resource of 1-800-NOBUTTS help line.

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Dental:

  • ALL our peds patients (0-18 years) can be seen at the new VFC dental clinic.  Please refer patients as soon as they have teeth, or even before teeth. (Parents will receive education).  The new pediatric dentist is Dr. Indulal Nagrecha.

  • Please ask every patient if they have the patient already has their own dentist, and document if they do, and please refer to VFC dental if they don't.

 

Baby Sound Check:

  • Please document if infant passed newborn screening at birth, If not, do Baby Sound Check (OAE) before 2 months old.

  • Routine Baby Sound Checks are at 6 months, 1 year, 2 years, and 3 years. 

 

Acupuncture: (use a chronic pain referral form, see a coordinator if you can't find the form)

Available for pediatric patients 12 years and older for complementary treatment for:

  • chronic pain

  • asthma, allergies

  • headaches and migraines

  • stress & anxiety

  • gastritis, constipation, other GI problem

 

FIT clinic Telemedicine:

  • FIT For Healthy Weight Clinic is now accepting referrals for obese patients who will be seen by telemedicine by the multidisciplinary team.  

  • Generally, obese patients who have failed general pediatric management can be referred.  For referral info and form:  http://fitprogram.ucla.edu/

 

Contact for VFC

Barbara "Basia" Tcheng, MD - Staff Pediatrician - Venice Family Clinic btcheng@mednet.ucla.edu 

Cambria Garell, MD cgarell@mednet.ucla.edu

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