Health Enrollment Training April 6,2015 Matilda elizondo
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Transcript of Health Enrollment Training April 6,2015 Matilda elizondo
Health Enrollment Training April 6,2015 Matilda elizondo Health
Services Timelines and Process Diagram
Illustrates the Health processes that wemust conduct during the
Head Start year. Which includes the: Initial developmental, sensory
(vision,strabismus, hearing)behavioral, motor, language,social,
cognitive, perceptual and emotional skillsscreenings (Articulation
Screening, ASQ/SE) Establishment of medical and dental homes
Identification of additional health concerns duringthe childs
enrollment Health Timelines Child Health and Developmental Services
Timeline and Process Within 45 Calendar Days Ensure that each child
receivesage-appropriate and culturallyand linguistically
responsivescreening for developmental,sensory (visual and
auditory),behavioral, motor, language, social,cognitive,
perceptual, andemotional skills. Within 90 Calendar Days In
partnership with parents or legalguardians, determine the childs
health statusand support families in accessing treatmentand
follow-up services for identified healthconditions. In partnership
with parents or legalguardians, determine the childs oral
healthstatus and support families in accessingtreatment and
follow-up services foridentified health conditions. Why we do
screening Approach to screening includes getting information from
thepeople who know the child bestthe family, the teacher,
thecaregiveror whoever has been working with the child. If a
childhas not slept well, has health conditions, takes medications
that mayimpact her energy level, or is hungry or in pain, she may
notdemonstrate her full range of skills, abilities, and knowledge.
Screening can help us catch problems early so we can referchildren
for further assessments and possibly special services,treatment, or
other resources that can help children overcomeproblems. FY 2014
CHS: Health Determinations
NEW: Date of health determinationshould be the date the
programobtained the determination fromthe health care professional
More accurately reflects the standard FY 2013 language has a
determinationbeen made FY 2014 language on what date was
thedetermination obtained FY 2014 language on what date was the
determination obtained
Site will be issued 2 date stamps FSW- when a physical comes in or
parenthands to you, it will be stamped dated assoon as you receive
it. Monitors- Under event date- will enterdate of physical and
Under scheduleddate- date received (what is stamped onphysical)
Medicaids Early Periodic Screening Diagnostic, and Treatment
program
To ensure that children receive prompt medical and dental
evaluation and/or treatment, Head Start staff assist families to
obtain a source of funding for health services, such as Medicaids
Early Periodic Screening, Diagnostic, and Treatment program
(EPSDT). If funds are not available to families, then Head Start
funds may be used [45 CFR (c)(5)]. EPSDT Early: Assessing a child's
health early in life so that potential diseases and disabilities
can be prevented or detected in the early stages, when they can be
treated most effectively; Periodic: Assessing children's health at
key points to assure continued healthy development; Screening:
Using tests and procedures to determine if children screened have
conditions requiring closer medical or dental attention, including
attention to mental health problems; Diagnostic: Determining the
nature and cause of conditions identified by screenings and those
requiring further attention; and Treatment: Providing services
needed to control, correct, or reduce physical and mental health
problems. THSteps Medical Check-ups Periodicity Schedule for
Infants, and Children, (Birth Through 10 Years of Age) Recommended
Immunization Schedule for 2015 Memorandum Of Understanding
(Mous)
Federally funded clinics to be used forphysicals and dentals of
Head Startchildren. Four(4) clinics will have Mous with HeadStart.
Community Health Center of Lubbock 1318 Broadway, Lubbock, Texas
extension 1029 Mous South Plains Rural Health Services, Inc.
Regence Health Network
Larry Combest Community Health and Wellness Center 301 E. 40th
Street, Lubbock, Texas South Plains Rural Health Services, Inc.
1000 Fm 300, Levelland, Texas extension 154 Regence Health Network
2801 W. 8th Street, Plainview, Texas extension 318 Resources Texas
Health Steps providers are on-line!Up-to date list of Region 1
THSteps providers can be found at: Medical providers Dental
providers Case Management providers Physical Letter Do not leave
any blanks.
Section 1. complete Center/Partner Name, date,and childs name.
Section 2. - review section #2 with the parent orguardian at time
of enrollment. Section 3. - all of these items must be completedon
the physical exam form to be consideredcomplete. Section 4.-
Explanation to provider /parents onaction plans and bloodwork.
Section 5. - contact information for the parent. Physical Exam
SPCAA/Head Start will no longer be giving parents a physical form
atenrollment. We will use the THSteps forms or any other form that
a provider uses aslong as it has all the areas required for a
THSteps exam.(exampleattached) Make sure that the childs
information is at the top of form indentifyingthat the physical is
for that child and that it is completed. According to the TMPPM
(Texas Medicaid Provider Procedures Manual2011) it does not say
that a provider has to sign his/her name inhandwriting. They can
sign a checkup form electronically, but prohibitedto submit a claim
and other documents with a stamped signature. Form will be entered
and scanned/attached by Monitors into Child Plusand filed in the
childs brown folder under Flap #4 Acceptable: Not Acceptable:
Stamped Oral Health Form- Children
Make sure all the information that is required in number1, 2, 3,
4and 12 is complete before child is to see the Dentist Number1. -
Complete childs name Number 2. Complete center name or partner site
name Number3. Complete childsdate of birth Number 4. Dental home
select YES or NO Number 5, 6 and 7, - Dentist will complete these
section. Number 8. - If dentist selects YES them the name of
thespecialist will be documented. Number 9. If OTHER is seleceted
then the dentist willspecify what other treatment is needed. Number
10. Dentist will complete this section.All items inthis section
have to be complete if child needs treatment andthe treatment has
not been completed. Oral Health Form- Children
Number 11. This section will be completed for recallappointment.
Number 12.- Person completing enrollment forms will circle
whatdental plan the child is on and document the plan number. If
Childdoes not have dental insurance this section will be left
blank. Number 19.- Dentist will print name Number 20 and 21- The
phone number and fax number of thedentist office will be documented
here. Number 16 and 17 the dentist office name and address will
bedocumented here Number 18.- The dentist will sign the form Number
19 The date the service (exam, treatment, preventivecare) was
completed would be place here. Form will be entered and
scanned/attached by Monitors into Child Plusand filed in the childs
brown folder under Flap #4 Parent Consent for Services
Make sure that all the questions have been answered by theparent
Section 1. - Put childs full name Section 2.- We prefer all answers
be YES, however if parentanswers NO, FSWs will need to re-ask to
clarify answer ifstill NO document and let SM/TL know. Number 11.
In Section 2. Is permission for childrens picturesto be taken, Make
sure that teachers know who thosechildren are who have NO answers!
Section 3. - Must be signed and dated by staff personcompleting
form.Ensure that Parent or Guardian have alsosigned and dated. Form
will be entered into Child Plus by FSWs and then willbe
scanned/attached into ChildPlus by Monitor. Consent for Lead and/or
Hematocrit Testing using a Finger Stick Method Instructions
All parents sign a Consent for Lead and/or HematocritTesting using
a Finger Stick Method at the time they enrollinto the program
unless they refuse for blood work to becompleted. This consent will
be used if we can not get the neededresults from the provider. If
parent refuses for the blood work to be completed bythe HS/EHS
nurse then a line will be drawn from the upperleft corner to the
lower right corner.The word REFUSEDwill be written over the
diagonal line and the parent willsign and date the form. Consent
for Lead and/or Hematocrit Testing using a Finger Stick
Method
This information is used in reporting data to the state of Texas,
as all lead results have tobe reported to Austin. Section #1, To be
completed at time of enrollment as part of the enrollment process.
This form is good for one (1) year from date signed.Parent will be
notified before it isutilized. Do not leave any blanks. Please fill
in Medicaid or insurance information. Section #2, To be completed
at time of enrollment as part of the enrollment process. All blanks
need to be completed. Please have parent complete address with City
and Zip Code. Ethnicity and Race must be checked as this is used in
reporting to the state of Texas. Please include the childs primary
physician and location. Section #3, To be completed by SPCAA Nurse
at the time the blood work is completed. The Consent for Lead
and/or Hematocrit will be scanned/attached into ChildPlus byMonitor
at enrollment after completed with family.When test has been
completedby SPCAA Nurse, form will be entered by SPCAA nurse or FSW
andscanned/attached in ChildPlus by FSW and filed in the brown
folder underflap #4 under the physical exam form. Refused- Consent
for Lead and/or Hematocrit Testing using a Finger Stick Method
Instructions
This form is only used at enrollment if parent refusesfor blood
work to be completed. Section #1, To be completed at time of
enrollment aspart of the enrollment process. Section # 2, Parent
signature and date form wascompleted. The Refusal for Consent for
Lead and/or Hematocritwill be scanned/attached into ChildPlus by
Monitor atenrollment after completed with family. Tuberculosis (TB)
Screening Parent Questionnaire
Do not leave any blanks. Section 1. Complete with Center/Partner
name,childs name, and date. Section 2. An X will be placed under
thesection parent indicates. If any answers are Yes or I Dont
Knowexcept question # 1, the parent will need toprovide TB skin
test results OR a Dr.s notestating why the child may or may not
need anadditional TB skin test. Form will be entered into Child
Plus by FSWs andscanned/attached into ChildPlus by Monitor. 2 Lead
Risk Questionnaire
Do not leave any blanks. Section 1. Complete with Center/Partner
name,Childs name, and Date. Section 2. An X will be placed under
the sectionparent indicates. If Yes or I Dont Know is marked, then
you will need to letthe SPCAA Nurse know so it can be determined if
childneeds an additional lead test completed. When a Yes or I Dont
Know is noted on the form the LeadRisk Questionnaire will be
entered into ChildPlus as a failedevent. If child fails Lead Risk
Questionnaire after a Lead test hasbeen completed, the child may
need an additional Lead testcompleted.Contact the SPCAA Nurse. Form
will be entered into ChildPlus by FSWs and thenscanned/attached
into ChildPlus by Monitor. Medical and Dental Emergency
Consent/History Form
Do not leave any blanks if question asks for information Section 1.
Complete Parent name, Childs name, and Center name are completed at
top of form. Section 2-4. Print physician name, address with city,
state, zip code and telephone number Section 5-7. Print name of
facility, address with city, state, zip code and telephone number
Section 8. Complete all portions. If box marked No Problems is
checked, nothing else is needed. If any other box is marked, please
have parent explain. If child is receiving services from another
agency, please complete what agency is providingservices. If any
finding is noted, complete a contact note in ChildPlus detailing
information parent provides.Do not complete Health History part 2
for abnormal findings in this section. Section 9. Complete this
section with parent. If yes to any of the questions (4-6)in the
black box, you must complete Health History part 2. Parent must
provide supporting documentation for all items marked abnormal
inthis section. If child will be receiving medication at the
center, please refer parent to assigned personnel tocomplete
medication administration forms. Section 10. Must be signed and
dated by parent and staff Form will be entered into Child Plus by
FSWs and scanned/attached into ChildPlus byMonitor. Health History
Part 2 Form
Sections 1-5. Please complete appropriate section according towhich
area parent provides documentation for.If the section does notapply
to the child, mark the Not Applicable box. For child with asthma,
parent will need to bring an asthma actionplan from the Dr at time
of enrollment For child with diabetes taking insulin at the center,
parent will needto bring in documentation from Dr detailing exact
dosinginformation and times to be given. Section 6. If child will
be taking medication at the center, explainmedication procedure and
let them know the designated personnel atthe center they will give
medication to when they bring it to thecenter.If child takes
medication daily, a Health Management Plan willneed to be completed
by SPCAA Nurse. Section 7. Must be signed and dated by parent and
staff Form will be entered into Child Plus by FSWs and
scanned/attachedinto ChildPlus by Monitor. Questions??????
Answers..