March 2020
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Advocacy Update: Stand Up for WA Kids!
Sarah Rafton, MSW - WCAAP Executive Director
Jennifer Donahue - WCAAP Communications Manager

Just 2 days left for policy bills & 1 week to go in the 2020 session! 

It has been an intense and productive session for WCAAP so far! We just have until this Friday to pass policy bills and the session concludes next Thursday, March 12. Both the Senate and House budgets increase Medicaid rates for pediatric care significantly. We anticipate the final budget will make a meaningful difference to clinics' ability to provide and sustain high quality care and timely access for children on Apple Health. 

COVID-19 Resources for Washington Pediatric Providers

WCAAP is maintaining a list of reliable resources for pediatric providers during the COVID-19 outbreak on our website. If you know of any other resources we should add, please send them to Jennifer Donahue.
We also released a joint statement with WSNA and WSMA. You can read the full statement here

In addition, the Department of Health has created the following guidance documents for the public: 

April Listening Sessions: Relational Health & The Medical Home


How can the Medical Home best contribute to early relational health and attachment? What role should the Medical Home play? What resources, systems and infrastructure do providers (and multidisciplinary teams) need to be effective in promoting early relational health?

Please join WCAAP for a presentation on early relational health and the medical home with David Willis, MD, FAAP followed by a facilitated conversation with WCAAP Early Childhood Co-Chair Diane Liebe, MD, FAAP and WCAAP Member Mary Ann Woodruff, MD, FAAP. We will start with a light meal and time to connect with local colleagues, followed by a presentation and a facilitated group discussion.

Save the date!
Yakima, Thursday evening, April 23, location TBD
Tacoma April 25, breakfast/morning, SATURDAY April 25, location TBD

Contemporary Outcomes of Catheter Ablation for Supraventricular Tachycardia in Children
Charles Christian Anderson, MD
Providence Center for Congenital Heart Disease
Sacred Heart Children's Hospital

Two recent large multicenter studies featuring outcomes data for catheter ablation of supraventricular tachycardia (SVT) in children demonstrate superior outcomes in comparison to past studies. SVT in school age children is often life-altering, but rarely life-threatening. Accepted indications for catheter ablation of SVT in the pediatric population are generally considered to include failure of medication to control SVT, SVT causing ventricular dysfunction or cardiomyopathy, symptomatic Wolff-Parkinson-White syndrome, and electively for any child 5 years of age or older.

Frenotomy and Breastfeeding
Nancy Danoff, MD, MPH, FAAP
Monica Richter, MD, PhD, FAAP
WCAAP Key Contacts: Breastfeeding

A common finding estimated to affect 4-11% of newborns, tongue-tie or ankylossia can significantly impact the newborn's ability to breastfeed. It is defined as an unusually short, thick or tight band of tissue that tethers the bottom of the tongue's tip to the floor of the mouth. An anterior tongue-tie causes a heart-shaped indentation and can limit forward tongue mobility while a posterior tie limits upward motion, thereby inhibiting effective milk transfer and producing significant maternal nipple pain. In addition to interfering with efficient latch in breastfeeding, tongue-tie may affect the way a child eats, speaks and swallows.

Optimizing Standing Orders for Vaccines: The Role of MAs
Doug Opel, MD, MPH, FAAP

Many clinics already have standing orders for vaccines to reduce missed opportunities to vaccinate. Because the role of Medical Assistants (MAs) in implementing standing orders varies among practice these FAQs may be of interest:

Opportunities for Engagement: Early Childhood Development App
Aaron Grigg, MD, FAAP
Yakima Valley Farm Workers Clinic - Toppenish

As a pediatrician serving in a Community Health Center in Yakima County (Yakima Valley Farm Workers Clinic), there are many challenges my patients and their parents face on a daily basis.  It seems that barriers are constantly making it harder for them to access healthcare, education, parenting support and employment.  When we heard about this grant to provide free access to early childhood development resources, we were excited to participate!

WCAAP Behavioral Health Integration Networking Group

Amerigroup is supporting WCAAP, with leadership from Dr. Francie Chalmers, to convene a networking group for pediatric practices who are planning or who have implemented a behavioral health integration (BHI) program. If you are interested in being a part of this group, please respond to this survey, which will help us understand who would like to participate, the best meeting times, and topics that would be most useful to discuss on the call.

Doctors Without Borders - URGENT FIELD NEED: Pediatric Intensivists

Doctors Without Borders is urgently recruiting Pediatric Intensivists to work in MSF pediatric unit in a Lebanese Hospital located in Bekaa Valley, Lebanon. This unit was opened to provide free or charge pediatric care to Syrian and Palestinian refugees as well as vulnerable children aged 1 month to 15 years old. This unit includes a general ward, an intensive and intermediate care unit and surgical capacities.

Member Spotlight: Michael Van Dyke, DO, FAAP

Michael Van Dyke, DO, FAAP grew up on a Christmas tree farm in Chehalis, WA, one of seven siblings. He graduated from Western Washington University with a BS in Environmental Science and received his DO from Kentucky College of Osteopathic Medicine. Now living in Nine Mile Falls outside Spokane, Dr. Van Dyke is a pediatric intensivist at Sacred Heart Children's Hospital.


WCAAP member input requested by Washington State Department of Health: As you may know, Washington State received funding to develop a statewide universal developmental screening system. Many physicians provided input into the initial planning in 2016. We now need to update with 2020 data, and respectfully request your response to a short survey (10 questions) by March 13. Your responses will inform the next phase of design and development of a statewide Universal Developmental Screening data system. Thank you!

The Washington State 2020 HPV Roundtable is coming up on April 21. Keynote speaker: Kara M Elam, PhD, MPH, MS, Research and Policy Strategist with the Office of Infectious Disease Policy. Speakers include Jennifer Nkonga from the National HPV Vaccination Roundtable and Greg Parkington from the American Cancer Society HPV Vaccination Team. The remainder of the day will be breakout sessions into three established committee: Best Practices within Health Systems, Oral Health Collaborative, and Peer to Peer Education. Who Should Attend? Change makers within Federally Qualified Health Centers, managed care organizations/payors, hospitals, primary care system, government agency, tribal entities, and others involved in HPV vaccination and prevention. Register online

Looking for board certified pediatricians, family practitioners, or primary care physicians in the United States who assess symptoms of ADHD in children. As part of my dissertation, I am hoping to gain a better understanding of the assessment process and barriers physicians face throughout this process. Participation includes an in-person or video-conferencing interview lasting approximately 45 minutes to one hour. If interested, please contact Amber Nipper at

Registration is open! North Pacific Pediatric Society (NPPS) 200th conference
o Date: April 25-26, 2020
o Location: Charter Hotel, Seattle
o Details: The NPPS 100th anniversary conference will take place at the Charter Hotel, and is featuring keynote speaker Congresswoman Kim Schrier. Learn more and register on the NPPS website

WCAAP WebinarsView archived WCAAP webinars, on topics like motivational interviewing, brief parent management training, autism screening, and adolescent and maternal depression screening here: .

Coming Up: WCAAP Committee Meetings
Join us! Committees are a great way to meet other members and get involved with Chapter work! Watch this space for upcoming meeting dates and times for Chapter committees and interest groups. Most committees meet by phone for one hour. 

Health Care Transformation Committee 
TBD - contact Tatiana Sarkhosh for meeting details
Meets quarterly by telephone
Contact Francie Chalmers to learn more about the committee.

Legislative Affairs Committee
March 10, 7:00-8:00am
Meets weekly by phone during the legislative session & special session 
Meets monthly by phone during the interim
Contact Lelach Rave or Beth Ebel to learn more about the committee. 

Early Childhood Committee 
Meets periodically by phone, 2x/year in person
Contact Diane Liebe or Betsy Browder to learn more about the committee. 

Membership Engagement Committee 
March 24 - 12:00-1:00pm
Meets quarterly by telephone
Contact Kim Hauff or Wei-Jen Hsieh to learn more about the committee. 
Vaccine Committee
Meets periodically by telephone
Contact John Dunn to learn more about the committee. 

News & Events
What's Happening? 
We bring education and networking events to providers all over Washington. Find all of our latest upcoming events plus offerings from our partners around the state on our website's Events page! 
Thank you to our sponsors: 
WA Chapter AAP | WA Chapter of the AAP |

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