September 2018
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Advocacy Update: Medicaid Rate 
Jennifer Donahue
WCAAP Communications Manager

Access to quality, timely health care is essential for children to grow up healthy and reach their full potential but due in part to the low rates paid by Medicaid, there are communities in our state where people covered by Apple Health for Kids can't access pediatric health care.

That's why WCAAP advocated for the state to continue the Affordable Care Act's increase of Medicaid rates to parity with Medicare when the federal increase expired in 2015, and why we continue to advocate for the state to raise the Medicaid rate to Medicare levels across the board. It has been a long process, but thanks to WCAAP members' tireless advocacy we have made great strides in educating legislators about the issue.



Medical Home-Head Start Partnership to Promote Early Learning for Low-Income Children
Abigail Grant, MD, FAAP
Medical Director | Harborview Pediatric Clinic
Clinical Assistant Professor | Department of Pediatrics, University of Washington
Building a partnership and referral system

Fostering early childhood development is critical for promoting lifelong educational success as well as physical and mental wellbeing. The High/Scope Perry Preschool Program and Abecedarian Project provided evidence that high quality early education positively nurtured childhood development and improved long-term outcomes such as high school graduation rates, lower teen pregnancy rates, higher adult earning potential, and decreased criminal activity.
 
Department of Children, Youth, and Family
Diane Liebe, MD, FAAP
Co-Chair, WCAAP Early Learning Committee
New agency offers opportunities for collaboration

Washington State has a new cabinet-level agency which will be focused on the well-being of children.  The Department of Children, Youth, and Family (DCYF) was signed into law by Governor Jay Inslee on July 6, 2017.   The mission of DCYF is to ensure that "Washington State's children and youth grow up safe and healthy-thriving physically, emotionally, and academically, nurtured by family and community."  


Medical Management of Vascular Anomalies
Stefanos Intez, MD
Pediatric Oncologist
Sacred Heart Children's Hospital
Improving functional outcomes for patients
 
The field of vascular anomalies has greatly expanded in the past few years, and management of such complex patients relies on the implementation of a multi-disciplinary approach.  Vascular anomalies may be broadly classified as tumors or malformations.  Malformations may then be divided further in low or high flow lesions to encompass arterial, capillary, venous, lymphatic or combined.  


Pediatric Population Health Forum
Coming up this month! Join us for this day-long forum with an emphasis on pediatric life stages and social determinants of health. FREE for WCAAP members! 

Presented by 

Yakima, WA | Yakima Convention Center
Saturday, September 22, 2018
8:00 AM to 4:00 PM 

Learn strategies from state and national leaders and clinicians at the forefront of value-based care in pediatrics to integrate care and improve outcomes. Morning plenary speakers and afternoon breakout sessions will focus on the most effective ways to improve child health and to support the use of medical homes. Featuring Key Note Speakers: Sue Birch, RN, MBA, director, Washington State Health Care Authority; and Amy Compton-Phillips, MD, executive vice president and chief clinical officer, Providence St. Joseph Health


Partner Sponsors:

Supporting Sponsors: 
Seattle Children's Hospital, Coordinated Care, Sacred Heart Children's Hospital
 

Great MINDS AS3D: Autism Screening Webinar

Free continuing education credit! You can better serve the children in your practice and strengthen your familiarity with autism screening and the referral process by participating in this Great MINDS AS3D eLearning course. Presented by an experienced physician, this course covers:
·         Why you should use a screening tool;
·         How to integrate use of a screening tool into your practice;
·         Appropriate documentation; and
·         Results, resources, and referrals.
 
 

Guidance from WHO: Q&A on Vaccines Received in China
Ed Marcuse, MD, MPH, FAAP

Questions continue to arise about the immunization of children who received some vaccines in China because of concern that surfaced a couple of years ago about improper storage and handling of vaccines, particularly in the private sector. This link to the WHO website has 21 questions and answers on the so-called 2016 vaccine incident in China relevant which may be helpful. 

 

Influenza Vaccine Advisory
WCAAP Immunization Committee
 
The Immunization Committee of the WCAAP wishes to advise membership about Live Attenuated Influenza Vaccine (LAIV, or "Flu Mist") availability this coming influenza season. For the first time in several years, LAIV will be marketed in the U.S. for the 2018-19 flu season.  LAIV use was suspended in 2016, due to poor effectiveness over the three preceding flu seasons.


AAP Seeks Participants for Study about Teen Marijuana 
and Media Use
 
The AAP Julius B. Richmond Center of Excellence is seeking primary care pediatric clinicians to participate in a research study
to develop and test a primary care intervention for adolescent marijuana use. Clinicians will be trained in a screening and brief counseling intervention for marijuana or media use and asked to enroll up to 100 adolescents ages 13-18 during well or non-urgent sick visits. Teen follow-up phone surveys will be done by research staff. 


Noteworthy
The Pediatric Transforming Clinical Practice Initiative (P-TCPI) has two great webinars coming up this month: 
  • September 13, 12:30-1:30  "Partner with Parents to Boost Childhood Immunity" Learn strategies that encourage parents to vaccinate their children to build immunity against vaccine-preventable disease. Learn more and register here
  • September 27, 12:30-1:30  "Using Pre-Manage to Address Overuse of the Emergency Department" Learn about early results of the TCPI project to implement Pre-Manage, with clinic accounts of their efforts to encourage the right care at the right time in the right place. Learn more and register here
Researchers at the University of Washington, Fred Hutchinson Cancer Research Center, Public Health - Seattle & King County, and the Somali Health Board are recruiting VFC providers in King County to take their e-course entitled HPV Vaccination: Framing the Conversation for East African Families.  Participants will receive continuing education credits as well as a $25 Starbucks gift card for completing the course, and feedback will be used to evaluate the course content. For more information and to download the flyer for the course, click here.  
 
Save the date! Washington Firearm Tragedy Prevention Network - Fall Meeting in Federal Way, WA - Tuesday, November 13, 12 to 4:30 p.m.
City of Federal Way, Council Chambers
33325 8th Ave South
Federal Way, WA 98003
LEARN MORE and RSVP HERE by Wednesday, November 7
 
Depression screening webinar:  To encourage more depression screening, Washington's Medicaid health plans now reimburse for adolescent depression screens with CPT code 96127.  If you are considering incorporating depression screenings into your practice, we have a new webinar training available, thanks to generous support from Amerigroup: Register Online.

 

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 
 September 18- 8:00-9:00am
Meets by telephone
Contact Mike Dudas or Francie Chalmers to learn more.

Legislative Affairs Committee
Meets weekly by phone during the legislative session & special session 
Meets monthly by phone during the interim
Next phone meeting October 2, 7:00-8:00am
Contact Lelach Rave or Beth Ebel to learn more. 

Early Learning Committee 
Meets periodically by telephone and annually in person
Contact Diane Liebe to learn more. 

Sustainability & Engagement Committee 
September 25 - 12:00-1:00pm
Meets monthly by telephone
Contact Kim Hauff to learn more. 
 
Vaccine Committee
Meets 2x/year
Contact John Dunn to learn more. 


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 | jdonahue@wcaap.org
 

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