Bright Futures at Georgetown University DC Department of Health MAA

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   I. Overview

       • EPSDT Program
       • HealthCheck Program
    Goals & Requirements
    Participants & Providers
    Services
    Coordination & Outreach
       • Review



   II. Health Supervision

       • Introduction
    Screens & Timing
    Requirements
    Review
       • Health History
    Introduction
    Initial
    Interval
    Specific Visits
    Review
       • Physical Examination
    Introduction
    Comprehensive Exam
    Growth Assessment
    Specific Visits
    Review
       • Screening Services
    Introduction
    Nutritional
    Vision
    Speech & Language
    Hearing
    Developmental
    Review
       • Laboratory Tests
    Introduction
    Metabolic
    Sickle Cell
    Lead
    Anemia
    Urinalysis
    Cholesterol
    Tuberculosis
    STDs & Pregnancy
    Review
       • Immunizations
    Introduction
    Immunization Schedule
    Vaccines Program
    Documentation
    Precautions & Exceptions
    Review
       • Health Education/
         Anticipatory Guidance

    Introduction
    Working with Families
    Working with Teens
    Pregnancy Prevention
    HIV Prevention
    Specific Visits
    Review




   III. Special Health Issues

       • Introduction
       • Dental Health
       • HIV Guidelines
       • Child Abuse & Neglect
       • Reducing Language          Barriers
       • Using Interpreters
       • Review



   IV. Documentation

       • Guidelines
       • SMRFs
       • HealthCheck Reporting
       • Billing Procedures
       • Review


At-a-Glance Resources


HealthCheck SMRFs HealthCheck Periodicity HealthCheck Manual HIPAA Codes

 

II. Health Supervision

Health and Developmental History: Interval Health and Developmental History

Once the initial history has been obtained, providers are required to update the health and developmental history at each subsequent preventive health visit. This interval history should summarize events affecting the child’s or teen’s health since the last visit.

When obtaining an interval history, ask the child’s family about events or changes that may have occurred since the last visit. Make note of the following:

  • Recent illness or injury
  • Visits to other health care providers or facilities
  • Emergency room visits
  • Hospitalizations
  • Chronic health problems or conditions
  • Medications
  • Immunizations
  • Allergies
  • Developmental or behavioral concerns
  • Changes in health of family members
  • Stresses in the home (move, loss of income, divorce)

The information gathered during the interval history helps to complete the child's entire health history over time.

Adolescent Health and Developmental History

In addition to the other components of a health and developmental history, adolescent health histories should also include the following:

  • Psychosocial assessment
  • History of substance abuse and personal violence
  • History of sexual activity and use of contraceptives
  • Menstrual history (for females)
  • Record and documentation of past immunizations
Adolescent Male Image

 

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