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

Immunizations: Documentation

When documenting immunizations, consider the following:

If the child's immunization history is based on a verbal report of the parent or other responsible adult, you must:

  • Confirm immunization history through the child’s previous health care provider, school, or day care center
  • Properly document the information (vaccine dates and source) in the medical record

If the child’s immunizations are not up to date according to age and health history, you should:

  • Document the reason why immunizations were not given based on the recommended ACIP schedule

If verbal reports of vaccine dates cannot be verified:

  • Repeat the immunizations
  • Be aware that for measles, mumps, and rubella, serological evidence of immunity to all three antigens is an acceptable alternative

If immunization records are missing...

Contact the DC Central Immunization Registry at (202) 576-7130, ext. 7.

 

 

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