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

Laboratory Tests: Sickle Cell Screening

Sickle cell disease affects children primarily of African, Mediterranean, or Caribbean heritage, but other ethnic groups can be at risk. Approximately 1 in 400 children of African heritage are affected.

All infants and children at risk for sickle cell disease must be screened, with test results documented in the medical record. If previous test results are not documented, rescreen if the child is at risk. If the child is not at risk (through ethnicity or documented test results), note this in the record.

All newborns in the District of Columbia should be screened for sickle cell disease through DC’s Newborn Screening Program.

Screening Follow-up

  • Screen all newborns for sickle cell disease as part of DC's Newborn Screening Program.
  • Screen children at risk for sickle cell disease if test results are not documented in child's medical record.
  • Document results of all follow-up hemoglobinopathy screening in the medical record.
  • If child is not at risk (by ethnicity or previous screening), indicate this in medical record.

 

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