 Introduction
Effective
health supervision involves content, timing, and documentation of
preventive care at important developmental ages. Each
visit presents opportunities to:
- Provide
preventive primary care
- Assess
the health of the child or adolescent
- Diagnose
and treat health problems early, or provide timely referrals
- Enhance
the child's development over time in partnership with
the family and community
- Educate
and support the child and family in developing and sustaining
lifelong healthy habits
- Document
all services in the child's medical record
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Content
of Care
Each HealthCheck
preventive health care visit includes these core EPSDT services:
- Comprehensive
health and developmental history, or update of medical and
mental health status
- Comprehensive,
unclothed physical examination
- Screening
services, including vision, hearing, and dental
- Laboratory
tests, including lead screening
- Recommended
childhood and adolescent immunizations
- Anticipatory
guidance and health education
HealthCheck
Periodicity
The periodic
well-child visit is a complete evaluation in accordance with accepted
clinical standards and is provided at intervals recommended in the
HealthCheck
Periodicity Schedule.
The District
of Columbia HealthCheck Periodicity Schedule:
- Is based
on the American Academy of Pediatrics' (AAP) Recommendations for
Preventive Pediatric Health Care
- Was developed
in consultation with recognized medical and dental groups
- Meets all
EPSDT screening requirements
- Suggests
the care needed by infants, children, and adolescents who have
no manifestation of any important health problems
- May require
additional screenings (beyond those
recommended by AAP) to meet the needs of the District's
Medicaid-eligible children and adolescents
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 Documenting
Health Supervision
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- Be
sure to enter the child's unique MR#
on the medical record
- Use the HealthCheck
Periodicity Schedule as
a guide for all age-appropriate components of the health
visit
- Document each component of the visit (or explain why
it was not provided) in the medical record
- List specific health services provided, date performed,
name of provider
- Document each health screening or assessment separately
(e.g., hearing, vision, nutrition)
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Screening
services are considered to have occurred ONLY when
documented in the child's medical record. |
See specific
documentation tips in the following modules: health history,
physical examination, screenings services, laboratory tests,
immunizations, health education/anticipatory guidance. For
a complete summary,
see also the Documentation section. |
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