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Implementing A Developmental Screening Into A Medical Home

INDIANA UNIVERSITY AGES AND STAGES LEARNING COLLOBORATIVE FOR CERTIFICATION OF MAINTENANCE

 

WHO WE ARE
The ASQ Learning Collaborative at the IU School of Medicine is a program which implements and supports the usage of the Ages and Stages (ASQ) developmental and social-emotional screening tool for children from birth to 5 years. Drs. Dawn Haut, Sarah Stelzner, Dorota Szczepaniak, Lynne Sturm, and Paula Sullivan developed a partnership with Indiana University Medical Group in the summer of 2008. In late 2010, we applied for and received Pt. 4 Maintenance of Certification recognition for the project from the American Board of Pediatrics. The collaborative group meets monthly via conference call. During these calls, sites give reports on their successes and challenges in using ASQ. Continuing Medical Education (CME) credit is also available for those who participate in these calls.

 

WHAT IS ASQ?

The Ages and Stages developmental screening tool is a highly reliable and validated system of looking for and monitoring signs that a young child may be delayed in one or more areas of development.

 

For more information about this learning collaborative or to sign up for future cohorts, please contact Janet Shultz, Program Manager, at jlshultz@iupui.edu

 

For information about Maintenance of Certification, please go to the American Board of Pediatrics’ website: https://www.abp.org/ABPWebStatic/


2011 State of the Young Hoosier Child Report

2011 State of the Young Hoosier Child Report 

 .

The Indiana State Department of Health's Early Childhood Comprehensive Systems Initiative, Sunny Start: Healthy Bodies, Healthy Minds is pleased to share its 2011 State of the Young Hoosier Child Report. The report provides a snapshot of the well-being of children ages birth to age five who comprise an estimated 8.3% of the total Hoosier population. It uses data on indicators that research has shown influence the outcomes for young children and their future well-being. The report contains state level information and national comparisons that can be used as a resource by communities, policy makers, and youth workers. Another feature in the report is a set of County Data Profiles which includes indicators of the well-being of children 0 - 5 across time for each of Indiana's 92 counties. These profiles can be used for comparison to the state or other counties. The County Data Profiles and the full report are available online at. www.sunnystart.in.gov/syhc.


Advisory Board for the Mental Health Project


"A Letter from your AAP District V Chair, Marilyn Bull"

  

Stand Up For Children

One of my personal heroes, and very possibly one of yours, is Marion Wright Edelman, founder and president of the Children’s Defense Fund. She states: “Investing in [children] is not a national luxury or a national choice. It's a national necessity”. 

In this era as we continue to strive to improve the health and wellbeing of all children, this concept remains important to direct our cause. The American Academy of Pediatrics has as its purpose: “Dedicated to the Health of All Children” and never has that been more important. As a nation in economic turmoil we recognize that there are many challenges and choices that will be made in the months and years ahead and those that speak for children will need to keep their voices steady and strong.

We also recognize that to be effective, we as pediatricians need to be strong ourselves and addressing the needs of our members is essential. Nationally and in our district, we seek to ensure we meet the needs of our members. Our specific goals include support for Young Physicians and Pediatric subspecialists and enhancement of resources for Maintenance of Certification. Each of these areas has been addressed specifically in the district and your chapter leaders have provided support in each of these areas. Nationally, the Office of Federal Affairs has added a full time staff member to focus on specialty pediatrics. Additional examples of promotion of young and specialty physicians include the Section on Perinatal Pediatrics that has engaged their trainees in an initiative called TECaN (Trainees and Early Career Neonatologists) to foster career development and enhancement of leadership in Neonatal-Perinatal Medicine. The Section on Surgery is working with the Section on Residents and the Association of Pediatric Program Directors on development of a curriculum on pediatric surgery for pediatric residents and practicing pediatricians. The Indiana Chapter continues to advance the opportunities for support of Maintenance of Certification and development of more programs nationally is in progress.

I and all of your Indiana Chapter leaders seek to ensure that your needs as a pediatrician are met as effectively as possible. We seek your input and suggestions for specific areas where we can support your interests and encourage direct communication to focus on your need of support.

Another of Marion Wright Edelman’s many memorable statements isIf we don't stand up for children, then we don't stand for much.” Each of you as an individual stands for children and is a hero to your patients and your community. Once again, thank you for all you do and let me know if there is any way I can help.

Marilyn J. Bull, MD


Physicians Reminded to Report Birth Defects Data

 

Physicians Reminded to Report Birth Defects Data

 

This is a reminder that physicians are required by law (IC 16-38-4-7) to report all children less than 3 years old with at least one birth defect (up to 5 years for autism and fetal alcohol syndrome) to the Indiana Birth Defects and Problems Registry (IBDPR). 

 

The IBDPR collects congenital anomalies information from health care providers (HCPs) to:

·         monitor the frequency of birth defects in Indiana,

·         detect trends/clusters,

·         develop educational/prevention programs, and

·         establish referral systems.  

Information from HCPs is necessary to validate IBDPR prevalence data, as some conditions (such as autism and fetal alcohol syndrome) are not diagnosed at birth and have been severely underreported to date. The IBDPR is a public health authority as defined in the HIPAA Privacy Rule (45 CFR 164.501) and is authorized to collect protected health information (PHI) by law (IC 16-38-4).    

HCPs can report to the IBDPR via the Indiana State Department of Health’s (ISDH) State Health Gateway. Individual HCPs or office managers who report on behalf of HCPs need to create an account within this system. To create an account:

1.  Access the Gateway at https://gateway.isdh.in.gov/Gateway/RegisterUser.aspx.
2.
Click  “Create New Account.”
3.
Enter all required information (marked with a blue asterisk).
     a.  
The Physician Reporting security code can be obtained by calling Ruwanthi Silva at 317-233-7571.
4.  
If you would like to be notified of your successful registration within the Gateway, click “Send me a confirmation email.”
5. When finished, click “Create Account.”
 

After registering, the next time you log into the Gateway, a “Physician Reporting” link will appear at the top of your screen. This link will be inactive until ISDH verifies both the user and organization who registered for the account. If your account has not been verified within 24 business hours, please inform ISDH via the “Contact Us” link in the upper right corner of the screen.

 

Changes to your account (e.g., updating demographic information or your affiliated organization) can be made within the Gateway under the 'My Profile' link.

 

A list of reportable conditions, including corresponding ICD-9-CM codes, is available at http://www.in.gov/isdh/20571.htm.

2. 3. 


AAP Section for Seniors - Senior Bulletin Vol. 20 No. 3 - Summer 2011


Section for Seniors -Senior Bulletin Vol. 20 No. 3 - Summer 2011
 
CLICK HERE

Dear Colleagues:

We're pleased to enclose the latest issue of the quarterly Senior Bulletin for your enjoyment. We encourage you and your chapter leadership to share this issue and  to regularly explore the Senior website . We're a section of about 700 FAAPs age 55 and older and welcome new members, as well as hearing news about this valuable membership demographic in your chapter. We welcome your feedback.

Best wishes,

Lucy Crain, MD
Chair, Section for Senior Members

 


ISDH MEASLES ALERT

 

Measles Outbreak in Northeastern Indiana


     The Indiana State Department of Health (ISDH) has confirmed eight (8) cases of measles in Northeastern Indiana as of June 24, 2011. Additional symptomatic persons are currently pending laboratory confirmation. Community exposures have occurred, and the ISDH, the Noble County Health Department, and the LaGrange County Health Department are contacting area residents who have been exposed. These cases appear to be related to an international exposure and subsequent transmission among unvaccinated individuals. It is important for health care providers to be aware of the symptoms and appropriate laboratory testing for suspect measles cases.

     If additional cases occur related to these cases, the expected onset dates range from June 10-July 11. Individuals who have received two doses of measles, mumps, and rubella (MMR) vaccine are unlikely to be infected.
    
     All healthcare workers should consider measles in patients with a febrile rash, particularly if the patient is unvaccinated and has a history of international travel or contact with international visitors or symptomatic cases. Measles is a highly infectious viral illness, transmitted by respiratory droplets, with a secondary attack rate of up to 90'%' in susceptible persons. Individuals with measles are considered to be infectious from 4 days before through 4 days after rash onset. The infectious period ranges from 7-21 days (average of 10-14 days) following exposure. Measles virus can persist for up to two hours in the environment.
 

     The clinical case definition for measles includes a prodromal period of 3-4 days with cough, coryza, and/or conjunctivitis. Fever of greater than 101 degrees F is present during this time, often reaching as high as 104 degrees F after rash onset. The rash typically begins on day four at the hairline and spreads downward over the body, lasting at least three days. The measles rash is a bright red maculopapular rash, becoming confluent in blotches first on the face and then on the trunk. It may turn brownish in color and fades in the same order that it appeared. Koplik spots (bluish-white dots on a reddish base on the buccal mucosa) may be present. Individuals with measles generally appear very ill.


      If you suspect measles in a patient:

1. The patient must be moved swiftly to a closed room and respiratory isolation precautions should be used. The exam room should not be used for at least two hours after the patient departs. Notify your infection preventionist.

2. Contact your local health department or the ISDH immediately. An investigation and contact tracing will be conducted. The ISDH can be reached at (317) 233-7125 during business hours (8:15 a.m.-4:45 p.m. Monday-Friday). After business hours, call the ISDH Duty Officer at (317) 233-1325.

3. Order appropriate laboratory testing for suspect measles cases: a serum specimen for measles (rubeola) IgM and IgG antibody testing and a specimen for viral culture (nasopharyngeal swab, throat swab, or urine specimen) should be collected immediately. Arrangements should be made to ship or transport the specimens to the ISDH Laboratory.

4. Patients suspected of having measles should be isolated until the 4th day after rash onset. Most individuals who have received two doses of MMR vaccine are considered immune to measles. All health care workers should have evidence of immunity to measles (documentation of two MMR vaccines or positive antibody titer (IgG) for measles). Individuals who are not health care workers born before 1957 are presumed to be immune to measles.

For more information about measles, visit http://www.cdc.gov/vaccines/vpd-vac/measles/default.htm.

Healthcare Personnel Vaccination Recommendations

Healthcare Personnel Vaccination Recommendations

Measles Flowchart

MEASLES FLOWCHART

Senior Bulletin

We encourage you and your chapter leadership to share this issue and  to regularly explore the Senior website . We're a section of about 700 FAAPs age 55 and older and welcome new members, as well as hearing news about this valuable membership demographic in your chapter. We welcome your feedback.

Please click here to read the bulletin

Concurrent Care for Children: Implementation Toolkit - Released by NHPCO and DCPPCC

For Immediate Release:
April 15, 2011

Concurrent Care for Children: Implementation Toolkit
Released by NHPCO and DCPPCC

(Alexandria, Va) – It has been just over a year since President Obama signed the Patient Protection and Affordable Care Act into law which enacted a new provision known as the “Concurrent Care for Children Requirement” (CCCR). A new publication to help with the implementation of CCCR, the Concurrent Care for Children: Implementation Toolkit, has been created by the National Hospice and Palliative Care Organization and the District of Columbia Pediatric Palliative Care Collaboration.

The CCCR provision (Section 2302 of the ACA) states that children under the age of 21 who have been diagnosed with a life-limiting illness—and are eligible for Medicaid or the Children’s Health Insurance Program—may receive all services that are related to the treatment of a child’s life-limiting illness. This would allow these young people to have palliative and hospice care services while they are receiving other disease-modifying treatments.

“The CCCR provision is a vital piece of legislation that the pediatric hospice and palliative care community has been championing for years. The Toolkit is a comprehensive resource to guide providers, legislators and families to implement the provision as well as to strategize options for all children with serious illness, and represents a tremendous step forward for children with life-threatening conditions,” said Sarah Friebert, MD, Director of the Haslinger Division of Pediatric Palliative Care at Akron Children's Hospital.

Peds CCCR ToolkitConcurrent Care for Children: Implementation Toolkit provides information on the options available to states that are implementing Section 2302 or are considering expansion of pediatric palliative care services to children.

Inspired by the vision of the late Dr. Carlos Gomez, one of the founders of the District of Columbia Pediatric Palliative Care Collaboration, the Concurrent Care for Children: Implementation Toolkit is available online as a free resource on the NHPCO website.

NHPCO gratefully acknowledges the District of Columbia Pediatric Palliative Care Collaboration for their generous funding to make this valuable resource available to the entire pediatric palliative care field.

NHPCO’s Children’s Project on Palliative/Hospice Services (ChiPPS), a pediatric leadership council created in 1998, has been committed to making the best-known practices in pediatric palliative and hospice care more widely available to care providers and increasing the availability of state-of-the-art services to families.

To learn more about pediatric palliative and hospice care or to download the Toolkit, please visit nhpco.org/pediatrics.

-###-

Contact:
Jon Radulovic
NHPCO, Vice President of Communications
703-837-3139
jradulovic@nhpco.org


IN-AAP Legislative Update

 

This past week the Indiana Legislature was in catch-up mode due to the cancellations caused by last week’s winter storm. Please click here to read the  updates for the IN-AAP related legislation that was on the Committee Calendars for the week of February 7, 2011.


Update on Maintenance of Certification from AAP

Please click here to read the Certification update from the AAP

Link to a New Resource of Interest to Members: ACO Guidance Document

Accountable Care Organization Guidance document--below is a link to a newly published resource on Accountable Care Organizations (ACOs) that may be of interest to your practice.  The document  is located on the AAPs Practice Management Online (PMO) site and is titled "Accountable Care Organizations (ACOs) and Pediatricians:  Evaluation and Engagement."

 

INAAP 2010 Annual Report

The last few years have been a transition time for our chapter's leadership with challenges that we have tackled in order to position ourselves to be proactive and grow our membership.  We have recruited officers who are committed to the succession process, at large members from different regions of the state who are active and engaged as well as champions for asthma, EM/Peds, oral health and representatives to attend state level health care implementation meetings .   We have continued to improve our infrastructure support with quality improvements in our new website, refinement of our email communication tool, and a transition plan to move from a part time to full time Executive Director.  In 2010 we also learned our lobbyist would be taking a position in the insurance industry so we have hired a third lobbyist who is a veteran in the field, well connected and committed to increasing the visability of our organization. Despite all of this, our chapter has updated the strategic plan and balanced score card, increased our dues, improved communication with our membership with a weekly bundled email blast, and have been invited and at the table to be a resource for health care reform implementation as well as other child health related issues on a state level.  We have also proactively engaged our members in maintenance of certification with presentations from Dr. Jim Brown; approval of a developmental screening collaborative for Part 4 MOC and a planned visit by Dr. Paul Miles to discuss institutional applications to increase opportunities for subspecialists to obtain Part 4 MOC credit at the 2 Children's Hospitals in the state.  We continue to actively recruit members who have not been involved to do time limited and focused projects as part of task forces as opposed to longstanding committees.  We have developed a working relationship with leaders in both children's hospitals and bring them together to host invited speakers (Dr. Elena Fuentes Afflick, Dr. Sandra Hassink, Dr. Paul Miles).  We have served as role models for innovative ways to work together to be able to fulfill the job description of chapter leadership positions.  Our YP representatives have planned a leadership development workshop for young physicians in the area of advocacy that will bring them together early in the new year and will highlight other YPs who serve as role models in this area. They even have a Facebook page! We have had the first meeting of our Pediatric Council focused on the issue of Immunization Codes. We have reached out to many organizations to partner with them in project work and to leverage skills and expertise they may have that we may be missing.   Finally, we are taking steps to look into forming a foundation and a senior section.  We are eager to continue our work to fulfill the goals set out in our balanced scorecard.

 

Sarah M. Stelzner, MD
Assistant Clinical Professor of Pediatrics
Indiana University School of Medicine
317-278-3411
317-692-2372 (fax)
sstelzne@iupui.edu

Indiana Youth Institute College Initiatives

The Indiana Youth Institute promotes the healthy development of children and 
youth by serving the institutions and people of Indiana who work on their behalf.  Out of the 50 states in the US, Indiana ranks 39th for residents with any post secondary degree.  IYI is working to increase college readiness, access, and success among students in Indiana.  Trip To College.org is a site designed for parents and students to learn more about planning and attending college.  While increasing the rate of residents with college degrees can increase tax revenue and job opportunities within Indiana, research shows that individuals with college degrees lead a healthier lifestyle, are less likely to smoke and take advantage of prenatal care.  IYI is sending posters promoting Trip To College.org for you to display at your offices in an effort to inform your patients about higher education in Indiana.  Please visit www.triptocollege.org or www.iyi.org to learn more about our programs.


Social Media Resource Kit for AAP Chapters

Please click here to read information on the Social Media Kit for AAP Chapters


Apply Now! 2011 Healthy Tomorrows Grant Cycle Announced

 

2011 Healthy Tomorrows Grant Cycle Announced

Application Deadline: October 15, 2010

APPLY NOW!!

 

The Healthy Tomorrows Partnership for Children Program (HTPCP) is a cooperative agreement program between the federal Maternal and Child Health Bureau (MCHB) and the American Academy of Pediatrics (AAP). Federal grants of up to $50,000 per year for 5 years are awarded through the program to support community-based child health projects that improve the health status of mothers, infants, children, and adolescents by increasing their access to health services.

 

Healthy Tomorrows projects must represent a new initiative within the community or an innovative component that builds upon existing community resources. Projects usually target low-income populations and address four key areas:

1.     Access to health care,

2.     Community-based health care,

3.     Preventive health care, and

4.     Service coordination.  

Healthy Tomorrows Projects must include:

·        Direct health services;

·        Pediatrician involvement;

·        $100,000 of non-federal matching funds in years 2 - 5 (may include in-kind funds)

·        An evaluation component; and

·        An advisory board comprised of local community members, families, and program participants.

 

MCHB is especially interested in proposals for projects that incorporate the goals, objectives, guidelines and materials of its Bright Futures for Infants, Children and Adolescents initiative to improve the quality of health promotion and prevention services in the context of family and community.

 

Healthy Tomorrows applicants must apply online through the federal grants Web site, http://www.grants.gov/applicants/apply_for_grants.jsp. After you register with grants.gov and download Pure Edge Viewer, select the "Download a Grant Application Package" and enter the CFDA Number (93.110) and the Funding Opportunity Number (HRSA-11-029) to review the program guidance and application package.

 

For questions about program guidance and requirements, contact Healthy Tomorrows staff at the Maternal and Child Health Bureau:

 

Madhavi Reddy, Program Director, mreddy@hrsa.gov; 301/443-0754

 

For assistance with developing your proposal, contact Healthy Tomorrows staff at the American Academy of Pediatrics:

 

Maureen Finneran, Program Manager, mfinneran@aap.org; 847/434-7082

Karla Palmer, Program Coordinator, kpalmer@aap.org; 847/434-4279


Universal Newborn Hearing Screening/Early Hearing Detection and Intervention (EHDI) process

Dear Primary Care Provider:

The EHDI Program at the Indiana State Department of Health has been informed that effective October 1, First Steps Early Intervention will no longer provide coordination or funding for audiological evaluations for babies not passing UNHS and those who pass, but are at risk for delayed onset hearing loss. First Steps has communicated the need for this change due to a funding deficit.

What does this change mean?

*  Hospitals will no longer refer children to First Steps for newborn hearing screening follow-up.
*  Hospitals will need to develop new procedures to facilitate follow-up of these babies.
*  The EHDI program is directing hospitals to schedule babies for audiology evaluations prior to discharge and to work with primary care providers to ensure that timely follow-up of audiology testing occurs.
*    Hospitals may be contacting you to assist with this new referral process. Note that some hospitals may decide to set up "standing orders' to facility timely  referrals and scheduling.
*  Hospitals will continue to document individual newborn hearing screening results through discharge summary notes and/or letters to the PCP.
*  The EHDI program will continue to contact you through letters and phone calls as needed.

    Attached are new referral forms that you may be seeing from hospitals (Level 1 Audiology Centers for regions across the state ) .

The EHDI Program is hosting technical assistance conference calls with hospital nursery personnel, audiologists and primary care provider office staff. It is  recommended that at least one member of your office staff attend one of the two conference calls being scheduled for primary care provider staff:

Tuesday, Sept 14  8-9 am EST  or    Thursday, Sept 16 noon-1 pm EST

Call-in Instructions: 1-800-910-8278
Guest # 3396726

The EHDI Program is here to provide support to your office as you work with hospitals to assist families in obtaining follow-up testing. If you have additional questions after attending one of the conference calls, please contact Gayla Hutsell Guignard at the EHDI program (ghutsell@isdh.in.gov<mailto:ghutsell@isdh.in.gov>, 317-234-3358).

Sincerely,

Dr. Judy Ganser

PRESIDENT-ELECT CANDIDATES 2010

To view election rules click here


Robert W. Block, MD, FAAP
Tulsa, OK
 
BlockRobert W. Block, MD, FAAP is Professor and Daniel Plunket Chair, Department of Pediatrics, University of Oklahoma School of Community Medicine, Tulsa.  Dr. Block received his MD from the University of Pennsylvania and completed three years of pediatric residency at the Children’s Hospital of Philadelphia.  He became board certified and elected as a Fellow in the AAP in 1974.  He served three years in the U.S. Army prior to joining the new faculty of the University of Oklahoma - Tulsa in 1975, where he remains. 
 
During 1990 to 1996 Dr. Block served as Vice-President and President of the AAP Oklahoma chapter.  He worked ten years with the AAP COCAN, four as Chair.  He represented the AAP on the U.S. Advisory Commission on Childhood Vaccines for three years, two as Chair.  He continues as the AAP liaison to the Family Violence Prevention Fund.  Dr. Block was the founding Chair, and remains a member of the newest American Board of Pediatrics Subboard, Child Abuse Pediatrics.  During his 37 years of practice Dr. Block has followed his interests in adolescent behavioral medicine, especially drug abuse and teen pregnancies; learning disabilities, ADHD, and behavior issues; and for the last 25 years, child maltreatment. He is an award winning teacher in general pediatrics; and manages an active pediatric clinic, serving as a medical home for 12,000 children. Dr. Block has presented over 2,000 community and professional talks, and has served often as a media spokesperson for children’s issues locally and nationally for the AAP.

Wayne A. Yankus, MD, FAAP
Midland Park, NJ
 
YankusDr. Yankus is a New Jersey native and practicing community based pediatrician who did his pediatric training at New York University Hospital-Bellevue Medical Center and internship at the University of Medicine and Dentistry of New Jersey. He attended medical school at the Autonomous University of Guadalajara in Mexico.
 
He is chair of the New Jersey Chapter's Committee on School Health and founder of its "Critical Issues in School Health" program which is in its 19th year.  He is past president of the New Jersey Chapter of the American Academy of Pediatrics, and a current member of its government affairs committee.  He served as chair of the Academy’s national section on school health and was awarded the Academy’s Milton J. Senn award for contributions to the nation’s school health.  He was awarded the American Academy of Pediatrics, New Jersey chapter, recognition award, and is an expert panelist for Education.com, a national education website.
 
He represented District III on the CATCH committee and was vice president of the Chapter Forum Committee (currently ALF).
 
Dr. Yankus practices pediatrics in Midland Park, NJ and is the medical liaison to the Ridgewood Board of Education.  He is an honorary member of the Board of Children's Aid and Family Services, a former trustee of the Greater Bergen County YWCA, and was honored by the YWCA in 2004 with its Community Role Model Award with his wife Pat.
 
Dr. Yankus is married and the father of three young men.
 
Below are the responses from the President-elect candidates, Robert Block, MD, and Wayne Yankus, MD, to the following question:
 
WHAT IDEAS DO YOU HAVE TO IMPLEMENT/FOSTER MENTORING IN THE AAP?
 

 

Robert W. Block, MD

Tulsa, OK

My first mentor was my father, a pediatrician in private practice in Iowa. Other mentors were clinicians and advisors, who encouraged me during my residency. My friend and career mentor, Dan Plunket, MD, FAAP, demonstrated teaching, clinical, and relationship building skills that have guided me for years. I try to emulate those qualities while mentoring students, residents, young faculty, and pediatricians new to our Tulsa, OK community. Mentoring within the AAP should focus on clinical and business needs of private practices, while fostering alignment between members in private practices and in academics, centering on connecting experienced members with newer members looking for ideas and advice.   

 

A mentor supports another individual or group of individuals as they pursue common goals. Mentoring often is simply leading by example. Good mentors engage others through active listening, encouraging ideas, and by offering suggestions that are designed to support and energize another person. The AAP is a great resource for finding mentors among its many members, and can serve as an organizational mentor by listening to many opinions while guiding members’ best ideas into policies and guidelines.  

 

The AAP should continue to engage our trainees and young physicians, facilitating the acquisition of knowledge in medicine, business, policies, and politics. While advocating for children, the AAP supports members in practice settings through email list-servs, task forces, sections and other activities. Providing a way for pediatricians to learn about practice management from experienced and successful practitioners is important. The AAP continues to support senior pediatricians, many of whom can use their practice or academic experiences to mentor a new FAAP entering practice or academics. 

 

The AAP can facilitate the development of mentors through a task force, section or council on mentoring. A task force could design methods for connecting interested members with a mentor in their area of interest. I suggest inviting a young physician to observe committee or section executive committee meetings to connect with leaders who might become mentors. Using new technologies, we can support mentor/mentee pairs across time and space, generating, developing, and reviewing ideas. AAP resources can support mentoring program evaluation and improvement.
 
 

 

Wayne A. Yankus, MD

Midland Park, NJ

 

Mentoring is about empowerment.  To be a successful mentor, you must have experience in your field and be willing to share your expertise. Training encompasses anything that helps increase the realization of a person’s potential.   I believe in mentoring members to enable them in their work, and to assist in developing their careers while still meeting personal and family needs.

 

The work force has changed in pediatrics and many of our new pediatricians are women working part time. To have a successful mentoring program within the AAP, I would encourage chapters to identify willing members who would be available to new members. It would strengthen chapter value. Nationally, it can be done by using social media. Mentoring can happen anywhere and at any time. One person can mentor many people. Mentoring can be as simple as an email, “tweet,” or linked-in message. I would promote use of existing services first and add to the AAP Website a “just ask” column that would be answered by volunteer pediatricians chosen by their councils or sections.

 

Listservs can also be tapped for mentoring. The Section on Practice Management listserv is a classic example of an interactive connection that section members use to exchange ideas and support.  

 

Full mentoring contacts could be developed through the office of membership by request of the individual. Those who request mentors should find chapter administrators and officers also helpful in locating a pediatrician who could serve another pediatrician’s need.   Participation can be one question or a long term relationship between colleagues, and enrich the lives of both members.

 

Whether you are in direct patient care or academic medicine, members of the Senior Section locally and nationally hold a treasure of information and are often quite willing to mentor new pediatricians.

 
 
We are teachers by virtue of being students first and always. Mentoring colleagues follows our physician oath and should be a natural result of membership in our professional organization. It is with our peers we find our practice voice. The AAP is positioned to be influential in the workplace by developing new ways to mentor members.
 
 
 
 
 

On line Patient Safety Alert Arriving Soon

An FDA-mandated drug warning pertaining to cardiology, family medicine/general practice, geriatrics, internal medicine, neurology and orthopedics will be delivered this week via the Health Care Notification Network (HCNN).  Opening the HCNN online alert cancels the paper notification currently sent by U.S. mail.

 

The American Academy of Pediatrics member benefit affinity program, Health Care Notification Network (HCNN) delivers drug and medical device recalls to physicians and their staff securely online, replacing the current paper process that is both slow and error-prone.  Registration to receive this service is free to AAP members.

 

AAP members are strongly encouraged to enroll in the HCNN to receive these important alerts online. If you are not currently registered you can do so at https://www.hcnn.net/registration/aap/registration.aspx  

Information you provide is secure and used only for patient safety Alerts and HCNN communication. Email addresses and contact information provided to the HCNN is not sold, shared or disclosed to third parties.

You can also learn more by calling 1-(866) 925-5155.

 

All eligible AAP members are strongly encouraged to enroll in the HCNN, and this green initiative to receive these important alerts online. Thank you for your commitment to patient safety!


Call For Resolutions 11/10

The Interim Meeting of the American Medical Association House of Delegates will be in November in San Diego, CA. Please click here for more information


National and District AAP elections

 
 
To All Indiana AAP Chapter Members:
 
National and District AAP elections will run Aug 1 - Sept 1, 2010.  Watch for an email soon with information about how to electronically cast your vote.   Please don't forget to vote!!!
 
This year, there are are two positions open in District V (Indiana, Ohio, Michigan, Ontario):
 
  District Vice Chairperson:
    1. Christopher Rizzo - Ohio
    2. Richard Tuck - Ohio
    
  National Nominating Commitee:
    1. Mary Lu Angelilli - Michigan
    2. Mary McAteer - Indiana
 
Bios are below for your information.  For more information, including photos and election rules, please log on to the members only channel:    http://www.aap.org/moc/vp/eleclink.htm
 
 
Christopher Rizzo, MD, FAAP, has been a general pediatrician in Ohio for over 20 years. He is a past president of the Ohio Chapter and currently serves on its Executive Committee. He represents the chapter on vision screening issues in order to keep children in their medical home. As chair of the chapter’s legislative committee, he worked to improve Medicaid reimbursement for pediatricians. Dr. Rizzo served as program director of Maximizing Office Based Immunization (MOBI), a statewide program of the Ohio Chapter aimed at improving immunization delivery to children. As a member of the chapter’s pediatric council, he met with individual private insurance plans in order to improve vaccine payment for pediatricians.

Dr. Rizzo works to make maintenance of certification less burdensome for pediatricians, especially permanent certificate holders. As a member of the AAP National Nominating Committee, he helped improve the transparency of the AAP election process, engage young physicians and change the rules to allow AAP members to openly discuss candidates.

Dr. Rizzo lives in Cleveland, is a graduate of the Northeastern Ohio Universities College of Medicine (NEOUCOM), completed his pediatric training at Akron Children’s Hospital, and works in medical affairs for MedImmune. He is a member of the AAP Council on Community Pediatrics and Section on Infectious Diseases. In 2003, Dr. Rizzo was one of 30 national health care leaders to serve as a US Department of Health and Human Services primary care health policy fellow in Washington DC.

 


Richard H Tuck, MD, FAAP is proud to be a pediatrician and member of the AAP. He is in full-time private practice.

Dr. Tuck graduated from Franklin and Marshall College and Cornell University Medical College, completing his residency at Strong Memorial Hospital, University of Rochester. After serving in the Navy, he, his wife, Cynthia, and their three daughters settled in Ohio.

Richard is an active member of the Ohio Chapter AAP. During his tenure as an officer, the chapter received the outstanding large chapter award. He has received the state's outstanding pediatrician, Leonard Rome, and outstanding committee chair awards. For many years he served on the State Medical Care Advisory Committee advocating for children on Medicaid and SCHIP.

Nationally, Dr. Tuck serves as the current District V Vice Chairperson. He chaired the National Nominating Committee, and served on the Chapter Forum Committee. He also was on the Committee on Coding and Nomenclature as the AAP representative to the AMA RBRVS RUC advocating for adequate pediatric reimbursement. Dr. Tuck is a member of SOAPM and received the section’s Vanchiere Award in 2002 for his efforts to promote coding, reimbursement, and practice management issues for pediatricians. Additional commitments include medical director for his local PHO, and speaking nationally on coding, reimbursement, and practice management.

Experience in chapter, district, committee, and section activities has given Dr. Tuck a global perspective of AAP operations and issues. Continuing as District V Vice Chairperson, he would aggressively advocate for children’s issues and promote the concerns of all pediatricians.

 

 

Dr. Mary Lu Angelilli is a native of Michigan and has always lived in the Metropolitan Detroit area. She graduated from Wayne State University School of Medicine in 1979 and went on to do a pediatric residency at Children's Hospital of MI. After six years of private practice in the suburbs of Detroit, Dr. Angelilli returned to Children’s Hospital of MI, where she has pursued a variety of interests. These include medical student and resident teaching, clinical research in the areas of asthma and iron deficiency and more recently she has developed a clinical focus in the area of child maltreatment. In addition, Dr. Angelilli was appointed as the Chief of Staff of the Children’s Hospital of MI in 2005 and continues to serve in that role.

Dr. Angelilli has been active in the Michigan Chapter of the AAP throughout her career. For 19 years she was the chapter coordinator for the Pediatric Research in the Office Setting (PROS) committee. The participation of various practices increased dramatically as a result of her work on that committee. In 1997, Dr. Angelilli was elected to the president-elect office in the Michigan Chapter and resigned in 2010.

As far as her personal life, Dr. Angelilli has one daughter, age 30, who is a resident in General Surgery at Indiana University and was recently married. Dr. Angelilli resides in Grosse Pointe Farms. She enjoys patronizing the fine arts that the city of Detroit has to offer.

Mary is a private practice pediatrician in Indianapolis and was instrumental in establishing the Medical Home model within her group of six solo practitioners. She is a graduate of Purdue University (B.S. 1980), received her medical training at Indiana University (M.D. 1984) and is American Board of Pediatrics certified (since 1988).

 


Mary I. McAteer is an active member of the Indiana Chapter of the AAP (Vice President 2008-2010, current Co-Chair School Health Committee, member of the newly forming Pediatric Council), Indiana State Medical Association (Alternate Delegate 2003-current, member of Women in Medicine sub-committee), and the Indianapolis Medical Society.

She serves the IU School of Medicine Pediatrics Residency Program as a Clinical Instructor and she is a faculty mentor and frequent lecturer for the IU chapter of AMWA (American Medical Women’s Association). Mary is a member of the Indiana Branch of the International Dyslexia Association (President 2005-2007) and is Consultant to the Dyslexia Institute of Indiana.

Mary hails from Richmond, IN, is the eldest of eight children, happily married to James A. McAteer, PhD, and the proud mother of four. Tennis, eating well, and service to children are her passions.


Catch Grants!

Opportunities
CATCH Planning Grants - Submission Deadline is July 30, 2010
The Community Access to Child Health (CATCH) Planning Funds program provides grants in amounts from $2,500 to $12,000 for pediatricians to develop innovative, community-based initiatives that increase children's access to medical homes or to specific health services not otherwise available. Planning project activities must lead to sustainable, community-based child health initiatives that increase access to care, especially for underserved children, and address health disparities among children.
 
CATCH Resident Grants - Submission Deadline is July 30, 2010
The CATCH Resident Funds program supports pediatric residents in the planning and/or implementation of community-based child health initiatives. Grants of up to $3,000 are awarded twice each year on a competitive basis for pediatric residents to address the needs of children in their communities
 The website for CATCH grants is: 
 
 
and for the resident CATCH grants it is: 
 
 

 
 

Update from District Chairperson, Marilyn Bull

 

                                                       Summertime

“Summertime and the livin is easy…”   wouldn’t it be wonderful to sing along with Gershwin and believe those words? I do hope that some of your summer is easy but I am confident most are working as always caring for patients, managing offices and pursuing the advocacy issues that are our mission in life.

The issues currently in front of the AAP are ever more challenging and your state chapter leadership will be increasingly involved in ensuring that the best of the Affordable Care Act (ACA) is implemented to benefit our patients and practices. Under development are the regulations for Meaningful Use of Health Information Technology under the guidance of the AAP leadership and Dr. Chris Lehmann who accepted the challenge of directorship of the Child Health Information Center funded by the AAP. Watch for an announcement soon with regard to new guidelines and payment to practitioners that will begin in May 2011.

Hopefully you have seen the most recent blog “Helping Pediatricians Breathe” by AAP President Judith Palfrey that comprehensively outlines the AAP involvement and concerns regarding immunization reimbursement. Several successes have been realized and challenges remain but the AAP is at the forefront of the battle. Without ensuring the support of the immunizations in primary care, the days of bacterial meningitis and death from pertussis that many remember and others can only imagine, will return. Do read Dr. Palfrey’s blog on the AAP web site for a full perspective.

Although the news about the disaster in Haiti has mostly left the airwaves and even print, we know that suffering is far from over. The AAP response has been ongoing and pediatrician representatives have made several trips to assess how best our resources can be used. The Friends of Children response was most heartwarming and one of the major uses of our targeted funds has been to support the Haitian medical students and residents to help ensure a continuing source of health care for the children that survive and need ongoing health care more than ever.

The issues of health care finance reform often may feel like a tidal wave but we all realize it is important to remain in the boat and stay the course. Truly I am confident that “One of these mornings you’re goin’ to rise up singing.”

Thank you for all you do for children and our world.

Marilyn J. Bull, MD FAAP

 Chairperson, District V

 


Text4Baby

 

Text4baby is a free mobile information service designed to promote maternal and child health. An educational program of the National Healthy Mothers, Healthy Babies Coalition (HMHB), text4baby provides pregnant women and new moms with information they need to take care of their health and give their babies the best possible start in life. Women who sign up for the service by texting BABY (or BEBE for Spanish) to 511411 will receive free SMS text messages each week, timed to their due date or baby’s date of birth.

Text4baby is made possible through a broad, public-private partnership that includes government, corporations, academic institutions, professional associations, tribal agencies and non-profit organizations.

 

 

 

·                                 Women sign up for the service by texting BABY to 511411 (or BEBE for Spanish)and they receive three free SMS text messages each week timed to their due date or baby’s date of birth.  Text4baby messages also connect women to local clinics and support services for prenatal and infant care. 

·                                 It provides the information moms need to keep themselves and their babies healthy.  These are short messages, but incredibly important.  The messages focus on topics critical to the health of moms and babies, including immunization, nutrition, seasonal flu, mental health, smoking and alcohol, oral health, and safe sleep.

·                                 It could help save lives and reduce the number of premature births in America.  More than 500,000 babies – 1 in every 8 – are born prematurely each year in the US.  Premature babies can face lifelong health and intellectual development problems.  The risk of premature birth can be reduced if moms take care of themselves and their babies during pregnancy (e.g. don’t smoke!) and seek prenatal care.  Text4Baby can help by giving moms information and connecting them to care. 

 

This is an exciting opportunity for moms and babies, and for our nation. For more information on text4baby, please visit text4baby.org.

 

 


AAA Hoosier Motor Club Child Passenger Safety kits

AAA Hoosier Motor Club has a limited supply of Child Passenger Safety related materials, targeted for pediatrician offices, available free of charge on a first come first serve basis. Once these materials are gone, we will soon be able to order the newly revised kits at $20 per kit. Anyone interested in receiving the free materials or going in on a bulk order for the kits should contact Sherry Deane at sdeane@aaahoosier.com. The kits contain a poster, DVD for the waiting room, prescription pads in English and Spanish, 100 pk of brochures in English and Spanish, tip cards for the doctors and a roll of stickers. The items I currently have for free are these individual pieces that are not boxed up as a kit. AAA will mail these materials to the first 50 physicians that submit an email request.


Pediatrician appointed to lead the Centers for Medicare and Medicaid Services

Pediatrician appointed to lead the Centers for Medicare and Medicaid Services.
 

Congratulations, Dr. Escobar!

 Luis Fernando Escobar, Medical Director of the Medical Genetics & Newborn Follow up Clinic and Staff neonatologist at St. Vincent Children's Hospital has  been selected to serve as a consultant on the Molecular and Clinical Genetics Panel of the Medical Devices Advisory Committee, Center for Devices and Radiological Health, Food and Drug Administration. 

 

Congratulations, Dr. Escobar!


Grant Oppurtunity with The Center for Health & Health Care in Schools

Health Resources & Services Administration – Affordable Care Act School-Based Health Centers Capital Program:
The purpose of the Affordable Care Act (ACA) School-Based Health Centers Capital Program is to award funds that will support school-based health center efforts to expand capacity to provide primary healthcare services to school-aged children.


The Center for Health and Health Care in Schools

202-466-3396

www.healthinschools.org

 


HealthCare.gov, a new website to help families and employers take control of their health care

 

Today the Obama Administration launched HealthCare.gov, a new website to help families and employers take control of their health care. 

 

The website will allow you to take health care into your own hands, with information about insurance choices and your new rights under the new Affordable Care Act. 

 

The new website also has tools to help you explore your coverage options, with additional information if you are a parent, a senior on Medicare, a young adult, a person with a disability, or an employer. 

 

By answering a few easy questions, the website will present you with all the coverage options available to you. You can then learn more about each option, including comparing the health insurance plans and benefits available in your community. 

 

To visit the website, go to HealthCare.gov. As always, please continue to keep me informed about issues of concern to you and your family.


Parenting Practices in the Latino Community

Laurel Couts, third year pediatrics resident, was granted funds from our INAAP mini-grant program and results from the focus groups on Parenting Practices in the Latino Community are now posted in a short powerpoint.
 
 Click here to review the powerpoint

Indiana Perintal Network

Please click the link to review the information and maps of the Levels of Hospital Perinatal Care in Indiana

AAP Policy Statement

Policy statement recommendations for the Prevention of Streptococcus pnemoniae Infections in Infants and children by the Committee on Infectious Diseases

Asthma Program

The Indiana State Department of Health Asthma Program is funding a grant, with awards ranging from $2,500 to $10,000 for the period from September 1, 2010 through August 31, 2011. Attached is the Request for Proposal (RFP) and application information. The application for this grant is due by 4pm on Friday June 25, 2010.
 
Plese click here to review the information.

PREP*EM - An Intensive Review and Update of Pediatric Emergency Medicine

 

Register now for PREP®:EM!

 

PREP®:EM - An Intensive Review and Update of Pediatric Emergency Medicine

Chicago, Illinois

August 7-11, 2010

http://www.pedialink.org/cmefinder/search-detail.cfm?key=6BF5900C-75AE-4F61-8198-6337C5D293C7&type=event&grp=1&task=details#description

 

Earn a Maximum of 32.5 AMA PRA Category 1 Credits

 

Sponsored by the AAP Section on Emergency Medicine and the American Academy of Pediatrics (AAP)

 

You should attend PREP®:EM if you are:

 

  • Seeking a comprehensive review of pediatric emergency medicine
  • Interested in updating your clinical skills in acute-care pediatrics
  • Preparing for board certification or Maintenance of Certification™
  • A general pediatrician, family physician, or hospitalist
  • An emergency medicine physician who cares for children
  • A physician assistant, nurse practitioner, or other allied health professional

 

When you attend PREP®:EM, you will:

 

  • Learn state-of-the-art pediatric emergency medicine
  • Hear what’s new from nationally recognized experts in the field of pediatric emergency medicine
  • Explore alternative management strategies
  • Discuss controversial issues you encounter in daily practice

 

This CME activity is designed to:

 

  • Disseminate information on recent developments in theory, diagnosis, and management of pediatric medical and surgical emergencies
  • Offer opportunities for participants to maintain or improve current abilities by reviewing and reinforcing their cognitive base for medical practice
  • Provide an intensive review of topics in pediatric emergency medicine that are identified by major headings on the American Board of Pediatrics Subspecialty Certifying Examination Content Outline developed by the Sub-Board of Pediatric Emergency Medicine

 

Register online at www.pedialink.org/cmefinder or call 866/THE-AAP1 (866/843-2271)

 

The American Academy of Pediatrics is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The AAP designates this educational activity for a maximum of 32.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Update from the Indiana State Department of Health

School Immunization Requirement Change: In the 2010-2011 school year, all 6 through 12th grade students will be required to have 1 Meningococcal, 1 Tdap booster vaccine and a 2nd dose of varicella vaccine. All three vaccines are available at no cost through the Vaccines for Children program, with additional doses available for underinsured children through state funds from tobacco tax and ARRA funding.  ISDH Immunization Program is offering resources to assist local health departments in conducting school based immunization clinics.  For more information, contact the Immunization program at (800) 701-0704.

 

Division of Nutrition and Physical Activity (DNPA):  In July 2010, the Indiana Healthy Weight Initiative Task Force, with support from the DNPA, will launch Indiana’s ten-year state plan for obesity prevention.  In an effort to make the healthy choice the easy choice, the plan will focus on policy and environmental changes that increase physical activity, increase fruit and vegetable consumption, increase breastfeeding initiation and duration, decrease television screen time, decrease the consumption of sugar-sweetened beverages, and decrease the consumption of high-energy dense foods.  The plan includes objectives that set the benchmarks for Indiana’s progress in supporting a healthy weight, as well as strategies for achieving each objective.  Three of the settings covered in the plan—Early Childhood/Child Care, Schools, and Breastfeeding—address issues specific to children.  The Health Care section includes objectives and strategies that apply to the role of health care providers in obesity prevention among both children and adults.  Dr. Sandeep Gupta (Associate Professor, Indiana University/Riley Hospital) chairs the Initiative’s Health Care workgroup.  For more information on the Indiana Healthy Weight Initiative or Indiana’s state plan for obesity prevention, please visit www.inhealthyweight.org or contact Marcie Memmer at mmemmer@isdh.in.gov.

Division of HIV/STD/Viral Hepatitis:

In response to the increased numbers of HIV infected babies in the last few years, the One Test Two Lives Campaign began on December 1, 2009.  The campaign is supported by the Indiana State Department of Health (ISDH), Indiana University School of Medicine, Indiana Perinatal Network, Midwest AIDS Training & Education Center (MATEC), Ryan White Center for Pediatric Infectious Disease, and IU National Center of Excellence in Women’s Health.  This campaign emphasizes optout prenatal testing of pregnant women in accordance with Indiana Law. Identifying infected mothers allows for interventions to change the course of the lives of women and their children. Since perinatal acquisition accounts for more than 90% of all U.S. pediatric HIV cases, prevention of mothertobaby transmission remains the most important weapon against pediatric HIV.  Early identification of maternal disease allows for early intervention, decreased transmission, and better prospects for longterm health. For more information please go to: www.1test2lives.in.gov

 


Helping HANDS

Opportunity to work at a state level with the HANDS in Autism Resource Center to ensure that information, support, and services for children with autism are present and appropriate across each region. This coalition has strong representation from parents, medical staff and schools are Terre Haute, Lafayette, Bloomington, Wayne/North montgomery areas, Muncie/Anderson and are looking for support in these and other areas of the state.

If you are interested in a more collaborative means of bringing information and training to your area and have a willingness to collaborate with parents and school personnel to do so as well as a willingness to actively inform the effort in their area, please contact Naomi Swiezy at nswiezy@iupui.edu.  Also plan to attend the initial summit in September for brainstorming and initial efforts to individualize training and outreach in their region on.
 
The HANDs center will help Local Coalition Cadres in:
  • Providing support and coordinated efforts across systems in the care of individuals with an ASD

·         Sharing of consistent information and resources between systems

·         Sharing of information and resources with others in the communities as a means of building local capacity

·         Helping to inform HANDS about the needs and issues of local communities as well as the particular needs of school personnel with regards to autism and developmental disabilities so that we can best position ourselves and the program to assist.

For more information, go to www.handsinautism.org .


An update from our district chair, Maryiln Bull

 

A crystal ball for the practice of pediatrics for the future would be a wonderful thing assuming that we could intervene and tweak our desired changes in advance. Dr. John Duby and the Vision of Pediatrics 2020 task force have worked diligently to develop a prospective view and we will use that to define many aspects of our work ahead. Right now there are many challenges as we build on the major success of the Health Care Reform Act signed into law this spring. Clearly the work has only begun and at both the National and State level we will continue to shape the programs that are now possible to meet the needs of pediatricians and our patients.

The AAP had a lead role in ensuring several components of the heath care package were included and will continue to communicate and direct us as we ensure that the issues related to pediatrics remain viable. One particular aspect of interest to all pediatricians is the requirement that E&M codes are paid by Medicaid at rates in parity with Medicare. This is of particular interest to subspecialists and as implementation guidelines are developed, it will be important that the definitions are as broad as possible to ensure that subspecialists remain included in the payment increase. The AAP will continue, along with the subspecialty societies, to help shape the interpretation of the regulations as they develop to ensure the best outcomes for access and payment.

Another piece of good news for subspecialists is the 35 million dollar loan repayment provision for them in the health care package. While the details are not yet clarified, the subspecialists should gain significantly. The AAP was responsible for ensuring that this component was included in the bill.

Your chapter and district are continuing to work in concert to increase the transparency of information and ensure involvement of as many pediatricians as possible in the activities important to our patients. Please follow the Health Care Reform process on the Member’s Only Channel Federal Affairs Page as well as your regular emails as the process moves forward in the weeks ahead. Please contact me at any time if there are issues of concern as I am most eager to facilitate the communication as well.

Thank you for all you do for children!!

Marilyn Bull, MD

 

 

 

 

 


FDA Revises Recommendations for Rotavirus Vaccines

 

FDA Revises Recommendations for Rotavirus Vaccines

The U.S. Food and Drug Administration this week revised its recommendations for rotavirus vaccines for the prevention of the disease in infants and has determined that it is appropriate for clinicians and health care professionals to resume the use of Rotarix and to continue the use of RotaTeq.

The agency reached its decision based on a careful evaluation of information from laboratory results from the manufacturers and the FDA’s own laboratories, a thorough review of the scientific literature, and input from scientific and public health experts, including members of the FDA’s Vaccines and Related Biological Products Advisory Committee that convened on May 7, 2010 to discuss these vaccines.

The FDA also considered the following in its decision:

·       Both vaccines have strong safety records, including clinical trials involving tens of thousands of patients as well as clinical experience with millions of vaccine recipients.

·       The FDA has no evidence that PCV1 or PCV2 pose a safety risk in humans, and neither is known to cause infection or illness in humans.

·       The benefits of the vaccines are substantial, and include prevention of death in some parts of the world and hospitalization for severe rotavirus disease in the United States. These benefits outweigh the risk, which is theoretical.

Information for parents and caregivers is available on the web at: 
http://www.fda.gov/BiologicsBloodVaccines/Vaccines/ApprovedProducts/ucm205547.htm

Information for health care providers is available on the web at:
http://www.fda.gov/BiologicsBloodVaccines/Vaccines/ApprovedProducts/ucm205548.htm


INAAP member, Dr. Maggie Blythe, quoted in Wall Street Journal

INAAP member, Dr. Maggie Blythe, quoted in Wall Street Journal article on sexual orientation
 
please click here to read the article

Best Bone Forever

 HHS LAUNCHES BEST BONES FOREVER!

Campaign Targets Girls as Bone Health Risks Rise

 (North Las Vegas, NV)—The U. S. Department of Health and Human Services (HHS) today announced a new campaign, called Best Bones Forever!, designed to improve bone health and decrease the risk of osteoporosis. Research shows that bone fracture rates are increasing, and few adolescent girls get the recommended amounts of calcium and vitamin D—the building blocks for strong bones.

 Osteoporosis is often called a “pediatric disease with geriatric consequences.” Childhood and adolescence are the key windows of opportunity for building strong bones and warding off the disease. In girls, close to 90 percent of bone mass is built by age 18. Girls, in particular, are at greatest risk for bone problems. Osteoporosis is four times more common in women than men, and adolescent girls consume calcium and participate in physical activity at lower rates than boys. The new campaign empowers girls ages 9 to 14 to build the best bones forever!

 “We want girls to know that if you’re older than nine, now’s your time!” said Secretary Sebelius. “Building strong bones now will help you stand tall for a lifetime.”

 HHS recommends girls look for foods with calcium and vitamin D, which is necessary to help bones absorb calcium. One recent study found 70 percent of kids in the U.S. had below-normal levels of vitamin D, with deficiencies increasing as kids age from childhood to adolescence.  The federal government recommendation for daily calcium consumption increases from 1,000 milligrams (mg) to 1,300 mg at age nine. The guidelines for physical activity for kids are 60 minutes daily, including three days of bone-strengthening activity.

 The new campaign embraces an issue close to every girl’s heart: friendship. Best Bones Forever!, developed by the HHS’ Office on Women’s Health (OWH), urges girls and their BFFs (best friends forever) to ‘grow strong together, and stay strong forever.’ Research shows that girls whose friends like milk are more likely to have higher calcium intake. Similarly, physical activity also gets a boost among girls whose friends have positive attitudes toward sports. 

 The message for parents is one of urgency. Girls between the ages of 9 to 18 are in their critical bone-building years. Campaign materials and a Web site for parents empower them to “Act now to help her build her best bones forever!” When asked about who has the biggest influence on what they eat, girls ages 8 to 15 first cite parents (83 percent), followed by “themselves” (60 percent), and friends (19 percent).

 “Parents can make a big difference in helping their kids build strong, healthy bones, and the things that improve bone health are also good for overall health,” said Dr. Wanda Jones, Deputy Assistant Secretary for Health (Women’s Health), HHS. “So go ahead and stock the fridge with foods rich in calcium and vitamin D, like yogurt, milk, cheese, tofu with added calcium, and leafy greens. Encourage her to be active, and do things as a family such as taking walks after dinner.”

Best Bones Forever! updates and revamps an earlier national bone health campaign for girls called Powerful Bones. Powerful Girls, which was first launched in 2001.  In order to appeal to girls as they mature, the new campaign has adopted an edgy vibe, trading the earlier campaign’s cartoon spokescharacter for the ‘exskullmation’ point. This new iconic symbol is designed to get girls excited about building the best bones forever.

 The Best Bones Forever! community pilot program also launched today in three sites: North Las Vegas, NV; Ulster County, NY; and Pinal County, AZ. Coalitions in each site will bring the campaign to their communities through a range of activities. They will also be executing and evaluating a bone health behavior change program for parents and girls called BodyWorks. Adapted from OWH’s existing family health and fitness program for parents, BodyWorks will feature a new complementary physical activity program just for girls in these communities. Results from the community pilot program will demonstrate which activities can be replicated in towns across the country.

 Best Bones Forever! is a public-private partnership that brings together organizations from across the country. Founding partner, National Osteoporosis Foundation, tops a partner roster that also includes Girl Scouts, Girls Inc., Action for Healthy Kids, the American Academy of Pediatrics, American Alliance for Health, Physical Education, Recreation and Dance, National Association of School Nurses, the National Institutes of Health, Women's Sports Foundation, and more. For more information on campaign partners and activities, go to the campaign Web site for girls at www.bestbonesforever.gov or for parents at www.bestbonesforever.gov/parents.

 Office on Women’s Health

The Office on Women’s Health (OWH) was established in 1991. OWH coordinates the efforts of all the U.S. Department of Health and Human Services’ agencies and offices involved in women’s health. The office works to improve the health and well-being of women and girls in the United States through its programs, by educating health professionals and motivating behavior change in consumers through the dissemination of health information.                                                                           

 

 


H1N1 Survey Results!

Thanks to all of you who participated in the recent H1N1 survey!  We shared these results with our health department, infectious disease and emergency preparedness colleagues, so we may all learn from these experiences. Please click here to review the results.

2010 Annual Leadership Forum Follow-up

Nearly 500 chapter officers, committee, council and section chairpersons, guests, and staff attended this year’s Forum, March 12 - 14, 2010, at the Renaissance Hotel in Schaumburg, Illinois. The voting members discussed 98 resolutions covering a wide range of topics.

 

The reference committee hearings offered members an opportunity to voice their opinion and/or contribute valuable information. Those who attended the reference committee hearings on Saturday went into the General Session that evening well informed and ready to vote. In the end, 75 resolutions were adopted and will be sent to the appropriate AAP committees, councils, sections, divisions or departments. Staff will ensure that these resolutions are discussed and responses are received by Friday, November 12, 2010. All resolutions are currently posted with their disposition on the Member Center.

 

To view the resolutions, please log onto the Member Center of the AAP Web site (http://www.aap.org/moc).  On the left hand side there is a box that says Chapters, Committees, Councils and Sections. Click on the link 2010 Resolutions. Once you are on that page you will have access to the Top Ten Prioritization List and all of the Adopted Resolutions.  There are two ways that you can view the resolutions: 1) click on the title of the resolution; or 2) click on the words (Advocacy, Finance, Practice, Education or AAP Operations) within the grid, and you will be able to view them in a continuous document.

 

We would also like to call your attention to the PowerPoint presentations that took place at the ALF. Many of you requested that we post them on the AAP Web site. They are located on the Annual Leadership Forum site of the Member Center (http://www.aap.org/moc/alf/). The Advisory Committee to the Board on Community, Chapter and State Affairs (ACBOCCSA), with guidance from the ALF Executive Committee are in the process of assigning each 2010 resolution to the appropriate entity for response. The 2010 ACBOCCSA Referral List will be made available in the coming weeks.

 

 

Thank you for your participation in this year’s meeting.


Healthy Foster Care America

In 2007, the American Academy of Pediatrics (AAP) created the Task Force on Foster Care (TFOFC) with the charge to increase the awareness, knowledge, and skills of pediatricians regarding the needs of children and teens in foster care.  The ultimate goal is to improve the health and well-being of children and teens in foster care. 

 

Recently, the TFOFC launched the Healthy Foster Care America Web site to engage communities and their leaders in supporting children, teens, and their families with an effective, multidisciplinary, integrated, and comprehensive continuum of care. The Web site is now live and can be accessed at www.aap.org/fostercare/. It was developed as a place where professionals and partner organizations can find the latest tools, resources, facts, and figures on the health and well-being of children and teens in foster care.  We ask that you share our Web site with others, and link to our Web site from yours when possible.

 

The Web site has the following features:

  • Expert information on the health issues and needs of children and teens in foster care
  • Downloadable chapters from Fostering Health: Health Care for Children and Adolescents in Foster Care, 2nd Ed
  • Easy-to-use search capabilities by keyword
  • Subscription to the Healthy Foster Care America listserv to receive the latest information about the health issues and needs of children and teens in foster care
  • Customizable forms for health care professionals
  • Direct links to www.HealthyChildren.org
  • A Special Place for Children and Families portal of resources for children and teens in care, parents (foster and birth) and kin

We look forward to providing you with the latest news, tools, and resources on the health and well-being of children and teens in foster care. Feel free to contact Aldina M Hovde, MSW, at 847/434-7119 or ahovde@aap.org  if you have any questions


About Special Kids (ASK)

About Special Kids (ASK) is the place to go to find resources for children with special needs in Indiana.  ASK can help families who have children with needs ranging from learning and behavioral health issues to significant disabilities and life threatening illnesses.  Families can be directed to health insurance options, state and federal programs, school-based programs, community programs, support groups, respite and much more!  ASK also has a comprehensive resource directory that is available on its website for parents and professionals alike.  Contact ASK by visiting their website www.aboutspecialkids.org or by calling 1-800-964-4746. 

Indiana Success—Promoting Workplace Lactation

Breastfeeding is making big news in Indiana in 2008. At the same time the Governor was signing Workplace Lactation legislation into law (which became effective July 1, 2008), Indiana was selected to be one of ten pilot states to participate in the Business Case for Breastfeeding in Your Community.

Currently nearly 60% of new mothers with children under age three are in the workforce (U.S. Department of Labor) and several studies show that the decision to resume employment impacts both how long mothers breastfeed (Arlotti 1998) and how long they will exclusively breastfeed (McLeod 2002). Full-time employment decreases breastfeeding duration by an average of 8.6 weeks (Taveras 2003) and during the first month back at work (Cardenas 2005).

The demographics of Indiana’s workforce make it ripe for workplace training efforts and legislation to be particularly effective. Indiana leads the nation in number of manufacturing jobs per capita and this job setting has many inherent barriers to breastfeeding longevity. Indiana’s workplace lactation efforts have placed particular attention on lower wage positions in the manufacturing and service industry sectors, where continued breastfeeding is especially difficult (Cricco-Lizza 2002).

In these troubled economic times, Indiana’s business lactation initiative can be a big cost saver to both employees and employers. The longer an employee can provide free breast milk to her baby, the better it is for her family’s budget. It has been proven that workplace lactation programs provide businesses with a very high rate of return as a result of lower employee absenteeism, higher employee retention, reduced company health care costs and improved employee satisfaction and loyalty.


RESOURCE LIBRARY

Advisory Board for the Mental Health Project

Maintenance of Certification

INAAP Child Safety Car Seat Poster

 

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