Improving Vaccination For Kids Through Pediatric EHRs

Electronic Medical Records (EMRs) have been successfully utilized to improve the quality of patient care by delivering effective health services. Similar results have been seen in pediatric care, where vaccination coverage among children has increased significantly.

The quality of pediatric care is determined by the rate of childhood immunization. The Advisory Committee on Immunization Practice (ACIP) has given a schedule for childhood and adolescent immunization. Under this complex schedule, children are required to receive 19 vaccinations within 24 months of their birth; sometimes five vaccinations in a single visit to the pediatrician.

Among different reasons for difficulties in successfully following the vaccination schedule is unavailability of data at different healthcare facilities. According to a study, more than 22% of preschool children are administered vaccinations in more than one practice. The study also revealed that often parents misplace vaccination records or forget to bring them at time of visit to the pediatrician, which leaves pediatricians clueless about earlier vaccinations.

This issue has been solved to a large extent with the help of specialty pediatric EMR.

EMR Alerts for vaccination

Pediatric EMR software has specially embedded alerts and reminders for the clinical staff of the practice that will enable nurses or physician assistant to access the previous history of vaccination of the patient at each visit.

These alerts are usually embedded in the registration forms and provider notes, so that nurses or pediatricians can set them for the next vaccination date. Once the patient comes for the visit, the front-desk staff or nurse can review the immunization status – vaccination received, missed and remaining left – on a single click.

Pediatric EMR is designed so that pediatrician can review immunization status of patients at each visit and based on the data, can administer vaccination. Specialty EMR for pediatrics has diagnosis codes for vaccination embedded in the system, which populate automatically when the physicians orders for one.

EMR vaccination recall system

Before the health technology revolution, children who missed their vaccinations were tracked through a paper log – in most cases these paper trails had a dead end. With the implementation of a pediatric EMR, the clinical staff at the practice could follow-up on the patients who fail to turn up for the vaccinations.

Different staff members can access the log created in the EMR, which decreases the possibility of missing the follow-up on the patient.

EMR Vaccination reports

Pediatric EMR Software specifically made for pediatricians generate monthly reports about vaccination status of patients. These reports have the immunization status of patients less than 24 month old, missing one or more vaccinations. These patients are high priority for pediatricians, as the missing vaccinations have to be administered in order to complete the schedule on time.

EMR interoperability

As mentioned earlier, children were at risk of missing vaccinations before of lack of data available or pediatricians’ accessibility to data. Children would get vaccinated at different healthcare facilities, which make it difficult for pediatricians to keep record of their immunization status.

EMRs have made it possible to keep track of complete vaccination data of children. The system allows data sharing between health facilities and necessary stakeholders, which enable pediatricians to review past vaccinations given to the patient or missed.

This way patient – new or old – is administered vaccine according to their data and alerts are set in the software for future vaccines.

What is a Pediatric Cardiology Fellowship?

Many new faces enter the world of childrens cardiology by means of a pediatric cardiology fellowship. Said fellowships are often offered at universities, and allow for university graduates to get a quick start being accepted to a pediatrics board. Pediatric cardiology fellowships are issued every year and allow the research and development of new materials in Pediatric Cardiology field to keep developing and increasing quality life for the patients.

A pediatric cardiology fellowship involves not only research but also clinical training, physical examination, interpretation of cardiac data and exams and the fellows become proficient in the performance of techniques such as transesophageal and transthoracic echocardiography, angiography, electrophysiology, the above mentioned cardiac catheterization techniques and of course the management of patients in the intensive unit care. Because pediatric interventional cardiology is a complex area with many academic sub-specialties areas and diverse clinical specialties, a pediatric cardiology fellowship applicant can expect at least a three year training period, during which the experience and knowledge required will be acquired by the applicant.

An application to a pediatric fellowship usually requires that the applicant must have completed an accredited three-year pediatric residency before the beginning of the fellowship program; the applicant should be certified in pediatrics or become certified during the first year of fellowship training.

For patients the many progressions can serve as literal life-savers. From any perspective, the ever-expanding world of childrens cardiology is surprising and stimulating. As it continues to progress, it seems inevitable that it will become the bold new frontier of modern cardiology, and lead to important new discoveries in standard heart sciences.

Choosing the Right Pediatric Dentist for Your Child

When choosing medical care for our kids, there are a lot of traits that are important to look for. It certainly has to be someone knowledgeable and skilled, but beyond that, you want to choose someone that’s going to have a good attitude and be able to get along well with your child. In the case of pediatric dentistry, that trait becomes even more important, as this is someone who’s going to be teaching and reinforcing good dental habits that will stay with your child for the rest of his or her life.

When looking for the right pediatric dentist, one of the best tools you have is your own pair of ears. Ask around, and especially talk to other parents in the area to find out who they go to and who they trust. Credentials are also highly important, but there’s no real substitute for firsthand, anecdotal evidence. Another good consideration is the size of the practice, and the number of patients the dentist is currently working with. While a busy office is a good sign, you want to make sure that your pediatric dentist will be available for your child and that making appointments won’t be a huge hassle. Remember also that this is a person that you’ll be seeing often, and that the person you choose as your child’s pediatric dentist should be someone that you get along with as well.

A great way to find the right pediatric dentist is to treat it like you’re hiring an employee. Don’t be afraid to conduct some interviews, where you can sit down and see what your potential choice is like before committing your child to an appointment. Though references are very helpful, it’s certainly a good idea to personally judge the way a pediatric dentist comes across. After all, your own parental instincts are important to pay attention to when entrusting the care of your child’s teeth to a pediatric dentist. This is someone who’s going to be spending a lot of time with your child, and you want to make sure that he or she is trustworthy.

When choosing the right pediatric dentist it’s important to be thorough. Ideally, the person that you choose will be able to take care of your child for years to come, and making the right decision the first time will save a lot of wasted time and money. One of the great things about having a dedicated pediatric dentist working with your child as he or she grows is that the dentist will be personally familiar with your child’s dental history, and will be more likely to notice things earlier, like the potential need for braces or a retainer.

Pediatric Urgent Care

Pediatric care services are available in San Francisco and the surrounding areas in many locations. Options include various pediatric clinics, however an appointment is often necessary. For those with an established primary pediatrician, it is always best to call, since priority is usually given to established patients.

Traveler’s and resident’s without an established pediatrician must usually look elsewhere for pediatric urgent care. Emergency rooms are available 24 hours a day, 7 days a week, and are always the place to be for the seriously ill or injured patient. However for those who have milder conditions, the priority of care in the ER is lower so that excessive waiting times are common. How long a patient waits often boils down to the time of day and to which emergency room one arrives, and in most cases, just plain luck.

For uninsured patients who pay their bills, emergency room care costs are high. Emergency department and hospital charges are typically astronomical when compared with those of outpatient facilities. For example, an outpatient CT scan in San Francisco will typically run approximately $500 to $800. The same test completed in the hospital will commonly run $4000 to $5000. Most ER’s participate in the usual PPO insurance plans, although this is not always he case. For most PPO insurance policies, a patient co pay is usually required. In some cases, the co pay can be significant so it is important to know beforehand what will be requested for the out-of-pocket patient expense.

Some hospitals do offer gratis care for qualified individuals, and fees are often negotiable. However, it is near impossible to get hospitals to disclose their fees prior to obtaining care. Cash pricing differs from insurance billing pricing usually by a considerable and unpredictable amount. Also, some hospitals have been known to subtly add fees to patient’s bills to help offset the cost of caring for non-paying patients. If you do receive a hospital invoice, it is important to understand all the listed charges and what they are for, and don’t hesitate to contact the hospital to obtain an explanation.

Most urgent care services is staffed by board-certified emergency physicians and physician assistants. This doctor house call practice brings all services directly to patients, including medications, laboratory tests, x-rays, splinting, stitches, IV fluids and more. Emergency physicians are highly trained and experienced pediatric urgent care providers, so that the care of your child is in good hands.

Pediatric house call services are available 24/7. Same day appointments are offered and usually the house call doctor will arrive within an hour or two of the request for service. House call doctors typically are unhurried and can spend way more time with patients so that all questions are answered. Once the doctor concludes the pediatric house call visit, he or she still maintains easy access to parents for follow-up questions and communication.

Pediatric urgent care services are commonly utilized by families where-in the parents desire easy, convenient care. Typically a solo parent, nanny or au pair, perhaps caring for several children, will find pediatric house call service an excellent solution for avoiding a marathon emergency room visit with the entire family in tow. Many travelers find mobile pediatric urgent care services to be an excellent alternative to negotiating the health care maze of an unfamiliar place.

Save a Child With a Pediatric Stethoscope