Access helpful information and resources developed for community providers and their patients and family.
clinical resources
The Ohio Center for Autism and Low Incidence (OCALI) is offering Autism Navigator for Primary Care training. There are 10 FREE seats available for primary care providers that can be used over the coming year to access the web-based courses. The training provides up to 8 hours of CME.
Epic Link Tips
Have you viewed the HOME page in Epic Link? The HOME page contains ‘Quick Links’ with several short videos (and PDF’s) to help navigate and use the system efficiently. New tools are found there. Check it out!
Did you know there is an overview of Social Determinants of Health (SDoH) available in Epic Link? Cincinnati Children’s is administering risk assessments which populate 10 SDoH including food insecurity, transportation, mental health, etc. The assessment scores create a color-coded visual (wheel) that can be viewed in the Longitudinal Plan of Care tab or the Plan of Care tab.
To discontinue/cancel an order in Epic Link, use the Order Review tab and click on Cancel Orders. See visual here.
The platform for GC/Cx testing is being updated which means current swab (Aptima) will be phased out effective April 1, 2024. New swabs (Xpert Swab kit) can be ordered using PS# 132264. The discontinued Aptima swab will be accepted but will be sent to an outside lab which may delay results. View Swab Reference resource.
Cincinnati Children’s Clinical Laboratory Updates | View Here
Swab Reference Resource (updated Feb. 2024)
QR Code for Cincinnati Children’s Test Directory
Guidance on Measles
Erythromycin Ointment Shortage | View AAP’s guidance for the use of ceftriaxone in infants at risk of ophthalmia neonatorum.
Group A Strep Pharyngitis | View Here
Pneumonia Update - Review of management guidelines
View a behavioral health resource that guides decision-making along the full continuum of care.
Infectious Disease, ENT and community practice leaders have developed a clinical update for Group A Strep Pharyngitis outlining testing and treatment of both primary and recurrent GAS infections.
Cincinnati Children’s created a new standardized screening process for suicide risk in adolescents. The two-tiered process uses the National Institute of Mental Health’s (NIMH) ASQ screening tool and, if positive, can be followed up with the Columbia-Suicide Severity Rating Scale (C-SSRS). Details about the research and planned Epic enhancements found HERE.
Cincinnati Children’s COVID-19 MIS-C Algorithm (dated May 12, 2023).
The Emergency Dept (ED) created an algorithm for positive blood cultures to guide clinical decision-making for patients who have a positive blood culture after being discharged from the ED.
Have a non-urgent question for HVMC (Hemangioma and Vascular Malformation Center)? You can use the E-consult system to send a question to them via Hematology. The job aid has been updated to reflect the change.
Dermatology has developed a Triage Algorithm to provide visibility to how referrals flow through the department. They will continue to use details from the referral sent to inform the scheduling priority. A letter from Dr Marathe highlights referral details and upcoming faculty additions.
Ohio Dept of Health (ODH) added screening for Spinal Muscular Atrophy (SMA) and X-linked Adrenoleukodystrophy (X-ALD) to the Newborn Screening Panel (October 2022). This newborn screening document details both conditions. ODH recommends a referral to both Genetics AND Neurology within 2-5 days of a positive SMA screen and a referral to Genetics within 3 weeks of a positive X-ALD screen.
View bronchiolitis guidelines to determine which patients are best served as a candidate for direct admission vs ED referral.
Teaching Opportunities 2024-2025 | View Here
PRACTICE resources
Community Medical Staff - Did you know you have access to Cincinnati Children’s Epic system via Haiku? Access the job aid to learn how to load Haiku onto your mobile phone.
Effective Jan 1, 2024, a new add-on CPT code G2211 was put in place. The new code accounts for the complexity of taking care of patients in the primary medical home and can be used for all ill visits (acute or chronic) and mental health visits. It cannot be used with check-up or modifier 25 coded ill visits. Ohio AAP will be advocating for payment of this code, but it is not currently reimbursed by Ohio Medicaid. Private insurer reimbursement is also unknown. Details from CMS are HERE.
Change to CareSource Prior Authorization Process | View Here
Electronic Referrals to the ED via Epic Link | View Here
Update on HB68 and the status of transgender care at Cincinnati Children’s
Ohio AAP’s Asthma Quality Improvement (QI) Program | View Here
Epic Link: Happy Together Tip Sheet and FAQ
New ECHO Autism STAT Diagnostic Model for community physicians. View details about the program developed by DDBP to build expertise in diagnosis and treatment of children with autism.
Cincinnati Children’s Infection Control Assessment: Drinks in Clinical Areas | View Policy
CliniSync Transition: View current status (as of Jan. 2024) and options for getting test results.
The Division of Developmental and Behavioral Pediatrics has important changes regarding referrals for children aged 6-12 years, effective 9/20. View the referral update from division director, Tanya Froehlich, MD, MS. Please consider these alternative options for evaluations and supports for patients in this age group.
The Division of Psychiatry offers a Partial Hospitalization Program (PHP) which provides day-treatment for children and teens to improve management of: School anxiety, emotions, behavior problems, and issues related to mental illness. Referrals can be made directly to the division (bypassing PIRC). PHP treatment is available at Green Township and our Norwood location. The admission/exclusion criteria can be used as a reference.
Cincinnati Children’s is preparing for the respiratory illness season by reminding employees of our 3-tiered precaution system. The tiers are based on respiratory illness prevalence/spread in the region and within the hospital. View rationale for each tier.
Are you interested in adding Behavior Health services to your practice? Cincinnati Children’s has created an Integrated Behavioral Health (IBH) model that allows you to meet behavioral health needs of your patients within the medical home. Click the link above for details or email Stephanie Eberle to learn more.
Cincinnati Children’s has noticed a recent uptick in positive results for Lyme Disease. There are several resources on Lyme Disease that you might find helpful to your practice.
For providers: ODH surveillance data and the latest data for zoonoses (OH 2019). Additionally, a 2-page Lyme Disease Update was created in collaboration with Infectious Disease faculty. The document covers topics on clinical manifestations, differential dx, diagnostic testing, and treatment. The Division of Infectious Diseases also created a 1-page guide to tick removal in an ambulatory setting.
For families: Educational resources and a blog post from Infectious Diseases created in 2022.
The Peri-op team created a 1-page resource that outlines factors that could contribute to surgical cancelations/rescheduling. The pre-anesthesia resource includes information related to recent illness, chronic conditions, medications and more.
Did you know you can upload documents (or pictures) to a patient chart in Epic Link? That process complements the E-consult system when additional documentation is pertinent to your clinical question. Uploading details and the E-consult FAQ are available to you. Reminder: E-consult communication is visible to MyChart users.
Although the Hypermobility Clinic is closed to new referrals, OT/PT is still taking referrals for joint stability and strengthening for hyper mobile patients. E-consult is also available for any non-urgent questions. We are actively recruiting and in the interim, have compiled a resource list that includes materials for providers and families.
OhioRISE provides specialized managed care for Ohio Medicaid children who have complex behavioral health or multiple system needs. If your practice accepts Medicaid insurance, this will impact you and the youth you serve. Find out what you need to know HERE.
OhioRISE Webinar - View the recording which contains valuable information about the Care Management Entities (CMEs) that are in the local catchment areas.
The appendix of the slide deck (58-73) contains additional OhioRise resources including billing guidance.
resources for patients and Family
Know the difference between common respiratory viruses like RSV, Cold, Flu and COVID-19 | View Here
A web-based tool can help families initiate the process of de-labeling an unverified penicillin allergy. Penicillin Allergy Decision and Mobile Empowerment (PADME) is an online assessment that produces a personalized risk assessment and risk-based guidance for next steps. Website and additional information HERE.
Center for ADHD Clinical Services - Expanded group therapy options
DDBP is offering caregiver education sessions on various topics each month now through Aug. 2024. Classes are designed for those providing daily care to a child with DD. Registration is required. Participation is open beyond DDBP patients. The link above contains the schedule, registration details, and class descriptions.
Understanding Behavior in Individuals with Developmental Disabilities - May 22 | View Flyer
Below are two highly requested blog posts about suicide that can be shared with families either in print or electronically:
Blog Post: Risk Factors for Suicide in Kids and Teens
The AAP has created a free family-friendly referral guide to support families when developmental concerns are identified. The 2-page guide is customizable to add local resources that families can use as a guide for services in their area. The guide is available in English and Spanish.
Book List for Common Mental Health Concerns in children, including anxiety, depression, sleep, OCD and shyness.