Essential Information for Children with Special Healthcare Needs

Child Health Work Group Wiki

This page is for documents related to the Essential Information for Children with Special Healthcare Needs project.

• The Project Scope Statement in Project insight: Project Summary for Essential Information for Children with Special Health Care Needs

Project Conference Calls: The calls fall every 2 weeks beginning at 4pm ET. Next Monday May 18, 2015

Storyboard Description

A storyboard explains the series of actions in a particular scenario as an example that highlights relevant content.

Potential storyboards to include aspects of the the following examples

• Presenting to a new healthcare provider
  • Presenting to an Emergency Department
  • Referral to new subspecialty provider
  • Transitioning between primary care providers
  • School
  • Summer camp

• Contingent Care Plan
  • Pumping ventriculoperitoneal shunt
  • Seizure onset
  • Sickle cell crisis
  • Respiratory distress due to airway obstruction/secretions
  • Critical/difficult airway for intubation
  • Congestive heart failure

• Nutrition
  • Complex enteral feeding regimens
  • Parenteral nutrition
  • Dietary preferences/restrictions

• Special device needs
  • hearing aids
  • tracheostomy/ventilators
  • feeding tubes
    • nasogastric/orogastric tubes
    • gastric tubes/buttons
    • GJ tubes
  • feeding pumps
  • nebulizer
  • apnea monitors
  • ostomy care
  • wound care
  • drain care
  • central venous access

• Communication
  • Identifying needs of non-verbal patients
  • Indications of pain, comfort, happiness

• Patient/Parental Preferences
  • food preferences

• Contraindicated procedures (and rationale)
  • No BP cuff on extremity
  • No vascular access (e.g., due to venous clot)

• Problems/Diagnoses

• Procedures/Surgeries

Current Storyboards in Progress

Case 1: 6 month old ex-25wk preterm infant with h/o bronchopulmonary dysplasia, complex device needs

• ventilator dependent with tracheostomy
• s/p Nissen and g-tube: gastric-tube feedings: pediasure xx mL bolus q 4hour during day, continuous feeds 10 hours overnight

presents to (non-primary) Emergency Department with fever & respiratory distress

• detail device characteristics

-show care in medical home (capture details, preferences) --> how care plan is developed -show use in external/less familiar environments -mechanisms for updating information

(any opportunity for parental input… need to follow other examples of inclusion of patient/family input)

Will need to determine potential source (e.g., location within EHR) for this information.

Case 2: 9 yr old with pervasive developmental disorder, seizure disorder, food aversion, struggles with weight gain

• capture food preference (textures) for patient in record -- at primary provider appointment
• show review of preference in at Camp or in School
• contingency plan (i.e., if seizures, consider increasing phenobarbital dose…. may give load IV or enterally)

• Pre-camp visit
• -review of food preferences
• -medication and problem list review
• -contingency plan
• Form review
• -render in browser
• -render in printed format
• Presenting with seizures in new setting (TBD)

Case 3:

• Transition among providers.

File:Transfer of Primary Care Storyboard -Draft 1.docx

Case 4:

• Toddler with metabolic disorder.

Sections/Templates

• Demographics
• Provider Contacts
  • Provider Name, (sub)specialty, Phone, Fax, Email
• Problem List (Diagnoses)
• Baseline Exam and Vital Signs (include?)
• Procedures/Surgical History

• Contraindications
  • Allergies
  • Foods to be avoided (and rationale)
  • Procedures to be avoided (and rationale)

• Immunizations

• Medications

• Contingency Plan

• Care Plan

Care Plan Logical Information Model

Reference Documents for Similar Content:

Emergency Preparedness for Children with Special Health Care Needs [1] [2]

CMS Form 485

Storyboard Development

Questions:

Please contact

• Michael Padula padula@email.chop.edu
• Russ Leftwitch rleft@pobox.com