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Therapy Times
August, 2014
Volume 2, Number 8
In This Issue
August Updates
President's Update
PPHC Is Now on Facebook & Twitter
Fall Referral Bonus Program
Behavioral Therapy Approved by Medicaid
Annual Family Appreciation Event
All Pregnant Women Need Flu Shot
Kids With Autism
Whooping Cough
Human Resource Update
PPHC Clients Available
Resource Links
www.achc.org
www.sensory-processingdisorder.com
a4cwsn.com
theratogs.com
friendswhostutter.org
www.colorado.gov/dora
Company Website
www.pediatrichomecare. com
Contact Us!
Jennifer Rahrer, Director of Therapy
303-747-4021
jrahrerpediatrichomecare.com
Victoria Manley,Med Records Specialist
303-747-6203
Patty Orlowski, Therapy Coordinator
303-747-6271
Ann Martin, Administrator
303-747-4018
Chelsea Preiss, Payroll/HR Asst.
720-924-3558
August Updates
PPHC is now on FaceBook & Twitter
Important Reminders : 1)Call the Family within 24hours of taking the referral from Patty 2) Call Patty and tell her your SOC date so we can send an SOC order 3) Call Patty and let her know if your SOC date changes(even by just 1or 2 days)
PPHC is now ACHC Certified
We Are Always Adding New Clients - Make Sure You Check On-Line for the Latest Update
PPHC Fall Referral Bonus Program- $250 Bonus to current PPHC Therapists for referral and hire of new PPHC therapist or nurse. See details below!
Mark Bruning, President & CEO
Dear Colleagues,
Well, after about 6 weeks into this new role, company and specialty profession of pediatric home private duty nursing and therapy, I am starting to get a really good sense of who we are, what we do and how we do it. While I have over 30 years of healthcare experience as a provider and leader, our pediatric home health niche certainly has its nuances and it is both interesting and exciting to learn about a new (to me) aspect of healthcare that is rapidly growing.
What clearly emerges is that we have a lot of very passionate, skilled caregivers and support personnel at PPHC doing their very best every day to make a positive difference in the lives of children and their families in our community and succeeding on many levels. Despite having to often work through extremely challenging circumstances or even the daily ups and downs of medically fragile and special needs children, I have seen an overriding sense of caring and advocacy from our staff for our patients and their families, especially the ones that need it the most.
It is that clinical and ethical commitment to our patients and their families, along with our ability to work effectively and collaboratively with many other providers and a stakeholder, that has allowed our company to earn a strong reputation that has allowed us to consistently grow in terms of both patients and caregivers. That same high growth has also created an opportunity for us to re-evaluate our resources, processes and support mechanisms to ensure we are continuing to meet our patients, providers and partners needs.
One of those pieces, as many of you may know, involves moving our offices a few blocks away from our current location to 304 Inverness Way South, where we will basically double our space and significantly increase our administrative, training and meeting capacity. We are tentatively scheduled to move around the middle of October and as we get closer and firm up the exact dates, I will be sharing that information with all of you as well as plans for an open house.
I will also be reaching out to many of you in various mediums and mechanisms over the coming weeks to solicit your thoughts and opinions on the things we do well and more importantly, our opportunities to further improve or enhance our services internally and externally, as we move forward through the remainder of 2014 and into next year and beyond.
I look forward working more closely with our field staff and leadership team while continuing to find more effective ways to better meet your needs and in turn, those of our patients we serve. As always, please feel free to reach out to me directly if you have a question or concern and I will do my best to answer and address it. Until then, be safe and thanks for all you do!
Best Regards,
Mark
PPHC is Kicking Off the Fall
With A
2014 Nurses Internal
Referral Program
September 1st-October 15th
$250 Bonus
Professional Pediatric Home Care is searching for qualified
Colorado nurses to fill current and potential cases. We want you to refer great professionals like yourself to help us continue to build our ALL-STAR Team! Please refer any potential nurse to our website at www.pediatrichomecare.com to apply or send their name, phone number and email to Chris Wood at [email protected] by October 15, 2014. We will do the rest!!
*$250 referral fee will be paid to a PPHC nurse for each nurse they refer who is hired and works at least one shift.
Opportunity for PPHC Families to receive In Home Behavioral Therapy
Lesley Goth, PsyD is a licensed clinical psychologist and owner of Denver Family Counseling Services. She has recently become a Medicaid approved provider and is offering her services in home for PPHC families. If you have a family interested in behavioral therapy, please contact her at 303-217-1822 or [email protected]. Lesley and her team will work directly with the family and handle all the required Medicaid paperwork. We are pleased to share this great service with our families! Please read Lesley's attached article addressing behavioral therapy.
PPHC Annual Family Appreciation
Saturday, September 13, 2014
4:00pm-7:00pm
Double T Stables
(9850 East Parker Rd; Parker Co 80138)
Please help us spread the word to our PPHC families! We are hosting a western themed Family Appreciation Evening at Double T Stables, which hosts the Palomino Pals Special Needs Recreational Riding Program.
We will have food, music, puppy and pony petting, riding show, activities and games. Space is limited so reservations are required.
Please have them RSVP to [email protected].
Therapy Patient Referral Process
Please remember to give one week notice to Barb Lohr prior to start of care date.
Also, make sure to include the following information for ALL patient referrals:
Name of Child
Date of Birth
Address
Parent/Guardian Name & Phone Number
DX
PCP - include number & fax number
Insurance or Medicaid
What Therapies
Name of Person Making Referral & Phone Number
If you have any questions, please contact Barb at [email protected].
PPHC Is Now On FaceBook & Twitter
Please like us on FaceBook at:
https://www.facebook.com/PediatricHomeCareColorado
And follow Us on Twitter @PediatricCareCO.
We are excited to share resources, industry updates, educational opportunities, upcoming events and family successes! Make sure to encourage your families to post pictures and follow us too!
All Pregnant Women Need Flu Shot
TUESDAY, Aug. 19, 2014 (HealthDay News) -- A group representing U.S. obstetricians is calling for all pregnant women to get a flu shot. According to the American College of Obstetricians and Gynecologists (ACOG), several studies released in recent years have upheld the safety and effectiveness of flu vaccination during pregnancy.
"The flu virus is highly infectious and can be particularly dangerous to pregnant women, as it can cause pneumonia, premature labor, and other complications," Dr. Laura Riley, chair of the college's Immunization Expert Work Group, explained in an ACOG news release. "Vaccination every year, early in the season and regardless of the stage of pregnancy, is the best line of defense," she advised.
The best time to get vaccinated is early in the flu season, regardless of the stage of pregnancy, the guidelines state. However, pregnant women can get a flu shot at any time during flu season, which typically lasts from October to May.
All women who are or become pregnant during the flu season should get the inactivated flu vaccine, which is also safe for women who have just given birth and those who are breast-feeding. However, pregnant women should not be given the live attenuated version of the flu vaccine (the nasal mist), according to the guidelines.
Before the 2009 H1N1 swine flu pandemic, flu vaccination rates for pregnant women were only 15 percent. That rose to 50 percent in the 2009-2010 flu season and has been around that mark every flu season since. However, vaccination rates could and should be even higher, according to ACOG.
Flu shots not only protect pregnant women, but their infants as well. Babies can't be given flu vaccine until they are 6 months old, but receive flu antibodies from their vaccinated mother while in the womb. This provides them with protection until they can be vaccinated directly.
The guidelines appear in the September issue of the journal Obstetrics & Gynecology.
Kids With Autism Have Extra Brain Connections, Study Says
Too many of these 'synapses' could be a problem, but medicines might someday help prune them away
THURSDAY, Aug. 21, 2014 (HealthDay News) -- Researchers report that children with autism appear to have excess synapses -- cellular connections -- in their brains compared with typical children.
The scientists also believe it might be possible to reduce the number of extra synapses through drug treatment.
Synapses are the points in the brain where brain cells (neurons) connect and communicate with each other. Having excess synapses may have a major impact on how the brain functions, theorized neuroscientists at Columbia University Medical Center in New York City.
The extra synapses in the brains of autistic children are due to a slowdown in the normal brain "pruning" process during development, the researchers believe.
"It's the first time that anyone has looked for, and seen, a lack of pruning during development of children with autism, although lower numbers of synapses in some brain areas have been detected in brains from older patients and in mice with autistic-like behaviors," study senior investigator, David Sulzer, a professor of neurobiology, said in a Columbia news release.
His team also found that rapamycin, an immunosuppressant that helps prevent rejection in organ transplants and coats some coronary stents, can restore normal synaptic pruning and improve autistic-like behaviors in mice. The effect was seen even when the drug was given to the mice after they developed those behaviors.
The drug causes side effects that might prevent its use in people with autism, the researchers said. However, "the fact that we can see changes in behavior suggests that autism may still be treatable after a child is diagnosed, if we can find a better drug," Sulzer added. For the study, he and his colleagues examined 26 brains of youngsters with autism -- 13 aged 2 to 9, and 13 aged 13 to 20. All of the children had died from causes other than autism. Their brains were compared to 22 autopsied brains of children without autism. The researchers measured "synapse density" in a small section of tissue in each brain. By late childhood, synapse density fell by about half in the brains of children without autism, but fell only 16 percent in the brains of those with autism. The researchers also found clues about what causes the pruning defect in the brains of children with autism, according to the study, which was published online Aug. 21 in the journal Neuron.
Idaho Reports Alarming Rise In Whooping Cough Cases
(Reuters) - Idaho health officials on Tuesday urged vaccination to combat what they said was an alarming rise this year in the number of cases of whooping cough, which has killed an infant and afflicted 240 other state residents since January.
The 241 cases of whooping cough, or pertussis, reported in Idaho from January to July compares to the 122 and 129 cases reported during the same period in 2013 and 2012 respectively.The Idaho Department of Health described the latest outbreak as "troubling," but said it could be eased by vaccination.
"The best way to protect children and infants from pertussis is to get vaccinated so you are protected and then you drastically reduce the risk of passing it on to extremely vulnerable infants," Mitch Scoggins, program manager for the Idaho Immunization Program, said in a statement. Rates of whooping cough are highest among children aged 5 to 17 in Idaho, which has one of the lowest vaccination rates in the United States, Scoggins said.
Idaho last marked the death of an infant from pertussis, which causes severe coughing attacks and can bring convulsions and pneumonia, in 2012. The per-capita occurrence in the state has risen higher than the national average since 1987, health officials said. A pertussis epidemic broke out this year in California, its second since 2010, according to that state's Department of Public Health.
More than 6,930 cases of whooping cough have been confirmed there so far this year in an outbreak that has claimed the lives of three infants and hospitalized 199 people. Worldwide, the ailment affects 30 to 50 million a year and kills roughly 300,000, mostly children in the developing world, according to the federal Centers for Disease Control and Prevention. (Reporting by Laura Zuckerman; Editing by Daniel Wallis and Sandra Maler)
Human Resource Updates
By Chelsea Preiss, HR Assistant
Decision Focus: Flu Shot for Flu Season
Flu shots. Some years youve been strict about getting the whole family in for a seasonal flu vaccination (flushot). Other years, maybe not so much. Dont let flu shots slide down your priority list this
year. Planning your familys flu shots, including onesfor grandma and grandpa, may be one of the mostimportant tasks you do all year.
When should I get the flu shot?
Get the flu shot as soon as it becomes available, which is generally in the early fall. The flu seasons are unpredictable and it takes about two weeks after the flu shot for your body to become fully protected.
Who should get the flu shot?
The Centers for Disease Control and Prevention (CDC) recommends everyone 6 months of age and older get the flu shot each year. Some kids may need two doses of the vaccine for it to work. Kids between 6
months and 8 years old who didnt receive at least one dose during the 2011-2012 flu season need two doses of the flu shot. The shots are given about 1 month apart. A higher-dose flu vaccine is available for people over age 65. Talk to your doctor to learn more about this
option. The intradermal vaccine is available in some areas for people age 18-64. A nasal-spray flu vaccine is an option for healthy people 2-49 years of age who are not pregnant.
Is the H1N1 (swine flu) shot different from
the seasonal flu shot?
No. This year, one vaccine will protect you from both H1N1 (swine) and seasonal varieties of flu.
Why should I get the flu vaccine?
It protects you and your family from the three types of the flu virus. Every year, at least 1 in 20 and as many as 1 in 5 people get the flu.
The vaccine can protect you and your family from serious problems caused by the flu. More than 200,000 people a year are hospitalized because of flu-related issues.
Being protected will give you peace of mind. Avoiding the seasonal flu may also mean youll be in overall better health. That will make you better able to fend off disease through the flu season.
Why shouldnt I get vaccinated?
The flu shot is safe for most people. But, if you have a severe allergy to chicken eggs or have had a severe reaction to the flu shot in the past, check with your doctor to see if the flu shot is safe for you.
Personal concerns and beliefs
Some people are concerned about vaccine safety. Vaccines, like any medication, can cause side effects, which may occasionally be serious. Other folks may have religious beliefs that conflict with getting vaccinations. Before you make a decision, weigh the risks and
benefits with your doctor. Not getting immunized puts you at risk of getting a disease that could, in rare cases, be fatal. It also raises the risk that you can spread the virus to others who may be at high risk for complications.
Another vaccination to consider
People are at increased risk of getting pneumonia when they get the flu or are otherwise sick. One type of bacterium called pneumococcus can result in pneumococcal pneumonia. A vaccine can guard against
this bacterium. The CDC recommends the following people get the appropriate pneumococcal vaccine:
All children under 5 years of age.
People age 65 or older.
Anyone 2-64 years of age who has problems with their lungs, heart, liver, kidneys, has a chronic condition or takes drugs that lower their bodys ability to fight infection.
People living in nursing homes or long-term care centers.
People 19-64 years of age who smoke or have asthma.
SOURCES:
Centers for Disease Control and Prevention. Seasonal influenza. Accessed: 07/05/2012
Centers for Disease Control and Prevention. What you should know for 2012-2013 influenza season. Accessed: 07/05/2012
Copyright 2014 myOptumHealth.
Insurance coverage provided by or through UnitedHealthcare Insurance Company or
its affiliates. Administrative services provided by United HealthCare Services, Inc. or
their affiliates. The information provided in this article is for general informational purposes only and not intended to be nor should be construed as medical advice. You should consult your own doctor to determine what may be right for you.
September Birthdays
Sept 01
Nyffeler, Anne
Sept 01
Rice, Sandra
Sept 05
Daddio, Nicole
Sept 08
Bohall, Abby
Sept 10
Sept 17
Sept 19
Sept 20
Sept 22
Sept 23
Sept 24
Sept 24
Sept 25
Sept 26
Sept 30
Taber, Marcia
Rish, Melissa
Pratt, Billie
Berghuis-Kelley, Debi
Ledesma, Kristin
Roach, Andrea
Hess, Kristina
Morgese, Zoe
Challeen, Melissa
Lane, Constance
DiMino, Cody
PPHC Clients Available 8/14
(If interested, contact Patty Orlowski at 303-747-6271)
ID
DOB
Type
Diagnosis
City
Zip
4927
09/09/01
OT
Dyslexia
Aurora
80013
661
06/12/01
OT
CP
Aurora
80011
3888
05/03/04
OT
Mood Disorder
Aurora
80017
4879
12/15/06
OT
Autism
Aurora
80012
4834
06/12/02
OT
CP
Aurora
80016
3754
09/27/03
SLP
Cerebral Palsy
Aurora
80013
4795
11/17/03
OT
Down Syndrome
Aurora
80017
2151
05/26/06
OT
Chromosomal Deletion
Commerce City
80022
4217
10/04/97
SLP
Hypertonicity quad
Commerce City
80022
4670
02/19/08
OT
Feeding Problems
Denver
80239
1798
08/18/03
OT
Cerebral Palsy
Denver
80239
4678
07/14/01
OT
Congenital Hemiplegia
Denver
80239
2857
04/15/97
SLP
CP
Denver
80222
2796
04/18/03
OT
CP/ w recurrent seizures
Denver
80239
4072
12/04/09
SLP
PraderWilli Syn
Denver
80249
2137
09/19/06
PT
Spina Bifida
Denver
80260
3198
11/04/97
OT
CP
Denver
80239
3711
09/15/10
OT
Delayed Milestones
Denver
80236
4968
05/22/06
PT
Brain Trauma/ADHD
Denver/Spanish
80239
4968
05/22/06
OT
Brain Trauma/ADHD
Denver/Spanish
80239
4907
03/26/09
SLP
Physical Abuse/Neglect
Denver
80249
4960
07/18/09
OT
Autism
Denver
80249
4941
07/08/06
OT
Autism
Denver
80220
4777
05/16/06
OT
Down Syndrome
Denver
80207
4111
08/07/08
OT
Cerebral Palsy
Denver
80249
4951
09/01/10
OT
Autism
Denver
80249
4611
10/26/01
OT
CP
Denver
80239
4039
01/27/98
OT
Autism Spectrum
Golden
80401
534
05/17/97
OT
Autism
Morrison
80465
4865
09/15/03
PT
Autism
Parker
80134
4748
12/13/07
PT
Down Syndrome
Parker
80134
3385
07/25/03
SLP
Autism
Strasburg
80136
3255
10/15/10
PT
Down Syndrome
Strasburg
80136
4964
10/07/06
SLP
Autism
Thornton
80229
4850
06/19/08
SLP
Autism
Thornton
80241
4798
02/11/06
SLP
Developmental Delays
Thornton
80260
4902
01/26/10
SLP
Speech Delay
Thornton
80229
4822
08/23/07
SLP
Developmental Delays
Westminster
80031
4251
01/06/10
SLP
Autism
Westminster
80030
4766
03/13/10
SLP
ADHD
Westminster
80031
3682
12/06/06
SLP
Speech Delay
Westminster
80021
3174
11/29/05
SLP
Rubenstein-Taybi Syndrome
Westminster
80021
3174
11/29/05
OT
Rubenstein-Taybi Syndrome
Westminster
80021
3174
11/29/05
PT
Rubenstein-Taybi Syndrome
Westminster
80021
4530
09/29/13
SLP
Prenatal Drug Exposure
Westminster
80030
4822
08/23/07
PT
Developmental Delays
Westminster
80031