bringing basic orthopaedic and concussion care to the pediatric medical home webinar 1029
TRANSCRIPT
Bringing Basic Orthopedic and Concussion Care to the Pediatric Medical Home:PPOC/CHICO Learning Community
& Integration Program
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
Webinar Session #3October 29, 2015
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We have no financial relationships with commercial entities producing, marketing, re-
selling, or distributing health care goods or services consumed by, or used on, patients
relevant to the content we are planning, developing, presenting, or evaluating.
Disclosure
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
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Barry Zallen, MDChief Medical Officer
Children’s Hospital Integrated Care [email protected]
Louis Vernacchio, MD, MScPediatrician, Longwood PediatricsDirector of Research and Analysis
Pediatric Physicians’ Organization at Children’[email protected]
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
Madeleine Kuhn, MPHProgram Coordinator
Children’s Hospital Integrated Care [email protected]
Course Directors
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Learning Community Schedule
Webinars7:30am – 8:30am
Date ContentThursday, June 11, 2015 Concussion
Wednesday, September 9, 2015 Foot and Ankle
*Wednesday, December 16, 2015 Hand and Wrist
Wednesday, February 24, 2016 Everything Knee
DateWednesday, July 15, 2015
Thursday, August 13, 2015
Thursday, October 29, 2015
Thursday, March 24, 2016
Wednesday, April 27, 2016
Didactic Webinars7:30am – 9:00am
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
In-Person Sessions7:00am – 9:00am, BCH Waltham
Date ContentWednesday, January 20, 2016 Practical Session
Wednesday, May 25, 2016 Practical Session
* This Didactic will start at 7 instead of 7:30.
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Agenda 1. Welcome and Review
2. Concussion Process Map Presenters
3. Case Discussions
4. Materials for Casting and Splinting
5. Coursework, next session, and Wrap-Up
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Blackboard: We Have a New Home Page!
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Current Concussion Process Flow
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New Concussion Process Flow
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Current Process Map
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New Process Map
Foot and Ankle Case Scenarios
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Case Scenario 1
– 14 yo girl turns L ankle during basketball game yesterday
Exam:– Able to bear weight for
several steps
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Stepped Care Approach – Foot and Ankle
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
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Stepped Care Approach – Foot and Ankle
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
15© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
Document on Blackboard, in Follow-up Email and in previous Reminder Email
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Case Scenario 2• 19 yo young man injures L
ankle in football game earlier today; unsure of exact mechanism but ankle buckled underneath him as he was tackled
• Exam:– Able to bear weight for
several steps but painful – Swelling and tenderness
of both medial and lateral ankle
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Stepped Care Approach – Foot and Ankle
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
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Stepped Care Approach – Foot and Ankle
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
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Case Scenario 3
• 11 yo boy kicked in L ankle during soccer game today
• Exam:– Unable to bear weight
Area of tenderness
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Stepped Care Approach – Foot and Ankle
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
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Stepped Care Approach – Foot and Ankle
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
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Case Scenario 4• 12 yo boy dropped heavy
object on R foot yesterday, injured 2nd toe
• Exam:– Able to bear weight but
pain with step-off
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Stepped Care Approach – Foot and Ankle
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
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Stepped Care Approach – Foot and Ankle
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
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Orthopedic Advice and Urgent Access
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
Answered live between 7:00AM and 5:00PM, Monday through Friday
Appointments will be made in Boston or a BCH satellite based upon the patient’s location, day of week and urgency
Splinting and Casting Materials
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Splinting and Casting Billing information
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
Item Billing Code
Ankle Stirrup L-4350
Lace-Up Ankle Brace L-1906
Short Walking Boot L-4396
Tall Walking Boot L-4360 (Air) & L-4386
Clinically Preferred Products. Patient-focused Service.
Surgi-Care, Inc.
Products & Services Overview
DME Solutions – Stock and Bill
Recommended Product List:
CrutchesCanesAnkle StirrupLace-up Ankle BracesShort and Tall Walking Bootsl
Wrist BracesWrist Braces with Thumb Spica Arm SlingKnee ImmobilizerHinged Knee Braces
Your Surgi-Care ContactTo Contact Surgi-Care:Jason SeymourSales Representative Cell: 781-706-1004Email: [email protected]
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Learning Community Schedule
Webinars7:30am – 8:30am
Date ContentThursday, June 11, 2015 Concussion
Wednesday, September 9, 2015 Foot and Ankle
Wednesday, December 16, 2015 Hand and Wrist
Wednesday, February 24, 2016 Everything Knee
DateWednesday, July 15, 2015
Thursday, August 13, 2015
Thursday, October 29, 2015
Thursday, March 24, 2016
Wednesday, April 27, 2016
Didactic Webinars7:30am – 9:00am
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
In-Person Sessions7:00am – 9:00am, BCH Waltham
Date ContentWednesday, January 20, 2016 Practical Session
Wednesday, May 25, 2016 Practical Session
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Follow-Up Email Checklist & Course material
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
Items in Follow-up Email Description Coursework Finishing Coursework from Concussion
Process Mapping, Case Reviews, QstreamAttachments Ankle handout, Foot and Ankle Algorithm,
Webinar SlidesLinks Satisfaction Survey
Coursework Due Description
Concussion Process Mapping
October 29th, 2015 for CME credit
Directions and course worksheet found in email or on Blackboard under What’s Due. For assistance email Madeleine Kuhn at [email protected]
Continuous coursework
Qstream Questions
Concussion Challenge
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Your Feedback Helps Us Succeed!
Please take a moment to fill out the session evaluation Survey and provide us with your feedback so that we can continue to improve and meet your expectations!
© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]
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Thank You!© 2014 Pediatric Physicians’ Organization at Children’s (PPOC). For permission please contact [email protected]