Search Results: MCHLine

Annotation: These protocols for emergency medical technicians and hospital personnel in North Carolina provide guidelines for triage, transport, and treatment of children who have suffered traumatic injuries or have life threatening conditions. The protocols are grouped in two sections; the first contains prehospital paramedic protocols; and the second contains hospital treatment protocols. The first section also includes guidelines for transport. The individual protocols are presented as flow-charts with the critical procedures indicated for each step in caring for the child. Conditions include: multiple trauma, head trauma, newborn resuscitation, poisoning, and seizures, among others. [Partially funded by the Maternal and Child Health Bureau]

Keywords: Emergency medical services for children, Emergency medical technicians, Hospital emergency services, Hospital personnel, Injuries, North Carolina, Protocols, Resources for professionals, Therapeutics

Annotation: This article discusses the origins and history of patient- and family-centered care; provides as overview of several existing frameworks for patient-centeredness; and highlights several strategies for promoting coproduction in Hospital Medicine, organized around 4 key tenets (cocommissioning, codesign, c-delivery, and coassessment).

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Keywords: Child health, Family centered care, Hospital services, Patient care

Annotation: This report describes what is known about the availability of trauma centers for children and the outcomes for children treated at different types of facilities. The report also examines how, if at all, federal agencies are involved in supporting pediatric trauma care and how these activities are coordinated. Topics include the location of high-level pediatric trauma centers, the percentage of children who live within 30 miles of a high-level pediatric trauma center, and how well such centers work to lower mortality. Additional topics include federal interagency coordination to support hospital-based pediatric trauma care activities and training and resources available to physicians and nurses for pediatric trauma care. Examples are included.

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• Executive Summary

Keywords: Access to health care, Emergency medical services for children, Federal agencies, Health care delivery, Injuries, Interagency cooperation, Outcome and process assessment, Pediatric care, Pediatric hospitals, Training, Trauma care, Trauma centers, Work force

Annotation: This report presents findings from a review of studies on the use of emergency departments for nontraumatic oral health conditions and oral health care. The report discusses variations in target populations, outcomes of interest, predictive factors, data sources, and research methods. Recommendations for future research are included.

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• Appendices

Keywords: Emergency room data, Health care utilization, Hospital emergency services, Oral health, Oral health care, Research methodology, Utilization review

Annotation: This toolkit contains information that details five high impact opportunities for states and local school districts to support communities through collaboration between the education and health sectors, highlighting best practices and key research in both areas. Contents include resources, programs, and services offered by non-governmental organizations.

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Keywords: Case management, Collaboration, Communities, Community action, Educational reform, Eligibility, Health care reform, Health education, Health insurance, Health services delivery, Hospitals, Medicaid managed care, Needs assessment, Nutrition, Physical activity, Public private partnerships, Reimbursement, Role, School districts, State government, Students

Annotation: This brief for state health departments highlights examples of school and hospital partnerships to improve children's health, and how state school health and nursing service personnel can support their collaboration. Topics include the importance of school and hospital partnership in managing chronic health conditions in schools, how health department involvement in a hospital community health needs assessment process can help to strengthen school and hospital partnership, and opportunities to strengthen school and hospital partnership through Medicaid. Additional contents include examples of school and hospital partnership in Massachusetts, Ohio, and Texas; and descriptions of key resources.

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Keywords: Chronic illnesses and disabilities, Collaboration, Disease management, Hospitals, Medicaid, Needs assessment, Nursing, Public private partnerships, Reimbursement, Resources for professionals, School health services, Schools, State health agencies, State programs, Students

Annotation: This brief reports findings on trends in visits to emergency departments for oral health care for the period 2006 through 2012. Topics include visits and charges broken down by patient age and primary payer, and policy implications.

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Keywords: Data analysis, Emergency room data, Financing, Health care utilization, Hospital emergency services, Oral health, Oral health care, Policy development, Statistical data, Trends

Annotation: This report focuses on emergency department (ED) referral programs for non-traumatic dental conditions. It describes the inappropriate use of EDs to address non-traumatic dental conditions and provides guidelines and recommendations related to this topic, best practice criteria, and state practice examples. A summary of evidence supporting ED referral programs for non-traumatic dental conditions is included. ED use for dental-related conditions; trends in ED referral programs for non-traumatic dental conditions; implications for practice, policy, and cost; and programs for reducing ED use for non-traumatic dental conditions are discussed.

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Keywords: Emergency medicine, Guidelines, Hospital emergency services, Model programs, Oral health, Referrals, Research

Annotation: This website is a compendium of resources related to medical and public health issues of children in disasters and emergencies. Contents include links to journal articles and other documents and materials that may be useful in preparedness, mitigation, response and recovery activities. Resources are national or international in scope. Topics include natural disasters; chemical and biological agents, radiologicals and nuclear, and explosives (CBRNE); psychological and behavioral health; and special topics such as children with disabilities, school and care providers, hospital preparedness, resilience, and pandemics.

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Keywords: Child care, Communicable diseases, Databases, Disaster planning, Disasters, Emergencies, Emergency medical services for children, Hospitals, International health, Mental health, Resilience, Resources for professionals, Schools, Special health care needs

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Keywords: Child health, Data, Hospitals, National surveys, Obesity, Prevention services, Statistics, Treatment, Weight management

Annotation: This fact sheet provides data on pediatric emergency department use for preventable oral conditions in Florida. Contents include data on visits and charges by payor and by age, the percentage of visits by payor, the top five reasons for oral health-related visits by infants and toddlers, and the top five primary diagnoses for oral health visits by infants and toddlers. Policy recommendations are included.

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Keywords: Costs, Data, Dental caries, Florida, Health care utilization, Hospital emergency services, Oral health, Policy development, Population surveillance, State surveys, Young children

Annotation: This brief presents an analysis of trends in outpatient oral health-related emergency department use in Maryland. Topics include dental expenditures, dental visits by age and payer, and estimates of how much the state could save by diverting emergency department visits to dental offices.

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Keywords: Costs, Health care utilization, Hospital emergency services, Maryland, Medicaid, Oral health, State programs, Statistical data, Trends

Annotation: This document provides standard-of-practice recommendations for perinatal health care professionals in Georgia. It is also intended to be a blueprint for the State Perinatal Health Care System, a system to improve the quality of reproductive health care for women and perinatal health care for pregnant women and infants. Topics include strategy for action, preconception and interconception health care, antepartum care, intrapartum care, postpartum care, and perinatal infection.

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Keywords: Consultation, Georgia, Guidelines, Health care systems, Hospitals, Infant health, Infection control, Newborn infants, Perinatal care, Perinatal health, Perinatal services, Postpartum care, Preconception care, Pregnant women, Program improvement, Quality assurance, Reproductive health, Women's health

Annotation: This study examines and compares payments made to hospitals, clinicians, and other service providers for maternal and newborn care, including the costs associated with specific services according to source of payment. The study analyzes charges and payments made in states across the country and presents average costs for cesarian and vaginal births, neonatal intensive care services, and costs associated with laboratory, pharmacy, radiology, anesthesiology, and other services. Included are detailed comparisons of costs based on the source of payment (whether Medicaid, an employee-sponsored commercial insurer, a second insurer such as a union, or out-of-pocket) and the amounts billed, the amounts approved, and the amounts paid by individuals. Key findings are summarized in tables, which include data from selected states. Also provided are lists of top medical diagnoses of newborns admitted to Neonatal Care Units.

• Full Report
• Executive Summary

Keywords: Childbirth, Comparative analysis, Costs, Health care costs, Hospitalization, Maternal health services, Neonatal intensive care, Newborn infants, Research, Statistics

Annotation: This document provides guidance to hospitals, health care providers and affiliated professionals about maternal drug screening, laboratory testing, and reporting of drug-exposed newborns delivered in Washington State. Contents include indicators for testing, hospital policy, newborn and maternal risk indicators, consent issues for testing, newborn drug testing, management of a newborn with positive drug toxicology, and reporting to Children's Administration. Appendices include references and resources, guidelines for obtaining consent, a sample letter, neonatal abstinence syndrome scoring system, and information on Washington's Children's Administration prenatal substance abuse policy.

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Keywords: Drug use during pregnancy, Guidelines, Hospital services, Infant health, Neonatal abstinence syndrome, Neonatal screening, Newborn infants, State initiatives, State social service agencies, Substance abusing pregnant women, Substance use screening, Washington

Annotation: This issue brief looks at what research shows overall about the difference that Medicaid makes in terms of access to care, health outcomes, and quality of care. Topics include the purpose of health insurance, who Medicaid beneficiaries are, the benefits of being enrolled in Medicaid vs. being uninsured, access to preventive and primary care, access to specialist care, emergency department use, quality of care, health center care, and hospital care.

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Keywords: Access to health care, Emergency room data, Enrollment, Health insurance, Hospitals, Low income groups, Medicaid, Preventive health services, Primary care, Uninsured persons

Annotation: This document presents frequently asked questions about the National Pediatric Readiness Project, a multi-phase ongoing quality-improvement initiative to ensure that emergency departments are ready to care for children. Topics include what the project is and why it is important, roles of cohort leads and participating resource centers and organizations, project champions, and benefits of participation. [Funded by the Maternal and Child Health Bureau]

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Keywords: Child health, Children and Youth Projects, Emergency medical services for children, Hospital emergency services, Initiatives, Quality assurance

Annotation: This document presents guidelines for what the health care team should do in caring for late preterm infants and for specific education to be provided to the families of these infants. The guidelines are divided into four sections: (1) in-hospital assessment and care, (2) transition to outpatient care, (3), short-term follow-up care, and (4) long-term follow-up care. Within each section, the guidelines are further subdivided into four subsections: (1) stability, (2) screening, (3) safety, and (4) support. Each guideline includes recommendations for the health care team and for family education. It closes with a list of collaborative partners and endorsing organizations.

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Keywords: Education, Families, Guidelines, Health care, Health services, Hospital services, Parent support services, Premature infants, Preterm birth, Safety, Screening

Annotation: This fact sheet updates various national maternity statistics provided in the document, Evidence-Based Maternity Care: What It Is and What It Can Achieve, with new data now available. The fact sheet provides data on the size of the population, hospital care of childbearing women and newborns, maternity outcomes, paying for maternity care, and international comparisons.

Keywords: Cesarean section, Childbirth, Costs, Financing, Hospital services, Insurance, Medicaid, Newborn infants, Pregnant women

Annotation: This 90-minute webcast, broadcast June 18, 2012, focuses on the National Pediatric Readiness Project (NPRP), a quality improvement initiative to enhance the emergency care provided to children throughout the nation. It discusses a national assessment of emergency departments’ readiness to provide emergency care to children based on the Guidelines for the Care of Children in the Emergency Department. [Funded by the Maternal and Child Health Bureau]

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Keywords: Audiovisual materials, Child health, Emergency medical services for children, Hospital emergency services, Infant health, National surveys, Pediatric care