HealthCheck Training

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e-mail us at healthcheck@ncemch.org

Post-Test

Overview

• EPSDT Benefits
• HealthCheck EPSDT
  • Goals
  • Participants/Providers
  • Support Services
  • Coordination

Health Supervision

• Introduction
  • Screens
  • Diagnosis/Treatment/Referral
• Health History
  • Initial History
  • Interval
  • Specific Visits
• Physical Examination
  • Unclothed Exam
  • Body Measurements
  • Specific Visits
• Screening Services
  • Nutrition
  • Vision
  • Speech/Language
  • Hearing
  • Development/Behavior
• Laboratory Tests
  • Metabolic
  • Sickle Cell
  • Lead
  • Anemia
  • Urinalysis
  • Cholesterol
  • Tuberculosis
  • STDs
• Immunizations
  • Schedule
  • Vaccines for Children Program
  • Documentation
  • Precautions/Exceptions/Contraindications
• Health Education
  • Tips for Working with Families
  • Tips for Working with Teens
  • Specific Visits

Special Health Issues

• Introduction
• Dental Health
  • History/Evaluation
  • Guidance/Referrals
  • Dental Services
  • Provider Resources
• Overweight and Obesity
  • Screening
  • Assessment
  • Treatment/Referrals
• HIV Guidelines
• Child Abuse & Neglect
• Language Barriers
  • Resources and HIPAA
  • Interpreter Tips
• Early Intervention

Documentation

• Guidelines
• Reporting
• EMRs and Required Data
• Billing Procedures
• Billing Codes

Go To Resources »

Health Supervision

Initial Health and Developmental History

When obtaining an initial health and developmental history, ask the child’s family about:

Birth History (for children 5 years and younger)

• Mother's pregnancy
• Delivery
• Birthweight
• Neonatal period

Medical History

• Illnesses, infectious diseases, and chronic health conditions
• Injuries, hospitalizations, or surgeries
• Visits to other health professionals, facilities, or the emergency room
• Immunizations
• Metabolic and other health screens
• Food and drug allergies
• Eating habits
• Medications, vitamins, and supplementary fluoride

Family History

• Health of significant family members
• A three-generation family health and social history, including congenital disabilities and genetic disorders
• Depression or other mental health problems in the immediate or extended family
• Alcoholism or other substance use (including tobacco) in the immediate or extended family
• Family transitions (birth, death, marriage, divorce, loss of income, move, incarceration)
• Plans for future pregnancies or prevention of pregnancy
• Medical information about the child if the child is adopted or in foster care

Social History

• Race/ethnicity
• Primary language spoken at home
• Household composition
• Parents' marital status
• Occupation of parents
• Child care arrangements/Preschool
• School performance
• Peer relationships

Review of Systems, as well as:

• Nutriton
• Elimination
• Sleep patterns
• Environment

Developmental and Behavioral History

• Fine and gross motor coordination
• Social and emotional development
• Cognitive skills
• Speech and language development
• Development patterns (sleep, eating, stressors, learning style, physical changes)
• Child’s achievements
• Discipline issues (tantrums, limit-setting, increasing independence)