HealthCheck Training
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Post-Test
Overview
Health Supervision
- Introduction
- Health History
- Physical Examination
- Screening Services
- Laboratory Tests
- Immunizations
- Health Education
Special Health Issues
- Introduction
- Dental Health
- Overweight and Obesity
- HIV Guidelines
- Child Abuse & Neglect
- Language Barriers
- Early Intervention
Documentation
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Health Supervision
Introduction: HealthCheck Screens and Time Frames
When parents/guardians request a preventive health screening, the examination must be completed within 30 days of the request.
Initial screens must be offered by providers within 60 days of taking over care of the child or youth and must be completed within 6 months, unless refused by the parent or youth.
If the recipient is under age 2, screening must occur more frequently and in accordance with the HealthCheck Periodicity Schedule).
If age-appropriate HealthCheck screens have not been completed within 6 months of the child's enrollment, the provider must conduct additional provider outreach to families and must document outcomes.
If a child misses a regular periodic screening, the child must be screened as soon as possible.
All children
must be screened for special health needs and disabilities within
90 days of enrollment. The contents of the exam should not preclude
providers from performing additional tests when determined by
the provider to be medically necessary (e.g.,
medical conditions and/or referrals by Head Start, DC Public Schools,
Early Intervention, or special education programs).
Interperiodic Screens
Interperiodic screens are medical, vision, hearing or other screens that are provided outside of and in addition to regular screens. These occur more frequently than scheduled screens due to medical necessity (e.g., when a child has tested positive for a condition and the provider determines that there is a medical need to rescreen for that condition).
Children and adolescents with chronic health problems (e.g., HIV, asthma, sickle cell) may need to be seen more often than the recommendations in the periodicity schedule. The content, frequency, and scope of services should be based on evidence-based practice guidelines and protocols, and the clinical judgment of the provider and/or the specialist caring for the child or adolescent.
Partial Screens
Partial screens are incomplete screens that occur when the provider is able to perform only part of the screen required by the recipient during the office visit. DHCF discourages partial screens because the goal of the program is to provide all needed screening services during a single encounter.
Note: Providers should record both the interperiodic and partial screens in the child's medical record, with documentation of the reasons for these screens.
