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
Effective
health supervision involves content, timing, and documentation of
preventive care at important developmental ages. Each
visit presents opportunities to:
- Provide preventive primary care
- Assess the health of the child or adolescent
- Diagnose and treat health problems early, or provide timely referrals
- Enhance the child's development over time in partnership with the family and community
- Educate and support the child and family in developing and sustaining lifelong healthy habits
- Document all services in the child's medical record
Content of Care
Each HealthCheck
preventive health care visit includes these core EPSDT services:
- Comprehensive health and developmental history, or update of medical and mental health status
- Comprehensive, unclothed physical examination
- Screening services, including vision, hearing, and dental
- Laboratory tests, including lead screening
- Recommended childhood and adolescent immunizations
- Anticipatory guidance and health education
HealthCheck Periodicity
The periodic well-child visit is a complete evaluation in accordance with accepted clinical standards and is provided at intervals recommended in the HealthCheck Periodicity Schedule.
The District of Columbia HealthCheck Periodicity Schedule:
- Is based on the American Academy of Pediatrics' (AAP) Recommendations for Preventive Pediatric Health Care
- Was developed in consultation with recognized medical and dental groups
- Meets all EPSDT screening requirements
- Suggests the care needed by infants, children, and adolescents who have no manifestation of any important health problems
- May require additional screenings (beyond those recommended by AAP) to meet the needs of the District's Medicaid-eligible children and adolescents
Documenting Health Supervision
Screening services are considered to have occurred ONLY when documented in the child's medical record.See specific documentation tips in the following modules: health history, physical examination, screenings services, laboratory tests, immunizations, health education/anticipatory guidance. For a complete summary, see also the Documentation section. |
