Provider Tips

All Articles in the Category ‘Provider Tips’

Where to Refer Concussion Patients at Seattle Children’s

A new algorithm helps PCPs know where to refer patients for concussion at Seattle Children’s.

  • Neurology sees patients who have had ongoing headache for over two months, in the absence of a sports injury.
  • Sports Medicine sees patients who experienced a sports injury concussion, are at least 6 years old and have not experienced any of the following: hospitalization for more than 24 hours, skull fracture, intracranial hemorrhage, focal neurological deficit or neurosurgery/brain surgery of any kind in the past.
  • Rehabilitation Medicine sees all other concussion patients.

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Online Suicide Prevention Training for Providers

To address suicide as a public health crisis, leading experts and healthcare organizations have collaborated to develop All Patients Safe: Suicide Prevention for Medical Professionals. This interactive, online suicide prevention training is designed for medical professionals and client-facing staff in Washington state. It offers an engaging and informative option for providers to become better skilled at suicide prevention and includes perspectives of real patients coupled with practical skills to help medical providers transfer what they learn to their practice and community. Read full post »

Telehealth Information for Referring Providers

A new informational handout is available for referring providers to let them know how Seattle Children’s is helping patients access their telehealth appointments. It answers frequently asked questions about privacy, cost, cancellation, setting up a MyChart account (needed for a telehealth visit), preparing for the appointment and troubleshooting technical issues.

The telehealth handout is intended for providers and available in English only. A telehealth handout for patients and families is being prepared and will be available in multiple languages. We will share it with community providers when it is ready.

Adolescent Vaccinations Plummeted In 2020: How You Can Help Improve Rates in 2021

Washington state’s vaccination rates in 2020 fell an alarming 37% for 11- and 12-year-olds and 35% for 13- to 17-year-olds. It is more important than ever to ensure youth are receiving the preventive care they need.

Clinics in King County are invited to boost their vaccination rates by participating in the WA-CHIP learning collaborative. Over a nine-month period, starting in March 2021, clinics will identify opportunities to increase adolescent vaccinations, implement improvements, receive regular data and coaching and participate in a community of clinics working toward the same goals. Read full post »

ER. vs. Urgent Care

Seattle Children’s has posted information on our website and created handouts in English, Spanish and Arabic to help families and their providers know when Urgent Care or the Emergency Department is the best choice for a child in need of medical attention. Please help us share this information so children receive they care they need when they need it. Read full post »

Congenital Diaphragmatic Hernia (CDH): Seattle Children’s Care Protocols and Survival Outcomes Among the Best in the Nation

CDH is a complex disease that often requires lifelong follow-up care with many specialists. Children cared for by a multidisciplinary, integrated team have better outcomes and live healthier lives.

Seattle Children’s CDH program offers the best care and outcomes in the Northwest and is a destination center for families living in U.S. western states and abroad.   Read full post »

Partnership Access Line: A Resource for Providers to Support Patients’ Mental Health Care

Significant mental health impacts on kids during the COVID-19 pandemic mean services like the Partnership Access Line (PAL) hotline are more important than ever. PAL supports the PCP community in treating their pediatric patients in several ways:

  1. Specialized support in all areas of child and adolescent mental health to community prescribers that lack resources and cannot complete a care plan
  2. Rapid access to in-person or telemedicine consultations for any child with Medicaid coverage; eligibility determined during a PAL call
  3. Mental health resource support for PCPs and expansion resource support for families
  4. Evidence-supported mental health training for primary care providers with Category 1 CME credit
  5. Publishes Primary Care Principles for Child Mental Health manual containing evidence-supported care guidelines for treating providers

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New Rheumatology Algorithms and Referral Guidelines

Seattle Children’s Rheumatology has created new algorithms and other resources to support PCPs in managing some conditions that are commonly referred for specialty care.

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Consider Virtual Visits for Orthopedics and Sports Medicine

Seattle Children’s has virtual appointments readily available at the Orthopedic and Sports Medicine Clinic with little to no wait (same as in-person appointments).  Access is excellent at all our locations: Seattle, Bellevue, Everett, Federal Way, Olympia, Tri-Cities and Wenatchee. Telemedicine appointments are ideal for orthopedic and sports medicine visits that do not require a physical exam.

Types of Appointments Well-Suited to Telemedicine

  • New patient visits: When a physical exam is not needed, providers can take a history and hear the patient’s story virtually. Families can get a good idea of whether there is harm in waiting or if treatment is recommended sooner.
  • Review imaging and/or lab tests: Providers can share their screen with families and review images with them just as well as during an in-person visit, if not better.
  • Concussion follow-up visits: Providers mainly offer education and counseling when a repeat exam is not needed.
  • Some observations and pain tests: Providers can still “see” the injury or joint and assess for localization, swelling and motion. Providers can then give an opinion on next steps (i.e., whether to get imaging or to start with a specific treatment right away or if it is okay to delay interventions).
  • Cast removal: A new at-home cast-off program is available for patients with a stable fracture that won’t require new X-rays after casting. When the cast is applied, it is bivalved and resecured with medical tape.  The family removes the cast at home when it is time and self-applies a brace, without needing to come back in.  Our provider walks the patient/family through the process remotely. We observe the parent’s exam, the body part and range of motion and give advice on activities, rehab and return to sports and exercise.

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In Case You Missed It: October Special Updates from Seattle Children’s