CFHA Pediatric Integrated Care Special Interest Group

CFHA Pediatric Integrated Care Special Interest Group

Minutes 3.27.17

1. Participants to Join
2. Noon EST// 11 AM CST // 10 AM MST // 9 AM PST
3. Join from your computer, tablet, or smartphone:
4. You can also dial in using your phone: United States: +1 (224) 501-3412 Access Code: 935-801-773
5. Please mute yourself using the green microphone icon in the upper left corner of the Control Panel.
6. Please unmute yourself if you would like to join the conversation.

1. Listserv
2. If you are brand new today, you can subscribe to the listserv by sending an email to:

or you can follow this link to the web page:

web page

1. Remember, SIG members can post directly to the listserv by addressing your email to:

c. Trending topics from the listserv: Milbank Supported Report: Behavioral Health Integration in Pediatric Primary Care: Considerations and Opportunities for Policymakers, Planners, and Providers:

• Area of need: Conversion symptom identification and treatment
• Role of psychiatry- how are they used in primary care model
• Complex kids, consult for lower needs
• Consult only, education

1. Business

1. Attendance
2. Opportunities for Employment and Collaboration
3. Success stories/obstacles to share?- none
4. Preconference proposal
5. Toolkit for PCBH in Pediatrics Primary Care
6. Abstract: The physical and mental health needs of children and adolescents are distinctly different than that of adults and a preponderance of research supports the benefits of integrated pediatric care. The benefits of mental, physical, and psychosocial health related behavioral interventions for children, adolescents, and families are numerous. With a shortage of pediatric medical and behavioral health providers, we must focus on quality evidence-based and best practice standards of team based care. This session will provide participants with the knowledge, skills, and a physical toolkit to begin operating in pediatric integrated care settings. Further, participants will explore critical decision making on best practice innovations for pediatric integrated care and return on investment analysis for successful and effective implementation.

• Will be practical hands-on information with lots of resources/handouts
• Suggestion: Billing codes

1. New Business
2. Pediatrics Quick Notes Presentation: ADHD Assessment and Management in Pediatrics: The Role of a Behavioral Health Provider.
3. According to the American Academy of Pediatrics guidelines, Attention-deficit/hyperactivity disorder (ADHD) is one of the most common neurobehavioral childhood disorders. In 2011 it was estimated that 11% (6.4 million) of 4 to 17 years old were diagnosed with ADHD (Centers for Disease Control and Prevention, December 2014). The Milbank Memorial Fund report (March 2017) noted that nearly two-thirds of pediatricians report lack of training in treatment of children with mental health disorders, and 70% report lack of time to treat as barrier to care. Behavioral health integration in pediatric primary care play a significant role in overcoming these barriers. Behavioral health providers can facilitate the proper assessment, diagnosis and treatment of ADHD in primary care.

Learning Objectives: 1) To become familiar about impact of a behavioral health provider in the assessment and treatment of ADHD in pediatrics

2) To obtain information about a step-by-step protocol that can be implemented in pediatrics

3) How do you get buy-in from a pediatrician who is not used to consult BH for assessment and help treating ADHD?

4) How do you address situations such as suspicion of misuse of medication?

1. Guest Presenter: Dr. Victoria Frehe-Torres is a licensed psychologist by training and is currently the director of behavioral health with the Healthcare Network of Southwest Florida in Naples, FL. Besides her administrative responsibilities she provides pediatric and adult behavioral health services in an integrated primary care setting in Collier County, FL. Victoria is also a clinical faculty member providing clinical supervision for FSU College of Medicine Postdoctoral Psychology fellows. She received her Ph.D. in Counseling Psychology from the University of Kansas, and completed a Behavioral Health Psychology Postdoctoral Fellowship with the Florida State University College of Medicine.

1. Pediatric Quick Notes Available dates:

4/24, 5/22, 6/26, 7/24, 8/28, 9/25, 10/23, 11/27, Dec. TBD, 1/22/18

1. Doodle poll of SIG members
2. Review of questions
3. Membership requests
4. Question discussion related to Peds Integrated Care Work

1. Business Items

1. Next Pediatric SIG Meeting Date: April 24th, 2017 @ 12 PM EST

Future Schedule: 12 PM EST: 4/24, 5/22, 6/26, 7/24, 8/28, 9/25, 10/23, 11/27, 12/TBD, 1/22/18

Action Items:

Pediatric Integrated Care SIG Leaders

Co-Chair: Lesley Manson:

Co-Chair: Sonny Pickowitz:

Secretary: Tawnya Meadows:

Jodi Polaha:

CFHA: Jaqueline Hahn:

Pediatric Service Delivery Model Definition

This is a pediatric-based integrated model of care where the medical team is inclusive of medical, behavioral, and allied health professionals working together to improve the health and wellness of children, adolescents, and the family; taking a systemic perspective.

Purpose of Pediatric SIG

To grow interest and enthusiasm, provide learning experiences, and promote actionable dissemination activities among CFHA members regarding Pediatric Integrated Care delivery to include, but not be limited to the following aspects of the model:

1. Funding, Policy, and Procedures for Pediatric Integrated Care
2. Provider and Team-Based Clinical, Administrative, and Operational Skill Acquisition for competent Pediatric Integrated Care
3. Graduate, Intern, and Postdoctoral Fellow Training Models
4. Research and Program Evaluation in Pediatrics
5. Advocacy for Pediatric Integrated and Team Based Service Models
6. Collaborate and Strengthen Liaison Relationships with Other National Organizations for Advocacy
7. The SIG will also promote and support CFHA conference workshops and presentations focusing on Pediatric Integrated Care Service Model delivery.