Charting Pediatrics

Join us for our bi-weekly COVID-19 Virtual Provider Town Hall series featuring updates from Children's Infectious Diseases team and live Q&A: https://bit.ly/3qiKGzV - our next Town Hall is on Thursday, December 3, 2020 from 6-7:30p.m. MST.

With COVID-19 cases surging across the United States and Europe we hope this episode is a timely refresher for any of our pediatric colleagues who are being called into service to care for adult patients.

In this rebroadcast of S3:E49, we have a case discussion around functional and high-yield adult medicine topics that might be useful for pediatricians helping to care for adult patients in the middle of the pandemic.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 & 4 of the podcast.

Today we are fortunate to be joined by Dr. Aaron Manning and Dr. Steven Humphrey.

Steven is a pediatric hospitalist at Children's Hospital Colorado and Instructor of Pediatrics at the University of Colorado School of Medicine.

Aaron is also a pediatric hospitalist at Children's Colorado and is Assistant Professor of Hospital Medicine at the University of Colorado School of Medicine.

1. POPCoRN (Pediatric Overflow Planning Contingency Response Network): https://www.popcornetwork.org/. This site is a multi-institutional collaboration that was created during the COVID-19 pandemic as a vehicle for optimizing adult care in pediatric environments. It contains many "one-pagers" which review the management of a variety of common adult conditions, links to adult protocols shared by various institutions, and recommendations regarding care of patients with COVID-19 among others.
2. Adult medicine guidebooks: Several organizations have made available their adult medicine guidebooks free of charge.
   1. UCSF Department of Medicine Hospitalist Handbook (currently free in the Apple and Google App Stores)
   2. MGH Resource Guide for Commonly-Encountered Inpatient Topics (available via the POPCoRN website)
   3. Society for Hospitalist Medicine: Non-Hospitalist Onboarding. This resource offers a step by step guide to preparing non-hospitalists for the inpatient management of adult care (available via the POPCoRN website)
   4. University of Pennsylvania Hospitalists Primer. A resource meant to prepare non-hospitalists for the care of hospitalized adults (http://pennhspprimer.com/)

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

In our new series, the Resident Files, we explore efforts of Children's Hospital Colorado and CU School of Medicine pediatric residents to examine the social determinants of health that impact the patients they see in primary care clinic and how all pediatric providers can make considerations for these impacts in their own practice.

Our guests today are CU School of Medicine Pediatric Residents, Telly Cheung, MD and Elizabeth Kerr, MD.

Social Determinants of Health Resources from the AAP

Do you have questions about today's episode or suggestions for a future topic? Write to us, [email protected]

Register for the next Provider COVID-19 Town Hall on Thursday, December 3 from 6-7:30 p.m. MST: https://bit.ly/33eMy2D

Today on Charting Pediatrics, we will talk about what to expect from the public release of the COVID-19 vaccine, what it means for pediatrics and facts you can begin sharing with parents in your practice to arm them with knowledge and confidence in this vaccine.

Major breakthroughs have developed since we last visited the topic of Operation Warp Speed and the race for a COVID-19 vaccine. Pfizer's vaccine candidate has shown to be 95 percent effective and Moderna's has been similar at 94.5 percent, rivaling some of the most potent vaccines that we have. With vaccine candidates showing robust immune response there is mounting anticipation for a vaccination that could bring an end to the pandemic. This news comes as community spread of the virus is raging and hospitalizations have surged across the United States.

Sean O'Leary, MD is our guest for this episode. Dr. O'Leary is an Infectious Disease physician at Children's Colorado and Director of the Colorado Pediatric Practice-Based Research Network. Sean is also a spokesperson for the American Academy of Pediatrics and can regularly be found quoted in publications like the New York Times.

The CDC estimates that at least 30 percent of antibiotic prescriptions dispensed from the outpatient setting are unnecessary. Providers working in primary care are perhaps the most influential healthcare providers in addressing the issue of antibiotic resistance, as the inappropriate antibiotic prescribing practices remain high. In this episode Sarah Parker, MD and Nicole Poole, MD join us to discuss the use of antimicrobial stewardship programs and how they be implemented in primary care.

Dr. Parker is the Medical Director of Children's Antimicrobial Stewardship Program and Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Dr. Poole is an Infectious Diseases Physician focused on Outpatient Antimicrobial Stewardship at Children's Colorado and is Assistant Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Do you have questions about today's episode or suggestions for a future topic? Write to us, [email protected]

As the United States enters the eighth month of the pandemic surrounded by a backdrop of payer pressures, demands for virtual care and societal unrest, our healthcare system is challenged daily to navigate uncharted territory. From rapid scaling COVID-19 testing and safety operations to securing PPE from disrupted supply chains, and trying to assure patient families that it is safe to continue to come to clinics and hospitals for care….

Our pediatric healthcare landscape has forever been changed by COVID-19. And as COVID-19 cases are surging across the U.S. and parts of Europe, we are acutely reminded that end of the pandemic is not readily in sight. In this episode, we will discuss the pediatric healthcare landscape and its forecasted pandemic recovery and considerations for primary care providers.

On this episode we are joined by Children's Hospital Colorado Chief Strategy Officer Raphe Schwartz, and from Sg2 Healthcare Intelligence services, Karyl Kopaskie, PhD, Associate Principal; and Madeleine McDowell, MD, Principal and Medical Director.

If you have thoughts about today's episode or suggestions for a future topic, write to us: [email protected]

Register for this week's Provider Town Hall: Thursday, November 5 from 6-7:30 p.m. MST: https://attendee.gotowebinar.com/register/3768862387713545741

COVID-19 cases are surging across the U.S. and parts of Europe, outpacing the anticipated winter respiratory season. Locally in Colorado, community transmission is also on the rise with the Colorado Department of Public Health and Environment warning that hospitalizations in the state are likely to blast through the peaks of April and could overwhelm the state's intensive care units by January. In this our 27th COVID-19 podcast, we will delve into the latest epidemiology of the pandemic and where things are headed for pediatrics.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 and 4 of the podcast.

We are fortunate to be joined once again by un-official Charting Pediatrics co-host, Sam Dominguez, MD. Sam is a pediatric infectious diseases physician at Children's Hospital Colorado and Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Do you have feedback about today's episode or suggestions for a future topic? Write to us, [email protected]

Register for this week's Provider Town Hall: Thursday, November 5 from 6-7:30 p.m. MST: https://attendee.gotowebinar.com/register/3768862387713545741

In today's episode, we discuss special health care considerations for children and teens living in out-of-home placements, including foster care/kinship care/group home settings, particularly during the COVID-19 pandemic.

Today we are joined by James Kafferly III, MD, pediatrician from Denver Health.

Fostering Health Resources for Providers by the AAP

Healthy Foster Care America from the AAP

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Register now for the next COVID-19 Pediatric Provider Town Hall:

https://register.gotowebinar.com/register/3768862387713545741

As a trusted pediatric publisher of peer-reviewed research, clinical references, patient education and coding & payment resources, the American Academy of Pediatrics has played a pivotal role in making the latest research and articles from its Pediatrics Journal related to COVID-19 available for free. In this episode, we are going to talk about the unique rapid scaling and dissemination of reliable clinical information during COVID-19 with Lewis First, MD, Editor-in-Chief of Pediatrics and Alex Kemper, MD, Deputy-Editor-in-Chief of Pediatrics.

The editor of Pediatrics is Lewis R. First, MD, MS, [[email protected]] Professor and Chair, Department of Pediatrics, University of Vermont College of Medicine, and Chief of Pediatrics, University of Vermont Children's Hospital.

The deputy editor is Alex R. Kemper, MD, MPH, MS, Division Chief, Ambulatory Pediatrics, Nationwide Children's Hospital [[email protected]].

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Register for this week's COVID-19 Provider Town Hall! Live Q&A with the Children's Colorado pediatric infectious disease team and updated epidemiology of the pandemic : https://register.gotowebinar.com/register/7276255001809281037

Hospitals and pediatric practices are under increasing pressure to be publicly transparent about their quality and safety outcomes. The rapid growth of quality improvement initiatives and surgical outcomes in pediatric heart care has made national news headlines in recent years, demonstrating the correlation between pediatric heart surgical volumes and outcomes for kids. On today's episode we are going to discuss outcomes transparency in pediatric heart care and the work that one nonprofit has done to lead the way in data transparency.

Today we are fortunate to be joined by David Kasnic, Executive Director for the non-profit, Conquering CHD.

15 Participating Centers AdventHealth for Children – Orlando, FL Advocate Children's Hospital – Oak Lawn, IL Ann & Robert H. Lurie Children's Hospital – Chicago, IL Children's Healthcare of Atlanta – Atlanta, GA Children's Hospital Colorado – Aurora, CO Children's Hospital Los Angeles, Los Angeles, CA Children's National – Washington, DC Children's Wisconsin – Milwaukee, WI Cincinnati Children's Hospital – Cincinnati, OH Medical University of South Carolina – Charleston, SC Nationwide Children's Hospital – Columbus, OH New York Presbyterian Hospital – Columbia – Cornell – New York, NY Seattle Children's Hospital – Seattle, WA University of California at Davis Health – Sacramento, CA University of Michigan Congenital Heart Center – Ann Arbor, MI How to Get Involved: Patients and Families

1. Visit the Hospital Navigator launch blog at conqueringchd.org/hospital-navigator-launch
2. Check the list of participating centers
3. Use the Patient and Family Advocacy Toolkit to talk to your center about joining

How to Get Involved: Providers/Hospitals

1. Visit the Hospital Navigator launch blog at conqueringchd.org/hospital-navigator-launch
2. Download the invitation letter and submission form
3. Send questions to Rebeka Acosta, Education Coordinator, at [email protected]

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Register for tomorrow night's COVID-19 Virtual Provider Town Hall! Thursday, October 8 2020 from 6-7 p.m. MST

In this episode, we will focus on when to order an ECG and other cardiac considerations for return to play after COVID-19 infection.

Approximately 35 to 45 million youth ages 6 to 18 participate in some form of athletics. As more of these young athletes return to sport amid the lingering pandemic, primary care providers are navigating new guidance about the evaluation and clearance of patients who have recovered from COVID-19. And because COVID-19 infections in pediatric patients are more likely to be asymptomatic or mild compared to adults, pediatric providers will frequently be presented with return-to play questions for patients who had asymptomatic or very mild disease.

On Season 3, Episode 56 of the podcast we covered the initial guidance on the return to sport during COVID-19.

Chris Rausch, MD is the Pediatric Cardiology Medical Director and Director of the Cardiopulmonary Exercise Laboratory at Children's Colorado and is Associate Professor of Pediatrics and Cardiology at the University of Colorado School of Medicine.

Cardiac Evaluation for Post COVID-19 (SARS-CoV-2) Infection Return to Play in Children and Adolescents by the Children's Hospital Colorado Scientific Advisory Council