Clinica Sierra Vista’s Post

At Tier Pediatrics, we have a promise to our patients. A promise that we will provide the upmost compassionate and professional level of care that we can. Regardless of your socioeconomic status. We believe in inclusivity and care for all of our patients. That is exactly why we are so pleased to share our Sliding Fee Schedule. This program helps people of modest means who cannot afford to pay for their child’s doctor visits. Those who are unable to pay their medical bills in full or in part can take advantage of this program. Everyone who needs help can apply, regardless of age, gender, or where they come from. We use the Federal Poverty Guidelines to decide who gets help and how much. This program is designed to provide free or discounted care to those with modest means to pay for their medical services (Uninsured and Underinsured). In addition to quality healthcare, patients are entitled to financial counseling by someone who can understand and offer possible solutions for those who cannot pay in full. The Patient Account Representative’s role is that of a patient advocate, that is, one who works with the patient and/ or guarantor to find reasonable payment alternatives. You can educate yourself on this program, and everything else we offer at TierPediatrics.com. #Healthcare #Pediatrician #Pediatric

Grim news on the lowest pediatric residency selection since 1994. It was competitive in my day. We have to reform compensation. From Doximity article: …treatment and prevention of diseases in childhood is the highest yield and most cost-containing of all medical specialties. The decline in interest in pediatrics as a profession should serve as a significant warning sign to the U.S. health care system. At a time of rising education debt and inflation, the root cause of this challenge is clear: low compensation. Pediatricians make approximately 25% less than doctors who treat adults; all train for the same number of years. #pediatrics #insurancereform

These are precisely the conversations we need to be having in pediatrics today. Pediatrics is a destination for many mission driven physicians. Are we chasing those very physicians away during their career or even before the Match due to fiscal realities that need to change? I do diagnose autism in the primary care setting and it’s one of the most impactful and satisfying parts of my job. But it entails much more than employing a diagnostic tool. We need to meet families where they are and where their values are at a given moment. We need to be the team leaders of sophisticated care coordination and collaboration with schools, state government agencies, insurance, and therapists. Parents of autistic children need to be given some time to decide what their priorities are and be able to articulate them in a visit with an autistic child. That can be challenging as I saw yesterday in my practice. I reiterate that this is joyful work if we do it right, but we need to face the realities that 15 minutes is not going to suffice for most families and most pediatricians. #PutKids1st #autismcare #familycenteredcare #autism #pediatricworkforce

🦉 Every single child is innately wise and capable. As a developmental pediatrician, my job is to figure out what brings their wisdom and talent to the surface, and help parents better understand how to unlock their child’s full potential—or, shall I say, play along in their world 😉 Ask me about my approach to developmental pediatrics, and what I’ve learned by playing along with developmentally different children over the years - https://bit.ly/3PjCeyW #Wisdom #DevelopmentalPediatrics #NoChildLeftBehind #OrchidPediatrics

The Struggle to Prioritize Prevention and Early Diagnosis in Pediatrics Working in a pediatric office can be extremely rewarding but also challenging when it comes to preventive care. As clinicians and #pediatricians, we understand the importance of preventive services like screening, counseling, and early intervention. However, implementing these services effectively often takes a backseat due to significant barriers: 1) Time Crunch: The realities of running a busy practice leave little room to devote sufficient time to preventive care. Between addressing acute issues, managing a full patient load, and handling administrative tasks, there's rarely enough bandwidth for in-depth preventive counseling and screening. 2) Financial Constraints: Preventive services are often inadequately reimbursed, making it difficult for practices to allocate resources and staff towards implementation. The focus inevitably shifts to revenue-generating services that keep the lights on. 3) Knowledge Gap: Staying up-to-date on the latest preventive guidelines and evidence-based approaches requires ongoing education and training, which can be challenging amidst ever-increasing clinical demands. 4) Workforce Shortages: The shortage of pediatricians, pediatric sub-specialists, and support staff exacerbates the time crunch, leaving even less capacity for preventive and early diagnosis care initiatives. 5) Difficult Conversations: Providers may experience anxiety about delivering potentially upsetting news, such as discussing mental health concerns, early diagnosis of disease without a cure, or unhealthy behaviors with families. While these barriers may seem daunting, they are not insurmountable. To better support preventive care in pediatrics, we need systemic changes. This could include improved reimbursement models that value preventive care, better integration of preventive services into workflows, increased training opportunities to stay updated on the latest guidelines, and addressing workforce gaps. A multi-pronged approach is required, and each of us has a role to play in this. Prevention is key to promoting children's health and well-being. By acknowledging and addressing these barriers head-on, we can work towards a future where preventive care is seamlessly integrated into pediatric practice, leading to healthier outcomes for our youngest patients. We are leaving #children behind when we don't diagnose #autism, #T1D, #suicidality early and intervene to change the natural history of the disease. This is cruel in a society that is one of the world's wealthiest countries.  #CollaborativeChange #PediatricCare #HealthInnovation #wearepediatricians #usa #pediatrician #pediatrics #stories #autismawareness #T1D Anthony Orsini, D.O. Luigi Meneghini, MD, MBA George Rogu MD CPE MBA Ge Bai Rinad Beidas, PhD Susan Sirota Kathleen Wania Lia Gaggino, MD, FAAP Ilan Shapiro MD MBA FAAP FACHE Scott Krugman Scott C Grant, MD, MPH

Third-year pediatrics resident Arianna Sjamsu, D.O., knew residency was going to be challenging no matter where she matched. The “notoriously hard” phase of medical training has a reputation for long, grueling hours, Sjamsu said, and some institutions’ claims of prioritizing resident wellness lacked the framework she was looking for. “On the interview trail, a lot of places will try to sell you on their work-life balance,” Sjamsu said. “Something that stuck out to me at VCU was that they had a structure built for wellness, and that is giving us the tools to succeed when we’re the attending doctors.”  Centered around resident resiliency, VCU School of Medicine’s pediatric residency program operates on a tandem schedule in which residents rotate every two weeks between inpatient and outpatient care, rather than the more typical four-week rotations. This schedule was specifically designed to meet Accreditation Council for Graduate Medical Education’s training standards while giving residents breaks between the long and strenuous hours that inpatient rotations require. Read more in VCUSOM news: https://lnkd.in/eKa_5eqy 🔗 #VCUSOM #MCV #VCUHealth #CHoR #pediatrics #residencyprogram #worklifebalance #training #residentstories

🦉 Every single child is innately wise and capable. As a developmental pediatrician, my job is to figure out what brings their wisdom and talent to the surface, and help parents better understand how to unlock their child’s full potential—or, shall I say, play along in their world 😉 Ask me about my approach to developmental pediatrics, and what I’ve learned by playing along with developmentally different children over the years - https://bit.ly/3PjCeyW #Wisdom #DevelopmentalPediatrics #NoChildLeftBehind #OrchidPediatrics

The American Academy of Pediatrics needs your help! They are looking for pediatric providers to complete a survey to help them better understand children’s #mentalhealth care in #pediatric #primarycare settings. AAP is gathering insights related to current mental health screening practices, resources used, and barriers or challenges faced; mental and behavioral health training needs; Pediatric Mental Health Care Access (PMHCA) program awareness, usage patterns, and barriers or challenges faced; and primary healthcare training needs. The AAP will use this information to develop resources and implement technical assistance activities to support pediatric providers in promoting and addressing mental and relational health with children, adolescents, and families. Completion of this survey is completely voluntary. It should only take 10-15 minutes to complete. Survey participants may refuse to answer any question for any reason, and they may stop at any time. Individual responses will be anonymous and will not be attributed to any identifiable information provided. Access the survey here: https://lnkd.in/gqKsZmUD

Transitioning to a new EHR system may seem overwhelming, but Dr. Hiral Lavania from One Family Pediatrics experienced a seamless and empowering process with PCC! 👩⚕️💪 https://hubs.la/Q02F0BPB0 #PCCEHR #PracticeManagement #PediatricCare