Email us with questions by clicking HERE.
New RIAAP group email: RIAAPediatrics@gmail.com
Here is a link to RIAAP monthly newsletter archive
RI AAP Board Meeting Dates
Hasbro Collis Room
6:00pm to 8:00pm
November 12* - PDR 123 - room in RIH cafeteria
*Please check back to confirm the date of each bimonthly Board meeting as it may be necessary to occasionally change date, time or location.
Pediatric Grand Rounds Flyers
Location: Rhode Island Hosptial, George Auditorium
Fridays at 8:30 am
June: June 2014 flyer.pdf
July: July2014 flyer.pdf
August: August 2014 flyer.pdf
September: September 2014finalflyer.pdf
October: October 2014 flyer.pdf
November: Nov2014 flyer.pdf
Click the links below for more information.
The TeethFirst! Inititiative - promotes oral health for all children.
WARNING ABOUT VACCINE ADMINISTRATION CODING
Neighborhood Health Plan of Rhode Island has uncovered a trend in its chart auditing. Remember to make corrections in your practice!
There have been many instances where pediatricians are not documenting their vaccine counseling appropriately for the codes they are using.
In order to use vaccine administration codes 90460/61, the physician must provide vaccine counseling and document the counseling for each vaccine. If not, the physician is not documenting or coding properly. This oversight rightfully may result in corrective action from the payers.
The minimum agreed upon verbiage is provided for you here:
VIS given for vaccine (insert vaccine name). The physician provided counseling on the diseases to be vaccinated against as well as the risk and benefits of providing and withholding the recommended vaccines for today. All questions from the parents were answered and the parents verbalized understanding, and agreed to give vaccines today.
For further questions, members can contact Peter Pogacar, MD at email@example.com or your Neighborhood Provider Representative.
Newborn Screening for Severe Combined Immunodeficiency
Implementation August 1, 2014
As of August 1, 2014, Rhode Island will begin screening all infants born in the state for Severe Combined Immunodeficiency (SCID).SCID is a rare disease that causes dangerously low levels of white blood cells, which protect the body from infection. Babies with SCID appear healthy at birth, but if the disorder is not detected and treated quickly, they can become seriously ill or even die when exposed to common infections. Babies have the best chance of being cured through a bone marrow transplant if they are diagnosed and treated by three months of age. The addition of SCID to Rhode Island's newborn screening panel is consistent with a national trend toward expanded newborn screening.
Child health physicians and other providers will be notified if a patient does not pass the initial screen for SCID.To learn more about newborn screening and what you should do to ensure babies receive appropriate follow-up care, visit
The Ten Steps to Successful Breastfeeding
The following services are available for our mothers after discharge from the hospital:
· A free community service to help families with prenatal and postpartum questions or concerns
183; Staffed by registered nurses and board certified lactation consultants ·
· More than 70% of calls to the WarmLine are breastfeeding related
Outpatient Lactation Visits·
· Individual visits are available for breastfeeding families who need more than telephone support
· Will work with a lactation consultant at their outpatient rooms on 5 West ·
· Can be scheduled by calling the WarmLine·
· Many insurers cover the cost of this invaluable appointment
Women, Infants, and Children (WIC Program) www.health.ri.gov/wic·
· Offices with nutritionists, lactation consultants, and peer support breastfeeding counselors, as well as group meetings ·
· Available in many locations throughout Rhode Island·
· Not just for supplements, but offer many additional services to help WIC eligible breastfeeding families
“The Parent Review” – www.womenandinfants.org/tpr ·
· A free, on-line resource available to the Women & Infants community ·
· Subscribers receive weekly emails prenatally and through the baby’s second birthday ·
· Breastfeeding is one of many parenting topics covered
Updates on cCHD screening in RI:
The cCHD team wanted to provide an update on cCHD screenings throughout the state of RI:
* As of February 2014, all RI birthing facilities as well as RI's sole-licensed home birth practice have instituted cCHD screenings for all newborns
* 11,500 infants have been screened for cCHD in RI
* Average saturations are 98.8% Preductal and 99.1% Postductal
* 2 "false positive screens" have occurred:
- 1st a normal result misinterpretation as a "fail" with a subsequent normal ECHO
- 2nd a "did not pass" on 3 consecutive screening attempts with a PDA on ECHO (not considered cCHD)
These False Positive screenings serve as a reminder that pulse oximetry for cCHD is a screening tool- not a diagnostic measure. Pulse oximetry screening has a 70% sensitivity rate so there is also the potential for False Negative screenings. RI's lack of False Negative screenings is likely due in part to the state's high rate of prenatal ascertainment as well as to the high-quality hospital staff (both Pediatric providers and nursing personnel) who have caught those cases which were not diagnosed prenatally.
Reach Out and Read RI - SITES NEEDED
Reach Out and Read RI is in the rare position of looking to recruit new Reach Out and Read sites in Rhode Island. If you, or your practice, are interested in becoming involved please contact Susanna Beckwith at firstname.lastname@example.org or at 401-331-1967. You can also visit our website for more information www.rorri.org.
Reach Out and Read Rhode Island (RORRI) prepares the state's youngest children to succeed in school by partnering with pediatricians and family physicians to prescribe books and encourage families to read together. They work with medical providers at 43 hospitals, clinics, and community health centers across Rhode Island, reaching close to 30,000 children and distributing over 50,000 books at well-child visits each year. Reach Out and Read is a proven effective model of promoting early literacy with fifteen studies verifying its impact, more than for any other psychosocial intervention in general pediatrics. Parents served by the program are four times more likely to read aloud to their children and preschool aged children served by Reach Out and Read score three to six months ahead of their non-Reach Out and Read peers on vocabulary tests. By expanding our partnership with pediatric and family physicians we hope to set even more RI children on a path to school success.
GET INVOLVED! Take a Survey regarding Cyberbullying.
A group of researchers in Washington State are doing a study about cyberbullying. This study includes investigators with backgrounds in pediatrics, education, social work and the law. Our goal is to develop a consensus on cyberbulling across differenct disciplines. This project is funded by the National Institute of Justice.
Here's the link to information about the study and the survey: https://catalyst.uw.edu/webq/survey/uwteen/235981
ICD-10-CM Delayed Implementation of the ICD-10-CM has been delayed until October 1, 2015. Click HERE for AAP resources to begin preparing for the transition.