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Important Information in Pediatric Health from the Louisiana AAP
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PROGRESS NOTES

December 2, 2016

Chapter News

AAP News

LA Dept. of Health

Healthy Louisiana News

News and Noteworthy

ACEs News

Welcome New Members

Happy Birthdays


LA AAP Would like to extent Happy Holiday wishes to all of its members. Just a reminder, the Chapter office will be closed 12/24/16 - 1/1/17.

Upcoming Events

  • Visiting Scientist Seminar Series | 12/15/16 | Baton Rouge

Make your Donation TODAY!
Louisiana AAP Foundation and PediaPAC


Please consider making your tax deductible donation before the end of the year to the Louisiana AAP Foundation, a 501 (c)3 organization. The Foundation’s goal is to continue educating the Louisiana medical community through education-base projects and spreading awareness of pediatric health concerns to parents and citizens in Louisiana.

With the 2017 Legislative Session just around the corner, the importance of contributing to the PediaPAC is imperative. Currently, our team is building relationships with community leaders and legislators and with your help will continue our efforts. 

Your donation to the PAC is not deductible as a charitable donation but may be deducible as a business expense. Check with your tax adviser.

Thank you in advance for your continual support.

     
      Chapter News

 
 



LA AAP President Presenting Two Grand Rounds This Week

"Physician Well Being in the 21st Century"


Objectives
  • Describe “well-being”’ determine how to achieve it and discuss its outcome.
  • Identify “burnout” and determine how to avoid it.
  • Determine methods of coping with stress, maximizing their well-being, and enhancing their overall quality of life

LSUHSC/Children’s Hospital Pediatric Grand Rounds

  • Children’s Hospital Auditorium
  • December 7, 2016
  • 8:00 AM
Each week, Pediatric Grand Rounds will be offered via GoToMeeting. To view click here.
The audio should come through your device, but if you need to dial in, the number is:
  • United States: 1-408-650-3123
  • Access Code: 213-660-389
In order to receive CME credit, you will have to register with the CME Department at Children's Hospital by 3:00 PM on Tuesday afternoon.
Since this is a live CME activity, the link is only valid from 8:00 - 9:00 AM on Wednesday. The presentation will not be recorded.
The CME Department can be reached via email at Catherine.Mooney@lcmchealth.org
 

LSUHSC- Shreveport
Department of Pediatrics

  • Thursday, December 8, 2016
  • 8am to 9am
  • Medical School Room 3-322

The Louisiana State University Health Sciences Center – Shreveport, School of Medicine designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in this activity.
Commercial support was not provided for this activity.

 

AAP News


 

2016 AAP National Election


The terms of the leadership below will begin on January 1, 2017. Congratulations to our AAP officers-elect! 
  • AAP President-Elect - Colleen A. Kraft, MD, FAAP
  • District I – District Chairperson - Wendy S. Davis, MD, FAAP
  • District II – District Vice Chairperson - Michael D. Terranova, MD, FAAP
  • District II – National Nominating Committee Representative - Abraham Jelin, MD, FAAP
  • District IV – District Chairperson - Jane Meschan Foy, MD, FAAP (re-elected)
  • District IV – District Vice Chair - Robert C. Gunther, MD, MPH, FAAP (re-elected)
  • District V – District Vice Chairperson - Gerald J. Tiberio, MD, FAAP (re-elected)
  • District V – National Nominating Committee Representative - Jeannette Lia Gaggino, MD, FAAP
  • District VII – District Chairperson - Anthony D. Johnson, MD, FAAP (re-elected)
  • District VII – District Vice Chairperson - Gary W. Floyd, MD, FAAP (re-elected)
  • District IX – National Nominating Committee Representative - Phyllis F. Agran, MD, MPH, FAAP 

2017 AAP Senior Child Advocacy Award


The AAP Section on Senior Members each year recognizes and honors an outstanding senior pediatrician actively engaged in advocacy to improve the lives of children. Here is an opportunity to nominate a deserving LA Chapter member. This is the only call for nomination of a senior pediatrician (55 or older), and the letter of nomination must come from the Chapter President.

Please email your nomination, including a detailed letter of recommendation and biosketch that includes candidates medical training (CV will not be accepted), to Tracey Coletta, Sections Coordinator of the Section on Senior Members, at tcoletta@aap.org by February 1, 2017.  We encourage you to re-nominate candidates.  Letters of recommendation and nominee bios are eligible for publication in the Senior Bulletin.

Questions can be directed to tcoletta@aap.org.
Criteria Sheet
 

News & Noteworthy

Gov. Edward’s Statement on FY 16 Budget Shortfall


“Stabilizing Louisiana’s budget is my top priority, but we are still recovering from years of mismanagement,” said Gov. Edwards. “Unfortunately, our options are limited, and given the ongoing financial crisis of our state, nothing is painless anymore. However, we knew this shortfall existed and worked with state agencies to prepare for it without causing unnecessary harm.” - JBE

Gov. Edwards goes on to explain the importance of the 2017 legislative session and insures a more secure financial position for the state in the future. See the press release here

Gov. Edwards' Statement on TOPS Funding for Spring Semester


“When we leave our kids with more student debt than necessary, we’ve failed them. Going forward, it is my hope that we can restore funding to TOPS because too many students across the state are dependent upon the assistance it offers. In fact, despite the budget shortfalls we’re currently facing, we will not be making further cuts to this program. Today, we risk having an influx of students drop out of college or leave with burdensome debt. We can and must do better.” – JBE

Gov. Edwards criticized the plan to “front load” TOPS in June, and now the repercussions are impacting students and families. He expressed the importance of legislators working together in the 2017 legislative session to stabilize Louisiana’s budget. See the press release here.


ACEs News

On November 10, Paula Zeanah, PhD, the Director of Research for the Cecil J. Picard Center for Child Development and Lifelong Learning, gave presentation for the Children's Cabinet. The Children's Cabinet serves as the governing body for the State of Louisiana responsible for coordinating funding and programmatic services at the state and local level, related to children and their families.

The LA AAP and the LA School-based Health Alliance received a grant from the AAP's Friends of Children Fund in Collaboration with Healthy People 2020 to offering trainings on Adverse Childhood Experiences (ACE) and collect prevelance data. De-identified data will be compiled by LDH administrative regions and will be used to help clinicians and communities to understand the impact of negative experiences on children and youth in Louisiana and how supportive school- and community-based interventions can help mitigate the effects. Roberta Vicari, MD has been leading the training piece of this project, presenting to participating school-based health center teams and their community medical partners across the state during the month of November.

Drs. Paula Zeanah and Roberta Vicari are both members of the first cohort of ACE Educators trained  by the Louisiana ACE Educator Program and are leaders in ACE-related efforts around the state. Dr. Zeanah and Dr. Vicari were elected Chair and Vice Chair, respectively, of the Louisiana ACE Initiative, a network of child-focused organizations dedicated to create common understanding of ACEs within Louisiana communities and child- and family-serving workforces.

If you are interested in getting involved, the LA ACE Initiative will be holding its first annual membership meeting in Baton Rouge in January 2017 (date TBD). For more information, contact Paula Zeanah at pxz5977@louisiana.edu.


LA Department of Health News

Provider Update: Nonopioid Treatment for Chronic Pain


Louisiana Medicaid released a Provider Update that details effective treatments for chronic pain without the use of opioids.  In most cases, opioids are not the first-line therapy for patients, and if prescribers start to implement more nonopioid treatments, the opioid crisis will diminish. 
 

Louisiana Fee for Service Medicaid Pharmacy Opioid Quantity Limits

Effective January 10, 2017 the quantity limits for selected opioid products have been revised by the LA Department of Health Pharmacy Program in conjunction with the LA Medicaid Drug Utilization Review Board. See charts for details. 

A message from the Louisiana Department of Health Emergency Operations Center (LDH EOC)


BE ON THE ALERT FOR MUMPS, ESPECIALLY IN SCHOOL AGED CHILDREN

The Arkansas Department of Health is investigating a mumps outbreak that may have infected over 1,800 people, the majority of which have been Arkansas school children. On December 1st the Texas Department of Health reported two mumps investigations in progress. Health care providers in Louisiana should be familiar with the symptoms of mumps, importance of laboratory testing, and reporting of suspect cases to the Louisiana Department of Health.

Mumps Information Page: Click here.

CDC Mumps disease summary: Click here.

CDC Mumps Serology and interpretation: Click here.

You can prevent disease by ensuring your patients are up-to-date with their immunizations. The current U.S. Centers for Disease Control and Prevention (CDC) recommendations for MMR (Mumps, Measles, and Rubella) vaccination are as follows:
  •  For children younger than 6 years of age, one dose of MMR vaccine or MMRV (Measles, Mumps, Rubella, and Varicella) vaccine at age 12-15 months, followed by a second dose of either MMR vaccine or MMRV vaccine at age 4-6 years.
  •  For children age 7 through 18 years not previously vaccinated, one dose of MMR vaccine or MMRV vaccine, followed by a second dose of either MMR vaccine or MMRV vaccine at least 28 days after the first dose.
  • For adults born in 1957 or later and not previously vaccinated, one dose of MMR vaccine.
  • A second dose of MMR vaccine is recommended for adults born in 1957 or later, who are students in a post-secondary educational institution, work in a health care facility, or plan to travel internationally. The second dose should be administered a minimum of 28 days after the first dose. The recommended two doses of the MMR vaccine is approximately 88 percent effective at preventing a mumps infection. Students exposed to mumps virus with a MMR vaccine exemption will be required to stay home for at least 26 days. If students get the MMR vaccine, they will be able to return to school immediately.
Mumps is an acute viral illness with classic symptom of swelling of the parotid or other salivary glands, parotitis lasting at least two days. If mumps is suspected, laboratory testing should be performed. The mumps virus can be spread through coughing, sneezing, talking, or sharing eating utensils, according to the CDC. The disease is known for causing swollen salivary glands that result in puffy cheeks or jaw. Additionally, it can cause fever, headaches, muscle aches, and loss of appetite. In rare cases, the virus can cause more severe complications, such as swelling of the brain, ovaries, or testicles. Most people recover from the disease in a few weeks, according to the CDC.

To report a suspected case and arrange for laboratory testing, contact your Regional Office of Public Health (Link) or the OPH Immunization Program at 504-568-2600. After-hours, call the Infectious Disease Epidemiology Hotline at 800-256-2748 to report a suspect case or inquire about testing procedures.


Healthy Louisiana News



 

Louisiana Department of Health- Informational Bulletins

  • IB 16-22, “Billing Immunization Administration Code 90472,” addresses CMS requirements to avoid denial of CPT code 90472.
  • IB 16-23, “Papanicolaou Test (Pap Test) Age Criteria,” provides notification of changes in age criteria for coverage of the Pap Test, and advises that beginning with services provided Jan. 1, 2017, and thereafter, Medicaid will no longer reimburse for routine cervical cancer screening for recipients under the age of 21 years.  However, Medicaid does consider the Pap Test medically necessary for recipients under age 21 who meet American Congress of Obstetrics and Gynecology (ACOG) criteria.
  • IB 12-27 Revised: “Provider Issue Escalation and Resolution,” outlining steps for handling concerns in a timely manner. Click here to read the revised version.

Find all  Informational Bulletins here

Health Plan Advisories: Find all Health Plan Advisories here
“The Opioid Crisis: A ‘Lunch and Learn’ Session for Prescribers” Webinar
 
The Louisiana Department of Health hosted a webinar on December 1, 2016. Three keynote speakers discussed the status of Louisiana’s fight against opioid misuse, providers' over-prescribing, alternative therapies covered by Medicaid and more. Multiple educational resources for both medical providers and patients were discussed as well. As soon as the webinar recording is available, the Chapter will share with its members. 


Upcoming Events

Visiting Scientist Seminar Series - Dr. Ellen W. Demerath    

“The Milk of Paradise? Maternal Obesity, Breast Milk Composition, and Infant Growth and Adiposity.”
  • Thursday, December 15th,
  • 11:00 a.m. Reilly Auditorium, Pennington Biomedical Research Center
  • 6400 Perkins Rd, Baton Rouge, LA 70808 
Find More Here
Christie M. Duronslet
Dr. Karen Latour Evans
Viney Kumar Hardit, MD
Cristal  Kirby, MD
Abbey Anne Lewis-Gallien, MD
Tessa  Kleyn, MD
Sarah Ashley Mike, MD
Diana Liz Arriola, MD
Francis N Donner, MD
J. Lindhe  Guarisco, MD
Kipp Burnette Ardoin, MD
Margaret Prat Huntwork, MD
Nicole S. Jones, MD
Joseph  Ortenberg, MD
Melissa  Roy, MD
Caroline Champagne Courville, MD
Madeline Paige Lemoine, MD
Myria Audrey Mack-Williams, MD
Neel  Shah, MD
Ebenezer Sampong Bediako, MD
Angela Sherell Byrd, MD
Lauren  Green, MD
Ernest A. Kiel, MD
Stephanie M Graebert, MD
Vithavas  Tangpricha, MD
Brian Edward Zganjar, MD
Ryan  Reynolds,
Alexa  Bollinger, MD
Daniel Richard Bronfin, MD
Elaine Stewart Bullock, MD
Karen Marie Foti, MD
Richelle  Monier, MD
Robert Eldred  Drumm, MD
Lyle  Stephenson, MD
Michelle Nicole Duplantier,
Samantha Clark Gulino, MD
Mitchell Ira Rubin, MD
Mia  Weber, MD
Allison Stacey Hatfield, MD
Wilfreda  Lindsey, MD
Elvira N Chiccarelli, MD
Randall  White, MD
Alex Jerry Courville,
Cynthia Hillman Rome, MD
Tonjeh Mary Stella Bah, MD
Aimee Bergeron Ferrell, MD
Meena A. Bakare, MD
Cristina Elizabeth Halk, MD
Jennifer Marie Harris, MD
Joshua B. LeBlanc, MD
Sara  Adams, MD
Kelli Dooley David, CPNP-PC
Karen Latour Evans, MD
Amy Jo Howard, MD
Michael Ray Melancon, MD
Michael Gary Heller, MD
 
VISIT THE LAAAP WEBSITE

Acadiana Potpourri

August 18-20, 2017
Lafayette, LA
SAVE THE DATE

LA PediaPAC

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Copyright © 2016 Louisiana Chapter- American Academy of Pediatrics, All rights reserved.


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