March 21, 2017

Bright Futures eNews – March 2017

March 2017
Dear Colleague,
We are pleased to announce the March 2017 installment of Bright Futures eNews.
If you are new to Bright Futures, watch this 2-minute About Bright Futures video to get started using the Bright Futures recommendations in your health promotion and disease prevention practices and with programs and families in your community.
Consider using the video in presentations about Bright Futures. Share the link with colleagues in various settings in which Bright Futures is being used (eg, clinics, home visiting, child care, school-based health centers, public health settings, etc.).
Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 4th Edition
Bright Futures Guidelines, 4th Edition is Released!
Do not miss the completely revised and updated 4th Edition of the Bright Futures Guidelines ! It is an essential resource that provides updated background and recommendations for pediatric health promotion and health supervision for 31 age-based visits – from infancy through adolescence. With Bright Futures, you can accomplish the following 4 tasks in 18 minutes — disease detection, disease prevention, health promotion, and anticipatory guidance! The result: more efficient visits, stronger partnerships with children and families, and greater knowledge of changes in family, communities, and society that affect a child’s health.
The Bright Futures Guidelines, 4th Edition builds upon previous editions with new and updated content that reflects the latest research. It includes 3 new health promotion themes (Promoting Lifelong Health for Families and Communities, Promoting Health for Children and Youth With Special Health Care Needs, Promoting the Healthy and Safe Use of Social Media), updated Milestones of Development and Developmental Surveillance questions, and new clinical content about the latest age-specific recommendations. Throughout, the Guidelines weave in recognition of social determinants of health (risks and protective factors) and an increased focus on lifelong physical and mental health.

As established in the 3rd Edition, the first priority for each health supervision visit is to address the needs and concerns of the child/adolescent and family, and the therapeutic relationship is key to implementation. Click here for a preview and for more infomation!

The Bright Futures Tool and Resource Kit is undergoing revision and is anticipated to be released in January 2018.

Introductory Webinars: Bright Futures Guidelines, 4th Edition
Make sure to sign up for the latest Bright Futures Webinars beginning in April 2017! Learn about the revised and updated Bright Futures Guidelines, 4th Edition from the editors themselves. We will be hosting two separate 45-minute Webinars for health care professionals and public health professionals. Of course, everyone is welcome to attend either! They will be recorded and posted on the Bright Futures Web site for anyone that cannot participate in the live events.
The editors will review the new and updated components such as 3 new health promotion themes, updated Milestones of Development and Developmental Surveillance questions, updates to several adolescent visit screening recommendations, and more. They will discuss how to efficiently and effectively integrate these new components into your practice setting and will answer your questions about the Bright Futures Guidelines, 4th Edition.
Bright Futures Guidelines, 4th Edition – Introduction (for Health Care Professionals)
Wednesday, April 19 
1:00 PM ET/12:00 PM CT
Click here to register.

Bright Futures Guidelines, 4th Edition – Introduction (for Public Health Professionals)
Wednesday, May 24 
1:00 PM ET/12:00 PM CT
Click here to register.
Bright Futures/AAP Recommendations for Preventive Pediatric Health Care (Periodicity Schedule) 
Bright Futures/AAP Periodicity Schedule is Updated!
Each child and family is unique; therefore, the Bright Futures/AAP Recommendations for Preventive Pediatric Health Care (known as the Periodicity Schedule) are designed for the care of infants, children, and adolescents who are receiving competent parenting, have no manifestations of any important health problems, and are growing and developing in satisfactory fashion. Additional visits may become necessary if circumstances suggest variations from normal. Developmental, psychosocial, and chronic disease issues for children and adolescents may require frequent counseling and treatment visits separate from preventive care visits.
The Bright Futures/AAP Periodicity Schedule is a schedule of screenings and assessments recommended at each well-child visit from infancy through adolescence. These recommendations represent a consensus by the AAP and Bright Futures. The AAP continues to emphasize the great importance of continuity of care in comprehensive health supervision and the need to avoid fragmentation of care. Refer to the specific guidance by age as listed in the Bright Futures Guidelines, 4th Edition.  For implementation and coding information for each visit on the Periodicity Schedule, please see the Bright Futures and Preventive Medicine Coding fact sheet. For more background, click here to review the related Bright Futures Guidelines, 4th Edition’s Evidence and Rationale chapter.
AAP Practice Transformation  is your one-stop resource for transforming your practice and career to meet the challenges of the new healthcare environment. Access the latest strategies, resources, and tools to make your practice thrive in the rapidly changing healthcare delivery and payment systems. Find practical guidance for all stages of your career. Be ready to face the future of pediatric practice.
Bright Futures Implementation
NEW State Implementation Stories!
Find out how your colleagues in other states are implementing the Bright Futures Guidelines by visiting the States & Communities section of the Bright Futures Web site. We have added 10 new and 5 updated implementation stories about states that are successfully implementing the Bright Futures recommendations. The new stories were developed as a part of the Alliance for Innovation on Maternal and Child Health project in which the AAP is participating. The stories were created by interviewing AAP chapter leaders and public health representatives. The stories demonstrate a wide variety of implementation examples including incorporating the Bright Futures/AAP Periodicity Schedule into Medicaid agencies, using Bright Futures measures in quality improvement projects, training multidisciplinary practitioners that provide services to families and children, and many other examples illustrating the value of flexibility of the Bright Futures content. Be sure to check-out the Bright Futures Web site for tips on implementing Bright Futures recommendations in your state, community, and practice.
Do you have a story to tell about how you’ve implemented Bright Future in your practice?
Please contact us so we can feature your implementation story on our Web site or in a future edition of the Bright Futures eNews.
Web site Contact Us:
Reminder: Please link directly to the Bright Futures/AAP Periodicity Schedule on your Web site to ensure you are accessing the most up-to-date version. Please check your current link and update accordingly.
Be sure to visit the Bright Futures Web site to access Bright Futures materials and other resources.
Inclusion in this publication does not imply an endorsement by the American Academy of Pediatrics. The AAP is not responsible for the content of these resources. Web site addresses are as current as possible but may change at any time. The American Academy of Pediatrics Bright Futures National Center eNews is funded through a cooperative agreement (grant number: U04MC07853) with the Health Resources and Services Administration, Maternal and Child Health Bureau.

Contact for more information.

American Academy of Pediatrics 141 Northwest Point Blvd., Elk Grove Village, IL 60007-1098


GOP health-care plan: Don’t gut Medicaid

As a primary-care pediatrician, I greatly appreciated Bob Young’s summary of the GOP health-care plan.

There is little surprise their proposed plans include eliminating Medicaid expansion and the individual mandate. However, the House bill also proposes radical decreases to Medicaid funding.

Medicaid is an American legislative success story. It came into law with bipartisan support, and 95 percent of kids nationwide have health insurance coverage largely thanks to Medicaid. In Washington state, one out of every two kids is insured by Medicaid. In my own practice, a sizable percentage of kids are insured through Medicaid.

I am certain that the electorate did not intend for the federal government to gut Medicaid, taking us far backward in providing medical coverage for Washington children.

Rupin Thakkar, M.D., Seattle