Access helpful information and resources developed for community providers and their patients and family.
clinical resources
Summary of neuropsychology services provided by Behavioral Medicine and Clinical Psychology (BMCP)
HIKO-STEC Trial - Study details can be found HERE.
Cincinnati Children’s Mpox Evaluation and Treatment Toolkit | View Here
Resources for Genetic Services at Cincinnati Children’s | View Here
Cincinnati Children’s Institutional Policies and Guidelines for COVID-19 Management and Prevention | View Here
RSV Prophylaxis Plan - Summary of regional hospital plans
GSK recently announced a change to the recommended administration schedule for Bexsero vaccine. The change is related to the timing of the 2nd dose; adjusting the schedule from 1 month apart to 6 months apart. Details are HERE.
The Newborn Hyperbilirubinemia guide includes local contact information and criteria for home, inpatient, and birth hospital treatment options.
Here is an algorithm on hemoglobinopathies created by Dr. Charles Quinn from the Division of Hematology. The algorithm is designed to assist local providers with referral decisions and treatment in the event of an abnormal hemoglobin result on newborn screening. NOTE: The algorithm includes the notification process followed by ODH specifically. KY and IN may have slightly different processes.
Kentucky Public Health Department announced a health alert for increased cases of pertussis in the state. The increase is consistent with current national and global trends. Clinical guidance developed for Cincinnati Children’s staff is available HERE.
Outpatient Diagnostic Services - View schedule of lab, radiology and EKG services by location
Beginning July 9, Cincinnati Children’s is trialing a billable E-Consult process for Neurology and Genetics only. We will monitor the use and value of the system before expanding to other divisions. Review the FAQ to learn more.
Cincinnati Children’s is using ‘Remote Patient Monitoring’ (RPM) to extend care to patients who have been discharged after an asthma admission. We developed a Remote Patient Monitoring FAQ to help answer your questions and provide details about how we can collaborate with you using RPM.
The CDC has issued a health advisory for increased N Meningitidis serogroup W in the U.S. and Europe. Details are HERE.
Imaging Guides for frequently requested Radiology, Ultrasound and Fluoroscopy orders. Refer to these guides to know what views to order based on the patient’s indication(s).
Our Pre-Op team created a one-page resource to help you and your patients understand when and why outpatient surgeries may be postponed. Please print this guide for reference.
Resources for Tickborne Disease:
Please review signs, symptoms, and resources from the Cincinnati Health Department HERE.
Epic Link Tips
Effective Oct. 15, all lab orders placed in Epic Link require an ‘Expected Date’ to be entered to indicate an expected collection timeframe. More details are in the FAQ.
Have you viewed the HOME page in Epic Link? The HOME page contains ‘Quick Links’ with several short videos (and PDF’s) to help navigate and use the system efficiently. New tools are found there. Check it out!
Did you know there is an overview of Social Determinants of Health (SDoH) available in Epic Link? Cincinnati Children’s is administering risk assessments which populate 10 SDoH including food insecurity, transportation, mental health, etc. The assessment scores create a color-coded visual (wheel) that can be viewed in the Longitudinal Plan of Care tab or the Plan of Care tab.
To discontinue/cancel an order in Epic Link, use the Order Review tab and click on Cancel Orders. See visual here.
Cincinnati Children’s Clinical Laboratory Updates (Dec. 2024) | View Here
Swab Reference Resource (updated Feb. 2024)
QR Code for Cincinnati Children’s Test Directory
Clinical Lab resource highlighting lab locations, hours of operation and test menu
Guidance on Measles
Group A Strep Pharyngitis | View Here
Pneumonia Update - Review of management guidelines
View a behavioral health resource that guides decision-making along the full continuum of care.
Infectious Disease, ENT and community practice leaders have developed a clinical update for Group A Strep Pharyngitis outlining testing and treatment of both primary and recurrent GAS infections.
Cincinnati Children’s created a new standardized screening process for suicide risk in adolescents. The two-tiered process uses the National Institute of Mental Health’s (NIMH) ASQ screening tool and, if positive, can be followed up with the Columbia-Suicide Severity Rating Scale (C-SSRS). Details about the research and planned Epic enhancements found HERE.
Cincinnati Children’s COVID-19 MIS-C Algorithm (dated May 12, 2023).
The Emergency Dept (ED) created an algorithm for positive blood cultures to guide clinical decision-making for patients who have a positive blood culture after being discharged from the ED.
Dermatology has developed a Triage Algorithm to provide visibility to how referrals flow through the department. They will continue to use details from the referral sent to inform the scheduling priority. A letter from Dr Marathe highlights referral details and upcoming faculty additions.
Ohio Dept of Health (ODH) added screening for Spinal Muscular Atrophy (SMA) and X-linked Adrenoleukodystrophy (X-ALD) to the Newborn Screening Panel (October 2022). This newborn screening document details both conditions. ODH recommends a referral to both Genetics AND Neurology within 2-5 days of a positive SMA screen and a referral to Genetics within 3 weeks of a positive X-ALD screen.
PRACTICE resources
Updates to Cincinnati Children’s Perioperative Fasting Guidelines for Anesthesia Services (Oct. 2024) | View Here
Cincinnati Children’s Medical Home Project | View Q&A
Hospital Medicine’s Resident Team Color: Why it Matters in Communication
On Wednesday, Nov. 13 (11 am–Noon), you can join a virtual education session titled “From Clinic to Classroom: Navigating School Questions You May Encounter as a Clinician.” The program will be facilitated by Ashely Baker, MEd, School Services Specialist. Learn more.
SAVE THE DATE for the annual Volck Medical Humanities lecture titled ‘Beyond Batman: 10 Reasons for Using Comics in Medical Teaching and Research’ scheduled for Thursday, Nov. 7 from Noon-1 pm. Access the link to join virtually.
Register for Perinatal Summit on Neonatal Opioid Withdrawal Syndrome.
There is a nationwide IV fluid shortage due to flooding after recent storms. Cincinnati Children’s is implementing mitigation efforts for both inpatient and outpatient settings. View Cincinnati Children’s conservation strategy HERE (updated 10/9/24).
Do you have patients/families living in Hamilton County? If so, they may be approached by Gallup to complete a survey about their health and wellbeing. Please share/post the flyer about the survey to alert families about it. Surveys begin in Oct–Nov and will continue quarterly through 2029
On August 6, 2024, the temporary restraining order halting the implementation of HB68 for transgender care was lifted, which means the law is now in effect. The Transgender Health Center at Cincinnati Children’s will remain open and will follow the requirements of the law. View internal communication and resources HERE.
Ohio Chapter of the AAP was awarded the Outstanding Chapter award for the 5th time! Read more about the chapter’s accomplishment HERE.
Cardiology created a referral guide specifically for Preventive Cardiology programs like hypertension and cholesterol clinics.
The Division of Psychiatry is offering a Neurobehavioral Partial Hospitalization Program (NB PHP) at College Hill for youth aged 10-17. The program provides multidisciplinary evaluation and group-based treatment for kids with autism, borderline intellectual functioning or mild intellectual disability. Treatment focuses on emotion regulation skills development. Find program details and referral guidelines in this FAQ.
If you are using Cincinnati Children’s version of Haiku, there is a necessary update to the system. The update can be completed in 3 short steps by following this job aid. If you have Community Associate Staff credentials, you can add Haiku to your mobile device.
Community Medical Staff - Did you know you have access to Cincinnati Children’s Epic system via Haiku? Access the job aid to learn how to load Haiku onto your mobile phone.
Change to CareSource Prior Authorization Process | View Here
Electronic Referrals to the ED via Epic Link | View Here
Epic Link: Happy Together Tip Sheet and FAQ
Cincinnati Children’s Infection Control Assessment: Drinks in Clinical Areas | View Policy
CliniSync Transition: View current status (as of Jan. 2024) and options for getting test results.
The Division of Developmental and Behavioral Pediatrics has important changes regarding referrals for children aged 6-12 years, effective 9/20/23. View the referral update from division director, Tanya Froehlich, MD, MS. Please consider these alternative options for evaluations and supports for patients in this age group.
The Division of Psychiatry offers a Partial Hospitalization Program (PHP) which provides day-treatment for children and teens to improve management of: School anxiety, emotions, behavior problems, and issues related to mental illness. Referrals can be made directly to the division (bypassing PIRC). PHP treatment is available at Green Township and our Norwood location. The admission/exclusion criteria can be used as a reference.
Cincinnati Children’s Guidelines for Masking - Precautions against community spread of viral respiratory illnesses (updated September 2024)
Are you interested in adding Behavior Health services to your practice? Cincinnati Children’s has created an Integrated Behavioral Health (IBH) model that allows you to meet behavioral health needs of your patients within the medical home. Click the link above for details or email Stephanie Eberle to learn more.
Cincinnati Children’s has noticed a recent uptick in positive results for Lyme Disease. There are several resources on Lyme Disease that you might find helpful to your practice.
For providers: ODH surveillance data and the latest data for zoonoses (OH 2019). Additionally, a 2-page Lyme Disease Update was created in collaboration with Infectious Disease faculty. The document covers topics on clinical manifestations, differential dx, diagnostic testing, and treatment. The Division of Infectious Diseases also created a 1-page guide to tick removal in an ambulatory setting.
As of August 15, CCHMC lab began offering in-house testing for Lyme disease antibodies. The in-house test is a Total Lyme with Reflex IgG & IgM (test code LAB00643). Search our Test Directory for additional Lyme testing options that are available as send-out tests.
For families: Educational resources and a blog post from Infectious Diseases created in 2022.
The Peri-op team created a 1-page resource that outlines factors that could contribute to surgical cancelations/rescheduling. The pre-anesthesia resource includes information related to recent illness, chronic conditions, medications and more.
Did you know you can upload documents (or pictures) to a patient chart in Epic Link? That process complements the E-consult system when additional documentation is pertinent to your clinical question. Uploading details and the E-consult FAQ are available to you. Reminder: E-consult communication is visible to MyChart users.
Although the Hypermobility Clinic is closed to new referrals, OT/PT is still taking referrals for joint stability and strengthening for hyper mobile patients. E-consult is also available for any non-urgent questions. We are actively recruiting and in the interim, have compiled a resource list that includes materials for providers and families.
OhioRISE provides specialized managed care for Ohio Medicaid children who have complex behavioral health or multiple system needs. If your practice accepts Medicaid insurance, this will impact you and the youth you serve. Find out what you need to know HERE.
OhioRISE Webinar - View the recording which contains valuable information about the Care Management Entities (CMEs) that are in the local catchment areas.
The appendix of the slide deck (58-73) contains additional OhioRise resources including billing guidance.
resources for patients and Family
Cincinnati Children’s & Univ of Cincinnati are hosting a symposium for families called Empowering Families on Sept. 27 from 8 am–3 pm. The symposium will be held on Xavier’s campus and focuses on tools to help families advocate for their child at school. Use the link above to register. Event flyers are provided in English and Spanish. Some sessions will be available in Spanish too.
A family podcast is available on our Young & Healthy podcast series called Tick Talk – Lyme Disease in Kids.
Know the difference between common respiratory viruses like RSV, Cold, Flu and COVID-19 | View Here
A web-based tool can help families initiate the process of de-labeling an unverified penicillin allergy. Penicillin Allergy Decision and Mobile Empowerment (PADME) is an online assessment that produces a personalized risk assessment and risk-based guidance for next steps. Website and additional information HERE.
Center for ADHD Clinical Services - Expanded group therapy options
DDBP is offering caregiver education sessions on various topics each month now through Aug. 2024. Classes are designed for those providing daily care to a child with DD. Registration is required. Participation is open beyond DDBP patients. The link above contains the schedule, registration details, and class descriptions.
Toilet Training (2-Day Class: Nov. 7 & Nov. 14) | View Flyer
Below are two highly requested blog posts about suicide that can be shared with families either in print or electronically:
Blog Post: Risk Factors for Suicide in Kids and Teens
The AAP has created a free family-friendly referral guide to support families when developmental concerns are identified. The 2-page guide is customizable to add local resources that families can use as a guide for services in their area. The guide is available in English and Spanish.
Book List for Common Mental Health Concerns in children, including anxiety, depression, sleep, OCD and shyness.