Pediatric Grand Rounds (RECORDING) Integrating Community Health Workers into Team-Based, Early Childhood Preventive Care

This presentation is a recording of a Stanford Pediatric Grand Rounds Session.  World-renowned experts will present the latest research, practice guidelines, and treatment protocols to advance best practices in the care of pediatric patients. These online recordings will provide pediatricians and family physicians with up-to-date clinical information on a wide range of clinical issues encountered in daily pediatric practice. 

In this session, we explore how well-child care can be designed to meet the needs of these families. We review various well-child care interventions and their evidence, and focus in on the importance of team-based care and how to integrate clinicians, such as Community Health Workers, into the primary care team to help provide equitable preventive care to families.

  Release Date: June 15, 2022
  Expiration Date: June 14, 2023
  Estimated Time to Complete: 1.0 hour
  Registration Fee: FREE
 *Originally recorded 03/04/2022.

1. Discuss how to meet the needs of low-income families in early childhood well-child care visits.
2. Know the evidence of team-based care interventions for well-child care.
3. Have the tools to integrate Community Health Workers into primary care.

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credits^TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require accommodations, please contact the CME Conference Coordinator.

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References/Bibliography

Coker, T. R. et al. (2013). Does Well-Child Care Have a Future in Pediatrics? American Academy of Pediatrics, 131(S): S149. https://doi.org/10.1542/peds.2013-0252f

Coker, T. R. et al. (2014). Well-Child Care Clinical Practice Redesign for Serving Low-Income Children. American Academy of Pediatrics 134 (1): e229-e239. https://doi.org/10.1542/peds.2013-3775

Coker, T. R., Mimila, N. A., et al. (2016). A Parent Coach Model for Well-Child Care Among Low-Income Children: A Randomized Controlled Trial. Pediatrics, 137(3), e20153013. https://doi.org/10.1542/peds.2015-3013

Fierman, A. H. et al. (2016). Redesigning Health Care Practices to Address Childhood Poverty. Academic Pediatrics, 16(3S), S136–S146. https://doi.org/10.1016/j.acap.2016.01.004

Freeman, B., & Coker, T. R. (2018). Six Questions for Well-Child Care Redesign. Academic pediatrics, 18 6, 609-619. https://doi.org/10.1016/j.acap.2018.05.003

Liljenquist, K., & Coker, T. R. (2021). Transforming Well-Child Care to Meet the Needs of Families at the Intersection of Racism and Poverty. Academic pediatrics, 21(8S), S102–S107. https://doi.org/10.1016/j.acap.2021.08.004

National Academies of Sciences, Engineering, and Medicine. (2021). Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Washington, DC: The National Academies Press. https://doi.org/10.17226/25983

Starfield, B. (1973). Health Services Research: A Working Model; Dynamics of Health Outcome. The New England Journal of Medicine. https://doi.org/10.1056/NEJM197307192890305 The Department of Health Care Services. (2022).

DHCS Proposal to add Community Health Workers. DHCS: Community Health Workers. https://www.dhcs.ca.gov/community-health-workers

For CME general questions, please contact 
     Email: [email protected]

Mitigation of Relevant Financial Relationships

Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education. 

There are no relevant financial relationships with ACCME-defined ineligible companies for anyone who was in control of the content of this activity, except those listed in the table below. All of the relevant financial relationships listed for these individuals have been mitigated.

Member Information

Role in activity

Nature of Relationship(s) / Name of Ineligible Company(s)

Alan R. Schroeder, MD
Clinical Professor
Stanford University

Course Director and Reviewer

Nothing to disclose

Tumaini Coker, MD
University of Washington

Faculty

Nothing to disclose

Debra Babcock, MD
Stanford Childrens (PCHA)

Planner

Nothing to disclose

Caitlin Billingham, MD, MPH
Chief Resident
Stanford Pediatrics

Planner

Nothing to disclose

Lisa Jo Chamberlain, MD
Professor of Pediatrics – General Pediatrics
Stanford Children's Health

Planner

Nothing to disclose

Olivera Marsenic Couloures, MD
LPCH

Planner

Nothing to disclose

Lane Donnelly, MD
University of North Carolina

Planner

Nothing to disclose

Baraka Dechelle Floyd, MD
Clinical Assistant Professor and Associate Chair for Diversity, Equity, and Inclusion
Stanford University School of Medicine

Planner

Nothing to disclose

Ingrid Garnica, Other
Stanford Pediatrics

Planner

Nothing to disclose

Charles Gawad, MD, PhD
Associate Professor
Stanford

Planner

Ownership-BioSkryb Genomics

Allison Guerin, EdD
Stanford

Planner

Nothing to disclose

Mary Beth Leonard, MD, MSCE
Arline and Pete Harman Professor and Chair, Department of Pediatrics
Stanford University

Planner

Nothing to disclose

Stephen J Roth, MPH, MD
Attending, Cardiovascular ICU
Lucile Packard Children's Hospital Stanford

Planner

Nothing to disclose

Sarina Tom, BA
Education Operations Manager
Stanford Pediatrics

Planner

Nothing to disclose

Ke-You Zhang, MD
Stanford University

Planner

Nothing to disclose