Quality Improvement Coaching

Preventive Care Portfolio
Healthy Children ·     ≥6 well visits by 15 months of age

·     Annual well visits for children 3-6 years old

·     Annual well visits for adolescents (12-21 years)

Oral Health ·     Fluoride varnish application for children up to 6 years of age
Reproductive Health ·     Reproductive health assessments for adolescents

·     Contraception prescribing among 15-19-year-old females

Disease Management Portfolio

Asthma ·     Asthma Medication Ratio (AMR)

·     Asthma management (control assessed at every visit, schedule follow up
appointments every 6 months, and asthma action plans updated annually)

Pharyngitis ·     Appropriate testing for pharyngitis: ensuring that patients with a diagnosis
of strep pharyngitis receive strep testing, if antibiotics will be prescribed
Emergency Department

Use Reduction

·     Reduce emergency department visits, with a focus on four ambulatory
sensitive conditions: asthma, otitis media, upper respiratory infections and
skin-soft tissue infections

Behavioral Health Portfolio

Attention Deficit

Hyperactivity Disorder

·     ADHD screening and follow up

·     Appropriate prescribing of ADHD medications

Depression ·     Universal screening of adolescents for depression

·     Primary care management of depression in adolescent patients

Suicide Prevention ·     Screening adolescents for suicide intentions

·     Referral and management of at-risk adolescent patients



·     Reduction in prescribing multiple concurrent antipsychotic medications

More News & Updates

PFK Can Help with Certification
Partners For Kids is an excellent resource to fulfill Part 4 Maintenance of Certification (MOC) requirements through its six approved quality improvement projects. See how.
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2017 Physician Incentive Plan Reimbursement Rates
The Per Successful Patient (PSP) reimbursement rates and the Pharmacy Shared Savings target for the 2017 Physician Incentive Plan have been calculated! Check them out.
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PFK Featured in Harvard Business Review
PFK was recently featured in a "Harvard Business Review" article.
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2018 Single Preferred Drug List
PFK has learned that the Ohio Department of Medicaid (ODM) is planning to implement a single preferred drug list (PDL).
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ECHO Autism Resources
Educational resources for primary care practices caring for children with autism are available through the Child Development Center (CDC) Research Office at Nationwide Children’s Hospital.
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Provider Survey Recap
Thanks for participating in the Provider Satisfaction Survey! Learn more about the survey and the winners of the drawing.
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Scope of Provider Credentialing
The Partners For Kids Credentialing Committee has expanded the scope of providers that Partners For Kids may credential for its network.
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Save the Date: Pediatric Asthma Conference
The 9th Annual Pediatric Asthma Conference will be held on May 11, 2018, at Nationwide Hotel and Conference Center in Lewis Center, Ohio.
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New Resources Added
Check out the Resources page for updated prescribing guidelines and new general practice resources.
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“Depression Screening and Management in Primary Care” Webinar January 25
The next quarterly webinar, “Depression Screening and Management in Primary Care: Building Relationships with Local Behavioral Health Professionals,” is scheduled for Thursday, January 25, 2018, at noon.
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2018 Physician Incentive Program 
The Partners For Kids Physician Incentive Committee has announced the structure of the 2018 Physician Incentive Program. 
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Updated W-9 Forms
We want to make sure we have the most accurate billing information for each practice. Please submit a current W-9 form to Julianne.Michel@NationwideChildrens.org by February 28. If you have questions, call Juli-Anne Michel at (614) 355-5517.
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Incorporating Behavioral Health Into Your Practice Webinar March 1
The next Practice Fitness Series, “Incorporating Behavioral Health Into Your Practice,” will be held Thursday, March 1, beginning at 5:30 p.m.
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Upcoming Coding Seminar Hosted by CPP
On Wednesday, April 4, Children’s Practicing Pediatricians (CPP) will host a Pediatric Coding Seminar featuring Dr. Richard Tuck at Stecker Auditorium in Nationwide Children’s Hospital.
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Adolescent Health Webinar Series
The Ohio Chapter of the American Academy of Pediatrics is hosting a three-part webinar series focused on adolescent health care.

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Paperless is the Trend in the Health care Industry
Going paperless has many benefits and is becoming the trend in the health care industry. Get information on how to participate in paperless funds transfer.
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Medicaid ID Numbers
In order to comply with Federal Rule 42 CFR 438.602 that went into effect January 1, 2018, providers are required to have an active Medicaid ID number. 
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Asthma Medication Updates
Read about which asthma inhalers were recently discontinued.
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PCP Change Request Forms
Many practice managers have inquired about capturing the name of the rendering provider on patients Medicaid managed care cards. Here's how.
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Single Formulary Update
Medicaid will not be moving forward with a single formulary as originally planned for this summer.
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CareSource Well Check Denials (Code OA-119)
Several practices have reported that CareSource is denying claims for well checks with code OA-119 (benefits exceeding maximum). 
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Behavioral Health Webinar Series for Primary Care
Nationwide Children’s Hospital will present a multi-part Behavioral Health Webinar Series for Primary Care. 
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PFK Office Manager’s Retreat
PFK and Molina Healthcare are hosting a retreat for office managers at the Partners For Kids office, 525 E. Mound St., 3rd Floor Training Room, Columbus, on Friday, June 22.
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Behavioral Health Webinar Series for Primary Care
Nationwide Children’s Hospital is presenting a multi-part Behavioral Health Webinar Series for Primary Care this year. 
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CareSource OA-119 Well Check Denial Update
View an update on the CareSource OA-119 well check denial.
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Buckeye Health Plan Vaccine Denials
Get updated information on the Buckeye Health Plan vaccine denials.
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Announcing Ujjwal Ramtekkar, MD
In July, Ujjwal Ramtekkar, MD, MPE, MBA, joined the Department of Psychiatry and Behavioral Health at Nationwide Children's Hospital and Division of Child and Adolescent Psychiatry at The Ohio State University. He also joins Partners For Kids as an Associate Medical Director, where he will work to develop an integrated primary care – behavioral health model as a leading priority.
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Prescribing Resources Updated
Check out updates to two prescribing resources.
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Free Transportation Offered by Medicaid Plans
Do you have patients who miss appointments due to transportation issues? Each Medicaid Managed Care Plan provides free transportation for patients (and guardians) to physician appointments.
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New Behavioral Health Webpage
In recognition of adding behavioral health providers to the Partners For Kids network, we have added a “For Behavioral Health Providers” webpage.
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2018 Physician Incentive Plan Rates and 2017 Proof Forms
The Per Successful Patient (PSP) incentive rates for the 2018 Physician Incentive Plan have been calculated. They will be applied with the Q1 2018 checks scheduled for distribution at the end of August.
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Upcoming Opportunities to Fulfill the 2018 Network Requirement
Mark your calendars for upcoming programs on substance abuse, mindful practice and the HEDIS BMI requirement. These programs allow you to meet the 2018 network requirement.
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Save the Date! PFK Quarterly Webinar on the New HEDIS BMI Requirement
The next quarterly PFK webinar takes place Tuesday, October 2, from noon to 1 p.m. Our featured speakers are Ihuoma Eneli, MD, MS, and Marc Michalsky, MD, from the Center for Healthy Weight and Nutrition at Nationwide Children’s Hospital.
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PFK Offers Assistance with Quality Improvement Projects
Interested in pursuing a sponsored quality improvement project? PFK offers training and resources to help! These projects overlap with many of Medicaid’s quality measures and with measures in the PFK Physician Incentive Program. Check out the available options.
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Partners For Kids Provider Satisfaction Survey
PFK’s annual Provider Survey will be distributed October 19.
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Sports Physicals vs. Well Checks
The start of the school year is synonymous with sports physicals. This is an excellent opportunity to educate parents that a sports physical does not constitute a well check
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Best Practices in Reducing No-Show Appointments
Partners For Kids has a new best practice guide on reducing no-show appointments.
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Annual Provider Survey
Check your inbox for the annual PFK Provider Survey!
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Vaccines for Children (VFC) Program Recommendations
Check out resources for these recommendations.
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Attaining Top HEDIS performance – Closing the Gaps in Care for Healthy Children
Learn about how we help you attain top HEIDS performance.
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2018 Partners For Kids Provider Satisfaction Survey
Thank you to everyone who participated in the Provider Satisfaction Survey. See the results and how we will use them.
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Credentialing Data Review
Starting in January, Partners For Kids will contact practices to verify information in our credentialing database.
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Care Coordination Contact Preferences
Let the care coordination staff know how to best communicate with you.
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Physician Incentive Program Open Forums
Have questions about the Physician Incentive Program for 2019? Check out opportunities to learn and ask questions.
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Save the Date! Partners For Kids Quarterly Webinar on Best Practices for Asthma Management in Primary Care
Save the date! The next Partners For Kids webinar takes place Wednesday, January 16.
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Project ECHO – Behavioral Health Collaboration
Partners For Kids is establishing a new behavioral health collaboration in 2019.
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AHD Preferred Prescribing Guidelines
Our Prescribing Guidelines for Behavioral Health include prescribing recommendations for ADHD, disruptive behavior disorders, anxiety disorders and depression, and autism spectrum disorder, as well as a comprehensive medication list for Medicaid plans of preferred and non-preferred agents.
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Managed Care Plans At-A-Glance with Behavioral Health Specific Contacts
Partners For Kids has compiled this new resource for you.
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Interdisciplinary Approach to Adolescent Eating Disorders Session
Join Nationwide Children’s Hospital and Partners For Kids for a free interactive session; “When Breakfast Tastes Like Failure: An Interdisciplinary Approach to Adolescent Eating Disorders” on March 7 at Nationwide Children’s Stecker Auditorium.
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Medicaid ID Numbers for Partners For Kids Credentialing Process
In order for the managed care plans to load providers under the Partners For Kids contract, each provider must have a valid Ohio Medicaid number.
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Save the Date: Coding Pearls Featuring Dr. Tuck
Save the date! The next Pediatric Coding Seminar featuring Dr. Richard Tuck takes place Tuesday, April 2.
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Nationwide Children’s 2nd Annual Early Childhood Wellness and Nutrition Symposium
Nationwide Children’s Center for Healthy Weight and Nutrition invites you to the 2nd Early Childhood Wellness and Nutrition Symposium on April 18 at Nationwide Children’s Stecker Auditorium. 
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Partners For Kids Quality Improvement Program Changes Name
Based on Provider Survey results, the Practice Facilitation of Quality Improvement program has now become Quality Improvement Coaching.
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Care Coordination RN Open House
We are hiring care coordinators to join our team. Care coordinators are passionate about building relationships, removing barriers and solving problems.
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Next Practice Fitness Series Seminar Announced
“The State of Telemedicine in Ohio:  Why Your Practice Needs to Be Prepared” is the topic of the next Practice Fitness Series seminar, taking place May 9 at Stecker Auditorium at Nationwide Children’s.
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Partners For Kids Webinar on Reproductive Health and Contraceptive Counseling for the Adolescent Patient
The next Partners For Kids Quarterly Webinar takes place Monday, April 22, from noon to 1 p.m. Our featured speaker will be Dr. Elise Berlan, MPH, FAAP, FSAHM, from Nationwide Children’s Hospital Division of Adolescent Medicine.
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Welcome Partners For Kids New Medical Director
Meet our new medical director!
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Thank You, Dr. Cardamone!
Join the Partners For Kids team in thanking Dr. Steve Cardamone as he transitions into his next role.
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Partners For Kids Office Manager and Staff Retreat
Partners For Kids is hosting our second annual retreat for office managers and staff.
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Lunch and Learn: A Day in the Life of a Care Coordinator
This lunch and learn will provide insight into what care coordination is and how all disciplines within the care team can work together to improve patient outcomes.
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Upcoming Events
Check out our upcoming events.
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Guidelines for Specialty Referrals
Managed Medicaid plans differ in their requirements for referrals to specialists.
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Upcoming Conference Addresses Social Media in Health Care
Communicating Medicine; Harnessing the Power of Social Media in Health Care.
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Prescribing Resources Update
Two prescribing resources have been updated and are now available.
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Partners For Kids Achieves NCQA Re-accreditation for Credentialing and Re-Credentialing
Partners for Kids has been re-accredited in Credentialing and Re-Credentialing by the National Commission on Quality Assurance (NCQA).
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Office Manager Retreat Review
Thank you to everyone who attended the Partners For Kids Office Manager & Staff Retreat on June 7!
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PFK Behavioral Health Initiatives for Primary Care Practices
Join Partners For Kids Associate Medical Director, Ujjwal Ramtekkar, MD, MPE, MBA, on Thursday, July 11, at noon for the next quarterly webinar.
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