We want to thank all pediatricians, pediatric subspecialists, surgeons, nurses and health care professionals in general for continuing to stay on the front lines during this pandemic. In this page you will find links to Testing, Isolation Guidelines, and Guidance for Health Care Providers – all categorized by county, There are also links to National AAP recommendations, Telehealth and information for parents. Lastly, there are links to COVID-19 websites of neighboring health departments, CDC, WHO, and the Johns Hopkins global dashboard.

Thank you again for all that you do on behalf of children.

 

 Please take our Chapter 2 COVID-19 Survey

 

Visit our ACEs page for trauma informed care resources related to COVID-19.

NEW: ACEs Aware Webinar May 27 at 12PM
Primary Care & Telehealth Strategies for Addressing the Secondary Health Impacts of COVID-19. The recording will soon be available Here

LATEST NEWS:

Recording Available: May 19 CDC Webinar: Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with Coronavirus Disease 2019 (COVID-19).  View the recording Here

Recording Available: May 19 CMA Webinar: Reopening a Pediatric Practice. Access the recording Here

May 14, 2020 – LAHAN Alert and Webinar on Pediatric Multi-System Inflammatory Syndrome

The Centers for Disease Control (CDC) issued a health advisory on May 14 to provide background information on several cases of multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19 and a case definition for this syndrome. Please note that this case definition supersedes the definition in the 5/12/20 LAHAN.

Providers are asked to report possible cases of MIS-C by phone within 1 working day.• Los Angeles County DPH Acute Communicable Disease Control: Call 888-397-3993 or 213-240-7821• Long Beach Health and Human Services: Call 562-570-4302.• Pasadena Public Health Department: Call 626-744-6089 – View LAHAN ALERT HERE

Children’s Hospital Los Angeles hosted a webinar “Kawasaki-like Disease Related to COVID-19 Physician Informational Session”. View the video recording Here

Read about Pediatric Multi-System Inflammatory Syndrome on the AAP website.
May 8, 2020 – New Data Showing Declines in Childhood Immunizations. Read AAP report

What is COVID-19?

COVID-19 is a new strain of coronavirus that has not been previously identified in humans – the cause of an outbreak of respiratory illness first detected in Wuhan, Hubei province, China. The virus (SARS-CoV-2) causing coronavirus disease 2019 (COVID-19), is not the same as the coronaviruses that commonly circulate among humans and cause mild illness, like the common cold. Patients with COVID-19 will be evaluated and cared for differently than patients with common coronavirus diagnosis.

Reported illnesses have ranged from mild symptoms to severe illness and death for confirmed coronavirus disease 2019 (COVID-19) cases.

Symptoms may appear 2-14 days after exposure:

  • Fever
  • Cough
  • Shortness of breath

VIDEO: LA County DPH Officer on Immunizations

April 9, 2020 – Los Angeles County Department of Public Health Director Dr. Barbara Ferrer emphasizes the importance of childhood immunizations during the current COVID-19 Pandemic.

Testing

Per CDC guidelines, testing should be done if a patient has cough and fever, AND has had close personal contact with a known COVID-19 patient, is a healthcare worker, or is in close contact with a high risk individual (age 65 or older, immune compromised, or has a serious underlying medical condition).

Due to local conditions, each county’s Public Health Department may have put out differing guidelines for testing, compared to the CDC.

Kern County
Testing protocol for Kern County, click to view

Los Angeles County

Free COVID-19 Testing: The City of Los Angeles, in partnership with the County of Los Angeles and CORE (Community Organized Response Effort), is providing free COVID-19 testing to Los Angeles County residents. See more >>

Furthermore, review the guidelines as specified on the LA County website (Scroll down to the 3rd box titled “Laboratory Testing”

Riverside County
The RUHS Public Health (PH) Laboratory is accepting specimens for COVID-19 testing for any Persons Under Investigation (PUI) who are approved by the Public Health Disease Control program. Click to View

San Luis Obispo County
Testing information for the public, including locations can be found here

Santa Barbara County
Testing and alerts are available here

San Bernardino County
Visit the SB County Website, then scroll to expand the following two sections: Guidance for Healthcare Providers and Guidance for Laboratories. Includes these Testing Guidelines

Ventura County
Per the Ventura County website, “symptomatic please call your primary care doctor for your health questions. Your primary care doctor would make the recommendation for COVID-19 testing. If you do not have a primary care provider, please visit Find a Doctor. You do not need to contact Public Health to request a test. Your doctor will contact Public Health if your test is positive.”

Isolation Guidelines

Kern County. See Includes “Stay at Home Guidance” and “Stop the Spread”.

Los Angeles CountySee the “What You Should Know” section (Includes “What if I’m exposed.

Riverside CountyStay Home (English) and (Spanish) , What is COVID-19 (English), and (Spanish)

San Luis Obispo Facial Covering   and Shelter at Home Order

 

Guidance for Health Care Providers

The AAP-CA2 Committee on Practice & Ambulatory Medicine (COPAM) developed the following COVID-19 Practice Safety Guidelines as recommended measures to prevent and mitigate the effects of the COVID-19 pandemic. These guidelines apply to pediatric practices in the counties of Kern, Los Angeles, Riverside, San Luis Obispo, Santa Barbara, San Bernardino, and Ventura.

County-Specific Information

Please visit the link to your respective county below, as health departments are dealing with COVID-19 differently due to variance in case load and resources.

Kern County provided as links at the bottom of their page
Los Angeles County (Guidance, including Isolation)
Riverside County provided as Toolkits, center/mid page.
San Luis Obispo County shown on left under “Other resources”.
Santa Barbara County Multiple links and sign-up for Provider Alerts (to fax in)
San Bernardino County, Multiple links under “Guidance for Healthcare Providers”. Includes Key Points for Testing  |  Guidance for Clinicians | Testing
Ventura County has links and a number to call

We want to thank Hippo Education for making their platform available at no cost during this pandemic.

Visit the Hippo COVID-19 Resource Hub to access podcasts and videos related to COVID-19 including “Pregnancy & Newborn” and the latest COVID Cardiology.

Consider subscribing to Hippo PedsRap to support their efforts. Monthly podcasts cover case-based, clinically relevant pediatric topics and pearls. Includes CME credit. AAP members get 3 months free!  (Promo code: AAP3FREE)
http://hippoed.com/peds/rap/promotion/AAP3FREE

National AAP Resources

May 8 - Guidance on the Necessary Use of Telehealth During the COVID-19 Pandemic

The American Academy of Pediatrics (AAP) strongly supports the continued provision of health care for children during the COVID-19 pandemic through the use of telehealth to provide appropriate elements of health supervision visits or acute and chronic care visits by pediatricians, pediatric medical subspecialists, and pediatric surgical specialists. 

Continue reading >>

Telehealth Platforms

PatientPop offers a robust, HIPAA compliant TeleHealth suite with a discount for AAP-CA2 members. See more >>

Telehealth Billing Codes

These are billable codes for telehealth and phone encounters.
When completing your notes, it is recommended that you document your time spent on the video or phone encounter to help with billing reimbursement. Also, it is recommended to document verbal consent for the video or phone appointment from parent or patient. Telehealth codes are similar to sick visit codes, with a 95 modifier. View the Codes Here

For Parents

If your child is sick, keep your child home

  • Avoid group playdates or parties indoors
  • Avoid crowded activities (playgrounds, movie theaters, gymnastics, ice skating rinks, etc.), even if they’re still open
  • COVID-19 Information for Parents, on HealthyChildren.Org
  • Positive Parenting & COVID-19: 10 Tips, Click here

From Ventura County, watch Dr. Chris Landon explain the current situation as the rise in COVID-19 cases would exceed the number of ventilators in Ventura. “Please stay home… but don’t congregate together”.

Para Padres y Madres de Familia

Si sus pequeños estan enfermos, manténgalos en casa

  • Evite invitaciones de amiguitos o fiestitas, y actividades en grupo (parques, cines, gimnasios, patinaje sobre hielo, etc.), inclusive si dichos lugares permaneces abiertos.
  • Información para Padres, (en Español) HealthyChildren.Org
  • Crianza positiva durante el COVID-19: 10 consejos, oprima aqui

En Español: El Dr. Ilan Shapiro (Pediatra) explica la situacion actual y provee recomendaciones para padres y madres de familia. Cuídense y quédense en casa. Visiten la página de la Academia Americana de Pediatría

Other Public Health Entities

COVID-19 Global Impact

Johns Hopkins Center for Systems Science and Engineering Dashboard
Developed to provide researchers, public health authorities, and the general public with a user-friendly tool to track the outbreak as it unfolds.
 

 
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