Name of the Procedure:

Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter (T1024).

Summary

This procedure involves a comprehensive medical evaluation and treatment plan conducted by a specialized team of healthcare providers. The team works together to address the complex needs of children who have multiple or severe handicaps, ensuring coordinated and comprehensive care.

Purpose

The procedure aims to manage and improve the quality of life of children with multiple or severe disabilities. The goals include:

• Accurate diagnosis of medical conditions.
• Developing an individualized treatment plan.
• Coordinating care from various specialists.
• Improving overall health and functioning.
• Providing family support and education.

Indications

• Children with multiple or severe disabilities.
• Complex medical conditions requiring multidisciplinary care.
• Children needing coordinated services from various specialties.

Preparation

• No special preparation required unless specified by the primary care physician.
• Review of medical history and current medications.
• Possible completion of diagnostic tests prior to the visit, as directed by the healthcare team.

Procedure Description

1. Registration and Initial Assessment: The patient and family are welcomed, and initial health information is reviewed.
2. Comprehensive Evaluation: Each specialist on the team assesses the child. This might include pediatricians, neurologists, therapists, nutritionists, etc.
3. Multidisciplinary Meeting: The team collaborates to discuss findings and develop a coordinated care plan.
4. Treatment Plan Discussion: The proposed care plan is discussed with the patient’s family, including treatment options and goals.
5. Implementation: The team implements the plan, providing necessary treatments and interventions.
6. Follow-Up: Arrangements for follow-up visits and ongoing assessments are made.

Tools and equipment vary by specialist and might include diagnostic devices, therapeutic tools, and communication aids.

Duration

Each encounter typically lasts from 1 to 3 hours, depending on the complexity of the child’s needs.

Setting

The procedure is usually performed in specialized healthcare facilities like children's hospitals, multidisciplinary clinics, or outpatient care centers.

Personnel

• Pediatricians.
• Neurologists.
• Physical and occupational therapists.
• Speech and language therapists.
• Dietitians.
• Social workers.
• Psychologists.
• Other specialists as needed.

Risks and Complications

• Minimal risks are involved as it is primarily an evaluative and consultative process.
• Possible delay in achieving coordinated care if communication among team members is not optimal.
• Emotional stress for families due to the thorough nature of the evaluation.

Benefits

• Comprehensive understanding of the child's health.
• Coordinated care ensures that all aspects of the child’s health are addressed.
• Improved management of conditions and quality of life.
• Support and education for families.

Recovery

• No recovery period as it is a non-invasive procedure.
• Families may need time to process information and follow up on recommended interventions.
• Continual reassessment and adjustment of the care plan as needed.

Alternatives

• Single-specialist evaluation (less comprehensive and potentially fragmented care).
• Multiple uncoordinated specialist visits (higher caregiver burden, risk of inconsistent care).

Patient Experience

During the procedure, the patient might experience multiple evaluations, which can be tiring. Families can help by preparing the child and bringing comfort items. Post-procedure, the focus is on following the care plan and attending follow-up appointments, with support from the healthcare team to manage any challenges and ensure comfort.