Kenneth Tellerman

Emerging practice

Kenneth Tellerman MD & Associates

Size

Small (1-3 Physicians)

Geographic area

Urban

Practice type

Group Practice

Insurance status

• About a quarter of patients have Medicaid/Care Management
• Over half of patients have private insurance
• A small portion of patients were uninsured

Race/ethnicity of patients served

• American Indian or Alaska Native: 0%
• Asian: 10%
• Black or African-American: 35%
• Hispanic/Latinx: 10%
• Native Hawaiian or other Pacific Islander: 0%
• White: 45%

Practice Modification due to COVID-19 Pandemic

• Adopted telehealth platforms
• Converted mental health follow-up visits to telehealth visits

Developmental Surveillance, Screening and Referral Modifications

• Converted developmental coaching model and integrated into telehealth. Developmental coaching is a model focused on teaching and engaging families/caregivers of the child development narrative process
• Introduced 30 minute telehealth visits to specifically discuss child development details with families/caregivers, coaching “participatory guidance” vs anticipatory guidance
• Highly interactive
• Facilitates caregiver self-reflection
• Provides platform for families/caregivers to learn and try out new skills with feedback from clinician
• Allows pediatric practitioners to provide positive feedback to families/caregivers
  Treehouse Process
• What fun things do you enjoy doing with your child?
• Developmental narrative (where does your child fit in?)
• Provide tips
• Can you try it out? (What do you think? How does it feel?)
• What’s next or expected?
• Provider gives family/caregiver positive feedback