We are pleased to announce the June 2022 installment of Bright Futures eNews.
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Bright Futures Highlights
2022 Bright Futures/AAP Periodicity Schedule is Now Available
The 2022 Bright Futures/AAP Recommendations for Preventive Pediatric Health Care policy statement (also known as the Periodicity Schedule) will be published in the July 2022 issue of Pediatrics (released online on June 21, 2022). The Bright Futures/AAP Periodicity Schedule is updated annually. Be sure to check the date in the top right corner to ensure that you are referencing the most updated version. Here is a summary of the changes to the 2022 Bright Futures/AAP Periodicity Schedule:
Hepatitis B Virus Infection
- Assessing risk for HBV infection has been added to occur from newborn to 21 years (to account for the range in which the risk assessment can take place) to be consistent with recommendations of the USPSTF and the 2021–2024 edition of the AAP Red Book: Report of the Committee on Infectious Diseases.
- Footnote 31 has been added to read as follows: “Perform a risk assessment for hepatitis B virus (HBV) infection according to recommendations per the USPSTF (https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-b-virus-infection-screening) and in the 2021– 2024 edition of the AAP Red Book: Report of the Committee on Infectious Diseases, making every effort to preserve confidentiality of the patient.”
Sudden Cardiac Arrest and Sudden Cardiac Death
- Assessing risk for sudden cardiac arrest and sudden cardiac death has been added to occur from 11 to 21 years (to account for the range in which the risk assessment can take place) to be consistent with AAP policy (“Sudden Death in the Young: Information for the Primary Care Provider”).
- Footnote 33 has been added to read as follows: “Perform a risk assessment, as appropriate, per ‘Sudden Death in the Young: Information for the Primary Care Provider’ (https://doi.org/10.1542/peds.2021-052044).”
Depression and Suicide Risk
- Screening for suicide risk has been added to the existing depression screening recommendation to be consistent with the GLAD-PC and AAP policy.
- Footnote 16 has been updated to read as follows: “Screen adolescents for depression and suicide risk, making every effort to preserve confidentiality of the adolescent. See ‘Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management’ (https://doi.org/10.1542/peds.2017-4081), ‘Mental Health Competencies for Pediatric Practice’ (https://doi.org/10.1542/peds.2019-2757), ‘Suicide and Suicide Attempts in Adolescents’ (https://doi.org/10.1542/peds.2016-1420), and ‘The 21st Century Cures Act & Adolescent Confidentiality’ (https://www.adolescenthealth.org/Advocacy/Advocacy-Activities/2019-(1)/NASPAG-SAHM-Statement.aspx).”
- The Psychosocial/Behavioral Assessment recommendation has been updated to Behavioral/Social/Emotional Screening (annually from newborn to 21 years) to align with AAP policy, the American College of Obstetricians and Gynecologists (Women’s Preventive Services Initiative) recommendations, and the American Academy of Child & Adolescent Psychiatry guidelines.
- Footnote 14 has been updated to read as follows: “Screen for behavioral and social-emotional problems per ‘Promoting Optimal Development: Screening for Behavioral and Emotional Problems’ (https://doi.org/10.1542/peds.2014-3716), ‘Mental Health Competencies for Pediatric Practice’ (https://doi.org/10.1542/peds.2019-2757), ‘Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents With Anxiety Disorders’ (https://pubmed.ncbi.nlm.nih.gov/32439401), and ‘Screening for Anxiety in Adolescent and Adult Women: A Recommendation From the Women’s Preventive Services Initiative’ (https://pubmed.ncbi.nlm.nih.gov/32510990/). The screening should be family centered and may include asking about caregiver emotional and mental health concerns and social determinants of health, racism, poverty, and relational health. See ‘Poverty and Child Health in the United States’ (https://doi.org/10.1542/peds.2016-0339), ‘The Impact of Racism on Child and Adolescent Health’ (https://doi.org/10.1542/peds.2019-1765), and ‘Preventing Childhood Toxic Stress: Partnering With Families and Communities to Promote Relational Health’ (https://doi.org/10.1542/peds.2021-052582).”
- Footnote 37 has been updated to read as follows: “The USPSTF recommends that primary care clinicians apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption (https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prevention-of-dental-caries-in-children-younger-than-age-5-years-screening-and-interventions1). Once teeth are present, apply fluoride varnish to all children every 3 to 6 months in the primary care or dental office based on caries risk. Indications for fluoride use are noted in ‘Fluoride Use in Caries Prevention in the Primary Care Setting’ (https://doi.org/10.1542/peds.2020-034637).”
- Footnote 38 has been updated to read as follows: “If primary water source is deficient in fluoride, consider oral fluoride supplementation. See ‘Fluoride Use in Caries Prevention in the Primary Care Setting’ (https://doi.org/10.1542/peds.2020-034637).”
2022 Coding for Pediatric Preventive Care Booklet is Available
In addition to the 2022 Bright Futures/AAP Periodicity Schedule, the 2022 Coding for Pediatric Preventive Care booklet has been revised and is available online and in print. This complementary resource contains comprehensive listings of codes and services that coincide with the 2022 Bright Futures/AAP Periodicity Schedule.
If you have questions about the 2022 Bright Futures/AAP Periodicity Schedule or 2022 Coding booklet or would like to receive a few hard copies to share with your clinics, colleagues, students, or families, contact us.
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