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MNAAP Newsletter

Searching for The Holy Grail: A Perfect Screen for Social Determinants of Health

DianaCuttsDiana Cutts, MD, FAAP, Hennepin County Medical Center; and Rich Sheward, deputy director of innovative partnerships at Children’s HealthWatch

Why screen for social determinants of health?
In the United States, we spend increasingly more money per capita on medical services compared to other industrialized nations, while we spend increasingly less on social services. Thus, despite medical advances and increased health care spending, underinvestment in addressing patients’ socioeconomic needs inhibits progress in achieving improvements in our nation’s health.

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The Nitty Gritty of Providing Adolescent Confidential Services

DaveAugheyDave Aughey, MD, FAAP, Children’s Minnesota

Minnesota’s “Minor Consent” statute allows adolescents to receive confidential sexual health services. The statute does not mandate that clinicians need to provide confidential care. But if services are provided confidentially, the clinician is obligated to do everything possible to ensure 100 percent privacy for the patient.

This is an implied contract between the clinician and the patient and is consistent with “Do no harm.” When confidentiality is broken, not only is the patient’s trust violated, but a variety of harms may occur.

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Minnesota Newborn Screening: The Addition of SMA

Maggie Dreon, MS, CGC, Sondra Rosendahl, MS, CGC, and Bridget Busacker, MA, Minnesota Department of Health

Minnesota continues to be a leader in the country for timely and well-executed newborn screening. In 2017, Minnesota’s program added three new disorders (X-ALD, MPS I, and Pompe disease) to the newborn screening panel. In 2018, Minnesota will be one of the first states to start screening for spinal muscular atrophy (SMA).

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Statewide Project to Prepare for Pediatric Disasters

Paula Kocken, MD, FAAP, Pediatric Emergency Medicine, Children’s MinnesotaPaulaKocken

How would your local hospital respond to 15 pediatric victims of a disaster presenting to the emergency department (ED) in one hour?

A surge of pediatric patients can come from a mass casualty event like the Boston Marathon or from a chlorine spill at a pool.

The National PedsReady project from 2013 showed, on average, only 60 percent of Minnesota hospitals are sufficiently prepared for a pediatric surge of patients.

Through a grant from the AAP, I am working with a multidisciplinary group and the Minnesota Department of Health (MDH) to create and roll out an educational curriculum to improve the care of young patients during a large volume event.

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Endocannabinoids and Autism Spectrum Disorder: Facts, Not Hype

LucienGonzalezLucien Gonzalez, MD, MS, FAAP, Diplomate of ABAM, University of Minnesota

Autism spectrum disorder (ASD) has been added to the list of qualifying medical conditions for Minnesota Medical Cannabis. Patients certified to have ASD will be eligible to enroll in the program on July 1, 2018 and receive cannabis extracts from the state’s approved vendors beginning August 1, 2018.

Minnesota joins only Pennsylvania and Georgia in specifically including autism among their lists of qualifying conditions for young people. In Delaware, autism is a qualifying condition for adults only.

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