Report: Smoking tied to higher sudden infant death risk | Many states with SHIP funding want greater telehealth investment | Children, teens go beyond recommended screen time
January 23, 2015
AAP SmartBrief
News for pediatricians and other child health professionals

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Report: Smoking tied to higher sudden infant death risk
A report by the Public Health Wales revealed 25 of 45 babies who suffered sudden infant death lived in homes that had smokers. Sleep position, low birth weight and co-sleeping were also among factors that raised the risk of sudden infant death, researchers said. BBC (1/20)
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Many states with SHIP funding want greater telehealth investment
An Accenture report showed 19 of 25 states that received funding for State Health Care Innovation Plans aim to boost telehealth investments this year as they launch new initiatives for Medicare, Medicaid and the Children's Health Insurance Program. Fifteen states plan to invest in patient portals and digital tools to cut costs, while 14 states intend to invest in data aggregation and analytics to bolster population health. (1/22)
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Making the Most of Meaningful Use: Why Choosing the Right EHR Matters
Healthcare professionals understand how EHRs can increase patient engagement and the quality of care. What's not clear is how to choose the right EHR vendor or how to transition to a new EHR smoothly and within government guidelines. This guide provides an overview of Meaningful Use, highlights the requirements for 2015, and provides tips for selecting the right EHR to avoid penalties and position your practice for continued success in the future. Read now.

Pediatric Health Care
Children, teens go beyond recommended screen time
Forty-five percent of children younger than 8 and 80% of those ages 14 to 15 exceeded the recommended screen time for electronic devices, an Australian study in BMC Public Health indicated. Researchers also found girls were more likely than boys to spend more time watching television, surfing the net and using social media. (1/22)
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Study: Unrestricted outdoor play boosts exercise levels in children
Canadian researchers say children who were permitted to play and explore outdoors exhibited greater physical activity levels compared with counterparts who were more closely supervised. The findings appear in Urban Studies. The Globe and Mail (Toronto) (tiered subscription model)/The Canadian Press (1/21)
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The Key To Positive Cash Flow
Every business is cyclical with cash flow ups and downs. The key is to find a way to keep the cash coming in as predictably as possible. Seem impossible? Well it's not. There are systems and processes that make it easier to collect the cash you've earned so your small business can grow. Learn how these small-business owners set up their businesses for success.

Trends & TechnologyAdvertisement
Almost a fifth of insured Americans skip doc visits due to cost
A Harris Poll survey revealed nearly 1 in 5 insured U.S. patients avoided seeing physicians in the past year due in part to a fear of costs. Data also showed 37% of patients said they get information about health care costs and services from their insurance provider, while 31% get such information from their physician. (1/22)
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Study links higher Medicaid payments to more appointments
A study published online in the New England Journal of Medicine linked higher Medicaid payments to primary care clinicians in 10 states to a 7.7% increase in the availability of primary care appointments. States with the biggest increases in primary care Medicaid payments saw the biggest increases in availability, but wait times for new-patient appointments were not affected, the study said. News (1/21)
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Docs ask ONC to overhaul EHR MU program
A group of 35 medical organizations, led by the American Medical Association, is asking the Office of the National Coordinator for Health IT to implement major changes in the EHR meaningful use initiative, arguing the program in its current form could compromise patient safety. Among the coalition's recommendations are to separate the MU program from EHR certification and take another look at software testing alternatives. The Hill (1/21)
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The IDC Market Spotlight on Network Automation and Agility
The arrival of virtualization, cloud computing, and mobility has strained data center networks—and IT staff—like never before. This Market Spotlight explains how data center network fabrics provide a foundation for automated provisioning, configuration, and management of network-based services in a new era of IT agility. Download now.

Health Policy & Regulations
Insurance enrollment through reaches 7.1 million
More than 400,000 people used for the first time to enroll in a health insurance plan Jan. 10-16, bringing total enrollment through the exchange to more than 7.1 million, the Obama administration announced. The total does not include people who enrolled through state-run exchanges. Reuters (1/21)
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Senate Republicans introduce bill to repeal ACA's individual mandate
A bill introduced by Senate Republicans would repeal the Affordable Care Act's requirement for nearly all Americans to have health insurance. The individual mandate is considered the ACA's linchpin, and its repeal would destabilize insurance markets and force higher premiums, analysts, insurers and others say. Reuters (1/22)
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The Last Word - News from the AAP
Webinar: Promoting Early Literacy & Brain Development in Pediatric Practices & the Community
Wednesday, Jan. 28
4:30 p.m. ET
Research shows that talking, reading and singing with young children starting at birth builds strong and healthy parent-child relationships, fosters early language skills and promotes children's brain development. Yet, fewer than half of children younger than five years old are read or sung to daily in the United States. This webinar aims to help pediatricians play an important role in closing this gap.
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Sleep: What Every Parent Needs to Know
From infants and toddlers, to school-age kids and adolescents, sleep time problems can affect everyone in the family. And no matter what the difficulty may be -- getting to sleep, staying asleep, bed-wetting, fears or nightmares -- it's never too late to take steps to correct it. The AAP book "Sleep: What Every Parent Needs to Know" helps parents and caregivers better understand sleep, answers questions and examines conflicting theories.
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Rough diamonds may sometimes be mistaken for worthless pebbles."
-- Thomas Browne,
English author
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This news roundup is provided as a timely update to AAP members and other health professionals about child health topics in the media. Links to articles are provided for the convenience of pediatricians who may find them of use in discussions with patients or colleagues.
External Resources are not a part of the website. AAP is not responsible for the content of sites that are external to the AAP. Linking to a website does not constitute an endorsement by AAP of the sponsors of the site or the information presented on the site.
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