Lisa Cosgrove, MD

Luis Gonzalez, MD

    Michelle Tellado,MD

Donna Calvelli, ARNP

Julie Ronhaar, ARNP



Location: 270 N Sykes Creek Pkwy # 108 Merritt Island, FL 32953

Office Phone: 321-452-1061

Regular Hours:

M-F 9-5

Extended hours

M-FR 8-9 & 5-6:30

 

 

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    Atlantic Coast Pediatrics  specializes in pediatric medicine and offers health care services to infants, children, adolescents and young adults through college years. As a Patient-Centered Medical home, the practice coordinates care across all care settings, including any care occurring at specialist visits, hospitals, emergency departments, urgent cares, home health settings, and health departments. Atlantic Coast Pediatrics  has 3 pediatric board certified physicians and 2 pediatric specialized nurse practitioners. We will use  the best evidence-based medicine, education and resources available to empower you to take responsibility for your health and give you the self-management support you need to succeed.   Atlantic Coast Pediatrics, we strive to create comfort and health by providing the finest family centered pediatric care for all of our patients in Central Brevard and the surrounding area 

    The practice produces performance data reports and shares: 

    6F.2 – Practice-level performance results with the practice. 

    The following data was shared with our staff at our staff meeting held on March 31, 2017 

    6A) Strep tests on patients with a sore throat complaint or diagnosis of pharyngitis 

    Too many antibiotics are being prescribed for viral illnesses. Missed strep pharyngitis can cause permanent damage to the patients’ health. Our practice held a meeting in June 2016 to discuss the guidelines for pharyngitis and appropriate use of antibiotics. 

    Action: A PDSA cycle was implemented to remind medical assistants and clinicians about the use of the strep test. 

    Goal: 5% improvement in the rate of strep tests done. 

    Baseline measurement period: June 30, 2016- September 30, 2016 

    Baseline measurement: 72% 

    Re-measurement period: September 2, 2016- December 2, 2016 

    Re-measurement performance: 77% 

    Outcome: Goal was met. The reminder for MA’s to ask the clinicians about the strep tests will remain in place. 

    6B) Medication Reconciliation

    For effective healthcare, all prescription medications including over-the-counter, herbal, and vitamins will be reviewed and reconciled at each visit. 

    Action: During morning huddle a computer session was done to show staff how to reconcile medications in the EMR. Reminders to reconcile medications were placed at each MA and provide station. Random weekly review of charts to see what staff members are not reconciling medications. 

    Goal: 10% of patients have their medications reconciled at each visit. 

    Baseline measurement period: November 1, 2016- December 31, 2016 

    Baseline measurement: .07% 

    Re-measurement period: January 1, 2017- February 28, 2017 

    Re-measurement performance: 18%

    Outcome: 10% goal was exceeded. Actions will be put into place permanently and re-measured monthly. 

    6C) Improve wait times in the reception area and in the exam room. 

    Our patient satisfaction survey showed a consistent low score on the question related to wait times in the reception area and in the exam room.

    Goal: Improve patient satisfaction on wait times by 5% 

    Action: MA’s will call a patient if they are 10 minutes late to find out if they are having any problems getting to the visit or not coming to their visit. When a patient shows up 15 minutes (or more) or calls to state they will be at least 15 minutes late, we offer to reschedule their appointment to a more convenient time or ask them to come at the end of that day to be seen. 

    Baseline measurement period: 9/15/16-12/15/16 

    Baseline measurement: 20/102=20% 

    Re-measurement period: 12/16/16-3/15/17 

    Re-measurement performance: 11/119=1%

    Outcome: There was an improvement of 19% by following the mail action of rescheduling patients that were late. Rescheduling a late patient prevents interruption of other visits. We will continue to follow the action. 

    6F.3 – Individual clinician or practice-level performance results publicly. 

    The above information from our March 31, 2017 meeting has been shared on our website:

    www.atlanticcoastpediatrics.com 

    6F.4 – Individual clinician or practice-level performance results with patients 

    See above under 6F.3

    ITS FLU SEASON  HERE ARE A FEW TIPS FOR EVERYONE

    Flu (Influenza): Brief Version 

    The flu (influenza) is caused by a virus. The virus infects the nose, throat, and air passages to the lungs. Your child will probably have a runny nose, sore throat, and cough. Your child may have more muscle pain, headache, fever, and chills than if he had a cold. Flu gets spread when people sneeze, cough, or touch something that a sick person touched. If your child is between 6 months and 18 years old, he should get a flu shot.

    How can I take care of my child?

    • Fever or aches.

      Use acetaminophen (Tylenol) every 6 hours or ibuprofen (Advil) every 8 hours for discomfort or fever over 102°F (39°C).

      Do not give your child aspirin.

    • Cough or hoarseness.

      Give cough drops to your child if he is older than 6 years old. If your child is over 1 year old, you can give him honey (1/2 to 1 teaspoon as needed). Never give honey to babies. If you do not have honey, use corn syrup.

    • Sore throat.

      Give hard candy to children over 6 years old. Warm chicken broth may also help children over 1 year old.

    • Stuffy nose.

      Put warm-water or saline nose drops into your child's nose. Then have the child blow his nose or you can use a suction bulb. This will open most blocked noses.

    • Fluids

      Make sure your child drinks plenty of fluids.

    Call your child's doctor right away if:

    • Your child has trouble breathing.
    • Your child starts to act very sick.

    Call your child's doctor during office hours if:

    • Your child has other problems such as an earache, sinus pain or pressure, or a fever lasting over 3 days.
    • You have other questions or concerns.
    Written by Barton D. Schmitt, MD, author of “My Child Is Sick,” American Academy of Pediatrics Books.
    Pediatric Advisor 2014.1 published by RelayHealth.

    A Warm Welcome to our new Physician
    ACP has added a new member  to our team Michelle Tellado MD