1	Prescribed Pediatric Center Family Centered Medically Enhanced Childcare (419) 530-6726
2	Prescribed Pediatric Center - PPC History of PPC Who does PPC Serve What services does PPC Provide How is PPC Staffed Licensure and Accreditation Funding for Children Attending PPC
3	Prescribed Pediatric Center PPC - History Conveniently located in the EduCare Building at 1932 Birchwood Ave.
4	Prescribed Pediatric Center PPC - Early Roots In the late 1980’s the Ohio Department of Health identified a lack of services to infants and toddlers who are medically complex and clinically fragile as a high priority, unmet need. The Prescribed Pediatric Center… The Ohio Department of Health awarded the Medical College of Ohio a planning and implementation grant to establish a Prescribed Pediatric Extended Care Center modeled after a Florida program. The Prescribed Pediatric Center… In September of 1993 PPC was opened, the first program of its kind in Toledo.
5	How PPC Began: PPC Founder Dr. Elizabeth Ruppert
6	How PPC Began: In 2007 PPC joined the Anne Grady family. Located in the EduCare Building along with: LCB/DD Children’s Option Early Intervention Program Toledo Public Schools Classrooms University of Toledo Early Learning Center The University of Toledo and Toledo Public Schools collaborate to offer an inclusive pre-school.
7	How Did PPC Begin: Designed to be: Family Centered, minimizing barriers for the family to receive high quality care. Dedicated to the Treatment of the Whole Child meeting their medical, educational, and developmental needs.
8	Who Does PPC Serve ? Children 0-18 years old. Children come to PPC with Diagnoses such as: Asthma BPD Cardiac Disorder Feeding and Nutrition Disorders Metabolic Disorders Neurological Disorders Prematurity/Low Birth Weight Visual/Hearing/Speech Disorders
9	What Services Can PPC Provide? Medical Services Include: Pediatric Nursing Care Medication Administration Tube Feedings and Care of G/J Tubes Ventilator Dependent/CPAP/Oxygen Care Apnea Monitoring Tracheostomy Care Aerosol Treatments IV Therapy Diabetes Management Blood Draws and Cultures Pulse Oximetry
10	What Services Does PPC Provide? Early Childhood Education Developmentally Appropriate Plan Social and Emotional Guidance Early Childhood Education Sensory Motor Play Early Literacy
11	Why Should I Choose PPC? Small Groups – Staff members are assigned only three to four children. PPC is specifically designed to care for children with medically complex needs. PPC provides skilled nursing services with a staff of RNs and LPNs. Collaboration – PPC staff works closely with the children’s Doctors, Therapists, Early Intervention staff, and Case Managers to promote healthy growth and development. Collaboration – PPC has strong long term collaborative relationships with the Lucas Co. Board of DD, Toledo Public School, and the Early Learning Center (a NAEYC accredited childcare program) Convenient Hours – PPC is open from 6:30am to 6pm
12	Why Should I Choose PPC? Children require stimulating, supportive, and nurturing care when their parents are working, going to school, or in need of respite. High quality childcare services and early childhood education can improve children’s chances for success in later life. – World Health Organization PPC is Committed to Quality Services! PPC is fully Licensed through the Ohio Department of Job and Family Services PPC is a Certified Home Health Care Agency
13	Why Should I Choose PPC PPC is open all year. PPC is only closed six days all year. New Years Day, Memorial Day, Fourth of July, Labor Day, Thanksgiving Day and the day after Thanksgiving, and Christmas. PPC rarely closes for bad weather.
14	Why Should I Choose PPC? Prescribed Pediatric Center is a Three Star Accredited Child Care Center Three Stars is the Highest Possible Quality Rating!! Three Stars means smaller group ratios! Three Stars means highly qualified professional staff with a background in early childhood education! Three Stars means an up to date, knowledgeable staff who receive at least 10 hours of child development training per year!
15	What Are the Staff Qualifications? Prescribed Pediatrics is staffed by RNs, LPNs, STNAs, and Licensed Teachers. At least one RN is on site at all times. PPC’S Medical Director is a renowned Pediatrician and Professor Emeritus at the University of Toledo. PPC’s Manager has over 10 years experience working with families and developmental disabilities. PPC’s Nursing Supervisor has nearly 20 years of experience in the medical field. PPC’s Childcare Coordinator is a graduate of BGSU’s Early Childhood Education program. All PPC Staff receive at least 10 hours of training in Early Childhood Education each year.
16	What is a typical day like at PPC? 6:30-9:30 Arrival/Breakfast/Free Play/Developmental Goals 10:00-10:30 Circle Time 10:30-11:00 Gym 11:00-12:00 Sensory Motor/Outside /Art 12:00-12:30 Lunch 12:30-2:30 Rest/Nap 2:30-3:00 Snack 3:00-6:00 Free Play/ Developmental Goals
17	A Typical Day at PPC Sensory Motor Room
18	A Typical Day At PPC Circle Time and Free Play
19	A Typical Day at PPC The Infant Room
20	A Typical Day at PPC Toddler Room
21	How Do Families Get Started? Pick up the phone – referrals can be made by families, case managers, physicians, early intervention specialists, NICU and PICU personnel, etc.. Contact the PPC Manager at 530-6734 or the Nurse Supervisor at 530-6726. Visit PPC on the web at www. prescribedpediatric.org and fill out an information request.
22	What Do I Need to Make a Referral? When calling for a referral it is helpful to have the following information ready: Name and D.O.B of the child All medical diagnosis. List of physicians. List of medications. List of special needs the child(ren) may have during childcare. Name of Insurance companies that are covering the child including along with the plan number and names of case managers.
23	What Happens After a Referral is Made? PPC Staff will review the information with the Manager, Director of Health Services, and the Medical Director to ensure Prescribed Pediatrics is appropriate. The Family will next be asked to complete an intake packet. PPC staff is available to assist families to complete the packet. A funding source must be identified and agreed upon by all parties prior to services beginning. All physicians orders must also be sent to PPC before admission to the program.
24	What About the Cost? Fees vary depending on the services being provided. PPC works with families to explore funding opportunities that may be available to them. Most families find PPC rates to be very competitive with other childcare program. Common funding sources include: Private Insurance Medicaid Waivers Ohio Department of Jobs and Family Services Private Pay Help Me Grow Respite Funds Scholarships (Short term, generally 90 days, while additional funding sources are being identified).
25	Who Provides Transportation to PPC? Parents are responsible for providing transportation to and from PPC. Insurance or waivers may pay for transportation services to and from PPC. In certain situations when the child is also enrolled in the Toledo Public School classroom located in the EduCare building the school district may provide for part of the transportation.
26	What Should Families Bring with their Child on a Typical Day? All medications needed for the day. Staff must have a physician’s order to administer medications. Medications must be in the original container with the label from the pharmacy. All meals including bottles and formula. Diapers and wipes. Change of clothes.
27	The Case for PPC: Brain and biological development during the early years of life depends on the quality of stimulation in the infants environment – World Health Organization Addressing Early Childhood Development means creating conditions for children prenatal to 8 years to thrive equally in their physical, social/emotional, and language/cognitive development - World Health Organization Research studies consistently find that the first three years of life are critical to the emotional and intellectual development of a child. During these early years, 75% of the brain growth is completed – www.growingchild.com
28	Prescribed Pediatric Center Thank you for taking the opportunity to learn more about PPC. I hope the presentation has been informative and enjoyable. Please feel free to call me at 419 530-6734 or at kknight@annegrady.org with and questions you may have. Kris Knight, Manager Prescribed Pediatric Center