Ages 0 to 2 Years
Molina Healthcare of Utah operates under an accelerated immunization schedule. In accordance to the Recommended Childhood and Adolescent Immunization Schedule from CDC, an accelerated schedule has been recommended in order to boost immunization rates and get children vaccinated on time. Such schedules have been adopted in California, Idaho, Oklahoma, Kansas, New Mexico and now Utah with much success. Molina encourages the use of the accelerated schedule in hopes to get children "Done by One".
| Screening/Immunization | Frequency |
| Height, weight,head circumference | Plotted on growth chart Newborn or at 2-4 days if discharged < 24="" hours="" post="" delivery="" then="" 1,="" 2,="" 4,="" 6,="" 9,="" 12,="" 15,="" 18="" and="" 24="" /> |
| Vision, subjective by history | Newborn or at 2-4 days if discharged < 24="" hours="" post="" delivery,="" then="" 1,2,4,="" 6,="" 9,="" 12,="" 15,="" 18="" and="" 24="" /> |
| Hearing, objective by standard testing method. | Newborn |
| Hearing, subjective by history | At 2-4 days, then 1, 2, 4, 6, 9, 12, 15, 18 and 24 months. |
| Lead screening | At 9-12 months and 24 months and in accordance with state law |
| PKU | After birth, prior to discharge |
| *Hematocrit, for anemia or polycythemia | At 9-12months and 15months – 5 years for high risk for iron deficiency |
| * Hematocrit See AAP Nutrition Handbook (1998) for a discussion of universal and selective screening options. Consider earlier screening for high-risk infants (e.g. premature and low birth weight). See also Recommendations to Prevent and Control Iron Deficiency in the United Sates. MMWR. 1998: 47 (RR-3): 1-29. | |
| Ocularprophylaxis | After birth, no later than1 hour |
Additional Recommendations |
| Breast feeding infants - follow-up after discharge – 48-72 hours after birth |
| *Congenital hypothyroidism - After birth, optimally between 2-6 days |
| * Congenital Hypothyroidism See Newborn Screening; Recommended Guidelines. Pediatrics. 1993; 91:1203-1209 |
| *Hemoglobinopathy - Discuss with “at risk “ patients |
| * Hemoglobinopathy The AAFP strongly recommends ordering screening tests for PKU, hemoglobinopathies and thyroid function abnormalities in neonates. |
| *TB Screening - To be performed for high-risk population and in accordance with state law. |
| * Tuberculosis screening – The AAFP strongly recommends screening for tuberculosis by applying the mantoux test to patients at high risk for tuberculosis, including those with close contacts to a person with known or suspected TB, health care workers, immigrants from countries with high TB prevalence, HIV positive individuals, alcoholics, injection drug users, residents of long term care facilities, and medically underserved low income people. |
| Dental Referral at 1-2 years. |
| Order fluoride supplementation age 6 months through 16 years based on fluoride concentration of patient’swater supply (lessthan 0.6 ppm) |
| Domestic Violence screening |
| Counseling |
| Nutrition with counseling to maintain caloric balance,encourage breastfeeding through atleast 6 months of age, Accidental Injury Prevention, Car Seat Use, Violence Prevention, Second-Hand Smoke, Dental Health, SleepPositioning |
