La. Admin. Code tit. 48 § V-5301

Current through Register Vol. 50, No. 9, September 20, 2024

Section V-5301 - Subspeciality Clinics

A. General Information. CSHS clinics are medical subspecialty treatment clinics. They are established on the basis of need, availability of subspecialist physicians, and fiscal resources. They are not screening clinics. Neither are they set up to provide acute or emergency care. A multidisciplinary team staffs each clinic. This team may be composed of a physician, nurse, social service staff, nutritionist, and others as appropriate to the clinic, i.e., orthotist, etc. Services are usually provided in the child's region of residence. However, on occasion, a child must travel to another region for clinics and services not available near home.

B. Subspecialty Clinics

1. Arthritis. Pediatric rheumatology services are provided for children with chronic arthritic diseases, i.e., diseases causing chronic synovitis which may be associated with a number of underlying diseases or causes. Services are limited for treatment for joint involvement.

2. Audiology. Diagnostic services are provided to evaluate hearing loss and for habilitation of impairment through provision of hearing aids and/or follow-up services.

3. Cardiology. Medical and surgical services are provided for children with congenital and acquired chronic diseases, conduction disorders and valve defects.

4. Cleft Lip And Palate. Children with cleft lip and/or palate defects, are provided surgical and habilitative services in team clinics. In addition to plastic surgery and/or oral surgery, other services may include orthodontia, dental and speech therapy services.

5. Cystic Fibrosis. Children diagnosed with cystic fibrosis are treated by the staff of Cystic Fibrosis Centers at Tulane Medical Center in New Orleans and LSU Medical Center in Shreveport. No other pulmonary conditions are covered.

6. Nephrology. Medical treatment is provided for metabolic disorders affecting the kidneys and recurrent or chronic renal infections. Care is not provided for children with end stage renal disease or needing dialysis or transplant.

7. Neurology. Medical services are provided for children with refractory or progressive seizure disorders, degenerative neurologic conditions, neuromuscular and acquired neurologic disorders.

8. Neurosurgery. Services are provided for children in the rehabilitation phase of treatment for head and spinal cord injuries and for children with congenital malformation of the nervous system requiring neurosurgical treatment. Children with myelodysplasia are seen in this clinic if no separate CSHS Spinal Cord clinic is available.

9. Ophthalmology. Medical and surgical services are provided for patients with congenital or acquired eye disease requiring specialized treatment i.e., strabismus, cataracts, glaucoma, or structural anomalies. Care is not provided for children with minor refractive errors only.

10. Orthopedic. Children with congenital or acquired defects: amputee deformities or chronic diseases affecting the musculoskeletal, cerebral palsy system and/or spinal cord are cared for by orthopedic specialists and in some CSHS regions there are specialized orthopedic clinics e.g. Scoliosis scoliosis, cerebral palsy, hand and amputee clinics.

11. Otology. Medical and surgical services are provided for children with significant hearing loss of any etiology. Congenital and acquired otological disorders requiring long term subspecialty care are treated. Care is not provided for acute problems, disorders of the nose, sinuses, throat, larynx and upper respiratory tract.

12. Reconstructive Surgery-Surgical and rehabilitative services are provided for the removal or correction of burn scars and/or contractures and of keloids, hemangiomas or similar conditions or deformities which limit function. Cosmetic surgery is not provided.

13. Spinal Cord. Multidisciplinary clinics in some CSHS regions serve children with myelodysplasia and other congenital or acquired spinal cord problems.

14. Urology. Surgical services are provided for the correction of congenital anomalies and acquired defects or obstructions of the urinary tract. Medical treatment is provided for chronic urinary tract infections. Care is not provided for acute infections, renal stones and genital disorders.

La. Admin. Code tit. 48, § V-5301

Promulgated by the Department of Health and Human resources, Office of Preventive and Public Health Services, LR 13:246 (April 1987), amended by the Department of Health and Hospitals, Office of Public Health, LR 15: (October 1989).1987), amended by the Department of Health and Hospitals, Office of Public Health, LR 22:362 (May 1996).

AUTHORITY NOTE: Promulgated in accordance with R.S. 40:31.2, R.S. 40:1299.111-120, and Title XIX, Public Health service Act, §1905