Pediatric Healthcare of Brockton

Office: 508-586-7334
Fax: 508-583-7599

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Pediatric Healthcare of Brockton

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  • 4/1/20

     

To all our patients and families, 

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    HELLO!!

  • To all our patients and families,

  • We are hoping that you are all safe and healthy during these uncertain times. We miss seeing your smiling faces and hope things can go back to “normal” soon. We are aware of the many stressors facing our families and our community and we are checking in to let you know we are here to help. 
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  • If you or your children need any advice, resources, or support during these times please reach out so we can help! 

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    We ask that you please bear with us as we work hard to keep you updated and safe during this COVID-19 pandemic. We know the virus is more wide spread now, and it is certainly a possibility that there will be more community acquired infections amongst us.  The information about children that contract COVID-19 remains reassuring. Most have a mild flu like illness with symptoms of fever and cough. Life threatening complications are rare among the pediatric population. 


  • We at Pediatric Healthcare are adjusting to a new normalcy in our routines. You may have already seen or been made aware of the new guidelines in our office, but we would like to provide you with a formal update here. In the past few weeks, our office has implemented strict measures to ensure the health and safety of all our patients, their families, and our staff. We have limited our hours from 8-1 PM M-F. We are keeping our office open for the select few visits that are deemed appropriate to be seen in-person such as non urgent (and non respiratory illness) sick visits, medication checks, and routine physicals.

  • During the hours our office is not open, you will always be able to contact our nurse triage service for any advice or questions you may have about your child. 

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    We are now conducting the majority of our visits via Telehealth! Telehealth allows our patients and families to get the care they need while minimizing unnecessary illness exposure for you (and for our staff!)  Please be aware that for the telehealth visits being conducted by phone or video where you are speaking with one of our providers (Dr. Rako, Dr. Weiner, or Christina) your insurance will be billed for this visit. 



      1. Pre Screening: We are pre-screening all visits via telephone call prior to entry in our facility. Additionally, our providers are now triaging most sick calls on the phone. If you are concerned that your child may have COVID-19 and has only mild symptoms, your provider may advise you to provide supportive home care measures and stay at home. If your child has severe symptoms or any respiratory distress, please call us and we will direct you to an ER. We do not have the capability to test in the office, nor the adequate protective gear to protect ourselves or other patients in our office. 
        1. According to the most recent DPH guidelines, patients should NOT come into the office if they had direct contact with a confirmed COVID case or if they have ANY OF THE FOLLOWING SYMPTOMS: fever, cough, sore throat, body aches, difficulty breathing. THESE SYMPTOMS SHOULD BE REPORTED TO USE AND SEEN ONLY VIA A TELEHEALTH VISIT.
      2. Testing for COVID-19: The MA DPH is not approving testing for routine fever and cough cases, unless there is an associated COVID-19 exposure or the patient is high risk for developing complications (i.e. immunocompromised, chronically ill patients). If you know that your child has been exposed to COVID-19 and is symptomatic (i.e fever and/or cough), please call us and we will direct you to the appropriate setting for testing. 
  • TeleHealth Sick Visits: We are now able to conduct many non-urgent sick visits and medication checks via Telehealth! Please consider weighing and measuring your child’s height before any visit. If you have the capacity to take a blood pressure or temperature (for sick visits) that would also be very helpful to us.  We are using 2 different platforms, depending on which device you have available:
      1. For those that have IPHONES:  We will text you a link via Doximity to your cell phone, please click this link then Consent, then click the link again to join the call
        1. You will need to allow Doximity to use your microphone and camera
      2. For those that have ANDROIDS or a COMPUTER: We will be using “Zoom.”
        1. ANDROID ONLY: Download the Zoom app on your phone, you will need to create an account with your email. Via the app, you will click on “Join a Meeting.” You will be prompted to enter a Meeting ID (which our staff will give to you on the phone once the provider has started the meeting). 
        2. COMPUTER ONLY: Go to www.Zoom.com, click on “Join a Meeting” in the upper corner. You will be prompted to enter a Meeting ID (which our staff will give to you on the phone once the provider has started the meeting). 
    1. Well Visits: The American Academy of Pediatrics is recommending that pediatricians continue to deliver wellness visits during this time, especially for young children and those due for vaccinations. In accordance with these recommendations, we are continuing to see well visits in the office and are restricting well visit hours from 8:30-12:30
      1. We ask that you only bring 1 companion (i.e. only 1 parent) to this visit
      2. We are out of masks at our facility (and they are on backorder from our supplier), so if you have your own we do recommend that you wear it into the office
      3. We are thoroughly cleaning and sanitizing our facility between well visits and restricting sick patients from coming to the office so as to not expose those who are well
      4. We are rooming patients immediately upon entry so that you won’t have to wait in our waiting room.
      5. Our building is conducting temperature screenings at the entrance
      6. If you would prefer to postpone the in-person well visit portion, we are offering telehealth consults to discuss any issues/concerns that we would have liked to discuss at the well visit and will defer the in-person part of the well visit for the time being
    2. Walk ins: have been suspended for the time being. We ask that you call us prior to entry so that we may appropriately pre-screen and triage your call. 
    Billing: The Massachusetts Governor has mandated that all insurance companies cover telehealth services during this COVID-19 crisis. Any service related to COVID-19 (i.e. any fever, cough, sore throat, body aches) will have no co-pay or cost to the patient. The governor has also stated that any telephone calls with providers (MD/NP’s) may be submitted for billing, Therefore, we will be having our providers (Dr. Rako, Dr. Weiner, or Christina) make up for some of the significant decreased number of in-office visits by handling more of the telephone calls.
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3/13/20

EFFECTIVE IMMEDIATELY, WE WILL BE SUSPENDING WALK INS (THAT HAVE NOT BEEN PRE-SCREENED) FOR THE NEXT FEW WEEKS.

IF YOU DO NOT HAVE AN APPOINTMENT TODAY BUT WOULD LIKE YOUR CHILD TO BE SEEN, WE KINDLY ASK THAT YOU CALL OUR OFFICE NOW AT (508)-586-7334, SO THAT WE MAY PRE-SCREEN YOUR CALL PRIOR TO ENTRY TO OUR OFFICE.


IF YOU DO NOT HAVE ANY RISK FACTORS FOR ENTRY DURING THE PRE-SCREENING PROCESS, WE ARE HAPPY TO SEE YOU FOR A WALK-IN APPOINTMENT.


PLEASE KNOW THAT THIS IS DONE OUT OF AN ABUNDANCE OF CAUTION TO PREVENT THE SPREAD OF VIRAL RESPIRATORY ILLNESS THAT HAVE NOT BEEN PRE-SCREENED VIA TELEPHONE CALL PRIOR TO ARRIVAL AT OUR FACILITY.


WE ARE DOING OUR BEST TO PROTECT OUR MOST VULNERABLE PATIENTS AND STAFF AND APPRECIATE YOUR KIND ATTENTION TO THIS MATTER


- THE STAFF OF PEDIATRIC HEALTHCARE

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To all our patients and families,
We know that everyone has been following the news about the novel coronavirus
strain (COVID-19) very closely and that there are many questions and concerns
about this outbreak. The situation is currently very fluid as local and international
public health authorities assess, surveil, and attempt to prevent the spread of
additional infections. Pediatric Healthcare is closely monitoring the latest
developments and we are following the guidance of the Centers for Disease
Control (CDC) and state and local public health officials. We are happy to answer
any questions you may have, but also advise you to visit the CDC and/or
Massachusetts DPH websites for the most reputable and up-to-date information.


What are the symptoms?
Symptoms of COVID-19 may appear 2-14 days after exposure and include:
● Fever
● Cough and cold symptoms
● Shortness of breath and in severe cases, pneumonia


The risk of coronavirus to the general public remains low at this time. It is
important to keep in mind that the vast majority of people in our area with
symptoms like cough and cold symptoms, sore throat, and fever DO NOT have
COVID-19. The flu and common cold are currently more prevalent in our
communities than COVID-19.
From what we know so far, children are at low risk for complications related to
COVID-19. Older adults and those with serious chronic health conditions are at the
most risk of getting very sick from this illness. So, even if your child does acquire
COVID-19, the illness will most likely be similar to a minor flu-like illness which
can easily be managed with supportive care measures.


Can my child be tested for coronavirus?
At the current time, testing is only recommended for patients who are symptomatic
and have a known risk factor for the infection. The CDC has advised reserving
testing for those that are symptomatic with the following risk factors:
If you have returned from China, Italy, Iran, Japan, or South Korea within
the past 14 days OR
● You have been in contact with someone who has returned from these
countries within the past 14 days OR
● You have been in contact with someone who has a confirmed case of
COVID-19
We DO NOT have the capacity to test children for COVID-19 or to provide the
recommended isolation at this time.
If you are concerned that your child meets the
criteria for testing, please DO NOT come to our office.
Instead, please do call us and
we will help direct you to a site for evaluation. The health and safety of our team
members and all patients in our office is our top priority and we appreciate your
cooperation and understanding. We will keep our website updated with any
changes to the availability of testing at our facility.

 

We have provided the links below for you:

CDC - CENTERS FOR DISEASE CONTROL https://www.cdc.gov/coronavirus/2019-ncov/about/index.html 

MASS.GOV https://www.mass.gov/resource/information-on-the-outbreak-of-coronavirus

There are currently NO VACCINES available to prevent this infection.

 

 

Meet Our Providers

Learn what makes us so specials from other pediatricians out there. [ click here ]

Patient Portal

Online resources at the tips of your fingers. [ click here ]

What's New

    • COVID-19 Resources

 Partners Healthcare Coronavirus Hotline :

DPH - DEPARTMENT OF PUBLIC HEALTH https://www.mass.gov/info-details/covid-19-cases-quarantine-and-monitoring#covid-19-cases-in-massachusetts-

WHO - WORLD HEALTH ORGANIZATION:https://www.who.int/

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    •  https health plans.. 

We accept the following insurance including:
 
MassHealth Partners Healthcare Choice ACO, BCBS, Harvard Pilgrim, Tufts, Aetna, Cigna, Tufts Health Direct, Tricare, Allways, Fallon, UnitedHealthcare, Health Plans, Unicare, Multiplans and other small commercial plans.

We recommend contacting your insurance company to find out if we are an in-network provider.  You simply have to call the member service phone number located on the back of your insurance card and ask if JRAKO MD PC dba Pediatric Healthcare NPI 1699756122 is an in-network provider.  Otherwise, please contact our office directly if you require additional assistance. 

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  • Pediatric Healthcare is a Patient Centered Medical Home!!
  • At Pediatric Healthcare Brockton, our heath care teams partner with patients and their families and make every effort to understand and respect each patient’s unique needs, culture, values, and preferences.

    Our PCMH practice supports patients in learning to manage and help to organize their own care. We want you to be an active member of your care team. Recognizing that patients and families are core members of the care team, PCMH practices like PHCB work with patients to provide proactive,  comprehensive care, better access to care and more coordinated care for patients.  

Pediatric Healthcare utilizes performance data  from MHQP to identify opportunities for improvements.  Based on this data we act to improve on clinical quality and patient experience.  We would like to thank you for all your support and for our most recent ratings.

Click here to view our MHQP practice performance results

Click here to view Quality Improvement Project Results for 2016/2017

  • Prefer to contact us electronically?  We now offer an electronic way to communicate with us! Simply sign up with the Patient Gateway portal in person at our office or by simply clicking here :https://patientgateway.partners.org/public/
  • With Patient Gateway you can:
  • > Request a Referral to a specialist
  • > Communicate with our staff and/or your Provider
  • > Print your child's health form
  • > Request a prescription Refill
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PARENT ONLINE RESOURCES