Children with Special Health Care Needs Program

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Maxillofacial Teams

The Children with Special Health Care Needs (CSHCN) Program supports three regional Maxillofacial Teams in Washington State through contracts to coordinate care for infants and children born with oral facial anomalies, like cleft lip and cleft palate. 

In each region a nurse serves as Maxillofacial Team Coordinator.  Teams include (private sector) medical specialists with expertise in maxillofacial conditions including plastic surgeons, orthodontists, oral surgeons, dentists, speech pathologists, otolaryngologists, social workers, nurses, and others.

The Maxillofacial Team Coordinator works closely with the team members, families and local public health nurses to schedule children for team review, facilitate visits with each specialist as necessary prior to the team review, collect reports of visits to specialists, collect data such as x-rays, photos, or dental slides, and summarize current information and recommendations prior to the team review.

Following the team review, the Team Coordinator assures a written summary of the reports and recommendations is sent to the family and each specialist involved in the children’s treatment plan.  Children and their families are present for the team review, allowing both families and specialists the opportunity to interact for the best interests of the children. 

The Team Coordinator also works with local hospital staff to be sure each family of a newborn with a cleft or other oral condition gets timely, accurate information about the condition and the resources available for care.

A statewide multidisciplinary workgroup developed “Critical Elements of Care for Cleft Lip and Palate”.  This guideline emphasizes the critical importance of team care.  It includes a “Summary of Key Interventions by Age” for pediatricians and others who may see only a few children with clefts in their practice.  The Critical Elements of Care Booklet on Cleft Lip and Palate is available online.  It is a PDF document and requires Adobe Acrobat Reader software.  See the webpage for more information.

The CSHCN Program supports Maxillofacial Teams in Spokane, Tacoma, and Yakima.  Teams also operate in Seattle and Portland, Oregon.  Children are usually seen by the team serving their area of residence, however parents may choose where they would like to be served.

• Spokane's Inland Empire Maxillofacial Review Board serves counties in the East Region:

           The team coordinator for this region is located at:

                  Spokane Regional Health District
                  West 1101 College Avenue
                  Spokane, Washington  99201
                  (509) 324-1652
                  FAX (509) 324-1699

• Tacoma's Southwest Washington Maxillofacial Team serves counties in the Southwest Region:

             The team coordinator for this region is located at:

                  Mary Bridge Children’s Hospital & Health Center
                  311 South “L” Street  (MS:  B1-NDP)
                  Tacoma, Washington  98405
                  (253) 403-4799
                  Toll Free:  1-800-552-1419, ext. 4799
                  FAX  (253) 403-1540

• Yakima's Central Washington Cleft Palate team serves counties in the Central Region:

           The team coordinator for this region is located at:

                  Children’s Village
                  3801 Kern Road
                  Yakima, Washington  98902
                  (509) 574-3260
                  FAX  (509) 574-3210

• The Northwest Washington region includes the following counties:

          The team coordinator for this region is located at:

                  Public Health Seattle & King County
                  999 Third Avenue, Suite 900
                  Seattle, Washington  98104-4039
                  (206) 296-7412
                  FAX (206) 296-4679
                  Email:  cshcn@metrokc.gov

• The team coordinator for the Northwest Region works with Craniofacial Center staff at Children’s Hospital and Regional Medical Center to serve children in the Northwest Region.

                  Children’s Craniofacial Center
Children's Hospital and Regional Medical Center
4800 Sand Point Way NE
PO Box 5371
Seattle, Washington  98105
(206) 526-2528
FAX  (206) 527-3824

Website:
Craniofacial Center | Children's Hospital & Regional Medical Center

• Portland serves some children residing in Southwest Washington through:

                  Craniofacial Disorders Program
Oregon Health Sciences University
Child Development and Rehabilitation Center
PO Box 574
Portland, Oregon 97207-0574
(503) 494-2741
FAX (503) 279-4447

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