Our newsletter is an opportunity to put into our own words recent relevant news and make it specific for our community. Please contact us with your thoughts and suggestions. One of the best parts of being a small practice is that we can customize our practice to fit the needs of our community, even as that community grows and changes.


Fall 2015
A Special Letter from Jen Byrne, CPNP
Dear Patients:

It is with mixed emotions that I am announcing my departure from Performance Pediatrics, effective October 29, 2015. As some of you know, my daily commute to Plymouth is long and stressful, prompting my decision to leave my Performance Pediatrics family.  I am joining a practice closer to my home and family but still within the same Boston Children's Hospital network Dr. McAllister is in.

It has been a great pleasure providing for your children's health care needs over the years, and it is not easy for me to leave.

Our front desk staff, Mary and Audrey, will reach out to patients scheduled with me after November 1 to reschedule you with Dr. McAllister.   

I have greatly valued the privilege of watching your children grow over the years. Best wishes for your future health.

Sincerely,
Jen
Jennifer L. Byrne, CPNP
Medical Home Care Coordinator
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Changes at Performance Pediatrics
"Autumn is the mellower season, and what we lose in flowers we more than gain in fruits." -Samuel Butler

In a way, it's fitting that so much change at Performance Pediatrics is happening in Autumn. Autumn brings many changes to our community as the days shorten and the leaves transform into their beautiful colors. At Performance Pediatrics Jen's departure has given us an opportunity to examine the current needs of both our patients and our staff in light of dramatic changes in payments from MassHealth and commercial payers.

Downsizing
At this time we are choosing to not replace Jen with a new nurse practitioner. Until this year, commercial payers paid us enough to make up for the lower payments we receive from MassHealth. A dramatic change in the number of patients with high-deductible plans and a 32% pay cut from MassHealth has significantly changed the economics at small practices like ours. For now we feel we can best meet patient needs if we are smaller. While many pediatric colleagues are forced to see 6 - 8 patients/hour, Dr. McAllister will continue to see only 2 - 3 patients/hour giving patients proper time to meet "whole child" primary-care needs. 

More After-School Well Exams, but No More Saturdays
Starting in November, Performance Pediatrics will be open Monday - Friday, 9 am - 5 pm. We will no longer have Saturday morning hours. To make up for the loss of Saturday well exams, Dr. McAllister has added many more after-school well exam slots. When we are closed and your child is ill, please use the Symptoms section of our website to determine your best healthcare option. You know, there is an old joke in healthcare about getting the patient into the doctor as soon as possible in case they get well before the doctor can get paid. At Performance Pediatrics, we know that not all symptoms have to be treated right away. When in doubt, utilize the nurse or doctor on call and, if you truly desire walk in care, we recommend urgent and retail-based clinics to supplement the care we provide in our Performance Pediatrics medical home. 

New Patients
We currently have a four to six month waiting list for new patients with a few noted exceptions for established families and first-time parents. Please visit the frequently asked questions (FAQ) page of our website to learn more.
Back to School
What would an Autumn newsletter be without a few "back to school" notices.

Homeschooling
If you've visited Performance Pediatrics lately you may have noticed 11-year-old Andrew McAllister studying from a laptop computer or outside collecting toads. Although he attended Carver Public Schools for Kindergarten through 5th grade, Andrew started year-round homeschooling for 6th grade in June of this year. Although Dr. McAllister has every confidence in the public school system, homeschooling can be a good option for kids, like Andrew, who love to learn but don't do well in a traditional school environment. If you're interested in learning more about homeschooling we recommend contacting Advocates for Home Education in Massachusetts (AHEM).

School Attendance
At Performance Pediatrics we believe that all children should attend school, whether public, private or homeschooling, on a regular basis. If your child is missing a lot of school, please contact us so that we can rule out any treatable physical or behavioral health condition that may be interfering with your child's learning and development. That said, it is also important that patients follow school, AAP and public health guidelines to stay home when you are sick so that you can get better and not spread disease to others. Check with your school nurse and follow the school's guidelines for when to stay home. Ultimately, the decision to stay home is the parent's. The parent is responsible for writing a note to the  school and for communicating with the school about the absence. Please review our school note policy to learn when Dr. McAllister, will, and will not, write notes to school.

Dr. erMcAllist
Be well, Dr. McAllister

Performance Pediatrics | 508-747-8277| Website