Are We A Good Fit?
What sets IPHC apart? Why choose us?
Integrative Pediatric Health Care (IPHC) is a Nurse Practitioner owned and operated practice. We do not have Medical Doctors (MDs) in our office, as we intended to create an Advanced Practice Nursing Care model which differs from traditional allopathic models (medical or disease/curative focused). IPHC NPs focus on education, health promotion, and developing trusting-caring relationships between clients and providers. Our NPs are held to the Standards of Advanced Nursing Practice and hold National Board Certifications for Pediatric Nurse Practitioners in Primary Care (CPNP-PC) and Advanced Practice Holistic Nursing (APHN-BC). Clients can expect expansive expertise and care that is well suited to meet the various needs of children in a Primary Care setting. There is no limitation of Advance Practice Nurses’ scope of practice in Colorado related to Primary Care; therefore, clients should expect the same expert care a physician would provide but with a unique holistic philosophy that Nurses bring to Health Care.
IPHC is designed with care, privacy, comfort and efficiency in mind. Our office is set-up differently than most Health Care offices, with the intention to create a private, safe, healing, and kid-friendly place. Our rooms are spacious, clean, and allow for the comfort of breastfeeding mothers, confidential conversations, and a sense of feeling at home. We make a concerted effort to keep sick and well children separated for the safety and health of all of our clientele by not having a waiting room, and by efficiently rooming our clients and keeping “well rooms” and “sick rooms”. You’ll enjoy longer visit times than typical pediatric offices to allow for questions, discovery, and whatever may come up.
IPHC recommends and follows the CDC vaccine schedule endorsed by the AAP. Our policies have been updated, and IPHC no longer registers or accepts clients into practice who do intend to immunize. While we do not endorse or recommend alternative schedules of vaccines, we can discuss that with parents on a case-by case basis but this must be done prior to being accepted as a client, or before 4 months of age for newborns.
What is Holistic/ Integrative Health Care
Holistic does not equal antimedicine, antivaccine, or pseudoscience. Holism is a whole person approach to healing and health and honors the interconnectedness of all beings and their environment. It can also be considered an attitude, philosophy or way of being or doing. IPHC offers a variety of care modalities that may include complementary treatment suggestions during your visits. If this does not interest you, there is no pressure to utilize them. If it does interest you, please let us know! Read more about Integrative Health Care here.
Vitamin K for newborns
Newborns planning to establish care at IPHC should know that our practice REQUIRES administration of intramuscular vitamin K at birth to reduce to possibility of early or late Vitamin K deficiency related bleeds (VKDB). Our NPs do not find credible evidence that oral Vitamin K is an alternative to injectable forms. Those who wish to choose IPHC for pediatric care who did not receive a birth dose of vitamin K will not be accepted in to practice until the window of VKDB has passed (6 months). This includes siblings of current clients. If you have questions about this, please ask our NPs prior to your 1st visit.
IPHC supports appropriate and judicious use of antibiotics, as antimicrobial resistance and antibiotic overuse is a pertinent health care issue today. IPHC NPs use evidence-informed practice including guidelines, local resistance patterns, and complete exam (which may include cultures). NPs will prescribe an antibiotic when appropriate for bacterial infections, along with discussion of risk/benefit. We advise probiotics when appropriate.
IPHC NPs are strongly driven to provide comprehensive, holistic health care and serve as your Pediatric Primary Care home. To that end, we expect that you contact our office FIRST before seeking specialty care, seeking second opinions, or utilizing urgent care/ERs. Our goal is accommodating care in our office when appropriate or referring you to the most appropriate specialist and helping with care coordination. Whenever you do see a specialist, we ask that you request a report be sent directly to our office so we may stay informed and have the most up-to-date information in your medical record (including ERs). IPHC is not a consultatory or second opinion clinic.
IPHC prides itself on efficiency and environmental sustainability through use of technology. You will be expected to consult our website and effectively use automated reminders for appointments. Patient Portal Access set-up is required, and we prefer patients use it for questions/concerns. Our check-in process is paperless using a system called Phreesia, and we expect clients to be prepared to fill out pre-visit check-in documentation. We utilize CORHIO which is an interface for receiving documentation from ERs/hospitals/labs. We also use CIIS which is Colorado’s statewide immunization registry for continuity of up to date immunization records. You may legally Opt-Out of participation with these databases if desired.
We make every effort to meet the needs of our patients, offering both routine newborn visits, well visits and sick visit appointments during normal business hours. We do not offer walk-in appointments but have same day sick visits available daily. To ensure we provide you with the most efficient care, we highly recommend you call ahead to schedule an appointment. Please familiarize yourself with our office hours to see if they work for your family.
We have an NP on call 24/7/365. If a client has an urgent issue that cannot wait until morning, you can call our main number and the Provider on-call will give you advice regarding your child's problem. You may wish to check the "Is Your Child Sick?" section of our website for helpful information before using this service. You may also utilize the free Children’s Hospital RN line at 720-777-0123 option 1 to get free advice from a live Registered Nurse.
It is your responsibility to make sure (and keep making sure) that we participate with your insurance plan. It is your responsibility to know the limits and coverage of your health insurance policy, to show your cards to us at each visit, and be prepared to pay any copays at the time of service. Our billing staff will do their best to assist you with insurance questions; however, if you have questions about your coverage, it is best check with your specific insurance company. Our office does not want you to be surprised by a bill but must always bill your health plan based on federal guidelines and the actual services provided. Please read our financial policy for more information. We do accept self-pay clients who are uninsured, out of network, or who have health-shares. There are certain policies specific to those who have Health First Colorado Insurance.
Billing and Fees
Insurance copays and balances are expected to be paid at the time of service. If you are unable to comply, you must speak with the billing department prior to the visit to set up a payment plan. All Health Shares and Out-Of-Network Insurances are treated as self-pay clients Ask our staff for self- pay rates and details.
For acute care, call the office to speak with triage staff who will elicit your concerns and schedule an appointment for your child if indicated. Sometimes an appointment may not be needed, and staff will advise you regarding your issue or check with the NP and call you back. If our staff is on with another caller or occupied with care of clients, you will be asked to leave a message and receive a return call.
For well visits, call our appointment line or request one via patient portal. Well visits may be scheduled several months in advance. We encourage you to set up your infant or toddler's next appointment when you check out from the previous one.
Timeliness & Missed Appoint-ments
Our practice makes every effort to run on time with appointments, as we believe everyone’s time is equally valuable. As a courtesy, we will remind you of your upcoming appointments via phone/text message/email. Please plan to arrive 5-15 minutes prior to your appointment time. We understand sometimes things happen beyond your control that may cause you to be late. However, we WILL RESCHEDULE YOU if you are late (we do not have a tardy “grace period”). We do not tolerate argumentative/accusatory behavior related to this issue; so, if you are chronically tardy, this office IS NOT A GOOD FIT FOR YOU.
Missed Appointments: No-show appointments represent a cost to us, to you, and to other patients who could have been seen in the time set aside for you. We reserve the right to charge for no-show appointments. We request 24-hour notice for cancellation of routine appointments and 4 hours in advance for same day sick visits. Clients and siblings will be dismissed from practice upon the 3rd “no-show” per family. Those who are chronically late or who chronically cancel and reschedule on the same day are at liberty to be dismissed from practice.