In April 2014, the Baylor Environmental Health Service opened its first Environmental Health Clinic. This clinic, for children up to 18 years of age, is located at the Harris Health Pediatric and Adolescent Health Center in Pasadena, Texas. This fully staffed clinic sees patients every Tuesday morning, focusing primarily on children with elevated blood lead levels or poorly controlled asthma. To refer a pediatric patient to the EHC at PAHC, please refer to our Guide for Referring Patients to the BCM Environmental Health Clinic and send us—by email or fax, a completed Referral Form. For physicians within the Harris Health System, referrals can be made electronically through Epic (PA Environmental Health Clinic, Pediatrics, Pasadena).
The EHS’s adult Environmental Health Clinic opened for research in January 2015 at the Harris Health Smith Clinic. This clinic sees patients every Thursday morning, focusing on adults with poorly controlled asthma.
The Baylor Environmental Health Clinics provide comprehensive environmental health assessment and management services for individuals suffering adverse health effects due to or exacerbated by environmental exposures, with an initial focus on poorly controlled asthma. Services include:
Office Visit. The provider will take a comprehensive health and environmental history, conduct an exam and order additional testing when necessary.
Exposure Assessment. In many cases, the provider will order an environmental exposure assessment. EHS staff will conduct a visual inspection of the patient's home, school or workplace and take some simple environmental measurements. More advanced assessments will also be available if needed. Following the exposure assessment, program staff will develop an action plan, with tailored education and interventions to limit exposure to identified hazards. Staff will provide information regarding recommended exposure reduction actions and tools, and will advocate for insurance reimbursement when appropriate.
Case Management and Follow up. EHS staff will help patients and their families improve housing conditions and access services they may need. Families may be referred to government agencies for additional information and assistance. Action plans will also address continued medical management, including follow-up and communication with the patient's primary care or specialty provider and school nurse (if appropriate).
As a central source for clinical services as well as environmental health information, the program will serve as a resource for outreach to local government agencies, health care providers, patients and academic institutions. In addition, the clinics will be used as platforms for educating medical students, fellows and providers referring to the clinic.