Mdch update

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Mdch update

  1. 1. WISEWOMAN MDCH Update
  2. 2. Incentives/Rewards <ul><li>Journals </li></ul>
  3. 4. Incentives/Rewards <ul><li>Lavender Soap </li></ul>
  4. 5. New Note Cards available Front If you believe you can, you will. Inside  WISEWOMAN  Back
  5. 6. New Forms Order Process <ul><li>There is a new Forms Order form on the website </li></ul><ul><ul><li>Program Management </li></ul></ul><ul><ul><ul><li>Forms </li></ul></ul></ul><ul><ul><ul><ul><li>WISEWOMAN Program Forms Request </li></ul></ul></ul></ul>
  6. 8. Training <ul><li>Offering 1 initial training per month </li></ul><ul><li>Viki will offer 1 follow-up training for Lifestyle Counselors per month </li></ul><ul><li>Intervention Level Training </li></ul><ul><ul><li>Required for everyone who sets intervention levels </li></ul></ul><ul><li>Motivational Interviewing Training </li></ul>
  7. 9. Motivational Interviewing Training <ul><li>June 15, 2011 – Detroit area </li></ul><ul><li>June 20, 2011 – Caro or Saginaw </li></ul><ul><li>July 14, 2011 – Gaylord </li></ul><ul><li>July 29, 2011 – Grand Rapids </li></ul>
  8. 10. Data Update <ul><li>April 2011 submission </li></ul><ul><li>If you have never run reports . . . </li></ul><ul><li>Run MDE report occasionally </li></ul><ul><li>Returning vs. Baseline </li></ul>
  9. 11. Billing <ul><li>As of April 30, 2011 Health Advantage will no longer receive claims </li></ul><ul><li>All billing services will be done at MDCH </li></ul>
  10. 12. New Policy <ul><li>WISEWOMAN Records Retention Policy </li></ul>
  11. 13. CDC Changes as of July 1, 2011 <ul><li>Changes to Minimum Data Elements (MDE) </li></ul><ul><li>Changes to Performance Measures </li></ul>
  12. 14. CDC Definition of a Participant <ul><li>Received at least one B&C service </li></ul><ul><li>Received all of the following: </li></ul><ul><ul><li>Height </li></ul></ul><ul><ul><li>Weight </li></ul></ul><ul><ul><li>One blood pressure measurement </li></ul></ul><ul><li>Responded to at least one health history question </li></ul>
  13. 15. CDC Definition of a Contact <ul><li>Contact date </li></ul><ul><li>Type of contact </li></ul><ul><ul><li>Telephone or face-to face </li></ul></ul><ul><li>Setting </li></ul><ul><ul><li>Individual or group </li></ul></ul><ul><li>At least one focus for the session </li></ul><ul><ul><li>Nutrition; Physical Activity; or Smoking Cessation </li></ul></ul>
  14. 16. Policy Changes <ul><li>Performance Measures </li></ul><ul><li>Medical Care Case Management </li></ul><ul><li>Screening & Referral Protocols </li></ul><ul><li>Rescreening Policy </li></ul>
  15. 17. Performance Measures <ul><li>Screening </li></ul><ul><ul><li>Revised 95% completeness measure </li></ul></ul><ul><ul><li>New – At least 95% appropriate medical referrals </li></ul></ul>
  16. 18. Performance Measures <ul><li>Lifestyle Intervention </li></ul><ul><ul><li>Revised – 75% Level 2 receive one F/U after screening </li></ul></ul><ul><ul><li>New – 75% Level 1 receive one contact at screening </li></ul></ul><ul><ul><li>Revised – 90% referral to MSUE </li></ul></ul><ul><ul><li>New – Less than 20% Level 3 are Can’t Contact or Refused </li></ul></ul>
  17. 19. Performance Measures <ul><li>Alert values </li></ul><ul><ul><li>Revised – 100% of alert values seen in one week </li></ul></ul>
  18. 20. Performance Measures <ul><li>Rescreening </li></ul><ul><ul><li>Revised – 35% rescreened 12 – 18 months after previous screening </li></ul></ul>
  19. 21. Medical Care Case Management <ul><li>Refused requires date of refusal and written explanation </li></ul><ul><li>Lost to follow-up requires date lost and document attempts to contact </li></ul><ul><ul><li>Policy </li></ul></ul><ul><li>Not meeting 7 day diagnostic exam date requires a written explanation </li></ul><ul><li>New Alert Glucose values </li></ul><ul><ul><li><= 50 and > 275 </li></ul></ul>
  20. 22. Form Changes <ul><li>Medical Care Case Management </li></ul><ul><li>Health History </li></ul><ul><li>Health Risk </li></ul><ul><li>Group Contact </li></ul>

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