TSWF BHC AIM Form Training January Jan-Apr 2020 Form Version These - PowerPoint PPT Presentation

TSWF BHC AIM Form Training January Jan-Apr 2020 Form Version These slides were not updated during the May-Aug 2020 release but are still relevant “Medically Ready Force…Ready Medical Force”

Disclaimer Content shown is from an AHLTA Training System (ATS) and does not contain actual patient data. “Medically Ready Force…Ready Medical Force” “Medically Ready Force…Ready Medical Force”

Objectives Training Objective: Identify the clinical workflows, screeners and tools available in the TSWF BHC Form Learning Objectives: At the conclusion of today’s activity, the participant will be able to: • Recognize where BHDP data entry can be utilized • Understand the documentation elements found on the Admin tab (Patient intake/Audit-C/Tobacco use/BHM-20) • Understand the use of the various screeners (including Peds) available and the value of using the Score Tracker on the Screening tab • Describe how the various tabs (e.g. Depression/Anxiety/Sleep etc.) follow the same basic structure but with unique content for each specific condition “Medically Ready Force…Ready Medical Force” “Medically Ready Force…Ready Medical Force”

TSWF BHC AIM IM Form Background & Purp rpose • Augment the behavioral health aspect of chronic disease in Primary Care • Target care • Provide serial visits for interventions and training • Integrate planning and recommendations • Provide clinically proven assessment tools “Medically Ready Force…Ready Medical Force”

TSWF BHC AIM IM Form Background & Purp rpose • Integration of AIM form • Increases cross-flow of information between PCM and BHC • Ensures appropriate questioning • Standardized Documentation • Minimizes missed documentation • Provides easy-to-follow planning “Medically Ready Force…Ready Medical Force”

Screenshots The following slides with screenshots are intended for trainers (presenter notes are included), and can be used as a reference for TSWF onsite training. “Medically Ready Force…Ready Medical Force”

Admin Tab Form Version, links to MilSuite, TSWF Navigator, TSWF Resources, and Change Log are listed at the top. “Medically Ready Force…Ready Medical Force”

Admin Tab Pre-positioned text is placed in The Admin tab needs to be some boxes by default. By clicking completed at every visit. on the “x”, the text will be placed in the provider’s note. Open the BHDP Data Ribbon to paste text from note output in BHDP “Medically Ready Force…Ready Medical Force”

Admin Tab If the DVPRS score is 1 or greater, open the ribbon and document the functional impact. Addition of second question asking how pain has been over the past week. “Medically Ready Force…Ready Medical Force”

Admin Tab Functional Impact Questions to be asked if the DVPRS score is > 1. “Medically Ready Force…Ready Medical Force”

Admin Tab Since all the boxes are yellow, any information entered will copy forward from appointment to appointment. Some items are hidden under ribbons. Click on the arrows to open. “Medically Ready Force…Ready Medical Force”

Admin Tab Tob obacco Sc Screening The tobacco screening mirrors the CORE form tobacco screening. “Medically Ready Force…Ready Medical Force”

Admin Tab BHM-20 20 Red text included for guidance. Actual values must be placed- do not round up BHM-20 scores. BHM-20 copy forward tracker. “Medically Ready Force…Ready Medical Force”

ROS/P /PE/M /MSE Tab Clicking ‘All Normal’ denotes ALL medcin terms as the blue ‘N’. Click on these boxes to free-text more detail. “Medically Ready Force…Ready Medical Force”

ROS/P /PE/M /MSE Tab (c (cont.) Important Safety Questions -If any are positive, fill out the suicide Free-text option for Mental Status Exam. assessment below (see next slide). “Medically Ready Force…Ready Medical Force”

ROS/P /PE/M /MSE Tab C-SS SSRS Clues give instructions on how to ask the questions. “Medically Ready Force…Ready Medical Force”

ROS/P /PE/M /MSE Tab C-SS SSRS (c (cont.) • Complete the summary statement including actions taken • Pre- positioned text is included “Medically Ready Force…Ready Medical Force”

ROS/P /PE/M /MSE Tab C-SS SSRS (c (cont.) Use this box to document patients who do not endorse any items (i.e. answer “No” to items 1,2, and 6) “Medically Ready Force…Ready Medical Force”

ROS/P /PE/M /MSE Tab C-SS SSRS (c (cont.) Tab gives a clear decision matrix for actionable items Select the appropriate Risk Level. This adds a summary statement in the encounter. Add additional information, such as actions taken, by clicking the little square icon to open the text field. “Medically Ready Force…Ready Medical Force”

Screening Tab Copy-forward score tracker for all scores “Medically Ready Force…Ready Medical Force”

Screening Tab PHQ-9 “Medically Ready Force…Ready Medical Force”

Screening Tab PTSD Checkli list-PCL-5 “Medically Ready Force…Ready Medical Force”

Screening Tab GA GAD-7 Radio buttons for documenting the Individual scores “Medically Ready Force…Ready Medical Force”

Screening Tab Adult ADHD Sc Screener Added ASRS Screener “Medically Ready Force…Ready Medical Force”

Peds Screening Tab Appropriate screening tools are provided “Medically Ready Force…Ready Medical Force”

Group/Class Tab Providers can use this tab to document group sessions Only the yellow ribbon will copy forward. The remaining sections need to be filled out at each visit “Medically Ready Force…Ready Medical Force”

Dis isease-Specific Tabs These tabs follow the same basic structure for each specific disease; Only one tab per encounter is needed Only the ribbon in yellow will copy forward “Medically Ready Force…Ready Medical Force”

Depression Tab Do NOT delete the TSWF-IBHC identifier Do NOT delete or type below the dots found in free-text boxes “Medically Ready Force…Ready Medical Force”

Depression Tab (c (cont.) Links to patient handouts Place an ‘x’ inside the brackets to denote a selection “Medically Ready Force…Ready Medical Force”

Depression Tab (c (cont.) Recommendations box will copy forward. This allows recommendations to be seen at the next appointment Key items to include “Medically Ready Force…Ready Medical Force”

Pain in Tab “Medically Ready Force…Ready Medical Force”

Pain in Tab (c (cont.) “Medically Ready Force…Ready Medical Force”

Pain in Tab (c (cont.) “Medically Ready Force…Ready Medical Force”

Pain in Tab (c (cont.) Recommendations box will copy forward. This allows recommendations to be seen at the next appointment Key items to include “Medically Ready Force…Ready Medical Force”

TSWF Resource Material The TSWF repository for training/educational materials and updates: www.tswf-mhs.com/ “Medically Ready Force…Ready Medical Force”

Prim imary ry Care Clin linical Community Content Working Group ▪ DHA - Maj Matthew J Royall ▪ ARMY - Dr. Robert Marshall ▪ AIR FORCE – Dr. Matthew Barnes TSWF Feedback https://www.milsuite.mil/book/groups/tswf TSWF Website http://www.tswf-mhs.com/ “Medically Ready Force…Ready Medical Force”