TSWF Military Health System Population Health Portal (MHSPHP) AIM - PowerPoint PPT Presentation

TSWF Military Health System Population Health Portal (MHSPHP) AIM Form Training June May-Aug 2020 Form Version “Medically Ready Force…Ready Medical Force” 1

Dis isclaimer Content shown is from an AHLTA Training System (ATS) and does not contain actual patient data. “Medically Ready Force…Ready Medical Force” 2

Objectives MHSPHP Training Objective: Identify the clinical workflow and tools available in the TSWF MHSPHP form MHSPHP Learning Objectives: At the conclusion of today’s activity, the participant will be able to: • Understand the primary purpose and uses of the MHSPHP form • Verbalize the correct documentation procedure (i.e. ‘Onset’ is the date the procedure or lab was actually done) “Medically Ready Force…Ready Medical Force” 3

Table of f Contents • Introduction 5-7 • Documenting in the form 8-27 • Alternate Workflows 28-32 • Preparatory Steps 33 • Adding Form to Favorites 34-37 • Adding Navigator (optional) 38-43 • Adding a Favorite Diagnosis 44-50 • TSWF Resources/Feedback 51-53 “Medically Ready Force…Ready Medical Force” 4

What is is th the TSWF MHSPHP AIM IM Form? • Collects population health data which is not already captured by the clinical information systems • Cancer screenings (breast, cervical, and colorectal) • Diabetic retinal exams • Chlamydia, HPV, and strep test for pharyngitis • Lab result value and dates (e.g., HgbA1c, LDL) • Albuminuria screening (date only) • Improves HEDIS reporting for a more accurate reflection of your population’s status “Medically Ready Force…Ready Medical Force” 5

Who Uses It It? • Disease/Case Managers • Health Care Integrators • MTF-Designated Clinical Staff “Medically Ready Force…Ready Medical Force” 6

Recommended Workflow • Before implementing the template, evaluate existing processes for obtaining and documenting out-of- network results • Develop processes to prevent duplication of efforts • Scan the patient’s test result into HAIMS or AHLTA Clinical Notes in accordance with Service policy “Medically Ready Force…Ready Medical Force” 7

Documenting in the TSWF MHSPHP AIM Form “Medically Ready Force…Ready Medical Force” 8

Documenting in in th the MHSPHP Form Create a New Telcon in the appropriate clinic, following service branch recommendations “Medically Ready Force…Ready Medical Force” 9

Fin inding th the Right Patient Select the appropriate patient by clicking all patients and utilizing the scroll bar “Medically Ready Force…Ready Medical Force” 10

Fin inding th the Right Patient, continued A patient can also be located by entering data in the fields above and clicking Click OK “Medically Ready Force…Ready Medical Force” 11

Creating th the Telcon • Ensure Telephone consult is created in the appropriate clinic as directed by service • In ‘Reason for Telephone Consult’ field, follow Service or local policy • Click OK “Medically Ready Force…Ready Medical Force” 12

Setting Your Workload Ensure Workload is set to ‘ No ’ “Medically Ready Force…Ready Medical Force” 13

Starting th the Encounter Click on Current Encounter “Medically Ready Force…Ready Medical Force” 14

Starting th the Encounter Click on S/O “Medically Ready Force…Ready Medical Force” 15

Choose th the Template • Click on the drop down arrow • Scroll through list to find AIM-TSWF-MHSPHP • Click on form name to open the form “Medically Ready Force…Ready Medical Force” 16

Documenting Tests • Click on the Onset box • Enter the date the procedure was performed • No need to click on the ‘ x ’ to the left of the Onset box “Medically Ready Force…Ready Medical Force” 17

Additional Procedures/Labs Rib ibbon • Use this ribbon if you want to specify the specific CPT code and you know the CPT code for the procedure you are documenting • The top part of the form may be used in any case, but don’t document the procedure in both sections • The lower portion of the form can be used if the specific CPT code is documented on the procedure or lab report “Medically Ready Force…Ready Medical Force” 18

Documenting La Lab Valu lues Enter decimal points with lab values. For example, enter ‘ 8.0 ’ instead of ‘8’ “Medically Ready Force…Ready Medical Force” 19

Documenting Chlamydia/HPV/ Fecal Analysis Results • If you select a ‘P’ or ‘N’ for these tests, your selection will hold as documented • Chlamydia/HPV/Fecal Analysis selections will default to a POSITIVE finding if you first enter the date performed in the Onset box • If the result is NEGATIVE, click on the ‘N’ to ensure correct documentation “Medically Ready Force…Ready Medical Force” 20

Documenting Chlamydia/ HPV Results with CPT Codes • Use of the Additional Procedures/labs ribbon is optional • Use this ribbon only if you have and want to document a specific CPT code used for the test “Medically Ready Force…Ready Medical Force” 21

Completing th the A/P /P • Click on Favorites • Double click on Z02.89 (ICD-10 code) to add diagnosis to encounter • How to add favorite diagnoses begins on slide 42 “Medically Ready Force…Ready Medical Force” 22

Completing th the Dis isposition Click on Disposition “Medically Ready Force…Ready Medical Force” 23

Completing th the Dis isposition • Ensure Workload is set to No • Confirm code is set to 99499 • Click Sign “Medically Ready Force…Ready Medical Force” 24

Closing th the Encounter • Enter your AHLTA password • Click the co-signer box & select appropriate provider as per service policy • Click Sign “Medically Ready Force…Ready Medical Force” 25

Fin inal Status of f th the Encounter • The final status of the encounter associated with this form must be • TEL-CON • KEPT • WALK-IN • SICK CALL “Medically Ready Force…Ready Medical Force” 26

Fin inal Status of f th the Encounter If your MTF data quality review process converts all TEL-CONS to ADMIN status to avoid mistaken count tel-cons, the data will not cross over into the MHSPHP data. ADMIN encounters do not count in the MHSPHP data “Medically Ready Force…Ready Medical Force” 27

Alt lternate Workflows If patient is actually being seen for appointment, you may use alternate workflows for documentation using the MHSPHP form. • Option A : during the normal documentation workflow • Option B : documentation by the clinical staff but outside the normal documentation steps • Option C : documentation by ancillary staff outside the usual encounter documentation workflow • In these cases, no need to open a telephone consult • Text that becomes embedded in the note must not be edited “Medically Ready Force…Ready Medical Force” 28

Alt lternate Workflow Option A Option A: during the normal documentation workflow • Simply load the MHSPHP AIM form from Navigator or your drop- down menu • Document with the MHSPHP form as usual • Load the TSWF template to be used for the encounter and proceed with normal documentation • NOTE 1: the TSWF MHSPHP AIM form may be used in conjunction with other TSWF AIM forms without a problem • NOTE 2: the text that is inserted into the note must not be edited “Medically Ready Force…Ready Medical Force” 29

Alt lternate Workflow Options B & C • Option B: documentation by the clinical staff but outside the normal documentation steps • Option C: documentation by ancillary staff outside the usual encounter documentation workflow • Open current encounter (must not be signed) • Select S/O module • The AHLTA prompt presents 2 options: • Option B: select “Edit my S/O note” • Option C: select “Add Additional S/O Note” “Medically Ready Force…Ready Medical Force” 30

Alt lternate Workflow Options B & C Option B • Adds a line of text within the existing note Option C • Adds an additional S/O note, independent of the provider’s note • Use this option to avoid taking over the provider’s note and to distinguish the MHSPHP test documentation from the rest of the note “Medically Ready Force…Ready Medical Force” 31

Alt lternate Workflow Options B & C Option B: • After selecting “Edit my S/O”, open the MHSPHP form using Navigator or your drop-down menu • Document in the MHSPHP form as usual • Proceed with normal documentation steps Option C: • After selecting “Add Add’l S/O,” open the MHSPHP form using Navigator or your drop-down menu • Complete the documentation process • Close the note for the provider to complete “Medically Ready Force…Ready Medical Force” 32

Preparatory ry Steps These are one-time tasks and if done correctly, will not have to be repeated each time you use the MHSPHP form: • Add the MHSPHP template to your Favorites (ensures automatic updates to form) • Add a diagnosis to your Favorites list • Set priorities in your diagnoses Favorites list “Medically Ready Force…Ready Medical Force” 33