CC4C Webinar. Population Management. CC4C Webinar for Care Managers & Supervisors. January 8, January 8, for Supervisors & Care Managers

Transcription

1 Welcome to CC4C Webinar for The sound is being broadcast via your computer. Please be sure that your computer sound is turned on. You should hear music, although the sound may come and go, which is NOT indicative of problems. The quality of the sound will improve once the webinar starts at 9:30 a.m. If you are not able to hear the audio via your computer, you can: call the meet-me number at enter the access code of #. January 2014 CC4C Webinar 1 CC4C Webinar for Supervisors & Care Managers January 2014 CC4C Webinar 2 Questions to be Answered After Today s Webinar 1. What are the CC4C Priority Populations? 2. What are my agency s data dashboard measures results? Population Management 3. Which measure is most in need of improvement? 4. What resources are available to assist in improving the Data Dashboard measures results? January 2014 CC4C Webinar 3 January 2014 CC4C Webinar 4 What is Population Management? Population management is the process of using information to identify a target group of clients that would benefit from care management; resulting in improved health outcomes and reduced health care cost of the total population. What is the population we are charged to manage? All eligible children ages 0-5 years of age are considered the CC4C population. The CC4C agreement addenda from the Division of Public Health is used to include non eligible children ages 0-5 that may benefit from care management. January 2014 CC4C Webinar 5 January 2014 CC4C Webinar 6 1

2 How Do I Serve The Total Population? No all children are in need of care management services. The population should be assed to identify those who are in most need of services Those who are in most needs of services should be targeted for care management. CC4C PRIORITY POPULATIONS January 2014 CC4C Webinar 7 January 2014 CC4C Webinar 8 To reach the goals, we must Identify the rightchildren, which are the CC4C Priority Populations. Provide the rightservice that will improve the health outcomes of children and decrease costs. Constantly evaluate/monitor if you are moving in the rightdirection, and if not, make quick, effective changes to get back on course. January 2014 CC4C Webinar 9 CC4C Priority Populations and Method of Identification Birth to Age 5 Years Identified With/In Potentially Preventable Costs SpecialHealth Care Needs Foster Care Situations Potentially Resulting in Toxic Stress NICU By Priority Population Report & ADT Feeds Priority Population Report& Referrals (i.e., from PCP, WIC) Priority Population Report & Referrals Priority Population Report (Foster Care only) & Referrals Referrals January 2014 CC4C Webinar 10 Resources to Assist in Managing CC4C Priority Populations Current CCNC and TC Priority List-CC4C, also known as the Priority Population Report: 1. Slides 9-29, Sept 2014 CC4C Webinar; webinar recording and slide handouts available at: 2. CC4C Workgroup Best Practice Recommendations for Managing the Current CCNC and TC Priority List-CC4C, Sept 2104 CC4C Webinar handout 3. CC4C Best Practice Lite Series for Care Managers - Priority Population Report, Sept 2104 CC4C Webinar handout Resources to Assist in Managing CC4C Priority Populations ADT, ED and/or Inpatient Reports: 1. CC4C Best Practices for Reducing Non-Emergent ED Use by Focusing on Local Systems of Care & Improving the Quality of the Touch, today s webinar handout 2. CC4C Best Practice Lite Series for Care Managers -Non- Emergent ED Use, today s webinar handout 3. CC4C Workgroup Best Practice Recommendations for Managing Current Hospital Visits-CC4C Report (ADT), ED Visits Report-CC4C, Inpatient Visit Report-CC4C, NEW today s webinar handout January 2014 CC4C Webinar 11 January 2014 CC4C Webinar 12 2

3 Guidance for Prioritizing Newly Identified/Referred CC4C staff should: Balance referrals received from medical homes/community referral sources and the priority children identified from IC reports (Priority Population Report & ADT). Ensure that those referred are part of the CC4C Priority Populations (slide 10). Use 1) critical thinking skills, 2) local knowledge/expectations and 3) additional info available to prioritize children in order to touch the greatest number of children with whom we can have the greatest impact. January 2014 CC4C Webinar 13 CC4C MEASURES January 2014 CC4C Webinar 14 MH After Hours Policy Family Situations Clouds Show Environmental Impact CC4C Interim Contract Performance Measures NICU Hosp Grads ED Re - to MH Visits Adms within 7 days Hosp Adms LSPs for Toxic Stress Hospital Marketing Systems Coordination CC4C Interim Service Agreement (Contract) Performance Measures Measure 1: Increase NICU graduates who have first PCP visit < 7 days of discharge Measure 2: Reduce the rate of hospital admissions for children birth up to age 5. Contacted Data Dashboard Measures Engaged in Heavy or Medium Unable to Contact Refused Services January 2014 CC4C Webinar 15 Measure 3: Reduce the rate of hospital re-admissions for children birth up to age 5. Measure 4: Reduce the rate of Emergency Department visits for children birth up to age 5. Measure 5: For children receiving CC4C care management for a toxic stress condition, the % who receive a Life Skills Progression (LSP) Assessment upon entry into the system, every 6 months thereafter and/or upon closing. January 2014 CC4C Webinar 16 Path to Performance Measures from IC Home Page: Home > Local Health Department Standard Reports > County Name> CC4C Reports > Key Performance Indicators and NICU Grads CC4C Data Dashboard Measures 1. Percent of children ages 0-5 years contacted by a CC4C CM. 2. Percent of children ages 0-5 years engaged in heavy and medium case status. 3. Percent of children ages 0-5 years deferred due to unable to contact. 4. Percent of children ages 0-5 years due to refused services. Screen shot of the CC4C Reports folder found within the NCCN informatics Center January 2014 CC4C Webinar 17 January 2014 CC4C Webinar 18 3

4 Path to Data Dashboard Measures from IC Home Page: Home > Local Health Department Standard Reports > County Name> CC4C Reports > CC4C Data Dashboard & All LHD CC4C Reports MH After Hours Policy Family Situations Hosp Adms Clouds Show Environmental Impact CC4C Interim Contract Performance Measures NICU Hosp Grads ED Re - to MH Visits Adms within 7 days LSPs for Toxic Stress Hospital Marketing Systems Coordination Data Dashboard Measures Screen shot of the CC4C Reports folder found within the NCCN informatics Center January 2014 CC4C Webinar 19 Contacted Engaged in Heavy or Medium Unable to Contact Refused Services January 2014 CC4C Webinar 20 CC4C Data Dashboard Each CC4C staff member should consider: Local county results for each measure. Whether the result is on the desired side of the initial benchmark. The direction of the results over time. Whether the result is in or headed toward the target range. What individual and agency actions can be taken to positively impact the results. January 2014 CC4C Webinar 25 CC4C Performance Improvement Strategies Pages 1-5: Menu of strategies to Improve Contract Measures CC4C Performance Improvement Strategies document sent via the CC4C list on 12/1/14 at 11:11 a.m. Pages 6-8: Menu of strategies to improve Data Dashboard Measures January 2014 CC4C Webinar 26 CC4C Performance Improvement Process CC4C UPDATES Beginning in January 2015 Process is expected to take 90 days Includes: Self assessment Corrective action plan development Corrective action plan implementation Evaluation of performance after implementation January 2014 CC4C Webinar 27 January 2014 CC4C Webinar 28 4

5 How are Counties Identified for Performance Improvement? Uses two criteria CC4C Dashboard Measure 2: Percent of total population being served in heavy or medium in last 6 month reporting period. *Benchmark 3% Expended Budgeted of at least 90% during fiscal year 2013/2014. PIP Process Counties will be identified and notified in waves. The local network will be notified by the CCNC central office of the agencies identified. The local network will notify the local health director that they have been identified for PIP. The local network, CC4C lead and regional child health nurse consultant will assist the agency in completing the PIP process. January 2014 CC4C Webinar 29 January 2014 CC4C Webinar 30 Claims Review Task Claims Review Task Claims review should be completed at a minimum of every 90 days for each client in heavy and medium. The CC4C should review the CC4C standards report to evaluate those clients who are in need of a claims review. On the Task Tab, the CC4C CM should document a completed task to reflect the claims review. For the claims review to show completed on the CC4C standards report, the CC4C CM should include the following in the completed task. Task: Claims Review Task With: CCNC Data/ Claims January 2014 CC4C Webinar 31 January 2014 CC4C Webinar 32 Orientation Resources Under Construction Screen shots from CMIS Patient Task Tab. Newly developed resources to assist in orienting new CC4C staff will soon be available. Resources will be organized in two phases: o Care Management Basics: These resources should be accessed prior to serving clients. o Priority Populations Info: These resources should be accessed within a specified time frame of working with clients. An announcement will be sent via the CC4C List when the resources are available. January 2014 CC4C Webinar 33 January 2014 CC4C Webinar 34 5

6 Patient Education / Healthwise Patient education materials approved by the CCNC Patient Education Work Group have been posted in CMIS using the following path: Resources > Patient Education > CCNC Approved, which includes five pediatric asthma handouts. Meducationis a great resource for sharing medication with families in multiple languages; Meducation can be accessed in CMIS using the following path: Resources > Patient Education > Meducation. Patient Education materials that address topics not found in Healthwise can be submitted for consideration using the Patient Education Submission Form found on the last page of the Patient Education Materials Policy, webinar handout. January 2014 CC4C Webinar 35 CC4C Toolkit The CC4C Toolkit can be accessed in the Informatics Center using the following path: Click on Access to IC Report Site (2 nd option) on IC Home Page > NCCN IC Report Site Home Page > CC4C Toolkit File Share. New additions to the Toolkit include: Recent webinar handouts, including today s handouts. Updated CC4C Data Directory, today s webinar handout January 2014 CC4C Webinar 36 Questions to be Answered After Today s Webinar 1. What are the CC4C Priority Populations? 2. What are my agency s data dashboard measures results? 3. Which measure is most in need of improvement? 4. What resources are available to assist in improving the Data Dashboard measures results? January 2014 CC4C Webinar 37 Tiered System to Gain & Apply CC4C Information WEBINAR Overview of a specific CC4C topic REGIONAL NETWORK MEETINGS More details related to CC4C topic & discussion of network application LHD CALL, MEETING OR SITE VISITS Review details related to CC4C topic & discussion of county application Goal: Ensure info is understood & applied in order to improve health outcomes & decrease cost, thus meeting Performance Measures January 2014 CC4C Webinar 38 CC4C Webinar PLEASEregister to demonstrate your participation in today s webinar and provide feedback by clicking on link below The registration /evaluation / survey link is: sgizmo.com/s3/ If it doesn t work the first time, give it a second & try again. Key to success: Promptly use Webinar Talking Points (handout) In staff & regional meetings to apply info shared today Next Webinar: Thursday, March 5, 2015 at 9:30 a.m. January 2014 CC4C Webinar 39 6