Piedmont Access to Health Services. Standing Orders for Patient Work-ups

Size: px
Start display at page:

Download "Piedmont Access to Health Services. Standing Orders for Patient Work-ups"

Transcription

1 Piedmont Access to Health Services Policy Number: SUBJECT: Standing Orders for Patient Work-ups EFFECTIVE DATE: 8/3/09 REVIEWED/REVISED : 4/10/2012 POLICY: PATHS is committed to allowing each of PATHS Community Medical Centers clinical staff to act at his or her highest level of training and licensure in order to achieve the highest quality care and efficient patient flow. Within PATHS Community Medical Centers clinical staff (nurses and experienced CMAs) is permitted to execute standing orders as if they were unique orders for individual patients. The Medical Director and providers will maintain and revise these standing orders periodically to reflect best practices. PERSONNEL: Medical Director, s, RNs, LPNs, CMAs with supervision PROCEDURE: Rooming Patients The nurse shall provide an initial assessment of the patient in preparation for the provider s visit. In addition, the nurse will provide supportive services as ordered by the provider. 1. Obtain weight, temperature, pulse, respirations, and blood pressure as appropriate. Verify height and enter to allow BMI calculation. 2. If the patient is a female, document the following under OB/GYN history: a. Document date of LMP and last PAP. b. If pap was done by a provider outside of PATHS, have the patient sign a record release to obtain documentation of this. Document date, location and effort to obtain documentation in chart. c. Document whether or not the patient has ever had an abnormal pap smear. d. If no PAP has every been done, document for provider to educate the patient e. Document number of pregnancies and their outcomes (i.e., miscarriage, abortion, etc ) 3. Document patient s chief complaint. Additionally: a. Review for labs, diagnostic testing or referrals that need to be followed up on with the patient and document status and/or need for provider follow up. 4. Review and update medication list by going through each medication that the patient is taking to ensure that no changes have been made since last visit. Verify that this has been done by checking the medications verified box. If patient needs medication refills, document needed prescriptions. 5. Verify medication allergies and check the allergies verified box to document that this has been done. Page 1 of 7

2 6. Review and update the Family history, Surgical history and Hospitalizations with the patient. a. Each nurse should speak with their assigned provider to find out what information they would like to have recorded. 7. Review social history with the patient, making sure to document each of the following: a. Smoking Status i. If patient is a smoker, fill out Tobacco Smart Form and clarify the amount of tobacco used daily under the tobacco use section. b. Drug Use c. Marital Status d. Number of children e. Occupation 8. Pneumovax if patient is 65 years of age or has condition that increases the risk of invasive pneumococcal disease a. Patients aged years with chronic cardiovascular disease (including congestive heart failure and cardiomyopathy), chronic pulmonary disease (including asthma and chronic obstructive pulmonary disease), diabetes mellitus, alcoholism, chronic liver disease (including cirrhosis), cerebrospinal fluid leak, cochlear implant, cigarette smoking b. Patients aged years who are residents of nursing homes or long-term care facilities c. Patients with compromised immunity (renal failure, HIV, malignancy, organ transplant recipients, etc ) 9. Tdap booster every 10 years or Tdap if Td > 5 years. 10. Influenza vaccine yearly (if no contraindications) a. Egg or mercury allergy b. History of Guillian-Barre Syndrome c. Sick with fever 11. Urine dipstick for patients with a complaint of dysuria 12. Rapid strep for patients with a complaint of pharyngitis 13. Urine pregnancy test by request 14. Alert provider to review findings as needed. Rooming Diabetic Patients Newly diagnosed diabetic Obtain: blood glucose document fasting or non fasting a. If blood glucose > 300, obtain a urine dip to assess for ketonuria Liver Function tests Random urine for microalbumin Electrocardiogram Page 2 of 7

3 Pneuomovax if patient has never received and has no contraindications a. Contraindications for the administration of pneumovax include: i. Moderate or severe acute illness ii. Severely compromised cardiovascular or pulmonary function iii. Use of antibiotic prophylaxis iv. Impaired immune system Annual Flu shot if patient has not received and has no contraindications a. Complete documentation for provider s review b. Record last dental exam and eye exam c. If patient has not had, document so that provider is notified. This needs to be documented under Preventative medicine i. Click on PREVENTATIVE MEDICINE 1. Click on counseling 2. Click on annual eye exam and or dental assessment d. Have patient remove shoes for foot inspection Ongoing Management of Diabetic Annual EKG o Every (3) months if > 7.0 o Every (6) months if < 7.0 Fasting Lipid Panel o Check annually o When initiating or changing medication Check at (3) months Check liver functions every (3) months Urine Microalbumin o Annually o If > 30mg. repeat in (3) months o Once treatment is started, monitor every (6) months Annual Flu shot (with exceptions as noted previously) Acute/Sick Visit o Blood sugar, document fasting or non-fasting o If > 300, obtain urine dip to assess for ketonuria o Complete documentation for provider s review o Record last dental exam and eye exam o Have patient remove shoes for foot inspection Page 3 of 7

4 Hypertensive Patients on diagnosis and on-going Lipid Panel initially and annually CMP panel initially and annually Electrocardiogram initially and annually Urine initially and annually for microalbumin/creatinine Well Woman Exams Document date of LMP and of last PAP. If pap was done by a provider outside of PATHS, have the patient sign a record release to obtain documentation of this. Document date, location and effort to obtain documentation in chart. Document whether or not the patient has ever had an abnormal pap smear. If no PAP has every been done, document for provider to educate the patient Document number of pregnancies and their outcomes (i.e., miscarriage, abortion, etc ) If patient will need a mammogram, place the form in the room for the provider Signatures: Medical Director Page 4 of 7

5 Director of Clinical Operations Page 5 of 7

6 General Patient Work Up 1. Get T-P-R, B/P Ht. and Wt 2. Document LMP-obtain copy of most recent pap smear report 3. Document patient s chief complaint and Review for labs, diagnostic testing or referrals that need follow up with patient and document status and/or need for provider follow up. 4. Review and update medication list and drug allergies. If patient needs medication refills, document needed prescriptions. 5. Alert provider to review findings as needed. Hypertensive Patients on diagnosis and ongoing Lipid Panel initially and annually CMP panel initially and annually Electrocardiogram initially and annually Urine initially and annually for microalbumin/creatinine Standing orders for Patient Work ups (8/09) Rooming Diabetic Patients Newly diagnosed diabetic Obtain: blood glucose document fasting or non fasting Liver Function tests Random urine for microalbumin/creatinine ration of no blood found in urine dip Electrocardiogram Pneuomovax ( if not previously done) Annual Flu shot a. Complete documentation for provider s review b. Record last dental exam and eye exam c. Remove shoes for foot inspection Ongoing Management of Diabetic o Every (3) months if > 7.0 o Every (6) months if < 7.0 Fasting Lipid Panel o Check annually o When initiating or changing medication Check at (3) months Check liver functions every (3) times (1) year Urine Microalbumin/Creatinine ration: o Annually o o If > 30mg. repeat in (3) months Once treatment is started, monitor every (6) months Annual Flu shot Acute/Sick Visit o Blood sugar (document fasting or non-fasting o Complete documentation for provider s review o Record last dental exam and eye exam o Remove shoes for foot inspection Page 6 of 7

7 Page 7 of 7

PPC2: Patient Tracking and Registry Functions

PPC2: Patient Tracking and Registry Functions PPC2: Patient Tracking and Registry Functions Element F: Use of System for Population Management At we use our EMR, clinical event manager, and the ad hoc reporting system (Business Objects) for a multi-pronged

More information

Health First Wellness Incentive

Health First Wellness Incentive Health First Wellness Incentive The Health First Wellness Incentive has been set up as a reward for taking steps to either maintain or obtain a healthy lifestyle. Taking healthy actions and becoming a

More information

Patient Name:,, Address: Phones:,, Home Work Cell. Primary Physician: Emergency Contact: Phone#:

Patient Name:,, Address: Phones:,, Home Work Cell. Primary Physician: Emergency Contact: Phone#: Patient Information Patient Name:,, Last First middle initial Address: Phones:,, Home Work Cell Sex: Female Male E-Mail: Date of Birth: / / Mo. Day Year Primary Physician: Marital Status: Single Married

More information

Next Gen Training. Why is Next Gen So Important? Step-by-Step Vitals Entry Scenarios and Mock Work-ups

Next Gen Training. Why is Next Gen So Important? Step-by-Step Vitals Entry Scenarios and Mock Work-ups Next Gen Training Why is Next Gen So Important? Step-by-Step Vitals Entry Scenarios and Mock Work-ups Why is Next Gen So Important? Better for the VFC: All the necessary info can be accessed from any VFC

More information

CRC Non-Log Cap, Fort Bliss, Texas, Medical Guidelines- Updated Feb. 24, 2016

CRC Non-Log Cap, Fort Bliss, Texas, Medical Guidelines- Updated Feb. 24, 2016 CRC Non-Log Cap, Fort Bliss, Texas, Medical Guidelines- Updated Feb. 24, 2016 In order to expedite mobilization it is highly recommended that you review the requirements for deployment. And have all requirements

More information

The Heart and Vascular Disease Management Program

The Heart and Vascular Disease Management Program Element A: Program Content The Heart and Vascular Disease Management Program GHC-SCW is committed to helping members, and their practitioners, manage chronic illness by providing tools and resources to

More information

Fast Facts 2018 Clinical Integration Performance Measures

Fast Facts 2018 Clinical Integration Performance Measures IMPORTANT: LHP providers who do not achieve a minimum CI Score in 2018 will not be eligible for incentive distribution and will be placed on a monitoring plan for the 2019 performance year. For additional

More information

Chapter 2 Provider Responsibilities Unit 5: Specialist Basics

Chapter 2 Provider Responsibilities Unit 5: Specialist Basics Chapter 2 Provider Responsibilities Unit 5: Specialist Basics In This Unit Topic See Page Unit 5: Specialist Basics Participation in the Highmark s Networks as a Specialist 2 Specialist and Personal Physician

More information

Leveraging Wellness Visit with Medicare: Improving Income and Patient Outcomes

Leveraging Wellness Visit with Medicare: Improving Income and Patient Outcomes Leveraging Wellness Visit with Medicare: Improving Income and Patient Outcomes Overview Why Medicare Wellness Exams What are the Medicare Wellness Exams Annual Wellness Exam Components What is covered

More information

Please complete all pages of this form. Your physician will review the form with you during your appointment. Last Name: First Name: Middle Initial:

Please complete all pages of this form. Your physician will review the form with you during your appointment. Last Name: First Name: Middle Initial: Please complete all pages of this form. Your physician will review the form with you during your appointment. Patient Information Last Name: First Name: Middle Initial: Date of Birth: / / Age: SSN: - -

More information

NextGen Preventative Exam Template

NextGen Preventative Exam Template NextGen Preventative Exam Template Summary This guide describes the use of the Preventive Exam HPI template to document both the initial Welcome to Medicare Exam and subsequent Annual Wellness Visits.

More information

Care Management Policies

Care Management Policies POLICY: Category: Care Management Policies Care Management 2.1 Patient Tracking and Registry Functions Effective Date: Est. 12/1/2010 Revised Date: Purpose: To ensure management and monitoring of patient

More information

2011 Measures 2013 Objectives Goal is to guide and support care processes and care coordination

2011 Measures 2013 Objectives Goal is to guide and support care processes and care coordination Improve quality, safety, efficiency, and reduce health disparities Provide access to comprehensive patient health data for patient s health care team Use evidencebased order sets and CPOE Apply clinical

More information

PCMH 1A Patient Centered Access

PCMH 1A Patient Centered Access PCMH 1A Patient Centered Access The practice has a written process and defined standards for providing access to appointments, and regularly assesses its performance on: Providing same day appointments

More information

The Small Rural Health Care Home Clinic: Unique Designs to Meet the Standards

The Small Rural Health Care Home Clinic: Unique Designs to Meet the Standards The Small Rural Health Care Home Clinic: Unique Designs to Meet the Standards The Small Rural Health Care Home Clinic: Unique Designs to Meet the Standards Objectives: The rural health clinic has a unique

More information

Please complete all pages of this form. Your physician will review the form with you during your appointment. Last Name: First Name: Middle Initial:

Please complete all pages of this form. Your physician will review the form with you during your appointment. Last Name: First Name: Middle Initial: Please complete all pages of this form. Your physician will review the form with you during your appointment. Patient Information Last Name: First Name: Middle Initial: Date of Birth: / / Age: SSN: - -

More information

Medical Record Review Tool Standards with Definitions

Medical Record Review Tool Standards with Definitions WellCare Health Plans, Inc. WellCare of Georgia, Inc The WellCare Group of Companies Medical Record Review Tool Standards with Definitions Item # STANDARD DEFINITION SOURCE All Medical Records: 1 Patient

More information

CLINICAL PRACTICE EVALUATION II: CLINICAL SYSTEMS REVIEW

CLINICAL PRACTICE EVALUATION II: CLINICAL SYSTEMS REVIEW Diplomate: CLINICAL PRACTICE EVALUATION II: CLINICAL SYSTEMS REVIEW A. INFORMATION MANAGEMENT 1. Does your practice currently use an electronic medical record system? Yes No 2. If Yes, how long has the

More information

Tips for PCMH Application Submission

Tips for PCMH Application Submission Tips for PCMH Application Submission Remain calm. The certification process is not as complicated as it looks. You will probably find you are already doing many of the required processes, and these are

More information

MAIN STREET MEDICAL NEW PATIENT QUESTIONNAIRE

MAIN STREET MEDICAL NEW PATIENT QUESTIONNAIRE NEW PATIENT QUESTIONNAIRE Patient Name: Date: Date of Birth: SSN: Male Female Guarantor Name: SSN: DOB: Home Phone: Cell Phone: Street Address: Apt#: City: State: Zip: Billing Address (if different): Email

More information

Walk-in Clinic. Dear Patients. Frequently Asked Questions (FAQ)

Walk-in Clinic. Dear Patients. Frequently Asked Questions (FAQ) Walk-in Clinic Klamath Tribal Health & Family Services 330 Chiloquin Boulevard Chiloquin, OR 97624 (541) 882-1487 Frequently Asked Questions (FAQ) Monday Friday, 8:00 a.m. 3:30 p.m. * First Wednesday of

More information

COLON & RECTAL SURGERY, INC.

COLON & RECTAL SURGERY, INC. COLON & RECTAL SURGERY, INC. Please complete attached paperwork and bring to your appointment with your insurance card, co-pay and photo ID. If a referral is required, please be sure to contact your insurance

More information

ALASKA DIRECT PRIMARY CARE AGREEMENT BETWEEN PROVIDER AND PATIENT

ALASKA DIRECT PRIMARY CARE AGREEMENT BETWEEN PROVIDER AND PATIENT ALASKA DIRECT PRIMARY CARE AGREEMENT BETWEEN PROVIDER AND PATIENT The DIRECT PRIMARY CARE AGREEMENT BETWEEN PROVIDER AND PATIENT (the Alaska Direct Primary Care Agreement ), is by and between the direct

More information

New Patient Intake Form

New Patient Intake Form Phone: (336) 538-0089 Fax: (336) 538-0097 Burlington, NC 27253 New Patient Intake Form Provider: Dr. Martin DeFrancesco Melody Burr Lindsey Overton Patient Name: DOB: Marital Status: Single Married Divorced

More information

Stage 2 GP longitudinal placement learning outcomes

Stage 2 GP longitudinal placement learning outcomes Faculty of Life Sciences and Medicine Department of Primary Care & Public Health Sciences Stage 2 GP longitudinal placement learning outcomes Description This block focuses on how people and their health

More information

NEW EMPLOYEE HEALTH PLAN BENEFIT. Care When You. Need

NEW EMPLOYEE HEALTH PLAN BENEFIT. Care When You. Need NEW EMPLOYEE HEALTH PLAN BENEFIT Care When You Care When You Want It Need It What is Access Health? WHAT IS ACCESS HEALTH? Access Health offers cost savings worksite solutions by providing a medical clinic

More information

Assistance. Improving. Consumer Health. Strategies for

Assistance. Improving. Consumer Health. Strategies for Assistance Strategies for Improving Consumer Health A resource to help educate consumers about available preventive health incentives and eliminating barriers to receiving care www.bhpi.org www.healthsharesolutions.org

More information

Meaningful Use Stage 1 Guide for 2013

Meaningful Use Stage 1 Guide for 2013 Meaningful Use Stage 1 Guide for 2013 Aprima PRM 2011 December 20, 2013 2013 Aprima Medical Software. All rights reserved. Aprima is a registered trademark of Aprima Medical Software. All other trademarks

More information

Student s Name: Evaluator s Name: ABHES/CAAHEP Standard 10.b4.2 2.b.2 3.a.2 3.b.2 4.a.2 8.cc.2 8.dd.2 9.a.2 9.a.2 9.d.2 9.p.1

Student s Name: Evaluator s Name: ABHES/CAAHEP Standard 10.b4.2 2.b.2 3.a.2 3.b.2 4.a.2 8.cc.2 8.dd.2 9.a.2 9.a.2 9.d.2 9.p.1 Page 1 of 6 Collecting Measurements, Visual Acuity, and Recording Patient History Competency Rev 09-11 Student s Name: Date: Evaluator s Name: ABHES/CAAHEP Standard 10.b4.2 2.b.2 3.a.2 3.b.2 4.a.2 8.cc.2

More information

Student Health Services Plan

Student Health Services Plan THE AGA KHAN UNIVERSITY Student Health Services Plan 2015-2016 Applicable for full time students enrolled in AKU- Karachi, Pakistan Page 1 of 9 1.0 Introduction This Student Health Services Plan is applicable

More information

CRC Non-Log Cap, Fort Bliss, Texas, Medical Guidelines, Updated July 19, 2017

CRC Non-Log Cap, Fort Bliss, Texas, Medical Guidelines, Updated July 19, 2017 CRC Non-Log Cap, Fort Bliss, Texas, Medical Guidelines, Updated July 19, 2017 In order to expedite mobilization, it is highly recommended that you review the requirements for deployment. All requirements

More information

Diabetes. Evidence Based/ Team Based Care in a Community Health Center ---

Diabetes. Evidence Based/ Team Based Care in a Community Health Center --- Diabetes Evidence Based/ Team Based Care in a Community Health Center --- Sharon Mulvehill MD North Texas Area Community Health Center August 23, 2014 The Challenges Busy schedules, little time for system

More information

All but Part A Deductible. Medicare Part A Deductible. Nothing. Inpatient Hospital All but Part A Medicare Part A Nothing.

All but Part A Deductible. Medicare Part A Deductible. Nothing. Inpatient Hospital All but Part A Medicare Part A Nothing. Summary of Signature 65 Benefits Signature 65 is a Medicare-complimentary benefit program that fills in the coverage gaps and cost sharing of the traditional Medicare program (Medicare Part A and ). In

More information

Better Patient Care Through Strong Clinical Support. Theresa Knowles, FNP-C

Better Patient Care Through Strong Clinical Support. Theresa Knowles, FNP-C Better Patient Care Through Strong Clinical Support Theresa Knowles, FNP-C Why Need for Change Increasing provider/staff burnout Patients are sicker, less time to provide the necessary care Providers can

More information

CDR Chad Deegala, PharmD., NCPS-PP Pharmacist Practitioner/Educator Health Education Center for Wellness Northern Navajo Medical Center, Shiprock NM

CDR Chad Deegala, PharmD., NCPS-PP Pharmacist Practitioner/Educator Health Education Center for Wellness Northern Navajo Medical Center, Shiprock NM CDR Chad Deegala, PharmD., NCPS-PP Pharmacist Practitioner/Educator Health Education Center for Wellness Northern Navajo Medical Center, Shiprock NM Review 3 models of Diabetes management offered at the

More information

Sage Medical Center New Patient Forms

Sage Medical Center New Patient Forms Sage Medical Center New Patient Forms Patient Name: DOB: Providers and Suppliers of Your Medical Care: Please list all providers and suppliers of your medical care such as primary care physicians, specialty

More information

Helpful information before your first appointment:

Helpful information before your first appointment: Casey L. Reising, M.D. 5455 W. 86th St., Suite 210 Indianapolis, IN 46268 Office 317.306.5588 Fax 317.550.1544 www.magnificatfamilymedicine.com Thank you for choosing Magnificat Family Medicine! Helpful

More information

Clear and Easy. Skypark Publishing. Molina Healthcare 24 Hour Nurse Advice Line

Clear and Easy. Skypark Publishing. Molina Healthcare 24 Hour Nurse Advice Line Clear and Easy #6 Molina Healthcare 24 Hour Nurse Advice Line 1-888-275-8750 TTY: 1-866-735-2929 Molina Healthcare Línea de TeleSalud Disponible las 24 Horas 1-866-648-3537 TTY: 1-866-833-4703 Skypark

More information

Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA HEALTH PLANS INC.

Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA HEALTH PLANS INC. Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN FEATURES Network Providers Annual Maximum Out-of-Pocket Amount $2,500 The maximum out-of-pocket limit applies to all

More information

Role of Clinical Pharmacist in Primary Care Clinic HYOJIN SUNG, PHARM.D SALEM HEALTH MEDICAL GROUP OSMA ANNUAL CONFERENCE APRIL 14, 2018

Role of Clinical Pharmacist in Primary Care Clinic HYOJIN SUNG, PHARM.D SALEM HEALTH MEDICAL GROUP OSMA ANNUAL CONFERENCE APRIL 14, 2018 Role of Clinical Pharmacist in Primary Care Clinic HYOJIN SUNG, PHARM.D SALEM HEALTH MEDICAL GROUP OSMA ANNUAL CONFERENCE APRIL 14, 2018 Objectives Understand the scope of practice for pharmacist and role

More information

Patient Information & Medical History Nurse/Doctor appointment

Patient Information & Medical History Nurse/Doctor appointment 18 William Street Bellingen NSW 2454 Phone: 6655 0000 Fax: 6655 0266 ABN 35 616 896 074 bhc@bellingenhealingcentre.com.au www.bellingenhealingcentre.com.au Patient Information & Medical History Nurse/Doctor

More information

HealthPartners Freedom Plan (Cost) 2011 Medical Summary of Benefits Wisconsin

HealthPartners Freedom Plan (Cost) 2011 Medical Summary of Benefits Wisconsin HealthPartners Freedom Plan 2011 Medical Summary of Benefits Wisconsin HealthPartners Wisconsin Freedom Plan I HealthPartners Wisconsin Freedom Plan II 420421 (10/10) H2462_SB WI_151 CMS Approved 10/5/10

More information

3-Steps to Organizing Your Medical Life Program Overview

3-Steps to Organizing Your Medical Life Program Overview 3-Steps to Organizing Your Medical Life Program Overview Developed by Extension Educators: Annetta Jones ajones1@purdue.edu Mary Ann Lienhart Cross lienhart@purdue.edu Program Description When was the

More information

Coding and Billing for Lifestyle Medicine

Coding and Billing for Lifestyle Medicine Coding and Billing for Lifestyle Medicine Presented to Tools for Healthy Change June 21, 2014 Agenda Understanding Documentation Guidelines and key components of E/M Services History, Exam, Medical Decision

More information

Presbyterian Healthcare Services Care Management

Presbyterian Healthcare Services Care Management Presbyterian Healthcare Services Care Management Kathy M. Garcia RN, BSN Director of Nursing, Primary Care Service Line November 2012 Future Healthcare Challenges Increasing number of patients Decreasing

More information

A Publication for Molina Healthcare Members Spring 2005

A Publication for Molina Healthcare Members Spring 2005 Molina Healthcare Health & Family In This Issue Page We Want to Give Good Care...2 Preventive Health Testing...3 Cancer... The Good News...3 Why see a Doctor when well?...4 Rights and Responsibilites...5

More information

Meaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond)

Meaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond) Meaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond) Core Measures Required: All 17 objectives Objective: Requirement: Exclusions: Accomplish in Clinical 1. Computerized - Documenting

More information

Communicator. the JUST A THOUGHT. Ensuring HEDIS-Compliant Preventive Health Services. Provider Portal Features. Peer-to-Peer Review BY DR.

Communicator. the JUST A THOUGHT. Ensuring HEDIS-Compliant Preventive Health Services. Provider Portal Features. Peer-to-Peer Review BY DR. WINTER 2016 MHS NEWSLETTER FOR PHYSICIANS Ensuring HEDIS-Compliant Preventive Health Services Here are a few best practice strategies for raising HEDIS and EPSDT onsite review scores, as demonstrated by

More information

Falcon Quality Payment Program Checklist- 2017

Falcon Quality Payment Program Checklist- 2017 Falcon Quality Payment Program Checklist- 2017 DISCLAIMER: This material is provided for informational purposes only and should not be relied upon as legal or compliance advice. If legal advice or other

More information

Health Home Flow Hypothetical Patient Scenario

Health Home Flow Hypothetical Patient Scenario Health Home Flow Hypothetical Patient Scenario Client Background: Soozie SoonerCare Soozie is a single female, age 42, 5'6" tall 215 pounds. She smokes 2 packs of cigarettes a day. At age 24, Soozie was

More information

Recommendations to prepare and what to bring to Fort Bliss Effective: 17 July 2013

Recommendations to prepare and what to bring to Fort Bliss Effective: 17 July 2013 Military Deployees Recommendations to prepare and what to bring to Fort Bliss Effective: 17 July 2013 References for Medical Processing Personnel Policy Guidance (PPG), Chapter 7 www.armyg1.army.mil/militarypersonnel/ppg

More information

South Dakota Health Homes Care Coordination Innovation

South Dakota Health Homes Care Coordination Innovation South Dakota Health Homes Care Coordination Innovation Senator Deb Soholt NCSL Health Innovation Task Force December 6, 2016 South Dakota Health Homes Health Homes (HH)- provide enhanced health care services

More information

Appendix 4 CMS Stage 1 Meaningful Use Requirements Summary Tables 4-1 APPENDIX 4 CMS STAGE 1 MEANINGFUL USE REQUIREMENTS SUMMARY

Appendix 4 CMS Stage 1 Meaningful Use Requirements Summary Tables 4-1 APPENDIX 4 CMS STAGE 1 MEANINGFUL USE REQUIREMENTS SUMMARY Appendix 4 CMS Stage 1 Meaningful Use Requirements Summary Tables 4-1 APPENDIX 4 CMS STAGE 1 MEANINGFUL USE REQUIREMENTS SUMMARY 1. Use CPOE (computerized physician order entry) for medication orders directly

More information

Wellness Guide for LCRA Retirees

Wellness Guide for LCRA Retirees 2016 Wellness Guide for LCRA Retirees Contents 2 How the EmPOWER program works 3 How to register 3 Text message reminders 4 Member health assessment 4 Biometric screening 5 Earning points and saving money

More information

Benefits are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY

Benefits are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY PLAN FEATURES Annual Deductible The maximum out-of-pocket limit applies to all covered Medicare Part A and B benefits including deductible. Hearing aid reimbursement does not apply to the out-of-pocket

More information

HEDIS TOOLKIT FOR PROVIDER OFFICES. A Guide to Understanding Medicaid Measure Compliance

HEDIS TOOLKIT FOR PROVIDER OFFICES. A Guide to Understanding Medicaid Measure Compliance HEDIS TOOLKIT FOR PROVIDER OFFICES A Guide to Understanding Medicaid Measure Compliance TABLE OF CONTENTS WHAT IS HEDIS 1?... 1 ANNUAL HEDIS TIMELINE... 2 HEDIS MEDICAL RECORD REQUEST PROCESS:... 2 TIPS

More information

A WORD TO OUR PATIENTS ABOUT MEDICARE AND WELLNESS CARE

A WORD TO OUR PATIENTS ABOUT MEDICARE AND WELLNESS CARE A WORD TO OUR PATIENTS ABOUT MEDICARE AND WELLNESS CARE Dear Patient, We want you to receive wellness care health care that may lower your risk of illness or injury. Medicare pays for some wellness care,

More information

MMA Benefits at a Glance

MMA Benefits at a Glance MMA Benefits at a Glance You must get covered services by providers that are part of the Molina plan. You must also make sure that approval is obtained if needed. Ambulance Art Therapy Assistive Care Services

More information

Information for Dual-Eligible Members with Secondary Coverage through California Regular Medi-Cal (Fee-for-Service)

Information for Dual-Eligible Members with Secondary Coverage through California Regular Medi-Cal (Fee-for-Service) Information for Dual-Eligible Members with Secondary Coverage through California January 1, 2011 December 31, 2011 Los Angeles County This publication is a supplement to the 2011 Positive (HMO SNP) Evidence

More information

Summary of Benefits. New York: Bronx, Kings, New York, Queens and Richmond Counties

Summary of Benefits. New York: Bronx, Kings, New York, Queens and Richmond Counties Summary of Benefits New York: Bronx, Kings, New York, Queens and Richmond Counties January 1, 2006 - December 31, 2006 You ve earned the right to live life on your own terms. And that includes the right

More information

My Complete Medications List

My Complete Medications List Pharmacy Features 1 My Complete Medications List 2 My HealtheVet: Get Care Get Care: Care Givers Treatment Facilities My Coverage Health insurance Health Calendar To-Do s Wellness Reminders 3 My HealtheVet:

More information

Covered Benefits Matrix for Children

Covered Benefits Matrix for Children Medicaid Managed Care The matrix below lists the available for children (under age 21) enrolled in the West Virginia Mountain Health Trust and s. Ambulance Ambulatory surgical center services Some services

More information

VISIT NOTES QUIZ. C. Individually select each system, then select the negative box for each item

VISIT NOTES QUIZ. C. Individually select each system, then select the negative box for each item VISIT NOTES QUIZ 1. In the Examination section of the visit note template, how would you quickly mark all sections of the exam as normal? A. Select (-) at the top of the template B. Select the negative

More information

FLEX RETIREE MAP (Over 65 Flex Retirees) 2018 Benefits PROFESSIONAL SERVICES. Visit to a physician, physician assistant or nurse practitioner at a PPG

FLEX RETIREE MAP (Over 65 Flex Retirees) 2018 Benefits PROFESSIONAL SERVICES. Visit to a physician, physician assistant or nurse practitioner at a PPG PROFESSIONAL SERVICES Visit to a physician, physician assistant or nurse practitioner at a PPG Periodic health evaluations/preventive services - Applies when the only service(s) provided is a Medicare

More information

Advocare. Connection. Advocare Plan Expands. Preventive Guidelines. Controlling High Blood Pressure. Page 2. Page 5. Teri Mueller, R.N.

Advocare. Connection. Advocare Plan Expands. Preventive Guidelines. Controlling High Blood Pressure. Page 2. Page 5. Teri Mueller, R.N. Advocare Connection Advocare Plan Expands Page 2 Preventive Guidelines Page 5 Teri Mueller, R.N. Nonprofit Organization U.S. Postage Paid Security Health Plan of Wisconsin, INC. Security Health Plan of

More information

At the start of each HEDIS season, you will receive a fax from L.A. Care. Each fax request will stipulate what documents need to be faxed back.

At the start of each HEDIS season, you will receive a fax from L.A. Care. Each fax request will stipulate what documents need to be faxed back. Office Manager s Guide to HEDIS 2018 L.A. CARE MEDICAL RECORD REQUESTS At the start of each HEDIS season, you will receive a fax from L.A. Care. Each fax request will stipulate what documents need to be

More information

Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY

Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN FEATURES Network & Out-of- Annual Deductible This is the amount you have to pay out of pocket before the plan will pay

More information

Disclosure and Release of Health History and Immunization Requirements

Disclosure and Release of Health History and Immunization Requirements TO BE COMPLETED BY THE STUDENT: NURSING AND HEALTH OCCUPATIONAL PROGRAMS Disclosure and Release of Health History and Immunization Requirements Student s Name: Birth date: Last First Middle Month/Day/Year

More information

ADULT PATIENT INFORMATION. Patient Name: Last Name First Name Address: City: State: Zip Code: Phone #: Cell Phone #: Social Security:

ADULT PATIENT INFORMATION. Patient Name: Last Name First Name Address: City: State: Zip Code: Phone #: Cell Phone #: Social Security: 716 S. Goldenrod Road n 3315 Orange Blossom Trail Fax (407) 658-2536 Fax (407) 343-1907 ADULT PATIENT INFORMATION Patient Name: Last Name First Name MI Address: City: State: Zip Code: Phone #: Cell Phone

More information

Office Hours Our office hours are Monday through Friday 7:30 am to 5:30pm. Our office is closed on all major Holidays.

Office Hours Our office hours are Monday through Friday 7:30 am to 5:30pm. Our office is closed on all major Holidays. Dear New Patient: We would like to welcome you to our practice. Our goal is to make your experience with us as pleasant as possible. In order to help us meet this goal we have listed some helpful hints

More information

Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY

Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY The maximum out-of-pocket limit applies to all covered Medicare Part A and B benefits including deductible. Primary Care Physician Selection Optional There is no requirement for member pre-certification.

More information

What will the PCMH Look Like in 2014? Joseph E. Scherger, MD, MPH

What will the PCMH Look Like in 2014? Joseph E. Scherger, MD, MPH What will the PCMH Look Like in 2014? Joseph E. Scherger, MD, MPH What Is a Patient-Centered Medical Home? A Patient-Centered Medical Home (PCMH) is a model for care provided by physician practices that

More information

Date: Name: Date of birth: Reason for today s visit: If yes, what are you allergic to and what type of reaction/symptoms did you have?

Date: Name: Date of birth: Reason for today s visit: If yes, what are you allergic to and what type of reaction/symptoms did you have? Date: Name: Date of birth: Nickname/prefer to be called: Date that your last menstrual period began: Reason for today s visit: Allergies to medications/foods/substances? Yes No If yes, what are you allergic

More information

King County City Health Profile Seattle

King County City Health Profile Seattle King County City Health Profile Seattle Shoreline Kenmore/LFP Bothell/Woodinville NW Seattle North Seattle Kirkland North Ballard Fremont/Greenlake NE Seattle Kirkland Redmond QA/Magnolia Capitol Hill/E.lake

More information

The Alberta Pharmacists Practice Model, Implications for Hospital Pharmacists. October 2014

The Alberta Pharmacists Practice Model, Implications for Hospital Pharmacists. October 2014 The Alberta Pharmacists Practice Model, Implications for Hospital Pharmacists October 2014 Disclosure I have no real or potential conflict to disclose Learning Objectives Understand the principles in which

More information

NCQA s Patient-Centered Medical Home (PCMH) 2011 Standards 11/21/11

NCQA s Patient-Centered Medical Home (PCMH) 2011 Standards 11/21/11 NCQA s Patient-Centered Medical Home (PCMH) 2011 Standards 11/21/11 28 PCMH 1: Enhance Access and Continuity PCMH 1: Enhance Access and Continuity 20 points provides access to culturally and linguistically

More information

MEANINGFUL USE STAGE 2

MEANINGFUL USE STAGE 2 MEANINGFUL USE STAGE 2 PHASED-IN IMPLEMENTATION PROCESS DECEMBER 2014 - PREPARATION MONTH Start this process as early as possible WATCH VIDEO TRAINING SESSIONS: (Sessions available starting December 1,

More information

1. What is your ethnic origin? (Check one) 2. What is your gender? 3. What is your age? Page 1. nmlkj. nmlkj. nmlkj. nmlkj. nmlkj. nmlkj. nmlkj.

1. What is your ethnic origin? (Check one) 2. What is your gender? 3. What is your age? Page 1. nmlkj. nmlkj. nmlkj. nmlkj. nmlkj. nmlkj. nmlkj. 1. What is your ethnic origin? (Check one) White Asian/Pacfic Island American Indian Black Hispanic 2. What is your gender? Female Male 3. What is your age? 18 to 24 55 to 64 25 to 34 65 to 74 35 to 44

More information

Date: Name: Date of birth: Reason for today s visit: If yes, what are you allergic to and what type of reaction/symptoms did you have?

Date: Name: Date of birth: Reason for today s visit: If yes, what are you allergic to and what type of reaction/symptoms did you have? Date: Name: Date of birth: Nickname/prefer to be called: Date that your last menstrual period began: Reason for today s visit: Allergies to medications/foods/substances? Yes No If yes, what are you allergic

More information

Classic Plan (HMO-POS) Value Plan (HMO) Rewards Plan (HMO)

Classic Plan (HMO-POS) Value Plan (HMO) Rewards Plan (HMO) January 1, 2016 December 31, 2016 Classic Plan Value Plan Rewards Plan SECTION I INTRODUCTION This booklet gives you a summary of what we cover and what you pay. It doesn't list every service that we cover

More information

FAQ S. Frequently Asked Questions: WellCare Clinic Logistics

FAQ S. Frequently Asked Questions: WellCare Clinic Logistics Frequently Asked Questions: FAQ S WellCare Clinic Logistics 1. What is the City of Lawrence WellCare Clinic? The City of Lawrence WellCare Clinic is a part of the CHAMP Wellness Program. The WellCare Clinic

More information

Family doctor services registration

Family doctor services registration Family doctor services registration GMS1 Patient s details Mr Mrs Miss Ms of birth Surname First names Please complete in BLOCK CAPITALS and tick as appropriate NHS No. Male Female Home address Previous

More information

Medicare Plus Blue SM Group PPO. Summary of Benefits. Michigan Public School Employees Retirement System

Medicare Plus Blue SM Group PPO. Summary of Benefits. Michigan Public School Employees Retirement System 2018 Medicare Plus Blue SM Group Summary of Benefits January 1, 2018 December 31, 2018 Michigan Public School Employees Retirement System www.bcbsm.com/mpsers This information is a summary document and

More information

Seasons Women s Care Patient Registration Form

Seasons Women s Care Patient Registration Form Seasons Women s Care Patient Registration Form Name: of Birth: Address: City: St: Zip Home Phone: Cell: Best Number: Email: Race or Ethnicity: Marital Status: SS# Drivers Lic#: Employer: Work# Occupation:

More information

Covered Benefits Rhody Health Partners ACA Adult Expansion

Covered Benefits Rhody Health Partners ACA Adult Expansion Covered s Rhody Health Partners ACA Adult Expansion Abortion Services Adult Day Services AIDS Medical and Non-Medical Case Management Alcohol and Substance Abuse Treatment Cosmetic Surgery Dental Care

More information

Please allow us hours to refill the medication; approval from your medical provider is required on all refills.

Please allow us hours to refill the medication; approval from your medical provider is required on all refills. Thank you for choosing Rex Primary Care of Holly Springs for your primary care needs. To keep our patients better informed we have created a list of our office policies to make your visit and continuation

More information

Jacksonville State University Lurleen B. Wallace College of Nursing and Health Sciences Health Appraisal Form

Jacksonville State University Lurleen B. Wallace College of Nursing and Health Sciences Health Appraisal Form Jacksonville State University Lurleen B. Wallace College of Nursing and Health Sciences Health Appraisal Form Welcome to the Lurleen B. Wallace College of Nursing and Health Sciences at Jacksonville State

More information

Health Record Health Services 1025 North Broadway, K-254 Milwaukee, Wisconsin Phone: Fax:

Health Record Health Services 1025 North Broadway, K-254 Milwaukee, Wisconsin Phone: Fax: For office use only: Jenzabar: / / MM DD YY (Initial) Revision date: 7/10/17 Health Record Health Services 1025 North Broadway, K-254 Milwaukee, Wisconsin 53202 Phone: 414-277-7333 Fax: 414-277-2897 Student

More information

Summary of benefits Health Net. seniority plus green. Benefits effective January 1, 2009 H0562 Medicare Advantage HMO

Summary of benefits Health Net. seniority plus green. Benefits effective January 1, 2009 H0562 Medicare Advantage HMO 2009 Health Net Summary of benefits Los Angeles, Orange, Riverside and San Bernardino counties s effective January 1, 2009 H0562 Medicare Advantage HMO Material ID H0562-09-0041 CMS Approval 9/08 Section

More information

Explorer Plan (HMO-POS) SunSaver Plan (HMO-POS)

Explorer Plan (HMO-POS) SunSaver Plan (HMO-POS) January 1, 2016 December 31, 2016 Explorer Plan SunSaver Plan SECTION I INTRODUCTION This booklet gives you a summary of what we cover and what you pay. It doesn't list every service that we cover or list

More information

New Patient Medical Form (Please use BLACK ink)

New Patient Medical Form (Please use BLACK ink) New Patient Medical Form (Please use BLACK ink) Patient Name: First Middle Initial Last Address: Street City State Zip Code Home Phone: ( ) - - Work Phone: ( ) - - Cell Phone: ( ) - - Gender: [] Female

More information

Personal Health Care Journal

Personal Health Care Journal Personal Health Care Journal U.S. Administration on Aging Take an active role in your own health care! Protect Detect Report Protect Your Personal Information Treat your Medicare, Medicaid and Social Security

More information

AXIS. CompCare Wellness Medical Scheme. Information and Benefit Guide 2018

AXIS. CompCare Wellness Medical Scheme. Information and Benefit Guide 2018 GRITY WELLNESS INNOVATION INTEGRITY DETERMINED PERFORMANCE MOTIVATED AXIS CompCare Wellness Medical Scheme Information and Benefit Guide 2018 WELLNESS INNOVATION INTEGRITY DETERMINED PERFORMANCE MOTIVATED

More information

Responsible Party (Guarantor) Info. Insurance Information

Responsible Party (Guarantor) Info. Insurance Information Associates in Women s Health, P.C. 2801 YOUNGFIELD STREET, SUITE 200 GOLDEN, CO 80401 P: 303-940-1867 F: 303-940-1894 Please Circle Your Doctor: ELLIS GANTER PYTHON SCHOEN WESSELL, WHNP PATIENT INFORMATION

More information

Covered Benefits Rhody Health Partners

Covered Benefits Rhody Health Partners Covered s Rhody Health Partners s Covered by UnitedHealthcare Community Plan As member of UnitedHealthcare Community Plan, you are covered for the following services. (Remember to always show your current

More information

QUALITY IMPROVEMENT. Molina Healthcare has defined the following goals for the QI Program:

QUALITY IMPROVEMENT. Molina Healthcare has defined the following goals for the QI Program: QUALITY IMPROVEMENT Molina Healthcare maintains an active Quality Improvement (QI) Program. The QI program provides structure and key processes to carry out our ongoing commitment to improvement of care

More information

2013 Summary of Benefits Humana Medicare Employer RPPO

2013 Summary of Benefits Humana Medicare Employer RPPO 2013 Summary of Benefits Employer RPPO RPPO 079/631 Loudoun County Public Schools Y0040_GHA0B4IHH13 PPO 079/631 Thank you for your interest in the Employer Regional PPO Plan. This plan is offered by Humana

More information

Associate of Science Nursing (RN) THIS APPLICATION IS FOR STUDENTS WHO DO NOT CURRENTLY HAVE A LPN LICENSE.

Associate of Science Nursing (RN) THIS APPLICATION IS FOR STUDENTS WHO DO NOT CURRENTLY HAVE A LPN LICENSE. Associate of Science Nursing (RN) THIS APPLICATION IS FOR STUDENTS WHO DO NOT CURRENTLY HAVE A LPN LICENSE. Student Information and Application Packet Updated for Fall 2017 intake September 20, 2017 EDUCATIONAL

More information

DA Civilian Deployers

DA Civilian Deployers DEPARTMENT OF THE ARMY CONUS REPLACEMENT CENTER 1733 PLEASONTON ROAD FORT BLISS, TEXAS 79916 DA Civilian Deployers Recommendations to prepare and what to bring to Fort Bliss By 7246th IMSU Medical Staff

More information

PATIENT INFORMATION INSURANCE INFORMATION

PATIENT INFORMATION INSURANCE INFORMATION PATIENT INFORMATION Patient Name: Date of Birth: SSN: Cell Number: Cell Phone Provider: Home Number: Work Number: Home Address: City/State: Zip: Employer: Occupation: E-Mail: Relationship Status: S M W

More information