Staying Health Assessment (IPA Offices)

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1 Staying Health Assessment (IPA Offices) 2017 DaVita Inc. All rights reserved. Fr internal use nly.

2 Staying Health Assessment Staying Healthy Assessment (SHA) is the Department f Health Care Services (DHCS s) Individual Health Educatin Behavir Assessment (IHEBA) tl.

3 Staying Healthy Assessment The SHA cnsists f: 7 age-specific pediatric questinnaires 2 adult questinnaires (adult and senirs) Available in all Medi-Cal threshld languages Arabic Armenian Chinese Farsi Hmng Khmer Krean Russian Spanish Tagalg Vietnamese Listed threshld languages are frm DHCS website as f

4 Staying Healthy Assessment Questinnaire DaVita Inc. Healthcare All rights reserved. Partners Fr Inc. internal All rights use reserved. nly. Fr internal use nly.

5 Staying Healthy Assessment Schedule DHCS SHA Prvider Training -

6 Staying Healthy Assessment Review PCPs are required t review the SHA with the patient. Verify risk factrs and determine extent f risk Risk factrs priritized and discussed Prvide patient-specific health educatin cunseling, interventin, referral and fllw up Other clinical staff may assist with the review Medical issues are referred t the PCP

7 Staying Healthy Assessment Dcumentatin The prvider must: Sign, print name, and date questinnaire Dcument specific behaviral-risk tpics discussed with the patient Check the types f interventins ffered t the patient The signed SHA must be kept in the patient s medical recrd Dcument SHA reviews Dcument and sign refusal/declinatin f SHA

8 Staying Healthy Assessment Dcumentatin All patient infrmatin is nted n frm SHA reviews with the patient must be dcumented. Dcument interventins, educatin r educatinal material, etc. prvided as applicable in each apprpriate sectin Patient answers within the middle clumn = High Risk

9 Staying Healthy Assessment Dcumentatin Check all apprpriate actins prvided fr the patient Dcument ther actins r interventin s prvided as apprpriate PCP must sign SHA frm (Initial Assessment and Annual Review) Check ff if patient declines cmpletin g the SHA PCP must still sign frm.

10 Resurces HCP Plicy & Prcedure - Quality Imprvement Department: QM Implementing the Staying Healthy Assessment Department f Health Care Services (DHCS) - Healthy.aspx DHCS Plicy Letter : Requirements fr the Staying Healthy Assessment/Individual Health Educatin Behaviral Assessment (2013-Plicy Letters; Octber 8, 2013) - aspx

11 Resurces (Cntinued) SHA Frms available at: Physician s Infrmatin Prtal (PiP) LA Care Website: CalOptima Website: ces/healtheducatin/stayinghealthyassessments.aspx Department f Health Care Services (DHCS) - px

12 Resurces (Cntinued) Patient Educatinal Materials available at: LA Care Website: CalOptima Website: Department f Health Care Services (DHCS) - px

13 Thank yu. Yu have cmpleted this mdule.

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