The CHA CHA Slide
This needs to be added to every CCM LOC case.
What is the conclusive statement?
What is a good Sentara "general website" for finding resources
What is https://sentara.findhelp.com/
This statement reflects in the members own words what the have learned from the conversation with the health coach?
What is teachback.
The length of time an episode is placed on hold, prior to closure.
What is 30 days?
How many outreach calls do we make to a member before placing them on hold.
What is 3?
How many days do you have to complete a CHA after initial contact.
What is 30 days?
This case management resource center start page is located under clinical and patient safety on what company platform website?
What is Wavenet?
This 3 letter search term can be used to locate appropriate Plans of Care in JIVA.
What is OPT?
When a member states they do not want to participate in case management.
What is "declines Case Management services?"
When receiving a voicemail from a member, what is the time frame to return their call.
What is within 24 hours?
Name 3 Hipaa member identifiers for completing the CHA.
What is name, dob and address and member ID #?
This Community Resource Vendor requires a consent form to be signed digitally with the member during the call.
What is Unite Us?
This section of the POC describes the specific problem?
What is Data
This DOS based system should be used to check enrollment status for the member
What is Wintegrate/CSC?
This is the time period to respond to a new case/episode assignment.
What is 3 days?
These must acompany health conditions in the CHA.
What are the dates of diagnosis?
https://sentara.findhelp.com/ is particularly useful for helping members with these types of four letter needs.
What is SDOH?
These are actions the case manager either has or will complete to achieve the goal in the POC.
Case Management
This change in status reason reflects a member who has achieved desired POC outcomes.
What are "goals met".
A member returns call after UTC (times/x) 3
What is restarting outreach attempts x 3?
This statement reflects self performed ADL's for CHA documentation.
What is ""Member is fully independent with ADLs."
This vendor is utilized for non emergent medical transport when services have been authorized.
What is Modivcare?
These type of verbs should be used to reflect member actions toward goals
What are action verbs
The Jiva episode is placed in this status after 30 day hold with no further outreach made by the member.
What is case closure by the case manager?
This abbreviation should be used in NIC when searching for the appropriate member services department?
What is SHP and MBR?