The CHA CHA Slide
This needs to be added to every CCM LOC case.
What is the conclusive statement?
This statement reflects in the members own words what the have learned from the conversation with the health coach?
What is member 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 the HRS is completed.
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 indicates they have no case management needs or assistance.
What is "decliines Case Management services?"
When receiving a voicemail from a member, what is the time frame to return their call.
What is 24 hours?
Name 3 Hippa member identifiers for completing the CHA.
What is name, dob and address and member ID #?
This NCM resource requires a consent form to be signed digitally with the member during the call.
What is Unite Us?
This statement describes the specific problem and assessment related to the goal with a concise statement.
What is Data?
This DOS based system should be used to check enrollment status for the member
What is Wintegrate/CSC?
This is the number of days case managers have to outreach a new member.
What is 3 days?
These must acompany conditions in the CHA.
What are the dates of diagnosis?
This 211 find help website 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.
What are Case Management Actions?
This change in status reason reflects a member who has returned work postoperatively, denies pain, no complications, and states no further needs.
What are "goals met".
A member who was placed on hold, returns your call after UTC x 3. This process is re-initiated.
What is restarting outreach attempts x 3?
This statement reflects self performed ADL's for CHA documentation.
What is "Member states they are independent in all ADL's"
This case manager action is atypical in that it requires the NCM to place a prior authorization in SBAR form on the member's behalf by sending it to the appropriate supervisor.
What is medical transportation action?
These type of verbs should be used to reflect member actions and interventions towards goals?
What are action verbs
This statement by the case manager to the member reflects what episode status. "I wanted to mention it looks like you have made a lot progress since we've been working together. You are managing your health well. We have now met our case management goals. Since you have met your case management goals that we made together, I will close your case. However, please know that I am here to support you for any future needs, so if anything comes up in the future please reach out to me."
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?