Review
7 Things that must be completed during day 2
-ITP
-CMA
-update MB if not already done
-Assign to group
-Cross check staff relationship/program history with MB
-tour of facility
-backline education
These documents need completed on day 1
Comprehensive biopsychosocial, individual session progress note, OBHIS data form, and risk assessment
Counselor caseload report can be found where?
In Carelogic under "Client" or when Tori provides it on Mondays
Clinical documentation requirements for OTP patients in the first 90 days.
-scheduled 60 minutes weekly (roster for group)
-document DNS
-memo to chart
-explain short sessions in progress note
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Roberto
This BH document needs addressed in the SUD goal narrative for an ITP review.
Has a relapse prevention plan been completed?
This needs completed at bare minimum for to complete day 2 ITP
Patient assessment and clinician assessment
Flow to complete when you have a DNS including timeframe
5 minutes after scheduled time, must call
-if no answer, leave message and send backline
-document call log
-see if there are on site needs
-post availability on TH chat
The current ITP goals and objectives should be in this format
*double the points if you can list the acronym*
SMART goals
-Specific
-Measurable
-Attainable/Achievable
-Relevant
-Timebound
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Jordan
X number of hours for caseload management and documentation
2 hours for each
ASAM dimensions must include this in every dimension
Patient goal/quote
Things counselors are responsible for when asked about caseload management.
-size (how many patients)
-who are in DC/RE process; dates for sending letters and discharge
-pregnant
-justice involved
-ITP due dates
-CMA completion
-scheduling follow ups
-referrals
These things are needed to be prepared for individual supervision
-counselor caseload report reviewed and prepared to share what caseload management you have done/plan to do
-patients that need to be discussed
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Jenni
Current BH KPIs
-documentation is 1%
-90 day retention for patients at 45%
-ITPs completed at 85%
-encounters (30-35 therapists, 45-50 counselors)
This is the process if you assessed for moderate or high risk to self or others
-Notify BHS, Center Director, and medical provider
-If this is a TH patient (not at your center), notify BHS and BHS will tag the correct people
-Complete safety plan
- Schedule a follow-up call within 48 hours from RA.
-Schedule a follow-up with onsite provider within 14 days of RA.
-If high risk, 911 will be called for immediate follow-up. Obtain ROI for hospital if able to.
The reasons caseload management is significant.
-quality patient care
-meet patient needs
-meet KPIs
Things required for all pregnant patients
-ROI for OBGYN (and hospital if separate from OB)
-pregnant patient letter
-providing education documented
-spreadsheet updated
-POSC
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Hannah
BV's lunch policy/expectation for salaried employees.
Per HR, lunch is not guaranteed for salaried employees. Can schedule an hour but must be flexible; it can be started late, ended early, moved, etc. depending on patient need.
These should be reviewed before completing the biopsychosocial.
-medical notes
-use history in doc library
-rapid results in doc library
Expectations for caseload call activity spreadsheet.
1. the need to manage maladaptive communication among participants that complicates delivery of care
2. caregiver emotions or behaviors that interfere with implementation of the treatment plan
3. evidence or disclosure of a sentinel event and mandated report to to a 3rd party
4.Use of play equipment, physical devices, interpreter/translator to overcome barriers to interaction with a patient
Where you can find BH daily/weekly checklist and how to properly engage in caseload management
-Team BrightView Intranet
-Quick start guides--> Center quick reference guides
-Behavioral Health QRGs
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Katie