What's My Name? (CITC Systems)
A web-based tool that allows you to quickly extract a Veteran's heath information and compile into a PDF for community providers.
What is RefDoc
Scan/import the RFS Form (10-10172) into VistA Imaging Capture by creating a new note titled?
What is the Community Care-Request for Service Note?
Defined as a system-wide approach to the deliberate organization of all Veteran care activities between two or more participants or systems to facilitate the appropriate delivery of health care services. It can include, but is not limited to, care management and case management
What is Care Coordination?
Third Party Administrator for the Memphis VA.
What is Optum?
Community care eligibility criteria is based on the MISSION Act criteria and includes how many community care eligibility criteria?
What is 6?
VA's master database of community providers.
What is PPMS (Provider Profile Management Systems)?
RFS(s) should be process within this number of business days of receipt; the result being RFS reviewed, approved or denied, consult or order created (if approved) and notification sent to the community provider
What is three days?
Used to document coordination care activities on the consult. It also houses DST.
What is the Consult Toolbox (CTB)?
Electronic Fax system.
StreemFax
Access standards for wait and drive time for specialty care.
What is 28 days (wait) and 60 minutes (drive)?
What is Vista image Capture?
The approval and denial of RFS(s) are documented in a letter and also in this location.
What is the ORIGINAL consult in the CTB under the Request for Services Tab?
Five principles to ensure that Veterans receive high quality, personalized care:
Personalized Care Coordination Plan, Seamless Transmission of Information, Collaborative Relationships, High Quality and Timely Care, Clear Governance Structure and Roles and Responsibilities
What is The Care Coordination Model (CCM)?
Provides an integrated read-only view of health data from all VA, DoD, and VA community care partners where a Veteran or Service member has received care. VA providers can view Veteran health data provided outside of the VA by utilizing the Community Health Summary widget.
What is Joint Legacy Viewer (JLV)?
Should not be selected based on convenience of preference. The ordering provider must enter medical justification when using this criteria.
What is Best Medical Interest (BMI)?
A secure, web-based system the VA uses to generate and submit referrals and authorizations to community providers.
What is HSRM (Health Share Referral Manager)?
Sent to the community provider indicating approval or denial of the RFS request
What is the Community Care-RFS Response Letter?
Care Coordination Level services that includes navigation, scheduling, post-appointment follow-up and e-communication to the referring provider.
What is the Basic Care Coordination Level?
Are nationally standardized lists of services that are authorized as one bundle of care by the VHA Office of Community Care.
What is a SEOC (Standardized Episodes of Care)?
Access standards for wait and drive time for primary care and mental health.
What is 20 days (wait) and 30 minutes (drive)?
Enables bi-directional sharing of Veteran Health Information between the VA and participating community providers. The Information is exchanged over a secure network and includes medical history, allergies, medications, immunizations, problems and more.
What is the VHIE (Veterans Health Information Exchange)?
Allows for consults or orders to be created in the name of the requesting community provider. The process decreases the time for a Veteran to receive care, improves care coordination between VA and its affiliated network providers, drives care into the VA, and ultimately improves access to care for Veterans.
What is Community Provider Orders (CPO)?
Note aligns Veteran needs and preferences to care coordination activities and services that properly address those needs. Provides the facility community care office and the integrated team with a means to document activities, coordinate care and manage related tasks. Reduces duplicative efforts and enables a transparent and collaborative approach to coordinating a Veteran’s community care.
What is the Community Care-Coordination Plan Note?
Provides step-by-step guidance on how to perform the work purchasing and coordinating care for Veterans in the community and why these steps are performed.
What is the Field Guidebook?
Two key tools used for determining eligibility.
What is Decision Support Tool (DST) and Computerized Patient Record System (CPRS)?