Program 101
How many days do the Partners have to upload a CA to THP?
13
WSIB has called to advise they have not received a report for John Smith. What would you do?
1. Look in Momentum/GD to see if report received
2. Check Telus
If not uploaded, contact Partner. Ensure loop back and confirmation that this has been uploaded and call back WSIB.
Who was THP's first partner location?
WGH
When did partners start?
Spring 2020
What is the purpose of Partners?
Facilitate care close to home for workers with quick access to facilitate recovery and RTW
What is the first assessment called in MSK?
What is the first assessment called in Neuro?
What is the first assessment called in FRMH?
CA
INA
CA
WSIB CM is calling, asking when the worker will be seen at Ontario Shores for a CA that was referred a week ago. What would you do?
1. Check Momentum to see if worker booked
2. Follow up with Partner site if not booked
3. Follow up to ensure WSIB was advised of scheduled date when available.
What are the 3 programs offered at EHN?
TPIP - 7 weeks
CTAP - 9 weeks
CORE - 7 weeks
When would you reach out to Karolina?
Questions on surgery, pain consults & injections
How may partners do we have?
9
Which partners for FRMH complete a CA and outpatient RX?
Woodstock & Ontario Shores!
If a worker was referred for treatment at EPA from a CA at THP, and Andrew at EPA subsequently lets us know the worker declines and wants to continue in the community, what should we do?
1. Partner (EPA) should cancel referral in MOM
2. Referral to be cancelled in our logs
3. Document in EPIC and advise referring ax team
What is the significance of the moving clouds when you log into MOM?
What services are at BC site?
Neuro, MSK, CAP Tx
FRMH Ax & Tx
How many locations do we have?
18!
HHSC recommends 18 weeks of interdisciplinary treatment after INA and the therapist is asking you to call for approval. What would you do?
You would kindly advise that 12 weeks is already pre-approved.
Leave a memo on file and ask customer service rep for direct #
Name all the program managers/leaders at all the sites
EPA- Andrew & Kristen
HH- Alex
WO - Ayme
WH - Lisa & Shelley
HHSC - Oren
OS - Renee
EHN - Shawn
WWC - Phil
Describe the flow of referrals before it gets to Partners
K drive > MSK/Neuro/FRMH Program Admin > Partners
A therapist at THP is recommending a CA at EPA. This can be done - True or False?
False! EPA only does TX
Which services require approval in MSK and Neuro?
Psych Ax
Psych Tx
Neuropsych Ax
Can the CM provide approval to bill a service outside of SLA?
Nope - team needs to document in report and it needs to be one of the acceptable reasons for delay in SLA
1. Unable to reach the worker
2. Missing referral information from WSIB referral package/TELUS referrals
2. Delays related to worker travel arrangements
What shouldn't we disclose to partners?
Billing, market share, THP SLAs
You are about to upload a TX report for an OHAP patient. This goes in the OHAP portal. True or False?
False :) There is no treatment under OHAP; it is all defined under specialty.
Who are our FRMH partners and what do they do?
OS & WGH - CA & OP Tx
EHN Gateway - residential
WW - adjunct, Trauma resiliency program