Where do you go to find participant information / participant activities?
What is MMOTS - Medical Management Reports and Displays - Clinician Desktop?
100
Who is Mary Ellen Gervais and Carrie Robbins role at InforMed?
Executive Vice President and Director of Population and Personal Health Management?
100
Where do you go if you have questions about policies?
What is Resource tools - then look for specific policy / procedure?
100
What is out comes tracking?
What is Resource tool for the Personal Health Nurse to assist with focus / educational efforts / resources to assist participant further their self mangaement skills?
100
The following statement is our _______ " InforMed drives health care improvement by increasing health care quality and cost control throught the effective deployment of information mangement and transaction efficiency"
What is InforMeds Mission?
200
Where do you go to find participant notes / phone calls?
What is MMOTS - Medical Management Reports and Displays - clinician desktop - Activity notes?
200
What is InforMed Support 1-866-655-7535 used for?
Who is called for computer malfunctions / MMOTS issues sent to team leader?
200
If you had a question about provider engagement where you you look that up at?
What is Resource tools / provider engagement?
200
Where is outcomes tracking located?
Where is MMOTS / Clinician Desktop / Outcomes tracking?
200
What is " Global Support for Local Health Care"
What is IMMS Vision?
300
Where do you go to enter in your core assessment?
What is MMOTS - Medical Management Reports and Displays - clinician desktop - protocols - core assessment?
300
Appeals are done by?
Who is Sally Centrich?
300
If you had a question about training where would you look on the Resource tools?
What is resource tools / training?
300
What does it mean if you see the following:
Outcome Progress
+ -
CL 1 5
BH 4
UT 1
What is Clinical, behavioral, utilization at a glance?
300
True or False:
IMMS philosophy is that separating case and disease mangement can lead to poor continuity and fragementation of care leading to poor health outcomes. IT was through a desire to decrease the fragementation resulting from split service delivery that Personal Helath Mangement was designed.
What is true?
400
Where do you go to enter in care plan issues?
What is MMOTS - Medical Management Reports and Displays - clinician desktop - protocols - issues?
400
Who would you call when frustrated, confused, overwhelmed and need to vent? MMOTS / system questions, ARG questions, Milliman, Resources, management of accounts, quality issues, requested time off, expenses???????
Who is the Team Leader?
400
If you wanted to know what the CM responsponsibilities are where would you look?
What is Resource tools
Responsibilities - Case Manager's
400
What would you enter if you have a past due task of
High - Assessment of clinical and behavioral outcomes
What is a review of outcomes data and then enter a note
Clinical review / nurse review / outcomes?
400
True or False: IN PHM one nurse management a patient and has intimate knowledge of the account and helps in the mangement of the participants' health no matter where thay are in the continum.
What is true?
500
Where is the Calender in MMOTs and what is it used for?
What is to schedule assessments, care plans and phone calls to participants / providers are due?
500
What department do Janet Camp, Alexis Kindrant and Holly Tate work for?
What is Personnel - questions about benefits, health insurance, 401K, e time?
500
I am looking to open a high risk participant to case management where would I look to find out how to do this?
What is Resource Tools
Screening - CM/DM/PHM
500
Milliman is
What is the guideline used at IMMS to review inpatient admissions for medical necessity?
500
What would you do if you had a participant that you thought might need PHM but did not feel they needed services at this time and were in agreement that you could follow up with them in another month? What would you set up?