Ubiquity
HBMC processes
Documentation
Diagnoses
Good to know!
100

This is very important to remember before leaving the home visit.

What is scheduling the next appointment?

100

Engagement x Quality + Net Savings + Documentation.

What is HBMC's value equation?

100

Due to, secondary to, caused by, with.

What are linking terms to connect two diagnoses?

100

Class 1, Class 2, Class 3.

What is the language that replaces "morbid obesity" when discussing obesity with patients?

100

A shared platform of resources for your role in HBMC.

What is knowledge base? Knowledge Base - Home (sharepoint.com

200

A provider does this if their desired diagnosis does not populate in the drop down.

What is free text the diagnosis?

200

This is visit cadence and level of patient engagement.

What is acuity and intensity?

200

Monitor, assess/address, evaluate, treat. This is used to address an appropriate plan of care during patient visits.

What is MEAT?

200

A patient has 2-3 symptoms of the 11 DSM-5 criteria (such as cravings, taking the substance in larger amounts, using substance in physically hazardous situations).

What is SUD, mild?

200

Where one goes to access quick links such as global self service, concur, mylearning, and other resources.

300

This tool is used in Ubiquity to determine severity of Major Depressive Disorder. 

What is the PHQ-9?

300

This face to face visit is conducted within 72 hours and consists of a thorough review of hospital records, referrals, and a high quality medication reconciliation. This is also a good time to review GOC.

What is the Post Discharge Visit (PDV)?

300

A patient's risk score resets for the following year and clinicians have to readdress all current conditions.

What happens on January 1st of every year?

300

Patient meets 5 of the 9 symptoms which has to include depressed mood and/or decreased interest or pleasure during the same 2 week period and represent a change from previous functioning.

What is the DSM-5 criteria for Major Depressive Disorder?

300

A shared platform for entering your PTO, accessing your paycheck, and other human resource activities.  

What is GSS? 

400

The tab where you can chart on conditions such as: Major Depressive Disorder, Substance Use Disorder, and/or the Generalized Anxiety Disorder. 

What is the BHRA?

400

What a clinician must validate to confirm a patient or caregiver's identity and it has to be at least 3.

What are patient/caregiver identifiers?

400

Age, access, or gender.

What are the 3 fixed variables that determine a patient's health risk?

400

A rarely used diagnosis that is used when a mental disorder is associated within 30 days of medication/substance initiation or use.

What is Substance-medication induced mental disorder (SID)?

400

A shared platform for entering your expenses for reimbursement including CME, mileage, etc.?

What is Concur?

500

Urgent or non urgent, informational, tracking only.

What are the 3 hospice referral types?

500

A process that starts when a patient/caregiver call with an urgent complaint. Then LM1 APC or market provider opens an encounter with next day follow up scheduled by the NCM. The longitudinal provider then does a face to face follow up. Lastly, the target closure is within 21 days or sooner based on patient stability.

What is an urgent episode of care process?

500

We document the potential for withdrawal or tolerance when we are including which diagnosis.

What is physical dependence?

500

2 abnormal GFR results at least 3 months apart.

What is the CKD diagnosis criteria?

500

24/7 call availability, BH care services, decreases patient ER/UC visits and hospitalizations, patient care preferences honored, time for quality SIC & GOC discussions.

What are some of the benefits of HBMC?

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