Tele-Retinopathy
AWV
Behavioral Health
ICM
Nutrition
100
How many retinal cameras have been deployed through PHS?
44.
48 cameras were purchased, 44 have been deployed across 43 clinics
100
Other than Mammogram and Colorectal Cancer screening, name 3 other preventive measures addressed during an AWV
Bone density, AAA, Pap smear, Hep C screening, Cardiovascular Screening (lipids), Diabetes screening (fasting glucose), vaccines
100
How do you send a referral to Behavioral Health
REF98
100
How soon do Transition calls need to be made
48 hours
100
How many DSME sites does UNCPN have
13, with 3 upcoming
200
What is the youngest age when a BPA may fire a diabetic patient as due for a retinal eye exam?
10 years old
200
What 5 vaccines are discussed during an AWV
Tdap(Td), Influenza, Pneumococcal 23 (Pneumovax), and Pneumococcal 13 (Prevnar), Zoster (Shingrix)
200
How many sessions are included in the Integrated Behavioral Health Model?
Usually 5-12 sessions over a 6 month period
200
How frequent are ICM follow up calls
every 2 weeks
200
How do you make a referral to Nutrition?
REF49. Department must be filled out for referral to go to correct work que
300
True or False: Only PN and Caldwell PN clinics participate in the PHS Tele-Retinopathy program
False.
GP-Boylan Healthcare Raleigh Browning Pl, FP- UNC Family Medicine Chapel Hill, FP-UNC WakeBrook Primary Care Raleigh, and FP-UNCH Childrens Endocrinology Chapel Hill also participate.
300
Name 2 requirements for Welcome to Medicare Annual Wellness exam that are different from other AWV types
Must be a shared visit with provider
Must include a vision screening
(must be within the first 365 days of receiving Medicare part B)
300
What are the Behavioral Health CPT codes
300
How many times will the Transitions team attempt to contact a patient
How many times will ICM attempt to contact a patient
Transitions:Twice
ICM: Three attempts over several day at different times
300
What diagnoses can be used for Medical Nutrition Therapy for commerical plans
No BMI diagnosis codes, only will accept obesity, overweight
Will accept hypertension, diabetes, hyperlipidemia, impaired fasting glucose
400
What insurance does not cover retinal imaging for diabetic patients?
Family Planning Medicaid only covers STD testing and contraception
400
What is the standard ICD 10 code that is used for all AWVs performed by our case managers
Z00.00
400
Exclusion Criteria: Who does NOT have the capacity for Brief Treatment?
Severe and Persistent Mental Illness which has not been stabilized, including: Bipolar, Schizophrenia, Schizoaffective Disorder
Severe Personality Disorders
Recent discharge from psychiatric facility
Cognitive Deficits which prevent engaging in psychotherapy
Psychiatric Symptomology which prevent engaging in psychotherapy such as delusions; hallucinations; inappropriate behaviors
Patients who require or desire long term psychotherapy
Patients who do not respond to brief psychotherapy
400
ICM team members have the ability to share Healthwise education with patients: True or False
True: In the Wrap-Up section of the POE, education can be added to the AVS and either mailed to patient or submitted through mychart. Education can include reading materials and video links.
400
True or False: There are currently 4 clinics participating in an Obesity Management program pilot. This program utilizes the PCP, RD, and LCSW to encourage weight loss and a healthy lifestyle.
False: 3 clinics in the pilot:
UNC Family Medicine at Hillsborough, North Chatham Peds and Internal Medicine, UNC Family Medicine at Apex
500
True or False: The Retinal Eye Exam due date for Health Maintenance does not align with PCIC Diabetes Eye Exam measure
True.
Health Maintenance flags patients according to best practices of evaluating the retina at a minimum of once a year. PCIC will count a patient as meeting the Diabetes Eye Exam measure in a given year if they had negative retinopathy the prior year
500
What are the standing order parameters for vital signs Case Managers are to follow.
BP Systolic <90 or >150 mmHg
Diastolic <60
Pulse <60 or >100
Temperature >100.4 or unable to get oral reading
500
What resources do we have available to give to a patient with suicide crisis
The crisis center hotline in the patient’s county (found in EPIC with Smartphrase CRISIS RESOURCES)
The National Suicide Hotline (800-784-2433.)
On Call pager to LCSW M-F 8-5 919-216-1717
500
What three care plans automatically populate for every patient enrolled in ICM
Falls Risk, Healthcare Navigation, and Advance Care Planning. There are others that can be added including diabetes management, heart failure, COPD. They can be previewed on the ICM one note.
500
What criteria has to be met in order to participate in the CDE Diabetes Medication Co-Management Protocol
Patient must be 18, under the care of a UNCPN provider, diagnosed with diabetes per the ADA guidelines.
The RD must: be licensed in NC and registered by the Commission on Dietetic Registration, currently be certified as a Certified Diabetes Educator, have a minimum of 2 years as an RD