Your main role
What is being the point person for the BH members on your pod
This helps you remember to follow up on something in Commons
What is to task yourself!
You put these in Athena
What are all clinical notes
Where the Care Transitions Screening Tool is located
What is in Commons; you attach it to your note
Ways to support your team
What are meeting with CHP's, doing team trainings on anxiety or depression or PTSD etc. ?
Home visits, video visits, phone calls, check-ins
What are some of the ways of connecting with members?
Can you put a brief note about a community contact or member interaction in Commons
What is YES if it is under 15 minutes and not clinical
It's important to check off this box when you are done billing
What is the review box
When notified of a TOC you must call the facility in this many hours
What are 24?
Your role in Case Conference and Huddle
What is research to BH needs of every member, identify needs and how to meet them. Offer BH services?
Ways of managing community connections for members
what is to Familiarize (research and call) with local BH services including SUD, inpatient, PHP levels of care, outpatient settings, support groups, other agencies?
You do this under 'Team' in Commons when you are providing ongoing support to a member..
What is 'adding your name as a team member' by 'editing' the team
15
The number of weekly clinical visits required in Athena
Upon discharge you must call member within this many hours, and this many times if not reached
What is within 48 hours and three times over three days to try and reach?
Every member on your pod
What is how many members are you responsible for in terms of assistance with BH needs?
#of Outreach calls to make after a referral
What is 3, then task to CHP
Check this daily for new referrals
What is your 'inbox' in Commons
Would you schedule BH visits in Athena
What is NO schedule them in Skedulo
Refer to this team if you cannot locate a member after discharge
What is the research team; and use the research queue in Commons?
We show up—for ourselves, for each other, and for our members. We embrace accountability to make real change happen. We think big, we act boldly, and we add value. We know we can only move forward if we move forward together.
What is To Be All-in?
an integrated care team model to provide brief intervention therapy and medication management
What is COllaborative Care Management
When there is a pink X-Consent flag under the member's name
What is do not do any clinical work until you get consent?
99999
What is the code for a non-billable encounter in Athena
Members who qualify for the Advanced BH program have one of these
What are psychosis, severe bipolar disorder, SUD, and would benefit from Long Acting Injectibles or Medication Assisted Treatment
The highest mountain in the USA