Review
6 Things that must be completed during day 2
-Initial ITP
-update MB
-Assign to group
-Staff relationship/program history
-tour of facility
-backline education
*points double if you explain how you complete these when completing a day 2 via TH
This box needs checked on every assessment.
Learning style.
Counselor caseload report can be found where?
*points double if you know what you have to do to view it and what day you should retrieve it
Teams on BH Team Resources under General
*comes out Monday by 11am, must download first
Clinical documentation requirements for OTP patients in the first 90 days.
-scheduled 60 minutes weekly (roster for group)
-document DNS
-memo to chart
-explain short sessions
Their favorite movie is Tommy Boy
Jennier
Specific question in trauma section on assessment that has to be answered.
Have you witnessed any overdoses.
Assessment only/no SUD patients LOC is completed how (boxes, narrative, drop down)
-answer all the questions in the narrative
-don't check boxes
-LOC drop down
-Other and copy narrative from assessment only PDF
Flow to complete when you have a DNS including timeframe
4 minutes after scheduled time, must call
-if no answer, leave message and send backline
-document contact log
-see if there are on site needs
-post availability on TH channel
This change was made on ITP reviews in LOC narrative.
Can't say no peer recovery support person at the location; need to refer out.
Case management to be assessed quarterly and have documented quarterly appts.
Their favorite vacation spot is Sullivan's Island:
Luke
These are the 4 KPIs that BH staff are held accountable to.
- patient retention
- ITP capture
- documentation timeliness (FAs and unsigned)
- encounters
This section must be your assessment, not just the patient's word/perception. For example, the narrative box can't just say, "Patient denies."
Neglect/exploitation/human trafficking.
Things counselors are responsible for when asked about caseload management.
-size (how many patients)
-who are in DC/RE process; dates for sending letters and discharge
-pregnant
-justice involved
-ITP due dates
-CMA completion
-scheduling follow ups
-referrals
These things are needed to be prepared or individual supervision
-counselor caseload report reviewed and prepared to share what caseload management you have done/plan to do
-patients that need to be discussed
Their favorite food is BBQ ribs
Martin
Key components when completing a risk assessment
-risk level in narrative summary and why
-history of unintentional overdoses
-safety plan if moderate risk
-truly assessing is a necessity
Recommendations that must be identified even if the patient doesn't want to work on them.
-ALL SUD
-education
-nicotine
-trauma
-housing
-transportation
-employment
-MH issues
-medical issues
The reasons caseload management is significant.
-quality patient care
-meet patient needs
-meet KPIs
Things required for all pregnant patients
-ROI for OBGYN (and hospital if separate from OB)
-pregnant patient letter sent immediately after ROI is obtained
-providing education documented
-spreadsheet updated
-POSC
-add to MDT spreadsheet
Their favorite self care activity is pedicures and candy:
Kerri
This is the re-engagement process
-counselor caseload report
-re-engagement activity code
-letter due 45 days or 90; day 2 DNS stays the same
These should be reviewed before completing the assessment.
-medical notes
-use history in doc library
-rapid results in doc library
Expectations when giving a referral
-document in progress note and ITP
-upload documents in document library
-memo to chart if needed
Clinical and medical cadence needs to be clearly documented in these locations.
-treatment plan: drop downs and narratives
-progress notes: both narrative boxes
-memo to chart and\or progress note and\or call log
-MB
Guns N Roses "November Rain" is one of their top 5 favorite songs:
Laura