HRS Overview
Member Home Page
Care Plan
CM Tasks in HRS
HRS
100
HRS stands for
What is Healthy Returns System
100
Notes that appear on the home page
What is starred notes
100
HRS will generate goals based upon the answers provided by the member to the questions in the (blank and blank)
HIP and Health Chart
100
How to properly document that the nurse provided the member information about cancer.org
What is a Referral
100
It should include the highlights of tasks for the next call
What is Call Wrap
200
Is where you can find the case number associated with the program or create a case
What is CPM Cross Program Management
200
Where interventions marked for the next contact appears
What is the Contact Prep
200
Goals that have an exclamation point are called
What are fundamental goals
200
How to properly document team rounds
What is create a Consult
200
Where member's verbal consent to participation in the CM program is documented
What is the CM Questionnaire
300
Is the address where the member would like mailings sent.
What is the preferred address
300
Where notification of an amended data appears
What is Alerts section
300
Anthem recommends the use of SMART goals in creating a care plan. SMART stands for
What is What is Specific, Measurable, Achievable or Attainable, Realistic or Relevant, Time
300
Where you should add any diagnosis your member has
What is Condition Manager or Manage Conditions
300
It is the program that trumps all programs in the Health Advocate platform
What is Transplant
400
Name 3 places where you can access the HIP
What is Clinical Info, Quick Links, Site Map
400
In HRS you are either outside of a member case or you are inside of a case. If you are uncertain whether you are inside or outside a case, look at the
What is the Member Badge
400
The status and status reason of an intervention of a goal in progress
What is Open/ In Progress
400
The behavioral health questions that has to be ask verbatim
What is PHQ-2
400
Where you will find the FRI (Future Risk Inpatient) Score
What is Impact Pro
500
Where you should enter information about wrong DOB
What is Amended Data
500
Name 5 of the 10 approved Global Headings per PR 504
3.2.1.1. TRANSLATOR – include the language (i.e. member speaks French) 3.2.1.2. CONDITION – use for conditions not in Manage Conditions (i.e. a rare disease, member received a blood transfusion due to anemia) 3.2.1.3. DISABILITY – use for issues that all users need to be aware of (i.e. deaf, paraplegic, etc) 3.2.1.4. SYMPTOMS/SAFETY – use only for symptoms that will not be in a goal (i.e. such as cold symptoms) 3.2.1.5. PREFERRED NAME/PRONUNCIATION – document preferred name 3.2.1.6. HEALTH IMPACT – use for any current, relevant, clinical information related to conditions not found in Condition Manager 3.2.1.7. PSYCHOSOCIAL – use for things such as “no family support system” 3.2.1.8. MEDICATION – use for medications that are not in the medication list 3.2.1.9. OCCUPATION – use for things like “member works night shift, sleeps from 9am to 6pm, do not call” 3.2.1.10. DIETARY – information on diet issues that do not include an RD consult
500
The system generated goal when care alerts exist
What is Relevant Care Gaps
500
Your case was initially identified by the trigger ER Recidivism. Your member was admitted to the hospital with a new dx of CA, what new triggers would you add manually
What is CM-Inpatient and CM-Oncology
500
Where HIPAA verification is documented
What is CM Actions Taken