AWV
What AWV G-codes can we use?
G0438 and G0439
What do patients need to enter CCM?
Two chronic conditions
How many teammates are in prac ops?
2!
What employee in Pop Health was our first?
Veronica!
What are our values?
Compassion Accountability Teamwork Respect Integrity
What external system do we check to see if a wellness visit was done?
Novitasphere
How many RNs do we have in CCM?
What is our goal for charting in the practices?
90% or higher!
What platform do we use for SDOH referrals?
Unite Us Delaware
Who are the VPs of BMG?
Dr. Ward and Dina Perry
What is our newest program we offer with CCM?
Advance care directives
When did we start social work?
2024
How do we celebrate successes?
Cowbells!
How many sites do we cover for primary care?
12
What is a social recognition?
150
What does CHI stand for?
Community Health Integration
What tool does Gail use for data?
Qlik
Clinical Education, Quality Team
How many ERs do we have?
4
Who helps us schedule our patients
PARC
How many patients are typically enrolled monthly?
Over 500!
Pending, Pre-charting, Rooming Tabs
When was pop health born?
November 2020