Who's that Pokemon?! (MD/NP version)
With over 15 years in the nursing profession, this NP is the Manager over the NP Team; you may have seen her bulldog, Benedict (Benny for short) recently on our 1, 2 or 4 legs social channel!
Who is Nicole Trocchia, DNP, FNP-BC OCN?
Oh no! I've been walking with more difficulty and have problems with weakness. Thankfully Thyme Care can see me virtually and send a prescription to this type of company to get a rollator at home!
What is Durable Medical Equipment (DME) Company?
When developing a care plan, we have moved to this type of approach, making goals that are developed with the member based on the member’s preferences, needs, and health goals.
What is person-centered (or member centered) goals?
You are on a call with a member and they tell you they were just in the Emergency Room last Sunday! What task will you complete in Thyme Box?
What is Complete Missing ADT Notification (Nurse)?
Thyme Care's amazing BH team created these, hosted on the 2nd Tuesday of the month at 10AM ET and the 4th Wednesday of every month at 3PM ET; they are open to members who are in active cancer treatment or completed treatment within the past six months
What are Support Groups?
This MD is the medical director of palliative care; she recently published "Implementing HeartPal: Design and Early Results of a Specialized Care Delivery Model for Advancing Palliative Care in Advanced Heart Disease Populations" in the Journal of Cardiac Failure.
Who is Nelia Jain, MD?
Thyme Care can support multiple contracts for VUC visits, ESC visits, except this contract, a CVS Health-owned primary care provider specialized in Medicare-focused, value-based care for older adults.
This task should be utilized when a new care plan has been developed or modified and Thyme Care is needing to obtain the member’s agreement to the care plan revisions.
What is Review Care Plan task?
You facilitated getting a member a referral to a new GI clinic for ongoing symptom management, but she hasn't gotten a call after her PCP faxed the referral and she wants you to call the office to inquire about the referral / appt; you add this task to complete after you call the office
What is Outreach to practice, provider, or facility (Nurse)?
You are speaking to a member who mentions they have become more lethargic and have had more depressive thoughts since starting treatment. You add the Evaluate & Address Member's Behavioral Health Need task to complete this multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression.
What is PHQ-9?
This NP is a Team Lead; you might see her killing it in escalations and working closely with the TOC team for CC. She did "star" in an AT&T commercial when she was in college!
Who is Heather Ferrell, AGNP-C, AOCNP?
This type of provider visit is focused on supporting members plan ahead for the kind of care they want in the future. This visit with our team of amazing NPs / MDs help with pain, stress, tiredness, and side effects from treatment.
What is Enhanced Supportive Care (ESC)?
Per NCQA guidelines, a goal should be this - making sure it is clear, quantifiable, reflecting what's important to the member and within a defined time period.
What is a SMART goal?
You are speaking with a member who has been having treatment for her breast cancer. After further discussion, you find out her PET scan showed metastasis to her bones; although she is still clinically stable, you add this task to request SIC pod support (and write a hand-off note in said task)
What is Evaluate Serious Illness task?
This document is created with a member who is having suicidal ideation; it details their warning signs, coping strategies and sources of support and members can use these strategies before or during a suicidal crisis.
What is a Safety Plan?
Working closely with our SIC Team, this Palliative Care NP sees members for ESC visits. You might find her sending a gif or two of Schitt's Creek!
Who is Amber Piranio, DNP, FNP-BC, ACHPN?
We can schedule this type of visit if a PCP post-discharge visit cannot be scheduled within 14 days of discharge or if symptoms are not improving after TOC event and a member is needing additional support.
What is Post-Discharge Visit?
These are factors that may impact the member’s ability to successfully accomplish the goal; including Access to reliable transportation, Cognitive impairment, Cultural or spiritual beliefs, or Financial or insurance issues
What are Barriers?
You receive a tag in the care-team-chat to help call 911 for a member experiencing altered mental status. What task do you place once connecting with EMS? (bonus points if you tell me the password for distant emergency)
What is Escalate care to Emergency Department?
What is Adult Protective Services (APS)?
This Medical Director of Oncology Care previously worked at the FDA's Center for Drug Evaluation and Research (CDER). She previously practiced at MedStar and Georgetown/Lombardi Comprehensive Cancer Center, with expertise in breast cancer.
Who is Asma Dilawari, MD?
This visit for our Clover and Aetna members can be attended as a welcome visit to onboard them or to touch base once per year to see how they are doing and address any concerns they may have.
What is Health & Wellness Visit?
NCQA stands for this - it is a non-profit organization that works to improve healthcare quality by accrediting health plans and other organizations, developing performance measures and promoting transparency through data and accountability to ensure better care, better choices, and better health outcomes for consumers.
What is National Committee for Quality Assurance?
Oh no! The member reports a recent fall while on the phone with you. The member agreed that not falling again is a priority for them. You work on adding the corresponding playbook and also this task, that helps guide you through an assessment to review multiple factors, including environmental hazards, functional and mobility, medication and mobility and emergency preparedness
What is Complete Home Safety Assessment?
There are multiple BH support options for our members, including Clover Behavioral Health referrals for our Clover members and Spring Health for our Premera members. All US residents can utilize this service to connect with suicide prevention specialists or access mental health resource information.
What is 988 Suicide & Crisis Lifeline?