AIM Form Training May May-Aug 2020 Form Version Medically Ready - - PowerPoint PPT Presentation

“Medically Ready Force…Ready Medical Force”

TSWF Metabolic CPG AIM Form Training May May-Aug 2020 Form Version

1

“Medically Ready Force…Ready Medical Force”

Dis isclaimer

Content shown is from an AHLTA Training System (ATS) and does not contain actual patient data.

“Medically Ready Force…Ready Medical Force”

Recent Changes

The following group of slides reflect changes made to all CORE compatible forms. The specific training slides for this form follow the change slides.

“Medically Ready Force…Ready Medical Force”

CORE Compatible Updates

4

Updated the Hepatitis C screening recommendation on the 'Preventive Services Recommendations-All Patients' Ribbon. The new recommendation: 'The USPSTF recommends screening for hepatitis C virus infection in adults aged 18 to 79 years.'

“Medically Ready Force…Ready Medical Force”

CORE Compatible Updates

5

Updated the wording in the 'Self-Reported Level of Functioning' row on the PHQ-9 NEW OLD

“Medically Ready Force…Ready Medical Force”

CORE Compatible Updates

6

Updated 'Pain Treatment history' section on the Exit CCP tab

“Medically Ready Force…Ready Medical Force”

CORE Compatible Updates

7

Updated 'Chronic Pain' ribbon label to say 'Pain Management Care Plan' and verbiage updated within section. Also changed the 'Pain care agreement on file’ to 'Pain Care Informed Consent on File’

“Medically Ready Force…Ready Medical Force”

Objectives

Metabolic Training Objective: Identify the clinical workflows, screeners and tools available in the TSWF Metabolic AIM form as they relate to the VA/DoD Clinical Practice Guidelines Metabolic Learning Objectives: At the conclusion of today’s activity, the participant will be able to:

• Understand the documentation requirements found on the HPI tab (patient intake/Med

Rec/Preventive Services)

• Understand the use of various screeners (Travel/Audit-C/Tobacco use/Annual

Questions/Learning Assessment/Military Specific Screening)

• Describe the usefulness of the focused Review of Systems and Physical Exam elements
• Demonstrate the purpose and use of the Obesity and Metabolic Disorders Chronic Care

Plans

• Understand what information can be found on the various reference-only tabs found on

the form

“Medically Ready Force…Ready Medical Force”

Why Use a TSWF CPG AIM IM Form?

• Integrates recommendations from VA/DoD CPGs (Diabetes,

Hypertension, Dyslipidemia, and Obesity/Overweight)

• Provides easily accessible references for clinical decision-

making & patient education

• Improves continuity of care and healthcare outcomes
• Standardizes documentation
• Implementation form use was associated with Increased

prescribing of medication (statins, aspirin, ACE-I) that decrease morbidity/mortality in diabetics

9

“Medically Ready Force…Ready Medical Force”

Workflow Key Points

• Clinical Support Staff (CSS) completes CORE or TSWF

Metabolic CPG Form Screening Sections

• Provider takes ‘ownership’ of the CSS note
• Provider loads the Metabolic form if indicated
• Provider reviews and completes the note
• CPG based forms are compatible with CORE and can be

used interchangeably

10

“Medically Ready Force…Ready Medical Force”

Navigating th the TSWF Metabolic CPG AIM IM Form

11

“Medically Ready Force…Ready Medical Force”

Selecting th the Proper Template

Select TSWF Metabolic-CPG Select from either your drop-down list of favorites or via Navigator

12

“Medically Ready Force…Ready Medical Force”

TSWF Navigator

Select TSWF Navigator

13

Then select the Metabolic Disorders CPG form

“Medically Ready Force…Ready Medical Force”

HPI/PFSH/CCP Tab

TSWF Navigator takes you to the most current version of the form

14

“Medically Ready Force…Ready Medical Force”

HPI/PFSH Tab

Medication Reconcil ilia iation

Provider completes ‘provider use only’ section Text field to input name

• f patient’s Primary

Opioid Provider* Support staff updates medication list (and checks box verifying completion)

*Primary Opioid provider means that a patient has an agreement in place that authorizes a single provider to write or renew prescriptions for

• pioid

medications.

“Medically Ready Force…Ready Medical Force”

HPI/PFSH/ CCP Tab

Maj ajor In Interventions Remin inder Summary of interventions that have a positive impact on morbidity and mortality

16

“Medically Ready Force…Ready Medical Force”

HPI/PFSH/CCP Tab

Lif Lifestyle le Emphasis is

• BMI > 30 should prompt these questions:
• Reduced calorie diet plan? Yes or no
• Behavior change? Yes or no
• Exercise? Yes or no

17

“Medically Ready Force…Ready Medical Force”

HPI/PFSH/CCP Tab

Lif Lifestyle le Emphasis is (c (cont.)

If “no”, secondary questions open automatically:

• Reduced calorie diet plan in past year? Yes or no
• Behavior change program in past year? Yes or no
• Exercise program in past year? Yes or no

Identifies lifestyle factors that need to be addressed

18

“Medically Ready Force…Ready Medical Force”

HPI/PFSH/CCP Tab

Comprehensiv ive Car are Plan lans

• Pre-populated text is a starting point
• Content is derived from CPGs or

subject matter experts

• Text can be edited as needed

19

“Medically Ready Force…Ready Medical Force”

HPI/PFSH/CCP Tab

Lin Links to

• References

20

Link to Diabetic Foot Exam

“Medically Ready Force…Ready Medical Force”

HPI/PFSH Tab

Open the ribbon to show more details

“Medically Ready Force…Ready Medical Force”

If appropriate or according to local protocol, complete pre-travel counseling and Infectious Disease Travel Screen Note: blue clinical clues about various diseases

Screening Tab

Travel Sc Screening/Infectious Di Disease Travel l Sc Screen

“Medically Ready Force…Ready Medical Force”

Links to resources on tobacco cessation

23

Screening Tab

“Medically Ready Force…Ready Medical Force”

Screening Tab

Annual l Questions/Health Lit Literacy

24

These questions need to be completed annually. If more than 12 months have elapsed since last updated, uncheck the red “X” to reset the questions to current requirements. The Single Item Literacy Screener (SILS) for assessing health literacy is in the Annual Questions field. If patient’s response is either “often” or “always,” conduct a more thorough assessment (see next slide).

“Medically Ready Force…Ready Medical Force” If the SILS response is either “often” or “always”, further assessment of the patient’s health literacy is documented here along with an action plan if indicated. A link to REALM-SF is provided, but any appropriate assessment can be used.

25

Screening Tab

Healt lth Lit Literacy/Mil ilit itary-Specific

“Medically Ready Force…Ready Medical Force”

BH/Other Screening Tab

De Depression Sc Screening Note clinical clue on the Depression Screening

26

“Medically Ready Force…Ready Medical Force”

BH/Other Screening Tab

Additional Screeners include: GAD-2, GAD-7, TBI and Epworth Sleepiness Scale

27

“Medically Ready Force…Ready Medical Force”

ROS Tab

28

ROS and PE are color-coded according to recommendations in the respective CPGs

“Medically Ready Force…Ready Medical Force”

PE Tab

29

ROS and PE are color-coded according to recommendations in the respective CPGs

“Medically Ready Force…Ready Medical Force”

PE Tab

Psych Links to resources on detection of cognitive impairment

30

“Medically Ready Force…Ready Medical Force”

Exit/CCP Tab

Se Self Car are an and CCPs

31

“Medically Ready Force…Ready Medical Force”

Exit/CCP Tab

Additional Ri Ribbons

• Patients who have multiple

chronic conditions may require additional documentation

• Document/update additional

chronic care plans (CCPs) here

32

“Medically Ready Force…Ready Medical Force”

Dia iabetes Reference Tab

33

“Medically Ready Force…Ready Medical Force”

Dia iabetes Reference Tab

34

“Medically Ready Force…Ready Medical Force”

HTN (V (VA/D /DoD) ) Reference Tab

35

“Medically Ready Force…Ready Medical Force”

36

HTN (V (VA/D /DoD) ) Reference Tab

“Medically Ready Force…Ready Medical Force”

HTN (J (JNC-8) Reference Tab

37

“Medically Ready Force…Ready Medical Force”

38

HTN (J (JNC-8) Reference Tab

“Medically Ready Force…Ready Medical Force”

Dyslipidemia Reference Tab

39

“Medically Ready Force…Ready Medical Force”

40

Dyslipidemia Reference Tab

“Medically Ready Force…Ready Medical Force”

Obesity Reference Tab

41

“Medically Ready Force…Ready Medical Force”

Fin inal Thoughts

• TSWF AIM forms/templates support the PCMH

concept

• TSWF AIM forms support care aligned with CPGs
• Support staff are vital to effective template use
• You may find CCPs difficult to start but easier to

maintain; they offer a useful ongoing summary of relevant information copied forward for easy updating

42

“Medically Ready Force…Ready Medical Force”

TSWF Resource Material

The TSWF repository for training/educational materials and updates: www.tswf-mhs.com/

43

“Medically Ready Force…Ready Medical Force”

Pri rimary Care Clinical Community Content Working Group

▪ DHA - Maj Matthew J Royall ▪ ARMY - Dr. Robert Marshall ▪ AIR FORCE – Dr. Matthew Barnes

TSWF Feedback https://www.milsuite.mil/book/groups/tswf TSWF Website http://www.tswf-mhs.com/