TSWF Case Management AIM IM Form Training September Sep-Dec 2019 - - PowerPoint PPT Presentation

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TSWF Case Management AIM IM Form Training September Sep-Dec 2019 - - PowerPoint PPT Presentation

TSWF Case Management AIM IM Form Training September Sep-Dec 2019 Form Version These slides were not updated during the May-Aug 2020 release but are still relevant Medically Ready ForceReady Medical Force Dis isclaimer Content


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TSWF Case Management AIM IM Form Training September Sep-Dec 2019 Form Version

These slides were not updated during the May-Aug 2020 release but are still relevant

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Dis isclaimer

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

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Objectives

CM/CM Peds Training Objective: Identify the clinical workflows, assessments and tools available in the TSWF CM/CM Peds form CM/CM Peds Learning Objectives: At the conclusion of today’s activity, the participant will be able to:

  • Verbalize key elements found on the General Assessment tab such as Pain

Assessment, ROS, Surgeries/Hospitalizations, and Patient History

  • Understand the use of other tabs on the form (i.e. Functional Assessment;

Pysch/Social Assessment; Health Habits/Wellness etc.)

  • Describe the purpose and use of the CM Care Plan tab
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Why Use a TSWF AIM IM Form?

  • Provides easily accessible references for clinical

decision-making

  • Improves continuity of care and healthcare
  • utcomes
  • Provides links to references for patient education

materials

  • Standardizes documentation
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Demonstration of f Form

The following slides will walk through each tab

  • f the Case Management AIM form.
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Form Selection

Click in the drop down menu to find the ‘CM’

  • form. Note: it will not populate

automatically because it should not be saved as a default form. Only save it as a ‘favorite’. Consider deleting all other forms.

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Resources

Form version, links to MilSuite, TSWF Navigator, TSWF Resources, and Change Log are listed at the top

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Demographics Tab

Screening for CM screening patients

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Demographics Tab

Specify whether or not the patient is a candidate

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Demographics Tab (c (cont.)

To type in an empty field, place cursor near colon/prepositioned text and begin typing

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Mil ilitary His istory Tab

Clinical clues provide examples of information to document in ‘Active Duty Information’ text field

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General Assessment Tab

Do not remove pre-positioned text in CAPS as they provide headings in the completed note

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Click on the gray ‘<<‘ box to expand ribbon for additional information as needed

General Assessment Tab (c (cont.)

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Functional Assessment Tab

This tab covers communication and learning styles, caregiver support, living arrangements, transportation, etc…

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Psych/Soc Assessment Tab

Document any psychosocial items that are deemed pertinent to the encounter. Clinical clues provide helpful guidance.

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Psych/Soc Assessment Tab

Clinical clues to assist with documentation for transitioning warriors

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Health Habits/Wellness/Misc. Tab

Links to service-specific immunizations Pre-positioned text can be found in Immunizations field

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Health Habits/Wellness/Misc. Tab

Alc lcohol

Enter AUDIT-C date and score here Beneficiaries who consume alcohol should complete an Audit C. The Case Manager should coordinate results back to PCMH Team.

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Health Habits/Wellness/Misc. Tab

Tob

  • bacco

This is recommended information to provide counseling. Use this box for documentation of counseling. If addressed

  • therwise, document in the narrative portion of the form.

If patient answers ‘yes’ to tobacco use, an expanded assessment will open

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Health Habits/Wellness/Misc. Tab Dis isease Mgmt

Click on ribbon ‘<<‘ to expand section. Empty text fields can be populated by free-texting or copying and pasting information from other specific forms used.

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Care Team Tab

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Care Team Tab

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CM Care Pla lan Tab

Recommend using this format The CM workflow is to address each problem with a separate care plan. The narrative and updates quickly reach the 2000 word limit. It is not recommend to add multiple plans to the same field.

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A care plan outline can be pasted here (place cursor in top left corner and paste). Be sure to answer care plan review question when pertinent. Answer diagnosis/prognosis question if applicable. If answer is ‘no,’ you may need to address as a barrier to care.

CM Care Pla lan Tab (c (cont.)

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CM Care Pla lan Tab

(A (Army-Addit itional l Do Documentation)

This area is designed for use by a WTB Case Manager,

  • thers may use as needed.

The area opens by clicking on the ribbon to expand.

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Defi finitions Tab

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TSWF Resource Material

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

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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/