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 - - 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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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/