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Disclaimer
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TSWF Geriatrics AIM Form Training May May Aug 2020 Form Version - - PowerPoint PPT Presentation
TSWF Geriatrics AIM Form Training May May Aug 2020 Form Version - - PowerPoint PPT Presentation
TSWF Geriatrics AIM Form Training May May Aug 2020 Form Version Medically Ready ForceReady Medical Force Disclaimer Content shown is from an AHLTA Training System (ATS) and does not contain actual patient data. Medically Ready
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Recent Changes
The following group of slides reflect changes made to the form.
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CORE Compatible Updates
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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.'
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CORE Compatible Updates
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Updated the wording in the 'Self-Reported Level of Functioning' row on the PHQ-9 NEW OLD
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CORE Compatible Updates
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Updated 'Pain Treatment history' section on the Exit CCP tab
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CORE Compatible Updates
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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’
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Learning Objectives
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Training Objective: Identify the clinical workflows, screeners and tools available in the TSWF Geriatrics Form 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 the various screener (Travel/Audit-C/Tobacco use/Annual
Questions/Learning Assessment/Military Specific Screening)
- Understand the use of other tabs on the form (i.e. FIM, Incontinence, Falls, Dementia,
etc.)
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Why Use th the TSWF Geriatric AIM IM Form?
- Serves as a ‘one-stop shop,’ standardizing care and
simplifying documentation
- Provides easy access to clinical-decision making
resources
- Provides legible notes in shortest amount of time
- Includes many NCQA, HSI and JC requirements
- Provides additional guidelines for review and
documentation of conditions most often seen with geriatric patients
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HPI/PFSH Tab
Form version, links to MilSuite, TSWF Navigator, TSWF Resources, and Change Log are listed at the top
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HPI/PFSH Tab
Use the AHLTA allergies module to document pharmaceutical allergies. The allergy text field found on previous AIM forms has been deleted to remove pt. safety risks and ensure allergy related info is properly documented in decision support systems (i.e. Pharmacy). Other allergy-related conditions that are not considered true allergies can be documented in “Medical Conditions” text field.
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HPI/PFSH Tab
Support staff updates medication list (and checks box verifying completion) Provider completes ‘provider use
- nly’ section
*Primary Opioid Provider means that a patient has an agreement in place that authorizes a single provider to write or renew prescriptions for opioid medications.
Text field to input the Name of Primary Opioid Provider
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HPI/PFSH Tab
Test for colorectal cancer screening HEDIS measure can be documented here
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HPI/PFSH Tab
Clicking here will open up a ‘ribbon’ to show more details.
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HPI/PFSH Tab
Preventive services recommendation ribbons continued from previous slide
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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
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Screening Tab
Ge Geria iatric Welln lness
Includes areas to document goals of care, living situation, caregiver information, counseling, ADLs and functional ability
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Screening Tab
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).
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Screening Tab
If the SILS response is either “often” or “always,” further assessment
- f the patient’s health literacy is documented here along with an
action plan if indicated. While a link to REALM-SF is provided here, any appropriate assessment can be used.
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BH/Other Screening
De Depression Sc Screening
Use this specific verbiage to ask the questions in order to maintain the validity of the screening tool. Screener enters PHQ-2 score here. If positive, continue assessment and notify provider.
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BH/Other Screening
Screening questions and a checklist of depression symptoms Clinical clues offer clinical guidance on scoring, evaluation and management of geriatric depression
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BH/Other Screening
C-SS SSRS
Clues give instructions on how to ask the questions
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BH/Other Screening
C-SS SSRS (c (cont.)
- Complete the summary
statement including actions taken
- Pre positioned text is
included
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BH/Other Screening Tab
For use as clinically indicated
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ROS Tab
Comprehensive review of systems covers the majority of systems. Select ‘All Normal’ and document any specific positive findings.
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PE Tab
Auto-normal button selects those elements to the left of the bold black bar. Italic font is used to represent items not routinely performed; these are not selected when the ‘Normal’ button is used and must be marked manually.
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FIM IM Tab
The Functional Independence Measure tab is for documenting physical and cognitive disability
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In Incontinence Tab
Contains information for evaluation and management of urinary incontinence
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In Incontinence Tab
‘Evaluation and Management of Urinary Incontinence in Primary Care’ ribbon expanded
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Falls Tab
Johns Hopkins Adult Falls Assessment Tool is the standard of care to assess falls risk among aging patients
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Dementia Tab
The last ribbon offers helpful information on differentiating dementia from depression and delirium
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Dementia Tab
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Frailty Tab
Provides tools for the identification and risk assessment for frailty
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Frailty Tab
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OA (H (Hip/Knee) Tab
Focuses on the diagnosis and management of osteoarthritis
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OA (H (Hip/Knee) Tab
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Hearing Lo Loss Tab
Allows for an extensive hearing assessment and evaluation. Clinical guidance is provided.
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Hearing Lo Loss Tab
Clin linic ical Gu Guid idance
‘Medical History for Hearing Loss in Older Persons’ and ‘Tests’ ribbons expanded
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Exit/CCP Tab
Many items required to meet NCQA PCMH standards are included in the patient care plan. This only needs to be completed once, and then is relatively easy to maintain.
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Exit/CCP Tab
Lifestyle Questions are located on the Exit/CCP tab
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Exit/CCP Tab
Link to VA/DoD CPGs
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Exit/CCP Tab
Each CCP:
- Has pre-populated text that can be
edited/modified as desired
- Will copy-forward from visit to visit
- Includes a ‘Date last updated’ area
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Procedures Tab
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Procedures Tab
ECGs and Spirometry are included here. For documenting other procedures (i.e. skin biopsy), follow the link to the TSWF Procedures AIM form.
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TSWF Resource Material
The TSWF repository for training/educational materials and updates: www.tswf-mhs.com/
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