TSWF Geriatrics AIM Form Training May May Aug 2020 Form Version “Medically Ready Force…Ready Medical Force”
Disclaimer Content shown is from an AHLTA Training System (ATS) and does not contain actual patient data. “Medically Ready Force…Ready Medical Force” “Medically Ready Force…Ready Medical Force”
Recent Changes The following group of slides reflect changes made to the form. “Medically Ready Force…Ready Medical Force”
CORE Compatible Updates 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” 4
CORE Compatible Updates Updated the wording in the 'Self-Reported Level of Functioning' row on the PHQ-9 OLD NEW “Medically Ready Force…Ready Medical Force” 5
CORE Compatible Updates Updated 'Pain Treatment history' section on the Exit CCP tab “Medically Ready Force…Ready Medical Force” 6
CORE Compatible Updates 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” 7
Learning Objectives 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.) “Medically Ready Force…Ready Medical Force” “Medically Ready Force…Ready Medical Force”
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 “Medically Ready Force…Ready Medical Force”
HPI/PFSH Tab Form version, links to MilSuite, TSWF Navigator, TSWF Resources, and Change Log are listed at the top “Medically Ready Force…Ready Medical Force”
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. “Medically Ready Force…Ready Medical Force”
HPI/PFSH Tab Text field to input the Name of Primary Opioid Provider Support staff updates medication list (and checks box verifying completion) Provider completes ‘provider use only’ 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. “Medically Ready Force…Ready Medical Force”
HPI/PFSH Tab Test for colorectal cancer screening HEDIS measure can be documented here “Medically Ready Force…Ready Medical Force”
HPI/PFSH Tab Clicking here will open up a ‘ribbon’ to show more details. “Medically Ready Force…Ready Medical Force”
HPI/PFSH Tab Preventive services recommendation ribbons continued from previous slide “Medically Ready Force…Ready Medical Force”
Screening Tab Travel Sc Screening/Infectious Di Disease Travel l Sc Screen If appropriate or according to local protocol, complete pre-travel counseling and Infectious Disease Travel Screen Note: blue clinical clues about various diseases “Medically Ready Force…Ready Medical Force”
Screening Tab Ge Geria iatric Welln lness Includes areas to document goals of care, living situation, caregiver information, counseling, ADLs and functional ability “Medically Ready Force…Ready Medical Force”
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). “Medically Ready Force…Ready Medical Force”
Screening Tab 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. While a link to REALM-SF is provided here, any appropriate assessment can be used. “Medically Ready Force…Ready Medical Force”
BH/Other Screening De Depression Sc Screening Use this specific verbiage to Screener enters PHQ-2 ask the questions in order score here. If positive, to maintain the validity of continue assessment and the screening tool. notify provider. “Medically Ready Force…Ready Medical Force”
BH/Other Screening Clinical clues offer clinical guidance on Screening questions and a scoring, evaluation and checklist of depression symptoms management of geriatric depression “Medically Ready Force…Ready Medical Force”
BH/Other Screening C-SS SSRS Clues give instructions on how to ask the questions “Medically Ready Force…Ready Medical Force”
BH/Other Screening C-SS SSRS (c (cont.) • Complete the summary statement including actions taken • Pre positioned text is included “Medically Ready Force…Ready Medical Force”
BH/Other Screening Tab For use as clinically indicated “Medically Ready Force…Ready Medical Force”
ROS Tab Comprehensive review of systems covers the majority of systems. Select ‘All Normal’ and document any specific positive findings. “Medically Ready Force…Ready Medical Force”
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. “Medically Ready Force…Ready Medical Force”
FIM IM Tab The Functional Independence Measure tab is for documenting physical and cognitive disability “Medically Ready Force…Ready Medical Force”
Incontinence Tab In Contains information for evaluation and management of urinary incontinence “Medically Ready Force…Ready Medical Force”
Incontinence Tab In ‘Evaluation and Management of Urinary Incontinence in Primary Care’ ribbon expanded “Medically Ready Force…Ready Medical Force”
Falls Tab Johns Hopkins Adult Falls Assessment Tool is the standard of care to assess falls risk among aging patients “Medically Ready Force…Ready Medical Force”
Dementia Tab The last ribbon offers helpful information on differentiating dementia from depression and delirium “Medically Ready Force…Ready Medical Force”
Dementia Tab “Medically Ready Force…Ready Medical Force”
Frailty Tab Provides tools for the identification and risk assessment for frailty “Medically Ready Force…Ready Medical Force”
Frailty Tab “Medically Ready Force…Ready Medical Force”
OA (H (Hip/Knee) Tab Focuses on the diagnosis and management of osteoarthritis “Medically Ready Force…Ready Medical Force”
OA (H (Hip/Knee) Tab “Medically Ready Force…Ready Medical Force”
Hearing Lo Loss Tab Allows for an extensive hearing assessment and evaluation. Clinical guidance is provided. “Medically Ready Force…Ready Medical Force”
Hearing Lo Loss Tab Clin linic ical Gu Guid idance ‘Medical History for Hearing Loss in Older Persons’ and ‘Tests’ ribbons expanded “Medically Ready Force…Ready Medical Force”
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. “Medically Ready Force…Ready Medical Force”
Exit/CCP Tab Lifestyle Questions are located on the Exit/CCP tab “Medically Ready Force…Ready Medical Force”
Exit/CCP Tab Link to VA/DoD CPGs “Medically Ready Force…Ready Medical Force”
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 “Medically Ready Force…Ready Medical Force”
Procedures Tab “Medically Ready Force…Ready Medical Force”
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. “Medically Ready Force…Ready Medical Force”
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