TSWF Military Health System Population Health Portal (MHSPHP) AIM - - PowerPoint PPT Presentation

▶
tswf military health system population
SMART_READER_LITE
LIVE PREVIEW

TSWF Military Health System Population Health Portal (MHSPHP) AIM - - PowerPoint PPT Presentation

Dec 01, 2023 180 likes •712 views

TSWF Military Health System Population Health Portal (MHSPHP) AIM Form Training June May-Aug 2020 Form Version Medically Ready ForceReady Medical Force 1 Dis isclaimer Content shown is from an AHLTA Training System (ATS) and does

slide-1
SLIDE 1

“Medically Ready Force…Ready Medical Force”

TSWF Military Health System Population Health Portal (MHSPHP) AIM Form Training June May-Aug 2020 Form Version

1

slide-2
SLIDE 2

“Medically Ready Force…Ready Medical Force”

Dis isclaimer

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

2

slide-3
SLIDE 3

“Medically Ready Force…Ready Medical Force”

Objectives

MHSPHP Training Objective: Identify the clinical workflow and tools available in the TSWF MHSPHP form MHSPHP Learning Objectives: At the conclusion of today’s activity, the participant will be able to:

  • Understand the primary purpose and uses of the MHSPHP form
  • Verbalize the correct documentation procedure (i.e. ‘Onset’ is the date the procedure
  • r lab was actually done)

3

slide-4
SLIDE 4

“Medically Ready Force…Ready Medical Force”

Table of f Contents

  • Introduction

5-7

  • Documenting in the form

8-27

  • Alternate Workflows

28-32

  • Preparatory Steps

33

  • Adding Form to Favorites

34-37

  • Adding Navigator (optional)

38-43

  • Adding a Favorite Diagnosis

44-50

  • TSWF Resources/Feedback

51-53

4

slide-5
SLIDE 5

“Medically Ready Force…Ready Medical Force”

What is is th the TSWF MHSPHP AIM IM Form?

  • Collects population health data which is not already captured by

the clinical information systems

  • Cancer screenings (breast, cervical, and colorectal)
  • Diabetic retinal exams
  • Chlamydia, HPV, and strep test for pharyngitis
  • Lab result value and dates (e.g., HgbA1c, LDL)
  • Albuminuria screening (date only)
  • Improves HEDIS reporting for a more accurate reflection of your

population’s status

5

slide-6
SLIDE 6

“Medically Ready Force…Ready Medical Force”

Who Uses It It?

  • Disease/Case Managers
  • Health Care Integrators
  • MTF-Designated Clinical Staff

6

slide-7
SLIDE 7

“Medically Ready Force…Ready Medical Force”

Recommended Workflow

  • Before implementing the template, evaluate existing

processes for obtaining and documenting out-of- network results

  • Develop processes to prevent duplication of efforts
  • Scan the patient’s test result into HAIMS or

AHLTA Clinical Notes in accordance with Service policy

7

slide-8
SLIDE 8

“Medically Ready Force…Ready Medical Force”

Documenting in the TSWF MHSPHP AIM Form

8

slide-9
SLIDE 9

“Medically Ready Force…Ready Medical Force”

Documenting in in th the MHSPHP Form

Create a New Telcon in the appropriate clinic, following service branch recommendations

9

slide-10
SLIDE 10

“Medically Ready Force…Ready Medical Force”

Fin inding th the Right Patient

Select the appropriate patient by clicking all patients and utilizing the scroll bar

10

slide-11
SLIDE 11

“Medically Ready Force…Ready Medical Force”

Fin inding th the Right Patient, continued

A patient can also be located by entering data in the fields above and clicking

Click OK

11

slide-12
SLIDE 12

“Medically Ready Force…Ready Medical Force”

Creating th the Telcon

  • Ensure Telephone consult is

created in the appropriate clinic as directed by service

  • In ‘Reason for Telephone Consult’

field, follow Service or local policy

  • Click OK

12

slide-13
SLIDE 13

“Medically Ready Force…Ready Medical Force”

Setting Your Workload

Ensure Workload is set to ‘No’

13

slide-14
SLIDE 14

“Medically Ready Force…Ready Medical Force”

Starting th the Encounter

Click on Current Encounter

14

slide-15
SLIDE 15

“Medically Ready Force…Ready Medical Force”

Starting th the Encounter

Click on S/O

15

slide-16
SLIDE 16

“Medically Ready Force…Ready Medical Force”

Choose th the Template

  • Click on the drop down arrow
  • Scroll through list to find AIM-TSWF-MHSPHP
  • Click on form name to open the form

16

slide-17
SLIDE 17

“Medically Ready Force…Ready Medical Force”

Documenting Tests

  • Click on the Onset box
  • Enter the date the procedure was performed
  • No need to click on the ‘x’ to the left of the

Onset box

17

slide-18
SLIDE 18

“Medically Ready Force…Ready Medical Force”

Additional Procedures/Labs Rib ibbon

  • Use this ribbon if you want to specify the

specific CPT code and you know the CPT code for the procedure you are documenting

  • The top part of the form may be used in any

case, but don’t document the procedure in both sections

  • The lower portion of the form can be used if

the specific CPT code is documented on the procedure or lab report

18

slide-19
SLIDE 19

“Medically Ready Force…Ready Medical Force”

Documenting La Lab Valu lues

Enter decimal points with lab values. For example, enter ‘8.0’ instead of ‘8’

19

slide-20
SLIDE 20

“Medically Ready Force…Ready Medical Force”

Documenting Chlamydia/HPV/ Fecal Analysis Results

  • If you select a ‘P’ or ‘N’ for these tests, your selection will hold as

documented

  • Chlamydia/HPV/Fecal Analysis selections will default to a POSITIVE finding

if you first enter the date performed in the Onset box

  • If the result is NEGATIVE, click on the ‘N’ to ensure correct documentation

20

slide-21
SLIDE 21

“Medically Ready Force…Ready Medical Force”

Documenting Chlamydia/ HPV Results with CPT Codes

  • Use of the Additional Procedures/labs ribbon is optional
  • Use this ribbon only if you have and want to document a

specific CPT code used for the test

21

slide-22
SLIDE 22

“Medically Ready Force…Ready Medical Force”

Completing th the A/P /P

  • Click on Favorites
  • Double click on Z02.89 (ICD-10 code)

to add diagnosis to encounter

  • How to add favorite diagnoses

begins on slide 42

22

slide-23
SLIDE 23

“Medically Ready Force…Ready Medical Force”

Completing th the Dis isposition

Click on Disposition

23

slide-24
SLIDE 24

“Medically Ready Force…Ready Medical Force”

Completing th the Dis isposition

  • Ensure Workload is set to No
  • Confirm code is set to 99499
  • Click Sign

24

slide-25
SLIDE 25

“Medically Ready Force…Ready Medical Force”

Closing th the Encounter

  • Enter your AHLTA password
  • Click the co-signer box & select

appropriate provider as per service policy

  • Click Sign

25

slide-26
SLIDE 26

“Medically Ready Force…Ready Medical Force”

Fin inal Status of f th the Encounter

  • The final status of the encounter associated with

this form must be

  • TEL-CON
  • KEPT
  • WALK-IN
  • SICK CALL

26

slide-27
SLIDE 27

“Medically Ready Force…Ready Medical Force”

Fin inal Status of f th the Encounter

If your MTF data quality review process converts all TEL-CONS to ADMIN status to avoid mistaken count tel-cons, the data will not cross over into the MHSPHP data. ADMIN encounters do not count in the MHSPHP data

27

slide-28
SLIDE 28

“Medically Ready Force…Ready Medical Force”

Alt lternate Workflows

If patient is actually being seen for appointment, you may use alternate workflows for documentation using the MHSPHP form.

  • Option A: during the normal documentation workflow
  • Option B: documentation by the clinical staff but outside the

normal documentation steps

  • Option C: documentation by ancillary staff outside the usual

encounter documentation workflow

  • In these cases, no need to open a telephone consult
  • Text that becomes embedded in the note must not be edited

28

slide-29
SLIDE 29

“Medically Ready Force…Ready Medical Force”

Alt lternate Workflow Option A

Option A: during the normal documentation workflow

  • Simply load the MHSPHP AIM form from Navigator or your drop-

down menu

  • Document with the MHSPHP form as usual
  • Load the TSWF template to be used for the encounter and

proceed with normal documentation

  • NOTE 1: the TSWF MHSPHP AIM form may be used in

conjunction with other TSWF AIM forms without a problem

  • NOTE 2: the text that is inserted into the note must not be

edited

29

slide-30
SLIDE 30

“Medically Ready Force…Ready Medical Force”

Alt lternate Workflow Options B & C

  • Option B: documentation by the clinical staff but outside the

normal documentation steps

  • Option C: documentation by ancillary staff outside the usual

encounter documentation workflow

  • Open current encounter (must not be signed)
  • Select S/O module
  • The AHLTA prompt presents 2 options:
  • Option B: select “Edit my S/O note”
  • Option C: select “Add Additional S/O Note”

30

slide-31
SLIDE 31

“Medically Ready Force…Ready Medical Force”

Alt lternate Workflow Options B & C

Option B

  • Adds a line of text within the existing note

Option C

  • Adds an additional S/O note, independent of

the provider’s note

  • Use this option to avoid taking over the

provider’s note and to distinguish the MHSPHP test documentation from the rest

  • f the note

31

slide-32
SLIDE 32

“Medically Ready Force…Ready Medical Force”

Alt lternate Workflow Options B & C

Option B:

  • After selecting “Edit my S/O”, open the MHSPHP form using

Navigator or your drop-down menu

  • Document in the MHSPHP form as usual
  • Proceed with normal documentation steps

Option C:

  • After selecting “Add Add’l S/O,” open the MHSPHP form using

Navigator or your drop-down menu

  • Complete the documentation process
  • Close the note for the provider to complete

32

slide-33
SLIDE 33

“Medically Ready Force…Ready Medical Force”

Preparatory ry Steps

These are one-time tasks and if done correctly, will not have to be repeated each time you use the MHSPHP form:

  • Add the MHSPHP template to your Favorites

(ensures automatic updates to form)

  • Add a diagnosis to your Favorites list
  • Set priorities in your diagnoses Favorites list

33

slide-34
SLIDE 34

“Medically Ready Force…Ready Medical Force”

How to Add th the MHSPHP Template to Your Favorites

  • Click on Tools to open choices
  • Click on Template Management

This is a one time task and if done correctly, all updates to the TSWF MHSPHP form will

  • ccur automatically.

34

slide-35
SLIDE 35

“Medically Ready Force…Ready Medical Force”

  • Select Expanded Search
  • Type “TSWF” in Template

Name field

Lo Locating th the MHSPHP Template

35

slide-36
SLIDE 36

“Medically Ready Force…Ready Medical Force”

Lo Locating th the MHSPHP Template

  • Click on drop-down arrow and change

“Owner Type” from “Personal” to “Enterprise”

  • Click on Search

36

slide-37
SLIDE 37

“Medically Ready Force…Ready Medical Force”

Adding th the Correct Template

  • Left click ONE time to highlight the

MHSPHP form

  • Right click and select ‘Add Favorite’
  • After choosing ‘Add Favorite,’

the form will appear in your favorites list

*Note that in live AHLTA the forms will show “(Department of Defense)” instead of “(USER, TEST)”

37

slide-38
SLIDE 38

“Medically Ready Force…Ready Medical Force”

Alt lternate Process Using Navigator

38

  • Click on “Tools”
  • Click on “Template Mgmt”
slide-39
SLIDE 39

“Medically Ready Force…Ready Medical Force”

Lo Locating th the TSWF Navigator Template

39

  • Select Expanded Search
  • Type “TSWF” in Template Name field
slide-40
SLIDE 40

“Medically Ready Force…Ready Medical Force”

Lo Locating th the TSWF Navigator Template

40

  • Click on drop-down arrow and change “Owner

Type” from “Personal” to “Enterprise”

  • Click on Search
slide-41
SLIDE 41

“Medically Ready Force…Ready Medical Force”

Selecting th the Navigator Form

  • Left click one time to highlight the

Navigator form

  • Right click and select Add Favorite
  • After choosing Add Favorite, the

form will appear in your favorites list

*Note that in live AHLTA the forms will show “(Department of Defense)” instead of “(USER, TEST)”

41

slide-42
SLIDE 42

“Medically Ready Force…Ready Medical Force”

TSWF Navigator

Select TSWF Navigator

42

slide-43
SLIDE 43

“Medically Ready Force…Ready Medical Force”

TSWF Navigator

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

43

slide-44
SLIDE 44

“Medically Ready Force…Ready Medical Force”

How to Add a Dia iagnosis to Your Favorites Li List

  • Z02.89 (ICD-10 code) can be used as an

administrative diagnosis when you close the encounter

  • Consider adding this diagnosis to your

favorites list

  • Click on Tools to expand your selection

44

slide-45
SLIDE 45

“Medically Ready Force…Ready Medical Force”

Adding a Favorite Dia iagnosis

Click on List Management

45

slide-46
SLIDE 46

“Medically Ready Force…Ready Medical Force”

Adding a Favorite Dia iagnosis (c (cont.) )

Click on My Diagnoses

46

slide-47
SLIDE 47

“Medically Ready Force…Ready Medical Force”

Adding a Favorite Dia iagnosis (c (cont.) )

Click Add

47

slide-48
SLIDE 48

“Medically Ready Force…Ready Medical Force”

  • Type Z02.89 into the Search box and click Search
  • Click on the ‘+’ in front of the first code listed

to expand the selection

NOTE: until an AHLTA patch has been installed at your MTF, it may be necessary to add “%” before Z02.89 as shown here to avoid a Tier 1 error.

Adding a Favorite Dia iagnosis (c (cont.) )

48

slide-49
SLIDE 49

“Medically Ready Force…Ready Medical Force”

  • Click to highlight Z02.89 (ICD-10 code)
  • Click to choose OK

Adding a Favorite Dia iagnosis (c (cont.) )

49

slide-50
SLIDE 50

“Medically Ready Force…Ready Medical Force”

Setting Pri riorities in in Your Dia iagnoses Favorites Li List

  • Click on the code to highlight

Z02.89 (ICD-10 code)

  • Choose ‘Move Up’ to move the

code to the top of your list or your desired location in your pick list for easy selection

50

slide-51
SLIDE 51

“Medically Ready Force…Ready Medical Force”

TSWF Resource Material

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

51

slide-52
SLIDE 52

“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/