SLIDE 1
“Medically Ready Force…Ready Medical Force”
“Medically Ready Force…Ready Medical Force”
Disclaimer
“Medically Ready Force…Ready Medical Force”
TSWF Procedures AIM Form Training May May-Aug 2020 Form Version - - PowerPoint PPT Presentation
TSWF Procedures AIM Form Training May May-Aug 2020 Form Version - - PowerPoint PPT Presentation
TSWF Procedures 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
SLIDE 2
SLIDE 3
“Medically Ready Force…Ready Medical Force”
Recent Changes
The following group of slides reflect changes made to the form.
SLIDE 4
“Medically Ready Force…Ready Medical Force”
CORE Compatible Updates
4
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.'
SLIDE 5
“Medically Ready Force…Ready Medical Force”
CORE Compatible Updates
5
Updated the wording in the 'Self-Reported Level of Functioning' row on the PHQ-9 NEW OLD
SLIDE 6
“Medically Ready Force…Ready Medical Force”
CORE Compatible Updates
6
Updated 'Pain Treatment history' section on the Exit CCP tab
SLIDE 7
“Medically Ready Force…Ready Medical Force”
CORE Compatible Updates
7
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’
SLIDE 8
“Medically Ready Force…Ready Medical Force”
Objectives
“Medically Ready Force…Ready Medical Force”
Training Objective: Identify the clinical workflows, screeners and tools available in the TSWF Procedures 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 various screeners (Travel/Audit-C/Tobacco use/Annual
Questions/Learning Assessment/Military Specific Screening)
- Understand how to correctly document Counseling & Consent elements, Common
Procedures, etc.
SLIDE 9
“Medically Ready Force…Ready Medical Force”
HPI/PFSH & Additional Tabs
Links to TSWF website, TSWF Navigator, MilSuite and Change Log An entire visit can be documented using the Procedures form, as the first six tabs mirror the CORE form
SLIDE 10
“Medically Ready Force…Ready Medical Force”
HPI/PFSH Tab
Text field to input name of patient’s Primary Opioid Provider Support staff updates med list. Provider completes this 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.
SLIDE 11
“Medically Ready Force…Ready Medical Force”
HPI/PFSH Tab
Test for colorectal cancer screening HEDIS measure can be documented here
SLIDE 12
“Medically Ready Force…Ready Medical Force”
HPI/PFSH Tab
SLIDE 13
“Medically Ready Force…Ready Medical Force”
HPI/PFSH Tab continued
SLIDE 14
“Medically Ready Force…Ready Medical Force”
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
SLIDE 15
“Medically Ready Force…Ready Medical Force”
Screening Tab
Links to resources on tobacco cessation
SLIDE 16
“Medically Ready Force…Ready Medical Force”
Screening Tab
Annual l Questions/Health Lit Literacy
These questions need to be completed annually. If more than 12 months have elapsed since last updated, uncheck the red ‘X’ to reset the questions to current requirements. 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).
SLIDE 17
“Medically Ready Force…Ready Medical Force”
Screening Tab
Healt lth Lit Literacy
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.
SLIDE 18
“Medically Ready Force…Ready Medical Force”
Screening Tab
‘Performs Armed Duty’ question
SLIDE 19
“Medically Ready Force…Ready Medical Force”
BH/Other Screening Tab
Note clinical clue on the Depression Screening ribbon
SLIDE 20
“Medically Ready Force…Ready Medical Force”
BH/Other Screening Tab
C-SS SSRS
Clues give instructions on how to ask the questions
SLIDE 21
“Medically Ready Force…Ready Medical Force”
BH/Other Screening Tab
C-SS SSRS (c (cont.)
- Complete the summary
statement including actions taken
- Pre-positioned text is
included
SLIDE 22
“Medically Ready Force…Ready Medical Force”
PE Tab
Links to resources on the detection of cognitive impairment
SLIDE 23
“Medically Ready Force…Ready Medical Force”
Counseling and Consent Tab
Form can be used for pediatric patients Top section can be used to document any procedure
SLIDE 24
“Medically Ready Force…Ready Medical Force”
Counseling and Consent Tab
Links are provided for iMedConsent and OF 522 (Request for Administration of Anesthesia and Performance
- f Operations and Other
Procedures form)
SLIDE 25
“Medically Ready Force…Ready Medical Force”
Counseling and Consent Tab
Document chain of custody for tissue specimen handling
SLIDE 26
“Medically Ready Force…Ready Medical Force”
Common Procedures Tab
SLIDE 27
“Medically Ready Force…Ready Medical Force”
Some common CPT codes for several procedures are listed Pre-positioned text should be edited to match what was done during the procedure
Common Procedures Tab
SLIDE 28
“Medically Ready Force…Ready Medical Force”
Common Procedures Tab
SLIDE 29
“Medically Ready Force…Ready Medical Force”
Female-Only Procedures Tab
SLIDE 30
“Medically Ready Force…Ready Medical Force”
Female-Only Procedures Tab
Additional text field within the COLPOSCOPY ribbon
SLIDE 31
“Medically Ready Force…Ready Medical Force”
Example of a female-only procedure that can be quickly edited to complete documentation
Female-Only Procedures Tab
SLIDE 32
“Medically Ready Force…Ready Medical Force”
Female-Only Procedures Tab
IUD COUNSELING ribbon available
SLIDE 33
“Medically Ready Force…Ready Medical Force”
GXT/ECG/P /PFTs/Others Tab
SLIDE 34
“Medically Ready Force…Ready Medical Force”
Clicking the down arrow to the right of a term will open the Medcin tree, displaying more specific related items
Cardiopulmonary ry Stu tudies
ECG Ri Ribbon Open
SLIDE 35
“Medically Ready Force…Ready Medical Force”
Cardiopulmonary ry Stu tudies
ECG Ri Ribbon Open (c (cont.) Shift trees to opposite side of screen Document presence or absence of specific findings by clicking ‘+’ or ‘-’ Close this view of trees
SLIDE 36
“Medically Ready Force…Ready Medical Force”
Obsolete Terms
Review the Obsolete Terms tab for elements that copy forward from previous
- encounters. This function is very important when performing Copy Forward!
If obsolete terms are not deselected, providers may inadvertently sign encounter notes with erroneous past medical history terms.
SLIDE 37
“Medically Ready Force…Ready Medical Force”
TSWF Resource Material
The TSWF repository for training/educational materials and updates: www.tswf-mhs.com/
SLIDE 38
“Medically Ready Force…Ready Medical Force”