cc4c webinar for care - amazon web...

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NCDHHS, DPH, CC4C Webinar July 2019 1

The sound is being broadcast via your computer. Please be sure that your computer sound is turned on. You should hear music, although the sound may come and go, which is NOT indicative of problems. The quality of the sound will improve once the webinar starts at 9:30 a.m.

If you are not able to hear via the computer, you can call the meet-me number at: 919-233-4708. But, only call this number if you cannot hear via your computer speakers –first be sure the computer speakers are NOT muted.

If you are on the phone line, it is imperative that you MUTE your phone. But, please do not put your phone on HOLD, as your agency may play music, which would prevent others from hearing.

Welcome to the July 2019

CC4C Webinar for Care

Managers & Supervisors


NC Department of Health and Human Services

CC4C Webinar for Care Managers and Supervisors

Angel Callicutt, CC4C Program Manager

July 18, 2019

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Webinar Goals

Provide information that will:

• Express appreciation for the hard work of local staff

• Make staff aware of new information & developments

• Improve efficiency & effectiveness of service delivery

• Result in a positive impact on program services and in turn, on the lives of children and families


Today’s Webinar Topics

• Medicaid Transformation

• Upcoming Trainings

• CareImpact

• Transition of Roles

• VirtualHealth Tips

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Medicaid Transformation



• DPH conducted 6 regional trainings in May and June for CC4C staff.

• Over 600 staff attended these trainings across the state

• FAQ document is in development from these trainings

• As information is available more trainings will be offered by webinar or in person

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• Data process are continuing to be developed by both DPH, CCNC and DHB

• VirtualHealth will be the common documentation platform used for CMARC (CC4C)

• Programmatic data will be housed in CareImpact

• Measures and benchmarks are in negotiation for the future with an expectation that they will not increase but remain consistent or decrease



• Counties should have received contracts from the PHP’s

• Please connect with your health director to see if the contracts have been received and/ or signed

• Counties are expected to sign contracts with all 4 PHP’s and the regional plan if in regions 3 and 5

• If health department leadership has questions regarding these contracts, they are encouraged to contact DPH leadership for assistance

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• Phase 1 is still scheduled for November 1, 2019, at this time

• Phase 2 is still scheduled for February 1, 2020

• Many operational issues may not be in place by the initial roll out but will continue through transformation

• Watch your emails and the Medicaid Transformation website for the latest information

https://www.ncdhhs.gov/assistance/medicaid-transformation

FS6



• Information regarding beneficiary enrollment and outreach can be found at the link below

https://medicaid.ncdhhs.gov/county-playbook-medicaid-managed-care

FS6 Fisher, Stephanie, 7/1/2019

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Upcoming Trainings


Upcoming Trainings

• A series of VirtualHealth trainings will be released in Early August for all users

• Each VH user must view and attest to viewing these trainings once released

• A series of CareImpact trainings and QA webinars will is scheduled for release tomorrow July19th

• The CareImpact training will be located in a link on the CareImpact dashboards

• Each CareImpact user must view these trainings once released

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Trainings

• Supervision guidance and supervision webinar will be recorded in the upcoming weeks to support the use of CareImpact as a supervision tool

• This should lessen the work necessary to supervise staff and manage program expectations

• Going forward CareImpact will the point of supervisor access for information regarding care management performance and reporting to supplement VH

• Quality performance must still be managed via case reviews using the case review template in the CC4C toolkit


Site Administrator

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Site Administrator

• Each local health department should have a site administrator

• Please ask and know who is the site administrator for your agency

• The site administrator is responsible for user new access and access issues as well as terminating users from the system

• If a new user needs access or a user leaves the agency, the site administrator is the person who should notify support through ServiceNow of the need for the change


CareImpact

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CareImpact

• Each VH user should have access to CareImpact and be able to see their caseload activity

• It may be possible to see the activity of others as well

• Remember, because you have the ability to view this activity does not mean you should

• Activity should be viewed only by those authorized to view and on a need to view basis

• HIPAA and Privacy rules apply to any data including that data of your peers


Transition of Roles

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Transition of Roles

• Transition of roles from the CC4C network lead to the Regional Child Health Nurse Consultant will begin August 1, 2019

• After your region transitions to managed care, your agency will no longer be in contract for CC4C through the local network

• Contracts for the population moving to the tailored plan will be in place through CCNC until that population transitions to managed care but the role of the network lead in today’s form will not exist after go live

• The Regional Child Health Nurse Consultant is the main point of contact for any CMARC (CC4C) needs or issues beginning August 1, 2019


Transition of Roles

• The Regional Child Health Nurse Consultant will collaborate with the local CC4C network leads still providing this service in the regions until go live

• Regional meetings in their current form will move to a biannual schedule in the fall and spring of each year

• The RCHNC team will be conducting regional meetings in October of 2019 in collaboration with the CMARC (CC4C) network lead in that region

• These meetings will be conducted in a variety of venues with the emphasis on VirtualHealth support, Medicaid Transformation and efficiency

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Cherokee

Graham

Swain

ClayMacon

Jackson

Haywood

Madison

Buncombe

Henderson

McDowell

Rutherford

Polk

Burke

Cleveland

Watauga

Caldwell Alexander

Catawba

Lincoln

Gaston

Ashe

Wilkes

Alleghany

Surry

Yadkin

Iredell

Mecklenburg

Union

Stanly

Cabarrus

Rowan

Davie

Stokes

Forsyth

Davidson

Anson

Rockingham

Guilford

Randolph

Montgomery

Richmond

Caswell

Chatham

Orange

Person

Lee

Moore

Hoke

Scotland

Robeson

Cumberland

Harnett

Wake

Franklin

Warren

Johnston

Sampson

Bladen

Columbus

Brunswick

Pender

Duplin

Wayne

Wilson

Nash

Halifax

Northhampton

Edgecombe

Pitt

Greene

Lenoir

Jones

Onslow

CravenPamlico

Beaufort Hyde

Martin

Bertie

Hertford

Gates

WashingtonTyrrell

Dare

Alam

ance Durham

Granville

Han

over

Chowan

a

r

Child Health/Care Coordination for Children Consultation & Technical Assistance- Effective January 1, 2019

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REGION 1Amanda [email protected]: 828-337-3533

REGION 2Melody McCune [email protected]: 704-662-2108

CC4C Project Manager

Angel Callicutt

[email protected]

Cell: (919) 410-3173

REGION 4Stephanie [email protected]: 252-571-2387

CARE COORDINATION FOR CHILDREN(CC4C) PROGRAM MANAGER

(Vacant)

REGION 3Brenda [email protected]: 910-260-6641

REGION 5 Lynette Robinson [email protected]: 252-514-5905 STATE CHILD HEALTH

NURSE CONSULTANT

Tara Lucas

[email protected]

Cell: (919) 624-6652

BEST PRACTICE NURSE CONSULTANT

Debby [email protected]

Cell: 919-218-2945

REGION 6Gail [email protected]: 910-214-0210


VirtualHealth Tips and Common Findings

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Episodes


Episode and Episode Referrals

• When opening an episode, you must also add an associated referral, this is NOT the CC4C Referral Screening

• Opening the episode will place the episode in pending status

• Adding the associated episode referral will place the episode in referred status

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Assessments

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Assessments

• The CC4C referral screening must be completed on every client. This describes how the client meets the target group

• The SWYC must be completed on every client engaged in active care management. Please refer to the screening and assessment policy found in the CC4C toolkit

• The LSP is only required on children identified with toxic stress, that are not in foster care, and engaged in active care management−Remember once exposed to toxic stress the condition

does not go away, it persists

*You must complete the assessment and thoroughly as possible addressing as many items as possible. An empty signed assessment is not complete.

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You can quickly see if your client has had the completed assessments by looking at the records summary page

Screenshot from VirtualHealth

FS12 Fisher, Stephanie, 7/1/2019

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Assessments

• Some assessments may be in progress or have missing content and need updating

• To view the assessments in pending or any completed assessment click on the assessments tab in the clients record



Engagement level/ Risk

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Engagement Level

• Every client engaged in active care management must have an engagement level

• The engagement level reflects future planned work with the client−High: Weekly or more−Medium: two times a month−Low: once a month−Intermittent: less than monthly but no less than 90 days

When working with a client, be sure to check the engagement level and set according to the appropriate level of planned contact


The engagement level is found on the clients record summary


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To change the engagement level click on risk on the records summary tab or in the patients I box

Click on the engagement level for that client and then choose the new engagement level in the pop up box, you must add a description to change the score



Check to make sure all clients have an engagement level; missing levels will affect your data


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Do you have clients with N/A for an engagement level? If so you need to fix it!



Care Planning

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Care Planning

• Every patient must have a preventative health need

• If the child is under age 2 they must have an intervention that the parent/ caregivers have been educated on safe sleep practices (using the safe sleep standards in the link below and in the CC4C toolkit)−A = Alone−B= On their back−C= In a crib

https://www.mombaby.org/safe-sleep/


Safe sleep intervention can be part of the preventative health need and associated care goal


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If you run out of space for text in the care goal; simply add the care goal again to continue documentation



If the care plan is not signed your client is not being managed

• Be sure to sign the care plan each time a change is made


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The child cannot sign the care plan (they can’t write or understand). Click on guardian to sign and scroll down for options

Remember to click Save!Screenshot from VirtualHealth


Interactions

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To change the episode to engaged you must click “yes” for consent to enroll in the interaction describing the engagement contact with the parent/ guardian



Interactions

• Remember, you can close pending tasks while in the interaction


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Closing the Episode


To close the episode for lost to contact you must click UTR in the patients profile box


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If a client has met their goals and is ready for closure you must graduate their care plan, sign and indicate guardian agreement



On Panel Versus Assigned to the Care Team

• Must be assigned to the care team as CC4C Care Manager and in most cases are the primary

• When closing a client, remove yourself from the care team, but not from your panel

• This allows your supervisor to see the work that was done or is being done when pulling your caseload in VH

• Remember- on panel is like cable TV channels, you may have 100 channels but only watch 12 but you can scroll through them to see if you need to look at something

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Temporary Members and Merging

• Keep a record of temporary members that have permanent records that need merging

• Solutions are in testing for both merging and temporary records being made permanent

• There is no need to PDF documents and add them to the duplicate record

• Keep all your documentation in one record and simply make a note in the other record that a duplicate record exists

• The permanent record is where claims information can be found


More Training on VH and CI is Coming Soon!

• We appreciate your patience through the transition to VH. I know it has not been easy but through your dedication, things are improving

• Keep sending tickets, that’s how problems are identified

• Soon the dust will settle, but until then just keep doing your work the best you can and the outcomes will show through

• Thank you all for your dedication to this program now and through the days to come in Medicaid Transformation

• Success depends on all of us

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Remember…

We can and are changing the lives of children and our state through this program!

We are being looked at as an innovative program for young children both statewide and nationally


Questions?

• If you insert questions in the webinar evaluations, we are not able to follow up with you directly

• Reach out to your:

• Supervisor,

• Regional child health nurse consultant, and/or

• Local CC4C network lead

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Tiered System to Gain & Apply CC4C Information

Goal:Ensure info is understood & applied in order to improve health outcomes

& decrease cost, thus meeting Performance Measures

WEBINAR

Overview of a specific CC4C topic

REGIONAL NETWORK MEETINGS

More details related to CC4C topic & discussion of network application

LHD CALL, MEETING OR SITE VISITS

Review details related to CC4C topic & discussion of county application


July

201

9 C

C4C

Web

inar

PLEASE register to demonstrate your participation in today’s webinar andprovide feedback by clicking on link below

The registration /evaluation / survey link is:

https://www.surveygizmo.com/s3/4920131/July-2019-CC4C-Webinar-Registration

If it doesn’t work the first time, give it a second and try again

Next Webinar is scheduled for September 5, 2019

Key to success:

Promptly use and share the information provided today

cc4c webinar for care - amazon web...

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