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TRANSCRIPT
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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
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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
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Today’s Webinar Topics
• Medicaid Transformation
• Upcoming Trainings
• CareImpact
• Transition of Roles
• VirtualHealth Tips
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Medicaid Transformation
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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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Medicaid Transformation
• 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
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Medicaid Transformation
• 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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Medicaid Transformation
• 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
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Medicaid Transformation
• Information regarding beneficiary enrollment and outreach can be found at the link below
https://medicaid.ncdhhs.gov/county-playbook-medicaid-managed-care
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Upcoming Trainings
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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
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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
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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
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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
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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
Alamance Durham
Granville
Hanover
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
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
Cell: (919) 624-6652
BEST PRACTICE NURSE CONSULTANT
Debby [email protected]
Cell: 919-218-2945
REGION 6Gail [email protected]: 910-214-0210
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VirtualHealth Tips and Common Findings
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Episodes
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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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FS12 Fisher, Stephanie, 7/1/2019
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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
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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
Screenshot from VirtualHealth
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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
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The engagement level is found on the clients record summary
Screenshot from VirtualHealth
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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
Screenshot from VirtualHealth
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Check to make sure all clients have an engagement level; missing levels will affect your data
Screenshot from VirtualHealth
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Do you have clients with N/A for an engagement level? If so you need to fix it!
Screenshot from VirtualHealth
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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/
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Safe sleep intervention can be part of the preventative health need and associated care goal
Screenshot from VirtualHealth
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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
Screenshot from VirtualHealth
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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
Screenshot from VirtualHealth
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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
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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
Screenshot from VirtualHealth
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Interactions
• Remember, you can close pending tasks while in the interaction
Screenshot from VirtualHealth
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Closing the Episode
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To close the episode for lost to contact you must click UTR in the patients profile box
Screenshot from VirtualHealth
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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
Screenshot from VirtualHealth
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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
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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
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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
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July
20
19
CC
4C
We
bin
ar
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