Changing the way Services are Provided, Resources are Utilized, Outcomes are Evaluated, and Funding...

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Changing the way Services are Provided, Resources are Utilized, Outcomes are Evaluated, and Funding is Channeled Using an Internet-Based Data System to Promote Systems Change

Transcript of Changing the way Services are Provided, Resources are Utilized, Outcomes are Evaluated, and Funding...

Page 1: Changing the way Services are Provided, Resources are Utilized, Outcomes are Evaluated, and Funding is Channeled Using an Internet-Based Data System to.

Changing the way Services are Provided, Resources are Utilized, Outcomes are Evaluated, and Funding is Channeled

Using an Internet-Based Data System to Promote Systems Change

Page 2: Changing the way Services are Provided, Resources are Utilized, Outcomes are Evaluated, and Funding is Channeled Using an Internet-Based Data System to.

CareManager

• Direct, On-Site Data Entry

• Easy Access and Use Across a Variety of Computer Systems

• A Care Planning Module Focused on Client Needs, Strength and Outcomes

• A Highly Secure Database

• Tracking Client Information as they Move Through the System

• Over One Hundred “Real Time” Reports

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Internet Service Provider

Internet BrowserMicrosoft Internet Explorer 5.5 or higher, with 128-bit encryption

SoftwareWindows 95 or newer

HardwareSufficient to support IE 5.X

What Do I Need toRun CareManager?

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Family-Centered, Community-Based Care

Integrated and Flexible Funding Strategies

Focused Outcomes Measurement for CQI

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Collecting demographic, financial & referral information

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Tracking placements, review dates, and rates

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Reinforcing Family, Community, System and Provider Involvement

Child & Family Team

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Documenting child, family, system & provider team members

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Promoting Positive Outcomes by using Child & Family Strengths to meet Needs

Strength-Based Assessment

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Recording family vision, cultural information & the family’s short-term expectations

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Capturing child/family strengths & needs

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Prioritizing Strengths & Needs: Identifying key strategies

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Fostering the Value of an Individualized, Integrated Plan of Care

Integrated Plan of Care

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Plan of Care – Family: Using family strengths to meet needswhen addressing strategies

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Plan of Care – System (education, child welfare, juvenile justice): Integrating system plans

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Plan of Care – Provider: Addressing remaining needs

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Ensuring Team Decisions are Authorized and Services are Provided

Prior Authorization

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Capturing family supports & services: attached to goals

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Recording system supports & services: attached to goals

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Authorizing provider supports & services: attached to goals

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Holding Accountability to the Team Developed Treatment Plan

Documenting Activities

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Confirming family, community, system & provider actions through the internet

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Invoicing provider actions automatically over the internet

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Client, Joe

Client, Joe

Client, Joe

Client, Joe

Smith, Chad

Smith, Chad

Smith, Chad

Smith, Chad

Smith, Chad

Client, Joe

Client, Joe

Katz, M F T Int., KimberlyKatz, M F T Int., Kimberly

Katz, M F T Int., Kimberly

Katz, M F T Int., KimberlyMyers, M F T, Suzanne

Myers, M F T, Suzanne

Myers, M F T, Suzanne

Leeman, Chris

Leeman, Chris

Leeman, Chris

Weiland, L C S W, Mark

555-55-5555555-55-5555

555-55-5555

555-55-5555555-55-5555555-55-5555

620-98-2912620-98-2912

620-98-2912

620-98-2912620-98-2912

Carrying progress notes documentation to billing

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Encouraging Utilization Review, Addressing Quality Concerns

Focused, Detailed Data

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Comparing authorized service costs to actual service costs: per family/per month

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Identifying authorized costs vs. actual costs: by service code

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Monitoring effectiveness: promoting quality care by monitoring how well care management functions meet client needs

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Fostering the Collection and Review of Outcome Data

Review & Evaluate Outcomes

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Client, Joe

Collecting monthly/quarterly outcome measures: School data

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Davis, Amy Davis, Amy

Collecting monthly/quarterly outcome measures: Living situation, behaviors

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Collecting monthly/quarterly outcome measures: CAFAS

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Reporting Outcomes: promoting the integrationof information into management decisions

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Reporting other data: using follow-up data, strengthening CQI

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Reporting staff productivity