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Medical Home Port: Use of Tri Service Work Flow (TSWF) Clinic Management Course FY

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Medical Home Port: Use of Tri Service Work Flow (TSWF) Clinic Management Course FY History of TSWF Wouldn t it be great if we had a standardized AIM Form in Primary Care that everyone uses? Army
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Medical Home Port: Use of Tri Service Work Flow (TSWF) Clinic Management Course FY History of TSWF Wouldn t it be great if we had a standardized AIM Form in Primary Care that everyone uses? Army Usability, Navy PC Generic and Air Force Compass were born In this Joint environment, wouldn t it be great if we all used the same form? Tri Service Work Flow (TSWF) was born Now a shared service in the DHA Must have unanimous vote to make changes Must be evidence based to be added World-Class Care Anytime, Anywhere 2 What is the value of TSWF? 1. HM/CNA/LPN contributes to documentation of HPI/PFSH/ROS/CCPs 2. HM/CNA/LPN delivers a Detailed Hx for review by provider 3. PFSH, Current meds, and Chronic care plans all Copy Forward to future encounters and standardized across all MTFs 4. Provider time reduced for HPI & PE portion of notes 5. MDM Simplified Coding ensures credit for work documented 6. When AHLTA down, paper forms support same workflow 7. Note readability improved through standardized location of all information. 8. Works with what you have today 9. JC/AAAHC/HSI required items now OUTCOME of workflow 10. Training for HM/CNA/LPN and providers simplified and consistent World-Class Care Anytime, Anywhere How to Increase Speed AHLTA is slow due in part to corrupt templates Do not use default templates Old templates corrupt every time there is an AHLTA update Be sure to clear out favorites RN/LPO clean out old profiles Don t save TSWF as your own; run TSWF off of the Enterprise With every update, TSWF is updated World-Class Care Anytime, Anywhere 4 Total and Core Utilization (Monthly Average) 25,000, Mil 20,000,000 15,000,000 10,000, Mil Total Core 5,000,000 0 Dec 12 Jan 13 Feb 13 Mar 13 Apr 13 May 13 Jun 13 Jul 13 Aug 13 World-Class Care Anytime, Anywhere 5 Breakout Utilization (Monthly Average) 4,000,000 3,500,000 3,000,000 2,500,000 2,000,000 1,500,000 1,000, , Mil Peds General Peds 0 23 Peds 6 18 Peds 2 5 Procedures 250, K 200, , ,000 50,000 0 BH LBP CPG IBHC Metabolic CPG MHSPHP World-Class Care Anytime, Anywhere 6 Standardized Workflow Ancillary Staffing Role in Documenting Care World-Class Care Anytime, Anywhere 7 8 9 World-Class Care Anytime, Anywhere 10 AUDIT C screening for ETOH users World-Class Care Anytime, Anywhere 11 BH and Additional Screening World-Class Care Anytime, Anywhere 12 13 Paper Worksheet Mirrors AIM Form This form was designed for when AHLTA is down. It is not intended to be handed to patients at each visit. They will get mad and will not do it. World-Class Care Anytime, Anywhere 14 The First 20 Minutes Are Done! (Ideally most of it was done the day prior for any prebooked visits) Mini Huddle with Provider & Discuss All Positive Screens World-Class Care Anytime, Anywhere 15 TSWF Core PE World-Class Care Anytime, Anywhere 16 Spine and MSK Tabs World-Class Care Anytime, Anywhere 17 18 19 20 TSWF Core Well Woman Must check this box in addition to coding Q0091 procedure in A/P module World-Class Care Anytime, Anywhere 21 TSWF Core Procedures World-Class Care Anytime, Anywhere 22 TSWF Core Exit/CCP tab World-Class Care Anytime, Anywhere 23 TSWF Core Toolbox World-Class Care Anytime, Anywhere 24 TSWF Core Change Log World-Class Care Anytime, Anywhere 25 TSWF Core vs CPG forms Although the previous slides show the TSWF Core, all TSWF CPG forms will be designed with the same content of the first 3 tabs and PE in Core allowing all screening and care to be documented using one form. CPG forms have more detailed ROS/PE and CPG POC decision support tools built in. CCP for condition being addressed by CPG moved to first tab. All others still available on Exit/CCP tab TSWF Metabolic (Obesity, HTN, HLD, DM) and TSWF LBP updated to new format Aug Others to follow. World-Class Care Anytime, Anywhere 26 TSWF Metabolic CPG World-Class Care Anytime, Anywhere 27 TSWF Metabolic CPG World-Class Care Anytime, Anywhere 28 TSWF Metabolic CPG World-Class Care Anytime, Anywhere 29 TSWF Resources Contact your local AHLTA Trainer Visit Milsuite numerous training resources https://www.milsuite.mil/book/groups/tswf Follow on Training teams available to travel to your MTF World-Class Care Anytime, Anywhere 30
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