Boletin de CC
El Boletin de Community Choice sirve para compartir informacion
de interes para provedores de salud en la region del Norte
Central de Washington. Anuncios e informacion apropiada
pude ser compartir por este medio enviando los detalles al
siguiente domicilio:
Community Choice Bulletin
102 Maple Street, Suite B
Cashmere, WA 98815
or email it to: jesush@mycc.org
ARTICULOS DEL BOLETIN EN ESPANOL:
Programa de Acceso Regional (RAP)
Estratégicamente
Community Choice a contratado a cinco Coordinadoras de Acceso
localizadas en organizaciones de cuidado de salud que sirven
en las comunidades principales de nuestra área de servicio.
Tenemos Coordinadoras de Acceso sirviendo en Tonasket, Omak,
Brewster, Chelan, Wenatchee y en comunidades de sus alrededores
de igual maner en la comunidad de Mocees Lake, sirviendo un
día por semana. Nuestro Programa de Acceso Regional incluye
lo siguiente comprensivo, cultural, lingüístico y un programa
de alcance apropiado en cinco comunidades principales y en
tres condados de sus alrededores. Este Alcance esta complementado
con asistencia personal tomando datos para poderle asistir
al llenar su aplicación, administración de casos de los matriculados
en el estado, programas de seguros de salud federales y privados.
Grupos de Proveedores en la Comunidad (CPG)
Los CPG’s representan un esfuerzo innovador de Community Choice
para mejorar la calidad de la administración de cuidado para
los problemas de salud mas complicados que confrontan algunas
personas. Estas personas necesitan un acercamiento en como
aliviar sus inquietudes sobre el cuidado de su salud. Los
equipos de administración tienen la suficiente experiencia
para proveerle un plan de cuidado administrativo biosiqosocial
que enfoque en el mejoramiento de la calidad de vida para
estas familias y como consecuencia reducir el costo utilizado
en servicios médicos de emergencia. Un resultado importante
para los proveedores de cuidado de salud es una reducción
significativa de cuidado no compensado que al momento no se
les esta proveyendo a estos proveedores.
ARTICULOS DEL BOLETIN EN INGLES:
Item #1
From Michael Dunlop, Director of Contracting and Marketing,Community
Choice
Physician clinics can assure that their practice management
systems are HIPAA compliant. WSMA will, in aggregate, ask
various PM vendors to document their HIPAA EDI compliance
testing schedules, and request that they certify their readiness
to reliably receive and transmit all five of the HIPAA "physician-to-plan"
transactions, including: Claim for payment Remittance advice
Claim status inquiry and response Eligibility/benefit request
and response Preauthorization, Referral request and response.
Please provide Michelle Lott at WSMA (206-441-9762) or by
e-mail at: mml@swma.org. Provide the name of your PM Vendor
(the group that sells the system), the PM System, itself,
and the Clearinghouse you use for electronic claims. For hospital
systems certification, users might want to suggest your HIMS
become certified by Claredi, and provide you the proof.
Check out the web-site at: http://www.claredi.com Daryland
and CPSI systems have already begun their work with Claredi.
(You may want to review the Claredi directory for names of
organizations that have completed their Claredi certification.)
Item #2
Advancing the "Gold Standard" of patient care...
Community Choice received this interesting story from ChartCorrect,
last week. We thought you might like to read it!
Dr. Vic Sharpe (Internal Medicine specialist, Cornerstone
Medical, in Yakima, and user of ChartCorrect electronic medical
records) just told David Atwater, programmer at ChartCorrect,
a great story last night that really excited Vic. A patient
came in for his annual physical and his PSA showed a large
numerical increase from last years' study. Vic wanted
to quickly test for infection before referring the patient
to the Urologist. Vic knew a wet mount could usually
be completed in about 10 minutes next door at the (out-sourced
reference) lab, so he sent the sample and had the
patient wait.
Vic went on to his next patient and less than 15
minutes later came back into the first patients' exam room,
clicked on his chart (on the Web Tablet) and there was the
lab result already in the chart ready to be reviewed!!!
Vic was able to click on the lab results (the wet mount, the
current PSA and last year's PSA) and include those test
results in a progress note, then electronically send the referral
report with the completed progress note to the Urologist
within seconds, right in front of the patient.
Good job, ChartCorrect and Interpath Laboratories!
Powerful interface...great patient care!
|
