Transcript Document

Founded in 1995 by the National Association of
Community Health Centers, Community HealthCorps
is the largest health-focused, national AmeriCorps
program that promotes healthcare for America’s
underserved, while developing tomorrow’s healthcare
workforce.
The mission of Community HealthCorps is to improve
healthcare access and enhance workforce
development for community health centers through
national service programs.
The vision of Community HealthCorps is to become a
national service pipeline for careers in community
health centers that is improving access to necessary
primary and preventative care services for the
medically underserved.
For further information about Community HealthCorps,
visit www.communityhealthcorps.org
Performance Measurement
An Introduction
Agenda
• What are the Community HealthCorps®
Performance Measures (PMs)?
• How can PMs guide our impact on those we
serve?
• How do we report our impact?
• Practice putting it all together!
Member Training
What are the Community HealthCorps®
Performance Measures?
Performance Measures
Click here to learn about the Community HealthCorps® Performance
Measures.
ACCESS TO CARE: educating economically disadvantaged individuals
about health insurance, management of chronic conditions, and
navigation of the health care system to help increase proper utilization
of preventive and primary care services.
FINANCIAL LITERACY: emphasizing economic opportunity with a focus
on engaging economically disadvantaged individuals in improving their
financial knowledge as it relates to health care.
INDEPENDENT LIVING: assisting older adults and individuals with
disabilities with receiving food, transportation, or other supportive
services that help them to live independently.
Member Roles & Related Service Activities
Performance Measures Quiz
1.
What is the difference between an output and an outcome?
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2.
What does the Financial Literacy logic model have as activities, output,
and outcome?
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3.
Activities = eligibility assistance, financial case management, insurance
outreach, financial education
Output = number of people who received at least one of the activities
Outcome = number from output who increased knowledge
If an adult over 65 is provided with a referral, towards which PM would
this individual count?
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4.
An output counts the number of people served, while the outcome counts
the number of people change.
Independent Living AND either Access to Care or Financial Literacy
(depending on the referral)
Under which PM does the “Insurance Submission” service activity fall?
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Access to Care
Member Training
How can Performance Measures guide
our impact on those we serve?
Moving People Towards the Outcome
Performance Measures act as a guide for your service!
Without PMs, you are
providing services without
direction or a purpose
PMs give you an
understanding of why you are
providing certain services
Performance Measure Outcomes
The outcomes for each of the primary Performance Measures were:
ACCESS TO CARE: increasing knowledge about effective utilization of
preventive and primary care services.
FINANCIAL LITERACY: improving financial knowledge as it relates to
health care.
INDEPENDENT LIVING: increasing knowledge about community
support services and/or programs.
Overview of Outcomes
To improve knowledge, Members need to teach
information to each client they serve.
Community HealthCorps® has identified 6 important
topics relevant to improving clients’ knowledge about
their health:
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Health insurance
Medications and prescription assistance
Managing your health
Wellness and prevention
Understanding your health
Finding services and resources
Member Background on Topics
• Access to Care: CMS From Coverage
to Care Roadmap
• Financial Literacy: CFBP Your Money,
Your Goals training
• Independent Living: asset mapping
training (1, 2)
Member Training
How do we report our impact?
The Excel Spreadsheet: Overview
• Tool and step-by-step instructions on Community HealthCorps®
website
• Data includes:
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Your name
An ID number for the patient
Length of engagement
Service activities performed
Social determinant of health addressed
Special populations served
Outcome pre & post measurement scores
The Excel Spreadsheet: Section 1
Type into each field the:
• Member’s name
• Client’s unique ID
number
• Length of engagement
– in minutes
– less than 15 will not
count towards PM
targets
The Excel Spreadsheet: Section 2
Select from the
drop down menu
in each field the:
• Service activity
performed by
the Member
– Up to 3 per
engagement
– Select “N/A” for
any fields that
do not apply
The Excel Spreadsheet: Section 3
Select from the drop down menu in
the field the:
• Social determinant of health
addressed by the Member
– Select “N/A” if it does not apply
The Excel Spreadsheet: Section 4
Select from the drop
down menu in each
field the:
• Special population
served
– Up to 3 per
engagement
– Select “N/A” if any
of the fields do not
apply
The Excel Spreadsheet: Section 5
Type into each field the:
• Outcome pre measure score
• Outcome post measure score
– A number = score
– R = client refused
– N/A = client not able to provide
information
– U = Member unable to administer
pre or post measurement
The Excel Spreadsheet: Troubleshooting
• You must select an
option provided in the
drop down menu.
• Each row signifies a separate engagement.
– If a client is served more than once, their unique
ID number should be on multiple rows in the
Excel.
– Do not add minutes from separate engagements
together.
• People seen in a group should be reported
individually whenever possible.
Member Training
Practice putting it all together!
Practice Scenarios
Write down…
1. Scenario number
2. Service activities performed
3. Social determinants of health
addressed
4. Special populations served
Practice Scenario 1
A young adult patient comes into the health center to talk
with someone about health insurance coverage. He signed up
for coverage through the Marketplace, was enrolled in a plan,
and now has no idea what to do next. He doesn’t have a
primary care provider. Review various health insurance terms
and the services covered by the plan with the patient. Then,
explain to him the importance of annual exams and help him
make an appointment with a doctor at the health center.
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Service Activities = Financial Education, Registration, and NonFinancial Case Management: Facilitation
Social Determinants of Health = N/A
Special Populations = N/A
Practice Scenario 2
It is your first day of service, and you are working a booth at
the Annual Community Health Fair! The first person who
comes to your booth is a 72-year-old woman who tells you
that she recently went to the ER because she ran out of her
diabetes medication and has no transportation to get to a
clinic. Explain to her the differences between the services
provided by the ER and the community health center, and give
her a brochure for Access Ride, a local service that provides
transportation to and from medical appointments.
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Service Activities = Primary Care Outreach, Non-Financial Case
Management: Facilitation
Social Determinants of Health = Transportation Assistance
Special Populations = Older Adults
Practice Scenario 3
For MLK Jr. Day of Service, you are helping an elementary school class
build a vegetable garden. There are 6 children in this class, including
one who is in a wheelchair. You begin the day by teaching them about
the importance of healthy eating and how their new garden will help
them reach the goal of eating 4 servings of vegetables every day.
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Service Activities = Nutrition Education
Social Determinants of Health = Food Assistance
Special Populations = Persons with Disabilities, Children Under 18
who are overweight, obese, or at risk of becoming overweight/obese
Note: Each child would be reported individually using the Individual Reporting Form.
Practice Scenario 4
A young mom and her 2 children come into the health
center where you’re serving to sign up for health
insurance. After finding out some information about her
income, it is clear that she is not eligible for Medicaid.
Help her sign her children up for CHIP benefits. Explain
the services covered and review CHIP terminology.
– Service Activities = Insurance Submission, Eligibility
Assistance, Financial Case Management: Assessment
– Social Determinants of Health = N/A
– Special Populations = N/A
Note: Only the mother would be reported as being served for this engagement.