January 8, 2015
CC4C Webinar for
Care Managers & Supervisors
Welcome to CC4C Webinar for
Care Managers & Supervisors
CC4C Webinar
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.
for Supervisors & Care Managers
January 8, 2015
If you are not able to hear the audio via your
computer, you can:
• call the meet-me number at 1-877-3361831.
• enter the access code of 9728718#.
January 2014 CC4C Webinar
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January 2014 CC4C Webinar
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Questions to be Answered
After Today’s Webinar
1.
What are the CC4C Priority Populations?
2.
What are my agency’s data dashboard measures
results?
3.
Which measure is most in need of improvement?
4.
What resources are available to assist in improving
the Data Dashboard measures results?
January 2014 CC4C Webinar
Population
Management
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What is the population we are charged to
manage?
What is Population Management?
All Medicaid eligible children ages 0-5 years of age
are considered the CC4C population.
Population management is the process of using
information to identify a target group of clients
that would benefit from care management;
resulting in improved health outcomes and
reduced health care cost of the total population.
January 2014 CC4C Webinar
January 2014 CC4C Webinar
The CC4C agreement addenda from the Division of
Public Health is used to include non Medicaid eligible
children ages 0-5 that may benefit from care
management.
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January 8, 2015
CC4C Webinar for
Care Managers & Supervisors
How Do I Serve The Total Population?
No all children are in need of care management
services.
The population should be assed to identify those
who are in most need of services
Those who are in most needs of services should be
targeted for care management.
January 2014 CC4C Webinar
CC4C PRIORITY POPULATIONS
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January 2014 CC4C Webinar
CC4C Priority Populations
and Method of Identification
To reach the goals, we must…
Children Birth to Age 5 Years Identified
With/In
By
Identify the right children, which are the
CC4C Priority Populations.
Provide the right service that will
improve the health outcomes of children
and decrease costs.
Constantly evaluate/monitor if you are
moving in the right direction, and if not,
make quick, effective changes to get
back on course.
January 2014 CC4C Webinar
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Resources to Assist in Managing
CC4C Priority Populations
Slides 9-29, Sept 2014 CC4C Webinar; webinar recording
and slide handouts available at:
http://childrenyouth.cc4c.sgizmo.com/s3/.
2.
CC4C Workgroup Best Practice Recommendations for
Managing the Current CCNC and TC Priority List-CC4C,
Sept 2104 CC4C Webinar handout
3.
Special Health Care Needs
Priority Population Report &
Referrals (i.e., from PCP, WIC)
Foster Care
Priority Population Report &
Referrals
Situations Potentially Resulting in
Toxic Stress
Priority Population Report
(Foster Care only) & Referrals
NICU
Referrals
January 2014 CC4C Webinar
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ADT, ED and/or Inpatient Reports:
1. CC4C Best Practices for Reducing Non-Emergent ED Use by
Focusing on Local Systems of Care & Improving the Quality
of the Touch, today’s webinar handout
2. CC4C Best Practice “Lite” Series for Care Managers - Non-
Emergent ED Use, today’s webinar handout
3. CC4C Workgroup Best Practice Recommendations for
Managing Current Hospital Visits-CC4C Report (ADT), ED
Visits Report-CC4C, Inpatient Visit Report-CC4C, NEW
today’s webinar handout
CC4C Best Practice “Lite” Series for Care Managers Priority Population Report, Sept 2104 CC4C Webinar
handout
January 2014 CC4C Webinar
Priority Population Report &
ADT Feeds
Resources to Assist in Managing
CC4C Priority Populations
Current CCNC and TC Priority List-CC4C, also known as the Priority
Population Report:
1.
Potentially Preventable Costs
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January 8, 2015
CC4C Webinar for
Care Managers & Supervisors
Guidance for Prioritizing Newly
Identified/Referred Children
CC4C staff should:
Balance referrals received from medical
homes/community referral sources and the
priority children identified from IC reports (Priority
Population Report & ADT).
Ensure that those referred are part of the CC4C
Priority Populations (slide 10).
Use 1) critical thinking skills, 2) local
knowledge/expectations and 3) additional info
available to prioritize children in order to touch the
greatest number of children with whom we can
have the greatest impact.
CC4C MEASURES
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January 2014 CC4C Webinar
January 2014 CC4C Webinar
Clouds Show
Environmental Impact
MH After
Hours
Policy
Family
Situations
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2
Hosp
Adms
Hosp
Re Adms
CC4C Interim Service Agreement
(Contract) Performance Measures
Hospital
Marketing
CC4C Interim Contract Performance Measures
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4
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ED
Visits
NICU
Grads
to MH
within
7 days
LSPs for
Toxic
Stress
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Measure 1: Increase NICU graduates who have first PCP visit < 7 days of
discharge
Systems
Coordination
Measure 2: Reduce the rate of hospital admissions for Medicaid children birth
up to age 5.
Data Dashboard Measures
Measure 3: Reduce the rate of hospital re-admissions for Medicaid children
birth up to age 5.
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2
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Medicaid
Children
Contacted
Medicaid
Children
Engaged in
Heavy or
Medium
Children
Deferred d/t
Unable to
Contact
Children
Deferred d/t
Refused
Services
January 2014 CC4C Webinar
Measure 4: Reduce the rate of Emergency Department visits for Medicaid
children birth up to age 5.
Measure 5: For children receiving CC4C care management for a toxic stress
condition, the % who receive a Life Skills Progression (LSP) Assessment upon
entry into the system, every 6 months thereafter and/or upon closing.
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Path to Performance Measures from IC Home Page:
CC4C Data Dashboard Measures
Home > Local Health Department Standard Reports > County Name> CC4C
Reports > Key Performance Indicators and NICU Grads
1.
Percent of Medicaid children ages 0-5 years contacted by a
CC4C CM.
2.
Percent of Medicaid children ages 0-5 years engaged in
heavy and medium case status.
3.
Percent of Medicaid children ages 0-5 years deferred due to
unable to contact.
4.
Percent of Medicaid children ages 0-5 years due to refused
services.
Screen shot of the CC4C Reports folder found within the NCCN informatics Center
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January 8, 2015
CC4C Webinar for
Care Managers & Supervisors
Clouds Show
Environmental Impact
Path to Data Dashboard Measures from IC Home Page:
MH After
Hours
Policy
Home > Local Health Department Standard Reports > County Name> CC4C
Reports > CC4C Data Dashboard & All LHD CC4C Reports
Hospital
Marketing
CC4C Interim Contract Performance Measures
Family
Situations
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2
3
4
5
Hosp
Adms
Hosp
Re Adms
ED
Visits
NICU
Grads
to MH
within
7 days
LSPs for
Toxic
Stress
Systems
Coordination
Data Dashboard Measures
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2
3
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Medicaid
Children
Contacted
Medicaid
Children
Engaged in
Heavy or
Medium
Children
Deferred d/t
Unable to
Contact
Children
Deferred d/t
Refused
Services
Screen shot of the CC4C Reports folder found within the NCCN informatics Center
January 2014 CC4C Webinar
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January 2014 CC4C Webinar
CC4C Performance Improvement
Strategies
CC4C Data Dashboard
Pages 1-5:
Menu of
strategies to
Improve
Contract
Measures
Each CC4C staff member should consider:
Local county results for each measure.
Whether the result is on the desired side of the initial
benchmark.
The direction of the results over time.
Pages 6-8:
Menu of
strategies to
improve
Data
Dashboard
Measures
Whether the result is in or headed toward the target range.
What individual and agency actions can be taken to positively
impact the results.
CC4C Performance Improvement Strategies document sent via the
CC4C Email list on 12/1/14 at 11:11 a.m.
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CC4C Performance Improvement Process
Beginning in January 2015
Process is expected to take 90 days
Includes:
Self assessment
Corrective action plan development
Corrective action plan implementation
Evaluation of performance after implementation
CC4C UPDATES
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January 8, 2015
CC4C Webinar for
Care Managers & Supervisors
How are Counties Identified for Performance
Improvement?
PIP Process
Uses two criteria
CC4C Dashboard Measure 2: Percent of total
Medicaid population being served in heavy or
medium in last 6 month reporting period.
*Benchmark 3%
Expended Budgeted of at least 90% during fiscal
year 2013/2014.
January 2014 CC4C Webinar
Counties will be identified and notified in waves.
The local network will be notified by the CCNC
central office of the agencies identified.
The local network will notify the local health director
that they have been identified for PIP.
The local network, CC4C lead and regional child
health nurse consultant will assist the agency in
completing the PIP process.
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Claims Review Task
Claims Review Task
On the Task Tab, the CC4C CM should document a
“completed task” to reflect the claims review.
For the claims review to show completed on the
CC4C standards report, the CC4C CM should include
the following in the completed task.
Task: Claims Review
Task With: CCNC Data/ Claims
Claims review should be
completed at a minimum of
every 90 days for each client
in heavy and medium.
The CC4C should review the
CC4C standards report to
evaluate those clients who
are in need of a claims
review.
January 2014 CC4C Webinar
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Orientation Resources
Under Construction
Newly developed resources to assist in orienting new
CC4C staff will soon be available.
Resources will be organized in two phases:
o Care Management Basics: These resources should
be accessed prior to serving clients.
o Priority Populations Info: These resources should
be accessed within a specified time frame of
working with clients.
An announcement will be sent via the CC4C Email
List when the resources are available.
Screen shots
from CMIS
Patient Task
Tab.
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January 8, 2015
CC4C Webinar for
Care Managers & Supervisors
Patient Education / Healthwise
CC4C Toolkit
The CC4C Toolkit can be accessed in the Informatics
Center using the following path: Click on Access to IC
Report Site (2nd option) on IC Home Page > NCCN IC
Report Site Home Page > CC4C Toolkit File Share.
Patient education materials approved by the CCNC Patient
Education Work Group have been posted in CMIS using the
following path: Resources > Patient Education > CCNC
Approved, which includes five pediatric asthma handouts.
Meducation is a great resource for sharing medication with
families in multiple languages; Meducation can be accessed in
CMIS using the following path: Resources > Patient Education
> Meducation.
New additions to the Toolkit include:
Recent webinar handouts, including today’s
handouts.
Updated CC4C Data Directory, today’s webinar
handout
Patient Education materials that address topics not found in
Healthwise can be submitted for consideration using the
Patient Education Submission Form found on the last page of
the Patient Education Materials Policy, webinar handout.
January 2014 CC4C Webinar
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What are the CC4C Priority Populations?
2.
What are my agency’s data dashboard measures
results?
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Tiered System
to Gain & Apply CC4C Information
Questions to be Answered
After Today’s Webinar
1.
January 2014 CC4C Webinar
WEBINAR
Overview of a
specific CC4C topic
REGIONAL NETWORK MEETINGS
3.
Which measure is most in need of improvement?
4.
What resources are available to assist in improving
the Data Dashboard measures results?
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
Goal:
Ensure info is understood & applied in order to improve health outcomes
& decrease cost, thus meeting Performance Measures
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CC4C Webinar
PLEASE register to demonstrate your participation in today’s webinar
and provide feedback by clicking on link below
The registration /evaluation / survey link is:
http://childrenyouth.CC4C-Webinar-Registration-January2015.sgizmo.com/s3/
If it doesn’t work the first time, give it a second & try again.
Key to success:
Promptly use Webinar Talking Points (handout)
In staff & regional meetings
to apply info shared today
Next Webinar:
Thursday, March 5, 2015 at 9:30 a.m.
January 2014 CC4C Webinar
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