Foster Care Health Delivery Model Health Passport MultiState Collaboration for Medicaid Transformati

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Foster Care Health Delivery ModelHealth
PassportMulti-State Collaborationfor Medicaid
TransformationJune 18, 2008
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Health PassportBackground

• In 2005, Texas legislature enacted Senate Bill 6
  (SB6), which called for the development of a
  comprehensive medical services delivery model for
  children in foster care to provide uniform care
  to foster care children through a single managed
  care entity
• SB6 also mandated the development of an
  electronic health information systemthe Health
  Passport
• The Health and Human Services Commission (HHSC)
  contracted with Superior HealthPlan Network as
  the managed care organization
• Superior contracted with Cerner for development
  of the Passport

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Health PassportOverview

• Operational on April 1st for access to state
  staff, network providers and foster parents
• Secure, web-based system
• Provides access to authorized users according to
  their role
• Initially populated with two years of Medicaid
  and CHIP claims history and pharmacy data
• Available in electronic or printed formats to
• childs legal guardian, managing conservator, or
  parent
• child if at least 18 years of age or an
  emancipated minor
• Stakeholders include HHSC, Department of Family
  and Protective Services (DFPS), and Superior
  HealthPlan Network

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Health Passportwww.fostercaretx.com
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Health PassportFeatures

• Demographics Displays personal contact
  information of the childs physicians and other
  individuals involved in the childs care
• Visit History Displays claim-based record of
  each visit to a health care provider with date of
  service, diagnosis, and procedure(s) performed
• Medications Displays claims-based record on all
  prescriptions filled
• Immunizations Displays a comprehensive list of a
  childs immunizations
• Lab Results Displays results of lab tests
  performed, if available
• Vital Signs Providers can record vital signs at
  the point of care
• Allergies Providers can record allergies at the
  point of care Passport checks the allergy for
  medication interactions
• Electronic Documentation Providers can document
  Texas Health Steps (THSteps), dental, and
  behavioral forms within the Passport

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Health PassportData Sources
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Health PassportExpected Benefits

• The Passport provides for improved information
  sharing and coordination of medical services for
  health care providers and DFPS staff.
  Specifically
• Reduction in the duplication of services
• Improved care coordination and data sharing among
  a childs health care providers
• Allows providers to monitor compliance with
  prescription regimens
• Enhanced preventive care through improved
  documentation of THSteps exams

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Health PassportMeasures of Success

• Performance metrics are in the process of being
  finalized tentatively include
• cost per child
• improvements in the quality of care
• system usage
• user satisfaction
• Other anecdotal examples or case studies

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Health PassportLessons Learned

• During Development
• Involve all stakeholders early in the process
• Continuously communicate and work through the
  issues
• Maintain the project scope
• Manage expectations throughout the process
• During Implementation
• Too soon to tell we are still learning

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Health PassportNext Steps

• Medicaid Transformation Grant HHSC was awarded
  4 million to develop and enhance the Passport to
  meet the needs of the foster care population
  through additional data and other system
  modifications after the initial launch of the
  system
• RFP to enable data exchange with network
  providers
• Develop data interface for THStep lab results
• Health Passport Feasibility Study Currently
  evaluating the feasibility of implementing the
  Passport to all Medicaid and CHIP beneficiaries
  under age 19
• Report due to the Legislature by January 1, 2009

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Health PassportHome Page
Click the Home Icon from any screen in the chart
to return to the home page
To search for a member Enter a portion of the
members first and last name in conjunction with
their Medicaid ID, Social Security Number, or
DFPS ID to search for a person
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Health PassportOverview Module Facesheet
Overview Provides a snapshot view of recent
encounters from the clinical information modules
on the navigation menu The Facesheet tab displays
a members brief demographics information,
allergies, and immunizations
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Health PassportOverview Module Recent Activity
The Recent Activity tab displays a members claim
visits, medication claims, and all labs results
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Health PassportDemographics Module
Demographics Provides a profile view of the
member, lists the members medical and personal
contact information
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Health PassportAllergies Module
The denotes that there is a potential for
an allergic reaction to take place while the
member is taking this medication. More
information can be found by clicking on this icon.
The denotes that there is a potential for
an allergic reaction to take place while the
member is taking this medication. More
information can be found by clicking on this icon.
Allergies Users can view previously charted
allergies and sensitivities entered by clinicians
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Health PassportMedications Module
The denotes that there is a potential for
an allergic reaction to take place while the
member is taking this medication. More
information can be found by clicking on this icon.
Medications Displays prescriptions that have
been filled and picked up at the pharmacy
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Health PassportVisits Module
Visits Displays encounters a member has had at
various provider site types
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Health PassportImmunizations Module
Immunizations Displays immunizations that have
been administered to a member
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Health PassportForms Module
Forms You can view or print forms previously
documented by a clinician, such as ThSteps
forms, ECI assessments, behavioral health summary
reports, as well as other types of information
from clinicians
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Health PassportVital Signs Module
Vital Signs You can view previously charted
vitals signs entered by clinicians uncharted
vitals signs will display with a line drawn
through it
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Health PassportLab Results Module
Lab Results Displays lab results for a member