Documenting Intimate Partner Violence Domestic Violence Screening in RPMS - PowerPoint PPT Presentation

1 / 20
About This Presentation
Title:

Documenting Intimate Partner Violence Domestic Violence Screening in RPMS

Description:

During FY 2005, the IHS will ensure that 15% of women between the ... Tally and listing of all patients receiving IPV/DV screen including refusals, sort by: ... – PowerPoint PPT presentation

Number of Views:68
Avg rating:3.0/5.0
Slides: 21
Provided by: dgre1
Category:

less

Transcript and Presenter's Notes

Title: Documenting Intimate Partner Violence Domestic Violence Screening in RPMS


1
Documenting Intimate Partner Violence/Domestic
ViolenceScreeningin RPMS
  • Exam Code 34 IPV/DV

2
Domestic ViolenceGPRA Clinical Performance
Indicator
  • During FY 2005, the IHS will ensure that 15 of
    women between the ages of 15 and 40 are screened
    for domestic violence.
  • During FY 2004, the IHS will address domestic
    violence, abuse and neglect by screening at least
    15 of eligible women patients between the ages
    of 16-24 for domestic violence at direct care
    facilities

3
Clinical Reporting System (CRS)(formerly known
as GPRA )
  • Currently sites will receive credit for
    documentation of
  • IPV/DV Screening Exam Code 34
  • IPV/DV related POV
  • DV Patient and Family Education Code
  • Preferred method of documenting is with the
    IPV/DV Screening Exam

4
Clinical Objectives
  • Objective
  • IPV/DV Screening
  • Standard
  • Adult females should be screened for domestic
    violence at a new encounter and at least
    annually
  • prenatal patients should be screened once each
    trimester
  • Source Family Violence Prevention Fund

5
Why Screen?
  • US Preventive Services Task Force (USPTF) asserts
    that the effectiveness of screening has not been
    validated, however, they also state that
    screening is justifiable on other grounds
    including
  • High prevalence of undetected abuse among female
    patients
  • Low cost and low risk of screening
  • Adverse economic and social impact of abuse
  • DV is a chronic, life-threatening condition that
    is treatable if abuse is left untreated the
    severity and frequency of abuse can worsen

6
Why Screen?
  • DV screening is recommended by
  • American Academy of Family Physicians
  • American College of Physicians
  • American Medical Associations
  • American College of Obstetricians and
    Gynecologists
  • DV Screening is a JCAHO Mandate
  • JCAHO Mandate
  • GPRA Clinical Performance Indicator
  • Women want to be asked!

7
RPMSIPV/DV ScreeningExam Mnemonic EX 34 or
IPV Screen
  • AUM 4.1 Patch 1 AUPN Patch 11 Released Nov 03

8
IPV/DV Screening in RPMS
  • Screening results are recorded as an exam
  • Providers and Data Entry staff should work
    together to develop the preferred method of
    documentation Providers need to know how/where
    to record results DE needs to know where to look
    for documentation
  • Date of screen and providers initials only appear
    on Health Summary patient safety

9
IPV/DV Screening in RPMS
  • PCC
  • POV
  • Stamp
  • PCC
  • BH applications (BHS v3.0 and BH GUI)
  • Direct clinical data entry of screening results
    when recording a visit
  • Currently PDE, SDE RDE in BHS v3.0 patch 4
    (April 2005)
  • Wellness tab in BH GUI (v1.5 release April 2005)
  • IHS Electronic Health Record
  • Direct clinical data entry
  • Wellness Tab

10
IPV/DV Screening Data Entry
  • Exam Mnemonic EX 34 or IPV Screen (AUM 4.1
    patch 1 AUPN patch 11)
  • Allowable results
  • N Negative
  • PR Present
  • PA Past

11
EX 34Data Entry
  • Refusals Mnemonic REF
  • Exam
  • Exam Value INT (or INT)
  • Date Refused

12
EX 34Data Entry
  • Unable to Screen
  • Mnemonic UAS (PCC Data Entry patch 7)
  • Exam
  • Exam Value INT (or 34)
  • Date Refused

13
Provider Documentation
  • Allowable Results
  • Negative denies being a current or past victim
    of DV
  • Present admits being current victim of DV
  • Past denies being a current victim, but admits
    being a past victim of DV

14
Provider DocumentationContinued
  • Unsuccessful attempts to screen should also be
    recorded
  • Refused (REF)
  • patient declined exam/screen
  • Unable to screen (UAS)
  • acceptable reasons for UAS include partner
    present, verbal child present

15
Provider DocumentationContinued
  • Results can be recorded in the POV section of the
    PCC
  • POV DV/IPV Screen Negative, TC (provider
    initials)
  • or
  • POV EX 34 UAS, partner present, TC

16
Provider DocumentationContinued
  • Results can also be recorded by using a stamp on
    the PCC form or
  • PCC developed template
  • Insert sample stamp/table here

17
Future EnhancementsandDevelopment
  • IPV/DV Screening Exam Code
  • PCC Management Reports
  • Health Maintenance Reminder

18
IPV/DV Screening Exam CodeEnhancements
  • Initials (patch released)
  • Ordering Provider added to DE template
  • Important because Provider who screened is not
    always the Primary Provider of visit
  • Capture general Comments (released)
  • Allows provider to document other useful clinical
    information

19
PCC Output Reports
  • Tally and listing of all patients receiving
    IPV/DV screen including refusals, sort by
  • Date range
  • Age
  • Gender
  • Result
  • Provider (of exam, if available Primary Provider
    of Visit, PCP)
  • Date
  • Clinic
  • POV
  • Plus other similar reports
  • Similar reports also available in BHS v3.0 (RPMS
    Behavioral Health

20
Development of IPV/DV Health Maintenance Reminder
  • Display on Health Summary
  • Screen on Gender
  • Screen on Age
  • Screen on current dx of pregnancy key off of EDC
    (problematic because of persistent data)
  • Frequency Standard is annual once per
    trimester for prenatal and a post-partum
Write a Comment
User Comments (0)
About PowerShow.com