Arizona s approach to loss to follow up
This presentation is the property of its rightful owner.
Sponsored Links
1 / 15

Arizona’s Approach to Loss to Follow-up PowerPoint PPT Presentation


  • 41 Views
  • Uploaded on
  • Presentation posted in: General

Arizona’s Approach to Loss to Follow-up. Lylis Olsen Christy Taylor Jan Kerrigan Randi Winston. Before 2006. Voluntary screening (>95%) Voluntary reporting Inpatient Screening Data (~75%) Outpatient Screening Data (~50%) Diagnostics (< 25%) Early Intervention Bilateral (100%)

Download Presentation

Arizona’s Approach to Loss to Follow-up

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Arizona s approach to loss to follow up

Arizona’s Approach to Loss to Follow-up

Lylis Olsen

Christy Taylor

Jan Kerrigan

Randi Winston


Before 2006

Before 2006

  • Voluntary screening (>95%)

  • Voluntary reporting

    • Inpatient Screening Data (~75%)

    • Outpatient Screening Data (~50%)

    • Diagnostics (< 25%)

    • Early Intervention

      • Bilateral (100%)

      • Unilateral (0%)


Arizona s approach to loss to follow up

  • All hospitals screening

  • Centralized reporting

  • Consistent data submission

  • Quality of data

  • Linking Outpatient to Inpatient screens

  • Linked databases

  • Education of medical home

  • Socio-behavioral issues with parents

  • Standardized information

  • Active follow-up process

  • Safety nets

    • Community Health Centers

    • Pediatricians

    • Early Intervention Programs

  • Available outpatient screening

  • Available diagnostic testing

  • Timely notification

  • Expedited referral and pre-authorizations

  • Otitis media management

  • Adequate training and diagnostic tools


Arizona s approach to loss to follow up

  • All hospitals screening

  • Centralized reporting

  • Consistent data submission

  • Quality of data

  • Linking Outpatient to Inpatient screens

  • Linked databases

  • Active follow-up process

  • Education of medical home

  • Socio-behavioral issues with parents

  • Standardized information

  • Safety nets

  • Timely notification

  • Available outpatient screening

  • Available diagnostic testing

  • Expedited referral and pre-authorizations

  • Otitis media management

  • Adequate training and diagnostic tools


Legislation

Legislation

  • Did not mandate screening (no need)

  • Mandated Reporting

    • Within one week- Electronically or Fax

    • All screening, all diagnostic testing

    • Anyone who screens or tests

  • Active follow-up at state level

  • Ongoing technical assistance to hospitals

  • Education to stakeholders


Centralized tracking

Centralized Tracking

  • Electronic merging of data each week from HI*Track

  • Manual data entry for some outpatient screens and diagnostic reports

  • Case management through automated link with Neometrics the newborn screening system

  • Dedicated Staff

    • One program manager

    • One data manager

    • One follow-up coordinator


Centralized follow up

Centralized Follow-up

  • Follows 1-3-6

  • Letter to medical home at 6 weeks

  • Verify information through Neometrics and Medicaid databases

  • Letter to medical home and family at 16 weeks

  • Match records with Early Intervention

  • Letter and phone call to medical home and family at 28 weeks


Arizona s approach to loss to follow up

  • All hospitals screening

  • Centralized reporting

  • Consistent data submission

  • Quality of data

  • Linking Outpatient to Inpatient screens

  • Linked databases

  • Education of medical home

  • Standardized information

  • Safety nets

  • Active follow-up process

  • Socio-behavioral issues with parents

  • Available outpatient screening

  • Available diagnostic testing

  • Adequate training and diagnostic tools

  • Expedited referral and pre-authorization

  • Otitis media management

  • Timely notification


Screening programs

Screening programs

  • Hospitals

    • All provide inpatient screening

    • Most provide outpatient screen

    • Keep refer rates in appropriate range

    • Standardize information to parents and medical home

      • Immunization card

      • Training of the screeners


Diagnosis

Diagnosis

  • Education of medical home

    • Expedite the referral and preauthorization process

    • Look for the results of the newborn screen

    • Know available resources

  • Audiology

    • Adequate training and equipment

    • Monitor hand offs

    • Prioritize scheduling of infants

    • Make reporting easy


Is it working

Is It Working?

Unknown

  • Electronic reporting errors cleaned up 88 out of 170 “lost” in one hospital

  • Required reporting made immediate change from 60% to less than 40%

    Loss

  • One hospital had a 9 month average of 8% loss to follow-up

    Delays

  • Medical home is paying attention with a more active role

  • Significant decrease in delays between screening and diagnosis


Arizona s approach to loss to follow up

  • All hospitals screening

  • Centralized reporting

  • Consistent data submission

  • Quality of data

  • Linking Outpatient to Inpatient screens

  • Linked databases

  • Socio-behavioral issues with parents

  • Safety nets

  • Education of medical home

  • Standardized information

  • Active follow-up process

  • Otitis media management

  • Adequate training and diagnostic tools

  • Available outpatient screening

  • Available diagnostic testing

  • Timely notification

  • Expedited referral and pre-authorizations


Arizona newborn screening

Arizona Newborn Screening

Phone

  • (602) 364-1409

  • (800) 548-8381(outside Maricopa County)

    Fax

  • (602) 364-1495

    Website

    http://www.azdhs.gov/phs/owch/newbrnscrn.htm

    [email protected]

    [email protected]

    [email protected]

    [email protected]


Arizona s approach to loss to follow up

Thank You!


  • Login