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Report to the Operations Sub-Committee September 8, 2006. Network Operations. Network Operations/Status August 2006. 1,495 Total Individual Providers Increase of 39 Providers since July 2006 (Count includes referring providers within groups) 1,046 Facilities

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report to the operations sub committee september 8 2006
Report to the Operations

Sub-Committee

September 8, 2006

network operations status august 2006
Network Operations/StatusAugust 2006
  • 1,495 Total Individual Providers
    • Increase of 39 Providers since July 2006

(Count includes referring providers within groups)

  • 1,046 Facilities
    • Increase of 10 Facilities since July 2006

(Aggregate of each location by Type and Specialty not including groups)

web registration cont d
Web Registration, cont’d
  • Provider Forums – Web Registration Trainings
    • Total RSVP’s – 317
      • 8/18 - Rocky Hill/ASO Office
      • 8/22 - New London/Mitchell College
      • 8/24 - Wallingford/CHA
      • 8/28 - Bridgeport
      • 8/30 - Wallingford/CHA
      • 9/6 - Rocky Hill / ASO Office
  • Security Access/User ID Requests
    • 1058 User Id’s generated as of 8/29/06
    • 480 Requests currently in process
web registration cont d1
Web Registration, cont’d
  • Security Update
    • Effective August 31, 2006 at 5:30pm
    • Upgrade to provide additional layer of security
  • Provider Authorization look up capacity in place
  • 5,137 Registrations completed since August 1st
  • Improvement in time to complete noted (average @ 4 minutes)
  • Winfax Registration Forms
    • Individual Practitioners without computer and/or web access
    • 34 Requests as of September 1, 2006
members who access service by loc august 2006
Members who Access Service by LOCAugust 2006

ADR/IPD: Inpatient detox/rehabilitation

EDT: Extended Day Treatment

GHA/GHC Group home 1.0/2.0

IOP Intensive outpatient

IPF: Inpatient Psychiatric Facility

PHP: Partial Hospital Program

PRTF: Psychiatric Residential Tx Facility

RTC: Residential Treatment Facility

slide9

Discharge Delay Status

  • 21% of children in an Acute Inpatient setting are defined as Discharge Delay
    • 50% are awaiting placement in Residential and/or PRTF

is 44 days

    • 15% are awaiting Foster Care placement
    • 15% are awaiting Group Home placement
    • Average length of stay in Delayed status
  • Discharge Delay from resi currently being “scrubbed” for accuracy
  • Care Management training continues
  • Inter rater reliability to be tested
ed delayed discharge activity
ED Delayed Discharge Activity
  • Flow charts being developed with DCF
  • All ED’s being contacted daily
  • No unanticipated notifications in August, resulting in increased case identification and improved discharge planning, supported by seasonal reduction in need for acute service
  • Overview:
    • May: 6 cases, average LOS 3.5 days
    • June: 5 cases, average LOS 7.2 days (1 outlier)
    • July: 10 cases, average LOS 2.9 days
    • August: 11 cases, average LOS 1.1 days
icm activity
ICM Activity
  • All “delayed status” members currently in inpatient settings are assigned
  • CCR’s increased to each week, vs. every other week to assist in discharge planning
  • Beginning to attend MSS mtg’s with System Managers
  • Sharing daily census reports in MSS mtg’s to review delayed members AND all others in 24 hour care to assist in discharge planning
types of service connect inquiries august 2006
Types of Service Connect InquiriesAugust, 2006

46% - Provider Referrals for Members

18% - Member Eligibility Verification

19% - Provider Related/Authorization/Enrollment/Billing

17% - General Information

63% = Member Inquiries(highest percentage to date)

0.01% = Inquiries initiated due to provider status change from IN to OON

clinical studies
Clinical Studies

Child study: Ambulatory Follow-up within 30 days of inpatient discharge from a hospital or RTC.

Adult study: Interface with CT BHP and the MCO’s regarding Intensive Care Management.

  • data collection re. co-morbidity
  • Identification of trends in diagnosis
  • timeliness of CT BHP response for co-management
  • type of response
  • member satisfaction
peer family services august 2006
Peer/Family ServicesAugust 2006
  • Held first CT BHP ASO Consumer Advisory Committee
  • 37 Community meetings attended

(i.e., School, PPT, MSS, Collaborative, Court, DCF,

Riverview meetings)

  • 15 Home Visits conducted
  • 38 Open Consultations
  • 13 Closed Consultations
  • Final interviews complete to fill remaining positions