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Tri-Service Workflow

Tri-Service Workflow. Lt Col Charles Motsinger AFMSA/SG6 Workflow 8 Mar 2011. The AHLTA Highway. Driver’s Ed 101. Users: The Drivers AHLTA: The Car (a Fiat) EUD/Network: The Highway Workflow Division: Your Driver’s Education Instructor. The AFMSA/SG6 Workflow Division.

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Tri-Service Workflow

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  1. Tri-Service Workflow Lt Col Charles Motsinger AFMSA/SG6 Workflow 8 Mar 2011

  2. The AHLTA Highway

  3. Driver’s Ed 101 Users: The Drivers AHLTA: The Car (a Fiat) EUD/Network: The Highway Workflow Division: Your Driver’s Education Instructor

  4. The AFMSA/SG6 Workflow Division

  5. What is the Tri-Service Workflow (TSWF)? • It’s a Workflow for AHLTA • It works NOW • It’s Simple • It’s a Culture Change • Uniform screening tools PC/ANG/MH/VA • It requires Leadership 5

  6. TSWF Optimization • Paper encounter worksheet/ overprint SF 600 • TSWF AIM template • Simplified coding 6

  7. TSWF Worksheet (Front)

  8. TSWF Worksheet (Reverse side) 8

  9. Alternate TSWF Worksheet (Reverse side)

  10. AHLTA Tri-Service Workflow Tri-Service AIM Form Provider takes over note Provider reviews tech input 10

  11. HPI

  12. HPI (continued)

  13. Secondary Screening Prevention/Counseling

  14. Secondary Screening

  15. Secondary Screening

  16. Secondary Screening

  17. Prevention/Counseling

  18. Prevention/Counseling

  19. ROS/PE 19

  20. Military-PHA

  21. CPG

  22. Coding

  23. Simplified Coding 23

  24. What’s It Worth?* 24 $90 per RVU (DoD value) *As of late 2009

  25. Top 10 Reasons to Use Tri-Service Workflow Tech contributes to documentation of HPI/PFSH/ROS Tech delivers a Detailed Hx for review by provider PFSH are Pt. generated & Copy Forward used for future visits Provider time reduced for HPI & PE portion of notes MDM Simplified Coding insures credit for work documented When AHLTA down, workflow unchanged Note readability make Peer Reviews easier Uniform screening tools PC/ANG/MH/VA JC/AAAHC/HSI required items now OUTCOME of workflow Training for techs and providers simplified and consistent

  26. Workflow Research Results JC/HSI

  27. Workflow Research Results RVU’s RVU per encounter Provider Entered CorrectedPre Compass Staff0.9721.054Post Compass Staff1.2691.241Provider Entered CorrectedPre Compass Intern0.9431.067Post Compass Intern0.9711.045

  28. Workflow Research Results Coding Accuracy

  29. CODING ACCURACY COMPARISON At time of Data Collection: No Workflow (NW) Workflow (W) Coding accuracy percentage: NW Staff 49% NW Interns 27% W Staff 64% W Interns 73% NW vs W P value Staff Interns z=2.289 z=4.666 p=<.05 p=<.05

  30. “TRUSTED CARE ANYWHERE”

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