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Project Aim Statement

Project Aim Statement. Reduce the number of denials and closures of KMC-assisted CHIP applications. Kootenai Medical Center (KMC) Full service hospital owned by residents of Kootenai County (pop.105,000) 42,601 ER visits in 2002 232 beds. Idaho Dept. of Health

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Project Aim Statement

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  1. Project Aim Statement Reduce the number of denials and closures of KMC-assisted CHIP applications

  2. Kootenai Medical Center(KMC) Full service hospital owned by residents of Kootenai County (pop.105,000) 42,601 ER visits in 2002 232 beds Idaho Dept. of Health & Welfare-Region One (IDHW) Medicaid below 133% FPG 14,000+ on Medicaid U-19 S-CHIP 133%-150% FPG 1,400+ on S-CHIP Process Improvement CollaborativeWho we are

  3. Focus-testing to date • Historical Data-applications (insert chart) • Began with renewal postcards • Small number in test cycles • Changed gears to application assistance

  4. Improvements as result of testing • CHIP TIPS-small tests around application assistance • Patient applicants • Tested positively with Social Services staff as a document for application assistance • Non-patient applicants • Tested poorly as a document to send home with families-too technical • Ready to expand to use with application assistance workers

  5. Next steps • Recent data suggests problem with closures at time of renewal • Small scale-testing • Is this a problem only at KMC? • Does this problem exist outside of test population?

  6. Next Project Aim Statement? Increase the number of renewals of KMC-assisted applications

  7. Goals for CKF-PICWhat we can do in one year • Track KMC-assisted non-patient applications • Develop streamlined application process with a feedback loop for denials/denial codes • Develop tracking method for renewal 30-60 prior to renewal date • Communicate with test population about importance of renewal • Develop KMC assistance program for renewal paperwork

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