RHCC: INC04, INC04A & INC04ART (HAB Measure-INC04, NCDHHS Measure-INC04A & RHCC Measure-INC04ART)

1. RHCC: INC04, INC04A & INC04ART(HAB Measure-INC04, NCDHHS Measure-INC04A & RHCC Measure-INC04ART) • PROBLEMS IDENTIFIED • Poor documentation /lack of proper referral mechanism • Inadequate Staff Communication • Client non-compliance (taking medication vacation) • Improper use of medications (ie. Crushing meds, missing doses, etc.) • High Client turnover • Introduction of new interface between EMR and CAREWare (January 2013) • CAREWare Data Issues • INTERVENTIONS • Increased the number of staff in program (Oct-Nov 2012) • Increased Staff and Client interactions • Increased staff internal/in-house training • Increased CAREWare training for all staff and required all to input their own data. Data must be checked by Care Coordinator • Required staff members to communicate with one another • Required labs before MD visit – initiated by provider • Required by provider that provider be give the list of clients that were delinquent in their HAB measures • New Clinic was started at Scotland County Health Department (location, decreased transportation issues and increased client access)