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)