Fact Sheet for General Practitioner and Practice Nurses Health assessments for people with intellectual disabilities: opportunities for better health

Save this PDF as:
Size: px
Start display at page:

Download "Fact Sheet for General Practitioner and Practice Nurses Health assessments for people with intellectual disabilities: opportunities for better health"

Transcription

1 Fact Sheet for General Practitioner and Practice Nurses Health assessments for people with intellectual disabilities: opportunities for better health This document is designed to facilitate the use of the Annual Health Assessment MBS items to facilitate comprehensive healthcare of people with intellectual disabilities. People with intellectual disabilities live with complex health and social needs that are often unrecognised or inadequately treated and their consequent poor health impacts on both length and quality of life. When compared to the general population they have: 25 X the rate of epilepsy X the rate of visual impairment 11X the rate of hearing impairment 7 X the rate of dental and oral disease 4 X the rate of mental illness 3X the rate of obesity 2 X the rate of hospitalisation They also have v increased risk of nutritional and swallowing difficulties; gastro-oesophageal reflux disease & constipation; thyroid dysfunction and osteoporosis. v reduced rates of screening (Pap testing, mammography, testicular and prostate) v reduced rates of immunisation v less exercise and access to other health promotion interventions v Fewer economic and social resources Medicare funded HEALTH ASSESSMENTS (including those for People with Intellectual Disabilities) enable comprehensive assessments of health and social needs to be performed. TIME FRAMES and FEES (Aug 2011): MBS Item 701: Brief < 30 minutes. Fee $56 MBS Item 703: Standard > 30 minutes < 45 minutes. Fee $ MBS Item 705: Long > 45 minutes < 60 minutes. Fee $ MBS Item 707: Prolonged > 60 minutes. Fee $ Health Assessments may lead to a GP MANAGEMENT PLAN (MBS Item 721) and TEAM CARE ARRANGEMENTS (MBS Item 723) Note: The Comprehensive Health Assessment Program (CHAP) is used by Disability Support Workers providing care to people with intellectual disabilities in staffed accommodation funded by DHS across Victoria. It is a useful tool to facilitate the gathering of the information required for a Health Assessment.

2 PRIOR TO HEALTH ASSESSMENT. General Practice identifies a person with an intellectual disability requiring annual Health Assessment (new patient or practice recall system) contact made (by Practice Nurse when available) to patient s home to arrange appointment. OR Disability Support Worker (DSW) or family member identifies the need. The person making the appointment should state that it is for a Health Assessment to ensure an appointment of appropriate length is booked. When the patient lives in DHS funded accommodation, the DSW completes a Comprehensive Health Assessment Profile (CHAP) in collaboration with patient & family. The CHAP is a useful tool to facilitate gathering past and current health information, as are other medical and patient held records. HEALTH ASSESSMENT. (This can be performed over one or two appointments.) Practice Nurse (PN) (when available) sees patient with DSW and/or family records health information in patient file, reviews and clarifies items in Part 1 of CHAP when available, and performs and records examination items as previously arranged with GP (height, weight, BP, urinalysis etc). GP sees patient & reviews history, performs examination and formulates an Action Plan to address the patient s health issues claiming Health Assessment MBS items 703, 705 or 707. Provides Report of Health Assessment, including Action Plan, to patient, family and/or DSW as appropriate AFTER HEALTH ASSESSMENT. When indicated GP prepares General Practice Management Plan (GPMP) MBS item 721 and including health promotion and disease prevention interventions. Provides copy to patient, family and/or DSW as appropriate. When indicated GP completes Team Care Arrangements (TCA) MBS item 723 to refer to other health professionals as required. Provides copy to patient, family and/or DSW as appropriate. DSW ensures items in Health Assessment Report/Action Plan, GPMP and TCA are actioned. GP reviews patient with results of investigations, referrals etc and formulates new Action Plan as required to be implemented by patient with support of DSW. PN ensures all items in Health Assessment Report/Action Plan, GPMP and TCA have been completed and that an automatic recall has been entered in the Practice management software to ensure those supporting the patient are notified when the Health Assessment is next due.

3 Resources for further information A Guide to better Primary Healthcare for People with intellectual disabilities Healthcare Guidelines for Adults with Developmental Disabilities: The Centre for Developmental Disability Health Victoria MBS information: Health Assessments for People with an Intellectual Disability GPMP and TCA Comprehensive Health Assessment Program (CHAP) data/assets/file/0019/228106/health_care_policy_att_12_chap_ brochure.pdf Pap Tests: The Plain Facts Accessing Mental Health Services for People with Intellectual Disabilities

4 Annual Health Assessments in General Practice ~ examples in practice ~ The following examples of practices using Medicare Health Assessments are based on interviews with General Practitioners and Practice Nurses who have successfully implemented these MBS items in their practice. Practice nurses can really help with Health Assessments. General Practice A identifies patients with an intellectual disability on the GP software system. The Practice Nurse organises appointments for the annual Health Assessment. Disability Support Workers complete the Comprehensive Health Assessment Profile (CHAP) prior to the appointment so all relevant information is available at the time of the consultation. When the patient and Disability Support Workers arrive, the Practice Nurse completes the documentation for the Health Assessment within the Medical Software system; the GP reviews it during the consultation and completes a report of the Health Assessment and a copy is provided to the patient/carers. Disability Workers, in conjunction with the PN and GP, support the patient to be as actively involved in the consultation as possible. Thorough, comprehensive and up to date documentation before, during and after the consultation is extremely important because of the number of people often involved in the care of the person with the disability; this may include the patient, family, multiple Disability Support Workers, GP, PN and other health professionals and agencies. Health issues, including disease prevention and health promotion activities, are followed up in subsequent appointments. Women are offered screening for breast and cervical cancer and their need for contraception is assessed. Team Care Arrangements (TCA) are organised as needed, enabling patients to access other health professionals with costs partially covered by Medicare. The PN organises for automatic annual reminders to be sent to people with an intellectual disability for their next annual Health Assessment. Annual Health Assessments get easier and quicker - as you get to know the patients The practice population for General Practice B includes thirty people with an intellectual disabilities living in six group homes. The GP finds the CHAP provides a useful proforma for collecting information and for an Action Plan format for the Report of the Health Assessment. The GP reports that the first time he completes a Health Assessment for a new patient it takes over an hour (MBS Items 705 or 707). Subsequent health assessments tend to be shorter. The assessment includes updating medication charts and following up on known health issues. Disability Support Workers complete the CHAP prior to the consultation. This may include searching for information in archived records to ensure previous diagnoses and responses to medication are recorded. Staff may be asked to organise blood tests in advance so they can be reviewed at the time of the Health Assessment. Staff are given a copy of the Health Assessment Report/Action Plan so they know what tests and referrals are required.

5 Congenital cataracts, Vitamin D deficiency, hearing impairment (sometimes related to ear wax), reduced bone mineral density have all been detected through the Health Assessment. Medication review has resulted in reduction or cessation of some medications. In one house the GP noticed that all residents had put on weight and a referral to a Dietitian was made. The referral resulted in an improvement in diet and an increase in exercise for the residents, with subsequent weight reduction and general improvement in health and fitness. The GPs advises colleagues Health Assessments get quicker and easier as you get to know the patients and do subsequent reviews. CHAP guides you to do the Assessment just follow the prompts. They are really worth doing you tend to pick up quite a few issues that need addressing. Health Assessments help me better understand my patients issues The population of solo General Practice C includes twenty people with intellectual disabilities and complex psychiatric and mental health issues who live in a Supported Residential Services. The GP conducts one annual review each fortnight, as well as addressing acute issues as they arise. He finds most reviews take just over an hour (MBS item 707). An optometrist and an audiologist screen the residents once a year. Women with intellectual disabilities are referred to a female GP nearby for breast screens and pap tests if they prefer a female GP for these procedures. Although locums are employed at times, the GP prefers to do all Health Assessments himself as he feels this assists him understand each patient s health and social issues. People who have intellectual disability have many disadvantages over others in relation to health care...and they put more trust in us than many of our other patients In General Practice D a regionally based GP completes about 100 annual health reviews for people with an intellectual disability each year using the (CHAP). He conducts the annual health reviews over two sessions and claims MBS item 707 for a prolonged session. His Practice Nurse provides immunisation sessions for seasonal influenza and other adult vaccinations. The Disability Support Worker completes the first section of CHAP, in conjunction with the patient, and brings the completed CHAP to the appointment. Documented observations of behaviour change are important information and may indicate the patient is in distress, discomfort or pain. The GP reviews the CHAP, completes the history, performs an examination and fills in the CHAP s second section. He updates medications and vaccinations on his Medical software. Pathology tests are ordered and referrals are made, including those for vision and hearing testing. Women are referred to Breast Screen Victoria for mammography. At the second consultation the GP reviews the results of pathology and referrals and works with the patient and Disability Support Worker to design an Action Plan. The Action Plan is detailed and clearly documented as staff turnover at the patient s home means that items in the Action Plan may be misunderstood or overlooked. Health Assessments have identified low Vitamin D, haemochromatosis, breast cancer, hypertension and many cases of inactivity and obesity. The GP advises his colleagues: People with intellectual disability have many disadvantages in relation to health care. they may be unable to describe how they feel, or recognise that what they feel is abnormal

6 staff changes lead to a lack of intimate knowledge of people s normal behaviour including simple things as appetite and activity levels. they are at increased risk of obesity, diabetes, hypothyroidism, Vitamin D deficiency, hyperlipidaemia, GORD, cardiorespiratory disease, UTI and other infections I m sure I could add to the list! It is extremely satisfying to look after their health and developing a relationship with them. They put more trust in us than other patient. The annual health review pushes GPs to check beyond the acute presentation In General Practice E the GP reported that she at first found the Health Assessments time consuming as the paperwork was unfamiliar and records of epilepsy, eye and dental reviews and immunisations were incomplete. Now she conducts many Health Assessments in minutes (MBS item 703). She feels that the annual Health Assessments push her to check issues beyond the acute presentation. Once you get to know the patients, you re more likely to recognise a change in behaviour and investigate the cause. The Disability Support Worker completes the first section of the CHAP, and she reviews the history and completes the examination; You don t always get exactly the examination you want she says with a smile. You just have to be patient. An effective partnership between GP and Disability Support Workers can streamline and optimise the benefit of the Health Assessments. The GP noted that there are many disability support staff involved in supporting a person with an intellectual disability and it is therefore very important to document the Action Plan. see the person when they are well and develop a plan to keep them well. In General Practice F the GP addresses health promotion and preventive issues in the annual Health Assessment. He likes to see the person when they are well and develop a plan to keep them well. Annual Health Assessments usually take him more than 60 minutes (MBS item 707). The Disability Support Worker fills out the CHAP and the GP reviews the history, performs an examination and uses the template in Medical Director software, Health Check intel disability, to document the annual health review. The GP appreciates the CHAP being based on research and prompting him to check health issues seen more commonly in people with an intellectual disability. Use the template in Medical Director software to document the annual health review At the end of the appointment he uses Medical Director Software to print an Action Plan and medication sheets (the printed version is easier for staff to read than handwritten forms!). Support Workers make follow up appointments to check on the progress for each separate issue that arises out of the annual health review. Give a copy of the Action Plan to the resident and support workers because good communication between support staff is essential to ensure recommendations are carried out when multiple staff are involved General Practice G is a rural practice providing care to six residents with a disability in a group home. Each year the clinic sends a reminder to residents when their annual review is due.

7 At a recent review, the GP identified high cholesterol and borderline glucose intolerance. The resident was referred to a Dietitian. Support Workers and the dietitian have assisted the resident to develop and follow a meal plan and to increase physical activity. The GP reviews the resident every three months to measure changes in weight, cholesterol and glucose levels. Before and after photographs of the resident helped her recognise the progress she has made and motivate her to continue with her program. The GP has identified many cases of Vitamin D deficiency and ensures bone density tests are completed when necessary. She uses the annual health assessment to review residents medications. In one case, an overweight 26 year old woman had been on Olanzapine for seven years despite no psychotic illness having been recorded. The GP slowly reduced and finally ceased the medication over a number of months. The patient is now happier more energetic, and has returned to a normal weight. The GP says good communication and documentation between Disability Support Workers and health professionals is essential to ensure recommendations are carried out when multiple staff are involved. She uses the template in Medical Director ( Health Check intel disability ) to guide her through the Health Assessment process and to print out the Action Plan. A copy of the Action Plan is provided to the resident and Support Workers. The CHAP reminds me to think about dental, hearing and vision issues In General Practice H the GP reports that the CHAP ensures health assessments are comprehensive, and reminds her to think about dental, hearing, vision and other issues. She has also found the information provided about specific syndromes helpful in caring for her patients. She uses the recall systems in Medical Director software to ensure immunisations, thyroid function tests and breast screening are up to date. Pap smears are tricky for women with an intellectual disability who may have an unknown sexual history but she relies on her clinical judgement and works the issues through with the Disability Support Workers and family when appropriate. Another patient with Cerebral Palsy has clear indications and consent, but physically doing the Pap test was difficult. The situation has greatly improved since the practice acquired a height adjustable bed. The GP provides this advice to her colleagues in relation to Health Assessments: Ask the Disability Support Workers to collect the history, including searching archived notes and talking to the person s family, to ensure information provided in the first section of the CHAP is as comprehensive as possible. Support Workers and family members can provide valuable information about a change in behaviour that may indicate physical or mental health issues. Ask staff to the CHAP to the clinic ahead of time and book long appointment (30-60 minutes according to need). It takes time especially if the patient has communication and/or mobility issues. Ask the practice nurse to review the first section and complete as much of the second section of CHAP as possible. Support workers are very helpful in assisting the GP to communicate with the person. Don t try and do anything else but the Health Assessment in that appointment. Ask the patient to return for other issues. Print off information and Action Plans so staff know what to do. They are the ones who will be implementing Action Plan items such as increasing physical activity and good nutrition programs and ensuring the person is supported to attend appointments and reviews.

Health Check (Intellectual Disability)

Health Check (Intellectual Disability) Page 1 Health Check (Intellectual Disability) Use of a specific form to record the results of the health assessment is not mandatory but the health assessment should cover the matters listed below. The

More information

Summary of new Medicare Benefits Schedule (MBS) item numbers: general practice and allied health. Updated April 2013

Summary of new Medicare Benefits Schedule (MBS) item numbers: general practice and allied health. Updated April 2013 Summary of new Medicare Benefits Schedule (MBS) item numbers: general practice and allied health Updated April 2013 If you would like to receive this publication in an accessible format please phone (03)

More information

Preventive Care Recommendations THE BASIC FACTS

Preventive Care Recommendations THE BASIC FACTS Preventive Care Recommendations THE BASIC FACTS MULTIPLE SCLEROSIS Carlos Healey, diagnosed in 2001 The Three Most Common Eye Disorders in Multiple Sclerosis Blood Pressure & Pulse Height & Weight Complete

More information

My health action plan

My health action plan My health action plan Contents What is a health action plan? 3 Section 1 Personal information 7 Section 2 People who help me 13 Section 3 Communication 17 Section 4 Medicine 23 Section 5 My general health

More information

MBS items (10994, 10995) for Pap smears and Preventive Checks taken by a Practice Nurse on behalf of a GP

MBS items (10994, 10995) for Pap smears and Preventive Checks taken by a Practice Nurse on behalf of a GP MBS items (10994, 10995) for Pap smears and Preventive Checks taken by a Practice Nurse on behalf of a GP Medicare item numbers 10994 and 10995 apply to Pap smears and preventive checks provided by a practice

More information

How to get the most from your UnitedHealthcare health care plan.

How to get the most from your UnitedHealthcare health care plan. How to get the most from your UnitedHealthcare health care plan. Your UnitedHealthcare health care plan includes many features and benefits that help you get the care you need and enjoy better overall

More information

MedStar Family Choice Benefits Summary District of Columbia- Healthy Families WHAT YOU GET WHO CAN GET THIS BENEFIT BENEFIT

MedStar Family Choice Benefits Summary District of Columbia- Healthy Families WHAT YOU GET WHO CAN GET THIS BENEFIT BENEFIT Primary Care Services Specialist Services Laboratory & X-ray Services Hospital Services Pharmacy Services (prescription drugs) Emergency Services Preventive, acute, and chronic health care Services generally

More information

CDDH FACT SHEET. Working with people with intellectual disabilities in healthcare settings

CDDH FACT SHEET. Working with people with intellectual disabilities in healthcare settings CDDH FACT SHEET Working with people with intellectual disabilities in healthcare settings People with intellectual disabilities have the same right as other community members to access community based

More information

IN-NETWORK MEMBER PAYS. Out-of-Pocket Maximum (Includes a combination of deductible, copayments and coinsurance for health and pharmacy services)

IN-NETWORK MEMBER PAYS. Out-of-Pocket Maximum (Includes a combination of deductible, copayments and coinsurance for health and pharmacy services) HMO-OA-CNT-30-45-500-500D-13 HMO Open Access Contract Year Plan Benefit Summary This is a brief summary of benefits. Refer to your Membership Agreement for complete details on benefits, conditions, limitations

More information

If you have a question about whether MedStar Family Choice covers certain health care, call MedStar Family Choice Member Services at 888-404-3549.

If you have a question about whether MedStar Family Choice covers certain health care, call MedStar Family Choice Member Services at 888-404-3549. Your Health Benefits Health services covered by MedStar Family Choice The list below shows the healthcare services and benefits for all MedStar Family Choice members. For some benefits, you have to be

More information

LC Paper No. CB(2)626/12-13(04) For discussion on 18 February 2013. Legislative Council Panel on Health Services

LC Paper No. CB(2)626/12-13(04) For discussion on 18 February 2013. Legislative Council Panel on Health Services LC Paper No. CB(2)626/12-13(04) For discussion on 18 February 2013 Legislative Council Panel on Health Services Elderly Health Assessment Pilot Programme PURPOSE This paper briefs Members on the Elderly

More information

Health Care Reform: Using preventive care for a healthier life

Health Care Reform: Using preventive care for a healthier life HorizonBlue.com Health Care Reform: Using preventive care for a healthier life Horizon Blue Cross Blue Shield of New Jersey is committed to empowering our members with access to preventive services to

More information

PREVENTIVE HEALTHCARE GUIDELINES INTRODUCTION

PREVENTIVE HEALTHCARE GUIDELINES INTRODUCTION PREVENTIVE HEALTHCARE GUIDELINES INTRODUCTION Health Plan of Nevada and Sierra Health and Life suggest that health plan members get certain screening tests, exams and shots to stay healthy. This document

More information

Policy and Procedure Manual

Policy and Procedure Manual Policy and Procedure Manual Resident Assessment (RA) Table of Contents RA-01 RA-02 RA-03 RA-04 RA-05 RA-06 RA-07 RA-08 RA-09 RA-10 RA-11 RA-12 RA-13 Admission. History, Physicals and Routine Health Care

More information

Preventive Care Services Health Care Reform The following benefits are effective beginning the first plan year on or after Sept.

Preventive Care Services Health Care Reform The following benefits are effective beginning the first plan year on or after Sept. Coding Summary for Providers NOTE THE FOLLOWING: The purpose of this document is to provide a quick reference of the applicable codes for UnitedHealthcare plans that cover preventive care services in accordance

More information

Department of Veterans Affairs Coordinated Veterans Care Program. Information for Veterans

Department of Veterans Affairs Coordinated Veterans Care Program. Information for Veterans Department of Veterans Affairs Coordinated Veterans Care Program Information for Veterans The Coordinated Veterans Care (CVC) Program What is the CVC Program about? The CVC Program provides planned and

More information

Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64

Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64 Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64 1. BMI - Documented in patients medical record on an annual basis. Screen for obesity and offer intensive counseling and behavioral

More information

THE CLEVELAND CLINIC. personal. Health. Management. Program

THE CLEVELAND CLINIC. personal. Health. Management. Program THE CLEVELAND CLINIC personal Health Management Program Our Personal Health Management Program offers a comprehensive examination in a package tailored to meet your unique medical needs. Expert Care The

More information

Procedure Code(s): n/a This counseling service is included in a preventive care wellness examination or focused E&M visit.

Procedure Code(s): n/a This counseling service is included in a preventive care wellness examination or focused E&M visit. Coding Summary for Providers NOTE THE FOLLOWING: The purpose of this document is to provide a quick reference of the applicable codes for UnitedHealthcare plans that cover preventive care services in accordance

More information

Preventing Cervical Cancer: Increasing Women s Participation in Cervical Screening November 2012. Heidi Pavicic RN MN Clinical Nurse Consultant

Preventing Cervical Cancer: Increasing Women s Participation in Cervical Screening November 2012. Heidi Pavicic RN MN Clinical Nurse Consultant Preventing Cervical Cancer: Increasing Women s Participation in Cervical Screening November 2012 Heidi Pavicic RN MN Clinical Nurse Consultant Session overview Cervical screening participation data Review

More information

Initial Preventive Physical Examination

Initial Preventive Physical Examination Initial Preventive Physical Examination Overview The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 expanded Medicare's coverage of preventive services. Central to the Centers

More information

Routine Preventive Services. Covered by Medicare 2012

Routine Preventive Services. Covered by Medicare 2012 Routine Preventive Services Covered by Medicare 2012 Brook Golshan, CPC, ACS-EM 2/20/2012 1 Preventive Services Covered by Medicare 2012 Covered by Medicare Part B: Original/Direct Medicare Most of the

More information

Nurse Practitioner Role Primary Health Care In General Practice Setting.

Nurse Practitioner Role Primary Health Care In General Practice Setting. Nurse Practitioner Role Primary Health Care In General Practice Setting. The role of a nurse practitioner is to provide autonomous patient consultations. It also involves working in collaboration with

More information

Policy and Procedure Manual

Policy and Procedure Manual Policy and Procedure Manual Resident Assessment (RA) Table of Contents RA-01 RA-02 RA-03 RA-04 RA-05 RA-06 RA-07 RA-08 RA-09 RA-10 RA-11 RA-12 Physical Health Services Dental Services Initial Nursing Summary

More information

Preventive Services Explained

Preventive Services Explained Preventive Services Explained Medicare covers many preventive care services without charge. Most of these services have been recommended by the U.S. Preventive Services Task Force. However, which beneficiaries

More information

ACA Mandates First Dollar Coverage for Preventive Services

ACA Mandates First Dollar Coverage for Preventive Services I N F O R M A T I O N U P D A T E May 2013 ACA Mandates First Dollar Coverage for Preventive Services The Affordable Care Act (ACA) mandates that, effective for Plan Years beginning on or after Sept. 23,

More information

Case: Cerebral Palsy

Case: Cerebral Palsy Case: Cerebral Palsy A.W. is a 48 y.o. AA female with diplegic Cerebral Palsy(CP) Dysphagia, coughing, with solid foods X 3 mo. Vague generalized abdominal pain intermittently, 3 lb wt loss Seizure disorder

More information

Physical Health Care Within Mental Health Services

Physical Health Care Within Mental Health Services Department of Health, NSW 73 Miller Street North Sydney NSW 2060 Locked Mail Bag 961 North Sydney NSW 2059 Telephone (02) 9391 9000 Fax (02) 9391 9101 http://www.health.nsw.gov.au/policies/ Physical Health

More information

NHS Continuing Healthcare

NHS Continuing Healthcare NHS Continuing Healthcare Questionnaire In association with Questionnaire 1. Full name of patient 2. Home address (prior to transfer into care home if applicable) 3. Patient s Date of Birth 4. Patient

More information

G:\ CDM\BHCIG Diabetes Pathway FINAL September 05.doc 1

G:\ CDM\BHCIG Diabetes Pathway FINAL September 05.doc 1 G:\ CDM\BHCIG Diabetes Pathway FINAL September 05.doc 1 BHCiG: TYPE 2 DIABETES MANAGEMENT PATHWAY MODEL INTRODUCTION What is the aim of the model? To improve the capacity of primary care health practitioners

More information

Quality summary report:

Quality summary report: Quality summary report: PMS Practices CLCH Quality Report Jan Dec 2011 Service exact name Personal Medical Services Practices Address line 1 Address line 2 Town/city County Postcode No. beds Website London

More information

GP & Community Nursing Services

GP & Community Nursing Services GP & Community Nursing Services What do these services comprise? General Medical Practitioners (GP) A GP is your local personal NHS doctor. If you are ill or worried about your health or the health of

More information

Medicare s Preventive Care Services. Manage Your Chronic Kidney Disease (CKD stages 3-4) with Diet

Medicare s Preventive Care Services. Manage Your Chronic Kidney Disease (CKD stages 3-4) with Diet s Preventive Care Services Manage Your Chronic Kidney Disease (CKD stages 3-4) with Diet What do the kidneys do? Your kidneys have important jobs to do in your body. Two of the kidneys most important jobs

More information

This notice provides a safe harbor for preventive care benefits allowed to. be provided by a high deductible health plan (HDHP) without satisfying the

This notice provides a safe harbor for preventive care benefits allowed to. be provided by a high deductible health plan (HDHP) without satisfying the Part III - Administrative, Procedural, and Miscellaneous Notice 2004-23 PURPOSE This notice provides a safe harbor for preventive care benefits allowed to be provided by a high deductible health plan (HDHP)

More information

Wellness Programme. Business Leader

Wellness Programme. Business Leader Wellness Programme Business Leader Introducing a fitter, healthier, happier Tesco Welcome to your Wellness Programme Your Wellness Programme Without doubt one of the most important decisions you can make,

More information

Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over

Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over 1. BMI - Documented in patients medical record on an annual basis up to age 74. Screen for obesity and offer counseling to encourage

More information

PREVENTIVE MEDICINE AND SCREENING POLICY

PREVENTIVE MEDICINE AND SCREENING POLICY REIMBURSEMENT POLICY PREVENTIVE MEDICINE AND SCREENING POLICY Policy Number: ADMINISTRATIVE 238.13 T0 Effective Date: January 1, 2016 Table of Contents APPLICABLE LINES OF BUSINESS/PRODUCTS... APPLICATION...

More information

Health Care. Policy and Procedures

Health Care. Policy and Procedures Health Care Policy and Procedures Final 1.1 Accommodation Policy and Development Directorate Ageing, Disability and Home Care, Department of Family and Community Services NSW March 2007, amended September

More information

IS HERE OPEN ENROLLMENT EMPLOYEE BENEFITS TIME TO MAKE YOUR BENEFIT CHOICES. BAYADA Home Health Care Employee Benefits

IS HERE OPEN ENROLLMENT EMPLOYEE BENEFITS TIME TO MAKE YOUR BENEFIT CHOICES. BAYADA Home Health Care Employee Benefits 2015 OPEN ENROLLMENT IS HERE EMPLOYEE BENEFITS TIME TO MAKE YOUR BENEFIT CHOICES BAYADA Home Health Care values the contributions of our employees. In appreciation of your dedicated service, BAYADA Home

More information

Cervical Cancer. What you should know. making cancer less frightening by enlightening

Cervical Cancer. What you should know. making cancer less frightening by enlightening Cervical Cancer What you should know making cancer less frightening by enlightening cervical cancer the facts Around 325 women are diagnosed with cervical cancer in Ireland each year It is the most common

More information

Prevents future health problems. You receive these services without having any specific symptoms.

Prevents future health problems. You receive these services without having any specific symptoms. Preventive Care To help you live the healthiest life possible, we offer free preventive services for most Network Health members. Please refer to your member materials, which you received when you enrolled

More information

Recall and Reminder Policy and Procedure Manual Best Practice

Recall and Reminder Policy and Procedure Manual Best Practice 2010 Recall and Reminder Policy and Procedure Manual Best Practice Contains the practice policy plus all relevant procedures Tracey Roebuck [GP Association of Geelong] 1/9/2010 1 TABLE OF CONTENTS RECALL

More information

Medicare. Orientation Guide

Medicare. Orientation Guide Medicare Orientation Guide Your Medicare Orientation Guide At MCS Classicare (HMO), we take care of you so you feel better every day. That s why we want to get you familiar and provide you with the tools

More information

CLOSING THE GAP IMPROVING INDIGENOUS ACCESS TO MAINSTREAM PRIMARY CARE

CLOSING THE GAP IMPROVING INDIGENOUS ACCESS TO MAINSTREAM PRIMARY CARE CLOSING THE GAP IMPROVING INDIGENOUS ACCESS TO MAINSTREAM PRIMARY CARE FREQUENTLY ASKED QUESTIONS SECTION ONE: SECTION TWO: Determining Patient of Aboriginal and Torres Strait Island Descent. PIP Indigenous

More information

Nurse Advice Line 1-877-813-1417

Nurse Advice Line 1-877-813-1417 Do you have a health question? Speak with a RN for free! Contact a registered nurse any time, day or night, for answers to your health questions. nurses can help when: You re unsure if you need to visit

More information

Medicare & Dual Options. 1. Every page of the EMR document must include: a. Member Name b. Patient Identifiers (i.e. Date of Birth) c.

Medicare & Dual Options. 1. Every page of the EMR document must include: a. Member Name b. Patient Identifiers (i.e. Date of Birth) c. Medicare & SUBMITTING PROGRESS NOTES OR EMR You may use your own progress notes or Electronic Medical Record (EMR) to document the annual comprehensive examination. The EMR must include the elements indicated

More information

PASSPORT TO WOMEN S HEALTH

PASSPORT TO WOMEN S HEALTH PASSPORT TO WOMEN S HEALTH Introduction W omen are extraordinary. Daughters, sisters, mothers, aunts, cousins, friends, wives. Saint John s Health Center recognizes the importance of women and that women

More information

Preventive Services at 100%

Preventive Services at 100% September 1, 2014 Update Preventive Care Services Covered Without Cost-sharing Without Copay, Coinsurance or Deductible The Affordable Care Act (ACA) requires non-grandfathered health plans and policies

More information

Radiology Business Management Association Technology Task Force. Sample Request for Proposal

Radiology Business Management Association Technology Task Force. Sample Request for Proposal Technology Task Force Sample Request for Proposal This document has been created by the RBMA s Technology Task Force as a guideline for use by RBMA members working with potential suppliers of Electronic

More information

Diabetes Brief. Pre diabetes occurs when glucose levels are elevated in the blood, but are not as high as someone who has diabetes.

Diabetes Brief. Pre diabetes occurs when glucose levels are elevated in the blood, but are not as high as someone who has diabetes. Diabetes Brief What is Diabetes? Diabetes mellitus is a disease of abnormal carbohydrate metabolism in which the level of blood glucose, or blood sugar, is above normal. The disease occurs when the body

More information

Information Guide For GPs and Practice Nurses

Information Guide For GPs and Practice Nurses Information Guide For GPs and Practice Nurses What is HEAL? HEAL is an 8-week lifestyle modification program that supports people to develop lifelong healthy eating and physical activity habits. The program

More information

Health care reform update

Health care reform update Preventive services coverage Kaiser Foundation Health Plan of the Northwest has always offered broad, affordable coverage options that encourage members to seek care before a health condition becomes serious.

More information

The National Survey of Children s Health 2011-2012 The Child

The National Survey of Children s Health 2011-2012 The Child The National Survey of Children s 11-12 The Child The National Survey of Children s measures children s health status, their health care, and their activities in and outside of school. Taken together,

More information

THE ROWANS SURGERY MEDICAL HISTORY QUESTIONNAIRE MALE & FEMALE 18+

THE ROWANS SURGERY MEDICAL HISTORY QUESTIONNAIRE MALE & FEMALE 18+ THE ROWANS SURGERY MEDICAL HISTORY QUESTIONNAIRE MALE & FEMALE 18+ Surname: First Name: Date of Birth: NHS Number: / / Mobile Telephone No: Male / Female If you wish to sign up for Vision On-Line services

More information

Information for you Abortion care

Information for you Abortion care Information for you Abortion care Published in February 2012 This information is for you if you are considering having an abortion. It tells you: how you can access abortion services the care you can expect

More information

Medical and Allied Health Rebates and Financial Assistance

Medical and Allied Health Rebates and Financial Assistance This fact sheet was compiled in August 2011 to assist carers of children and adults with a disability; some of the information will be relevant to others also. It contains a range of information gathered

More information

DIABETES MELLITUS. By Tracey Steenkamp Biokineticist at the Institute for Sport Research, University of Pretoria

DIABETES MELLITUS. By Tracey Steenkamp Biokineticist at the Institute for Sport Research, University of Pretoria DIABETES MELLITUS By Tracey Steenkamp Biokineticist at the Institute for Sport Research, University of Pretoria What is Diabetes Diabetes Mellitus (commonly referred to as diabetes ) is a chronic medical

More information

Greater Tompkins County Municipal Health Insurance Consortium

Greater Tompkins County Municipal Health Insurance Consortium WHO IS COVERED Requires Covered Member to be Enrolled in Both Medicare Parts A & B Type of Coverage Offered Single only Single only MEDICAL NECESSITY Pre-Certification Requirement Not Applicable Not Applicable

More information

Preventive Services for Pregnancy SERVICE WHAT IS COVERED INTERVALS OF COVERAGE Anemia Screening Screening Annual screening for pregnant women

Preventive Services for Pregnancy SERVICE WHAT IS COVERED INTERVALS OF COVERAGE Anemia Screening Screening Annual screening for pregnant women Preventive Services for Pregnancy SERVICE WHAT IS COVERED INTERVALS OF COVERAGE Anemia Annual screening for pregnant women Bacteriuria For pregnant women at 12-16 weeks gestation or first prenatal visit

More information

Changes in the Healthcare Delivery for Seniors and Persons with Disabilities

Changes in the Healthcare Delivery for Seniors and Persons with Disabilities Changes in the Healthcare Delivery for Seniors and Persons with Disabilities Provider Training July 28, 2011 Lisa Hayes Manager, Senior and Disability Services Molina Healthcare Introduction I. 1115 Waiver

More information

Application For Admission To The Non-Surgical Spinal Decompression Program At The Spinal Decompression Center of Long Beach

Application For Admission To The Non-Surgical Spinal Decompression Program At The Spinal Decompression Center of Long Beach Application For Admission To The Non-Surgical Spinal Decompression Program At The Spinal Decompression Center of Long Beach If you are reading this form, you have qualified for a consultation with Dr.

More information

Service Skills Australia. Fitness Training Package Consultation. April 2014

Service Skills Australia. Fitness Training Package Consultation. April 2014 Service Skills Australia Fitness Training Package Consultation April 2014 The Dietitians Association of Australia (DAA) is the national association of the dietetic profession with over 5500 members, and

More information

Polycystic ovary syndrome: what it means for your long-term health

Polycystic ovary syndrome: what it means for your long-term health Polycystic ovary syndrome: what it means for your long-term health Information for you Published in February 2005, minor amendments in June 2005 Revised 2009 What is polycystic ovary syndrome? Polycystic

More information

Greater Tompkins County Municipal Health Insurance Consortium

Greater Tompkins County Municipal Health Insurance Consortium WHO IS COVERED Requires both Medicare A & B enrollment. Type of Coverage Offered Single only Single only MEDICAL NECESSITY Pre-Certification Requirement None None Medical Benefit Management Program Not

More information

Position Statement Weight Loss Surgery (Bariatric Surgery) and its Use in Treating Obesity or Treating and Preventing Diabetes

Position Statement Weight Loss Surgery (Bariatric Surgery) and its Use in Treating Obesity or Treating and Preventing Diabetes Position Statement Weight Loss Surgery (Bariatric Surgery) and its Use in Treating Obesity or Treating and Preventing Diabetes People with diabetes Losing excess weight will assist in the management of

More information

Submission by the Irish Pharmacy Union to the Department of Health on the Scope for Private Health Insurance to incorporate Additional Primary Care

Submission by the Irish Pharmacy Union to the Department of Health on the Scope for Private Health Insurance to incorporate Additional Primary Care Submission by the Irish Pharmacy Union to the Department of Health on the Scope for Private Health Insurance to incorporate Additional Primary Care Services January 2015 1 IPU Submission to the Department

More information

POINCIANA INTERNAL MEDICINE PA. Patient Name: Social Security Number: Date of Birth: / / Sex: M/F (Circle One) Married/Single/Divorced/Widow Address:

POINCIANA INTERNAL MEDICINE PA. Patient Name: Social Security Number: Date of Birth: / / Sex: M/F (Circle One) Married/Single/Divorced/Widow Address: Patient Name: Social Security Number: Date of Birth: / / Sex: M/F (Circle One) Married/Single/Divorced/Widow Address: (Street) (City/State/Zip) Home Phone: ( ) E Mail Address: Would you be interested in

More information

Helen Peake-Godin MN RN University of Southern Maine College of Science, Technology, and Health School of Nursing

Helen Peake-Godin MN RN University of Southern Maine College of Science, Technology, and Health School of Nursing Helen Peake-Godin MN RN University of Southern Maine College of Science, Technology, and Health School of Nursing History of Sagamore Village Health Center Brief Overview The Sagamore Health Center, developed

More information

1960 Ogden St. Suite 120, Denver, CO 80218, 303-318-3840

1960 Ogden St. Suite 120, Denver, CO 80218, 303-318-3840 Dear Valued Patient, 1960 Ogden St. Suite 120, Denver, CO 80218, 303-318-3840 Thank you for choosing Denver Medical Associates as your healthcare provider. We strive to provide you with the best possible

More information

Steps to getting a diagnosis: Finding out if it s Alzheimer s Disease.

Steps to getting a diagnosis: Finding out if it s Alzheimer s Disease. Steps to getting a diagnosis: Finding out if it s Alzheimer s Disease. Memory loss and changes in mood and behavior are some signs that you or a family member may have Alzheimer s disease. If you have

More information

Sandra K. Houser, APRN, MSN

Sandra K. Houser, APRN, MSN Sandra K. Houser, APRN, MSN Every child deserves a medical home American Academy of Pediatrics American Academy of Family Physicians American Osteopathic Association National Association of Nurse Practitioners

More information

Primary and Acute Medical Services

Primary and Acute Medical Services Primary and Acute Medical Ambulance Medically necessary emergent ground and air ambulance transport. Air (fixed wing and air) ambulance Ground ambulance Chemotherapy Outpatient hospital for radiation therapy

More information

Group Benefits Evidence of Insurability for Comprehensive Optional Critical Illness Insurance

Group Benefits Evidence of Insurability for Comprehensive Optional Critical Illness Insurance Group Benefits Evidence of Insurability for Comprehensive Optional Critical Illness Insurance INSTRUCTIONS - Please print all answers If required, retain a photocopy for your files. 1a) Plan contract number(s)

More information

Flexible health insurance plans that work around you

Flexible health insurance plans that work around you Please note: these documents are for illustration purposes only, are updated from time to time and do not form part of any contract with us. To be sure that you are using the most upto-date and correct

More information

2015 Medicare Advantage Summary of Benefits

2015 Medicare Advantage Summary of Benefits 2015 Medicare Advantage Summary of Benefits HNE Medicare Premium No Rx and HNE Medicare Basic No Rx January 1, 2015 - December 31, 2015 H8578_2015_034 Accepted HNE MEDICARE ADVANTAGE ENROLLMENT KIT 2015

More information

Directed Enhanced Service to provide health checks for people with Learning Disabilities

Directed Enhanced Service to provide health checks for people with Learning Disabilities Directed Enhanced Service to provide health checks for people with Learning Disabilities 1. Introduction This is a Directly Enhanced Service for the provision of health checks for people with learning

More information

Commissioning fact sheet for clinical commissioning groups

Commissioning fact sheet for clinical commissioning groups Commissioning fact sheet for clinical groups July 2012 This fact sheet sets out the services to be commissioned by clinical groups (CCGs) from April 2013. It also sets out the complementary services to

More information

APPENDIX C Description of CHIP Benefits

APPENDIX C Description of CHIP Benefits Inpatient General Acute and Inpatient Rehabilitation Hospital Unlimited. Includes: Hospital-provided physician services Semi-private room and board (or private if medically necessary as certified by attending)

More information

Preventive Health Guidelines

Preventive Health Guidelines Preventive Health Guidelines As of April 2010 What is your plan for better health? Make this year your best year for overall wellness. Your health benefits plan may cover early detection screenings and

More information

Faculty and Staff Health Promotion

Faculty and Staff Health Promotion Faculty and Staff Health Promotion Has a district-level faculty and staff health promotion coordinator Requires each school to have a faculty and staff health promotion coordinator Provided funding for

More information

Michigan Electrical Employees Health Plan Benefits & Eligibility-at-a Glance Supplement to Medicare - Medicare Enrollees

Michigan Electrical Employees Health Plan Benefits & Eligibility-at-a Glance Supplement to Medicare - Medicare Enrollees Medicare Coverage BCBSM Supp Coverage Preventive Services 12 months, if age 50 and older Colonoscopy - one per calendar year 1 0 years (if at high risk every 24 months) approved amount**, once per flu

More information

Welcome Letter - School Based Health Center

Welcome Letter - School Based Health Center Regional Alliance for Welcome Letter - School Based Health Center NOT A MEDICAL RECORD DOCUMENT Dear Student/Parent or Guardian: Regional Alliance for is unique school-based health centers providing services

More information

Medicare Health Risk Assessment Questionnaire

Medicare Health Risk Assessment Questionnaire Medicare Health Risk Assessment Questionnaire Instructions: Please complete and return it in the self-addressed stamped envelope provided. If you have questions or need help completing the questionnaire,

More information

Certificate Course in Woman & Child Nutrition

Certificate Course in Woman & Child Nutrition Certificate Course in Woman & Child Nutrition The aims and objectives of this course are: Section 1 Understand various stages throughout lifecycle of women Describe Nutritional requirements throughout

More information

Cultivating Employee Health and Wellness. Xiaoxue Huang, MD Beijing United Family Hospital and Clinics November 20, 2014

Cultivating Employee Health and Wellness. Xiaoxue Huang, MD Beijing United Family Hospital and Clinics November 20, 2014 Cultivating Employee Health and Wellness Xiaoxue Huang, MD Beijing United Family Hospital and Clinics November 20, 2014 Dr. Xiaoxue Huang Internal Medicine physician from the US Speaks English and Mandarin

More information

COMMUNITY HEALTH FAIRS

COMMUNITY HEALTH FAIRS East Tennessee State University / Hawkins County Community Partnership Program COMMUNITY PROJECTS COMMUNITY HEALTH FAIRS Men=s Health Fairs $ Held 1995-1999 for county industrial workers. $ Focused on

More information

MILLRISE MEDICAL PRACTICE NEW PATIENT REGISTRATION/HEALTH QUESTIONNAIRE

MILLRISE MEDICAL PRACTICE NEW PATIENT REGISTRATION/HEALTH QUESTIONNAIRE MILLRISE MEDICAL PRACTICE NEW PATIENT REGISTRATION/HEALTH QUESTIONNAIRE PLEASE COMPLETE THIS FORM IN BLOCK CAPITALS. To register with the Practice please complete this questionnaire as fully as possible.

More information

Division of Member Services

Division of Member Services 2014 Division of Member Services Table of Contents This booklet provides a brief overview of the Arizona Health Care Cost Containment System (AHCCCS); Arizona s Medicaid Agency and State Children s Health

More information

About public outpatient services

About public outpatient services About public outpatient services Frequently asked questions What are outpatient services? Victoria s public hospitals provide services to patients needing specialist medical, paediatric, obstetric or surgical

More information

National Mental Health Commission Review of Mental Health Programs Australian Primary Health Care Nurses Association (APNA) April 2014

National Mental Health Commission Review of Mental Health Programs Australian Primary Health Care Nurses Association (APNA) April 2014 National Mental Health Commission Review of Mental Health Programs Australian Primary Health Care Nurses Association (APNA) April 2014 For further information and comment please contact Kathy Bell, Chief

More information

People centred research for people centred health system: translating preventive evidence into practice

People centred research for people centred health system: translating preventive evidence into practice People centred research for people centred health system: translating preventive evidence into practice Mark Harris, UNSW Outline Using three examples from our own work: An approach to working with practitioners

More information

Cerebral palsy can be classified according to the type of abnormal muscle tone or movement, and the distribution of these motor impairments.

Cerebral palsy can be classified according to the type of abnormal muscle tone or movement, and the distribution of these motor impairments. The Face of Cerebral Palsy Segment I Discovering Patterns What is Cerebral Palsy? Cerebral palsy (CP) is an umbrella term for a group of non-progressive but often changing motor impairment syndromes, which

More information

Iowa s Maternal Health, Child Health and Family Planning Business Plan

Iowa s Maternal Health, Child Health and Family Planning Business Plan Iowa s Maternal Health, Child Health and Family Planning Business Plan CHILD HEALTH Who we are... A public-private partnership that... Promotes access to regular preventive health care services for children

More information

Integrated Medical Services (IMS) New Patient Registration Sheet

Integrated Medical Services (IMS) New Patient Registration Sheet Personal Information Today s Date: Patient First Name: Initial: Last Name: DOB: Age: Social Security #: Email: Address: Street Apt # City/State/Zip Home Phone: Work Phone: Cell phone: Gender : M F Language:

More information

Aetna Life Insurance Company

Aetna Life Insurance Company Aetna Life Insurance Company Hartford, Connecticut 06156 Amendment Policyholder: Group Policy No.: Effective Date: UNIVERSITY OF PENNSYLVANIA POSTDOCTORAL INSURANCE PLAN GP-861472 This Amendment is effective

More information

CIGNA International Healthcare Plans

CIGNA International Healthcare Plans C I G N A I N T E R N A T I O N A L E X P A T R I A T E S B E N E F I T S CIGNA International Healthcare Plans Your expatriate employees and their eligible family members have access to the health care

More information

Barwon Medicare Local Annual Plan 2014-2015

Barwon Medicare Local Annual Plan 2014-2015 Barwon Medicare Local Annual Plan 2014-2015 Strategic Directions All Barwon Medicare Local activities are underpinned by our organisational vision of well connected health systems in our community. Barwon

More information

Meeting the Needs of Aging Persons. Aging in Individuals with a

Meeting the Needs of Aging Persons. Aging in Individuals with a Meeting the Needs of Aging Persons with Developmental Disabilities Cross Network Collaboration for Florida Aging in Individuals with a Developmental Disability Module 3 Based on ADRC training developed

More information

Your guide to better health Grow healthy. Live well.

Your guide to better health Grow healthy. Live well. Your guide to better health Grow healthy. Live well. FREDERICK COUNTY PUBLIC SCHOOLS Look Inside Where do I go for health tools and resources? How can I get and stay healthy? What mobile applications are

More information

The Ridge Medical Practice JOB DESCRIPTION

The Ridge Medical Practice JOB DESCRIPTION The Ridge Medical Practice JOB DESCRIPTION 1. POST TITLE: Practice Nurse 2. DEPARTMENT: Nursing 3. LOCATION: Great Horton/Wibsey/Manningham and Buttershaw 4. BAND: 6 Equivalent 5. HOURS: Full/Part time

More information