pbhci grantee technical assistance - physical health indicator data jam session friday, february 11,...
TRANSCRIPT
PBHCI Grantee Technical Assistance - Physical Health Indicator Data Jam Session
Friday, February 11, 2011
1:00 PM - 2:00 PM EST
If you dialed in to this webinar on your phone please use the “raise your hand” button and we will open up your lines for you to ask your question to the group. (left)
If you are listening to this webinar from your computer speakers, please type your questions into the question box and we will address your questions. (right)
Purpose
Describe collection of physical health (PH) indicators
PH Indicators are specific to the PBHCI program i.e., not relevant to your other SAMHSA grants
SAMHSA Primary and Behavioral Health Care Integration (PBHCI) Data Requirements*
PBHCI-related Information/Data
Clinical Registry Quarterly ReportsIPP and NOMs
(to include physical healthcareindicators by March 2011)
RAND PBHCI SharepointSite**
TRAC Website***
*Contact Emma Green at the SAMHSA/HRSA Center for Integration Health Solutions (CIHS), [email protected], with questions.**The RAND PBHCI Sharepoint Site is a secure, HIPAA-compliant, project-specific web-site via which de-identified, patient-level health care utilization data from your local community behavioral healthcare center will be uploaded. In addition, we ask that you submit your Quarterly Reports (for review by your SAMHSA GPO) to this site. **The TRAC system is a web-based data entry and reporting system that provides a data repository for CMHS program performance measures. Performance measures are collected as part of CMHS effort to promote accountability within its programs. This effort is mandated by the Government and Performance Results Act (GPRA) and the Office of Management and Budget’s (OMB) Program Analysis Review Tool (PART).
What are PBHCI PH indicators?Required Recommended
Mechanical Measures
Height
Weight
Body Mass Index (BMI)
Blood Pressure (BP)
Waist Circumference
Breath Carbon Monoxide (CO)
Blood Work
Fasting glucose / HbA1c
Triglycerides
HDL Cholesterol
LDL Cholesterol
Total Cholesterol
Why are some items recommended?
Your contract with SAMHSA requires that you collect some PH indicators
Recommended items are consistent with good clinical careWaist circumference: Metabolic syndromeBreath CO: Tobacco smoke exposure
Recommended items help you / SAMHSA monitor the health of your consumers
PH Indicators FAQs
Q: What is the difference between “lipid panel” and “blood work”?
A: Lipid panel is a blood test that includes triglycerides, total cholesterol, HDL, and LDLLipid panel does not include glucose or A1cBlood work refers to any diagnostic testing performed on the
fluids or cells of peripheral blood, including lipid panel, glucose and A1c
PH Indicators FAQs
Q: Which is better to collect: A1c or glucose?
A: A1cA1c is the standard tool to monitor sugar control in patients
with diabetesA1c is becoming the new standard for screening patients for
diabetes– More convenient than glucose test
PH Indicators FAQs
Q: Why collect waist circumference?
A: Although waist circumference and BMI are related, waist circumference is an independent predictor ofType 2 diabetes, dislipidemia, hypertension, and
cardiovascular disease
over and above BMIThis is especially true for patients who are normal
weight or overweight according to BMI, Asians, or older adults
Collecting and Reporting PH IndicatorsNext slide has a timeline for collecting and reporting PH
indicators
Timing of collecting and reporting is not the sameMechanical indicators need to be collected more often than
they are entered in TRAC– Per specifications of your contract with SAMHSA
Reporting of PH indicators coincides with NOMS interview
MC = Mechanical indicators: Collect and store in medical recordsMT = Mechanical indicators: collect, store in medical records, and enter in TRAC BT = Blood work: collect, store in medical records, and enter in TRAC NOMS = NOMS survey, enter in TRAC
Collecting and Reporting PH Indicators
Intake3 Months
6 Months
9 Months
12 Months
Discharge
MTBT
NOMS
MC MTBT
NOMS
MTBT
NOMS
MCMTNOMS
same pattern continues
until…
PH Indicators FAQs
Q: When can I start entering PH indicators into TRAC?A: End of March, 2011
Pending: (1) the TRAC system is fully functional, and (2) data collection is approved by OMB
TRAC Help will notify you when you can begin entering PH indicators in TRAC. TRAC Help will also send explicit instructions about how to enter and edit PH indicators data
PH Indicators FAQs
Q: Where do I enter PH Indicators in TRAC?
A: Section HSection H is for individual programs to collect program-specific
data. In the future, other grants may include a Section H that
contains different data items
PH Indicators FAQs
Q: When should I start collecting PH indicators?
A: As soon as you start enrolling patients into your PBHCI programYour contract with SAMHSA stipulates that you will collect PH
indicators for all PBHCI clients quarterly (mechanical measures) and annually (blood work) throughout the life of your grant
PH Indicators FAQs
Q: How should I collect (and maintain records) of PH indicators before the TRAC system is ready?
A: Use the form on the next slide as a guideUse the forms directly or build a database to house the
information.
PH indicators data will ultimately be entered into TRAC by hand. Your data collection and storage system should facilitate easy data entry once the TRAC system is ready.
When TRAC Section H is ready, you will be able to edit old interviews and add the PH indicators data
Missing PH Indicators Data
Missing PH indicators data can be marked in TRAC in two ways:
1. Refused
2. Missing
Don’t forget to note missing data on your forms/ database for later entry into TRAC!
PH Indicators FAQs
Q: If the consumer does not fast for 8h, should we still obtain the blood sample?
A: Yes.Note on the form that the fast wasn’t completed and record the
value of the non-fasting glucose test
PH Indicators FAQs
Q: Do all PH indicators data need to be entered at the same time as the NOMS?
A: NoPH indicators data is often collected at the same time as the
NOMs (see timeline) but blood work might not be back from the lab right away
Unlike other data, you can enter blood work data into TRAC at a later date.
Help?Q: Who should I contact for help with PH indicators? Contact Emma or Jeff at the Center for Integrated Health
Solutions for questions about content or [email protected]@thenationalcouncil.org
Contact TRAC Help for questions about data entry for section H and all other sections of TRACTRAC Help Desk, [email protected] 1-888-219-0238 Hours: M-F 8:30 AM - 7PM (ET)