PROVING OUR WORTH

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PROVING OUR WORTH

• Data Diving in RPMS
• Quality or Quagmire
• Donna R. Perry, FAAP, FSAM

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CSU SBHC 1

• CHINLE HIGH
• 1100-1400 students
• Opened 1997
• 4-6 half days per week
• One provider
• School supplies 2 NAs
• Multidisciplinary

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CSU SBHC 2

• PINON HIGH SCHOOL
• 450-500 students
• Opened 2001
• 2 days per month for 2 years, 3-4 days per month
  last year
• 1 Primary care provider
• School provided a nurse
• School unable to support 2004-5

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TOOLS FOR INPUT

• Location Code
• Area specific
• Service Unit specific
• Designates specific functional or physical
  location
• Chinle HS 80-81-49
• Pinon HS 80-81-90

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LUMPER OR SPLITTER

• Define work done
• Clinic Codes such as
• 10Gynecology
• 20Pediatric
• 24Well Child
• 34Physical Therapy
• 85Teen Clinic

• Define age group seen within another setting
• 85Teen Clinic

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RPMS CANNED REPORTS

• PCC
• RPT
• PCCVVisit counts by
• DATE
• CLIN
• DISC
• PROV
• DX
• LOC

• PCC
• RPT
• QA
• CVCclinic visits within a date range
• PVCprovider counts
• AUDrandom sample for chart review

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REPORTS AVAILABLE USING CANNED REPORTS
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OTHER USEFUL INPUTMake coders your best friends

• TEEN CLINIC SUPER BILL
• Standardized ICD-9
• Limit interpretation by coders
• Standardized CPT
• Limit EM codes
• PFE codes

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OUTPUT FROM SUPER BILL

• DX Codes from Teen Clinictop 5
• Immunizations
• Screening for disease
• Routine/Sport PE
• Contraception
• Injuries

• DX Codes from Hospitaltop 5
• Routine/Sport PE
• Immunizations
• Depression
• Joint pain/sprain
• URI

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POSSIBLE OUTCOMES MEASURES

• Productivity
• Needs assessments
• Provision of preventive medicine
• Early intervention services offered
• STD screening
• School related attendance for users of clinic vs
  users of hospital based clinics
• Satisfaction surveys

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RESOURCES FOR SBHC

• National Association for School Based Health Care
• The Center for Health and Health Care in Schools
• CDC School Health

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PROVEN WORTH

• Set goals
• Mission
• Vision
• Include Quality Improvement projects
• Learn to use the data to your advantage