**Presented at the 2022 CMSA Annual Conference**
*** RN and CCM credits ***
In our presentation, we plan to
highlight the design of a process improvement intervention by creating
e-learning modules that are be delivered remotely, the collaboration between
learning and development and Care Management (CM) departments, and the
successful outcomes of charting improvements that also saved time and money.
Colorado Access (COA) is a private, non-profit healthcare company that is contracted
by the Colorado Department of Health Care Policy and Finance (HCPF) to offer
Care Management (CM) services to Medicaid members in the Denver Metro area.
COA’s CM department consists of 65 employees who chart in an electronic health
record. As part of a quality improvement initiative, CM leaders needed to
improve the accuracy of charting to ensure that reporting to HCPF, accurately
captures and represents the volume and quality of services the CM’s provide. We
collected baseline chart data, created and presented an audit tool and job
aides for CM staff, and developed 18 self-paced e-learning charting modules. In
the past, chart training would take place in-person with learners and
facilitators in the same room, but with the pandemic we had to find an effective
remote delivery solution to keep employees safe. It takes about 4.5 hours to
complete all modules, and each was designed to maximize learner retention. The
modules were assigned to all current and new CM’s and completed within 30 days.
A pre and post-intervention data comparison revealed a 29% increase in chart
completion (76.26% pre and 98.36% post) within 12 months. Furthermore, we calculated the modules saved
351 hours of supervisor and manager training time, equating to a savings of
$10,366.33 after subtracting the creation cost to make the modules. This was a
successful pilot that can be duplicated and scaled to other training sessions
for CM’s within and outside of COA.*** RN and CCM credits ***
OBJECTIVES:
- Recognize the importance of chart quality improvements.
- Identify vital steps in moving from in-person instruction to e-learning instruction.
- Create an outline to measure, design, implement, and evaluate a charting quality improvement and training tool for care management staff.
PRESENTERS:
Bryce Andersen, JD, RN, CCM
Jamie Zajac, BS, DC