CENTER FOR PREVENTION AND HEALTH PROMOTION Maternal and Child Health Oregon MothersCare Web-based Tracking Interface (WTI)

CENTER FOR PREVENTION AND HEALTH PROMOTIONMaternal and Child Health

Oregon MothersCare

Web-based Tracking Interface

(WTI)

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• Developed in 2000 (Thanks, Nurit!)

• Acts as the “Front Door” to obtaining prenatal care and services, along with OHP. Patient Navigation/Case management services. 

Oregon MothersCare

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OMC Services

•Pregnancy Testing

•OHP application assistance / Expedited OHP approval

•Prenatal needs assessment & referral to PNC  

•Referral for maternity case management/home visiting services, WIC, Dental care, and other prenatal services as needed

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Expedited application process for Oregon Health Plan

Oregon MothersCare appointment

Referrals to:MCMWIC

Dental CareTobacco Cessation

Alcohol TxDV Advocates

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Early prenatal care

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Klamath Open DoorLane LincolnLinnMalheurMarion MorrowNorth CentralOpening Doors, Washington CountySalem HospitalSamaritan HospitalSilverton Health Community Outreach ClinicSantiam HospitalTreasure Valley Women’s ClinicWallowa

BakerBentonClackamas ColumbiaCoosCrookCurryDeschutes Douglas GrantHood RiverJacksonJeffersonJosephine

OMC sites are in several county health departments, hospitals and clinics

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Improving OMC data transfer and tracking

Reducing time from OMC appointment to OHP approval/Improving OMC-OHP Processes

Reducing time between OMC first contact and Prenatal Appointment

OMC’s Quality Improvement Process

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Trong Nguyen

ASTHO Quality Improvement process(Association of State and Territorial Health Officials )

Performance Management Program

Web-based Tracking Interface

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OMC tracking forms

Each site sends a one-page tracking form to the state OMC office for each client.

Problems:Required faxing and maintaining reams of paper documents

All information had to be manually input from paper forms into a database

Required OMC staff to call/email local sites to get any missing information

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(CENTER FOR PREVENTION AND HEALTH PROMOTION

Maternal and Child Health

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Clients served in 2011 4,279Fax sheets 8,558Reams of paper at 500 sheets per ream 17Number of reams per tree 16.67Trees saved per year 1.03

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OMC Staff Contacted for Corrections on Forms

(Enter) DEPARTMENT (ALL CAPS)(Enter) Division or Office (Mixed Case)

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Trong: WTI Interface Description

FileMaker Pro

How local sites input data

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Valerie: TrainingVideoManual

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QI Swim lane diagram - OMC client tracking

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Month of September 2012Participating counties:

Clackamas County Community Health DivisionLinn County Public Health Klamath Open Door Family PracticeCoos County Public HealthJackson County Public Health ServicesLane County Public Health

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Pilot Testing

Feedback and Improvements

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Conference call meetings with counties

Which browser to use?Moving from field to fieldPrinting recordsSites with custom formsAdded features requested

Survey of pilot sites

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Reactions to the new system

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CENTER FOR PREVENTION AND HEALTH PROMOTION

Maternal and Child Health

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Full WTI Implementation

January 2, 2013

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Maternal and Child Health

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OMC staff:•Log data•Track paper forms•Organize•QA•Manage data for 26 sites•Lots of communication with sites

•Reduced staff time on data entry•Staff can focus on QA, troubleshooting, fielding questions•Local sites more accountable for their own data

BEFORE

AFTER

OMC Missing DataJan 2012 – Mar 2013

Thanks to…

• Cate Wilcox• Lydia Emer• Matt Gilman• Spencer Soderlind• Marnie Mason• Meuy Swafford• Shawn Messick• Britt Parrott• Nurit Fischler• Consulting OMC Counties• OMC Team in MCH

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Comments? Questions?

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