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Maternal Child - Family Health Information and Technology Company
                             Since 1997
A Complete System
                                      Of Care Management




   The program and case management enterprise system for
the new generation of maternal child and family health programs.
Birth Forward ….system that manages and tracks the
interaction of individuals and families with programs and
services over the course of their lives.

A single program can stand alone or coexist with other programs as a collaborative
enterprise while providing common intake paths, managing services and activities
in complex family situations, common family support plans as a family-centered
process. WFS reduces duplication of services, increases knowledge of client risks
and needs, reduces the chance of clients “falling through the cracks”, streamlines
the process of delivering services and contributes to economy and efficiency.

                WFS is a powerful suite of tools and resources that manage
                multiple aspects of maternal child and family health programs
                and case management delivery systems in a drill-down
                capacity from a “lead” perspective to individual providers and
                case worker levels on any capacity.
Everything Can Be Connected
                                                    2
                                                Families connect to POC,
    1                                              Outreach, Groups
   WFS Program, Case and
  Family Management System




        Healthcare,                                     Inter Agency
          EHR                                            Operations

     5                   Information, Research,         3
                        Evidence Sharing & Policy

                             4
A Complete System of Care
                              Provide Direct
                                 Services
     Manage Programs
     and Organizations      Refer and Follow
                              Up Services
      Central Referral
     and Intake Process     Screenings, Tools
                            and Assessments
     Manage Contacts,
     Outreach, People         Direct Client or
                            Group Participation
     Engagement, Home
                             Invoicing, Billing,
      and Other Visits
                            Time Management

                               Reporting,
                              Accountability
People, Program, Services and Communities
            What is the WFS equation?



            + relationships
          X programs + services

                  TIME = WFS



  The total Well Family experience is:

  • The relationship of people and families
  • Their interaction with programs and services
  • Their interaction with the community

             OVER TIME!
It Is ALL Connected


There are “binders” that
connect people, families and
relationships to each other




                               BIOLOGICAL
                                RELATIVES
                                 LEGAL
                                  CULTURAL
It Is ALL Connected




And a community is the
  sum total of all of the
programs, services and
 resources available to
  people and families.
It Is ALL Connected




   A Family is a Social Network!
A community is a network of families,
     programs and services!
WFS is activity, risk factor, event and timeline driven, offering interactive calendars,
extensive ticklers and other tools that manage program requirements, benchmarks,
milestones, services and significant events in care such as visits, developmental
aspects, immunizations, assessments, and more.

WFS includes comprehensive contact and encounter management tools. WFS is
ideal for home visiting, clinical and other contact-based service programs.

WFS assesses risks, builds a care plan and a customizable interactive family
support plan.

WFS includes many evaluation and assessment tools, surveys, home safety
inspections and unlimited measures, screening tools and other assets.

WFS manages group activities and client participation in groups such as parenting
classes and other activities.

WFS has an extensive services referral component that allows referred services to
be tracked and the ability for service providers to complete the referrals in WFS.

WFS optional features include the ability for individuals to participate in profiles and
“self refer” to WFS service providers. WFS can be connected to the Family
Resource Engine (FRE), a 211 style tool that connects a broad range of community
resources to the system. WFS is also a cost tracking system that connects services
provided to billing codes and payment systems.


                                   WFS Basics
Well Family System as a Single Program


                       Workflow and process
                        specific to program
                             and users
Well Family System in a
Multiple Program Environment     Prevents duplication of
                               services, increases positive
                                  economics, provides
                                    continuum of care
Multiple Program Model With MIECHV




The Virginia Model
      72 RM sites statewide
      3 Fed HS Projects
      MIECHV programs
      (NFP, PAT, HF, more to be added)
As a Continuous Care Management System WFS
      Navigates People Across Programs Over Time
                           WFS smart intake process assesses
                          the past and current client conditions.

Who are you?
                      I am a 24 year old married female with 2 children.


Have you been in WFS before?      Yes, I was in an ICC program in 2008.


Why are you here today?        I am pregnant

                                                                      Prenatal
                                                                       Intake
                                                                          &
 Directs the participation path based on                               Case
Intake Type and program requirements.                                Management
Each New Program Participation Places the Client
 on the Appropriate Path of Care and Management

                           Women’s Health Questionnaire
                               Case Management


                                  Prenatal Intake
                               Prenatal Assessment
                                Case Management


                           Women’s Health Questionnaire
                               Case Management



                                Case Management


                                   Infant Screen
  Next step processing          Infant Assessment
                                Case Management
and care management is
 determined by specific
 program requirements.
The Continuing Plan of Care and Family Support Plan
          Are Built on Risks, Needs and Previous Services
   Info at intake and during risk assessment is
analyzed and triggers needs in several categories.

                                    Which automatically builds a POC & FSP


PHYSICAL-MENTAL HEALTH               CATEGORY                   ITEM                     ACTION

                              Physical and Mental Health     Dental Issues        Refer to Dental Services
                                                             No Infant Care       Enroll with Pediatrician
  EARLY DEVELOPMENT
                              Safe & Nurturing Environment   No Permanent Home    Housing Assistance


  SOCIAL - EMOTIONAL          Economic Stability             Father Not Working   Refer to WIC
                                                                                  Job Training


 SPIRITUAL FOUNDATION

                                       A Plan of Care is initiated and The
  SAFE ENVIRONMENT                  Family Support Plan provides a starting
                                    point for determining a path of care and
  ECONOMIC STABILITY                can be shared across programs and can
                                     be part of the family history over time.
As a Complete System
        of Care Management
 WFS enables families, organizations
and communities to be more efficient,
    accountable and successful in
   delivering quality programs and
  services that make a difference.




                        gobeyondmch.com
                 email: info@gobeyondmch.com

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Well Family System as a Complete System of Care

  • 1. Maternal Child - Family Health Information and Technology Company Since 1997
  • 2. A Complete System Of Care Management The program and case management enterprise system for the new generation of maternal child and family health programs.
  • 3. Birth Forward ….system that manages and tracks the interaction of individuals and families with programs and services over the course of their lives. A single program can stand alone or coexist with other programs as a collaborative enterprise while providing common intake paths, managing services and activities in complex family situations, common family support plans as a family-centered process. WFS reduces duplication of services, increases knowledge of client risks and needs, reduces the chance of clients “falling through the cracks”, streamlines the process of delivering services and contributes to economy and efficiency. WFS is a powerful suite of tools and resources that manage multiple aspects of maternal child and family health programs and case management delivery systems in a drill-down capacity from a “lead” perspective to individual providers and case worker levels on any capacity.
  • 4. Everything Can Be Connected 2 Families connect to POC, 1 Outreach, Groups WFS Program, Case and Family Management System Healthcare, Inter Agency EHR Operations 5 Information, Research, 3 Evidence Sharing & Policy 4
  • 5. A Complete System of Care Provide Direct Services Manage Programs and Organizations Refer and Follow Up Services Central Referral and Intake Process Screenings, Tools and Assessments Manage Contacts, Outreach, People Direct Client or Group Participation Engagement, Home Invoicing, Billing, and Other Visits Time Management Reporting, Accountability
  • 6. People, Program, Services and Communities What is the WFS equation? + relationships X programs + services TIME = WFS The total Well Family experience is: • The relationship of people and families • Their interaction with programs and services • Their interaction with the community OVER TIME!
  • 7. It Is ALL Connected There are “binders” that connect people, families and relationships to each other BIOLOGICAL RELATIVES LEGAL CULTURAL
  • 8. It Is ALL Connected And a community is the sum total of all of the programs, services and resources available to people and families.
  • 9. It Is ALL Connected A Family is a Social Network! A community is a network of families, programs and services!
  • 10. WFS is activity, risk factor, event and timeline driven, offering interactive calendars, extensive ticklers and other tools that manage program requirements, benchmarks, milestones, services and significant events in care such as visits, developmental aspects, immunizations, assessments, and more. WFS includes comprehensive contact and encounter management tools. WFS is ideal for home visiting, clinical and other contact-based service programs. WFS assesses risks, builds a care plan and a customizable interactive family support plan. WFS includes many evaluation and assessment tools, surveys, home safety inspections and unlimited measures, screening tools and other assets. WFS manages group activities and client participation in groups such as parenting classes and other activities. WFS has an extensive services referral component that allows referred services to be tracked and the ability for service providers to complete the referrals in WFS. WFS optional features include the ability for individuals to participate in profiles and “self refer” to WFS service providers. WFS can be connected to the Family Resource Engine (FRE), a 211 style tool that connects a broad range of community resources to the system. WFS is also a cost tracking system that connects services provided to billing codes and payment systems. WFS Basics
  • 11. Well Family System as a Single Program Workflow and process specific to program and users
  • 12. Well Family System in a Multiple Program Environment Prevents duplication of services, increases positive economics, provides continuum of care
  • 13. Multiple Program Model With MIECHV The Virginia Model 72 RM sites statewide 3 Fed HS Projects MIECHV programs (NFP, PAT, HF, more to be added)
  • 14. As a Continuous Care Management System WFS Navigates People Across Programs Over Time WFS smart intake process assesses the past and current client conditions. Who are you? I am a 24 year old married female with 2 children. Have you been in WFS before? Yes, I was in an ICC program in 2008. Why are you here today? I am pregnant Prenatal Intake & Directs the participation path based on Case Intake Type and program requirements. Management
  • 15. Each New Program Participation Places the Client on the Appropriate Path of Care and Management Women’s Health Questionnaire Case Management Prenatal Intake Prenatal Assessment Case Management Women’s Health Questionnaire Case Management Case Management Infant Screen Next step processing Infant Assessment Case Management and care management is determined by specific program requirements.
  • 16. The Continuing Plan of Care and Family Support Plan Are Built on Risks, Needs and Previous Services Info at intake and during risk assessment is analyzed and triggers needs in several categories. Which automatically builds a POC & FSP PHYSICAL-MENTAL HEALTH CATEGORY ITEM ACTION Physical and Mental Health Dental Issues Refer to Dental Services No Infant Care Enroll with Pediatrician EARLY DEVELOPMENT Safe & Nurturing Environment No Permanent Home Housing Assistance SOCIAL - EMOTIONAL Economic Stability Father Not Working Refer to WIC Job Training SPIRITUAL FOUNDATION A Plan of Care is initiated and The SAFE ENVIRONMENT Family Support Plan provides a starting point for determining a path of care and ECONOMIC STABILITY can be shared across programs and can be part of the family history over time.
  • 17. As a Complete System of Care Management WFS enables families, organizations and communities to be more efficient, accountable and successful in delivering quality programs and services that make a difference. gobeyondmch.com email: info@gobeyondmch.com