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A Co m p l e t e
                                        S y s t e m Of Car e
                                          Ma n a g e m e n t




  The program and case management enterprise system for

the new generation of maternal child and family health programs.

      WFS redefines “Business As Usual!”.
Life Course focused system that manages and tracks the
interaction of individuals and families with programs and
services from birth 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.
E v e r y t h in g C a n B e
      Co n n e c t e d
                                                       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
Th e
                                                B e n e f it s
As a Complete System of Care Well Family:



   ► decreases the 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

   ► contributes to economy and efficiency
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 Basics
WFS has an extensive services referral component that allows referred services to be tracked and
P e o p l e , P r o g r a m , S e r v ic e s a n d C o m m u n it ie s
                        What is the WFS equation?




                 + r e l a t io n s h ip s
                X p r o g r a m s + s e r v ic e s

                           T IM E = W F S



           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 AL L C o n n e c t e d


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




                                    BIO LO GICAL
                                     RELATIVES
                                      LEGAL
                                        CULTURAL
It IS AL L C o n n e c t e d




                 And a community is the sum total of all of
                  the programs, services, resources and
                  assets available to people and families.



Contacts
                                                                Services
           Engagements
                         Activities   Assessments   Referrals
It IS AL L C o n n e c t e d




    A Famil is a Social Network!
           y
A community is a network of families,
     programs and services!
It IS AL L C o n n e c t e d




W e l l F a m il y
  IS AB O U T
   PEO PLE
W e l l F a m il y S y s t e m a s a S in g l e P r o g r a m


                                     Workflow and process
                                    specific to program and
                                              users
W e l l F a m il y S y s t e m in a
M u l t ip l e P r o g r a m
                                        Prevents duplication of
E n v ir o n m e n t
                                      services, increases positive
                                         economics, provides
                                          continuum of care
M u l t ip l e P r o g r a m M o d e l W it h M IE C H V




The Virginia Model   – Stage 1        Two MIECHV Options
72 RM sites statewide                    Full WFS
3 Fed HS Projects                        MIECHV Lite
MIECHV programs
(NFP, PAT, HF, more to be added)
M IE C H V




► Minimized WFS just for MIECHV benchmark data

► Identifies and accepts clients from all EB programs

► MIECHV clients part of WFS population

► Hands on data entry or electronically matched to WFS

► Specific reports for benchmarks, HRSA, etc.
B a s ic s

W F S f u n c t io n s o n t h e p r in c ip l e t h a t a l l
p r o g r a m s t h a t a l l m o r e t h a n l ik e l y s h a r e t h e
s a m e b a s ic o p e r a t io n a l f u n c t io n s b u t m a y h a v e
a d if f e r e n t t a r g e t p o p u l a t io n , p r o g r a m , o r
outcome focus.
       ► Referral, Intake, Triage, Enrollment

       ► Outreach – Contact Management

       ► Engagement – Home, Clinic, Other Visits

       ► Direct Services Provided

       ► Referred Services – Follow Up

       ► Screenings, Evaluations, Assessments, Tests, Surveys
As a C o n t in u o u s C a r e M a n a g e m e n t S y s t e m
    W F S N a v ig a t e s P e o p l e Ac r o s s P r o g r a m s
                           O v e r T im e
                                    WFS smart intake process assesses
                                   the past and current client conditions.

  Wh o a r e y o u ?
                                I am a 24 year ol married femal with 2 chil
                                                 d             e           dren.


H a v e y o u b e e n in W F S b e f o r e ?   Yes, I was in an ICC program in 2008.


Wh y a r e y o u h e r e t o d a y ?     I am pregnant


                                                                                   Prenatal

                                                                                       Intake
    Directs the participation path based on
   Intake Type and program requirements.                                                 &

                                                                                       Case

                                                                                  Management
E a c h N e w P r o g r a m P a r t ic ip a t io n P l a c e s t h e
                            C l ie n t
     o n t h e Ap p r o p r ia t e P a t h o f C a r e a n d
                       Ma n a g e m e n t
                                     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.
T h e C o n t in u in g P l a n o f C a r e a n d F a m il y S u p p o r t
                                    Pl a n
  Ar e B u il t o n R is k s , N e e d s a n d P r e v io u s S e r v ic e s
   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

  EARLY DEVELOPMENT                                              No Infant Care       Enroll with Pediatrician

                               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.
T y p ic a l P r o g r a m T ic k l e r s

Smart work and process flow ticklers vary from program
   to program and are also different for user roles.
R e p o r t in g An d
                                          Data
Ac c o u n t a b il it y , R e p o r t in g a n d Ac c e s s T o D a t a



► System generated reports

► SQL Reporting Services

► Scheduled download of WFS database

► Data List Tools
R e p o r t in g An d
           S y s t e m Ge n e r a t e d                                      Data
           Re p o r t s
WFS provides a variety of reports that are directly accessible from the system. Generally these reports usually are in

the areas of demographics, services, engagement, retention, outcomes and performance measures etc. Also HRSA,

Title V, benchmark and other “funder” based reports are provided from the online WFS.
                                                                             Example
                        T y p ic a l R e p o r t T y p e s
R e p o r t in g An d
           S y s t e m Ge n e r a t e d                                      Data
           Re p o r t s
WFS provides a variety of reports that are directly accessible from the system. Generally these reports usually are in

the areas of demographics, services, engagement, retention, outcomes and performance measures etc. Also HRSA,

Title V, benchmark and other “funder” basedT y p ic a l R e p o thet
                                            reports are provided from r online WFS.

                                                      Ty p e s
                      Outcomes                                            HF Sample

                    Performance                                       Program Report
                                                                            Example 1
               Typical Operations
                                                                            Example 2
                       Example 1
                                                                            Example 3
                       Example 2
                       Example 3                                        Demographics

                  Case Changes                                              Services
R e p o r t in g An d
S Q L R e p o r t in g                           Data
S e r v ic e s




     SQL Server Reporting Services (SSRS) is a server-based report
     generation software system from Microsoft. It is used to prepare and
     deliver a variety of interactive and printed reports directly from the
     WFS database. It is administered via a secure web interface.
     Reporting services features a web services interface to support the
     development of custom reporting applications. SSRS is on par with
     Crystal Reports and other business intelligence tools.

                               Example
R e p o r t in g An d
S Q L R e p o r t in g           Data
S e r v ic e s
R e p o r t in g An d
D o w n l o a d o f WF S                        Data
d atabas e




           A Well Family System database “copy” can be transferred
              securely (SFTP) on any schedule (daily, weekly, monthly,
              etc.). This is your copy of the database, and it enables
              two valuable options:
           2. Broadens the scope of business continuity so that your IT
              staff has a recent backup copy of your program data.
           2. Allows your data analysts their own copy to drill into, put in
              a cube, or import into SAS, SPSS, etc.
R e p o r t in g An d
            W F S D a t a L is t T o o l                                        Data
Data List is a WFS tool that allows the users to build custom data sets. Typically data Lists are used to manage

clients, services, special groups, etc. but are not limited to the type of data sets that can be arranged.
As a Complete System
         of Care Management

     W F S e n a b l e s f a m il ie s ,
        o r g a n iz a t io n s a n d
    c o m m u n it ie s t o b e m o r e
e f f ic ie n t , a c c o u n t a b l e a n d
  s u c c e s s f u l in d e l iv e r in g
    q u a l it y p r o g r a m s a n d
      s e r v ic e s t h a t m a k e a
              d if f e r e n c e .




                            gobeyondmch.com
                     email: info@gobeyondmch.com

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Well Family as a Life Course Focused, Family Fentered System by Go Beyond MCH

  • 1. A Co m p l e t e S y s t e m Of Car e Ma n a g e m e n t The program and case management enterprise system for the new generation of maternal child and family health programs. WFS redefines “Business As Usual!”.
  • 2. Life Course focused system that manages and tracks the interaction of individuals and families with programs and services from birth 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.
  • 3. E v e r y t h in g C a n B e Co n n e c t e d 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
  • 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
  • 5. Th e B e n e f it s As a Complete System of Care Well Family: ► decreases the 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 ► contributes to economy and efficiency
  • 6. 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 Basics WFS has an extensive services referral component that allows referred services to be tracked and
  • 7. P e o p l e , P r o g r a m , S e r v ic e s a n d C o m m u n it ie s What is the WFS equation? + r e l a t io n s h ip s X p r o g r a m s + s e r v ic e s T IM E = W F S 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!
  • 8. It IS AL L C o n n e c t e d There are “binders” that connect people, families and relationships to each other BIO LO GICAL RELATIVES LEGAL CULTURAL
  • 9. It IS AL L C o n n e c t e d And a community is the sum total of all of the programs, services, resources and assets available to people and families. Contacts Services Engagements Activities Assessments Referrals
  • 10. It IS AL L C o n n e c t e d A Famil is a Social Network! y A community is a network of families, programs and services!
  • 11. It IS AL L C o n n e c t e d W e l l F a m il y IS AB O U T PEO PLE
  • 12. W e l l F a m il y S y s t e m a s a S in g l e P r o g r a m Workflow and process specific to program and users
  • 13. W e l l F a m il y S y s t e m in a M u l t ip l e P r o g r a m Prevents duplication of E n v ir o n m e n t services, increases positive economics, provides continuum of care
  • 14. M u l t ip l e P r o g r a m M o d e l W it h M IE C H V The Virginia Model – Stage 1 Two MIECHV Options 72 RM sites statewide  Full WFS 3 Fed HS Projects  MIECHV Lite MIECHV programs (NFP, PAT, HF, more to be added)
  • 15. M IE C H V ► Minimized WFS just for MIECHV benchmark data ► Identifies and accepts clients from all EB programs ► MIECHV clients part of WFS population ► Hands on data entry or electronically matched to WFS ► Specific reports for benchmarks, HRSA, etc.
  • 16. B a s ic s W F S f u n c t io n s o n t h e p r in c ip l e t h a t a l l p r o g r a m s t h a t a l l m o r e t h a n l ik e l y s h a r e t h e s a m e b a s ic o p e r a t io n a l f u n c t io n s b u t m a y h a v e a d if f e r e n t t a r g e t p o p u l a t io n , p r o g r a m , o r outcome focus. ► Referral, Intake, Triage, Enrollment ► Outreach – Contact Management ► Engagement – Home, Clinic, Other Visits ► Direct Services Provided ► Referred Services – Follow Up ► Screenings, Evaluations, Assessments, Tests, Surveys
  • 17. As a C o n t in u o u s C a r e M a n a g e m e n t S y s t e m W F S N a v ig a t e s P e o p l e Ac r o s s P r o g r a m s O v e r T im e WFS smart intake process assesses the past and current client conditions. Wh o a r e y o u ? I am a 24 year ol married femal with 2 chil d e dren. H a v e y o u b e e n in W F S b e f o r e ? Yes, I was in an ICC program in 2008. Wh y a r e y o u h e r e t o d a y ? I am pregnant Prenatal Intake Directs the participation path based on Intake Type and program requirements. & Case Management
  • 18. E a c h N e w P r o g r a m P a r t ic ip a t io n P l a c e s t h e C l ie n t o n t h e Ap p r o p r ia t e P a t h o f C a r e a n d Ma n a g e m e n t 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.
  • 19. T h e C o n t in u in g P l a n o f C a r e a n d F a m il y S u p p o r t Pl a n Ar e B u il t o n R is k s , N e e d s a n d P r e v io u s S e r v ic e s 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 EARLY DEVELOPMENT No Infant Care Enroll with Pediatrician 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.
  • 20. T y p ic a l P r o g r a m T ic k l e r s Smart work and process flow ticklers vary from program to program and are also different for user roles.
  • 21. R e p o r t in g An d Data Ac c o u n t a b il it y , R e p o r t in g a n d Ac c e s s T o D a t a ► System generated reports ► SQL Reporting Services ► Scheduled download of WFS database ► Data List Tools
  • 22. R e p o r t in g An d S y s t e m Ge n e r a t e d Data Re p o r t s WFS provides a variety of reports that are directly accessible from the system. Generally these reports usually are in the areas of demographics, services, engagement, retention, outcomes and performance measures etc. Also HRSA, Title V, benchmark and other “funder” based reports are provided from the online WFS. Example T y p ic a l R e p o r t T y p e s
  • 23. R e p o r t in g An d S y s t e m Ge n e r a t e d Data Re p o r t s WFS provides a variety of reports that are directly accessible from the system. Generally these reports usually are in the areas of demographics, services, engagement, retention, outcomes and performance measures etc. Also HRSA, Title V, benchmark and other “funder” basedT y p ic a l R e p o thet reports are provided from r online WFS. Ty p e s Outcomes HF Sample Performance Program Report Example 1 Typical Operations Example 2 Example 1 Example 3 Example 2 Example 3 Demographics Case Changes Services
  • 24. R e p o r t in g An d S Q L R e p o r t in g Data S e r v ic e s SQL Server Reporting Services (SSRS) is a server-based report generation software system from Microsoft. It is used to prepare and deliver a variety of interactive and printed reports directly from the WFS database. It is administered via a secure web interface. Reporting services features a web services interface to support the development of custom reporting applications. SSRS is on par with Crystal Reports and other business intelligence tools. Example
  • 25. R e p o r t in g An d S Q L R e p o r t in g Data S e r v ic e s
  • 26. R e p o r t in g An d D o w n l o a d o f WF S Data d atabas e A Well Family System database “copy” can be transferred securely (SFTP) on any schedule (daily, weekly, monthly, etc.). This is your copy of the database, and it enables two valuable options: 2. Broadens the scope of business continuity so that your IT staff has a recent backup copy of your program data. 2. Allows your data analysts their own copy to drill into, put in a cube, or import into SAS, SPSS, etc.
  • 27. R e p o r t in g An d W F S D a t a L is t T o o l Data Data List is a WFS tool that allows the users to build custom data sets. Typically data Lists are used to manage clients, services, special groups, etc. but are not limited to the type of data sets that can be arranged.
  • 28. As a Complete System of Care Management W F S e n a b l e s f a m il ie s , o r g a n iz a t io n s a n d c o m m u n it ie s t o b e m o r e e f f ic ie n t , a c c o u n t a b l e a n d s u c c e s s f u l in d e l iv e r in g q u a l it y p r o g r a m s a n d s e r v ic e s t h a t m a k e a d if f e r e n c e . gobeyondmch.com email: info@gobeyondmch.com