well family system as a complete system of care

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Maternal Child - Family Health Information and Technology Company Since 1997

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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.Well Family System is a Birth Forward system that manages and tracks the interaction of individuals and families with programs and services over the course of their lives. Learn more at http://www.gobeyondmch.com.

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Page 1: Well Family System as a Complete System of Care

Maternal Child - Family Health Information and Technology Company

Since 1997

Page 2: Well Family System as a Complete System of Care

The program and case management enterprise system for

the new generation of maternal child and family health programs.

A Complete System Of Care Management

Page 3: Well Family System as a Complete System of Care

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.

Page 4: Well Family System as a Complete System of Care

WFS Program, Case and Family Management System

Information, Research,Evidence Sharing & Policy

Families connect to POC,Outreach, Groups1

Healthcare,EHR

5

4

Inter AgencyOperations

3

2

Everything Can Be Connected

Page 5: Well Family System as a Complete System of Care

Provide Direct Services

Reporting, Accountability

Invoicing, Billing,Time Management

Screenings, Toolsand Assessments

Refer and Follow Up Services

Direct Client orGroup Participation

Engagement, Homeand Other Visits

Manage Contacts, Outreach, People

Central Referraland Intake Process

Manage Programsand Organizations

A Complete System of Care

Page 6: Well Family System as a Complete System of Care

People, Program, Services and CommunitiesWhat is the WFS equation?

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!

+ relationships

X programs + services

TIME = WFS

Page 7: Well Family System as a Complete System of Care

BIOLOGICAL RELATIVES LEGAL CULTURAL

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

It Is ALL Connected

Page 8: Well Family System as a Complete System of Care

And a community is the sum total of all of the

programs, services and resources available to people and families.

It Is ALL Connected

Page 9: Well Family System as a Complete System of Care

It Is ALL Connected

A Family is a Social Network!

A community is a network of families, programs and services!

Page 10: Well Family System as a Complete System of Care

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

Page 11: Well Family System as a Complete System of Care

Well Family System as a Single Program

Workflow and process specific to program and

users

Page 12: Well Family System as a Complete System of Care

Well Family System in aMultiple Program Environment Prevents duplication of

services, increases positive economics, provides continuum of care

Page 13: Well Family System as a Complete System of Care

Multiple Program Model With MIECHV

The Virginia Model

72 RM sites statewide3 Fed HS ProjectsMIECHV programs(NFP, PAT, HF, more to be added)

Page 14: Well Family System as a Complete System of Care

As a Continuous Care Management System WFS Navigates People Across Programs Over Time

Who are you?

Have you been in WFS before?

Why are you here today?

I am a 24 year old married female with 2 children.

Yes, I was in an ICC program in 2008.

I am pregnant

Prenatal

Intake

&

Case

Management

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

WFS smart intake process assesses the past and current client conditions.

Page 15: Well Family System as a Complete System of Care

Each New Program Participation Places the Client on the Appropriate Path of Care and Management

Women’s Health QuestionnaireCase Management

Prenatal IntakePrenatal AssessmentCase Management

Women’s Health QuestionnaireCase Management

Case Management

Infant ScreenInfant AssessmentCase Management

Next step processing and care management is determined by specific program requirements.

Page 16: Well Family System as a Complete System of Care

The Continuing Plan of Care and Family Support Plan Are Built on Risks, Needs and Previous Services

PHYSICAL-MENTAL HEALTH

EARLY DEVELOPMENT

SOCIAL - EMOTIONAL

SPIRITUAL FOUNDATION

SAFE ENVIRONMENT

ECONOMIC STABILITY

Physical and Mental Health Dental Issues Refer to Dental Services

No Infant Care Enroll with Pediatrician

CATEGORY ITEM ACTION

Safe & Nurturing Environment No Permanent Home Housing Assistance

Economic Stability Father Not Working Refer to WIC

Job Training

A Plan of Care is initiated and The Family Support Plan provides a starting point for determining a path of care and can be shared across programs and can

be part of the family history over time.

Info at intake and during risk assessment is analyzed and triggers needs in several categories.

Which automatically builds a POC & FSP

Page 17: Well Family System as a Complete System of Care

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.comemail: [email protected]