PCMH 2025 Sprint PNC Session 4 - JHF

October 9, 2025

Participants will develop an understand of the process for requesting shift care services and collaborate with peers and identify with opportunities for improvement. Participants will also learn about tools for ADL screening and examples of how MCOs can partner with PCMH's on PNC cases to foster full care team engagement.

Agenda:

1:00 p.m. to 1:05 p.m. – Welcome – Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative (PRHI)

1:05 p.m. to 2:05 p.m. – Authorization of Shift Care Services: Current Workflow & Opportunities for Improvement from the Perspective of PCMHs, MCOs, and Home Health AgenciesCarol Frazer, MEd, LPC, Behavioral Health Specialist, PRHI

  1. How does this workflow compare with the workflow you are currently using?
  2. Are there any steps in the workflow that need to be changed or added from the perspective of PCMHs, MCOs, and HHAs?
  3. Are there any opportunities for improvement in the workflow that need to be added or refined?
  4. What opportunities for improvement need to be prioritized
  5. Who from your team will be part of working on improvements to the workflow?
  6. What are your next steps?  How can PCMHs, HHAs, and MCOs collaborate on making improvements to achieve your next steps?

2:05 p.m. to 2:20 p.m. – ADL Assessment Tools – J. Ashenayi, MPH, Program Associate, PRHI

2:20 p.m. to 2:30 p.m. – Next Steps & Wrap Up – Lisa Boyd, Program Specialist, PRHI

Target Audience

Nurse

Physician

Social Worker

Learning Objectives

• Describe the process for authorizing shift care services from the perspective of the PCMH
• Describe the process from the HHA perspective for ordering and authorizing shift care services
• Discuss opportunities for improvement with the processes for authorizing and ordering shift care services
• Describe available tools for ADL assessments
• Discuss an example of how MCOs and PCMHs can use PNC case rounds to foster full care team engagement

Course summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 1.50 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 1.50 ASWB
  • 1.50 Attendance
Course opens: 
10/09/2024
Course expires: 
12/31/2025
Event starts: 
10/09/2025 - 1:00pm EDT
Event ends: 
10/09/2025 - 2:30pm EDT

Participants will develop an understand of the process for requesting shift care services and collaborate with peers and identify with opportunities for improvement. Participants will also learn about tools for ADL screening and examples of how MCOs can partner with PCMH's on PNC cases to foster full care team engagement.

Agenda:

1:00 p.m. to 1:05 p.m. – Welcome – Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative (PRHI)

1:05 p.m. to 2:05 p.m. – Authorization of Shift Care Services: Current Workflow & Opportunities for Improvement from the Perspective of PCMHs, MCOs, and Home Health AgenciesCarol Frazer, MEd, LPC, Behavioral Health Specialist, PRHI

  1. How does this workflow compare with the workflow you are currently using?
  2. Are there any steps in the workflow that need to be changed or added from the perspective of PCMHs, MCOs, and HHAs?
  3. Are there any opportunities for improvement in the workflow that need to be added or refined?
  4. What opportunities for improvement need to be prioritized
  5. Who from your team will be part of working on improvements to the workflow?
  6. What are your next steps?  How can PCMHs, HHAs, and MCOs collaborate on making improvements to achieve your next steps?

2:05 p.m. to 2:20 p.m. – ADL Assessment Tools – J. Ashenayi, MPH, Program Associate, PRHI

2:20 p.m. to 2:30 p.m. – Next Steps & Wrap Up – Lisa Boyd, Program Specialist, PRHI

Virtual Meeting
Pittsburgh, PA
United States

Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative (PRHI)

Carol Frazer, MEd, LPC, Behavioral Health Specialist, PRHI

J. Ashenayi, MPH, Program Associate, PRHI

Lisa Boyd, Program Specialist, PRHI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and The Jewish Healthcare Foundation. The University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

As a Jointly Accredited Organization, University of Pittsburgh is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. University of Pittsburgh maintains responsibility for this course. Social workers completing this course receive 1.5 continuing education credits.

Physician (CME)
The University of Pittsburgh designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing (CNE)
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.5 contact hours.

Social Work (ASWB)
The maximum number of hours awarded for this Continuing Social Work Education activity is 1.0 contact hours.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Available Credit

  • 1.50 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 1.50 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 1.50 ASWB
  • 1.50 Attendance
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