North Sound ACH 7/18/2018
North Sound ACH 7/18/2018
7/25/2018 9:03:49 AM
7/25/2018 9:03:43 AM
North Sound ACH
Council Approval Date
Department Project Manager
Subject / Project Title
Medication Transformation Portal Terms of Svc
6 Years Then Destroy
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How many employees does your organization have in the North Sound region? <br /> ❑ 1-25 Employees <br /> ❑ 26-99 Employees <br /> ❑ 100-999 Employees <br /> ❑✓ 1000 or more Employees <br /> Which North Sound ACH project area(s)is your organization prepared to work on (refer to Attachment A for more <br /> information about each project area before responding): <br /> ❑✓ Community Based Care Coordination ❑✓ Diversion Interventions <br /> ❑ Care Coordination During Care Transitions 0 Chronic Disease Prevention and Management <br /> ❑ Reproductive/Maternal Child Health ❑ Access to Oral Health Services <br /> ❑✓ Addressing the Opioid Crisis ❑ Bi-Directional integration of Physical and Behavioral <br /> Health _ <br /> Does your organization provide care and/or services to people who are eligible for/enrolled in Medicaid(Apple <br /> Health)? Oyes ❑No <br /> Does your organization track the Medicaid status of your patients or clients? ❑Yes ❑No <br /> If yes,for the calendar year 2017, how many Medicaid enrollees(unduplicated)did your organization serve? <br /> —4,826(EMS) <br /> North Sound ACH will be facilitating trainings on evidence-Based Models for the initiatives.Some may be in-person <br /> while others will be web-based. Partnering providers must commit that staff will learn about models and best <br /> practices for any initiative area the organization commits to. How many employees does your organization anticipate <br /> taking part in trainings in each of the Initiative areas below? <br /> 5-6 Community Based Care Coordination 5-6 Diversion interventions <br /> Care Coordination During Care Transitions Chronic Disease Prevention and Management <br /> Reproductive/Maternal Child Health Access to Oral Health Services <br /> 5-6 Addressing the Opioid Crisis Bi-Directional integration of Physical and Behavioral <br /> Health <br /> Does your organization enter data in WA's immunization registry(WAITS)? ❑Yes Q No <br /> Does your organization enter data in WA's Prescription Monitoring Program(PMP)? DYes QNo <br /> Does your organization use an electronic health/service record(EHR)?(Check only one) <br /> ❑✓ Yes,all charts are electronic; no paper charts <br /> ❑ Yes,although we still have some paper charts <br /> ❑ No, but we plan to implement <br /> ❑ No,and we have no plan to implement <br /> North Sound ACH May 2018 Call for Partners Application 2 <br />
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