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Network Update 32: 2/8/2013

Friday, February 8, 2013

In the News

Northwest Community Care Behavioral Health Manager honored. Congrats to Peter Rives on being named one of the Triad’s “40 Leaders under Forty” for 2013. For more information about the event, please see the Triad Business Journal.

Lower Cape Fear care managers receive CCMC Certification. Eleven care managers from Community Care of the Lower Cape Fear (CCLCF) recently earned board-certification as Certified Case Managers (CCM®) from the Commission for Case Manager Certification. Congrats to Ada Atkinson, RN, Sherry Comentale, RN, Patricia Fields, RN, Ashlee Faulk, RN, Elissa Hanson, LCSW, Bobbi Kuhn, RN, Cynthia Leidner, RN, Connie Morter, RN, Kathryn Richards, RN, Doris Robinson RN, and Viva Wilson, RN, for passing the CCMC examination. See the Wilmington Star coverage for more information.

Portal enhancements are live! If you haven’t been to the Provider Portal lately, you’ll notice some significant enhancements:

  • The addition of searchable fields for BCBSNC and Medicare patients enrolled in the 7 multi-payer counties.
  • Creation of IC Reports folders for the 360 Pregnancy Medical Home (PMH) practices.
  • A one-time selection of role/credentials for the purpose of meeting requirements for NCQA accreditation.
  • New “Specialized Treatment Plans” field within the Care Team and Visit History tabs that allow users to add, delete or download specific treatment needs (e.g. behavioral health crisis plan, asthma management plan, etc.).

New report identifies “frequent flyers” across hospitals and CCNC networks. CCNC is now providing NC hospitals with lists of “ED frequent flyers” (high utilizers of Emergency Department services). Lists include Medicaid recipients with more than 10 ED visits in the last year, regardless of network assignment. These reports on are available on the IC Reports Server at:
[Network Standard Reports] > [Patient-Level Utilization Reports] > ED High Utilizer Report by Hospital.
After selecting the hospital, the report will return a list of all Medicaid patients with more than 10 ED visits in the past year, where at least one of those visits was to the selected hospital (a higher visit threshold can be set if desired). We are pleased to provide these reports to CCNC networks and their hospital partners working to manage ED usage.

Updated Chronic Care Reports released. CCNC's Chronic Care Reports have undergone some improvements, including: a “Population” parameter has been added to select either Medicaid or Health Choice recipients; new fields can be pulled from the Master Priority Table, the date of birth now appears in standard date format; and priority indicator definitions open in a separate report. We hope the changes are helpful to our users.

CCNC, NC featured in AHRQ materials. AHRQ’s CHIPRA Evaluation Highlight, a summary of the national evaluation of the CHIPRA Quality Demonstration Grant Program, is now available on the AHRQ Web site. The Highlight describes the early accomplishments, challenges, and lessons learned in North Carolina, Maine, Massachusetts, and Pennsylvania.

Welcome new faces.  Please welcome the following new employees to the CCNC family: Manager Clinical Informatics Services Chase Haddix, starting Feb. 14; Project Coordinator Ashley Ewing, starting Feb. 19; and Data Analyst Charlene Wong, starting March 4.

Central Office staff – Have ideas on CCNC’s 2013 service project? If so, please send to Paul Mahoney.

Career opportunities at CCNC. Applications are currently being accepted for the following positions. For more information, please see the CCNC Careers page.

  • ETL Programmer
  • Project Assistant/Beacon
  • Communications Specialist
  • Senior Analyst, Quality Measurement and Reporting
  • Staff Accountant-AR/AP
  • Grants Manager
  • Health Coach-RN
  • Administrative Assistant

Social media update. Please help support CCNC's fledgling social media presence by following us on Twitter (@communitycarenc) and “liking” us on our Facebook page.

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