D.18- REACH VET STEPS- PROVIDER.pdf
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- Attached to
- Community Based Outpatient Clinic (CBOC): Kingston, NY of the Albany (NY) VA Medical Center in VISN 2.
- Solicitation number
- 36C24225R0047
About this file
The document is a two-page procedural guide for the REACH VET (Recovery Engagement And Coordination for Health - Veterans Enhanced Treatment) program, detailing a six-step process for healthcare providers serving high-risk veterans. The steps include receiving notification about a veteran, optionally accessing a clinical dashboard, re-evaluating the veteran's care comprehensively, considering treatment enhancement strategies, conducting outreach to the veteran using specific talking points, and documenting interactions in the CPRS (Computerized Patient Record System).
The guide provides detailed instructions for each step, emphasizing comprehensive care review, enhanced communication strategies, safety planning, and collaborative treatment modifications. Providers are required to complete all tasks by the fourth Wednesday of the month and must initiate outreach to identified veterans within one week of notification. The document is an attachment (D.18) to Request for Proposal (RFP) 36C24225R0047 for the Samuel S. Stratton VA Medical Center in Albany, NY, which is seeking Community Based Outpatient Clinic (CBOC) services in Kingston, NY.
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Text version
Updated: 7/6/21
Steps REACH VET Recovery Engagement And Coordination for Health - Veterans Enhanced Treatment
Provider Steps At-a-Glance
1 Receive notification about a high-risk Veteran you serve.
2 Optional: Access the dashboard.
3 Re-evaluate care.
4 Consider treatment enhancement strategies.
5 Outreach the Veteran.
6 Document in CPRS.
Attachment D.18 RFP 36C24225R0047
Updated: 7/6/21
REACH VET Provider Steps in Detail
1. Receives notification from the Coordinator about the REACH VET program and that they have been identified as a provider who serves an identified Veteran.
2. Optional to access the dashboard to view clinical signals, etc. Most clinicians who have CPRS access will automatically be granted access to patient level data on dashboard reports. If you are not able to access the dashboard, refer to the REACH VET SharePoint for more information.
3. Review the Veteran’s electronic health record to re-evaluate the care the Veteran has been provided. Care should be evaluated in a comprehensive manner and not limited to the services that are provided by that provider.
a. Review screening evaluations and re-screen as needed.
b. Review diagnoses, current problems, and treatment plans.
c. Ensure patient have access to all services requested and needed and are receiving evidence-based care.
4. Consider additional treatment enhancement strategies.
a. Enhanced communication (e.g., via caring communications)
b. Safety Planning
c. Increased monitoring of stressful life events
d. Interventions designed to enhance coping strategies
5. Using the REACH VET Talking Points to guide your conversation, contact the Veteran to:
a. Provide information about REACH VET.
b. Inform the Veteran that they have been identified as a patient who may benefit from enhanced care.
c. Check-in regarding current symptoms and stressors and assess acute clinical risk.
d. As is clinically indicated, collaboratively discuss changes to the treatment plan and/or care enhancement strategies.
6. Enter documentation into CPRS using the national REACH VET PROVIDER NOTE template.
*All tasks should be completed by the fourth Wednesday of the month. Providers, or their designees, will outreach identified Veterans within one week of being notified about the high-risk Veteran.
Attachment D.18 RFP 36C24225R0047 https://dvagov.sharepoint.com/sites/ECH/srsa/SitePages/REACH-VET-Resources.aspx https://dvagov.sharepoint.com/sites/ECH/srsa/Shared%20Documents/Forms/AllItems.aspx?RootFolder=%2Fsites%2FECH%2Fsrsa%2FShared%20Documents%2FREACH%20VET%2FEducation%20and%20Training&FolderCTID=0x012000E86563DBD1AE964BB1325C495848890F https://dvagov.sharepoint.com/sites/ECH/srsa/Shared%20Documents/Forms/AllItems.aspx?RootFolder=%2Fsites%2FECH%2Fsrsa%2FShared%20Documents%2FREACH%20VET%2FEducation%20and%20Training&FolderCTID=0x012000E86563DBD1AE964BB1325C495848890F
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