S02 - Attachment D Case Conference Guide for Liaisons.pdf
PDF 76 KB Posted
- Attached to
- G004--PBV-HUD-VASH - Motels - VAGLAHS
- Solicitation number
- 36C26221R0006
View the file
Other files
Show all 42
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Case Conference Guide for Liaisons
1. Look at previous conference note to check the status of the last documented plans
2. Mental Health Treatment Plan
a. Up to date?
b. All needs addressed in goals?
3. Consults
a. Any open consults where the specialty clinic is having difficulty reaching vet?
i. Add comment of alternative POC
4. Future appointments
5. CSSRS/CSSRE
a. Review any suicide risk assessments completed since last time the case was discussed in case conference to check for clinical accuracy of rating – i.e. Are they rated as LOW even though there is documentation of risk factors?
b. Is consultation and/or an incident report needed? Report incidents to
VHAGLACERSIncident@va.gov. They are also available for consult.
c. Safety Plan completed if needed?
6. Clinical Reminders due?
7. Missed PCP and/or MH appointments that need follow up?
a. What are the barriers for Veteran to get to appointment?
8. Plan to get Veteran connected to PCP if not connected?
a. Possible referral for VASH nurse if Veteran refusing to engage
9. Current challenges faced by the contract case manager?
a. Assist in developing a plan of action to address challenges and/or barriers.
10. Plan section needs to be as specific as possible
a. Who
b. What
c. When
**GOAL re medical/mental health:
1. Train contractors to utilize information in CPRS notes and tabs (orders, consult, meds, etc) to access information that will help them coordinate medical/mental health services provided by providers that the Veteran is already connected to.
2. Train contractors to reach out and develop collaborative relationships with PCP teams and MH providers to coordinate care.
3. VASH Nurse team generally get involved only with:
a. Veterans who are not connected with care
b. Veterans who refuse to engage with their PCP
c. PCP team is non-responsive to efforts made by CM to collaborate
d. Acute situations
**Otherwise they are a consultative resource mailto:VHAGLACERSIncident@va.gov
File details come from the government source that posted it. Updated .