Presentation on theme: "Project Aim Statement Reduce the number of denials and closures of KMC-assisted CHIP applications."— Presentation transcript:
Project Aim Statement Reduce the number of denials and closures of KMC-assisted CHIP applications
Process Improvement Collaborative Who we are Kootenai Medical Center (KMC) Full service hospital owned by residents of Kootenai County (pop.105,000) 42,601 ER visits in 2002 232 beds Idaho Dept. of Health & Welfare-Region One (IDHW) Medicaid below 133% FPG 14,000+ on Medicaid U-19 S-CHIP 133%-150% FPG 1,400+ on S-CHIP
Focus-testing to date Historical Data- applications (insert chart) Began with renewal postcards Small number in test cycles Changed gears to application assistance
Improvements as result of testing CHIP TIPS-small tests around application assistance Patient applicants Tested positively with Social Services staff as a document for application assistance Non-patient applicants Tested poorly as a document to send home with families-too technical Ready to expand to use with application assistance workers
Next steps Recent data suggests problem with closures at time of renewal Small scale-testing Is this a problem only at KMC? Does this problem exist outside of test population?
Next Project Aim Statement? Increase the number of renewals of KMC-assisted applications
Goals for CKF-PIC What we can do in one year Track KMC-assisted non-patient applications Develop streamlined application process with a feedback loop for denials/denial codes Develop tracking method for renewal prior to renewal date Communicate with test population about importance of renewal Develop KMC assistance program for renewal paperwork