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2025 Care Coordination Substance Use Inpatient (Rehab 3.5, 3.7, 4)
1.
In which county is your facility located (where you are treating Members) or state if not in Pennsylvania? Although all responses are kept confidential, you may decline to respond to this question.
2.
When a PerformCare Member is first admitted to treatment, the facility receives
sufficient
clinical information about the Member from the referral source:
Majority of the time (80% of the time or more)
Most of the time (50-79% of the time)
Less than half of the time (49% of the time or less)
Comment
3.
When a PerformCare Member is first admitted to treatment, the facility receives
accurate
clinical information about the Member from the referral source:
Majority of the time (80% of the time or more)
Most of the time (50-79% of the time)
Less than half of the time (49% of the time or less)
Comment:
4.
When a PerformCare Member is first admitted to treatment, the facility receives
timely
(within 24 hours of the request) clinical information about the Member from the referral source:
Majority of the time (80% of the time or more)
Most of the time (50-79% of the time)
Less than half of the time (49% of the time or less)
Comment:
5.
What percentage of the cases does your staff contact other providers (e.g., outpatient, Targeted Case Managers, Certified Recovery Specialist, Parole Officers) to obtain additional information or provide updates on treatment progress?
Majority of the time (80% of the time or more)
Most of the time (50-79% of the time)
Less than half of the time (49% of the time or less)
Comment:
6.
What percentage of the cases does your staff contact other providers (e.g., outpatient, Targeted Case Managers, Certified Recovery Specialists, and Parole Officers) to coordinate or share discharge information?
Majority of the time (80% of the time or more)
Most of the time (50-79% of the time)
Less than half of the time (49% of the time or less)
Comment:
7.
When barriers are identified or pertinent clinical information arises, what percentage of cases do you contact PerformCare Clinical Care Managers?
Majority of the time (80% of the time or more)
Most of the time (50-79% of the time)
Less than half of the time (49% of the time or less)
Comment:
8.
Is this a true statement?
Ninety-five percent
of the time when discharge planning is set up for the next level of care, the Member has a specific date and time of the first appointment. This excludes Members who declined aftercare or left against medical advice.
Yes
No. If no, please provide an explanation:
Comment:
9.
Is this a true statement?
Ninety-five percent
of the time when discharge planning is being set up, the discharge planner includes the natural supports (e.g., parent/guardian/family member or friend), and they are agreeable with the date and time of the first appointment? This excludes Members who declined natural support involvement.
Yes
No. If no, please provide an explanation:
Comment:
10.
Do the majority of other providers, such as outpatient, Targeted Case Managers, Certified Recovery Specialists, and Parole Officer Officers, respond to your outreaches within
two
business days?
Yes
No. If no, please provide the average length of time it takes another Provider to return the call with the options provided:
3-7 days
8-14 days
15 days or greater
Not at all
Comment:
11.
When a PerformCare Member reports they smoke cigarettes or use vaping products, do you offer to discuss tobacco recovery, offer educational materials, or provide nicotine replacement treatment?
Yes
No. If no, please provide an explanation:
Comment:
12.
When a PerformCare Member is interested in tobacco cessation treatment, do you assist the Member in finding providers for follow up or outreach to PerformCare for assistance?
Yes
No. If no, please provide an explanation:
Comment: