Risk Stratification. 2.6.1.1. The STAR+PLUS MMP will develop and implement a risk stratification process that uses a combination of predictive- modeling software, assessment tools, referrals, administrative Claims data, and other sources of information as appropriate that will consider Enrollees’ physical and behavioral health, substance use, and LTSS needs.
Risk Stratification. Contractor will use an approved health risk stratification mechanism or algorithm to identify new Enrollees with high risk and more complex health care needs. The health risk stratification shall be conducted in accordance applicable DPL(s) as indicated in Section 2.1.5
Risk Stratification. The act or process of dividing Tenncare members into different levels of need based on their health risk. For TennCare’s Population Health program, risk stratification is accomplished by predictive modeling which is based on claims, pharmacy, lab and other data. Information from health risk assessments is also used to identify member’s risk level. Through this process members are identified for one of three health risk stratification levels. Level Zero is wellness, Level One is low to moderate health risk, and Level Two is the top three percent or the sickest of the sick.
Risk Stratification. The Contractor shall implement a risk stratification process that meets the requirements of this Section.
Risk Stratification. An informed estimate of the probability of a person succumbing to a disease or benefiting from a treatment for that disease RWT – The Royal Wolverhampton NHS Trust Rapid Response (RR) - S Service user - Person(s) is receipt of service/ care from agencies involved in data sharing SUS data – Statement of compliance (SoC) – Secondary Purposes - T U V W X Y Z Appendix C – Consent forms and fair processing posters Do we need anything here as we have referred to each organisations’ Privacy Notice/Policy? Do we need something BCF specific – or something more wide reaching for Integration in general to cover ICS etc. Appendix E – List of users for Fibonacci Local authority user access approved for the following roles: Role IG Training received and current? Y/N Date approval given Purpose for requiring access Advanced Social Work Practitioners To enable participation in MDT and to provide joint planning and care Community Care Assessors To enable participation in MDT and to provide joint planning and care Social Workers To enable participation in MDT and to provide joint planning and care Social Care Workers To enable participation in MDT and to provide joint planning and care Admin To enable participation in MDT The Royal Wolverhampton NHS Trust user access approved for the following roles: Role IG Training received and current? Y/N Date approval given Purpose for requiring access Community Matrons To enable participation in MDT and to provide joint planning and care District Nurses/Staff Nurses To enable participation in MDT and to provide joint planning and care Admin To enable participation in MDT Clinical Nurse Specialists To enable participation in MDT and to provide joint planning and care Advanced Nurse Practitioners To enable participation in MDT and to provide joint planning and care Heads of Service To enable participation in MDT and to provide joint planning and care Consultant Geriatrician To enable participation in MDT and to provide joint planning and care Other roles given approval: Role IG Training received and current? Y/N Date approval given Purpose for requiring access Appendix F – List of Roles to be co-located into Integrated Community Neighbourhood Teams Role Description Organisation Senior Social Work Unit Manager CWC Social Work Unit Manager CWC Social Worker CWC CMHT - Social Worker CWC Community Care Assessor/CHC Assessor CWC Social Care Worker CWC Office Manager CWC Service Lead/LNM RWT District Nurses RWT Health Care Assistants RWT Comm...
Risk Stratification. 1.8.1 In the event DCFS is not in agreement with the risk level determination made by Contractor for a DCFS Youth in Care Enrollee, Contractor will work collaboratively with the Department and DCFS to resolve the disagreement and ensure that the best interest and needs of the DCFS Youth in Care Enrollee are met.
