Department of Human Services Bureau of Maternal and infant Health FY18 Better Birth Outcomes Clinical Review Agency Name: Review Date: MCH Nurse Consultant: Agency Contact: Number of Active Charts Randomly Selected for Review: Assigned Caseload = Active Caseload = Quarterly Performance # of Charts Number % Data from Performance BBO Indicator # Done Report Reviewed Expected Compliance Cornerstone Standard Quarter Report % Started BBO 1st Trimester: PA15 75% Face-to-Face (1/month): SV02 80% Other Contact Percent: SV02 100% Home Visit each trimester: SV02 75% First Trimester Enrollment in Prenatal Care: PA07 75% PNC Visits: Adequacy of Prenatal Care: (Kotelchuch) SV01;802 90% Reproductive Live Plan/Last Trimester Reproductive Life Plan/Post Partum 95% PEWW/Well Women Education 95% Number of women receiving SNAP benefits who received documented discussion related to employment at the newborn 90% visit. ( SV01:913) Job Training/Employment Counsel Risk Assessment: AS01:707G 100% Assessments: AS01:700, 701, 703, 704, 705, 706, 707D 90% Primary Care Provider/ Medical home: PA03 100% Prenatal 100% Depression Screening: SV01:825 Postpartum 100% Individual Care Plan: CM02-03 90% Referred or enrolled in WIC: PA15, RF01 or 707D 100%
Department of Human Services Bureau of Maternal and infant Health FY18 Better Birth Outcomes Clinical Review Agency Name: Review Date: MCH Nurse Consultant: Agency Contact: Number of Active Charts Randomly Selected for Review: Assigned Caseload = Active Caseload = BBO Indicator # of Charts Reviewed Number Expected # Done % Compliance Performance Report Quarter Quarterly Data from Cornerstone Report % Performance Standard Started BBO 1st Trimester: PA15 75% Face-to-Face (1/month): SV02 80% Other Contact Percent: SV02 100% Home Visit each trimester: SV02 75% First Trimester Enrollment in Prenatal Care: PA07 75% PNC Visits: Adequacy of Prenatal Care: (Kotelchuch) SV01;802 90% Reproductive Live Plan/Last Trimester Reproductive Life Plan/Post Partum 95% PEWW/Well Women Education 95% Number of women receiving SNAP benefits who received documented discussion related to employment at the newborn visit. ( SV01:913) Job Training/Employment Counsel 90% Risk Assessment: AS01:707G 100% Assessments: AS01:700, 701, 703, 704, 705, 706, 707D 90% Primary Care Provider/ Medical home: PA03 100% Depression Screening: SV01:825 Prenatal 100% Postpartum 100% Individual Care Plan: CM02-03 90% Referred or enrolled in WIC: PA15, RF01 or 707D 100%
FY18BBOClinicalReview.docx