February 22, 2024
An internal message for Tufts Medicine Integrated Network physicians, leaders and staff. Please do not forward, post or share with other groups.
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Patient Experience Webinar with Dr. Adrianne Boissy |
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Join us on Tuesday, February 27 from noon-1 p.m. as we host Dr. Adrienne Boissy, MD, MA, Chief Medical Officer, Qualtrics, for a webinar on creating an optimal patient experience. Dr. Boissy has published extensively on patient experience innovation, measures of success, and digital design.
Mark your calendar and use this link to join the session.
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Scott Wallace, LICSW - Director of Behavioral Health Operations
Scott was recently named Director of Behavioral Health Operations for TMIN. In this new role, he will lead the TMIN Behavioral Health Program—as part of the broader Tufts Medicine Behavioral Health service line that is being built—and serve as the primary Tufts Medicine relationship owner for Synchronous Health, our teletherapy partner.
This new role reflects the significance of behavioral health within our primary care framework and will be critical in fostering cohesion within the team, functioning as an integral component of the overarching ambulatory care management model. This collaborative effort also extends to Navvis, our partner in Population Health.
Kaitlyn Emond - Care Coordination Specialist Manager
Kaitlyn recently accepted a new role as Care Coordination Specialist (CCS) Manager. CCSs are a critical part of our Elevate Population Health initiative, and offer clinician and practice support services around quality operations and performance. Kaitlyn brings an extensive knowledge and background on quality measures, performance optimization, system navigation, and TMIN structure and history.
In this role, Kaitlyn will lead and oversee day-to-day operations of the CCS team. She will engage our executive-, regional-, LCO-, and practice-level leaders to support quality operations and ensure all components are functioning efficiently to support our clinicians and enhance patient outcomes.
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Who Will Be the Barbarajean Magnani Award Winner? |
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Find out and celebrate this year’s recipient during the virtual award program. Presented by the Tufts Medical Center Physicians Organization's Women in Science and Medicine Committee, the Magnani Award recognizes a woman physician and/or scientist at Tufts Medical Center who exhibits outstanding accomplishments in the advancement of gender parity and leadership at Tufts Medicine and beyond.
Tuesday, February 27, 5:30-6:30 p.m.
Passcode: 417992
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In the News: Tufts Medicine Virtual-First Initiative
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Tufts Medicine's new virtual-first initiative will create easier access to care and support the growth of our physician practices.
This initiative will help us meet the increasing demand for immediate and personalized access to care in an environment where many clinicians are at capacity and competitors like Amazon and Optum are introducing similar options for patients. Virtual-first represents an exciting opportunity to attract new patients, retain existing patients and increase capacity at a time of critical need.
Read the press release here.
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February All Physician Town Halls |
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Join Tufts Medicine Chief Physician Executive, Michael Tarnoff, MD for one of two All Physician Town Hall Meetings next week.
All members of the Tufts Medicine Physician and Advanced Practice Clinician Community are invited. If you haven't already, please ACCEPT the Outlook calendar invite that works best for your schedule and DECLINE the other. If you use a different scheduling system, please mark your calendar and use the links below to join.
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Important WellSense Medicaid ACO Updates |
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WellSense Care Alliance Prior Authorizations:
Beginning March 1, 2024, WellSense will require that all inpatient and outpatient authorization requests submitted directly to WellSense be performed via digital submission in the WellSense provider portal, also known as HealthTrio. WellSense will no longer accept faxed authorization requests. All clinicians are encouraged to convert their prior authorization submission process as soon as possible.*
- Using the portal, you can submit outpatient and inpatient authorization requests, confirm authorization numbers and check the status of authorizations.
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You can register for portal access by clicking here.
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Instructions on using the Health Trio portal for authorization submissions can be found here.
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If you’re not able to access the portal or have other questions please contact your Provider Relations consultant.
*If no other option is available, you can contact your Provider Relations representative, who can assist you with other options
WellSense Care Management Referrals:
If you have a WellSense Medicaid ACO member who needs support for care needs such as social determinants of health, behavioral health or Complex Care Management, please submit your referral using one of the following pathways based on your practice’s EMR:
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Epic Practices – submit a referral to care management order via Epic. Click here for guidance on this workflow.
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Non-Epic Practices – submit an electronic referral form with the last office visit note via fax or email. Click here to access the Referral to Care Management form.
- If sending via fax: 978.934.8586
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If sending via email: PHO.Resourcebank@tuftsmedicine.org
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Practices with Direct Trust/Messaging – submit a Referral to Care Management form from your EMR directly to the TMIN Central Resource Department. Click here to access a guidance document on Direct Messaging.
Moving forward, please stop sending referrals directly to WellSense and use one of the methods listed above. This will assist in centralizing all Care Management referrals and routing to the appropriate discipline(s).
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New Social Determinants of Health Training Available |
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Next month, we will host 6 virtual sessions for all Tufts Medicine clinicians who use Epic on how to collect and document SDOH information in Epic and how to search for community resources using Findhelp – a search platform for finding and applying for free or reduced-cost social services, like food, housing, financial assistance and health care. Use the links below to join the session that works best for your schedule.
Thursday, March 7
Wednesday, March 13
For those who are not available on the above dates, we’ll post a recording of one of the sessions to our Health Equity Training site, where you can also find links to the first three virtual training modules.
Please contact Carolyn Petze, Senior Project Manager, with any questions.
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Cost-Related Medication Questions:
Many patients don't take their medications because they're unable to afford them, while others skip medication doses or delay filling a prescription to save money. This handout provides resources to assist patients with prescription access and cost savings. The following are Z codes that may be used in situations where medications are not taken due to financial hardship:
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Z91.A20 - Caregiver's intentional underdosing of patient's medication regimen due to financial hardship
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Z91.A41 - Caregiver's other noncompliance with patient's medication regimen due to financial hardship
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Z91.120 - Patient's intentional underdosing of medication regimen due to financial hardship
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Z91.141 - Patient's other noncompliance with medication regimen due to financial hardship
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Z91.190 - Patient's noncompliance with other medical treatment and regimen due to financial hardship
Diabetes Sick Day:
This handout was created through a collaboration between TMIN Pharmacists and Care Managers to counsel patients regarding diet, medications and monitoring, over-the-counter product use, immunizations, and when to seek medical attention. TMIN Certified Diabetes Care and Education Specialists are available as additional resources.
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Epic practices – submit “Referral to Care Management” (ref500) order here
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Non-Epic practices – use the electronic referral form available here
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for an archive of previously recorded webinars.
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About Tufts Medicine Integrated Network
The Tufts Medicine Integrated Network is a distinctively different population health enterprise, including 2,300 primary care and specialist physicians and advanced practice clinicians. Working as Tufts Medicine employees or in private practice, we deliver exceptional coordinated care in community and hospital settings with a sharp focus on value-based care and health equity. Our purpose is to build healthier communities and create healthy, rewarding experiences for our patients and care teams.
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