From:                              Widmayer, Tess

Sent:                               Tuesday, April 24, 2012 2:34 PM

To:                                   Alice Belford - MHS BPSR Kinesis North; Allison Sepulveda - San Diego Deaf Mental Health Services; Amelia Ford - Casa Del Sol; Ami Roeschlein - UCSD Co-Occurring Disorders; Anna Ennis - Heritage Clinic East; Anna Grellert - Exodus; Annette Witt - UCSD Gifford; Areta Crowell - Staff; Knight, Elizabeth (Betsy); Brandi Marcoe - NAMI - Family & Peer Support Helpline; Cara Evans - Providence; Gardner, Carter C.; Cecily Thornton Stearns - Providence - Catalyst; Colette Lord - Jane Westin Wellness and Recovery Center; German-Marquez, Connie; Cynthia Halpin - Exodus; Dixie Galapon - UPAC CTC; Erika Keus - CalWorks; Evelina Jaime - Project Enable; Fahimeh T. Peifer - MHS Case Management North; Jennifer Hurlow-Paonessa - Project Enable Geriatric Specialty; Jennifer Whelan - Douglas Young Clinic; Jim Fix - PERT; Juan Camarena - Maria Sardinas & Maria Sardinas Puentes; Juan Medina - San Diego Employment Solutions; Julie Cole - Hope Connections - MHS; Karen Hempstead - Areta Crowell Director; Kathi Anderson - Survivors of Torture; Kathleen Leverette - MHS Compliance; Sorahan, Kathleen; Kathy Robbins,  MFT - BPSR Vista; Kathy Shoemaker - Exodus; Kendra Makey - Center Start ACT ; Kim Hendricks - North Star ACT; Kimberly Shultz - Acting PM - MHS Case Management North; Laura Reyes - Program Coordinator - Southbay Guidance Center; Linda Hammond - CRF Legal Entity - President; Linda Richardson - MHS N.Inland; Lisa Bertelle; Fernandez, Luz M.; Mahvash Alami - Survivors of Torture; Maria Morgan - Kickstart; Marty Adelman - Council of Community Clinics; Mary Wheeler - Casa Pacifica; Mary Woods - Telecare - ACT, Access and Transition team; May Vang - East Wiind Socialization Center; Melissa Beals - IMPACT; Michael Juan - Program Director - South Bay Guidance Center; Michele Cannon  - SD MHC for Deaf; Michelle Romero - Exodus - Central Connections; Minerva Morales - Family Health Center Logan Heights; Myra Buby - Family Health Center Hillcrest; Natalie Gillespie - MHS North Coastal; Nikoo Z. Sadatrafiei - CalWORKS Escondido (zsadatrafiei@mhsinc.org); Patricia Judd - UCSD; Patricia Tapia - Heritage Clinic -  Director; Paula Concalves - CRF QI; Payal Beam - MHS North Coastal Mental Health Center; Rachelle Kehoe - MHS Contract Compliance - Adult Mental Health; Sanyana Saxena - UCSD Outpt Services; Scott Elizondo - MHS Kinesis North; Susan Lund Heritage Clinic NI  - Program Director; Tammy Summers - MHS - Center Star ACT; Toan Cao - UPAC Eastwind; Troy Boyle - CRF Impact; Watson, Greg; Yi Chuan Cheng - Heartland Center; Zina Salem - Chaldean and Middle-Eastern Social Services ; Barri Levin - Halcyon Center; Dan Maccia - Vista Balboa; Ginger Wotzka - Casa Pacifica - CRF; Lisa Bertelle - New Vistas; Martha Noderer - Jary Barreto; Mary Wheeler - Casa Pacifica; Megan Partch - Starting Point ; Michelle White - Alpine Starting Point; Natanya Glezer - New Vistas; Paul Knight - Isis Center; Rhonda Mata - Casa Pacifica; Tara Bogs - Turning Point Crisis Center; Tashia Kane - Uptown Safe Haven;  Barent Mynderse - Rady Children's Hospital; Alaya Ben-Tal - Rady - Developmental Eval Clinic; Allison Sepulveda - SD Deaf MHS; Angela Chen - UPAC; Angulo Aidee (SDUSD IOP); Autumn Bailey - The Bridge; Betty Plewak - Mental Health Resource Center; Beverly Laning - COP North Coastal - Vista Way; Bill Simpson - CRF - Nueva Vista Family Counseling; Carrie Kintz - FFA/Stepdown - SDCC; Cheryl Alexander - Jewish Family Services; Crystal Luna - MHS TBS; Cynde Roth - MHS - Frontier; Cynthia Jaurequi - Community Circle Spring Valley; Dawn Jennings - South Campus RCL 14; Debbie Shriver - North County Lifeline Oceanside; Denise Kerwood - Cabrillo Assessment Center; Denise Kerwood - New Alternatives - CAC; Dori Gilbert - YMCA; Eileen Quinn-O'Malley - Fred Finch Polinsky Day Rehab; Elizabeth Tebo - Clark Adolescent Treatment Center; Erin Murphy - STEPS; Gala Goodwin - Victor Santa Rosa; George Montoya - Rady CES; Golby Rahimi - Families Forward - MHS; Hillary Sloan - NA - Herrick Center; Jacqueline Gardiner - CAT YAR - MHS; Jacqui Small - Cajon Valley - NA; Jamae Marcinko  - FHC - Community Circle Central; Jeff Goodman - Stepdown EPSDT - SDCC; Jeffrey Olson - Developmental Eval Clinic - Rady; Jenelle Kargacos - Life School; Julia Darling - COP NC & San Marcos Academy; Karen Giannini - VHLAC Escondido; Karyn Donado - Families Forward; Klea Galasso - NA TBS; Kristin Cremer - VHLAC Ramona; Larry Fortin - Green Oaks Ranch; Laura Rogers - Fred Finch Wrap; Lisa Hazlewood - COP NI & Rancho Bernardo; Lori Barnes - Discovery Hills and Discovery Valley - SDCC; Mark Gotbaum - Juvenile Court Clinic - Vista Hill; Mary Ellen Baraceros- Cornerstone - Providence; Melissa Haupt - Hillcrest DT - NA; Michael Falcone - SDYS CAT ; Michelle Deitz - Polinsky Med Center (Rady); Nick Montano  - Para Las Familias; Rebecca Bernard - RCL 23 & 14 - SDCC; Rebecca Raymond - Crossroads; Rhaelynne Scherr - SAY CAT & SAY Marshall; Roberto Suarez - YES; Robyn Ramsey - ALLY Southbay & National City; Shaly Haddadd - Chaldean and Middle-Eastern Social Services ; Shirley Culver - San Diego Unified ; Steven Jella - The Bridgman Home/The Bridge; Susan Lawlor - Palomar Fallbrook; Tamara Marthens - NC Lifeline; Terry Maxson - Harmonium - Parent to Parent; Virgina Bial - Kidstart; Wendy Panagos - East Region Outpatient - SDCC; Yuka Morita - Marcy Day Rehab; Angela Rowe - Incredible Families ; Araseli Lewis - CRF CARE; Bruce Wexler - Fred Finch Dual Diagnosis; Carol Burns - Clinical Director - UPAC; Carole Doherty - CAT - South Bay Community Services; Carrie Kintz - FFA/Stepdown - SDCC; Castillo, Josie; Engelman, Celia; Cobb, Diana; Colligan, Laura; David Baker - Victor Lodi; Fitzgerald, Anne; Gary Stewart - Rady Behavioral Crisis Center; Gary Youssef - COP Central; George Montoya - Rady CES; Gorman, Jane; Jacqueline Gardiner - CAT YAR - MHS; Jacqueline Gardiner - CAT YAR - MHS ; Jerri Coast - Vista Hill IOP; Judy Parker - Unified Day School; Julie Mancia - MHS School Based; Julie McPherson - Douglas Young; Lisa Turner - Childnet ; Massoth, Sharon; McCawley-Self, Julie L.; Michelle Atkins - SDYS Counseling Cove; Mike Miller - MAST; Picker, Jamie; Rebecca Bernard - RCL 23 & 14 - SDCC; Rex Sheridan - San Pasqual Academy; Robin Bowman - Victor Redding; Stacy Musso - New Dawn; Stephanie Rosen - MHRC & Early Childhood Mental Health - SDUSD; Steward Holzman - MTFC-P  SDCC; Tamara Fleck-Martens - Casa De Amparo; Tammy Runge - Dual Diagnosis Services for Probation Institutions (SAY); Walker Dewitt - MTFC SDYS; Watson, Greg; Zina Salem - Chaldean and Middle-Eastern Social Services

Cc:                                   Garcia, Piedad; Lang, Tabatha; Malcarne, Deborah; Palid, Anna; West, Virginia; Edwards, Frances; Koenig, Yael; Solomon, Michele; Adam, Kenneth; Astor, Katie; DeVoss, Angie BC; Eto-Barba, Sayaka; Gage, Yvonne; Gonzaga, Alfie; Monise, Lauretta; Murphy, Tammy T.; Redondo, Cecilia N.; Seal, James; Tabor, Monya; Thibault, Lori; Tregembo, Shelly; Wilcox, Jeanne; Anderson, Kathy; Benitez, Carlos; Ellingsen, Paul; Elwood, Rosinete; Garcia-Moreira, Margarita; Hansen, Stephanie; Hiltsley, Michalene; Jones, Steven; Kobold, Helen; Lea, Samantha; Loo, Adriana; MacDougall, Deborah L.; Mertins, Karl; Miles, Elizabeth A.; Milow, Candace; Newcomer, Brian; Raby, Michelle M.; Rosengarten, Ian; Tormey, Timothy; Tran, Trang; Widmayer, Tess; Amy Chadwick - CASRC; Ana Barrett - Director of Regulatory Accounting - CRF; Andres Sciolla - UCSD Outpatient Psychiatry; Anita Poellnitz - CRF; Ann Harris - Clinical Director - Hillcrest House - NA; B. Them - Prime Healthcare; Cara Evans - Providence; Carmen Moon - Providence TAY; Carol Davis - Optum Health; Carol Neidenburg - CCHEA; Chelle Sutyak - Casa De Amparo; Cynthia Jackson Kelartinian - Heritage Clinic - Executive Director; Dannica Sannicandro - UCSD; David Taylor - VHLAC Escondido; Denise Kerwood - New Alternatives - CAC; Doug Reiss - Harmonium; Emily Dibben - Casa De Amparo; Emily Trask - CASRC; Erin Lae - Dual Diagnosis Program Coordinator - SAY San Diego; Gina Hungerford - Staff Clinical Therapist - National Center for Deaf Advocacy; Golby Rahimi - Families Forward - MHS; Harriet Stupp - Manager of Provider Services - Optum Health; Holly Younghans - Episcopal Community Services; Jamie Schaubel - San Diego Unified; Jennifer Cassidy - San Pasqual Academy; Julie Cole - Hope Connections - MHS; K. Fawley-King - CASRC; Karen White - Families Forward Admin; Kathleen Leverette - MHS Compliance; Kim Wilson; Kristine Tiernan - Alpine Special Treatment Center; Laura Beadles - Behavioral Health & Communit y Services Director - SDYS; Laura McLarin - Fred Finch - Wrap - QI; Laura Otis Miles - MHS VP; Laurie Rennie - SAY San Diego; Lea Bush - Positive Parenting - Jewish Family Service; Leean Couch - MHS - QI; Maria Palomo - North County Lifeline; Marie Saragosa - San Diego Unified; Melinda FurFuro - SDYS Family Partners Program; Michael Jones - The Bridge - Division Director; Michael Mays - South Coast Community Services - Billing; Michelle Molnar - Financial Administrator - Providence Community Services; Mike Carroll - Action Regional Manager - Heritage; Mike Phillips - JFS Patient Rights; Minola Clark Manson - San Diego State University; Myisha McNair - San Diego Unified; Nathan Aish - MHS QI; Nick Mortaloni - PEI - SDYS; Nora Cole - FHCSD - MHS Project Manager; Orv Coonce - MHS; Pam Wright - South Bay Community Services; Pamela Bryson - Program Manager - Vista Hill Smart Care Integrated Health; Patricia Lazalde - Director of Behavioral Health - SDYS; Robin Bowman - Victor Redding; Sarah MacArthur - SDCC - Children's Wellness Program; Scott McGuirk - South Coast Children's Society; Somer Gardner - New Alternatives; Sue Robson - CRF; Terry Villacruz - Optum Health - Clinical Director; Tom Alexander - Fred Finch; Wanda Bennett - Telecare; Alan Higgins; Alisha Schnakenberg; Ana Briones-Espinoza; Carol Davis; Elsie Blancas; Gary Henry; Ines Russo; Justin Terrell; Keshona Rolle; Kim Stephens; Kris Summit; Kristie Tokar; Lauretta Jenkins; Nilsa Rubenstein; Ruth Kenzelmann; David Kneip - Exodus Recovery - QI; Debra Miranda - Rady QI; Debra Peltzer - Victor QI; Desiree Kane - Fred Finch - QI; Kelly Bordman - Families Forward QI; Laura McLarin - Fred Finch - Wrap - QI; Linda Nichols - NA QA; Lynne Kelly - NA QI; Misty Wilkerson - SDCC QI; Nathan Aish - MHS QI; Paula Concalves - CRF QI; Rebecca Tortorelli - Fred Finch Compliance; Susan Balla - SDYS QI

Subject:                          Client Plan Tiers Issue – MUST READ!!

 

Importance:                   High

 

This memo is sent on behalf of Michalene Hiltsley, Quality Improvement Supervisor

Good afternoon all!

As some people are aware there has been a hiccup in the Anasazi Client Plans recently and we have been working with Anasazi on correcting the issue.  The largest issue seems to be corrected at this time however we need your continued assistance to report and track if the issue does continue.  In a nutshell here is what users are seeing occur:

In reported cases, staff was adding a planning tier to the Client Plan and the system changed the tier type.  For example, a Strength was selected and when staff proceeded to the next step correctly the system converted the selected Strength to an Area of Need, an Objective, or an Intervention.  When this does occur staff will receive a prompt asking for additional information that is not required (such as frequency).  

If you see that this has occurred within a Plan you are working on – please stop, save the Plan (not Final Approve), and contact the Help Desk.  By doing so and providing specific information you are assisting us with correcting the issue promptly so that you are able to continue on with your clinical work as quickly as possible.

Some things to keep in mind if this occurs:

·         Progress notes can be written on a non-final approved Client Plan as long as there is at least one Need, Goal, Objective and Intervention.  This means you should be able to continue to document progress notes in this situation.  You will receive a message reminding you that the Plan is not final approved and ask if you want to continue – it is ok to select “Yes”.  The service may be indicated as an “unplanned service” – in this situation that is acceptable.

 

·         Timelines are still in effect – if this issue does occur and you are unable to final approve the Plan within timelines, make sure to complete a paper Plan with all signatures within timelines and keep it in the hybrid chart.  As soon as the item is fixed you will need to enter and complete the Plan in Anasazi with the dates documented on the paper Plan.  (Reminder – paper plans are only to be used when the system is down and must be entered in to Anasazi as soon as the system comes back up).

 

·         Contact the Help Desk immediately to determine if this is truly the same issue or if something different is occurring.  If you do not report it we cannot fix it. 

Thank you all for your patience in managing this issue and for assisting us with continued reporting and tracking of issues as they arise!

 

 

Tesra Widmayer, Research Specialist
Mental Health Services - QI Unit
County of San Diego
(619)584-5026 (Phone)
(619) 584-5018 (Fax)

 

 

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