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Implementation - Billing & Coding (1)
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This form is to be submitted to Partners for Quality Health.
08/11/16
Implementation - Patient Engagement (4)
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Referral form for children ages 0-3 to receive Department of Health (DOH) Early Intervention Services (EIS) for developmental delay.
02/04/16
This resource can be filled out by the patient prior to their visit. The patient agenda allows the patient to articulate their needs and capture screening questions before the visit occurs.
02/19/16
Sample self management tool to help patients reach their health care goals.
02/19/16
Link to the Woman, Infant and Children (WIC) Prescreening Tool that can be used to determine eligibility for WIC benefits. Services are also available for fathers and guardians.
02/04/16
Implementation - PCMH & Medical Neighborhood (2)
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Primary Care Provider Selection Form for HMSA Members
01/26/17
This form is to be submitted to Partners for Quality Health.
08/11/16
Implementation - Practice Management (0)
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Information - Billing & Coding (0)
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Information - Patient Engagement (48)
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This guide can help patients and their families talk about advance care planning (ACP) using 5 ingredients to understanding ACP.
10/27/16
This guide can help patients and their families talk about advance care planning (ACP) using 5 ingredients to understanding ACP.
10/27/16
This brochure can help patients and their families as they start thinking about end of life care planning.
10/27/16
This brochure can help patients and their families as they start thinking about end of life care planning.
10/27/16
This brochure can help patients and their families as they start thinking about end of life care planning.
10/27/16
This brochure can help patients and their families as they start thinking about end of life care planning.
10/27/16
Information on FREE Kidney Disease Education classes.
06/27/16
Established by the American College of Physicians
06/14/16
Informational brochure about prevention, risk factors and complications of chronic kidney disease (CKD).
02/04/16
Department of Health (DOH) Developmental Disabilities Division's informational brochure on that available consumer directed services (CDS) and how to access CDS.
02/04/16
Informational brochure about Hawaii Children with Special Health Care Needs (CSHCN) program services, eligibility criteria, and contact information.
02/04/16
This brochure contains information about Diabetes and insulin therapy.
02/04/16
Information outlining the guidelines and eligibility criteria for Department of Health (DOH) Early Intervention Services (EIS).
02/04/16
This brochure can help you identify ways to eat well and get active to remain a healthy lifestyle.
02/04/16
Comprehensive list of clinical genetics providers in Hawaii.
02/04/16
Information about the child welfare services provided by the DOH Services, Child Welfare Services Branch, to children/families who have been reported to have been or at risk for child abuse/neglect.
02/04/16
Department of Health (DOH) Developmental Disabilities Division's informational Brochure on eligibility criteria, application process, and available services for the Home and Community-Based Services (HCBS) for people with developmental disabilities.
02/04/16
Health information to help you stay healthy.
06/09/16
Health information page
06/14/16
This brochure outlines 20 tips for healthful and enjoyable eating.
02/04/16
Downloadable patient information sheets regarding high blood pressure (hypertension). Also available in Spanish.
02/04/16
HMSA Care Connection Member Brochure
01/26/17
Information on disease management via HMSA Provider Resource Center.
01/26/17
Search HMSA Providers using a doctor's name, your location, a specialty or an ailment.
01/26/17
inControl Diabetes Learning and Resource Center Website
06/27/16
Informational brochure created by the Legal Aid Society of Hawaii (LASH) answer frequently asked questions regarding power of attorney, principals, and agents.
02/04/16
Learning Disabilities Association of Hawaii (LDAH) Worksheet that parents can use to prepare for their initial evaluation meeting for Department of Health (DOE) special education.
02/04/16
Learning Disabilities Association of Hawaii (LDAH) worksheet that parents can use to prepare for their Department of Education (DOE) special education re-evalution meeting.
02/04/16
Learning Disabilities Association of Hawaii (LDAH) Worksheet that parents can use to prepare for Individualized Education Program (IEP) meetings, specifically when reviewing evaluations/assessments to address the Present Level of Educational Performance (PLEP) page.
02/04/16
Learning Disabilities Association of Hawaii (LDAH) worksheet that parents can use to prepare for Individualized Education Program (IEP) meetings.
02/04/16
Informational brochure created by the Legal Aid Society of Hawaii (LASH) answers frequently asked questions regarding guardianship, either for a minor child or for an adult individual who is unable to manage his/her own affairs.
02/04/16
Health information
06/14/16
Department of Health (DOH) Developmental Disabilities Division publishes this booklet that lists agencies that provide Medicaid waiver services in Hawaii.
02/04/16
"Read about symptoms, causes, treatment and prevention for over 975 diseases, illnesses, health conditions and wellness issues. MedlinePlus health topics are regularly reviewed, and links are updated daily."
06/14/16
Health and wellness information for older adults from the National Institutes of Health.
06/14/16
Informational brochure on identifying children ages 0-22 in need of special education services (includes multiple languages).
02/04/16
Special Education guide for parents that was developed by the Special Education Advisory Council, the Special Parent Information Network, and the Special Education Branch of the Department of Education (DOE).
02/04/16
This brochure guides patients in creating their own, personalized Diabetes plan.
02/03/16
Booklet compiled by Federal Emergency Management Agency (FEMA) and the American Red Cross to help families with children or youth with special needs prepare for emergencies and disasters.
02/04/16
Informational packet that explains the process of applying for and receiving social security disability benefits for children with disabilities.
02/04/16
Informational brochure provides information regarding the Temporary Assistance for Needy Families (TANF) financial assistance program.
02/04/16
Universal-Mini-Cog-Form
08/28/17
Educational brochure for patients on weight loss options.
02/04/16
Information about the different types of genetics professionals and reasons for referrals to a genetic provider.
02/04/16
Informational brochure about the Women, Infants and Children (WIC) program in Hawaii (ie. how to apply, local agency contacts, income eligibility criteria, etc). Services are also available for fathers and guardians.
02/04/16
Information - PCMH & Medical Neighborhood (4)
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Get updates from the State of Hawaii, Department of Health, Disease Outbreak Control Division regarding the 2016 Hepatitis A outbreak. Here you'll find information about Hepatitis A, places of interest and HDOH confirmed cases of Hepatitis A.
08/11/16
As a part of the ongoing Hepatitis A outbreak in Hawaii, the Department of Health is conducting a survey of Hawaii residents to determine how frequently residents eat at restaurants and obtain food from grocery stores in our communities. Click the link to take the survey.
08/11/16
Information - Practice Management (3)
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High Risk Medications List
08/29/17
The Timed Up and Go (TUG) Test
08/29/17
PMAG PRESENTS
MIPS (MERIT-BASED INCENTIVE PAYMENT SYSTEM) WORKSHOP

PMAG hosted workshop with Mountain-Pacific Quality Health about 2018 MIPS update on changes you should be aware of, how to avoid a negative adjustment in 2020 and help you succeed with less stress.

LEARNING OBEJECTIVES INCLUDE:

• 2018 MIPS updates and changes
• Reviewing 2017 final reports
• Setting reporting goals for 2018
• Reporting MIPS without an EHR
• Maximizing your 2018 MIPS score
07/12/18
Neighborhood Resources - PQH Ecosystem (11)
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PMAG Care Coordinators can help your patients achieve their optimal health outcomes by assisting them with:

Referral process to Mental Health Specialists in PMAG’s preferred network
Psychiatric medication adherence
Making the connection between Psychotherapy and medication management
Navigating a Collaborative Care Model using BH Care Coordinators
You may refer HMSA or non-HMSA patients who can benefit from behavioral health assistance to the PMAG Integrated Behavioral Health Program using this form or calling PQH at 808-942-1852 for more information.
06/27/18
The Pediatric Care Coordination program design is founded on evidence-based models across the US. The PMAG Care Coordinators will assist patients and their families with the following and more:

Navigating community resources
Referrals to appropriate community programs
Compiling necessary documentation
Mitigating the special education eligibility process

For more information, call PQH at 808-942-1852. Download the pediatric referral form here: https://bit.ly/2utpZW1
06/27/18
Program designed to help you identify and provide treatment for your patients who may be having problems with substance use.

Participating Providers screen all adult patients 18 years & older for alcohol and drug use.
PMAG will pick up screeners.
For patients with high “positive” scores, PMAG’s Care Coordinators will contact patients for brief intervention or refer patients to treatment if needed.
IBH Team will provide status of patients to PCP regularly.
You can refer HMSA or non-HMSA patients who can benefit from behavioral health assistance related to substance use to the PMAG Integrated Behavioral Health Program using this form or calling PQH at 808-942-1852 for more information.
06/27/18
The Start SMART BP Control Program is designed to help your HMSA patients gain better control of their hypertension. A health coach will assist patients to register for a session time and location that is most convenient. Use this Referral form.

For more information, contact:

Beth Davidann, MPH

HMSA Health Coach

Phone: 808-425-6245

Email: beth_davidann@hmsa.com

06/27/18
Consider the Complex Care Management (CCM) program for your HMSA patients, who have complex health conditions, who are the “sickest of the sick“ which may also include:  multiple comorbidities, uncontrolled chronic conditions, socio-economic issues, DME need or assistance with placement. The HMSA CCM nurses (RNs) can conduct in home health assessments, coordinate care and provide patient POC (plan of care) updates to you on a regular basis.

You may refer patients with this form.

For more details, call 808-440-7057.
06/27/18
HMSA's Condition Care Programs (CCP) is designed to help your patients reach and maintain stability with their conditions. Target population includes patients with diabetes, congestive heart failure and/or chronic pulmonary disease. You may also refer patients who wish to quit smoking or lose weight.

To refer your HMSA patients, please use this form.

For more details, call PQH at 808-942-1852.
06/27/18
Hawaii’s resource for Advance Care Planning, Hospice and Palliative Care.

For copies of the Advance Healthcare Directive form:
https://kokuamau.org/wp-content/uploads/Hawaii_Advance_Directive.pdf

For copies of the POLST form:
http://kokuamau.org/wp-content/uploads/Hawaii_POLST_Form.pdf

For more information about advance care planning, you may refer your patients to http://www.kokuamau.org.
06/27/18
Dr. Ramona Wong (instructor) is a retired nephrologist who provides expert, unbiased education to ALL patients and their families. There is no cost to attend. No referral is needed. Interested participants must call 808-585-8404 to register or visit www.alohakidney.com for more information.
06/27/18
The inControl diabetes and pre-diabetes programs are designed to educate and empower people with diabetes to adopt positive behaviors towards diabetes self-management, in order to reduce the risk of unwanted serious complications. Program is led by Kevin Kam, RPH, CDE. Refer your patients with this form or call 808-450-2402 for more information.
06/27/18
HMSA’s Authorized Representative Form

This form is used tell HMSA which family members or friends HMSA is authorized to share your information with. The individual or organization you list in part C of the form may contact HMSA on your behalf regarding your eligibility, billing, payment status, claims, and medical information HMSA uses to make payment decisions.

Please note that once your information is disclosed to the person or organization you indicate in part C of this form, the information in their possession may no longer be protected by privacy laws. This form may only be signed by the member or a person with the legal authority to sign for the member.

Please complete the form in its entirety and print. Incomplete forms won’t be processed and will be returned.

Return the completed form to the following address:

HMSA Privacy Office
P.O. Box 860
Honolulu, HI 96808-0860

Click here to download HMSA’s Authorized Representative Form.

For CCM or CCP referrals of HMSA patients who are incapacitated, please fax the completed Authorized Representative Form with the Care Referral Form to 808-948-8242.
10/23/18
About Million Hearts®
Heart disease, stroke and other cardiovascular diseases kill over 800,000 Americans each year, accounting for one in every three deaths. It’s the nation’s number one killer among both men and women and the leading cause of health disparities across the population. To address this issue, the U.S. Department of Health and Human Services (HHS) established Million Hearts®, a five-year initiative (2017-2022) co-led by the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS).

Mountain-Pacific Quality Health and PMAG are aligning with the Million Hearts® initiative to prevent one million heart attacks and strokes by addressing the ABCS of cardiac risk reduction (Aspirin therapy when appropriate, Blood pressure control, Cholesterol management, Smoking cessation) with a focus on Blood pressure control.

We are targeting Blood pressure control because it is an attainable and essential component for decreasing the number of Americans who suffer or die unnecessarily due to uncontrolled hypertension.


11/06/18
Other - Billing & Coding (0)
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Other - Patient Engagement (2)
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Posted
Other - PCMH & Medical Neighborhood (1)
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Posted
Other - Practice Management (1)
Resource Name
Actions
Posted
PMAG PRESENTS
MIPS (MERIT-BASED INCENTIVE PAYMENT SYSTEM) WORKSHOP

PMAG hosted workshop with Mountain-Pacific Quality Health about 2018 MIPS update on changes you should be aware of, how to avoid a negative adjustment in 2020 and help you succeed with less stress.

LEARNING OBEJECTIVES INCLUDE:

• 2018 MIPS updates and changes
• Reviewing 2017 final reports
• Setting reporting goals for 2018
• Reporting MIPS without an EHR
• Maximizing your 2018 MIPS score
07/12/18
Other - MIPS (1)
Resource Name
Actions
Posted
PMAG PRESENTS
MIPS (MERIT-BASED INCENTIVE PAYMENT SYSTEM) WORKSHOP

PMAG hosted workshop with Mountain-Pacific Quality Health about 2018 MIPS update on changes you should be aware of, how to avoid a negative adjustment in 2020 and help you succeed with less stress.

LEARNING OBEJECTIVES INCLUDE:

• 2018 MIPS updates and changes
• Reviewing 2017 final reports
• Setting reporting goals for 2018
• Reporting MIPS without an EHR
• Maximizing your 2018 MIPS score
07/12/18