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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