PBHCI Grantee Technical Assistance - Physical Health Indicator Data Jam Session

1. PBHCI Grantee Technical Assistance - Physical Health Indicator Data Jam Session Friday, February 11, 2011 1:00 PM - 2:00 PM EST

2. If you dialed in to this webinar on your phone please use the “raise your hand” button and we will open up your lines for you to ask your question to the group. (left) If you are listening to this webinar from your computer speakers, please type your questions into the question box and we will address your questions. (right)

3. Purpose • Describe collection of physical health (PH) indicators • PH Indicators are specific to the PBHCI program • i.e., not relevant to your other SAMHSA grants

5. What are PBHCI PH indicators?

6. Why are some items recommended? • Your contract with SAMHSA requires that you collect some PH indicators • Recommended items are consistent with good clinical care • Waist circumference: Metabolic syndrome • Breath CO: Tobacco smoke exposure • Recommended items help you / SAMHSA monitor the health of your consumers

7. PH Indicators FAQs Q: What is the difference between “lipid panel” and “blood work”? A: Lipid panel is a blood test that includes triglycerides, total cholesterol, HDL, and LDL • Lipid panel does not include glucose or A1c • Blood work refers to any diagnostic testing performed on the fluids or cells of peripheral blood, including lipid panel, glucose and A1c

8. PH Indicators FAQs Q: Which is better to collect: A1c or glucose? A: A1c • A1c is the standard tool to monitor sugar control in patients with diabetes • A1c is becoming the new standard for screening patients for diabetes • More convenient than glucose test

9. PH Indicators FAQs Q: Why collect waist circumference? A: Although waist circumference and BMI are related, waist circumference is an independent predictor of • Type 2 diabetes, dislipidemia, hypertension, and cardiovascular disease over and above BMI • This is especially true for patients who are normal weight or overweight according to BMI, Asians, or older adults

10. Collecting and Reporting PH Indicators • Next slide has a timeline for collecting and reporting PH indicators • Timing of collecting and reporting is not the same • Mechanical indicators need to be collected more often than they are entered in TRAC • Per specifications of your contract with SAMHSA • Reporting of PH indicators coincides with NOMS interview

11. Collecting and Reporting PH Indicators Intake 6 Months 12 Months 3 Months 9 Months Discharge same pattern continues until… MT BT NOMS MC MT NOMS MC MT BT NOMS MT BT NOMS MC = Mechanical indicators: Collect and store in medical records MT = Mechanical indicators: collect, store in medical records, and enter in TRAC BT = Blood work: collect, store in medical records, and enter in TRAC NOMS = NOMS survey, enter in TRAC

12. PH Indicators FAQs Q: When can I start entering PH indicators into TRAC? A: End of March, 2011 • Pending: (1) the TRAC system is fully functional, and (2) data collection is approved by OMB • TRAC Help will notify you when you can begin entering PH indicators in TRAC. TRAC Help will also send explicit instructions about how to enter and edit PH indicators data

13. PH Indicators FAQs Q: Where do I enter PH Indicators in TRAC? A: Section H • Section H is for individual programs to collect program-specific data. • In the future, other grants may include a Section H that contains different data items

14. PH Indicators FAQs Q: When should I start collecting PH indicators? A: As soon as you start enrolling patients into your PBHCI program • Your contract with SAMHSA stipulates that you will collect PH indicators for all PBHCI clients quarterly (mechanical measures) and annually (blood work) throughout the life of your grant

15. PH Indicators FAQs Q: How should I collect (and maintain records) of PH indicators before the TRAC system is ready? A: Use the form on the next slide as a guide • Use the forms directly or build a database to house the information. • PH indicators data will ultimately be entered into TRAC by hand. Your data collection and storage system should facilitate easy data entry once the TRAC system is ready. • When TRAC Section H is ready, you will be able to edit old interviews and add the PH indicators data

17. Missing PH Indicators Data • Missing PH indicators data can be marked in TRAC in two ways: • Refused • Missing Don’t forget to note missing data on your forms/ database for later entry into TRAC!

18. PH Indicators FAQs Q: If the consumer does not fast for 8h, should we still obtain the blood sample? A: Yes. • Note on the form that the fast wasn’t completed and record the value of the non-fasting glucose test

19. PH Indicators FAQs Q: Do all PH indicators data need to be entered at the same time as the NOMS? A: No • PH indicators data is often collected at the same time as the NOMs (see timeline) but blood work might not be back from the lab right away • Unlike other data, you can enter blood work data into TRAC at a later date.

20. Help? Q: Who should I contact for help with PH indicators? Contact Emma or Jeff at the Center for Integrated Health Solutions for questions about content or collection. emmag@thenationalcouncil.org jeffc@thenationalcouncil.org Contact TRAC Help for questions about data entry for section H and all other sections of TRACTRAC Help Desk, TRACHelp@westat.com 1-888-219-0238 Hours: M-F 8:30 AM - 7PM (ET)