Project Aim Statement

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					      Project Aim Statement

Reduce the number of denials and closures of
     KMC-assisted CHIP applications
  Process Improvement Collaborative
  Who we are

Kootenai Medical Center    Idaho Dept. of Health
           (KMC)           & Welfare-Region One
 Full service hospital             (IDHW)

  owned by residents of   Medicaid below 133%
  Kootenai County          FPG
  (pop.105,000)             14,000+ on Medicaid
                             U-19
 42,601 ER visits in     S-CHIP 133%-150%
  2002                     FPG
 232 beds                  1,400+ on S-CHIP
Focus-testing to date
Historical Data-
                                                                            M2: % Applications Approved
applications (insert                   100.0%

chart)                                 90.0%
                                       80.0%
                                       70.0%




                         % Approvals
Began with renewal                     60.0%
                                       50.0%

postcards                              40.0%
                                       30.0%
                                       20.0%

Small number in test                   10.0%
                                        0.0%

cycles




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Changed gears to
application assistance
Improvements as result of testing
CHIP TIPS-small tests around application
assistance
Patient applicants
   Tested positively with Social Services staff as a
    document for application assistance
Non-patient applicants
   Tested poorly as a document to send home with
    families-too technical
Ready to expand to use with application
assistance workers
Next steps
Recent data suggests                                   M 4.2: % Closed at Renewal

problem with closures                          45%
                                               40%
at time of renewal                             35%




                         Percentage Closures
                                               30%

Small scale-testing                            25%
                                               20%

Is this a problem only                         15%
                                               10%

at KMC?                                        5%
                                               0%


Does this problem
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exist outside of test
population?
Next Project Aim Statement?

  Increase the number of renewals of
      KMC-assisted applications
  Goals for CKF-PIC
  What we can do in one year

 Track KMC-assisted non-patient applications
 Develop streamlined application process with a
  feedback loop for denials/denial codes
 Develop tracking method for renewal 30-60 prior
  to renewal date
 Communicate with test population about
  importance of renewal
 Develop KMC assistance program for renewal
  paperwork

				
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