Practice Resources

Incentive Information

ACP Metrics, Guidelines and Links

 

Also see the most updated Key Contact List for each Health Plan.

And the Archives for any old information as provided by the Health Plans.

CPC+

Provider Delivered Care Management (PDCM)

The following resources have been made available to assist offices in delivery of Care Management Services by a Care Manager, working with a Physician and Care Team, in the Primary Care or Specialist Office:

OPNS Physician Matrix

 

Affordable Care Act- Discrimination Rule

The following linked Discrimination Rule Document provides information to remain compliant with an updated law from the Department of Health and Human Services.

Reference the links within the document for additional information.

OPNS Shareholder Information

OPNS Corporate Bylaws:

 


OPNS Newsletter

2024

2023

2022

2021

2020

2019

 


Tips and Tools

BCBSM Tip Sheets


Choosing Wisely

The American Board of Internal Medicine (ABIM) Foundation created the initiative known as Choosing Wisely® to educate physicians and patients on the overuse of unnecessary tests and procedures.

 

OPNS promotes Choosing Wisely® throughout its practices as part of a continuous effort to improve the quality of treatment while efficiently decreasing medical costs. The link below was provided by Choosing Wisely® to explain what the initiative involves.

www.choosingwisely.org


Community Resources

OPNS has developed a comprehensive list of community resources that may be helpful in providing services to your patients. Information contained in the Community Resource Guide is updated on a semiannual basis or as new information/resources become available. Please refer to the Table of Contents at the beginning of the Guide for a complete listing of service categories.


Cardiac Rehab Brochure

The OPNS Cardiac Rehab brochure provides information regarding:

  • What is Cardiac Rehabilitation?
  • How Cardiac Rehabilitation will help the patient
  • The three (3) phases of Cardiac Rehabilitation
  • Who qualifies for Cardiac Rehabilitation

Cardiac Rehabilitation Brochure



Pharmacy

Looking for additional educational tools to address common pharmacy issues?

 

HPV Information / Vaccination

Here are some posters you may want to make available in your office(s) regarding HPV:

Order free immunization materials at:

 http://www.hpclearinghouse.org/

 

Antibiotic Use

 

OPNS IT Assessment Survey

OPNS Blank IT Survey

Health Plan Incentive 2024 at a Glance

The 2024 Incentive Matrix provides the rewards associated to the quality metrics by Health plan.

Advance Care Planning in Everyday Clinical Practice

OPNS Video Series

To view the Video Series on the Trinity Health network and claim CME credits, viewers must first create a CME tracker profile. Viewers may have a CME tracker profile if they have claimed credits for Trinity Health programs in the past.

To access the videos and create a profile, click on the link or QR code below to access the “OnDemand” section of the tracker. Click on the video you want to watch.  You will be instructed to register and provide your password or create a new user profile.

cmetracker.net/THLMI/Publisher?page=pubOpen#/enduring

ACP Video Poster 2.jpg 

                                                                                       

Video 1 – ACP 101- ACP 101      Event # 67485

           Video 1 Power Point Presentation Slides

Video 2 - ACP 102 - Having the Conversation        Event #73661

            Video 2 Power Point Presentation Slides

Video 3 – ACP 103 - Strategies for Incorporating ACP in the Medical Office           Event # 7384

              Video 3 Power Point Presentation Slides

Video 4– ACP 104 - ACP Billing and Coding Tips and Telemedicine Options          Event #

              Video 4 Power Point Presentation Slides

Michigan Controlled Substance Laws

Opioid Management Toolkit

Several Resources and links are offered to assist office to improve communication between patients and medical staff regarding the benefits and risks of opioid therapy as well as information on the treatment of opioid use disorder. Also provided are the FAQs regarding current Michigan Opioid Laws.

Documents include:

Preventing Fatal Overdose (naloxone)

          Produced by Prescribe to Save Lives

Opioid Safety and how to use naloxone - Patient Handout

         Produced by the San Francisco Department of Public Health

CDC Developed Tools for Healthcare Providers (Shared through the Oakland County Health Division):

 

Implementing CDC's Opioid Prescribing Guideline into Clinical Practice

Produced by the Centers for Disease Control and Prevention

Determining Whether to Initiate Opioids for Chronic Pain

Produced by the Centers for Disease Control and Prevention

Checklist for Prescribing Opioids for Chronic Pain 

Produced by the Centers for Disease Control and Prevention

Guideline for Prescribing Opioids for Chronic Pain

Produced by the U.S. Department of Health and Human Services

 

Free Customizable Brochures for Download; Facts, Disposal, Talking to Your Doctor and Pain Control

Produced by the Michigan Opioid Prescribing Engagement Network (OPEN)

 

Additional Opioid Informational Links

CDC Website

https://www.cdc.gov/drugoverdose/opioids/index.html

Michigan Department of Health and Human Services

https://www.michigan.gov/mdhhs/0,5885,7-339-71550_2941_4871_79584---,00.html

Michigan State Medical Society

https://www.msms.org/resources/quality-patient-safety/reversing-the-opioid-epidemic


End of Life Planning

Advance Care Planning (ACP)

OPNS hosted a Town Hall on Advanced Care Planning on April 11th, 2019!

Click here for the Power Point presentation

OPNS has compiled an Advanced Care Planning Toolkit containing materials designed to provide information and guide you as you discuss Advanced Care Planning with your patients, ensuring that both you and your patients are most comfortable.

ACP Toolkit

Specific documents include:

An ACP Pamphlet and A Palliative Care Brochure

To give to your patients to introduce them to what Advanced Care Planning and Pallaitive Care are all about. 

A Sample Advanced Care Plan Discussion Script

To guide you in your talk with your patients regarding End-of-Life wishes.

Information On Choosing A Patient Advocate

A person appointed to make health care decisions for a patient when he/she is no longer able to make these decisions for themselves.

A Poster

To strategically place in your office so that patients can be made aware of Advanced Care Planning.

Billing and Coding Information Sheet

Advance Care Planning Bbilling coding information to help you meeting insurance requirements.

 

Advance Directive Forms

Sample Advanced Care Directive Forms can be obtained from working with an attorney or websites including www.agingwithdignity.org. This website offers forms for both adults and pediatric offices.

In addition, OPNS provides an Advanced Directive (PDF)(Word) that you may choose to use with your patients.

 

* Please note that a living will by itself is not yet recognized as a legal document in the state of Michigan. It must be accompanied by an Advanced Directive.

** Whoever is designated as the patient advocate must sign an acceptance form in order to be legally recognized as such. The acceptance form must be witnessed by someone other than the patient's family member or Physician.

 

 

Palliative Care

“Palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.”  The World Health Organization (WHO)  
 

What is Palliative Care Brochure 

Patient introduction brochure to introduce them to Palliative Care.

Palliative Care Lunch and Learn Presentation Slides 2024

 

Patient Identification and Assessment Tools

“Patient assessment is a critical step in identifying palliative care needs in patients with life-limiting illnesses including metastatic cancers, end stage organ failure, and advanced degenerative neurological conditions. Assessment should address prognosis, current and anticipated symptoms, distress, and the availability and support need of family and caregivers.”   MICMT- “Introduction to Palliative Care”

The following categories of PALLIATIVE CARE ASSESSMENT TOOLS may be downloaded, reproduced, and utilized by physicians and office staff to assess the need for Palliative Care Interventions

 

 

Physical/Performance Status Assessment Screens

  • Edmonton_symptom_assessment_scale (ESAS)
    • Assesses symptoms and complaints on a scale of 1 -10
    • Assesses severity of symptoms over time
  • Frailty Score
    • Assesses physical status and indicators of frailty
  • Karnofsky_performance_scale
    • Classifies patients as to their functional impairment
    • Addresses activities of daily living, selfcare and ability to work
  • Memorial_symptom_assessment_scale
    • Assesses recent (past week) frequency and severity of common symptoms/complaints such as fatigue, pain, nausea/vomiting etc
  • Palliative_Performance_Scale1 (PPS v 2)
    • Evaluates ambulation, activity level, selfcare, intake and consciousness level on a scale ranging from full ability to total bed bound status

 

Psychological/Emotional Symptoms Assessment Screens

  • Generalized Anxiety Disorders – 7 Item Scale (GAD-7)GAD-7-anxiety-screen
    • Assesses the presence of anxiety symptoms
  • Patient Health Questionnaire: PHQ-9
    • Assesses the presence of depression symptoms

 

Social Determinates of Health (SDOH) Assessment Screen 

  • SDOH Tool
    • Identifies and assesses social situations impacting health such as living conditions, finances, transportation needs etc

 

Spiritual Distress Symptom Assessment Screen

 

Caregiver and Family Stress Assessment Screen

 

Hospice Care

Message from Hospice of Michigan

Here is a video from the Executive Medical Director, Michael Paletta, MD that may provide suport to individuals and families you serve:

http://www.wzzm13.com/video/news/health/coronavirus/how-hospice-of-michigan-is-responding-to-coronavirus/69-73ef5d0f-afc0-46ae-ba65-38e9f237be1b?jwsource=em

Many visit the website hom.org to use the free (to anyone in the community) bereavement services include the Virtual Support Self-Care: Coping with Fear, Isolation and Adversity Group - this brief weekly virtual meeting will provide education, guidance on specific techniques, provide interactive activities and allow sharing. All are welcome. Led by the Hospice of Michigan Grief Counselors. Every Thursday from 2pm-2:45pm.

 


Behavioral Health Toolkit

OPNS is pleased to provide a Behavioral Health Toolkit which includes information and resources that may be helpful in addressing the behavioral health of your patients including adherence to anti-depressant medications.

Specific documents include:

 

Adult Screening for Depression Tools (PHQ-2 and PHQ-9)

Pediatric Screening for Depression Tool (Bright Futures)

PCP Referral Form

Specialist Report to the PCP

Depression Self-Management Goal Setting

Tracking and Follow Up of Behavioral Health Services

Behavioral Health Directory

OPNS Psychiatrists 

 

Molina - Behavioral Health Provider Toolkit


Call Your Doctor First

Call First Poster and Wallet Card

Urgent Care Brochure

Macomb County

Oakland County

Wayne County


Low Back Pain Toolkit

The following information has been aggregated for use in your office to help with the high costs of unnessesary imaging for Low Back Pain.

Specific documents include:

 

American College of Radiology (ACR) Appropriateness Criteria

Last reviewed 2021

Quick Reference - Clinical Practice Guidelines: Acute Phase

Produced by the Michigan Quality Improvement Consortium (MQIC)

Quick Reference - Clinical Practice Guidelines: Sub-Acute / Chronic Phases

Produced by MQIC

Acute Low Back Pain Discharge Instructions

Sourced by WebMD

Low Back Pain Exercise

Produced by the Vanderbilt University Medical Center

Back Pain Relief Information 

Produced by CBI Health Group

Low Back Pain Tip Sheet

Produced by BCBSM

Imaging Tests for Low Back Pain

Produced by Choosing Wisely

Treating Lower-Back Pain

Produced by Choosing Wisely

Don't Recommend Advanced Imaging Within First 6 Weeks...

Produced by Choosing Wisely


Radiology Toolkit

In recent years, there has been significant press regarding radiation exposure from diagnostic imaging use. The following resources are provided to increase both physician and patient awareness regarding radiation exposure during common radiological tests and procedures:

Specific documents include:

 

A Radiology Chart 

Produced by www.radiologyinfo.org that offers comparisons of effective radiation dose with background radiation exposure for several radiological procedures.

Helpful websites for Radiology Information/Management

Diagnostic Imaging Discussion Script

Calculated Risk From Radiation Exposure

By using a web based calculator offered by www.xrayrisk.com. Patients can also record their imaging procedures received on the My Medical Imaging History booklet.

Reduce Your Risk of X-Ray Exposure Poster 

Help to educate your patients by posting in a conspicuous location.

 

 

STAT Add-On Process for Outpatient CT and MRI