CODAC Management Manual

members, their families/families of choice who may still need assistance, care coordination and support related to their health, recovery and wellness goals. In other words, directors, supervisors and other designee play a crucial role in helping staff remain mindful of their entire caseload, not just the most acute. Lastly, directors, supervisors and other designee will need to spend time for case follow up and documentation review for quality service provision and the entry of timely notation (i.e., data validation, NIRP format, etc.). At the same time, if case management or peer support assistance is no longer medically/clinically necessary due to medical and psychiatric stability, sustained sobriety, and/or medication or service adherence then leaders should be assigning an alternative point of contact, such as a Medical Assistant or Therapist and/or assess transfer to a CODAC PCP provider or pursue member closure. Altogether, these options serve the purpose of keeping RC and PSS caseloads at a manageable number and ensure staff availability for those members with integrated health needs. NIRP DOCUMENTATION (FORMAT) The Need Intervention Response Plan (NIRP) paradigm helps ensure strength, accuracy, and meaningful content in clinical service documentation. It consists of four parts: 1. Need 2. Intervention 3. Response (or Requestion/Recommendation) 4. Plan The first three of these map onto the DATA portion of the traditional DAP note format. They provide additional granularity to help justify service claims and ensure quality and efficacy of service. The NEED represents medical necessity for the service. The need should be clinical in nature and should describe something related to a medical condition that the service aims to treat. The NEED answers the question “what clinical objective does this service seek?” The INTERVENTION is the clinical service provided to address a need related to a medical condition. It includes action and clinical treatment which prevent negative outcomes, or encourages positive outcomes related to a medical condition. This is direct care action the clinician takes, and answers the question “what clinical service was provided to meet the objective?” The RESPONSE demonstrates that service was individualized to the member’s unique clinical need . When provided to a member directly, it includes their input and your observations of the intervention effect. During a direct care encounter, the RESPONSE answers the question “how did the service affect the member?” Sometimes clinical service is completed as a staffing with other clinicians and the member is not present. In this case, the third entry becomes a REQUEST for clinical information/guidance or a RECOMMENDATION for clinical action to be taken by the person being staffed with. When this is the case, these answer “what clinical information is the writer asking for, or what clinical action is the writer telling others should be done to meet the service objective?” The PLAN lays the foundation for monitoring future progress and acts as the basis for future action and service planning in general. It lays out what various members of the clinical treatment team – including the member –

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