Provider Training and Education
Behavioral Health
Oklahoma Complete Health offers trainings for both behavioral health and physical health providers in our network at no cost. Our team provides clinical, provider-focused education on topics that are geared towards improving member outcomes. The majority of our clinical trainings also offer behavioral health continuing education units also at no cost to the attendee. Trainings are completed via live/virtual instructor led webinars.
How to sign up for trainings:
1. View the lists of all upcoming trainings: (both are open to all providers)
a. Oklahoma Complete Health (OCH) clinical training list - this link will redirect to an external site
b. Centene Advanced Behavioral Health (CABH) national clinical training list - this link will redirect to an external site
2. Select the training date and time that you would like to attend
3. Enter the required information and click “Register”
4. You will receive a confirmation email with a link and instructions for joining the webinar.
NOTE: Please check your junk folder if you do not receive the confirmation email.
5. When you join the webinar, the call-in telephone number and an attendee passcode will be displayed.
Training topics include but are not limited to:
- Adverse Childhood Experiences (ACEs)
- Behavioral Health Topics
o Anxiety
o Bipolar
o Depression
o PTSD
o Schizophrenia
- Cultural Competency / Cultural Humility
- Integrated Care
- Mental Health First Aid (MHFA)
- Motivational Interviewing
- Physical Health 101
- SBIRT (Screening Brief Interventions and Referral to Treatment)
- Trauma Informed Care (TIC)
For training requests and/or more information, please contact our Clinical Provider Training Department at: BH_training@centene.com.
Oklahoma Complete Health offers behavioral health training to providers in our network at no cost. Our team provides clinical, provider-focused education on topics that are geared towards improving member outcomes. Please follow the links below to register and attend the trainings.
Initiation and Engagement, Follow-Up After Emergency Department or High Intensity Care for Substance Use Disorders: Optimizing the IET, FUA, and FUI HEDIS® Measures_wellcare
Follow-Up Care After a Hospital or Emergency Department Visit for Mental Illness: Optimizing the FUH and FUM HEDIS® Measures_wellcare
Antidepressant Medication Management and Antipsychotic Medication Adherence: Optimizing the AMM and SAA HEDIS® Measures_wellcare
Antidepressant Medication Management, Follow-Up After Hospitalization for Mental Illness, and Initiation and Engagement of Substance Use Disorder Treatment: Optimizing the AMM, FUH, and IET HEDIS® Measures
Strategies to Improve Cardiovascular, Diabetes, and Metabolic Monitoring: APM, SSD, SMC, and SMD HEDIS® Measure
Coming Soon...
Oklahoma Complete Health is committed to making sure all caregivers have access to trainings about the Specialty Children's Plan program and the unique behavioral and physical health care needs of the Child Welfare population. Free trainings to support our providers, partners, and those in Child Welfare who deliver quality care to our members. Trainings can be done via online live webinars or in-person.
How to sign up for trainings:
1. View the lists of all upcoming trainings: (both are open to all providers)
a. Oklahoma Complete Health Specialty Children's Plan Behavioral Health Training - this link will redirect to an external site
b. Foster Care National Training - this link will redirect to an external site
2. Select the training date and time that you would like to attend
3. Enter the required information and click “Register”
4. You will receive a confirmation email with a link and instructions for joining the webinar.
NOTE: Please check your junk folder if you do not receive the confirmation email.
5. When you join the webinar, the call-in telephone number and an attendee passcode will be displayed.
Training topics include but are not limited to:
- Trauma Informed Care
- Attachment
- Resiliency
- Understanding the latest Brain Science
For training requests and/or more information, please contact our Clinical Provider Training Department at: BH_training@centene.com.
CAHPS
What is a CAHPS® survey?
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey is an annual health care experience survey that:
· Asks patients to evaluate their experience with their providers and health plan (i.e. access to care, provider communication and customer service)
· Includes select Healthcare Effectiveness Data and Information Set (HEDIS) quality measures
The survey is administered each spring via mail and phone and the survey results help identify opportunities for patient experience improvement.
Improving patient experience
CAHPS surveys help healthcare organizations use data to identify strengths and weaknesses, determine where they need to improve, and track progress over time.
Experience is not the same as satisfaction
Patient experience surveys sometimes are mistaken for customer satisfaction surveys. Patient experience surveys focus on how patients experienced or perceived key aspects of their care, not how satisfied they were with their care. Patient experience surveys focus on asking patients whether or how often they experienced critical aspects of health care, including communication with their doctors, understanding their medication instructions, and the coordination of their healthcare needs.
Reporting results to consumers
Public reporting of CAHPS survey results enables healthcare consumers to make informed decisions when selecting providers and health plans
HEDIS
HEDIS (Healthcare Effectiveness Data and Information Set)
HEDIS is a set of standardized performance measures developed by the National Committee for Quality Assurance (NCQA) which allows comparison across health plans. Through HEDIS, NCQA holds Oklahoma Complete Health accountable for the timeliness and quality of healthcare services (acute, preventive, mental health, etc) delivered to its diverse membership.
Use of HEDIS Scores
As both State and Federal governments move toward a healthcare industry that is driven by quality, HEDIS rates are becoming more and more important, not only to the health plan, but to the individual provider as well. State purchasers of healthcare use the aggregated HEDIS rates to evaluate the effectiveness of a health insurance company’s preventive health outreach efforts. Physician specific scores are being used as evidence of preventive care from patient centered medical home office practices. These rates then serve as a basis for physician profiling and incentive programs.
Calculating HEDIS Rates
HEDIS rates can be calculated in two ways: administrative data or hybrid data. Administrative data consists of claim or encounter data submitted to the health plan. Measures typically calculated using administrative data include: annual mammogram, annual Chlamydia screening, routine Pap test, appropriate treatment of pharyngitis, appropriate treatment of URI, appropriate treatment of asthma, antidepressant medication management, access to PCMH services, and utilization of acute and mental health services. Hybrid data consists of both administrative data and a sample of medical record data. Hybrid data requires review of a random sample of member medical records to abstract data for services rendered but that were not reported to the health plan through claims/encounter data. Accurate and timely claim/encounter data reduces the necessity of medical record review. Measures typically requiring medical record review include: comprehensive diabetes care, control of high-blood pressure, immunizations, prenatal care, and well-child care.
HEDIS and HIPAA
As a reminder, protected health information (PHI) that is used or disclosed for purposes of treatment, payment or health care operations is permitted by HIPAA Privacy Rules (45 CFR 164.506) and does not require consent or authorization from the member/patient. The medical record review staff and/or vendor will have a signed HIPAA compliant Business Associate.