Initial health assessment iha reference guide what is the iha. Nhmrc has also taken this opportunity to make minor amendments to the publication, which are underlined below. Please answer all the questions on this form as best you can. Staying healthy assessment california provider anthem blue cross.
In 20, dhcs released the new dhcs sponsored iheba forms called staying healthy assessment. The sha is the specific assessment tool sponsored and approved by dhcs. Worksheets are staying healthy for beginners an english learners guide, staying healthy, staying healthy, staying healthy in the workplace, client workbook, staying well when you have a mental illness, be active your way, work 1. After completing training, complete the scfhp staying healthy assessment training attestation form and fax to scfhp provider services at 14083763537. The iha is a comprehensive assessment completed during the members initial visit with their selected or assigned primary care provider pcp. State of california health and human services agency department of health care services staying healthy assessment 12 17 years dhcs 7098 g rev 1214 sha 12 17 years page 1 of 2. The sha was first developed in the late 1990s and updated in june 20. You may talk with your provider about any questions. The problemfocused assessment is usually indicated after a comprehensive assessment has identified a potential health problem.
Staying healthy assessment california provider anthem. Members hospitalized during the initial 120day enrollment period. Staying healthy assessment senior please answer all the questions on this form as best you can. National standards of practice for interpreters in health care pdf u. The staying healthy resource guide is an informational resource for students or patients, but can also be used to address esol competencies with the accompanying teachers guide. All pcps are required to implement the sha form during initial health assessment iha and periodic physical exams effective immediately. The sha consists of seven agespecific pediatric questionnaires and two. Prior authorization is not required for basic obstetrical services. We want to ask you a few questions about your current health. The sha is the department of health care services dhcs individual health education behavior assessment iheba. Staying healthy assessment preadolescents, 911 years. Assessment components the iha consists of a comprehensive history, physical, mental status and where age appropriate, developmental exam, diagnosis and plan of care, preventive services and the individual health education behavioral assessment. Health risk assessment instructions the healthy michigan plan is very interested in helping you get healthy and stay healthy.
Staying healthy assessment best practices implementing the staying healthy assessment tool sha can be challenging, but there are steps providers and office staff can take to make it easier, less time consuming, and more efficient. Staying healthy assessment tool sha the staying healthy assessment tool sha assists pcps in. A list of pictures books to use with this unit5 posters to promote good hygiene and healthy habitsa mini book for students to read about hea. State of california health and human services agency. Healthy eating 2 session 1 choosing healthy eating 4 and wellness session 2 a small changes approach to healthier eating session 3 food and our environment 23 session 4 benefits and barriers 33 of healthy eating session 5 healthy eating and wellness 44 selfassessment session 6 what kind of hungry 55. Pcp receive training on the implementation of the new staying healthy assessment sha forms. The california department of health care services dhcs requires primary care providers to administer a staying healthy assessment sha or approved alternate individual health education behavioral assessment iheba on all medical managed care members within 120 days of enrollment with caloptima and again at defined intervals. In june 20, via policy letter 01, dhcs released the new dhcs sponsored iheba forms called staying healthy assessment, or\. Your doctor and your health plan will use this information to better meet your health needs. Yes no person completing form parent relative friend guardian other specify need help with form.
Iehp s provider portal is equipped with resources to equip all of our providers with easy to use tools. We will talk about other types of health education behavioral. Staying healthy assessment sha instruction sheet for the provider office sha completion by member ollow explain the shas purpose and how it will be used by the pcp. Staying healthy assessment blue shield of california. The staying healthy assessment sha is the department of health care services dhcss. Age and languagespecific sha questionnaires can be opened by clicking the links below. State of california health and human services agency department of health care services dhcs 7098 c rev 12 sha 1 2 years page. Alternate staying healthy assessment tool request form. The sha also helps to prevent duplication of this information by providing a standardized form. The staying healthy assessment sha is a tool developed by the department of health care services dhcs to replace the individual health education. Yes no please answer all the questions on this form as best you can. The third type of assessment that you may perform is a problemfocused assessment. The teacher guide includes ideas for lessons and activities for incorporating health content in the classroom.
Your answers will be protected as part of your medical record. Provider support helping members staying healthy assessment. Decide how your office or clinic will implement the sha. Is the preferred assessment tool for phc providers. Give yourself a health selfassessment harvard health. Department of health and human services, health resources and services administration hrsa health literacy resources. Using the staying healthy assessment the staying healthy assessment is. Behavioral health assessment with staying healthy assessment or alternate comparable risk assessment tool iha for these members, if performed within 120 days of enrollment. The main book includes sections on health care, your doctor, medicines, nutrition. Learn more about iehp s incentive programs offered to qualified practitioners, including traditional p4p and global quality p4p. Staying healthy 5th edition staying healthy 5th edition updated june 20 the june 20 update of staying healthy 5th edition includes fact sheets on croup and warts, which were omitted in the first edition. Dhcs requires providers to administer an individual health. Sha behavioral risk topics ataglance june 20 staying healthy assessment june 20 behavioral risk topics ataglance pediatric adult months years adult senior 0. Staying healthy individual health education behavioral assessment tool the staying healthy assessment sha is the department of health care services dhcss individual health education behavior assessment iheba.
Solutions for wellness workbook 1 choosing wellness. Select skip if you do not know an answer or do not wish to answer. The sha was first developed in the late 1990s and updated in june 20 in collaboration with medical managed care plans plans. What is the staying healthy assessment sha the sha is the department of health care services dhcs. Person completing form parent relative friend guardian other specify school attendance regular. If your clinic wishes to use an alternative tool, please complete and email the alternative sha tool request form to qiproject. Employee language skills selfassessment tool pdf englishspanish dictionary of health related terms pdf interpreter quick reference card pdf. Staying healthy assessment sha on demand training for. Iehp is committed to keeping our providers informed with the latest information. If your clinic wishes to use an alternative sha form, please complete, sign, date, and e mail the completed form to. Effective immediately, all pcps are required to implement the new sha forms with all members during the members initial health assessment iha and periodic physical exams. Please contact the health plan you contract with for copies. Alternate tools must meet specific dhcs requirements.
New sha forms must be implemented by april 1, 2014. The problemfocused assessment is also indicated when an interval or abbreviated assessment shows a. An advisory committee comprised of the dhcs, managed care plan representatives and providers collaborated on the. Alternative staying healthy assessment sha tool request form phone. Be sure to talk to the doctor if you have questions about anything on this form. Yes no person completing form other parent relative friend guardian specify need help with form. Californias epsdt program requires all medical managed ca re plans mcps to use questionnaires developed by the california department of health care services, the staying healthy assessment questionnaires, to assess health education areas that may be covered during visits.
Staying healthystaying healthy and practicing good hygiene habits are so important for kids to learn at an early age. Required component of the initial health assessment iha. Preventing infectious diseases in early childhood education and care services replaces the 4th edition and represents an increased focus on a riskmanagement approach to infection prevention and control principles in daily care activities. Check skip if you do not know an answer or do not wish to answer. Staying healthy assessment the staying healthy assessment sha is the department of health care services dhcss individual health education behavior assessment iheba. A care health plan provides information on staying health assessment forms for our providers. The california department of health care services dhcs requires primary care providers to administer a staying healthy assessment sha or approved.
Displaying all worksheets related to staying healthy. As per mmcd policy letter 01, staying healthy assessment sha forms must be administered to new patients during the initial health assessment iha and periodically thereafter as the patient enters a new age category. Dhcs staying healthy assessment sha provider training. Staying healthy assessment training attestation provider. Currently all questionnaires are available in a pdf format. Staying healthy assessment adults, 18 years of age and older you and your health care team can work together towards better health. Staying healthy assessment staying healthy assessment.
We will talk about other types of health education behavioral assessment forms later. Staying healthy assessment questionnaires sha age and languagespecific sha questionnaires can be opened by clicking the links below. Staying healthy assessment adult please answer all the questions on this form as best you can. Offer sha translation, interpretation, and accommodation for any disability if needed. Staying healthy assessment faqs what is the staying healthy assessment sha.
Dhcs strongly encourages the use of the pre approved sha. Dhcs strongly encourages the use of the preapproved sha form. The state provides seven pediatric and two adult questionnaires. Staying healthy assessment sha individual health education behavioral assessment iheba. Farsi, and khmer agespecific sha questionnaires are available upon request. Currently all questionnaires are available in a pdf. In 20, dhcs released the new dhcs sponsored iheba forms called staying healthy. A health selfassessment gathers the vital information you need to begin thinking more about your life and how you want to live, says susan flashnerfineman, vitalize 360 coach at harvardaffiliated hebrew seniorlife, a comprehensive wellness program that promotes healthy aging. The form is one page, front and back, and it is used to identify and. New staying healthy assessment sha forms must be implemented by april 1, 2014 providers are encouraged to begin using the sha now.
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