Well Family System as a Complete System of Care

WFS is a powerful suite of tools and resources that manage multiple aspects of maternal child and family health programs and case management delivery systems in a drill-down capacity from a “lead” perspective to individual providers and case worker levels on any capacity.

Well Family System is a Birth Forward system that manages and tracks the interaction of individuals and families with programs and services over the course of their lives. Learn more at http://www.gobeyondmch.com.

1. Maternal Child - Family Health Information and Technology Company
Since 1997

2. The program and case management enterprise system for
the new generation of maternal child and family health programs.
A Complete System
Of Care Management

3. Birth Forward
….system that manages and tracks the
interaction of individuals and families with programs and
services over the course of their lives.
A single program can stand alone or coexist with other programs as a collaborative
enterprise while providing common intake paths, managing services and activities
in complex family situations, common family support plans as a family-centered
process. WFS reduces duplication of services, increases knowledge of client risks
and needs, reduces the chance of clients “falling through the cracks”, streamlines
the process of delivering services and contributes to economy and efficiency.
WFS is a powerful suite of tools and resources that manage
multiple aspects of maternal child and family health programs
and case management delivery systems in a drill-down
capacity from a “lead” perspective to individual providers and
case worker levels on any capacity.

4. WFS Program, Case and
Family Management System
Information, Research,
Evidence Sharing & Policy
Families connect to POC,
Outreach, Groups
1
Healthcare,
EHR
5
4
Inter Agency
Operations
3
2
Everything Can Be Connected

5. Provide Direct
Services
Reporting,
Accountability Invoicing, Billing,
Time Management
Screenings, Tools
and Assessments
Refer and Follow
Up Services
Direct Client or
Group Participation
Engagement, Home
and Other Visits
Manage Contacts,
Outreach, People
Central Referral
and Intake Process
Manage Programs
and Organizations
A Complete System of Care

6. People, Program, Services and Communities
What is the WFS equation
?
The total Well Family experience is:
• The relationship of people and families
• Their interaction with programs and services
• Their interaction with the community
OVER TIME!
+ relationships
Xprograms + services
TIME = WFS

7. BIOLOGICAL
RELATIVES
LEGAL
CULTURAL
There are “binders”that
connect people, families and
relationships to each other
It Is ALL Connected

8. And a community is the
sum total of all of the
programs, services and
resources available to
people and families.
It Is ALL Connected

9. It Is ALL Connected
A Family is a Social Network!
A community is a network of families,
programs and services!

10. WFS is activity, risk factor, event and timeline driven, offering interactive calendars,
extensive ticklers and other tools that manage program requirements, benchmarks,
milestones, services and significant events in care such as visits, developmental
aspects, immunizations, assessments, and more.
WFS includes comprehensive contact and encounter management tools. WFS is
ideal for home visiting, clinical and other contact-based service programs.
WFS assesses risks, builds a care plan and a customizable interactive family
support plan.
WFS includes many evaluation and assessment tools, surveys, home safety
inspections and unlimited measures, screening tools and other assets.
WFS manages group activities and client participation in groups such as parenting
classes and other activities.
WFS has an extensive services referral component that allows referred services to
be tracked and the ability for service provid ers to complete the referrals in WFS.
WFS optional features include the ability for i ndividuals to participate in profiles and
“self refer” to WFS service providers. WFS can be connected to the Family
Resource Engine (FRE), a 211 style tool that connects a broad range of community
resources to the system. WFS is also a cost tracking system that connects services
provided to billing codes and payment systems.
WFS Basics

11. Well Family System as a Single Program
Workflow and process
specific to program
and users

12. Well Family System in a
Multiple Program Environment
Prevents duplication of
services, increases positive
economics, provides
continuum of care

13. Multiple Program Model With MIECHV
The Virginia Model
72 RM sites statewide
3 Fed HS Projects
MIECHV programs
(NFP, PAT, HF, more to be added)

14. As a Continuous Care Management System WFS
Navigates People Across Programs Over Time
Who are you?
Have you been in WFS before?
Why are you here today?
I am a 24 year old married female with 2 children.
Yes, I was in an ICC program in 2008.
I am pregnant
Prenatal
Intake
&
Case
Management
Directs the participation path based on
Intake Type and program requirements.
WFS smart intake process assesses
the past and current client conditions.

15. Each New Program Participation Places the Client
on the Appropriate Path of Care and Management
Women’s Health Questionnaire
Case Management
Prenatal Intake
Prenatal Assessment
Case Management
Women’s Health Questionnaire
Case Management
Case Management
Infant Screen
Infant Assessment
Case Management
Next step processing
and care management is
determined by specific
program requirements.

16. The Continuing Plan of Care and Family Support Plan
Are Built on Risks, Needs and Previous Services
PHYSICAL-MENTAL HEALTH
EARLY DEVELOPMENT
SOCIAL - EMOTIONAL
SPIRITUAL FOUNDATION
SAFE ENVIRONMENT
ECONOMIC STABILITY
Physical and Mental Health Dental Issues Refer to Dental Services
No Infant Care Enroll with Pediatrician
CATEGORY
ITEM
ACTION
Safe & Nurturing Environment No Permanent Home Housing Assistance
Economic Stability Father Not Working Refer to WIC
Job Training
A Plan of Care is initiated and The
Family Support Plan provides a starting
point for determining a path of care and
can be shared across programs and can
be part of the family history over time.
Info at intake and during risk assessment is
analyzed and triggers needs in several categories.
Which automatically builds a POC & FSP

17. As a Complete System
of Care Management
WFS enables families, organizations
and communities to be more efficient,
accountable and successful in
delivering quality programs and
services that make a difference.
gobeyondmch.com
email:[email protected]