The program and case management enterprise system for

the new generation of maternal child and family health programs.

A Complete System Of Care Management

WFS redefines “Business As Usual!”.

Life Course focused system that manages and tracks the interaction of individuals and families with programs and services from birth 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.

WFS Program, Case and Family Management System

Information, Research,Evidence Sharing & Policy

Families connect to POC,Outreach, Groups

Healthcare,EHR

Inter AgencyOperations

Everything Can Be Connected

1

2

3

4

5

Provide Direct Services

Reporting, Accountability

Invoicing, Billing,Time Management

Screenings, Toolsand Assessments

Refer and Follow Up Services

Direct Client orGroup Participation

Engagement, Homeand Other Visits

Manage Contacts, Outreach, People

Central Referraland Intake Process

Manage Programsand Organizations

A Complete System of Care

The Benefits

► decreases the duplication of services

As a Complete System of Care Well Family:

► increases knowledge of client risks and needs

► reduces the chance of clients “falling through the cracks”

► streamlines the process of delivering services

► contributes to economy and efficiency

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 providers to complete the referrals in WFS.

WFS optional features include the ability for individuals 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

People, Program, Services and CommunitiesWhat 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

X programs + services

TIME = WFS

BIOLOGICAL RELATIVES LEGAL CULTURAL

There are “binders” that connect people, families and relationships to each other

It IS ALL Connected

And a community is the sum total of all of the programs, services, resources and assets available to people and families.

It IS ALL Connected

ContactsEngagements Activities

ServicesReferralsAssessments

It IS ALL Connected

A Family is a Social Network!

A community is a network of families, programs and services!

It IS ALL Connected

Well Family IS ABOUT PEOPLE

Well Family System as a Single Program

Workflow and process specific to program and

users

Well Family System in aMultiple Program Environment Prevents duplication of

services, increases positive economics, provides continuum of care

Multiple Program Model With MIECHV

The Virginia Model – Stage 1

72 RM sites statewide3 Fed HS ProjectsMIECHV programs(NFP, PAT, HF, more to be added)

Two MIECHV Options Full WFS MIECHV Lite

MIECHV

► Minimized WFS just for MIECHV benchmark data

► Identifies and accepts clients from all EB programs

► MIECHV clients part of WFS population

► Hands on data entry or electronically matched to WFS

► Specific reports for benchmarks, HRSA, etc.

Basics

► Referral, Intake, Triage, Enrollment

► Outreach – Contact Management

► Engagement – Home, Clinic, Other Visits

► Direct Services Provided

► Referred Services – Follow Up

► Screenings, Evaluations, Assessments, Tests, Surveys

WFS functions on the principle that all programs that all more than likely share the same basic operational functions but may have a different target population, program, or outcome focus.

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.

Each New Program Participation Places the Client on the Appropriate Path of Care and Management

Women’s Health QuestionnaireCase Management

Prenatal IntakePrenatal AssessmentCase Management

Women’s Health QuestionnaireCase Management

Case Management

Infant ScreenInfant AssessmentCase Management

Next step processing and care management is determined by specific program requirements.

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

Typical Program Ticklers

Smart work and process flow ticklers vary from program to program and are also different for user roles.

Accountability, Reporting and Access To Data

Reporting And Data

► System generated reports

► SQL Reporting Services

► Scheduled download of WFS database

► Data List Tools

System Generated Reports

Reporting And Data

WFS provides a variety of reports that are directly accessible from the system. Generally these reports usually are in

the areas of demographics, services, engagement, retention, outcomes and performance measures etc. Also HRSA,

Title V, benchmark and other “funder” based reports are provided from the online WFS.

Typical Report TypesExample

System Generated Reports

Reporting And Data

WFS provides a variety of reports that are directly accessible from the system. Generally these reports usually are in

the areas of demographics, services, engagement, retention, outcomes and performance measures etc. Also HRSA,

Title V, benchmark and other “funder” based reports are provided from the online WFS.Typical Report Types

Outcomes

Performance

Typical Operations

Example 1

Example 2

Example 3

HF Sample

Program Report

Example 1

Example 2

Example 3

Case Changes

Demographics

Services

SQL Reporting ServicesReporting And Data

SQL Server Reporting Services (SSRS) is a server-based report generation software system from Microsoft. It is used to prepare and deliver a variety of interactive and printed reports directly from the WFS database. It is administered via a secure web interface. Reporting services features a web services interface to support the development of custom reporting applications. SSRS is on par with Crystal Reports and other business intelligence tools.

Example

SQL Reporting ServicesReporting And Data

Download of WFS database

Reporting And Data

A Well Family System database “copy” can be transferred securely (SFTP) on any schedule (daily, weekly, monthly, etc.). This is your copy of the database, and it enables two valuable options:

1. Broadens the scope of business continuity so that your IT staff has a recent backup copy of your program data.

2. Allows your data analysts their own copy to drill into, put in a cube, or import into SAS, SPSS, etc.

WFS Data List ToolReporting And Data

Data List is a WFS tool that allows the users to build custom data sets. Typically data Lists are used to manage

clients, services, special groups, etc. but are not limited to the type of data sets that can be arranged.

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.

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