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 Agency

Operations

Everything Can Be Connected

1

2

3

4

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

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 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

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

Contacts

Engagements Activities

Services Referrals Assessments

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 a

Multiple 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 statewide

3 Fed HS Projects

MIECHV 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 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 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.

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 Types Example

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 Services

Reporting 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 Services

Reporting 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 Tool

Reporting 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.

gobeyondmch.com

email: info@gobeyondmch.com