The document describes the Well Family System (WFS), which aims to create a coordinated system of care for families. WFS takes several factors into consideration for collaborative action, such as common intake processes and family support plans shared across programs. The system guides participants through an intake path to identify needs and initiate a plan of care. It also allows multiple agencies to view a participant's services and family connections to reduce service duplication. WFS can be customized for a community's specific programs and initiatives to track data and create reports demonstrating return on investment.
Unblocking The Main Thread Solving ANRs and Frozen Frames
Well Family System's Intake Process into a Collaborative System
1.
2. Well Family is designed to
become a system of care
based on the • Group Management
• Self referrals
Strengthening Families
Initiatives and Data
Requirements
• Providers refer services • Other agencies
3. Well Family takes the following into
consideration for collaborative actions:
* Common Intake
* Uniform Consent Process
* What are Family Dynamics Over Time
* How to Manage Single & Multiple Program Options
* Structured Intake Path Options
* Common Family Support Plan
* Collaboration Rules
* Identifying, Validating and Managing Participation
* Explore Multiple Dimensions
4. You then have the ability to access one or multiple
programs demographics and/or actionable items:
5. Let’s walk through an intake path:
1. Who are you?
I am a 24 year old married female with 2 children.
2. Have you been in WFS before? Yes, I was in an ICC program in 2008.
3. Why are you here today? I am pregnant
Prenatal
Intake
&
Case
Management
Well Family System directs the
participation path based on Intake Type.
6. Here are a few examples of where
a consumer will enter the process:
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
7. Then a Plan of Care is initiated based upon the input data:
Info at Intake is analyzed and triggers needs in several categories.
Which automatically builds a basic
PHYSICAL & FSP
MENTAL HEALTH
CATEGORY ITEM ACTION
Physical and Mental Health Dental Issues Refer to Dental Services
Early Education & No Infant Care Enroll with Pediatrician
Development
Safe & Nurturing Environment No Permanent Home Housing Assistance
Social-Emotional Economic Stability Father Not Working Refer to WIC
Job Training
Development
Spiritual Foundation
A Plan of Care is initiated and The
Family Support Plan provides a
Safe & Nurturing starting point for determining a path of
Environment
care and can be shared across
programs and can be part of the
Economic Stability
family history over time.
8. You can then access the individual from multiple
agencies to view all services:
MANAGE SHARED SERVICES
WFS allows collaboration of services and
information between multiple programs.
The most common example is shared
services or assessments. More than one
agency may provide parenting
education, etc. or administer an ASQ.
WFS provides common services to be viewed by multiple agencies to help
reduce duplication of services. Further rules can be established that
determine which agency can act on the required service.
9. …and also view family connections.
MANAGE FAMILY CONNECTIONS
Where permissions are granted to single or multiple programs the WFS Family Connection posts a
notice when a family member, other than the one being served in a specific program, is opened as a
case in another program. A typical instance may be where there is a prenatal woman in one
program and the father of the baby joins a male participation program. Over time a typical example
may be an older woman, once a teen mom, in an interconceptional care program where her
daughter entered Healthy Start as a prenatal intake, etc.
10. Well Family System can be
customized to your
community’s programs • Group Management
• Self referrals
and initiatives. You can
decide what data to track
and create detailed
reports proving ROI of
your work.
• Providers refer services • Other agencies