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General Steps for a New Case

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1) General Advice

2) RedCap

Create a New Record on RedCap

Start a Case Management form

The Case Management form can be marked as “Complete” once the case is:

Send the Intake Form to the attorney. This is the form the attorney will fill out to give us a more complete picture of the case.

3) Box

Create a unique Box folder through Log in at Box

4) Communications with the Attorney

Email the attorney with the Attorney Intake Template Email (under the “Email Templates” label in the MSHRP inbox)

[COVID-19] If physical: ask what they are looking to document, as some physical evals can be done remotely via Zoom

[COVID-19] If psych:

Check the MSHRP inbox every day!

If your attorney completes the Intake Form, you can take it to mean that we’re going to be taking the case on.

5) Finding an Evaluator

General Info (All Cases):

After the attorney completes the Intake Form, work to find your provider using the Provider Spreadsheet

Please send the email requests for physical evaluations only to providers who perform physical exams and the requests for mental health evaluations only to those providers who perform mental health evaluations.

Remember to include the following information in your email to evaluators:

Update the provider spreadsheet

When the provider has agreed to take the case, ask them for days & times they can see the client. Also, ask if they need us to arrange a room for them.

If you can’t find a provider and there’s <1 month until the affidavit deadline:

a) Psychological Cases:

For psych evaluations, you can contact 3-4 providers at a time, then if they haven’t responded in a few days, add more providers. Of course, use your discretion, especially for rush cases.

b) Physical Cases:

For physical evaluations, you can contact 1 provider at a time as we get so few physical cases that they are more likely to be available.

c) Gynecological Cases:

If the attorney is asking for a gynecological evaluation strictly for confirmation of FGM/C, then the providers listed on the “Gyn” and the “Physical and Gyn” provider spreadsheet can help.

If it is a more complex gyn case, then only the providers who are OB/GYNs should see the case as they have the expertise in this area.

Contact the lead CMs or Dr. Singer for any additional questions.

For gyn evaluations, you can contact 1 provider at a time as we get so few physical cases that they are more likely to be available.

d) Pediatric Cases:

Peds cases are a little bit more complicated, especially for younger children. We have specific evaluators for pediatrics cases. Make sure you check the provider spreadsheet carefully and consult the lead CMs before you send out evaluation requests if you have questions. Most providers will not be comfortable performing evaluations on children, if it is not their area of expertise. In some cases, an adult psych evaluator may be able to see a peds psych case (especially if the client is older), but you will have to check with providers individually to determine their comfort level with peds cases.

A few possible pediatric psych evaluators:

Pediatric physical evaluators:

In general, you need to make sure to get the consent form completed by the parent/legal guardian. You will generally obtain this before/after the evaluation. This varies greatly based on each case though.

Due to COVID-19 restrictions and remote evaluations, we are simply having the guardian give verbal consent and documenting this on the Eval 1 form in REDCap

For in-person evals where the guardian likely accompanies the client (<18 years old), we would have the guardian type in their name and the date next to the consent signature line after the guardian reads the consent or after reading the consent to the guardian. - Phone consent requires reading the consent to the guardian as well.

If you are unable to find an evaluator to take these types of cases within a week (and if it does not seem likely that you will find an MSHRP evaluator) please refer the case to WCCHR, Columbia, or Downstate where there may be a psych evaluator who can see the client.

Contact the lead CMs or Dr. Singer for any additional questions.

e) Rush Cases:

For psychological cases, if you can’t find a provider and there is less than 1 month left, you can consider sending a blast email to all providers on the “rush email list” found on the Provider Spreadsheet – Psych Providers tab. These are providers who tend to take a lot of our cases and may be able to accommodate the request.

6) Scheduling the Evaluation

Once you’ve identified a provider, ask them for dates/times that would work for the evaluation. Once you have the provider’s availability, email the attorney/legal team to see if the date/time works for their client. Do not do this on the same email - it’s better for everyone if the CM coordinates the days and times.

Confirming the interpreter:

The interpreter must be fluent in the language and either a professional interpreter or familiar with the requirements of acting as an interpreter:

Family members, friends, attorneys or others directly connected to the client or directly working on the client’s case are not considered to be qualified interpreters

If the attorney is having a difficult time arranging an interpreter, consult the lead CMs and Dr. Singer. We should not be using Pacific Interpreters for most cases, especially for Spanish. Attorneys have enough time to arrange for an in-person interpreter or to ask us for recommendations. If the language is less common, there is an issue in detention centers, time is of the essence, or there’s another reason why a phone interpreter is needed, please contact the lead CMs and Dr. Singer for additional guidance.

Once you’ve figured out a date & time, book a room if necessary

Some notes about locations:

Confirm the following with the attorney:

Morchand is a favorite, but currently unable to accommodate us due to COVID

The Samuels Clinic & Morchand can’t usually provide space after ~5pm

IMA should be used only as a last-minute resort

Please note that Selikoff rooms do not have cellphone service. If your case requires an interpreter via phone, please ensure that the shadower will have access to a landline and/or have a backup plan for reaching the interpreter (ex: using a laptop to connect to interpreter via Zoom)

7) Finding a Shadower

It’s noted in the attorney intake email that they should let us know if their client is not comfortable with having a shadower, but I like to ask them directly just in case

Only the following individuals are allowed to shadow and given access to Box/RedCap:

1 student + 1 faculty can shadow the same case at the same time. For cases where a new faculty evaluator may be shadowing a case prior to seeing cases solo, please remember that one student may also shadow that same case.

The only exceptions to having 2 shadowers are cases where:

Priority should be given to students as well as providers/new evaluators who are licensed and need to shadow prior to taking cases of their own. Residents who do not have a license (usually PGY1 and 2) are welcome to shadow, space permitting.

Shadowing can occur across networks for remote cases.

COVID-19 for an in-person evaluation:

If the shadower is a 1st or 2nd year medical student, they will need the following:

Students/providers will need to bring their own N95s and eye coverings to the MSHRP clinic appointment with the client.

Prior to the evaluation, ensure that students have attested to completing the compliance requirements dictated by ISMMS

To find a shadower:

Send an email saying the time, date, type of evaluation, physician, any expectations for shadower as stated by the physician

Once you have somebody, send them the Shadowing Information Template, which should be in the “Email Templates” tab

Make sure you also share the client’s Box folder with the shadower, again as a “Viewer Uploader”

Loop the shadower into the email chain you have with the evaluator

If the evaluation date is approaching and you haven’t been able to find a shadower, try reaching out to these current 4th year medical students graduating in 2021 (lots of experience shadowing):

8) Confirmation Emails

Confirm everything with lots of emails

Email the evaluator, shadower, interpreter, & attorney together with the Evaluator/Shadower/Interpreter/Attorney Confirmation email

Email the evaluator & the shadower together with the Evaluator/Shadower Confirmation/Reminder template:

If the evaluation is being done in person, ensure that the evaluator and shadowers have access to adequate PPE and have students complete an attestation

9) After the Evaluation

Check in with the evaluator/shadower after the evaluation by sending the “Evaluator Thank You” email template. This also reminds them of the affidavit deadline.

Make sure that the final draft is uploaded to Box by the deadline

If the shadower was a new evaluator, ask them if they would now be comfortable seeing cases on their own. If so, tell the CM leads so they can complete onboarding for the new evaluator

Congrats, you’ve just completed the main part of your case!

10) Case Outcome

At 3 months and 6 months following the completion of your case, email the attorney with the Attorney Case Outcome template

Create a Case Outcome Form in RedCap and obtain the access code to include in the email (same process as in step #3, Create an Intake Form)

Once you’ve emailed the attorney: on the Case Management form in RedCap, scroll down to the Case Outcomes section and check mark the 3 months / 6 months box

Please set personal reminders for this step!

11) Medical Advocacy Cases

For medical advocacy cases (i.e. chart review; not a forensic evaluation), the CM should: