2020 RPO Retreat Resources

Below you will find many resources from the 2020 Renaissance Physicians Annual Retreat, from a copy of the entire presentation to many resources discussed throughout the retreat.

2020 RPO Retreat Presentation

Below you will find the complete presentation from the 2020 RPO virtual annual retreat.

Combined Presentations Website Copy

Resources from Dan Ballard's Presentation

Telemedicine Complaint Notice Rules 174.4(3) and 178.3 Telemedicine Privacy Notices Rule 174.4 & 174.6 TMA has forms at https://www.texmed.org/TexasMedicineDetail.aspx?Pageid=46106&id=53012   

TMB FAQ for Telemedicine


90-Day Meds for Stable Patients

“Earliest fill date” https://www.pharmacy.texas.gov/files_pdf/5CII_PrescriptionFormFAQ.pdf

Dan Ballard

Cell 512-970-5706


Opportunities to engage patients and address SDOH during visits

Our recommended screening tool:

National Association of Community Health Centers’ (NACHC) Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE)

PRAPARE includes an implementation toolkit, covers all major dimensions of SDOH and is already in most EHRs (Cerner, Epic, eClinicalWorks, GE Centricity, Next Gen)

Toolkit: https://www.nachc.org/research-and-data/prapare/toolkit/

PDF: http://www.nachc.org/wp-content/uploads/2018/05/PRAPARE_One_Pager_Sept_2016.pdf

Alternative screening tools:

Centers for Medicare & Medicaid Services (CMS) Accountable Health Communities (AHC) Health-related Social Needs Screening Tool


American Academy of Family PCPs (AAFP) Screening Tool


 CMS Screening Tool


Health People 2020


Aunt Bertha

Aunt Bertha is a referral software program used to help people find information on social welfare programs (local and national) based on need. Anyone can access it, but there are limitations on functionality. *Keep in mind, not all services on Aunt Bertha still have funding

To use Aunt Bertha:

  1. Go to www.auntbertha.com
  2. On the top right- hand corner, you can click on support, sign up, log in or support   
  3. Search by Zip Code
  4. Browse by categories
  5. Under the zip or keyword or program name search bar, you can choose to change the language
  6. When clicking in each category, a list of topics will show
  7. A map will appear showing the location of the service agency
  8. You can click on:
    1. Details/print button to get more information and print it
    2. Send button to send to a friend/family
    3. Save button to save information
    4. Contact button to be contacted by agency
    5. Apply button to start a screener for the program
  9. On the filters tab, you can click Personal/Program/Income Eligibility to filter your searches

 Z Codes

We encourage the use of Z Codes Z55-Z65 for “persons with potential health hazards related to socioeconomic and psychosocial circumstances.”

According to CMS guidelines, they should only be reported as secondary diagnoses, and they may be based on medical record documentation from clinicians involved in the care of the patient who are not the patient’s provider since this information represents social information, rather than medical diagnoses.



General Community Resource List

Need/ Resource


Phone #/ Hours


Any need - United Way’s 211 Help Line

Patients can call 211 to connect to human service agencies / community organizations to get assistance for food, housing, healthcare, bill assistance and more.

Patients can also call 211 to be given the phone number to their Local Area Agency on Aging (AAA) - AAA provides services to ages 60 including Elderly & Caregiver Support Services, Medicare Benefits Counseling, Medication Assistance, DME/Medical Supplies, and Minor Home Modifications (contingent on funds). Services are for a short period of time


Hours: 24/7


Mental Health or Substance Use -

Cigna Behavioral Health (BH) Unit

Cigna patients can call the BH unit to learn more about BH services covered by Cigna, Depression Disease Management program, Substance Use Coaching Program or assistance finding a BH provider (i.e. counseling)  in the Cigna Medicare Advantage network

1-866-780-8546 (TTY 711)

Regular hours: M-F 8-5 but calls answered 24/7


Transportation - Access2Care

Cigna patients can call Access2Care to schedule transportation for an appointment 24 hours in advance



Support for Dementia - Alzheimer's Association

Dementia caregivers or patients can access resources including support groups, financial/legal planning, etc.


Hours 24/7


State Programs - Texas Health and Human Services (HHS) Harris County

Patients can call HHS to be placed on the waiting list for the Star Plus Waiver Program which can assist with the following services: adult daycare, medications, medical copays, emergency response system, minor home repairs, provider services, home delivered meals, respite care, medical supplies



State Programs - Texas Health and Human Services

Patients can apply for state benefit programs (Medicaid, Supplemental Nutrition Assistance Program (SNAP) benefits, Temporary Assistance for Needy Families (TANF)  help, etc.) on this website, or call to have help applying

For help applying, call 2-1-1 or 1-877-541-7905

Hours M-F, 8-6


Report safety issue - Texas Abuse Hotline (Adult Protective Services (APS))

Anyone in Texas can file a report in good faith if they suspect an adult with disabilities, or aged 65 or older, is being abused, neglected or financially exploited


Hours 24/7


Lower Cost Medications -

Human Arc Premium Assist

Cigna Medicare Advantage patients can apply for lower cost medications. No cost to the patient and they will help in the paper-work process. Also helps determine eligibility for Low Income Subsidy (LIS)



Meal support - Meals on Wheels

Patients can type in zip code on website to find local organizations to help with meals



Home Delivery of Medications - Express Scripts

Patients can call express scripts patient customer service to enroll in home delivery of medications