Training. RPMs icare. A Population Management Tool Day 2

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1 Training RPMs icare A Population Management Tool Day 2

2 Learning Objectives Day 2 Explain User-Access and Site-Parameters setup and taxonomy maintenance Utilize icare for meeting Stage 2 Meaningful Use-Patient Lists, Reminder Notifications Utilize icare panels for care management Utilize Pt Record to enter data and notes Identify populations based on case scenarios 2

3 Day One review Main Window Agenda Day 2 User Access, Site Parameters, and Taxonomy Management Meaningful Use Care Management Panels Patient Record Independent hands-on practice 3

4 Navigate the Main Window 4

5 Panel List Tab 5

6 Flag List Tab The Master Flag list displays all the Flag Occurrences for all the patients at the site. 6

7 Main View Community Alerts Tab 7

8 View CA Visit Details 8

9 National Measures Tab 9

10 Select a Measure for a Graphic Display 10

11 Colorectal Cancer Screen 11

12 CMET Tab 12

13 Meaningful Use Tab 13

14 IPC Tab 14

15 File Menu 15

16 Background Jobs Scheduled Nightly and Weekly 16

17 Help Menu Glossaries, About icare, and Online Manuals 17

18 Exercise 10 - Navigate the Main Window of icare 18

19 15 Minute Break 19

20 icare Site Parameters Employers Pregnancy Inactivity Time Out CMET MU IPC Divisions 20

21 Tools/iCare Site Parameters 21

22 Employers Select the Employers for Employee Health Panels 22

23 Select Method of Calculation for Defining the Pregnancy Dx Tag 23

24 User Security Access 24

25 Package Manager Duties Assigns security keys Reassigns Panels Assists in establishing Site Parameters Views Patient Details for Community Alerts 25

26 Tools Menu User Access & Panel Reassignment 26

27 Help Menu About icare Lists Package Managers 27

28 Assign Security Keys 28

29 Taxonomies A grouping of codes or terms to make up a clinical definition Used when calculating patient data to arrive at a conclusion Site Populated Taxonomies - Labs and Medications 29

30 Taxonomy Maintenance 30

31 Site Populated Taxonomies View/Edit 31

32 Patient Lists and Reminder Notifications for Stage 2 MU 32

33 Patient List Measure and Criteria Objective: Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach. (EP, EH) Measure: Generate at least one report listing patients of the EP, EH, or CAH with a specific condition. Exclusion: None Criteria: Enables a user to electronically and dynamically select, sort, access, and create patient lists by date and time based on each one and at least one combination of the following data: i. Problems ii. Medications iii. Medication allergies iv. Demographics v. Laboratory tests and values/results vi. Ambulatory setting only - patient communication preferences 33

34 Problem Panel Definition 34

35 Medications Panel Definition 35

36 Medication Allergies Panel Definition 36

37 Sort/Filter Columns to Identify Patient Who Have Not Met Annual Performance Goals 37

38 Preferred Communication Method Panel Definition 38

39 Demographics Panel Definition Cause of Death 39

40 Labs Panel Definition Results/Values 40

41 Reminders Measure and Criteria Objective: Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care and send these patients the reminder, per patient preference. (EP) Measure: More than 10% of all unique patients who have had two or more office visits with the EP within the 24 months before the beginning of the EHR reporting period were sent a reminder, per patient preference when available. Exclusion: Any EP who has had no office visits in the 24 months before the EHR reporting period. Criteria: Enables a user to electronically and dynamically select, sort, access, and create patient lists by date and time based on each one and at least one combination of the following data: i. Problems ii. Medications iii. Medication allergies iv. Demographics v. Laboratory tests and values/results vi. Ambulatory setting only - patient communication preferences 41

42 Reminders Screenshot 42

43 Reminder Notification Process 43

44 Exercise 11 Reminder Notifications Overdue Lipid Profile 44

45 Layout-Definition Detail Tab Reminder Notification 45

46 Panel View Definition Details Tab Reminder Notification Process 46

47 Exercise 12 - Abnormal Lab Results 47

48 Layout Lab Definition Detail Tab 48

49 Panel View Lab Details 49

50 Care Management Groups 50

51 Exercise 13 Asthma Patients with No Allergy Assessment 51

52 Care Management Tab Layout for Asthma 52

53 Exercise 14 Adolescent Panel Immunizations 53

54 Imms. Care Management Tab 54

55 Exercise 15 Employee Health Panel 55

56 Care Management Tab Employee Health Immunizations 56

57 Care Management Tab HIV/AIDS Register Data on Main Sub-Tab 57

58 Care Management Tab HIV/AIDS Reminders w/hover Help 58

59 Lunch 59

60 Navigating the Patient Record 60

61 Patient Record Demographics Box and Tabs Patient Demographics Cover Sheet Snapshot Flags Reminders Best Practice Prompts National Measures CMET Summ/Supp PCC Problem List Care Management Referrals DX Tags Family History Notes Tab Suicidal Form 61

62 Blue Demographics Box Add patient demographics and a TIU Note Access Imms Profile 62

63 Cover Sheet Tab View Recent Visits and Scheduled Appts Add/Edit Providers View Insurance Information Names of Panels patient is a member of Names of Registers patient belongs to 63

64 Snapshot Tab List of Active Diagnostic Tags proposed or accepted Add/Edit Reproductive Factors and Family Hx Most recent measurements and routine screenings Tracked CMET Events that are open 64

65 Reminders Tab 65

66 National Measures Tab (cont.) 66

67 Summary/Supplement Tab 67

68 PCC Tab Various Types of PCC data Graph Measurement Data Add Historical Events Add a Chart Review 68

69 PCC Tab (cont.) 69

70 Diagnostic Tags Tab 70

71 Care Mgmt Main Tab View/Edit HIV/AIDS Register Data 71

72 Care Mgmt Reminders Tab View HIV/AIDS Reminders 72

73 Diagnostic Tags Tab with Hover Help for Tag Definition 73

74 Add/Update a Patient s DX Tag Status 74

75 Exercises Exercise 16 - Add a TIU note Exercise 17 - Add a Historical Event Exercise 18 - Add Demographic Data Exercise 19 - Edit Diagnostic tags 75

76 15 Minute Break 76

77 Independent Exercises Participant Led Discussion 77

78 Exercise 20 Diabetic Patients Lost to Follow-up 78

79 Exercise 21 Panel of Patients with Medication Allergies 79

80 Exercise 22 Panel of Prenatal Patients 80

81 Exercise 23 Diabetics with No Retinal Evaluation 81

82 Exercise 24 Panel of Patients Admitted to ER or Hospital 82

83 Questions/Wrap Up 83

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