AHE 232 Introduction to Clinical Software. Week ten:

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1 AHE 232 Introduction to Clinical Software Week ten: Note: I have set up the entire curriculum for this class with weekly lesson plans. This will allow the Instructor to determine how to incorporate the information into lesson plans whether it is a daily class, a twice weekly class, a three times a week s class, or even a one class per week calendar. Alerts a. Task Software 1. Timelines 2. Management 3. PHI data entry b. Alert Software 1. cell phone 2. c. Scheduling Software d. Project Management Software Home Health and Hospice - may fall into CIS definition a. Medicare and Medicaid Requirements/Standards a. OASIS b. 485 b. Admissions/Pt Registration c. Lab Results d. POC a. What is it? b. Synchronization c. Field Mode/ Host Mode e. Workflow demo for following class assignment This product was funded by a grant awarded under the President s Community-Based Job Training Grants as implemented by the U.S. Department of Labor s Employment & Training Administration. The information contained in this product was created by a grantee organization and does not necessarily reflect the official position of the U.S. Department of Labor. All references to non-governmental companies or organizations, their services, products or resources are offered for informational purposes and should not be construed as an endorsement by the Department of Labor. This product is copyrighted by the institution that created it and is intended for individual organizational, non-commercial use only.

2 Electronic Medical Records (EMR) Practice Management (Physician Office/Clinic) may fall into CIS definition a. Physician management systems support patient registration, scheduling, coding, and billing in the physician s office and may support results retrieval. These systems also provide better protection of patient privacy than paper records b. EMR can also stand for Electronic Medical Record. According to the Medical Records Institute five levels of an Electronic HealthCare Record (EHCR) can be distinguished: The Automated Medical Record is a paper-based record with some computer-generated documents. The Computerized Medical Record (CMR) makes the documents of level 1 electronically available. The Electronic Medical Record (EMR) restructures and optimizes the documents of the previous levels ensuring inter-operability of all documentation systems. The Electronic Patient Record (EPR) is a patient-centered record with information from multiple institutions. The Electronic Health Record (EHR) adds general health-related information to the EPR that is not necessarily related to a disease. c. PMS facilitates: a. access of patient data by clinical staff at any given location b. an increase in liability coverage c. accurate and complete claims processing by insurance companies d. building automated checks for drug and allergy interactions e. standardization of care pathways and protocols f. clinical notes g. prescriptions h. scheduling i. sending to and viewing by labs d. EMR Issues a. interoperability b. adding older records c. organizational barriers d. technology limitations Maternal Infants a. Workflow - efficient documentation of mothers and infants through the perinatal continuum - from prenatal management...to intrapartum fetal monitoring surveillance...through postpartum, nursery and NICU, discharge documentation and patient education. b. Requirements by State discuss Public Health Nursing/First Step Programs (Hand out article)

3 Lab: Have Students log into the Clinical Information System and data enter client information as if an admission, then have students data enter an assessment, a task, and several medications. Students should have had an ICD9 Coding class at this time, have them use ICD9 Coding and enter a diagnosis. Then have students do an admission and data entry on their own give them a patient scenario. (Prior to class meeting you will need to do some case scenarios to and out to students to enable them to do this, see attachment, client scenario) Assignment 4 Public Health and Maternal Infants frequently requires a different type of documentation known as Omaha. Please submit a 1 page definition of this software, how it defers from hospital or home health documentation. Attach two research resources.

4 Search What is First Steps? Maternity Support Services Infant Case Management How do I qualify for First Steps? How do I apply for First Steps? How long after I apply before I can get First Steps? What can I do if I do not agree with the decision made by DSHS? What can I do if I do not qualify for First Steps? Return to Welcome Page First Steps Administration Page First Steps Provider Page HRSA Home HRSA Search Privacy Statement Contact Us DSHS Home Search Contact Us Privacy DSHS Mission Download Adobe Acrobat for reading Portable Document Format (PDF) files.

5 Download Microsoft Excel 2003 viewer for reading MS Excel (XLS) files Download Microsoft Word 2003 file viewer for reading MS Word (DOC) files HRSA Home HRSA Search Privacy Statement Contact Us DSHS Home Search Contact Us Privacy DSHS Mission Download Adobe Acrobat for reading Portable Document Format (PDF) files. Download Microsoft Excel 2003 viewer for reading MS Excel (XLS) files Download Microsoft Word 2003 file viewer for reading MS Word (DOC) files First Steps General Information and How to Apply What is First Steps? Maternity Support Services Infant Case Management How do I qualify for First Steps? How do I apply for First Steps?

6 How long after I apply before I can get First Steps? What can I do if I do not agree with the decision made by DSHS? What can I do if I do not qualify for First Steps? What is First Steps? First Steps is a program that helps low-income pregnant women get the health and social services they may need. These services will help you be a healthy mother and have a healthy baby. First Steps is available as soon as you know that you are pregnant. After you have your baby or are no longer pregnant, your DSHS medical coverage will continue for two months. This will still be full medical, vision and dental coverage. After two months you will start receiving a Family Planning Only ID card. You will continue to get Family Planning Services for 10 months after other First Steps benefits end. Your baby will receive full medical coverage until his or her first birthday. First Steps services include: Paid medical bills Transportation to medical appointments Child care while at medical appointments Child birth education Medical care for your newborn Help accessing medical care for your children Drug education and assistance Family Planning services when your pregnancy ends Women also receive Maternity Support Services. Some support services can continue until the baby turns one year old. Maternity Support Services (MSS) Maternity Support Services (MSS) are preventive health services to help you have a healthy pregnancy. These include an assessment, education, intervention and counseling. A team of community health specialists provides the services. The team includes nurses, nutritionists, and behavioral health workers and, in some agencies, community health

7 workers. The intent is to provide MSS as soon as possible to promote positive birth and parenting outcomes. Pregnant women with First Steps coverage can receive Maternity Support Services during pregnancy and through the end of the second month following the end of the pregnancy. MSS can begin during the prenatal, delivery or postpartum period. Infant Case Management (ICM) Sometimes there are family situations that place infants at higher risk of having problems. Infant Case Management, that starts in your baby's third month (after Maternity Support Services) can help you learn to use the resources in your community so that your baby and family can thrive. Infant case management may start at any time during your child's first year. It ends when your baby turns one year old. How do I qualify for First Steps? All pregnant women covered with a Medical ID Card (MAID) qualify for First Steps. If you have no medical coverage you are urged to apply for First Steps. If you are a teenager living with your family, you may apply for coverage. Your eligibility will be determined by your personal income. If you are not a documented U.S. resident, you may also receive First Steps coverage. When you qualify for First Steps, in most offices, the a Social Worker will see you. This person will talk with you and determine your family's basic needs. You will be referred to a local agency for the actual MSS/ICM services. Most women will receive their medical prenatal care through Healthy Options. After you are found eligible, you will be contacted by Healthy Options to discuss the plans in your area. You will be given every chance to enroll in the plan of your choice in order to receive your prenatal care from the provider of choice. Some women learn about First Steps services when they have a pregnancy test or apply for WIC. First Steps has many "entry points." There is no "one way" to get in! To learn more about local First Steps provider agencies, contact the First Steps Social Worker in your local CSO or call

8 How do I apply for First Steps? You can apply for First Steps by visiting your local Community Service Office (CSO). You can also call for more information. How long after I apply before I can get First Steps? You should receive a Medical Identification Card within 20 calendar days after we receive your application. Most applications are processed within a few days. Coverage for women begins within the month of application if you are eligible for First Steps. If you need help with medical bills you received before then, let your worker know. There may be a medical assistance program to help with these bills. What can I do if I do not agree with the decision made by DSHS? You may request a fair hearing if you don't agree with the decision. You must request your hearing within the time frame shown in the decision letter. What do I do if I don't qualify for First Steps? If you do not qualify because you have too much income, there are other resources to help you. Please contact the WithIn Reach Family Health Hotline at They are able to link you to resources in your county. Health Care Health Care Resources: Basic Health Plan: Office of the Insurance Commissioner: Washington State Health Care Authority Reduced Cost Health Care: Food Resources

9 WithinReach Family Food Line: Second Harvest: Housing Search for affordable housing: Search for Washington Apartments and Homes: Return to Welcome Page Modified:. Send comments or questions about this site to the HRSA Webmaster For more ways to get in touch with the Department of Social and Health Services go to the DSHS Contact Information Web page. Technical Site Comments: DSHS Webmaster.