Errors when printing Supervisory Visits

Agencies currently on Main Office Software Version 6139 and receiving an error message upon printing Supervisory Visit Documentation will need to update to the most current Main Office Software Version 6140 dated 05/04/2017.

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Patient Identification of Infection Risk and Risk for Hospitalization

Main Office Software Version 6138 dated 05/02/2017 and Clinical Point of Care Software Version 2565 dated 05/02/2017 contain updates for identifying and tracking patients with an Infection Risk and Risk of Hospitalization.  In the Clinical Point of Care software, there is a new tab in the Care Management button in OASIS Start of Care,  Resumption of Care and Recertification and a new system “Risk” assessment button in Hospice CA for Infection risk.  Certain data entry fields within the comprehensive documents will flag the patient at risk for either infection or hospitalization.  The new tab will summarizes all the items that have been completed that are flags for a risk for infection or hospitalization. The clinician will review all flags and assign a risk level  of high, medium, low or none.   The Main Office software will have a new tab in Control Board/Pt Status called Risk/Triage/Alerts  that will allow agencies to filter for patients at different risk levels.  For those agencies providing non-skilled services and not utilizing the comprehensive documents patients at risk can be filtered and listed based on select items that can be found in the Patient Demographics/ Precautions, Alerts and Triage, the Home Management tab in Therapies and Personal Traits found in the Miscellaneous info screen. Additional enhancements will be coming soon to further assist agencies in their Infection tracking and Emergency preparedness programs and identifying and initiating interventions for those patient at risk for hospitalization or emergency department use.

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Hospice Item Set Skip Pattern Update

Hospice agencies should update the main office software to version 6129 dated 04/18/17 and Clinical Point of Care software to version 2560 dated 04/18/17.  The latest version contains updates to the skip pattern in the HIS Admission items related to Pain.

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Activity Grid Comment Field in Physician Orders

Main Office Software version 6127 and Clinical Point of Care Software version dated 04/12/2017, now have programmed options available for selection in a new drop down for the Activity Grid Comments in Physician Orders.  The field continues to also allow direct data entry.  The new programmed options provide enhanced tracking for Infections, additional visit orders, lab work, and wound changes.  The Physician Order Activity Grid comments are visible in the patient Activity Grid, and in the Control Board/PT Activities/Physician Orders for real time tracking.  The Physician Order Listing reports includes Activity Grid Comments for historical tracking.

Agencies that may want to require Activity Grid Comment completion now have an override in Set Up/ System Overrides/485 Phys. Orders tab, under Physician Orders the last check box “Users must complete the activity grid comment field” can be marked.

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Verbal Start of Care, Recertification and Resumption of Care Orders for Continued Services

Available with Clinical Point of care software version 2558 dated 04/07/2017, Physician orders added from inside a Start of Care Comprehensive OASIS Assessment will now default to a Verbal SOC special type.  The Physician Order Special type will default to Resumption of Care or Recertification when the physician order is added from inside the Resumption of Care or Recertification OASIS Comprehensive Assessments respectively.

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Enhancements to the Create OASIS XML Screen

Enhancements to the Create OASIS XML screen have been added with Main Office Software Version 6126 dated 04/06/2107.  The enhancements will assist agencies in tracking the acceptance of OASIS XML files submitted to CMS.  The Create OASIS XML screen can now be filtered by CMS Date.  Additionally the screen can be filtered for assessments not accepted at CMS utilizing a new check box to indicate the assessment was accepted.

Agencies upon receipt of their CMS Validation Report may filter the Create OASIS XML screen for just those assessments contained in the Validation report by entering the CMS date and “Loading” the screen.  Agencies can select the assessment accepted and select the Changes button found in the View screen.  The CMS Assessment ID remains available for agencies to enter the Assessment ID for those assessments accepted.  Additionally a check box has also been added.  Agencies may select the check box to indicate the assessment was accepted.

Both theCMS Assessment ID and the Accepted check box will display as new columns in the Create OASIS XML screen.

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Physician Orders- Information Copies Can Be Generated For Other Ordering Physicians For Care Coordination

Agencies now have the ability to generate 2 or 3 print forms of a physician order with Main Office Software version 6124 dated 04/05/2017 and Clinical Point of Care Software version 2557 dated 04/05/2017.  Agencies providing care coordination for a patient with multiple physicians can continue to generate a physician order for an order change with a signature for the Physician making the order change.  The enhancement will allow agencies to also generate Information Copies to send as a notification of the order change to other ordering physicians for Care Coordination.   Two additional drop down fields have been added in the Physician order to generate the Information Copy of an order change to send to other physicians who may also be actively ordering services for an agency patient.  The field is ” Info Copy”.  Agencies will enter the other physician(s) from the agency database the agency needs to notify of an order change.  The Print copy with the physician signature line would be retained for the Physician listed on the order itself for the physician to sign like usual.  The software will now also print additional Information Copy to any physician listed in the new Info Copy fields.  The Copy will include notation of the ordering physician with notation “Original order was sent to”.  No signature line will be included on the Information copy.

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DC Medicaid Eligibility File

Main Office Software Version  6123 Dated 04/03/2017 Agencies may generate a 270 Eligibility file for DC Medicaid.  The file will require completion of Patient specific data entry in the software to include, the patient ID and Name, Primary Insurance, Insurance ID, Date of Birth, and Gender.

Eligibility files can be generated in the Billing module/ ANSI 270 Eligibility button.  Required fields for completing the Report Parameters screen include:  Type of Eligibility file to Create should be selected as ANSI 270 Electronic (CMS),  the Type of ANSI File should display D.C.Medicaid, The Insurance Company field will need to contain the Insurance Company from the agency set up, and the Date Range.

Agencies will also need to  enter the first letter for a range of the patient names to be included in the file.  DC Medicaid allows only 90 patients per file.  Depending on the number of patients in the agency data base to have the eligibility check, a file for a limited alphabetical range may be needed.

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Clinical Point of Care Patient Demographics and Medical Information Screen Enhancements

Clinical Point of Care Software version 2556 dated 04/03/2017 will contain enhancements to the Patient Demographics and Medical Information screens.  In the Patient Demographics, enhanced Alerts and precautions are now available.  An Additional field to document 2 Pharmacies for a Patient in the Physician screen has been added.  A patient selected Funeral Home documentation field is now available int he Medical Information screen.  Emergency Contact screen has been updated to include designations for two of the Emergency contacts to check POA and DPOAHC.  Two additional Other Contacts and the Patient Next of Kin has been added.

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HIS Admission and Discharge Effective April 1, 2017

Hospice Agencies will need Main Office Software version 6121 dated 03/27/17 and Clinical point Of Care Software version 2552 dated 03/28/17 for the updated HIS Admission and HIS Discharge effective April 1, 2017.  Agencies will need to complete the Patient Race found on each patient demographic screen by accessing the “R” button and marking all Races that apply.  The HIS Item A1000 has been added to the same section as M0140.  Agencies will also be required to complete the patient’s Payer Source A1400 for the HIS Admission.  The Item can be found only in the Main Office Software Patients/Insurance/Hospice/Election Certification and CAHPS tab.  If the patient’s zip code, where care is provided is different from the patient’s zip code entered as the address in the Demographics screen, an override can be found in the same location just above the A1400 item.

All new HIS Admission items have been added to the HIS Item set with skip patterns.

The His Discharge has been updated with an additional tab in the main Office software only to accommodate the new items.  Agencies should follow the previous instructions posted on Allegheny Messages related to setting up and updating services to accommodate the HIS Discharge Service Utilization.   The previous post was titled Required Set Up for New HIS Discharge Service Utilization Summary.  The post was Dated 02/21/20017.  Once Services are updated and visits by discipline are entered into the software, agencies will need only select the “Pull Patient Visits” button to populate the number of visits by specific discipline for the day of death and  up to 6 days prior to death.

There will be no new changes to creation of the HIS xml files.

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