PCS Provider Use of QiRePort. September 2010

Transcription

1 PCS Provider Use of QiRePort September 2010

2 What is QiReport? Web-based information system to support PCS independent assessments Helps collect, store and communicate assessment results Secure site to protect the privacy and confidentiality of recipient data

3 Provider Interface For QiReport Features of the provider interface: 1. Electronic referral process Receipt from CCME Agency accept/decline 2. Access to CCME-generated PCS documents for your agency s clients/referrals only: IA document Accept/decline letters Notification letters

4 Provider Interface For QiReport Features of the provider interface: 3. Online submission of information Change of Status requests Recipient discharges Provider billing number changes Provider service area

5 Provider Interface for QiReport Features of the upcoming version of QiReport: 1. Automated tool for plans of care 2. Notifications of recipient appeals 3. Quality measures Incident reporting Complaint reporting

6 How does QiReport work? Providers have a unique version of QiRePort (different from CCME version) Recipient referral and assessment information organized around provider numbers PCS agency staff users linked to provider numbers

7 Usage Requirements Internet access required Use Internet Explorer or Firefox web browser Log-in username and password You must register to receive these All agency staff members listed on the registration form will receive by No special computers or software required

8 Security Provisions: Data Privacy Protection Requirements HIPAA compliance basics for personal health information QiRePort hosting security Data transmittal security Data origination security Data use security by IAE (CCME) and PCS providers Provider security responsibilities Staff/designated representative access management Agency computer security provisions Control and security of recipient paperwork Staff training and agency policy and procedures on data privacy and security

9 Elevated Data Security Vigilance HITECH provisions expand the reach and teeth of HIPAA Passed as part of the federal Recovery Act in 2009 Data breach reporting Civil penalties for breach Not just the health entities but include business entities under contract to the health entities (covered entities) Question of PCS provider responsibilities under HITECH PCS providers as business entities of CCME? Implications for PCS providers Under review by DHHS

10 Security Provisions: Computer Usage Protect your username and password Lock your workstation every time you leave your desk CTRL + ALT+ delete, Lock computer Use timeouts for screen displays Require computer passwords to clear screensavers Log out from QiReport when you finish your session Control use of data backup devices

11 Getting started: Registering Register for provider access to QiReport Visit Learn More tab Independent Assessment Forms Fax completed form to CCME before October 1, 2010

12 Getting started: Registering *Providers must be registered to use QiReport in order to receive referrals Once you have registered successfully, you will receive a confirmation from QiRePort

13 Getting Started: Logging In To QiRePort 1. Enter username and temporary password provided to you 2. On the first log-in, change your temporary password to one you select 3. Enter answers to three questions that can be asked if you forget your password

14 Getting Started: Home Page Important announcements Personal Preferences Technical support Log off (at end of session)

15 Getting Started: Home Page Click on Referrals tab to view or submit information about your agency s clients

16 VIEWING RECIPIENT INFORMATION: FOR RECIPIENTS WITH AN IA ONLY Recipients with an IA

17 Viewing Recipient Information: Referrals Log in to QiReport daily to check for referrals! QiReport tracks the date of the referral and when a referral decision (accept or deny) is due from the provider (2 business days) Referrals without a provider response move to the recipient s next choice of provider after 2 days (to help reduce wait time for recipients)

18 Viewing Recipient Information: Referrals Referrals appear automatically after log-in For recipients who have had an IA Includes all types of assessments View online key referral information: Request for assessment (new admission, change of provider etc.) Assessment findings (completed IA document) Authorized hours

19 Viewing Recipient Information: Referrals Click on recipient name

20 Viewing Recipient Information: Referrals referral record will appear

21 Viewing Recipient Information: Requests Request for an assessment New Referral Change of Provider Change of Status Annual Review View requests for an assessment online: Referring physician info. Diagnoses codes/onset Reason for request

22 Viewing Recipient Information: Requests For Assessment Request

23 Viewing Recipient Information: Requests For Assessment Click on recipient name and request will appear:

24 Viewing Recipient Information: Assessment Results View completed IA assessment online Assessment & comments can be downloaded and printed. Be careful to comply with privacy provisions Users can only view assessments; cannot edit or change any assessment information

25 Viewing Recipient Information: Assessments Assessment

26 Viewing Recipient Information: Assessments Click on assessment date and PDF of assessment document appears: XXXXXXXXXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXX XX XXXXXXXXXXXX XX XXXXXXXXXXXX

27 Viewing Recipient Information: Accepting/Rejecting Referrals LEESY, BETTY L ABC HOME CARE INC ABC HOME CARE INC Make a selection

28 Viewing Recipient Information: Accepted Referrals Click to view all referrals accepted by your agency over the past 30 days and to access Referral and Notification letters

29 Viewing Recipient Information: Referral & Notification Letters View online: COPY of Referral letter (accept/decline) Do not fax back to CCME, since you will accept/decline referrals online COPY of Recipient Notification letter

30 Viewing Recipient Information: Referral Letters Click on recipient Referral Letter for the recipient you are reviewing

31 Viewing Recipient Information: Referral Letters and Referral Letter will appear

32 Viewing Recipient Information: Recipient Notification Letters Click on Recipient Notice letter for the recipient you are reviewing

33 Viewing Recipient Information: Recipient Notification Letters and Recipient Notice Letter will appear

34 Viewing Recipient Information: Denials Click to view list of denied recipients for past 6 months Click to view copy of denial letter

35 SUBMITTING INFORMATION: FOR RECIPIENTS WITH- OR WITHOUT IA Recipients with an IA Recipients without an IA

36 Submitting Information: Change of Status Requests Replaces current manual change of status (COS) form 1. Determine if COS is for a recipient with an IA or for a recipient without an IA If recipient has not had an IA, you must enter identification info. If recipient has had an IA, QiRePort will prepopulate recipient info. on the form

37 Submitting Information: Change of Status Requests 2. Click Change of Status Request to bring up data entry screen

38 Submitting Information: Discharges Replaces current manual discharge form 1. Determine if discharge is for a recipient with an IA or for a recipient without an IA If recipient has not had an IA, you must enter identification info. If recipient has had an IA, QiRePort will prepopulate key recipient information on the form

39 Submitting Information: Discharges 2. Click Discharge to bring up data entry screen

40 Submitting Information: Provider Number Change Replaces manual provider number change form Use only for transfers of recipients between provider numbers associated with your corporate entity

41 Submitting Information: Provider Number Change 1. Determine if provider number change is for a recipient with an IA or without an IA: If recipient has not had an IA, you must enter identification info. If recipient has had an IA, QiRePort will prepopulate key recipient information on the form

42 Submitting Information: Provider Number Changes 2.Click Provider Number Change to bring up data entry screen *Enter data for one recipient at a time

43 Submitting Information: Counties Served by PCS Agency Used to update provider lists from which recipients select agencies during the IA Enter current coverage areas By county With effective date Enter your coverage area(s) as one of your first tasks once you have QiRePort access Update whenever there is a change.

44 Submitting Information: Counties Served by PCS Agency 1. Click Counties Served

45 Submitting Information: Counties Served by PCS Agency 2.Click Add County

46 User Support 1. Frequently asked questions 2. On-Line help: guides and instructions 3. Ask a question via QiRePort support system 4. Call center We expect October 2010 to be a transition month between the current fax communication system and the introduction of the Provider Interface.

47 User Support: Common Questions To Be Answered By FAQs Online FAQs To be posted and available when the Provider Interface goes live. Accessible through the provider interfaces Categories included in the FAQs QiRePort access How to use QiRePort features How to respond to an error message How to add and delete users

48 CCME Call Center Support If the on-line information doesn t answer your question PCSAssessment@thecarolinascenter.org