A D D E N D U M # 2 August 24, 2016

Size: px
Start display at page:

Download "A D D E N D U M # 2 August 24, 2016"

Transcription

1 A D D E N D U M # 2 August 24, 2016 Address all questions to: Christy Tran, Sr. Procurement Analyst Multnomah County Central Purchasing 501 SE Hawthorne Blvd., Suite 125 Portland, OR Christy.tran@multco.us RFP NO: TITLE: After Hours Call Center CLOSING DATE: August 29, 2016 / NOT LATER THAN 4:00 p.m. This Addendum is issued to the above referenced Request for Proposals (RFP) to make the following changes, additions, deletions, and/or clarifications: 1. Change Page 13, Section 2.7.3, Service Requirements Quality Assurance Change: Section Service Monitoring change to Section Service Monitoring. 2. Clarification Page 13, Section 2.7.4, Technology Regarding the web-based client alert system to recognize high-risk clients and computerized data system detailing caller history, will Multnomah County provide the selected contractor with access to patient records or prior caller histories to pre-populate the alert system and data system? What information is needed for documenting the caller histories (ex: date, time, result of each prior call)? Response: Multnomah County will not provide the selected contractor with access to patient records. The Client Alert Form used by County staff is designed to include the information that the Call Center and our contracted consultants need in order to assist the client. The current Call Center contractor provides access to a web-based kb2 RFP After Hours Call Center - Addendum 2 Page 1 of 8

2 Client Alert system. The County HelpLine staff logs onto this system to enter Client Alerts during regular business hours. The following documents provide information regarding Client Alert FAQs, System Procedures and sample form. These documents are attached as: 1) Addendum 2 - Attachment 1 (Client Alert FAQs) 2) Addendum 2 - Attachment 2 (Client Alert System Procedure) 3) Addendum 2 - Attachment 3 (Client Alert Form) Most client alerts are about short-term situations. Transition information will be discussed in contract negotiations with the selected provider. Basic information for documenting caller histories would include name, demographic information, date, time, call outcome. 3. Clarification Page 13, Section 2.7.4, Technology Please provide details on the requirement to export and filter key data in demographic data for ADSD reporting requirements. Specifically, what demographic data is required? Can you provide a sample report? Response: The basic demographic information that the HelpLine records for daytime calls is: Gender: Male, Female, Declined to State Date of Birth (can put Declined to State ) Race: White, American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian/Other Pacific Islander, Other, Multiple, Unknown, Declined to State Ethnicity: Hispanic or Latino, Non-Hispanic or Latino, Unknown, Declined to State Veteran status: Child, No, Spouse, Veteran, Declined to State County: All Counties in Oregon listed as options Functionally impaired (if self reported): Physical Disability, Dementia/Alzheimer s, Mental Health/Illness, Vision, Hearing, TBI, ID/DD, Emotional, Other Cognitive Impairment, None, Other (with text field) Reporting of demographic information is a new requirement, and specifics may be addressed in contract negotiations. The Public Guardian program does not need demographic data on callers. 4. Clarification Page 13, Section 2.7.4, Technology Would you please provide more specifics on requirements for a webbased client alert system to recognize high-risk clients that need specialized intervention? kb2 RFP After Hours Call Center - Addendum 2 Page 2 of 8

3 Response: The current Client Alert System is a web-based system maintained by the current Call Center contractor. Refer to #1 Clarification. The system is used to alert Call Center staff of situations that require specialized intervention. In many cases the Call Center will need to contact the ADVSD After Hours Consultant (for HelpLine calls) or the on-call Public Guardian (for Public Guardian calls). Paging criteria for each phone line will be provided by ADVSD. 5. Clarification Page 13, Section 2.7.4, Technology 6. Clarification General Would you please provide some specifics on HIPAA requirements as applicable to a Business Associate of Multnomah County, particularly related to electronic transmission of caller-specific records? Response: The HIPAA requirements are shown in Attachment H-1 in the Sample Contract (Refer to page 51 of the RFP). We expect the selected provider to be able to send and receive secure s and provide a secure web-based Client Alert system. Please name the vendor(s) currently providing the call center services. Please also disclose the length of the contracting relationship and the annual contract value(s). Response: The current vendor is ProtoCall Services, Inc. The length of the contract is for five-year contract from January 1, December 31, Total maximum contract value is $355, c: C. Frost, L. Hoelter C. Tran, J. Punches File kb2 RFP After Hours Call Center - Addendum 2 Page 3 of 8

4 Addendum 2 - Attachment 1 Client Alert FAQs: What is the purpose of a client alert? It allows After-Hours Consultants and ProtoCall (After-Hours Call Center) to continue with the daytime case management care plans, and provides information of possible risks and special instructions on dealing with your client s situation. When do I submit a client alert? Submit a client alert whenever you want to communicate with After-Hours Consultants and ProtoCall about a client who may need assistance, risk assessment, who is likely to call the Helpline after hours, or may need extra assistance after hours. Here's a screen shot from the form, listing some of these possible reasons: What is the role of the After-Hours Consultant? After-Hours Consultants are contractors, whose primary role is to help develop a safety plan after hours. They are not: ADS staff, APS workers, mental health clinicians, or community health nurses. They are able to assess and monitor situations, but they are not a replacement for medical personnel or mental health services. Please be mindful of their role, and do not request assistance that goes beyond their scope of work. Why do I have to call the client alert line AND submit an alert? When you call the client alert line, you will leave a voic (reading your client alert that you just ed). Your voic alerts the After-Hours Consultant, helping make your client alert a priority, and can also serve as a back-up in case there is a network problem (ie: is down). Also, with just one After-Hours Consultant serving the entire county each night/weekend, they do not always have quick access to . Why isn t the client alert line phone number listed on the public web site with the other client alert information? The client alert line is an internal line for county and district center staff only; it is not intended for the general public. Check with your supervisor, or call the Helpline ( ) M-F, 8am 5pm, if you cannot remember the client alert phone number (and we will provide that for you). Please consider programming the client alert number into your cell phone or add a memo to your desktop kb2 RFP After Hours Call Center - Addendum 2 Page 4 of 8

5 ADS Client Alert System Procedure Addendum 2 Attachment 2 The client alert system allows ADS and District Center staff to communicate with the afterhours on-call workers and ProtoCall, our after-hours telephone triage contractor. After Hours includes the period between 5pm 8am on weekdays and all hours on weekends and holidays. A client alert serves several purposes: It enables after-hours on-call workers and ProtoCall to continue with your daytime case management care plans. It informs the after-hours on-call workers and ProtoCall of possible risks in dealing with the client. It provides basic information and instruction on how to deal with your client s situation. It provides after-hours on-call workers and ProtoCall important feedback and direction to a case they recently staffed after hours. Why submit a client alert? Your client is at risk and: needs a risk assessment after hours. may need urgent intervention after hours. there has been a significant change in their care plan that may need to take place after hours. may need extra assistance after hours. Two steps to submitting a client alert: Locate the Confidential Client Alert Form on the ADS Provider page. From locate the ADS page under the Health tab. Click on the Providers link on the left side of the page. Click on Community Services under Table of Contents for Providers Documents. The Client Alert Form is the third item listed under Community Services. Helpline recommends bookmarking this page for future reference to make find the form easier next time. When you click on the Client Alert Form, you will be asked to open or save. Save this form on your PC. Complete the form (see tips on filling out the form) and save to your PC as with the Client s last name and the date. Then send the file as an attachment to dchs.client.contact@multco.us. Note: ADS District Center partners should send the form securely through Tumbleweed. Helpline staff will input the alert into ProtoCall s database. Call the Client Alert line. Leave a message that you submitted a client alert and briefly describe situation and plan of action. Once your message is left, the on-call workers will be paged. This is especially important if you are requesting a risk assessment. The Client Alert line is a confidential line for internal use only. If you do not know the number, call the Helpline at for assistance kb2 RFP After Hours Call Center - Addendum 2 Page 5 of 8

6 Where do I find the client alert form, and how do I send it? You can find the client alert form, instructions/procedures, and FAQs on Multnomah County s public web page at You will need to save a copy to your desktop (word document), fill out the form, and then attach it to your . The client alert address is on the form. Why are there different instructions for the Call Center (ProtoCall) and After-Hours Consultants? ProtoCall is our afterhours call center. They screen and triage our calls 5pm to 8am weekdays, and all day/night on weekends and holidays. ProtoCall will page the After-Hours Consultant if the client's issue meets paging criteria. ProtoCall does not provide direct services to your client (ie: cannot place your client, cannot do a home visit, does not place calls to you clients, etc.). After-Hours Consultants are the ones who provide direct service to our clients. It is helpful if your instructions are tailored for these two different groups. The client alert form allows you to hover over the descriptions and instructions for these reminders/definitions (see screen shot): What helpful hints can you offer? Your instructions should be as specific as possible (ie: 'do not voucher'). Cutting and pasting long narratives from OR Access is not helpful. Do no not use acronyms, as ProtoCall and the After-Hours Consultants do not know our jargon. Listing your client's emergency contacts is very helpful (ie: names and phone numbers of client's family member who is aware of situation, doctor or counselor if applicable, etc.). What if I still have questions? The Aging and Disability Services Helpline staff can assist you during regular business hours at kb2 RFP After Hours Call Center - Addendum 2 Page 6 of 8

7 Addendum 2 - Attachment 3 Aging, Disability, & Veterans Services CLIENT ALERT FORM (revised ) SENDER INFORMATION: Sender s (your) name: Sender s (your) Sender s (your) phone number: Your Department/Program: Click here to choose one Yes No *If No, please fill out the next section: Are you the client s case manager? CLIENT S CASE MANAGER (if different from Sender): Case Manager Name: Case Manager s department/program: Click here to choose one Case Manager s direct phone number: THIS CLIENT ALERT IS EFFECTIVE FROM: Submission Date: Click here to enter a date. Deletion Date: Click here to enter a date. CLIENT INFORMATION: Full Legal Name: (First, Middle initial if known, Last) Date of Birth: VETERAN STATUS: Has the client served in the military? (yes, no, or unknown): Is the client a surviving spouse of someone who has served in the military? (yes, no, or unknown): CLIENT ADDRESS: Building/Facility Name (if applicable): Street Address: Apt. or Unit #: City: State: OR Zip: Primary phone: Additional Phones/Contacts (specify cell, emergency contact, facility, etc.): REASON FOR ALERT (check at least one, and all that apply) : Client is suicidal Client is homicidal/violent Client demographics needed Specific intervention needed FYI: Client status report To update prior alert kb2 Client is special program Provide referral/appt. info Client is a frequent caller Limit number of calls Limit call duration RFP After Hours Call Center - Addendum 2 Page 7 of 8

8 (**Hover the cursor over descriptions for reminders/instructions**) SITUATION DESCRIPTION: CALL CENTER INSTRUCTIONS: AFTER HOURS ON-CALL CONSULTANT INSTRUCTIONS: How to submit (you must complete BOTH steps below): 1. Save this form as a Word document (not scanned, not faxed), and to: dchs.client.contact@multco.us ~AND~ 2. Call the Client Alert Line phone number (if you do not know this number, check with your supervisor, or call the Helpline at ). If you leave fields blank, or if the instructions are not clear, we cannot submit this client alert. We will contact you/your supervisor for immediate clarification as-needed. Thus, please do not leave out necessary information, as this only prevents us from providing the most appropriate after-hours services to your case managed client! kb2 RFP After Hours Call Center - Addendum 2 Page 8 of 8

Admission, Discharge, Update Client Data and Associated Forms

Admission, Discharge, Update Client Data and Associated Forms Admission, Discharge, Update Client Data and Associated Forms Table of Contents Introduction... 2 When to Update Client Data... 2 Admission Form... 2 Discharge Form...10 Update Client Data Form...11 CSI

More information

In this packet, you will find the forms necessary for your child to apply to the Registry. To apply, please complete the following steps:

In this packet, you will find the forms necessary for your child to apply to the Registry. To apply, please complete the following steps: Dear Registry Applicant, Thank you for your interest in the National Registry of Myotonic Dystrophy and Facioscapulohumeral Muscular Dystrophy Patients and Family Members! The Registry was established

More information

Texas Department of Family and Protective Services

Texas Department of Family and Protective Services Texas Department of Family and Protective Services Automated Background Check System User Guide Fiscal Year 2009 (Revised on 10/1/08) Table of Contents Overview...3 Automated Background Check System...4

More information

Maryland IMMUNET System

Maryland IMMUNET System Maryland IMMUNET System HMO Data Exchange Specifications Application Version 1.0 Last Updated: November 25, 2013 1 Maryland State Immunization Information System Maryland State Immunization Information

More information

2017 PIT Summary: Boulder County

2017 PIT Summary: Boulder County A Point-in-Time (PIT) count provides a snapshot of homelessness by interviewing those who are homeless at a particular time. The Metropolitan Denver Homeless Initiative (MDHI) conducted a PIT study of

More information

Marin HMIS Online. Introduction to using the Client Services Network

Marin HMIS Online. Introduction to using the Client Services Network Marin HMIS Online Introduction to using the Client Services Network First time logging into the system To enter the system go to https://www.clientservicesnetwork.com/csnmarinca/ Click on Login. The Login

More information

OEMC 2016 Budget Statement of Executive Director Gary W. Schenkel to the Committee on Budget and Operations September 30, 2015

OEMC 2016 Budget Statement of Executive Director Gary W. Schenkel to the Committee on Budget and Operations September 30, 2015 OEMC 2016 Budget Statement of Executive Director Gary W. Schenkel to the Committee on Budget and Operations September 30, 2015 Good morning, Chairman Austin, Vice Chairman Ervin and members of the City

More information

2017 PIT Summary: Jefferson County

2017 PIT Summary: Jefferson County A Point-in-Time (PIT) count provides a snapshot of homelessness by interviewing those who are homeless at a particular time. The Metropolitan Denver Homeless Initiative (MDHI) conducted a PIT study of

More information

Chapter 4 - Demographic Data Set (DEMO) Table of Contents. I. Document Revision History 2 II. General Policies and Considerations 3

Chapter 4 - Demographic Data Set (DEMO) Table of Contents. I. Document Revision History 2 II. General Policies and Considerations 3 Chapter 4 - Demographic Data Set (DEMO) DCF Pamphlet 155-2 Chapter 4 (DEMO) Table of Contents I. Document Revision History 2 II. General Policies and Considerations 3 II.A. Adding Demographic Records 3

More information

Importing Students. Harcourt ThinkCentral Page 1 of 6

Importing Students. Harcourt ThinkCentral Page 1 of 6 Importing Students When a large number of student accounts are being created or updated for the ThinkCentral, you may want to use the Import Users feature. This will eliminate having to create or update

More information

MI LAST NAME DATE OF BIRTH GENDER ADDRESS CITY STATE ZIP CODE MI LAST NAME DATE OF BIRTH GENDER

MI LAST NAME DATE OF BIRTH GENDER  ADDRESS CITY STATE ZIP CODE MI LAST NAME DATE OF BIRTH GENDER PARTICIPANT FORM New member Update member information PRIMARY ACCOUNT HOLDER HOUSEHOLD #: FIRST NAME MI LAST NAME DATE OF BIRTH GENDER EMAIL ADDRESS CITY STATE ZIP CODE SECONDARY ACCOUNT HOLDER FIRST NAME

More information

CMHRS Report (Community Mental Health Report System)

CMHRS Report (Community Mental Health Report System) CMHRS Report (Community Mental Health Report System) Table of Contents CMHRS REPORT (COMMUNITY MENTAL HEALTH REPORT SYSTEM) OVERVIEW... 2 SECURITY... 3 REPORT HEADER... 3 PRINT REPORT... 3 CMHRS REPORT

More information

Student Information System User Guide

Student Information System User Guide Student Information System User Guide Quick Admit - Internet Native Banner Draft Revision: 1.0 Revision Date: September 30, 2016 Author/Editor(s): Marian Quaid-Maltagliati, Pam Wood, Josie Cabanas and

More information

Let s get started with the module Getting Data from Existing Sources.

Let s get started with the module Getting Data from Existing Sources. Welcome to Data Academy. Data Academy is a series of online training modules to help Ryan White Grantees be more proficient in collecting, storing, and sharing their data. Let s get started with the module

More information

Cyber Defense 2019 Summer Application

Cyber Defense 2019 Summer Application Cyber Defense 2019 Summer Application Cyber Defense Training Camp is an advanced level 7 day residential summer program for rising high school juniors and seniors. Dates: 3:00pm, Sunday, July 7 12:00pm,

More information

THE 2018 CENTER FOR DIVERSITY IN PUBLIC HEALTH LEADERSHIP TRAINING PROGRAMS ONLINE GUIDELINES

THE 2018 CENTER FOR DIVERSITY IN PUBLIC HEALTH LEADERSHIP TRAINING PROGRAMS ONLINE GUIDELINES THE 2018 CENTER FOR DIVERSITY IN PUBLIC HEALTH LEADERSHIP TRAINING PROGRAMS ONLINE GUIDELINES The Maternal Child Health-Leadership Education, Advocacy, Research Network (MCH-LEARN) Thank you for your interest

More information

PATIENT REGISTRATION

PATIENT REGISTRATION PATIENT REGISTRATION www.mana.md Internal Use Only PATIENT INFORMATION Please Print Patient Name Last First Middle Gender: M F Date of Birth Social Security # Address Apt. City State Zip Home Phone Mobile

More information

Infinite Campus Online Registration Existing Students

Infinite Campus Online Registration Existing Students INFINITE CAMPUS SYSTEMS SUPPORT TEAM USER SUPPORT SERVICES: User Guide Infinite Campus Online Registration Existing Students March 2017 TABLE OF CONTENTS ONLINE REGISTRATION Welcome to GIPS online registration.

More information

Montclair Public Schools. STUDENT REGISTRATION PORTAL INSTRUCTIONS

Montclair Public Schools. STUDENT REGISTRATION PORTAL INSTRUCTIONS Montclair Public Schools STUDENT REGISTRATION PORTAL INSTRUCTIONS This registration portal is used to collect basic information about your child before you come to Central Office for grades K 8, or Montclair

More information

Annex 6, Part 2: Data Exchange Format Requirements

Annex 6, Part 2: Data Exchange Format Requirements Annex 6, Part 2: Data Exchange Format Requirements Data Exchange Format Requirements Post-Event Response Export File Descriptions Please Note: Required data fields are marked. Data Exchange consists of

More information

What is New in MyChart? My Medical Record Health Preferences Settings Appointments and Visits Visits Schedule an Appointment Update Information

What is New in MyChart? My Medical Record Health Preferences Settings Appointments and Visits Visits Schedule an Appointment Update Information What is New in MyChart? On August 26th, we will be upgrading and changing the look and feel to our MyChart patient portal site. We would like to make you aware of a few differences that you will see, when

More information

Yawkey Scholars Program for Massachusetts Residents

Yawkey Scholars Program for Massachusetts Residents Massachusetts Residents 2018-2019 Instructions & Pre-Application Checklist Thank you for your interest in the Yawkey Scholars Program. Please read these instructions carefully before filling out your application.

More information

KENTUCKY ELECTRONIC DEATH REGISTRATION SYSTEM (KY-EDRS)

KENTUCKY ELECTRONIC DEATH REGISTRATION SYSTEM (KY-EDRS) Commonwealth of Kentucky Cabinet for Health and Family Services KENTUCKY ELECTRONIC DEATH REGISTRATION SYSTEM (KY-EDRS) FUNERAL DIRECTOR User Guide WELCOME TO THE KY-EDRS QUESTIONS? FOR ASSISTANCE IN THE

More information

iknowmed Software Release

iknowmed Software Release iknowmed Software Release Version 6.5.1 December 2013 Copyright 2014 McKesson Specialty Health. All rights reserved. iknowmed Software Release Version 6.5.1 December 2013 Release at a Glance (Table of

More information

Rockwood School District s. Online Census Verification

Rockwood School District s. Online Census Verification Rockwood School District s Online Census Verification Table of Contents 1. Online Enrollment 2. Accessing Online Census Verification and Adding New Students to Families with Existing Students 3. Navigating

More information

ADDING A PRACTITIONER FORM

ADDING A PRACTITIONER FORM This form is applicable for Medicaid AND Passport Advantage provider networks. YOU ONLY NEED TO SUBMIT THIS FORM ONE (1) TIME. ADVANTAGE (HMO SNP) ADDING A PRACTITIONER FORM Must complete entire form for

More information

Updating Personal Information

Updating Personal Information University of Connecticut Updating Personal Information Overview Self-service users can view and update their personal information at any time via self-service pages in Core-CT. This information includes:

More information

Test Procedure for (c) Record Demographics

Test Procedure for (c) Record Demographics Test Procedure for 170.304 (c) Record Demographics This document describes the test procedure for evaluating conformance of complete EHRs or EHR modules 1 to the certification criteria defined in 45 CFR

More information

ImmTrac Texas Immunization Registry Electronic Transfer Standards for Providers

ImmTrac Texas Immunization Registry Electronic Transfer Standards for Providers ImmTrac Texas Immunization Registry Electronic Transfer Standards for Providers Implementation Date: June 2002 Revision Date: February 2013 Texas Department of State Health Services ImmTrac - Immunization

More information

Creating a StudentTracker File for the NCAN Member Benchmarking Project Using Excel

Creating a StudentTracker File for the NCAN Member Benchmarking Project Using Excel Creating a StudentTracker File for the NCAN Member Benchmarking Project Using Excel December 1, 2014 NATIONAL STUDENT CLEARINGHOUSE 2300 Dulles Station Blvd., Suite 300, Herndon, VA 20171 Creating StudentTracker

More information

THE 2018 CENTER FOR DIVERSITY IN PUBLIC HEALTH LEADERSHIP TRAINING PROGRAMS ONLINE GUIDLINES

THE 2018 CENTER FOR DIVERSITY IN PUBLIC HEALTH LEADERSHIP TRAINING PROGRAMS ONLINE GUIDLINES THE 2018 CENTER FOR DIVERSITY IN PUBLIC HEALTH LEADERSHIP TRAINING PROGRAMS ONLINE GUIDLINES James A. Ferguson Emerging Infectious Diseases Research Initiatives for Student Enhancement (RISE) Fellowship

More information

IT Web and Software Developer Occupation Overview

IT Web and Software Developer Occupation Overview IT Web and Software Developer Occupation Overview Emsi Q1 2018 Data Set March 2018 Western Technical College 400 Seventh Street La Crosse, Wisconsin 54601 608.785.9200 Emsi Q1 2018 Data Set www.economicmodeling.com

More information

Enrollment Self-Service Enrollment (SSE) Getting Started Guide

Enrollment Self-Service Enrollment (SSE) Getting Started Guide Enrollment 2013 2014 Self-Service Enrollment (SSE) Getting Started Guide 2014 Amplify Education, Inc. All rights reserved. All other registered and unregistered trademarks are the sole property of their

More information

Bulk Upload Instructions: User Data Rules and Guidelines. As of v1.1.7

Bulk Upload Instructions: User Data Rules and Guidelines. As of v1.1.7 Bulk Upload Instructions: User Data Rules and Guidelines As of v1.1.7 Introduction The following instructions and guidelines have been designed to show you how to properly format teacher and student data

More information

Patient Electronic Communication Technology (ECT) Report RRNET 2011

Patient Electronic Communication Technology (ECT) Report RRNET 2011 Patient Electronic Communication Technology (ECT) Report RRNET 2011 Study Collaborators Austin Corpus Christi Fort Worth Garland Harlingen McAllen San Antonio Christus Santa Rosa Hospital San Antonio UTHSCSA

More information

Vision Services Application Overview

Vision Services Application Overview The Georgia Lions Lighthouse is a 501(c)3 nonprofit. Our mission is to provide vision and hearing services through education, detection, prevention, and treatment. The services we provide are made possible

More information

Options Counseling Billing Instructions

Options Counseling Billing Instructions MULTNOMAH COUNTY. Options Counseling Billing Instructions Program Manager s Manual to the Caretool Multnomah County Aging & Disability Services FY2012/2013 [This document provides instructions to Program

More information

2013 Local Arts Agency Salary & Benefits Summary EXECUTIVE DIRECTOR / PRESIDENT / CEO

2013 Local Arts Agency Salary & Benefits Summary EXECUTIVE DIRECTOR / PRESIDENT / CEO Local Arts Agency Salary & Benefits Summary EXECUTIVE DIRECTOR / PRESIDENT / CEO PRIVATE LAAS ONLY PUBLIC LAAS ONLY The Executive Director / President / Chief Executive Officer (CEO) is the chief staff

More information

Ready for Kindergarten Online:

Ready for Kindergarten Online: Ready for Kindergarten Online: Kindergarten Readiness Assessment (KRA) Guidelines for District Data Managers in MICHIGAN Last Updated: 9/14/2017 Data Entry and Update Methods The system will support three

More information

Special Education December Count Template Training Colorado Department of Education

Special Education December Count Template Training Colorado Department of Education Special Education December Count Template Training 2011-2012 Colorado Department of Education 1 Template Training Topics First Steps Locating, Saving, and Opening What files do the templates create? About

More information

Updating Personal Information

Updating Personal Information University of Connecticut Updating Personal Information Overview Self-service users can view and update their personal information at any time via self-service pages in Core-CT. This information includes:

More information

CONNECTIONS. System Build 15. FAD: The Foster and Adoptive Home Record Summary (FRS)

CONNECTIONS. System Build 15. FAD: The Foster and Adoptive Home Record Summary (FRS) CONNECTIONS System Build 15 FAD: The Foster and Adoptive Home Record Summary (FRS) CONNECTIONS Training Project SUNY Training Strategies Group Funding for this training is provided by New York State Office

More information

LIFEWAY PREMARITAL INFORMATION FORM LIFEWAY REFERRAL INFORMATION

LIFEWAY PREMARITAL INFORMATION FORM LIFEWAY REFERRAL INFORMATION LIFEWAY PREMARITAL INFORMATION FORM Date: / / Name: First MI Last Date of Birth: / / Gender: M F Marital Status: Single Engaged Divorced Address: City State: Zip: Primary Contact Phone: Secondary Contact

More information

Iowa Department of Public Health Vital Records Electronic Death Registration System. Funeral Home Users

Iowa Department of Public Health Vital Records Electronic Death Registration System. Funeral Home Users Iowa Department of Public Health Vital Records Electronic Death Registration System Funeral Home Users What is the Iowa Electronic Death Registration System?... 4 How death records flow in EDRS... 5 User

More information

DADC Submission Instructions

DADC Submission Instructions System Purpose: The purpose of the Designated Agency Data Collection (DADC) is for each designated agency (DA) to report candidate information to CDE. Pursuant to state statute, CRS 22-2112(q)(I), CDE

More information

User Guide for the ILDS Illinois Higher Education Information System (HEIS)

User Guide for the ILDS Illinois Higher Education Information System (HEIS) User Guide for the ILDS Illinois Higher Education Information System (HEIS) Data Submission Portal https://www2.ibhe.org/web/lds-public/ Helpdesk 217-557-7384 IHEIS@ibhe.org Table of Contents Change History...

More information

Texas Department of Family and Protective Services. Residential Child Care Contractors

Texas Department of Family and Protective Services. Residential Child Care Contractors Texas Department of Family and Protective Services Residential Child Care Contractors Child Placement Vacancy Database User Guide Only Providers with a Department of Family and Protective Services (DFPS)

More information

LIFEWAY PREMARITAL INFORMATION FORM LIFEWAY REFERRAL INFORMATION

LIFEWAY PREMARITAL INFORMATION FORM LIFEWAY REFERRAL INFORMATION LIFEWAY PREMARITAL INFORMATION FORM Name: First MI Last Date of Birth: / / Gender: M F Marital Status: Single Engaged Divorced Address: City State: Zip: Primary Contact Phone: Secondary Contact Phone:

More information

LR01 - New Enrollment for Legally-Exempt Care Window

LR01 - New Enrollment for Legally-Exempt Care Window LR01 - New Enrollment for Legally-Exempt Care Window Professional Development Program 1 LR01 - New Enrollment for Legally-Exempt Care Window Data Entry Reference Sheet (August 2017) CCFS Legally-Exempt

More information

Undergraduate Research Internship in Science & Engineering URISE at Berkeley Summer Application Form. Name: Address: Street City State Zip

Undergraduate Research Internship in Science & Engineering URISE at Berkeley Summer Application Form. Name: Address: Street City State Zip Application Form Instructions: (Please read) All applicants should complete sections I -VII and submit transcript(s). (Unofficial transcripts are acceptable) All applicants should print out the letter

More information

Campus Portal for Parents and Students December 2012

Campus Portal for Parents and Students December 2012 Campus Portal for Parents and Students December 2012 This document is intended for restricted use only. Infinite Campus asserts that this document contains proprietary information that would give our competitors

More information

Occupation Overview. Western Technical College. Emsi Q Data Set. March Seventh Street La Crosse, Wisconsin

Occupation Overview. Western Technical College. Emsi Q Data Set. March Seventh Street La Crosse, Wisconsin Occupation Overview Emsi Q1 2017 Data Set March 2017 Western Technical College 400 Seventh Street La Crosse, Wisconsin 54601 608.785.9200 Emsi Q1 2017 Data Set www.economicmodeling.com 1 Parameters Occupations

More information

Electrical and Computer Engineering Technology Occupation Overview

Electrical and Computer Engineering Technology Occupation Overview Electrical and Computer Engineering Technology Occupation Overview Emsi Q1 2018 Data Set March 2018 Western Technical College 400 Seventh Street La Crosse, Wisconsin 54601 608.785.9200 Emsi Q1 2018 Data

More information

Student Information Data Exchange

Student Information Data Exchange Student Information Data Exchange PrimeroEdge Implementation The purpose of this document is to define and facilitate the exchange of data between PrimeroEdge and the Student Information System (SIS).

More information

UC Davis Health System

UC Davis Health System UC Davis Health System Application Programming & Project Management I NSTRUCTION M ANUAL Incident Reporting 2.0 Reporter Guide August 2, 2004 Developed by Michael I. Jacobs Programmer Scott P. Silva Project

More information

Entering Data into EvaluationWeb

Entering Data into EvaluationWeb Entering Data into EvaluationWeb Colorado User Guide Luther Consulting, LLC August 2015, version 2.0 All rights reserved. Table of Contents Getting Help... 3 Introduction... 4 Logging in to EvaluationWeb...

More information

CYBER Overview Training for New Providers in the New Jersey Children s System of Care

CYBER Overview Training for New Providers in the New Jersey Children s System of Care CYBER Overview Training for New Providers in the New Jersey Children s System of Care Updated 6/4/2018 #01043 What is CYBER? A fully functional Electronic Health Records system, that is a tool for providers

More information

Personal Information. New Profile Icon

Personal Information. New Profile Icon What is New in MyChart? On December 8th, we will be upgrading our MyChart patient portal site. We would like to make you aware of a few differences that you will see, when you sign into your MyChart account.

More information

Welcome Parents/Guardians to WCSD Online Registration for New Students Enrolling in Washoe County School District

Welcome Parents/Guardians to WCSD Online Registration for New Students Enrolling in Washoe County School District Welcome Parents/Guardians to WCSD Online Registration for New Students Enrolling in Washoe County School District WCSD Mission To create an education system where all students achieve academic success,

More information

Edition. MONTEREY COUNTY BEHAVIORAL HEALTH MD User Guide

Edition. MONTEREY COUNTY BEHAVIORAL HEALTH MD User Guide Edition 1 MONTEREY COUNTY BEHAVIORAL HEALTH MD User Guide i Table of Content OderConnect/InfoScriber Registration CH1 Pg.2 Sign In to MyAvatar CH2..Pg.10 Sync OrderConnect Password CH3.Pg.14 Client Look

More information

DHCS PPSDS. End User Guide. Applies to: California DHCS. WITS Version 18.0+

DHCS PPSDS. End User Guide. Applies to: California DHCS. WITS Version 18.0+ DHCS PPSDS End User Guide Applies to: WITS Version 18.0+ California DHCS Last Updated September 22, 2017 Preface California DHCS DHCS PPSDS Prevention WITS is a web-based application specifically designed

More information

SAMPLE - DO NOT SUBMIT

SAMPLE - DO NOT SUBMIT PAGE 2: PERSONAL INFORMATION NAME FIRST/GIVEN NAME MIDDLE NAME LAST/FAMILY/SURNAME PREFERRED FIRST NAME SUFFIX (e.g., Jr., Sr., I, II, III) DATE OF BIRTH (MM/DD/YYYY) SEX FEMALE MALE 2019 PROJECT UPLIFT

More information

Bulk Registration File Specifications

Bulk Registration File Specifications Bulk Registration File Specifications 2017-18 SCHOOL YEAR Summary of Changes Added new errors for Student ID and SSN Preparing Files for Upload (Option 1) Follow these tips and the field-level specifications

More information

Detention/Hold Have the parents been notified? Yes - No By Whom Time: Officer/s Involved: Reason(s) for placement/offense: Person transporting:

Detention/Hold Have the parents been notified? Yes - No By Whom Time: Officer/s Involved: Reason(s) for placement/offense: Person transporting: Admission Form Date: PORT Group Homes Name: Last First Middle Date of birth Social Security number Admitted by order of : of on (Social Worker, Probation Officer, Judge) (County) (Date) Picture Taken:

More information

Bar Code File Preparation, Transmission & Validation Frequently Asked Questions

Bar Code File Preparation, Transmission & Validation Frequently Asked Questions Bar Code File Preparation, Transmission & Validation Frequently Asked Questions 2017-2018 Updates The Department of Education requires bar code labels for all students taking the Iowa Assessments. To comply

More information

Certified Peer Recovery Mentor

Certified Peer Recovery Mentor Michigan Certification Board for Addiction Professionals CERTIFICATION MANUAL For Certified Peer Recovery Mentor (Michigan Only, non-ic&rc reciprocal) CPRM-M Directions for Submitting Application Completion

More information

DATA MIGRATION PLAN Cybersoft Document

DATA MIGRATION PLAN Cybersoft Document DATA MIGRATION PLAN Cybersoft Document Table of Contents INTRODUCTION 3 OVERVIEW 3 GOALS 3 DATA MIGRATION PROCESS 4 THE IMPORT PROCESS 4 THE EXPORT PROCESS 5 IMPORT FILE REQUIREMENTS 6 FILE DETAILS 6 REQUIREMENTS

More information

USCCB/MRS Migration & Refugee Information System Resource Guide

USCCB/MRS Migration & Refugee Information System Resource Guide USCCB/MRS Migration & Refugee Information System Resource Guide R&P Remote Placement Program (RPP) Guide Pre-Arrival Case Management This MRIS Instructional Guide highlights the various requirements in

More information

VOTER REGISTRATION APPLICATION

VOTER REGISTRATION APPLICATION VOTER REGISTRATION APPLICATION Powered by PresidentialElection.com You are not registered until you: Print, sign, stamp, and mail complete form. INSTRUCTIONS 1 Print and Sign the form. You must sign the

More information

LHCSA Statistical Report Workgroup May 11, 2017

LHCSA Statistical Report Workgroup May 11, 2017 LHCSA Statistical Report Workgroup May 11, 2017 Rebecca Fuller Gray, Director Division of Home and Community Based Services May 11, 2017 2 Goals May 11, 2017 3 Goals Goals for this Workgroup Increase the

More information

Ready for Kindergarten Online:

Ready for Kindergarten Online: Ready for Kindergarten Online: Kindergarten Entry Inventory (KEI) Guidelines for District Data Managers in TENNESSEE (2016) Last Updated: 9/14/2016 Data Entry and Update Methods The system will support

More information

If you haven t already created a ParentVUE account, you ll need to do so by going to https://parentvue.beaverton.k12.or.

If you haven t already created a ParentVUE account, you ll need to do so by going to https://parentvue.beaverton.k12.or. If you are a parent or guardian of a new student, you can enroll your child using BSD's online registration system. If you are a parent/guardian of a current BSD student, you can also use BSD's online

More information

Registering and submitting data for multiple healthcare organizations... 4

Registering and submitting data for multiple healthcare organizations... 4 Version 2 Account Management & Data Submission Guide 2 Target: BP overview The Target: BP Recognition Program celebrates physician practices and health systems for achieving blood pressure control rates

More information

Eligibility Application for ENP Certification

Eligibility Application for ENP Certification Eligibility Application for ENP Certification Please fill in the following information as indicated. NENA Member $ Non-Member $ Re-Certification $ Re-Examination $1 Type of payment included: Check enclosed

More information

New Student Form Registration Online Parent Guide. McMinnville School District

New Student Form Registration Online Parent Guide. McMinnville School District New Student Form Registration Online Parent Guide McMinnville School District 2016-17 Steps for Enrollment Online Process 1. Create an e-mail account if you do not have one. Create an e-mail account if

More information

User Guide: Applying for School Transport Online

User Guide: Applying for School Transport Online User Guide: Applying for School Transport Online Apply for school transport for your children using our online portal. Get an instant preliminary assessment of your eligibility as you apply. Complete our

More information

Math Olympiads Registration Information & FAQ

Math Olympiads Registration Information & FAQ Registration Information & FAQ Thank you for your interest in our popular Math Olympiads course. In order to ensure your registration is valid and processed correctly it is imperative that you read carefully

More information

ART Gallery Report 0632 HUD Dedicated HMIS Annual Performance Report (HMIS APR)

ART Gallery Report 0632 HUD Dedicated HMIS Annual Performance Report (HMIS APR) 0632 HUD Dedicated HMIS Annual Performance Report (HMIS APR) EXECUTIVE SUMMARY This ART Gallery report has been created to facilitate the extraction of data from ServicePoint for the completion of questions

More information

Ready for Kindergarten Online:

Ready for Kindergarten Online: Ready for Kindergarten Online: Kindergarten Readiness Assessment (KRA) Guidelines for District Data Managers in MARYLAND (2016) Data Entry and Update Methods The system will support three methods of data

More information

Web-Based Electronic Death Registration (EDR) Texas Department of Health

Web-Based Electronic Death Registration (EDR) Texas Department of Health Web-Based Electronic Death Registration (EDR) TX EDR THIN CLIENT Trainers Guide DEMOGRAPHIC SECTION Prepared for: Texas Department of Health December 03, 2005 Version 1.0 Prepared by: The Industry Standard

More information

LR01 - New Enrollment for Legally-Exempt Care Window

LR01 - New Enrollment for Legally-Exempt Care Window CCFS Legally-Exempt LR01 - New Enrollment for Legally-Exempt Care Window Data Entry Reference Sheet (October 2012) LR01 - New Enrollment for Legally-Exempt Care Window Provider Information Mr., Mrs., Ms.

More information

EXAMPLE 2-JOINT PRIVACY AND SECURITY CHECKLIST

EXAMPLE 2-JOINT PRIVACY AND SECURITY CHECKLIST Purpose: The purpose of this Checklist is to evaluate your proposal to use or disclose Protected Health Information ( PHI ) for the purpose indicated below and allow the University Privacy Office and Office

More information

Lifeway Adult Information Form

Lifeway Adult Information Form Date / / Patient Name: First Lifeway Adult Information Form MI Last Date of Birth: / / Gender: M F Marital Status: M S D Address: City State: Zip: Primary Contact Phone: Secondary Contact Phone: Please

More information

Page 1 of 6 SURVEY: PROJECT TECH

Page 1 of 6 SURVEY: PROJECT TECH SURVEY: PROJECT TECH Case managers: Thank you for working with us to administer the survey. Please read each question as it is written. Instructions for you are written in italics. Information that you

More information

Enter or Change Personal Information

Enter or Change Personal Information University of Connecticut Enter or Change Personal Information Overview Self-service users can view and update their personal information at any time via self-service pages in Core-CT. Note: Currently,

More information

Persimmony Manual A Guide for F5FC Service Providers. Fiscal Year

Persimmony Manual A Guide for F5FC Service Providers. Fiscal Year Persimmony Manual A Guide for F5FC Service Providers Fiscal Year 2017-2018 Contents Introduction...3 Navigate the Core Client Menu...6 Section A. Client-Level Data...7 Core Client Menu...7 New Client Profile...8

More information

NEW FAMILY ON-LINE REGISTRATION HELP GUIDE

NEW FAMILY ON-LINE REGISTRATION HELP GUIDE NEW FAMILY ON-LINE REGISTRATION HELP GUIDE Online Registration is available for new families moving to the district, Kindergartners of existing families, or new students living with a family in the district,

More information

North Carolina State Laboratory of Public Health HIS HIV Sample Submission Label Format Specifications Forms: DHHS 1111 and 3707

North Carolina State Laboratory of Public Health HIS HIV Sample Submission Label Format Specifications Forms: DHHS 1111 and 3707 North Carolina State Laboratory of Public Health HIS HIV Sample Submission Label Format Specifications Forms: DHHS 1111 and 3707 Updated: Version 1.3 This document defines the State Laboratory of Public

More information

MyHealthRecord. Patient User Guide. Top of Page Table of Contents

MyHealthRecord. Patient User Guide. Top of Page Table of Contents MyHealthRecord Patient User Guide 1 P a g e Information Technology Department MyHealthRecord Patient User Guide Copyright 2014 Family Health Centers of San Diego, Inc. 823 Gateway Center Way San Diego,

More information

Incident Reporting and Analysis System (IRAS) Notification Module

Incident Reporting and Analysis System (IRAS) Notification Module DCF INFORMATION TECHNOLOGY SERVICES Incident Reporting and Analysis System (IRAS) Notification Module User Guide Introduction The Incident Reporting and Analysis System (IRAS) is a web based notification

More information

Colorado Sex Offender Management Board (SOMB) INTENT TO APPLY. as a POLYGRAPH EXAMINER. for the Adult and Juvenile Provider List

Colorado Sex Offender Management Board (SOMB) INTENT TO APPLY. as a POLYGRAPH EXAMINER. for the Adult and Juvenile Provider List Colorado Sex Offender Management Board (SOMB) INTENT TO APPLY as a POLYGRAPH EXAMINER for the Adult and Juvenile Provider List Colorado Department of Public Safety Division of Criminal Justice Office of

More information

Application Procedures for Additional Endorsement to a Michigan Teaching Certificate and/or Standard Career & Technical Education (CTE) Certificate

Application Procedures for Additional Endorsement to a Michigan Teaching Certificate and/or Standard Career & Technical Education (CTE) Certificate Certification Office Wayne State University 489 Education Detroit, Michigan 48202 (313) 577-1601 (313) 577-7904 FAX Application Procedures for Additional Endorsement to a Michigan Teaching Certificate

More information

Welcome / Introductions

Welcome / Introductions A23 - CECAS Analytics Tool I Training Script (11.12.2014) 1 Welcome / Introductions Hello. I m Patricia Smith, regional trainer for regions 5 and 7. I d like to welcome you to this CECAS Analytics Tool

More information

CYBER 1.19 Instruction Guide for Providers Changes to CYBER

CYBER 1.19 Instruction Guide for Providers Changes to CYBER CYBER 1.19 Instruction Guide for Providers Changes to CYBER 11/13/2012 Instructions for Use Table of Contents I. Introduction... 2 II. Accessing CYBER... 3 III. Face Sheet Enhancements... 4 IV. New Progress

More information

PROVIDER PORTAL. Inpatient Authorization Module

PROVIDER PORTAL. Inpatient Authorization Module PROVIDER PORTAL Inpatient Authorization Module AUTHORIZATIONS A Dean Health Plan (DHP) authorization should be completed in full by a Primary Care Practitioner (PCP) or a DHP Specialty Provider. The authorization

More information

OnCore Enterprise Research. Subject Administration Full Study

OnCore Enterprise Research. Subject Administration Full Study OnCore Enterprise Research Subject Administration Full Study Principal Investigator Clinical Research Coordinator June 2017 P a g e 1 This page is intentionally blank. P a g e 2 Table of Contents What

More information

Patient Quick Start Guide

Patient Quick Start Guide Patient Quick Start Guide Welcome to MyChart. 2 Sign Up for MyChart. 3 Proxy Access to MyChart.3 Log in to MyChart.4 Messaging..5 View messages from your care provider..5 Ask a question.... 6 Visits..

More information

Volume NATIONAL GUARD YOUTH CHALLENGE PROGRAM. Cadet Tacking Database Operations Manual

Volume NATIONAL GUARD YOUTH CHALLENGE PROGRAM. Cadet Tacking Database Operations Manual Volume 1 NATIONAL GUARD YOUTH CHALLENGE PROGRAM Cadet Tacking Database Operations Manual NATIONAL GUARD YOUTH CHALLENGE PROGRAM Cadet Tracking Database Operations Manual Table of Contents Table of Contents...

More information

MARTINSVILLE CITY PUBLIC SCHOOLS RFP FOR INTERNET SERVICES NOVEMBER 1, 2014

MARTINSVILLE CITY PUBLIC SCHOOLS RFP FOR INTERNET SERVICES NOVEMBER 1, 2014 MARTINSVILLE CITY PUBLIC SCHOOLS RFP FOR INTERNET SERVICES NOVEMBER 1, 2014 Overview Martinsville City Public Schools District (hereafter collectively referred to as MCPS) seeks a Request for Proposal

More information

Test Procedure for (k) Submission to Immunization Registries

Test Procedure for (k) Submission to Immunization Registries Test Procedure for 170.302 (k) Submission to Immunization Registries This document describes the draft test procedure for evaluating conformance of complete EHRs or EHR modules 1 to the certification criteria

More information