Exit Clicking this command will close Professional. This is the preferred way of closing Professional.

Transcription

1 Exit Clicking this command will close Professional. This is the preferred way of closing Professional. View Assessments The Assessment Manager is your window to all the imported OASIS assessments in Professional. Patients are listed in alphabetical order on the left and assessments for the selected patient are listed on the right. Managing the List of Existing Patients The left side of the Assessment Manager shows the first 25 patients on file. Selecting a patient here will display in the right side list any assessments on record for that individual. If the patient you wish to study is not listed, type the first few letters of that patient s last name. The letters you type will be echoed in the Looking For text box at the bottom of the Assessment Manager and the listing will change as you add each letter. Note: If you enter a combination not found among your patient population, the last letter entered will not be echoed and the list will not change. 52

2 In the example below, the listing jumped to the W s when the W was typed. You can also sort patients by the agency identification number (ID) to do this click ID at the top of the Assessment Manager window. This also allows searching by patient ID, as seen below. 53

3 As noted in the Preferences section above, you can change the default option. There are a couple of tricks to maneuvering in the Assessment Manager: It is not necessary to select the Looking For text box. Just type the letters and Professional will pick them up. When you wish to clear out letters that have been stored in the Looking For text box, press the Esc key. This clears the box and the list will again display the first 25 patients in the system. To move beyond the immediate list of patients displayed in the Assessment Manager use the UP and DOWN buttons. Each button takes you forward or back 25 names. To move quickly type part of a patient s name and you will move to that part of the list. Note, when searching for a patient with a common name, rather than paging down the list you can locate the patient immediately by being more specific. Enter the full last name, followed by a comma, followed by a few letters of the first name. Do not put a space after the comma. For example, to get to Ralph Smith, type SMITH,RA and he will show up along with Raymond and Rachael. Generally, Professional will only acknowledge the basic alphabet and the comma mentioned above. However, apostrophes such as in the name O Connor - will be echoed in the Looking For box and used in searching your list of names. The Assessments List For a selected person the Assessment List shows all the assessments for that person. 54

4 The OASIS Data Form The OASIS Data Form contains tabs that reflect the various OASIS data set items. Each page has a tab at the top that shows what OASIS items it contains. When you click a tab, that page comes to the foreground. If an entire page should be skipped, it will be disabled and letters on the tab will look washed out. The following tools are used to capture/display data on the OASIS Data Form: 55

5 Text Boxes These boxes allow you to use the keyboard to enter data (for example, Patient Name in the above window). Click a text box and it will lighten and display the blinking cursor. Special Text Boxes (Diagnoses) For assessments completed on or after 10/1/2003, CMS now allows the entry of a V-code in M0230 and a V- or E-code in any of the M0240 fields. More importantly, the entry/editing of M0230 and M0240 diagnoses have changed. In the past, only numeric codes were allowed. The addition of the V s and the E s has required us to rebuild the processes which control the entry and editing of data in these fields. M1020 When you enter data into the M1020 field, the first character must be a number or a V or you will not be able to enter any more numbers. Professional automatically converts a lowercase V to uppercase. As in other editions of Professional, if you do not enter a decimal point one is entered for you in the correct place. When you move to the next field, Professional does a format check. If the code you typed in is not in the right format, Professional displays the following message. Click OK. You will not be able to move to the next field until you enter the diagnosis in the correct format or delete the diagnosis. M1022 Data entry for M1022 works the same way except that it allows seven characters instead of six and the first character must be an E or a space. If you type a number or V, a space is inserted and the V or number is shifted to the second position. Date Boxes Click a date field and it will lighten with slashes appearing to show where the month, day and year should go. A year must be entered with four-digits (e.g., 1999 not 99). If you enter an invalid date, a notification message will appear. Dates also may be entered using the Date Picker calendar described in the Useful Skills section p

6 Check Boxes These are the small-square boxes that may appear alone or in columns. More than one box can be selected. Click a box and a check mark will appear; click it again and the mark will disappear. Option Boxes These boxes contain option buttons that provide several answers as options. The choices are mutually exclusive, that is, only one button may be selected. For example, gender choices are displayed as option buttons. Only one of the two possible answers may be selected. Clearing Option Boxes - A mechanism is provided to enable you to clear option buttons that should have not been completed. Using the right button on your mouse, click the selected option box and the following form will appear. The Blank out all options option will remove the selection that was right clicked. Click the selection box to Blank out all options and then click Continue and the option button is cleared. While using this tool, you may move through the pages and modify data to model various scenarios. Then click Display Edits at the bottom of the form and study the edit report on screen or study the impact on PPS Groupings. Note: Professional includes a table of diagnoses derived from the CMS web site. When an ICD-9 is displayed on screen or in reports, the corresponding label from CMS table is also shown. The OASIS Data Form Buttons The buttons at the bottom of the OASIS Data Form are described below in the order they are most likely to be used. Display Edits Displays a report listing identified inconsistencies or edits. The report will compare the data on the current assessment to the CMS data collection rules. When printed, it allows for possible data changes so that the clinician can quickly circle the correct response(s) and return the form. The Edit report ends 57

7 with signature lines for the clinician and for the person entering the edits into your OASIS system. By capturing corrections on this form and signing it, you may avoid having to go back through the original assessment form to make the corrections there. Just attach the Edit report to the original assessment to keep the record of assessment changes. Note: In addition to the edits required by CMS, Professional provides Warning Edits that tell you of errors such as an inconsistency between M0150 and M2200 which could interfere with reimbursement under PPS. Professional will, if enabled, check for certain clinical inconsistencies. These inconsistency checks are a precursor to a large number of audits that can be done using the data on an OASIS assessment. With Professional, you have the option of using this edit format for soliciting corrections rather than the one supplied by your OASIS system. Print Assessment Enables you to obtain a printed record of an assessment in Professional. Note: The printed assessment is abbreviated and can normally be printed on two or three pages. Print HHRG Audit Prints a report showing how you answered the OASIS items which affect the calculation of the HHRG. This report can be used to compare your OASIS HHRG-relevant responses with other clinical documentation. Medicare reviewers use Rover for such a review. Show PPS Grouping Displays the following form showing you the assigned HIPPS and Case-Mix Group (HHRG) codes as well as the episode rate and any logical data entry errors that affect the HIPPS calculation. 58

8 This form also allows you to enter the number of visits and supplies you expect to provide during the episode and see how the projected costs would compare with the revenue from CMS. Click Calculate after entering the estimated visits to see the comparison. When printing the form Professional will display the OASIS items that contributed to the scoring for the HHRG. The Works The Woks analysis enables you to find in one place a wide range of data about the consistency and implications of a particular assessment. Whenever you view an assessment, you may click The Works button: 59

9 Exit Returns you to the Assessment Manager screen. Pre-Submission Auditing Professional provides several tools to help you to review your data to insure that it is in accord with CMS s rules. 60