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iCare

iCare. Joanna Kelsey, BSN RPMS Clinical User Support Specialist. Objectives. Overview of iCare Navigate the iCare Software application Utilize population management concepts to identify populations of patients Create and modify customized panels of patients based on user defined needs

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iCare

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  1. iCare Joanna Kelsey, BSN RPMS Clinical User Support Specialist

  2. Objectives • Overview of iCare • Navigate the iCare Software application • Utilize population management concepts to identify populations of patients • Create and modify customized panels of patients based on user defined needs • Utilize iCare panels and patient record to display data related to GPRA measures and Reminders

  3. Agenda • Overview of iCare • Getting Started • Community Alerts • Tools in iCare • Panel Creation • Panel View • Patient Record • Practical Use of iCare

  4. Overview of iCare

  5. What is RPMS iCare? • iCare is a Population Management tool • iCare provides an easy way for providers to identify and manage their patients proactively • iCare is an interface to underlying RPMS data • iCare provides the framework and the background processes to enable this functionality • iCare utilizes existing RPMS applications and logic

  6. Provider Identified Needs • Population management tool • Provider-defined populations • Clinical quality performance review • User friendly display of diverse data elements • Different views

  7. Who should use iCare? …Any one who cares for patients!

  8. iCare Evolution • Phased Development • Version 1.0 - deployed 05/07 • Version 1.1 - deployed 06/08 • Version 2.0 - deployed 06/09 • Version 2.1 - analyzing requirements • and testing

  9. Key Features • Panel Creation • Diagnostic Tags • Community Alerts • Flags • National Measure Adherence Status • Reminders • Best Practice Prompts • Care Management • Patient Record

  10. Resources: • Joanna Kelsey, BSN, RN - User Support Specialist • Telephone: 505 – 248-4901 • Email: joanna.kelsey@ihs.gov • iCare Website: http://www.ihs.gov/CIO/ca/icare/index.asp • OIT Help Desk: • Toll free number: 1-888-830-7280 • E-mail: support@ihs.gov • http://www.ihs.gov/GeneralWeb/HelpCenter/Helpdesk/index.cfm

  11. iCare website home page http://www.ihs.gov/CIO/CA/icare/

  12. iCareGetting Started

  13. Site Manager • Load the software on Server • Initiate Background Jobs • Assign security keys • Assign Package Manager Access • Load client on individual machines

  14. Package Manager • Assign another Packager Manager • Assign Editor Access • Populate Taxonomies

  15. Background Jobs

  16. Assign Package Manager and Editor Access

  17. Assign Taxonomy Editor Access

  18. Taxonomies • Used in the various applications (e.g. CRS; Reminders) to define things like Diagnoses; Labs; Medications; Procedures etc. • 2 types of taxonomies: • Hard coded • Standardized code sets (e.g. ICD; CPT; LOINC; NDC) • Site Populated • Labs • Medications

  19. Taxonomy Setup

  20. User Preferences

  21. Community Alerts • Suicidal Behavior • Ideation • Attempt • Completion • CDC Nationally Notifiable Diseases • Updated Annually • Public Health Concerns • Influenza Like Illnesses (ILI) • H1N1 Flu

  22. Community Alert Setup Mandatory Recommended Optional

  23. Community Alerts Suicidal Behavior CDC NND Public Health

  24. Package Managers View Detail

  25. Tools in iCare

  26. Windows Functions • Click and Drag • Sort • Filter • Column Width • Stick

  27. Glossaries and Help • iCare Help • Care Management Glossaries • Community Alerts Glossary • Diagnostic Tags Glossary • National Measures Glossary • Reminders Glossary • Best Practice Prompts Glossary • About iCare

  28. Icons in iCare Reset View Flags Refresh Community Alerts Search Sensitive Patient Export to Excel Background Jobs Print Mail Merge Copy Selected Rows Filter Glossary Stick Column

  29. iCarePanel Creation/Modification

  30. Panel Creation

  31. Definition Tab

  32. Population Search Options • No Pre-defined Population - Manual • My Patients • Patients Assigned To • Scheduled Appointments • QMan Template • RPMS Register • Ad Hoc Search

  33. Patient List Layout

  34. Reminders Layout

  35. Nat’l Measures Layout

  36. iCarePanel View

  37. Patient List

  38. Flags Tab

  39. Reminders Tab

  40. Reminders Aggregated

  41. Nat’l Measures

  42. Nat’l Measures Aggregated

  43. Diagnostic Tags Tab

  44. Care Management Tab

  45. Remember… Populations are made up of Individuals!

  46. Living Pts = 100,000 Female Pts = 60,000 Female Pts ≥40 yrs = 20,000 Female Pts ≥ 40 yrs w/ at least 1 visit in past year = 10,000 Female Pts ≥ 40 yrs w/ at least 1 visit in past year from either Community A or B = 250 Female Pts ≥ 40yrs w/ at least 1 visit in past year from either community A or B for whom we have not met the Mammogram Performance Measure = 125 Pt X coming in this afternoon…what else does she need?

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