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 Utilize iCare panels and patient record to display data related to GPRA measures and Reminders

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

Overview of 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 What is RPMS iCare?

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

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

iCare Evolution Phased Development Version deployed 05/07 Version deployed 06/08 Version deployed 06/09 Version analyzing requirements and testing

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

Resources: Joanna Kelsey, BSN, RN - User Support Specialist Telephone: 505 – iCare Website: OIT Help Desk: Toll free number:

iCare website home page

iCare Getting Started

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

Package Manager Assign another Packager Manager Assign Editor Access Populate Taxonomies

Background Jobs

Assign Package Manager and Editor Access

Assign Taxonomy Editor Access

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

Taxonomy Setup

User Preferences

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

Community Alert Setup Mandatory Recommended Optional

Community Alerts CDC NND Public Health Suicidal Behavior

Package Managers View Detail

Tools in iCare

Windows Functions Click and Drag Sort Filter Column Width Stick

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

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

iCare Panel Creation/Modification

Panel Creation

Definition Tab

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

Patient List Layout

Reminders Layout

Nat’l Measures Layout

iCare Panel View

Patient List

Flags Tab

Reminders Tab

Reminders Aggregated

Nat’l Measures

Nat’l Measures Aggregated

Diagnostic Tags Tab

Care Management Tab

Remember… Populations are made up of Individuals!

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?

iCare Patient Record

Patient Record Cover Sheet

Patient Record Snapshot

Patient Record Flags

Patient Record Reminders

Patient Record Best Practice Prompts

Patient Record National Measures

Patient Record Summaries and Supplements

Patient Record PCC

PCC Historical Event Data Entry

Patient Record Problem List

Patient Record Care Management

Patient Record Referrals

Patient Record Cover Sheet

Patient Record Family History

The Practical Use of iCare

Scenario #1 You are a Nurse Case Manager at your clinic and you have been tasked with ensuring that routine cancer screens are performed on your active clinic population

Questions?