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. 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?

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. iCare Getting 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 CDC NND Public Health Suicidal Behavior

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

29. iCare Panel 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

34. Patient List Layout

35. Reminders Layout

36. Nat’l Measures Layout

40. iCare Panel View

41. Patient List

42. Flags Tab

43. Reminders Tab

44. Reminders Aggregated

45. Nat’l Measures

46. Nat’l Measures Aggregated

47. Diagnostic Tags Tab

48. Care Management Tab

49. Remember… Populations are made up of Individuals!

50. 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?

51. iCare Patient Record

52. Patient Record Cover Sheet

53. Patient Record Snapshot

54. Patient Record Flags

55. Patient Record Reminders

56. Patient Record Best Practice Prompts

57. Patient Record National Measures

58. Patient Record Summaries and Supplements

59. Patient Record PCC

60. PCC Historical Event Data Entry

61. Patient Record Problem List

62. Patient Record Care Management

63. Patient Record Referrals

64. Patient Record Cover Sheet

65. Patient Record Family History

66. The Practical Use of iCare

67. 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

68. Questions?