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1. is or comments to make DiabetesManag bette oc e Conditions 2 Click Edit Settings The Update Settings dialog appears 3 Select the Off radio button on the Communication with your Patients pane If notifications have been turned Off and you wish to turn them back on you can click the On radio button 4 Click Save Message Signature You can create a default signature that is appended at the bottom of all of your outgoing messages to patients To create a default signature 1 Click Settings Security on the left navigation bar i 7 Ueere Manual 3 3 Changing Your Password Settings and Security The Settings and Security page appears Diabete Welcome hep version one dot one Logout Ma 1212009 10 51 AM EST TEXTSZE AA A Settings Secu To view each patient s blood glucose targets and establish settings for coaching messages please select the patient and then select Settings from the top navigation bar Communication with your Patients DiabetesManager offers a unique and secure Message Center that allows you to communicate with large volumes of patients in a personalized manner Some highlights of the Message Center are e From your computer you can create messages to be sent to your patients cell phones Your Patients Agreement e You can be confident that unlike email any messages sent to or from your patient or other Patients can not participate in healthcare pr
2. How many days did a parent gaurdian miss work due to the client s diabetes e g taking the client to the doctor caring for the client when home sick or in the hospital How many days did the client miss school or work due to their diabetes Days Days Has the client experienced any of the following events T 911 call I Hospitalization T BR visit I Self treated event e g severe hypoglycemia I Missed school days F Other Blood Glucose Has the client had their HbA1c level checked Yes No Date es oee 09 Have you reviewed any DiabetesManager phone Select v entries Types E Blood Glucose E E ns EE e E Other Have you reviewed any other source of blood glucose C Yes No levels Sources E Pump H Other Did these match the DiabetesM er Phone entries GED Have suggestions or comments to make DiabetesManager even better Contact WellDoc Terms amp Conditions This is a required field 2 Enter how many days the client missed school or work due to their diabetes since your last encounter This is a required field 3 Check all of the boxes that indicate events that happened since your last encounter User s Manual 7 5 Encounter Form Recording Patient Homecare Activity User s Manual 7 6 4 Select Yes if the client had their HbA1c level checked since your last encounter and enter the date of the test and the valu
3. 2 Click Lifestyle on one dot one 40 AM EST Expand All Collapse All Target at least 150 minutes per week Add New Values Your Total Exercise days week duration CURRENT Regular exercise program at a gym Gn DN moderate 7 24 2009 TEXTSZE AA A Target BMI between 18 5 and 24 9 Add New Values Your Weight calculated BMI CC CN CURRENT 116 Ibs 21 9 8 1 2009 Ba Target no smoking Add New Values Your Smoking Date CURRENT Quit 2 2 2009 8 3 2009 w Weight BMI or comments to make D 5 Patient Profile 3 Use the edit and delete icons to edit the existing line item or delete it To add new medical history entries 1 Click Clinical Profile on the top navigation bar The Procedures screen labs and reports default screen appears with labs and reports selected Click Lifestyle Click Add New Value Enter the desired information Click Save UR ae This feature supplies contact information for your patient s healthcare team and personal support network It is viewable and modifiable Profile The profile contains your patient s contact information C User s Manual 6 17 Patient Profile Reviewing Your Patient s Information Diabetes N dot one Version DOB 1 21 1955 To modify your existing personal profile 1 Click Patient Profile on the left navigation bar The Patient Profile screen appears with Profile se
4. Date la E Date Date la How many times has the client experienced each of the following events over the last 12 months 911 Calls Hospitalizations Complication Type Complication Type I Hypoglycemia I Hypoglycemia I Hyperglycemia I Hyperglycemia IM Other diabetes IF Other diabetes related related EIR visits Complication Type Hypoglycemia I Hyperglycemia I Other diabetes related How many total inpatient days has the client accumulated over the last 12 months Have suggestions or comments to make DiabetesManager even better Contact WellDoc Baseline Clinical Provider Reported Self treated severe episodes d Complication Type I Hypoglycemia I Hyperglycemia I Other diabetes related Welcome div cm test Logout 11712010 10 07 AM EST TEXTSZE AAA Patient Profile Clinical Profile Settings BWE WAT Encounter Admission Provider Goals Discharge Terms amp Conditions 5 Enter the 3 most recent A1c level percent and the date taken 6 Enter how times the patient experienced 911 calls Hospitalizations ER visits self treated episodes over the past 12 months For each type check the complication types that apply for that event 7 Enter how many total inpatient days the patient has accumulated over the past 12 months 8 Click Save The goals form allows you to enter a goals for you and the patient to work towards User s Manual 7 11 Disc
5. 3 weu fDoc DiabetesManager HCP Web Based Application User s Manual Version 1 1 1501 St Paul Street Suite Baltimore MD 21202 443 692 3100 tel 443 692 3099 fax www welldocinc com WellDoc DiabetesManager HCP Web based Application WDDMHCPWUM1810 Revision 1 2009 WellDoc Incorporated All rights reserved WellDoc retains all ownership rights to all computer programs offered by WellDoc their products and the contents of this manual The source code for software is a confidential trade secret of WellDoc You may not attempt to decipher decompile develop or otherwise reverse engineer WellDoc software firmware or products Information necessary to achieve interoperability is furnished upon request This manual is furnished under license and may be used or copied only in accordance with the terms of such license The information in the manual is furnished for informational use only is subject to change without notice and should not be construed as commitment by WellDoc WellDoc assumes no responsibility or liability for any errors or inaccuracies that may appear in this manual No part of this manual may be reproduced stored in a retrieval system or transmitted in any form or by any means electronic mechanical recording or otherwise without the express written permission of WellDoc Existing artwork or images that you may desire to scan may be protected by copyright law Be sure to obtain permission
6. A minimum page resolution of 1024 X 768 pixels is recommend to avoid page scrolling when the application is maximized The procedure to change default display setting differs by operating system For example in Microsoft Windows select the Display icon within your Control Panel You are invited to become a DiabetesManager healthcare provider when a patient has listed you as their healthcare provider or when an Account Director has sent you an invitation You can be invited by a fax transmission or email message If an Account Director has sent you an email invitation click the link within the email to access your private registration page If you have received a fax transmission generated when a patient adds or makes changes to their medication regimen enter the link provided in the transmission in your web browser To begin registration 1 Open the e mail invitation sent to you from WellDoc Inc or type the address you received on a fax into your web browser If you received a fax go to step 3 It appears in your e mail client inbox similar to the following Click the link within the e mail to open your web browser to the linked page Follow the DiabetesManager Registration wizard through all the screens and enter as much information as you can Registration for pHCPs and npHCPs is slightly different in that pHCPs have a few additional screens to fill out The password you create must be 6 12 characters and contain one
7. More about Me x What is your marital status Married a What is your primary language select EE What is your race select What is the highest level of education you have completed select a Do you have any of the following physical conditions that make it hard for you to take care of yourself Fe Hearing problems 4 Vision loss not corrected by glasses or contacts Problems with the use of hands 4 Problems with the use of feet D D Problems with speech What is your occupation select E What are your typical work hours and days r Day shift Weekdays M Night shift T Weekends What is your individual income select E 4 Enter the desired information 5 Click Save Healthcare Team The healthcare team profile contains contact information for the healthcare team To modify the healthcare team profile 1 Click Patient profile on the left navigation bar The Patient Profile screen appears with Profile selected L i User s Manual 6 19 Patient Profile Reviewing Your Patient s Information 2 Click Healthcare Team Welcome hcp version one dot one Logout AM EST TEXTSZEAAA o on DOB 1 21 1955 Patient List Messages Progress Notes Logbook Standards of Care Bei Clinical Profile Settings Your Primary Healthcare Provider This is the person who prescribes your diabetes medications and is in charge of your di
8. 3 Review the existing settings 4 Use the edit and delete icons to edit the existing provider or delete them To add a support team member 1 Click Patient profile on the left navigation bar The Patient Profile screen appears with Profile selected 2 Click Support Team 3 Click Add Support Person My Support Person x First name Bernie Last name Johnson Email address _ johnson email com Confirm email address _ johnson email com What sugars do you want to send to this support person all sugars Only highs 300 or higher Only lows less than 70 Only highs and lows 4 Enter the desired information 5 Click Save User s Manual 6 22 Patient Profile Reviewing Your Patient s Information The support person is added with a pending status An e mail is sent to the support person asking them to confirm that it is ok to send them your patient s information Once they confirm your request the status is changed to active and they will receive the information you specified Welcome hcp version one dot one Lo gout Last Login 12 2 2009 11 40 AM EST TEXTSZE AAA Version DOB 1 1955 Messages Progress Notes Logbook Standards of Care BEN Sd Clinical Profile Settings Profile pSupport Team Healthcare Team The blood sugars you enter can be sent to someone who helps you care for your diabetes You can decide to send them e All your blood sugars
9. F Lab I Parent Guardian s F Other Pharmacy odule Lifestyle ect Assessments Screening Completed Patient Registration I PHC 9 Pfizer F SCI R T Cell Phone Training T Home Assessment I Readiness for Change T The Diabetes Knowledge Scale I Family Behavior Scale Quality of Life Measures for Youth Other Have suggestions or comments to make DiabetesManager even better Contact WellDoc Terms amp Conditions 6 Select the Interaction type 7 You can choose from a variety of interaction types The options not available for a specific type are greyed out The interaction types are Visit An in person encounter at the patients home or at a facility Call A telephone conversation via mobile phone or land line email Communication through computer via email Text SMS Communication through a mobile phone via standard text SMS messaging Other Any other type of communication between you and the patient Enter a description of the encounter in the text box provided for this selection 8 Go to the sections below for the interaction you selected User s Manual 7 3 Encounter Form Recording Patient Homecare Activity User s Manual 7 4 Record visits Enter the date of the encounter using the calendar provided and include the start time of the encounter Select the Visit Type scheduled pre arranged or urgent Select the indicator for visit completion from the Completed pulldown You can choose f
10. as blood sugar readings eating and exercising A time stamp is added to the data when you enter it 1 Select Logbook from the top navigation menu In This Chapter Logbook Standards of Care Clinical Profile Patient Profile 6 1 Logbook Reviewing Your Patient s Information The Logbook Calendar View is displayed Welcome hep v dotone Logout L M EST TET SZE AAA Messages Progress Notes gt Date Range November 18 2009 December 02 2009 Apply Change Restore Default gt My Current Logbook View Restore Default gt Find Me Only Days When Apply Filter Clear Filter b Diabetes Medications September 1 Tuesday September 2 Wednesday September 3 Thursday Enter New Info Add Old Info 800 BREAKFAST AFTER LUNCH AFTER DINNER AFTER BEDTIME OTHER FASTING BREAKFAST LUNCH DINNER DI 8 55AM 2 18 PM 11 26 PM Precose 4 14 PM 11 38 PM Carbs 40g 3 42 PM 7 43 PM 3 12 PM n 1000 mg Note All blood sugars are assumed to be measured in mg dL The information entered in this logbook is self reported and not validated LEGEND Reading Type Icons Breakfast omments to make Diabe 2 Select Enter New Info O User s Manual 6 2 Logbook Reviewing Your Patient s Information The Enter New Info Screen appears Welcome hcp version one dot one Logout Last Login 12 2 2009 11 40 AM EST TEXTSZE AA A Messages Progres
11. enter your message D You can hover over the icons in the message toolbar and click the icon to use their formatting functionality User s Manual 4 3 Reading Messages Using the Message Center 8 If you wish to attach a document click Attach and then Browse to locate the desired document Click the document and then click Open Click Done to return to the message window If you wish to save a draft of the message before it is sent click Save Draft The draft is then stored in the Drafts folder 9 Save Template to Library if desired 10 Click Send Message You can view the templates when you send a message to a patient when in the Patient s Summary table Reading Messages Your inbox is displayed when you enter the Message Center or when you click Inbox on the left navigation bar To read a message click on the message s subject You can forward an open message to another healthcare provider delete the message or compose anew message To return to your inbox click Inbox on the left navigation bar Deleting Messages From any of your mail folders you can delete messages by clicking the checkbox in the message summary line and then clicking Delete Searching for Messages You can search for messages in each of your message folders Click the desired folder and then the Search button above the message list Enter the desired search criteria and Click Go SEARCH MESSAGES Subject C
12. prescribing HCP 1 1 Profile 6 17 Provider 7 11 R Reader 2 1 Reading Messages 4 4 Referral 7 10 Registration 2 2 Requirements 2 1 S Save Draft 4 4 Screen Display 2 2 Screen Title 2 5 search filter 4 4 search for messages 4 4 Search Logbook 6 7 Security 3 1 self treated episodes 7 11 Send Message 4 4 Settings 3 1 Sugar Summary 6 9 Support Person 6 22 Support Team 6 21 System Requirements 2 1 T target values 6 10 technicalsupport welldocinc com 1 2 text 7 4 Text Size 2 7 Text Size Control 2 4 Text SMS 7 3 time entry 6 6 turn color off 6 6 U User Information Area 2 6 user interface 2 4 user interface 2 1 V View Logbook 6 6 Visit 7 3 visits 7 4 VNSNY Forms 7 1 W web browser 2 1 weight 6 10 6 12 wizard 7 1 www mydiabetes manager com 2 3 L i User s Manual I 3 O User s Manual LA
13. 5 Click Save Support Team Reviewing Your Patient s Information The support team profile contains contact information for the patient s support team Their support team members can receive messages about certain blood glucose readings To modify the support team profile 1 Click Patient profile on the left navigation bar The Patient Profile screen appears with Profile selected L i User s Manual 6 21 Patient Profile Reviewing Your Patient s Information 2 Click Support Team Diabe Welcome hcp version one dot one Logout Mana Last Login 12 2 2009 11 40 AM EST TEXTSZE A A A The blood sugars you enter can be sent to someone who helps you care for your diabetes You can decide to send them e All your blood sugars e Only your high blood sugars over 299 mg dL e Only your low blood sugars below 70 mg dL e Only critical blood sugars just highs and lows The benefit of using this feature to send your blood sugars to someone is to keep your whole support network involved and informed about how you are doing with your diabetes This can make it much easier for the people important to you know if and when you might need help You have not entered anyone into your support team so no one is getting any of your sugar readings Click on Add Support Person to get started Have suggestions or comments to make DiabetesManager even better Contact WellDoc Terms amp Conditions
14. 6 21 Add Medication 6 5 Add New Encounter 7 2 Add Notes 6 5 Add old info 6 5 Add Support Person 6 22 Admission 7 9 Adobe Acrobat Reader 2 1 After Exercise Info 6 3 6 5 After Meal 6 3 Apply Filter 6 8 Attach 4 4 audience 1 2 Bedtime 6 3 6 5 blood glucose readings 6 1 BMI 6 10 6 12 Browse 4 4 Browser 2 1 Browser Security 2 1 Buttons 2 6 C calendar 6 5 Calendar View 6 5 6 7 Call 7 3 calls 7 4 carbohydrate intake 6 1 Index carbs 6 1 CD 1 2 Change Password 3 5 Clear Filter 4 4 client receptions 7 8 Clinical Assessment 7 5 compose messages 4 2 Compose New 4 2 context sensitive help 1 2 conventions 1 2 Current Activity 6 1 D Date Range 6 7 Deleting Messages 4 4 diabetes supplies 6 12 DiabetesManager 1 1 DiabetesManager System 1 2 Discharge 7 12 Display Area 2 5 document structure 1 2 E e mail 1 2 e mail notifications 3 1 edit encounter 7 9 Edit Logbook 6 6 educational materials 2 7 email 7 3 emails 7 4 Encounter 7 1 Encounter Form 7 1 Encounter form wizard 7 1 Encounter Summary table 7 2 Enter New Info 6 2 Enter Old Info 6 6 ER visits 7 11 exam dates 6 10 exams and shots 6 12 Exercise Info 6 3 Expand Collapse arrows 2 4 Explorer 2 1 E Find Me Only On Days When 6 7 Firefox 2 1 2 2 Forgot Password 2 3 G Getting Started 2 1 Goals 7 11 H HbA Ic level 7 6 HCP 1 1 1 2 healthcare provider 1 1 healthcare providers 1 2 Healthcare Te
15. CARE MESSAGES Similar to blood glucose messaging these messages address the following behaviors and metrics regardless of any blood glucose targets e self management includes medication adherence weight management and nutrition support e standards of care includes reminders and education for yearly eye exams as well as vaccinations and screenings Please choose the level of self management and standards of care messaging for this patient TE e Turn all on E Turm all off Save User s Manual 5 7 Patient Settings Using Your Patient List User s Manual 5 8 Chapter 6 Reviewing Your Patient s Information The Top navigation bar allows you to review all of the information your patient into their Web based application and allows you enter or modify that information one dot one Version DOB 1 21 1955 Messages NICE Logbook Standards of Care Patient Profle Clinical Profile Settings Logbook The DiabetesManager Logbook provides a single location where information about daily diabetes related activity is stored Information such as blood glucose readings carbohydrate intake counts medication taken and exercise can be entered into the logbook by you or your patient This information can be entered as it happens or at a later date The logbook is viewable and modifiable Entering New Information You can enter information about a patient s current activity such
16. Click Medical History Welcome ion one dot one EST SEN E GG Have suggestions or commen O User s Manual 6 16 TEXTSZEAAA one dot one Version DOB 1 21 1955 Messages Progress Notes Logbook Standards of Care Patient Profile EURO Settings Labs amp Exams Medication Lifestyle Fxnand All Callanse Al w s w My Medical History Add New Medical Condition 0 O Type 2 Diabetes 6 2005 Heart attack N A al Congestive heart failure CHF NA Ea Other E Family Medical History Update Brothers Mother I Father Ee Ee pe Children Sisters Diabetes a High Blood Pressure Sei High Cholesterol Sei Heart attack before age 60 Stroke 3 Use the edit and delete icons to edit the existing line item or delete it To add new medical history entries 1 Click Clinical Profile on the top navigation bar The Procedures screen labs and reports default screen appears with labs and reports selected 2 Click Medical History 3 Click Add New Medical Condition 4 Enter the desired information 5 Click Save Lifestyle You can view or modify your patient s lifestyle records To modify existing medical history 1 Click Clinical Profile on the top navigation bar The Procedures screen labs and reports default screen appears with labs and reports selected Patient Profile Reviewing Your Patient s Information
17. M per page None listed Have suggestions or comments to make Diab Patient Settings The Patient Settings page accessible from the Top Navigation bar shows the patients blood glucose targets These targets are then used to evaluate in target and out of target readings It also allows pHCPs to set the level of Real time BG coaching feedback patients get when they enter blood glucose values into their logbook and whether patients receives User s Manual 5 6 Patient Settings Using Your Patient List self management education or standards of care messages in their Message Center inbox Welcome p version one dot one Logout 09 10 51 AM EST Messages Progress Notes Logbook Standards of Care Patient Profile Clinical Profile Blood Glucose Targets The DiabetesManager follows the guidelines of several leading diabetes organizations for blood glucose targets including the American Diabetes Association The following are the blood glucose targets used in DiabetesManager Before Mealsl After Meals 2l Bedtimel l Before Exerciselfl 70 130 mg dL 70 179 mg dL 110 150 mg dL 100 150 mg dL References 1 American Diabetes Association 2009 Standards of Medical Care Diabetes Care 31 S12 SS4 2009 2 American Diabetes Association 2009 Standards of Medical Care Diabetes Care 31 S12 S54 2009 3 Cefalu William 2001 Practical Guide to Diabetes Management 2nd Edition pp 39 New
18. No to this question Communication from the System Receive an email when there are messages waiting for you in your DiabetesManager inbox Yes You will never receive more than one email per day Your Signature for Outgoing Messages Regardless of your communication settings above please define your signature Name displayed as From when composing a message hep version one dot one Footer shown in messages you compose s or comments to make D nager even better C oc Terms amp Conditions 2 Click Edit Settings The Update Settings dialog appears 3 Select the Off radio button on the E mail Reminders for Messages pane If notifications have been turned Off and you wish to turn them back on you can click the On radio button 4 Click Save Patient Communication You can allow patients to send you messages through the Message Center or disable this functionality for them In either case you can still send your patients messages through this secure center To turn off patient sending ability 1 Click Settings Security on the left navigation bar User s Manual 3 2 Message Signature Settings and Security The Settings and Security page appears Di betes Welcome hcp version one dot one Logout Manager Las n 12 2 2009 10 51 AM EST TEXTSZE AAA Change Password Edit Settings To view each patient s blood glucose targets and establish settings for coaching messages plea
19. WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE Contents About TRIS GUIS snee eee 1 1 Key CAMPOS a sgesdactoantent test dashnneditdenc bere steieantbre heck senses ete hiinendekheabiddel 1 1 Understanding the DiabetesManager System nennen eeen 1 2 Intended Audience een 1 2 e ue E 1 2 Getting E EE 1 2 Getting Started vsnerersenseennneneeentnwanemenennhaheeneeennastenennneandekandmennndst 2 1 System Ee ln 2 1 Browser EEN 2 1 System Updates E 2 1 e E TE 2 2 Logging Ng 2 3 Understanding the INTSMACE nnen senteaneoneresenntennenin deinen dean sanne denntededee 2 4 Left Navigation BEN eeste esteemed 2 5 SDI ee 2 5 User Information Area and Logging Out 2 6 Top Navigation EE 2 7 Changing the Display Text Size aen 2 7 Leaning ET EE 2 7 Automated CUCU EE 2 8 Practice te 2 8 settings and Security E 3 1 E mail Notifications for Messages 3 1 Patient Comm nicatiON sassen eneen 3 2 Message Signature AEN 3 3 Changing Your Password nn eneneeeneennenennneneneeennneneeeerenennnnnnneevenn 3 4 Using the Message Center nnen enen enen ven REENEN 4 1 Composing Messages ENEE 4 2 Reading Messages E 4 4 Deleting Messages ENEE 4 4 Searching for Messages e 4 4 Using Your Patient LIST deense 5 1 VIEW tensiden entente 5 1 Setting Patient e 5 2 TOC 1 Drilling Down to Patient Details nnn eeneneneee ee eenenneneeenenenenn 5 3 Patient Medication Changes Ae 5 4 en Le 5 5 Progress e 5 5 Patient EENEG 5
20. York Medical information Press 4 American Diabetes Association 2005 American Diabetes Association Complete Guide to Diabetes 4th Edition pp 173 Virginia American Diabetes Association Patient Coaching Messages Coaching messages provide positive reinforcement to motivate and encourage self monitoring e in context learning opportunities to better recognize patterns These messages NEVER give direct medication advice to your patients BLOOD GLUCOSE MESSAGES These messages address the patient s entered blood glucose values with regard to the blood glucose targets above For example John a blood sugar of 190 is high however fee good that you took the time to record it All of this information will help you learn more about your diabetes John have you noticed how high your blood sugar goes after lunch On average your after lunch readings are over target and are more than 100 points higher than your before lunch readings Record what you are eating at lunch and discuss this with your healthcare team You may need less carbs at lunch Please choose the level of blood glucose messaging for this patient a Turn all on Turn only critical message support on Jv This will turn off all messages except those that provide support during hypoglycemia lt 70 mg dL or hyperglycemia gt 300 mg dL retest reminders for example Turn all off SELF MANAGEMENT AND STANDARDS OF
21. Your Password Settings and Security To change your password 1 Click Settings Security on the left navigation bar The Settings and Security page appears Welcome hep version one dot one Logout Last L 51 AM EST TexTsze AAA Settings Secu To view each patient s blood glucose targets and establish settings for coaching messages please select the patient and then select Settings from the top navigation bar Communication with your Patients DiabetesManager offers a unique and secure Message Center that allows you to communicate with large volumes of patients in a personalized manner Some highlights of the Message Center are e From your computer you can create messages to be sent to your patients cell phones Your Patients Agreement e You can be confident that unlike email any messages sent to or from your patient or other Patients can not participate in healthcare providers are secure and HIPAA compliant DiabetesManager without first signing this disc r that explains that their healthcare providers are NOT responsible for reading or responding to any of the patient s information published in the DiabetesManager Would you like to allow patients to contact you through DiabetesManager Message Center You will still be able to send messages to your patients even when you select No to this question Communication from the System Receive an email when there are mess
22. for use of existing artwork Trademarks This product carries the trademark of WellDoc All the trademarks of component parts used by WellDoc in the manufacture of this product are the property of their respective owners The WellDoc logo is a registered trademark of WellDoc Microsoft and Windows are registered trademarks of Microsoft Corporation All other brand or product names are trademarks or registered trademarks of their respective companies or organizations Manufacturer s Statement Limited Warranty Disclaimer Limitation of Liability WellDoc warrants this product for a limited period of time from initial purchase against defects in materials and workmanship This warranty does not cover damage caused by misuse or abuse of this product or by acts of God or accidents or other causes beyond the control of WellDoc Also not covered by this warranty are claims other than by the original purchaser Your sole remedy and our sole liability to you shall be to repair or replace this product at our discretion if it does not meet the requirements of this warranty WellDoc and its distributors shall under no circumstances be liable for any damages arising from the use of or the inability to use this product or from any loss of revenue or profit business interruption or other loss which may arise from the use of this product THE WARRANTIES ABOVE ARE EXCLUSIVE AND IN LIEU OF ALL OTHER WARRANTIES WHETHER EXPRESS OR IMPLIED INCLUDING THE IMPLIED
23. hyperglycemia sick days coping with diabetes and more The library content was written by diabetes educators and is updated with information on a regular basis This information is read only Visit the library occasionally as new articles are often added You can tell your patients about particular articles your recommend they read User s Manual 2 7 Practice Profile Getting Started To access Learning Library articles 1 Click Learning Library on the left navigation bar The Learning Library is displayed TEXT SZE AAA Table of Contents Learning Library Download Adobe Reader to view PDF files Expand All Collapse All I The Basics about Diabetes sa Start with the basics understanding diabetes and how this affects your body What is Type 2 Diabetes HTML Understanding and Preventing Complications HTML a The Hemoglobin A1c Test HTML a Diabetes and Feelings HTML a Making Changes One Step at a Time HTML a Diabetes Resources Reading List HTML a ments to make Diabet ge nette Joc Terms amp Conditions 2 Navigate through the library and select the HTML or PDF version of the desired articles The HTML version displays directly in your browser The PDF version invokes Adobe Acrobat Reader and displays the article nicely formatted for printing Automated Curriculum TBD Practice Profile The practice profile allows you to set personal or practic
24. make DiabetesManager even better Contact WellDoc Terms amp Conditions 5 In the Actions column in the row for the desired encounter click Edit 6 Modify the data as desired The screens in the wizard flow in the same manner as creating a new encounter See Encounter Form Wizard Interaction Type on page 7 1 through Outputs on page 7 8 for descriptions of the wizard The Admission form records information about the patients admission into the VNSNY program User s Manual 7 9 Admission Recording Patient Homecare Activity To record patient admissions 1 Click Patient List on the left navigation bar The Patient Summary table is displayed 2 Select the desired patient in the Patient Summary table 3 Select VNSNY Forms from the top navigation menu 4 Select Admissions from the top navigation submenu The Admission form appears Welcome div cm test Logout ES quired Div Pt DOB 9 22 1963 Messages Progress Notes Logbook Standards of Care Patient Profile Clinical Profile Settings KMD Encounter Admission Provide Discharge Form Started 1 7 2010 2 35 PM EST Referral Information Provider Name Date of referral e Practice ID Case Was the patient contacted by the referral coordinator about the program Yes C No Did the patient agree to be contacted by VNSNY C Yes C No Initial VNSNY Contact Was the patient called by VNSNY about par
25. or sleep When you look at these blood sugars together you learn more about your diabetes than you would with one blood sugar alone Mealtime pairs Mealtime pairs are blood sugars taken right before eating and again 1 to 2 hours after the start of the meal Below you will see the average before meal blood sugar the average after meal blood sugar and the difference between the two This gives you a look into how your food and your mealtime medication affects your blood sugar BREAKFAST PAIR LUNCH PAIR DINNER PAIR START END END END START START o e G 8 BREAKFAST 2 AFTER LUNCH 1 3 AFTER DINNER 0 AFTER FASTING BREAKFAS IN LUNCH IN DINNER ABOVE el IN IN TARGET IN TARGE TARGET TARGET TARGET TARGET Overnight pair The overnight pair looks at blood sugars at bedtime and blood sugars when you wake in the morning fasting before breakfast Below you will see the average bedtime blood sugar the average fasting before breakfast blood sugar and the difference between the two This shows you how your blood sugar is doing overnight while you re sleeping OVERNIGHT PAIR END START BREAKFAST BEDTIME FASTING User s Manual 6 9 Standards of Care Reviewing Your Patient s Information 3 Standards of Care User s Manual 6 10 If desired select a date range from the Date Range pane From and To pulldowns or a Present Range FROM O PRESET RANGE S August sl 27 el 2009 sl EI septe
26. this time Standards of Care Legend Bin Target B Out of Target Missing D Overdue less than or equal to 3 readings missing H lt 7 0 Blood Pressure missing H lt 130 80 mmHg Total Cholesterol missing e 200 mg dl J LDL missing H lt 100 mg dL HDL missing B SEH Triglycerides missing H 150 mg dl Urine Microalbumin to Creatinine Ratio missing 7 B lt 30 ug creat Urine Microalbumin missing H lt 30 pg mL Serum Creatinine missing H lt 1 5 mg dL i Eye Exam missing B Annually Foot Exam missing B Annually Dental Exam missing B 8 Every 6 months Flu Shot missing H _Annuaily during the flu season Pneumonia Vaccine missing gt onetime Aspirin Use Re ge As directed by your doctor Fxerrise missina a At least 150 miniveek O User s Manual 2 4 Understanding the Interface Getting Started Left Navigation Bar The left navigation bar is the primary source of navigation throughout the application Clicking on a menu button on this bar takes you to the main screen for that feature When you click a menu sub menu items may also be displayed The left navigation bar expands to display sub menu items You may then click these items to navigate to those topics List all patients assigned to you or your practice View send and receive messages from your patients or other HCPs Check out educational info that can help your patients take care of th
27. top navigation menu 4 Select Discharge from the top navigation submenu User s Manual 7 12 Discharge Recording Patient Homecare Activity The Discharge form appears Welcome div cm test Logout 12010 10 07 AM EST Diabetes Ma gt TEXTSZE AAA Messages Progress Notes Logbook Standards of Care Patient Profile Clinical Profile Settings BYE Ata Encounter Admission Provider Goals Discharge Discharge Information Date of Discharge f Date patient IN PERSON BY PHONE E IN WRITING notified of discharge Performed By Performed By Performed By Did Patient complete this program C Yes C No Reason of discharge Basic Completed 24 month program I Client initiated I Home environment no longer clinically safe for I Home environment no longer safe for VNSNY staff VNSNY staff I No longer met eligibility requirements F Parent Guardian initiated I Physician initiated Other Reason of discharge Detailed Residency moved from Bronx or Manhattan I Client indicated verbally that s he no longer wanted to participate I Parent Guardian indicated verbally that s he no I Client did not respond or schedule a new visit 4 or longer wanted the client to participate more phone calls over a 1 month period I Parent Guardian did not respond or schedule a I Client stopped showing up for visits new visit 4 or more phone calls over a 1 month period I Suggested to client to stop participating
28. 130 70 170 70 130 70 179 110 180 D H 1 o D D H less than or equal to 3 readings Once you are in a Patient s Summary Page navigation is performed through the Top navigation bar All items selected from this bar pertain only to the selected patient Items contained in the Top navigation are the same items available to the patient in the Patient Web based application Although the names of these items may be tailored for the HCP view the content is the same Zd User s Manual 5 3 Patient Medication Changes Using Your Patient List In addition to the Top navigation bar the Patient Summary Page has section that indicates when validation is needed for the patient only enabled for pHCPs the patients logbook Blood glucose summary and the patients Standards of Care summary referred to as the Control Center in the Patient version Patient Medication Changes User s Manual 5 4 Patients can make changes to their medication regimen in their application When they make these changes the change is shown in the Patient List and enabled for pHCPs to verify When pHCP approval is needed an icon appears next to the patient s name in the list npHCPs can see that the medication needs validation but cannot perform this task The option is grayed out pHCP validation allows the medication to be displayed with full dosage information to the patient in their logbook entry screen Without pHCP validation the patient can o
29. 6 Reviewing Your Patient s Information nn snnnssronnsenernnanseennsens 6 1 EE 6 1 Entering New IMOMMANON eet lee 6 1 Adding Old Information in the Logbook nnnnnnnnneennnennee eneen 6 5 Viewing Editing Information in the Logbook nnee 6 6 NSA E 6 9 Standards of GANS 6 10 EA Profile entente den eee EAEE REEE 6 11 labs amp EONS eege EE 6 12 Medical E tel E 6 15 DEE tee 6 16 Eege 6 17 fn 6 17 Healthcare TEAM sneerde deedeetee ease 6 19 S pport TEAM ardennen eet 6 21 Recording Patient Homecare Activity aaneen 7 1 Encounter PON EE 7 1 Encounter Form Wizard Interaction Typ e EE 7 1 Clinical Assessment rror Ersen daeddn eed ea aad enen enn denaed 7 5 Wlan 7 7 TS euer 7 8 Editing an Existing ENG UMOE zevenster deren eta 7 9 PMS ein E 7 9 EC EE 7 11 ONS EE 7 11 KE 7 12 User s Manual TOC 2 Chapter 1 About this Guide Key Features The DiabetesManager system helps your patients manage their Diabetes It allows them to record daily activities such as blood glucose readings exercise and food consumption This data is stored so that you and your patient can review their activity and make the necessary changes to optimize their healthcare A team of diabetes specialists educators and people with diabetes developed DiabetesManager DiabetesManager is a product of WellDoc Inc The healthcare provider HCP Web based application provides a method for you to review your patients logbo
30. 6 11 2009 Annually EE Dental Exam 06 05 2009 Every 6 months DCH 4 Annually Flu Shot 03 13 2009 during te fall Boe Pneumonia Vaccine 07 15 2009 One time al B r comments to make DiabetesManager even better Co 3 Use the edit delete and history icons to edit the existing line item delete it or review its history To add lab and exam information 1 Click Clinical Profile on the top navigation bar The Procedures screen labs and reports default screen appears with labs and reports selected i User s Manual 6 13 Clinical Profile Reviewing Your Patient s Information The labs and reports screen is displayed Welcome hcp version one in 12 2 2009 1 TEXTSZEAAA Atc 65 lt 70 07 07 2009 EJ Blood Pressure 120 70 mmHg pek 07 28 2009 D Total Cholesterol 100 mg dL lt 200 mg dL 08 01 2009 Ia LOL 50 mg dL lt 70 mg dL 03 05 2009 D HDL 50 mg dL gt 40 mg dL 04 10 2009 E3 Triglycerides 130 mg dL lt 150 mg dL 01 12 2009 Boe Urine Microalbumin to Creatinine Ratio 20 uo creat lt 30yg ereat 04 03 2009 D Urine Microalbumin 15 pg mL lt 30 ug mL 04 07 2009 3 Serum Creatinine 1 7 mg dL D lt 1 5mgaL 07 27 2009 a Exams Shots Add Nev S CK O OOO Eye Exam 02 03 2008 Annually D Foot Exam 06 11 2009 Annually Bo Dental Exam 06 05 2009 Every 6 months D Flu Shot 03 13 2009 Gier P D Pneumonia Vaccine 07 15 2009 One time E al 2 Click Add New Values
31. Add to add additional names of participants of this type Click Next Go to Clinical Assessment on page 7 5 Record emails text or other interactions Enter the date of the encounter using the calendar provided Check the boxes next to all of reasons for the encounter This is a required field Check the boxes next to all of the participants that were present at the encounter This is a required field If a text entry box appears enter the name of the participant Click Add to add additional names of participants of this type Click Next Encounter Form Recording Patient Homecare Activity Go to Clinical Assessment on page 7 5 Clinical Assessment The second page of the Encounter Form wizard allows you to record clinical data gathered during the interaction as well as the patient s use of DiabetesManager To record clinical data 1 Enter how many days the parent guardian missed work due to the client s diabetes since your last encounter Diabel Welcome div cm test Logout Manager L 010 9 29 AM EST TEXTSZE AAA reg Pt DOB 9 22 1963 Messages Progress Notes Logbook Standards of Care Patient Profile Clinical Profile Settings MCDOdT pEncounter Admission Provider Goals Discharge 4 Encounte 2 Clinical Assessment 3 Note 4 Outputs Form Started 1 7 2010 10 07 AM EST Please answer all clinical assessment questions for the time since the last discussion with the client
32. CENED SS Jor gi ou did a search clear filter to start agai Sent Items Trash 2 Click Compose New A User s Manual 4 2 Composing Messages Using the Message Center The New Message window appears diabetes e dot one Logout N er Last Login 12 2 2009 10 51 AM EST TEXT SZE AAA From hcp version one dot one Message Type Web Only x Sent Items nn e ca Trash BCC Subject I High Priority g Learning Practice Web Message Attach Document Save Template to Library Default Fort el Sze Mi v7 kA aBVe Bry ES SIA PRS OS yy Have suggestions or comments to make DiabetesManager even better Contact WellDoc Terms amp Conditions 3 Select the message type from the pulldown You can send messages to the Patient Web based application or the Patient Mobile application 4 Click the To link to select recipients from your patient list You can also click the CC link to send carbon copies of the message to other providers and case managers Remember that only your patients or other healthcare providers in the system can receive e mail from this system Use your regular e mail clients for communication with other people If you want to delete all the names out of the To or CC lines click Clear and then re enter the desired names 5 Enter a subject for the e mail If the message is high priority click the High Priority check box 7 In the message area
33. Client dissatisfied with the program I Client began to show signs of being treated for F Client came under mental health care for active substance abuse which interfered with psychosis or schizophrenia which interfered with providing program services providing program services Client stopped participating at visits I VNSNY staff contacted to have client stop participating F Clinical and or other non program concern Comments Comments text Cell Phone Information Returned C Yes No Have suggestions or comments to make DiabetesManager even better Contact WellDoc Terms amp Conditions 5 Using the calendar provided select the date of discharge 6 Using the calendars provided select the date the patient was notified of discharge for each type of notification if applicable For each type enter the name of the person performing the notification 7 Ifthe Patient completed the program click Yes If not click No 8 Check all of the boxes that apply to the basic and detailed reason for discharge 9 Enter comments if desired 10 If the cell phone was returned click Yes If not click No 11 Click Submit 12 Click Save I User s Manual 7 13 Discharge Recording Patient Homecare Activity User s Manual 7 14 Symbols Labs amp Exams 6 12 Numerics 911 calls 7 11 A account directors 1 2 Acrobat 2 2 Active icons 2 6 activity 6 1 AD 1 2 Add Healthcare Provider
34. HEGER Standards of Care Patient Profile Clinical Profile hep version one dot one Logout Login 12 2 2009 11 40 AM EST TEXTSZEAAA Settings Please enter your information below ndar View Blood Glucose Summa Enter New Info Add Old Info Breakfast 12 03 2009 10 45 AM What is your blood sugar How many carbs Medication s Glyburide Micronized Metformin 1 25 250 mg each Novolin 70 30 PenFill Glipizide 5 mg each Metaglip 2 5 500 mg each Lantus Apidra grams Ei pills units pills pills units units ED ER GS GD Logbook Reviewing Your Patient s Information 5 Enter all the data you wish to record If you wish to add notes click Add Notes The following screen appears click the desired notes or add your own Click Add to Entry Make A Note x What would you like to make a note about How am feeling r DN Don t know or guessed carbs r Stressed r E Ate at a restaurant r E Depressed r Ate more than usual r Tired r amp Ate my usual amount r amp sick r Ate less than usual TS Felt like low sugar r DI Skipped a meal m F F3 On vacation Having crazy schedule r P Ran out of Meds r amp Taking steroids cortisone TE Exercising now r DN Exercised earlier today F amp More active than usual r E My own note r E Less active than usual If you wish to add a medication click Add Medica
35. Range or Find Me Only On Days When C User s Manual 6 7 Logbook Reviewing Your Patient s Information Select the Date Range pane and the select the From and To dates from the pulldowns or a Present Range Click Apply Change to change the logbook view below v Date Range August 27 2009 September 10 2009 Apply Change Restore Default FROM 0 PRESET RANGE 5 August sl 27 2009 EI september sl 10 sl 2009 sl Fl P Select the Find me Only on Days When pane and then check the boxes in each section that indicate the blood sugar or carbohydrate reading or notes for which you wish to search Click Apply Filter to change the logbook view below w Find Me Only Days When Apply Filter Clear Filter I My blood sugar was between F late qi grams of carbs T added notes about mg dL E My eating P Today E My medication E My own note 2 To modify entries click the entry in the logbook 3 Edit the data shown using normal data entry methods on the web Welcome hcp TEXTSZE AAA Messages Progress Notes TEE Standards of Care Patient Profile Clinical Profile Settings Calendar View Blood Glucose Summary Enter Ney Info Add Old Info Please add or edit your information below 11 19 2009 What is your blood sugar 200 mg dL D Add a Medication soca 8 om ei ZED Delete this entry Add Carbs Add a Medicati
36. abetes care This healthcare provider will be invited to participate If this healthcare provider registers he she will have access to the information you enter into DiabetesManager hep version one dot one welldoc Phone D 1501 st paul st een s ee 364 457 6537 o baltimore MD 21202 Status Active Additional Healthcare Providers This is a list of other healthcare providers you visit and their contact information Add Healthcare Provider You have not entered any additional healthcare providers Click on Add Healthcare Provider to add as many as you would like comments to make DiabetesManag ven bette Terms amp Conditions 3 Review the existing settings 4 Use the edit and delete icons to edit the existing provider or delete them To add a healthcare provider 1 Click Patient profile on the left navigation bar The Patient Profile screen appears with Profile selected 2 Click Healthcare Team User s Manual 6 20 Patient Profile 3 Click Add Healthcare Provider My Healthcare Provider x First Name Last Name Provider Specialty Office Location Address line 1 Address line 2 City State Zip Contact Numbers Phone number Fax number Email address John Smith Endocrinology hormone x 15 Progress Way Select 654 654 6556 655 eo 5765 4 Enter the desired information
37. ages waiting for you in your DiabetesManager inbox Yes You will never receive more than one email per day Your Signature for Outgoing Messages Regardless of your communication settings above please define your signature Name displayed as From when composing a message hep version one dot one Footer shown in messages you compose Diabe 2 Click Change Password C User s Manual 3 5 Changing Your Password Settings and Security The Change Password screen appears Welcome hcp version one dot one Logout Diabetes Manage Last Login 12 2 2009 10 51 AM EST TEXTSZE AAA Settings Security Change Password Your password is case sensitive and should Patient List en Message Have 6 to 10 characters Have at least one letter Have at least one number Be easy for you to remember Nrite down your new password and keep it in a safe place Current Password New Password Confirm New Password Have suggestions or comments to make DiabetesManager even better Contact WellDoc Terms amp Conditions 3 Enter your current password the new password and the new password again 4 Click Save User s Manual 3 6 Chapter 4 Using the Message Center The Message Center provides secure communication between you and the DiabetesManager system and between you and your patients It works in a similar fashion to many other e mail clie
38. am 6 19 help 1 2 High Priority 4 3 homecare 7 1 Hospitalizations 7 11 HTML versions 2 8 Icons 2 6 IE 2 1 inbox 4 4 inpatient days 7 11 insurance information 6 12 Interaction Type 7 1 Interaction type 7 3 Interface 2 4 internet connectivity 2 1 Internet Explorer 2 1 2 2 invitation 2 2 J Just Check Sugar 6 3 Just Take Meds 6 3 K Key Features 1 1 keyboard 2 1 E User s Manual 1 2 L lab reports 6 12 lab values 6 10 Labs amp Reports 6 12 Learning Library 2 7 left navigation bar 2 5 lifestyle behaviors 6 10 lifestyle habits 6 12 Links 2 6 Logbook 6 6 edit 6 6 search 6 7 Sugar Summary 6 9 view 6 6 Logging In 2 3 Logging Out 2 6 login 2 3 logout 2 6 M Make A Note 6 3 Meal Info 6 3 Mealtime pairs 6 10 Medical History 6 15 medical history 6 11 Medication 6 5 medication allergies 6 12 medication history 6 11 medication list 6 11 medication schedules 6 11 message compose 4 2 delete 4 4 notifications 3 1 read 4 4 search 4 4 Message Center 4 1 messaging 4 1 Microsoft Internet Explorer 2 1 mobile application 1 2 Mozilla Firefox 2 1 N New info 6 1 message 4 2 New Information 6 1 non prescribing HCP 1 1 Notes 6 5 notes 7 7 notifications 3 1 npHCP 1 1 O Old Information 6 5 outputs 7 8 overnight pair 6 10 P page resolution 2 2 Pairs 6 10 Panes 2 6 password 2 2 3 4 Past Activity 6 5 Patient Homecare 7 1 PDF version 2 8 pharmacy 6 12 pHCP 1 1
39. ancel Search Message Keyword From Date LA To Date ES To return to the current inbox select Clear Filter This removes the searched messages from the display area and replaces them with the most current messages in your inbox User s Manual 4 4 Chapter 5 Using Your Patient List The Patient List screen is displayed every time you log into the In This Chapter application It provides a list of all of your and your practice s i es View patients that are registered with DiabetesManager Each patient is j listed in the Patient Summary Table In the Patient Summary e Patient Table the patients row summarizes patient cell phone use Medication Changes medication validation risk as set by you messages from the patient from the Message Center progress notes and follow up e Messages dates set by you and the patient s other HCPs if applicable e Progress Notes e Patient Settings You can return to the Patient Summary Table at anytime by clicking the Patient List menu on the left navigation bar View You can view a list of patients assigned to you My Patients or to your practice All Patients by clicking the desired radio button The Patient Summary Table displays the list of patients according to your selection Welcome hcp version one dot one Logout Last Login 12 1 2009 1 28 PM EST TEXTSZE AAA Patient List My Patients C All Patients ed se 2 1 1968 case manager
40. ask For example the breakfast icon is displayed next to breakfast records and can not be clicked while the pencil icon is an active icon that can be clicked to edit data in the row of a table Text pops up when you hover over active icons to describe their functionality User Information Area and Logging Out MEE Mm SMER MS The User Information area displays the name of the person currently logged in the start sie ata enon time and date of the current login and provides a method for exiting the application It is recommended to logout of the application when you are not using it since access to your private health information is displayable within the application When you logout the Login screen is displayed If you exit your web browser with logging out you are automatically logged out User s Manual 2 6 Learning Library Getting Started Top Navigation Bar When in the Patient Summary Page a Top Navigation bar helps you navigate through the patient s Web based application This bar mimics many of the options available in the Patient s Web based application left navigation bar Changing the Display Text Size TEXT SIZE AAA You can use the Text Size Controller to increase or decrease the size of the text displayed in the DiabetesManager application Click the A character that represents the desired text size Learning Library The learning library contains PDF files about nutrition activity hypoglycemia
41. ature about diabetes to patients and communicate with your patients e System Requirements e Registration This chapter gets you started working with DiabetesManager and Logging In describes the user interface e Understanding the Interface r e Learning System Requirements Library e Practice Profile DiabetesManager runs on most computers with their default settings The requirements below are the minimum items needed to use the Web based application on the internet e computer e web browser e internet connectivity e keyboard for data entry e Adobe Acrobat Reader Browser Compatibility DiabetesManager is compatible with e Microsoft Internet Explorer IE versions 6 0 and 7 0 e Mozilla Firefox 2 0 and 3 0 Browser Security Medium the default for IE security settings are recommended The method for changing this setting differs by browser For IE select the Security and Privacy settings within Internet Options to select the Medium setting System Updates Acrobat Reader Internet Explorer and Mozilla Firefox are all free If you do not currently have them on your system you can download the latest free versions 2 1 Registration Getting Started Registration User s Manual 2 2 e Acrobat http get adobe com reader e Internet Explorer http www microsoft com windows internet explorer default aspx e Firefox http www mozilla com en US firefox ie html Screen Display
42. ce you click in the box the sample text disappears and you can enter in your own text 2 Click Next Outputs To record outputs and client receptions for the encounter 1 Select the radio button number that rates the client reaction to the encounter Welcome div cm test Logout Last Login 1 7 2010 9 29 AM EST TEXTSZE AAA requi t DOB 9 22 1963 Messages Progress Notes Logbook Standards of Care Patient Profile Clinical Profile Settings MOD PEncounter Admission Provider Goals Discharge 4 Encounte 2e tes 4 Outputs Form Started 1 7 2010 10 07 AM EST Outputs and Client Reception Please rate the clients rate from 1 low to 5 high for each of the following parameters since your last encounter Involvement in Visit Leg oO 2 o3 C4 os Conflict with the Material Le D2 os C4 os5 Understanding of the Material oO 1 Lef Ca C A os What percentage of planned content was covered What percentage of time was spent on the following items Diabetes Knowledge and Skills Medication Monitoring and Patterns Exercise and Activity Psychosocial Environmental Health Technology Total Referrals Made Health Care Services I VNSNY CHHA T Other CHHA I Crisis Intervention Mental Health Substance Abuse T Financial Assistance F Housing F Transportation T Education Programs IF Charitable Services T Legal Services Other Education Material Distributed Forms Comple
43. e Target values in target out of target missing or overdue e Status If changes are needed to the information displayed in the Standards of Care access the personal health record to make those changes See Clinical Profile on page 6 11 for more information Clinical Profile Reviewing Your Patient s Information Note The patients view of this page is called the Control Center Clinical Profile To access your patient s standards of care 1 Click Standards of Care on the top navigation bar The Control Center screen is displayed Messages Progress Notes Logbook BEER CEG Patient Profile Clinical Profile e Type 2 diabetes is like a puzzle There are many pieces that fit together to help create the big picture of your health Explore the sections of the control center to see what pieces need more attention Learn what you can do to make these pieces fit together The more green checkmarks you see the better your control of your diabetes and your health Welcome hcp version one dot one Logout 12 2 2009 10 51 AM EST zess AAA Legend J in Target Hour of Target Missing H Overdue EC KN KE Blood Pressure Total Cholesterol LDL HDL Triglycerides Urine Microalbumin to Creatinine Ratio Urine Microalbumin Serum Creatinine Eye Exam Foot Exam Dental Exam Flu Shot Pneumonia Vaccine Aspirin Use Exercise Smoking Weight BMI 2 View the des
44. e Select No if they have not had it checked If you have checked the client s entries on DiabetesManager select Yes and check the types of data the patient entered If you have not reviewed the entries select the No entry from the pulldown that best describes why For Other enter a reason If you have reviewed other sources of blood glucose records select Yes and check the source types of data Select the type of matching criteria for these reading compared to those recorded in DiabetesManager If you have not reviewed the entries select No Click Next Go to Notes on page 7 7 Encounter Form Recording Patient Homecare Activity Notes To record notes about the encounter 1 Enter notes about the encounter oss AA required Div Pt DOB Messages men Sue of Cars ASSESSMENTASSUES AND CONCERNS oen Leen u need to ascuns fest How Od the gaans we mace work out REVIEW AND REPORT OF PROGRESS Cen Cepen e Topes you want to ieam about andlor ascuns GOAL SETTING AND NEGOTIATION FOR OUR NEXT VISIT Ge teg e Agree s you ans your Care Manager are GOP 10 d between vats Are on what we wa Oo at our nest vist Agee o and tee for our net vs C User s Manual 7 7 Encounter Form Recording Patient Homecare Activity Each pane is a topic for which you can record notes The objective of each section is listed Sample notes are provided in grey in the text box On
45. e Only your high blood sugars over 299 mg dL e Only your low blood sugars below 70 mg dL e Only critical blood sugars just highs and lows The benefit of using this feature to send your blood sugars to someone is to keep your whole support network involved and informed about how you are doing with your diabetes This can make it much easier for the people important to you know if and when you might need help Add Support Person En FEST Bernie Johnson johnson email com Only highs and lows Pending Have suggesti comments to make DiabetesManager even better Contact WellDoc I User s Manual 6 23 Patient Profile Reviewing Your Patient s Information User s Manual 6 24 Chapter 7 Recording Patient Homecare Activity Encounter Form The homecare environment requires additional methods of documenting healthcare provider and patient personal interaction DiabetesManager accommodates this need through a variety of forms you can use during and after your visits The Encounter form allows you to record the events that occurred and data you collected during a specific contact with a patient Encounter Form Wizard Interaction Type The Encounter form wizard helps you record your interaction with patients The type of interaction selected on the first page of the four page wizard determines which fields are available to you To record patient interaction iP Di Click Patient List on the left navigatio
46. e contact information This information is displayed to users so that they can contact you To update the practice profile 1 Click Practice Profile in the left navigation bar User s Manual 2 8 Practice Profile Getting Started The Practice Profile screen is shown Di Welcome hcp version one dot one Logout Manager Last Login 1 1009 10 51 AM EST TEXT SIZE AAA ractice profile Ms hcp version one dot one MD Personal contact information Cell phone 675 768 9879 This personal contact information is not visible to your patients Email address wd testdm h1 gmail com It is only used by the system to contact you Office information CC 1501 st paul st 453 655 5676 657 576 5766 BH Baltimore MD 21202 This is the primary contact information for your practice mments to make D 2 Click Update Section 3 Enter the desired criteria 4 Click Save User s Manual 2 9 Practice Profile Getting Started User s Manual 2 10 Chapter 3 Settings and Security The Settings Security screen allows you to control your patients coaching messages enable patient communication with you and change your login password E mail Notifications for Messages When messages are in your DiabetesManager inbox e mail notifications can be sent to the e mail address you provided to become a registered user You will not receive more than one e mail per day If you do not w
47. eir diabetes and health View contact information for you and your practice Modify features of your account such as web login o Ze Display Area All of the application functionality is shown in the Display Area Navigation with the Display Area is performed through a combination of links buttons and panes Screen Title The title of the screen is shown across the top blue bar in the Display Area When the screen level drills down into sub items the title name is hyphenated to help you keep track of your level Logbook Calendar View User s Manual 2 5 Understanding the Interface Getting Started Panes Information is grouped into panes in the display area Panes are separated by light blue bars that title each pane A single pane may have sections within in You can open or close panes using the expand and collapse arrows on the title bar for each pane gt My Current Logbook View Restore Default e Find Me Only Days When Apply Filter Clear Filter T My blood sugar was between F late grams of carbs T added notes about mg dL P ating mT EI E My activit edicat E How la m Links Learn More You can click a link to go to a screen containing information about the link Links are light blue and underlined Buttons You can click a button to execute an action Icons 650 Icons are used to provide a pictorial clue for text They can also be used to initiate a t
48. for Labs Results or Exams amp Shots User s Manual 6 14 Clinical Profile Reviewing Your Patient s Information The Add New values screen appears Add New Lab Result x Add New Exam or Shot S Value Alc Q MM sel DD x YYYY x Exam or Shot Name Date of Exam Blood Pressure mmHg MM sel DD Il YYYY x Eye Exam yw al foo E m Total Cholesterol mg dL MM x DD m YYYY x Footbam MM xl DD m YYYY LDL mg dL MM el DD YYYY pi DARIE ental Exam MM la op x yy y HDL mg dL MM el DD vm zl es Flu Shot o MM sel DD x YYYY Triglycerides mg dL MM x DD YYYY pi R R Ef Pneumonia Vaccine sel mt v Urine Microalbumin to ig creat E mM el D I Le vm zl 8 MM jg DD iv Creatinine Ratio e Urine Microalbumin ug ml sl mm sl Dp sl mr sl Serum Creatinine e mg dL MM wl DD sel YYYY pi 3 Enter the desired information 4 Click Save Medical History You can view or modify your patient s medical history To modify your existing medical history 1 Click Clinical Profile on the top navigation bar The Procedures screen labs and reports default screen appears with labs and reports selected L User s Manual 6 15 Clinical Profile Reviewing Your Patie nt s Information 2
49. harge Recording Patient Homecare Activity To record patient goals 1 Click Patient List on the left navigation bar The Patient Summary table is displayed 2 Select the desired patient in the Patient Summary table 3 Select VNSNY Forms from the top navigation menu 4 Select Goals from the top navigation submenu The Goals form appears Welcome div cm test Logout Last Login 1 7 2010 10 07 AM EST TETSZE AAA required Div Pt DOB 9 22 1963 Messages Progress Notes Logbook Standards of Care PatientProfile Clinical Profile Settings BEA Encounter Admission Provider Goals Discharge Goals Form Form Started 1 6 2010 1 21 PM EST Add a New Goal Goal Type Goal Note Nutrition Il Enter a goal here z related ea here add to goals Enter goal related notes here os Current Goals Have suggestions or comments to make DiabetesManager even better Contact WellDoc Terms amp Conditions Existing goals are listed in the Current goals pane Select a Goal type from the pulldown Enter the specific goal Enter notes regarding the goal Click Add to Goals oN OO Discharge The Discharge for allows you to record details about when a patient leaves program To record patient discharge information 1 Click Patient List on the left navigation bar The Patient Summary table is displayed 2 Select the desired patient in the Patient Summary table 3 Select VNSNY Forms from the
50. ired information 6 5 07 07 2009 120 70 mmHg 07 28 2009 100 mg dL 08 01 2009 50 mg dL 03 05 2009 50 mg dL 04 10 2009 130 mg dL 01 12 2009 20 pg creat 04 03 2009 15 pg mL 04 07 2009 1 7 mg dL 07 27 2009 02 03 2008 06 11 2009 06 05 2009 03 13 2009 07 15 2009 No was never told to take it 07 22 2009 240 min week 07 24 2009 Quit 02 02 2009 116 Ibs 21 9 08 01 2009 GH EHRR RK OOOO EE lt 7 0 lt 130 80 mmHg lt 200 mg dl lt 70 mg dL gt 40 mg dl lt 150 mg dL lt 30 pg creat lt 30 pg mL lt 1 5 mg dL Annually Annually Every 6 months Annually during the fall One time Ask your healthcare provider if you should take a daily aspirin At least 150 minAveek No smoking Reduce by 5 10 if BMI not 18 5 24 9 18 5 249 You can view or change information that has been saved in the patient s personal health record A subset of this information is displayed in the Standards of Care but all of this information can only be modified in the Clinical Profile This Clinical Profile contains e Medical history e Medication list e Medication history e Medication schedules I User s Manual 6 11 Clinical Profile Reviewing Your Patient s Information e Medication allergies e Exams and shots e Lab reports e Weight and BMI e Lifestyle habits e Pharmacy diabetes supplies and insurance information Th
51. is information was entered during registration and is modifiable in this application Note The patient view of this page is call Personal Health History PHR Labs amp Exams You can view or modify lab reports as well as exam history and schedule To modify lab and exam information 1 Click Clinical Profile on the top navigation bar The Procedures screen labs and reports default screen appears with labs and reports selected 2 Click Labs amp Reports User s Manual 6 12 Clinical Profile Reviewing Your Patient s Information The labs and reports screen is displayed Welcome hcp version one dot one Logout Las 12009 10 51 AM EST TEXTSZE AAA Messages Progress Notes Logbook Standards of Care Patient Profile Kellie Settings Legend Jin Target Bout of Target Missing Overdue Expand All Collapse All Add New Values EC ERR EN 65 lt 7 0 07 07 2009 Boe Blood Pressure 120 70 mmHg Seng 07 28 2009 DCH Total Cholesterol 100 mg dL lt 200 mg dL 08 01 2009 EE LDL 50 mg dL lt 70 mg dL 03 05 2009 EE HDL 50 mg dL gt 40 mg dL 04 10 2009 DCH Triglycerides 130 mg dL lt 150 mg dL 01 12 2009 BEE Urine Microalbumin to Creatinine Ratio 20 yg creat lt 30yg creat 04 03 2009 DH E Urine Microalbumin 15 pg mL lt 30 pg mL 04 07 2009 Bones Serum Creatinine 17 mg d D lt 1 5 mga 07 27 2009 DCH wv Exams Shots Add New Values Eye Exam 02 03 2008 B Annually BOS Foot Exam 0
52. ish to be notified you can turn the system off To turn off e mail notifications 1 Click Settings Security on the left navigation bar Patient Communication Settings and Security The Settings and Security page appears Diabetes Welcome hcp version one dot one Logout A 2 2 2009 10 51 AM EST TEXTSZEAAA Settings Secu To view each patient s blood glucose targets and establish settings for coaching messages please select the patient and then select Settings from the top navigation bar Communication with your Patients DiabetesManager offers a unique and secure Message Center that allows you to communicate with large volumes of patients in a personalized manner Some highlights of the Message Center are e From your computer you can create messages to be sent to your patients cell phones Your Patients Agreement e You can be confident that unlike email any messages sent to or from your patient or other Patients can not participate in healthcare providers are secure and HIPAA compliant DiabetesManager without first signing this disclaimer that explains that their healthcare providers are NOT responsible for reading or responding to any of the patient s information published in the DiabetesManager Would you like to allow patients to contact you through DiabetesManager Message Center Yes You will still be able to send messages to your patients even when you select
53. layed in the logbook by default You can search for specific logbook entries by date range or other criteria High or low sugar readings are shown in red You can turn the color coding off by checking the turn color off box Select Logbook from the top navigation menu The Logbook Calendar View is displayed Logbook Reviewing Your Patient s Information 2 Select Calendar View ne dot one Logout EST Messages Progress Notes EECH Standards of Care Patient Profle Clinical Profile Settings pCalendar View Blood GI ummary Enter Newinfo Add Old Info p Date Range November 18 2009 December 02 2009 Apply Change Restore Default gt My Current Logbook View Restore Default gt Find Me Only Days When Apply Filter Clear Filter gt Diabetes Medications Enter New Info Add Old Info 800 BREAKFAST AFTER LUNCH AFTER DINNER AFTER BEDTIME OTHER FASTING BREAKFAST LUNCH DINNER CO e 2 18 PM 11 26 PM Precose 14 Metformin 1000 mg 4 14 PM 11 38 PM September 91 1 Tuesday oe tfi i tf Wednesday pore Carbs 18g 147 3 Met Thursday 1000 ma Note All blood sugars are assumed to be measured in mg dL The information entered in this logbook is self reported and not validated Carbs 40g 3 42 PM 7 43 PM LEGEND Reading Type Icons Breakfast omments to make DiabetesMa Searching for Logbook Entries 1 Search for the desired logbook entry using a Date
54. le application for patients e A web based application for patients e A web based application for healthcare providers HCP e A web based application for account directors AD Patients have a Web based application and or a mobile application for entry of information in to their logbook access to the messaging center access to the learning library and their medical history Account directors provide administrative support for the Web based application activities of many healthcare providers This guide is intended for use by healthcare providers that support people with diabetes Basic knowledge of the internet and advanced knowledge of diabetes is assumed The following conventions are used in this guide Bold Actions you should take such as text or data to be typed exactly or items to click Italics Items to type for which you must supply a value Screen Name Screen Names are in initial caps Context sensitive help is available for many items As you hover over an item help items appear to guide you If you need further assistance please contact WellDoc Inc via e mail at technicalsupport welldocinc com or call 888 MYDMHELP 888 693 6435 Telephone support is available 9 00 am to 5 00 pm EST Monday through Friday and is free of charge Chapter 2 Getting Started The Web based application provides an easy way for you to In This Chapter review your patient s logbook entries add logbook entries for patients forward liter
55. lected 2 Click Profile dot one Logout AM EST TEXTSZEAAA Messages Progress Notes Logbook Standards of Care Beld Clinical P Settings p Profile Hi Support Team Healthcare T Update Section Name Ms Version one dot one Date of Birth 1 21 1955 female Address 1501 st paul st baltimore MD 21202 Daytime 654 657 5766 i SN Email wd testdm v1 gmail com GE EN e maks GIEL to cell phone information go to the Settings section More about Me Update Section Click on Update Section to tell us more about you This information helps us help you What is your marital status What is your primary language What is your race What is the highest level of education you have completed Do you have any of the following physical conditions that make it harder for you to take care of yourself What is your occupation When are your typical work hours and days What is your individual income Have suggestions or comments to make DiabetesManager even better Contact WellDoc Terms amp Conditions O User s Manual 6 18 3 Review the existing settings To change profile entries 1 Click Patient profile on the left navigation bar The Patient Profile screen appears with Profile selected 2 Click Profile 3 Click Update Section in the Basics about Me or More about Me panes Patient Profile Reviewing Your Patient s Information The More about Me screen is shown
56. letter and one number It is case sensitive so if you type upper and lower case letters it will have to be entered in exactly the same way at the login screen Logging In Logging In Getting Started Once registration is complete see Registration on page 2 2 you can access DiabetesManager at anytime To access DiabetesManager d Go to www mydiabetes manager com Diabetes Manager Email address dleipoldBwelidocinc com Password Forgot Password It is recommended that you bookmark this page in your web browser so that you have quick and easy access to the application At the login screen enter your e mail address and your password Your e mail login is the same e mail address at which you received your Registration notification You set your password during registration If you have forgotten your password click the Forgot Password link Enter the answer to the security question set during registration and click Submit A new temporary password is sent to your e mail Return to the login screen and enter your e mail and the new password You are prompted to create a new permanent password If you have forgotten your e mail address please contact your account director Upon successful login the Patient List Screen is displayed L i User s Manual 2 3 Understanding the Interface Getting Started Understanding the Interface The DiabetesManager user interface is designed to be user friend
57. login divya Active test settings 11 28 1964 Registration Complete Isenberg Joseph 4 1 1964 EI Active meds two test 1 1 1971 Active meds test 3 28 1964 EI case manager login divya Active one dot one Version H D 1 21 1955 Lol case manager login divya Active regf test Page 4 View 25 v per page Have suggestions or comments to make DiabetesManager even better Contact WellDoc Terms amp Conditions View Using Your Patient List To view or change all other populated items contained in the summary row click the item Note Only the items that apply to the specific patient are shown in the patient s row Some cells in the table may be empty For example if there are no progress notes the progress notes cell will be empty Setting Patient Risk You can edit the patients risk status by clicking the edit icon Select from the pulldown to indicate whether you consider the patient to be low risk medium risk or high risk User s Manual 5 2 View Using Your Patient List Drilling Down to Patient Details Top Navigation Bar To drill down into the patients details click the name of the patient in the Patient Summary Table You are placed in the Patient Summary page Requires Attention This patient has restricted use of DiabetesManager until the following information is confirmed by you Profile Blood Glucose Summary AFTER EEE EN 400 70 130 70 170 70
58. ly and easy to use You can access all major features of the application from the left navigation bar Screen Title Patient f User Information Name Text Size Control Area Diabetes come WE version one dot one Log Manag Left OEE 8 e r one dot one Version DOB 1 21 1955 Navigation bar Messages Progress Notes Logbook Standards of Care Patient Profile Clinical Profile Settings Expand All Collapse All This patient has restricted use of DiabetesManager until the following information is confirmed by you Medication List wv Blood Glucose Summary Top 1 4 se ler LUNCH AFTER LUNCH omer AFTER DINNER scone Navigation bar Yourfaverage 400 Past E ent ithe 152 400 Target 70 130 70 179 70 130 70 179 70 130 70 179 110 150 Expand Collapse arrows Yin target 25 5 e of blood glucose 5 4 S e e e S values lt 70 Pane Total of blood 8 0 4 0 0 o 0 luco e values All blood glucose values are assumed to be measured in mg dL The blood glucose targets shown are recommendations from the American Diabetes Association Talk with your healthcare provider about what is right for you The total of blood glucose values and in target numbers are calculated using all blood glucose values for a particular reading time i e before lunch or bedtime excluding any re check blood glucose values taken for very high or very low blood glucose values during that time Targets cannot De changed at
59. mber sl 10 el 2009 sl RI P Click Apply Change to change the sugar summary view below Averages are calculated and displayed in the table If only some information is available an asterisk is placed next to the value listed indicating that this may not be a true average 97 110 128 128 If not enough entries have been added data may not be displayed at all High and low sugar reading are shown in red You can turn the color coding off by checking the turn color off box Understanding Pairs A pair looks at two different blood sugars related by an event such as a meal or sleep Mealtime pairs are blood sugars taken right before eating and again 1 1 2 to 2 hours after the start of the meal Mealtime pairs show the average before meal blood sugar the average after meal blood sugar and the difference between the two This gives you a look into how food and mealtime medication affects your patient s blood sugar The overnight pair looks at blood sugars at bedtime and blood sugars in the morning fasting before breakfast Overnight pairs show the average bedtime blood sugar the average fasting before breakfast blood sugar and the difference between the two This shows you how blood sugar is changing overnight This page provides an overview of the following patient information e Lab values e Exam dates e Lifestyle behaviors e Weight and BMI e Recommended labs exams and shots
60. mg 2 pill s Dinner Bedtime 11 18 2009 1 25 250 mg 3 pill s 08 00am 08 30am 11 18 2009 04 00am 04 30am gt Medication History gt Allergies Side Effects gt Insurance Pharmacy and Supplies comments to make DiabetesManager 3 Click the Accept icon to validate the change or the Reject icon to reject the change Your patient is notified of your changes Messages Clicking the messages in the summary table of the message option in the top navigation bar takes to you to the Message Center specifically for this patient See Using the Message Center on page 4 1 for more information Progress Notes You can create notes about your patient that include general progress and follow up dates Current notes are listed in the Patient Summary table Clicking on them takes you to the note details and the ability to edit them or close them when they are no longer User s Manual 5 5 Patient Settings Using Your Patient List pertinent You can create new notes for a patient using the Progress Notes option in the top navigation bar and clicking Create Note Diabet te 5 Welcome hep version one dot one Logout Manage EST 2 2009 TEXTSZEAAA one dot one Version DOB 1 21 1955 Messages Logbook Standards of Care PatientProfile Clinical Profile Settings Expand All Collapse Al ed Create a note CCC Ai Gon one dot one Sorg Kaes A Version one dot one came ote ay View 5
61. n bar The Patient Summary table is displayed Select the desired patient in the Patient Summary table Select VNSNY Forms from the top navigation menu Select Encounter from the top navigation submenu This is default selection In This Chapter e Encounter Form e Admission e Provider e Goals e Discharge 7 1 Encounter Form Recording Patient Homecare Activity If there are existing forms they are listed in the Encounter Summary table Welcome div cm test Logout Last Login 1 6 2010 2 48 PM EST CE No encounter s are available VE 5 Click Add New Encounter User s Manual 7 2 Encounter Form Recording Patient Homecare Activity The encounter form wizard appears Welcome div cm test Logout Diabetes Last Login 1 6 2010 2 48 PM EST Manager TEXTSZE AAA Messages Progress Notes Logbook Standards of Care Patient Profile Clinical Profile Settings Kids PEncounter Admission Provider Goals Discharge z 5 3 Notes A output 1 Encounter 2 Form Started 1 7 2010 9 31 AM EST Setti mn Security Interaction Visit E Date Je Time Start AM lx Time End 1 Laus Visit Type select jw ason for non visits E all tact FR lie t t E Technolo Completed Select le Distance Traveled miles Location Select x Participants Involved I Client F Sibling s I Other Relative s I Physician T CDE IF Other Healthcare Provider I Friend s
62. nly see the name of the medication in their logbook entry screen To validate medication In the patient list click the Aiicon in the Patient s summary row You may also click the patient name to see the Patient Summary window The validation window appears Click the item type in the Requires attention pane that you wish to validate Messages Using Your Patient List The validation window appears for the item selected Diz bete Welcome hep v Manage Last Login 1 ion one dot one Logout 009 10 51 AM EST TETSZE AAA one dot one Version DOB 1 21 1955 Messages Progress Notes Logbook Standards of Care Patient Profile fN Labs amp Exams Settings Expand All Collapse All EI Active Medication List w Medications for You to Confirm f The following medication changes were made by your patient Please review for accuracy before you accept the changes If you do not agree with the change please reject D the change Your patient s active medication list will be updated accordingly FS cance en ree EE SE A t rr H Change Apidra gt Insulin Carb Breakfast 11 30 2009 Daily Ratio New 1 5 unit s 11 30 2009 3 unit s As Needed gt 200 11 23 2009 Reject Change Glipizide 5mg 1 5 pill s Breakfast 11 30 2009 g Daily Change Glyburide Micronized 1 25 250 mg 2 5 pill s Breakfast 11 30 2009 Metformin Daily 1 25 250 mg 1 pill s Lunch 11 18 2009 1 25 250
63. nts in that it has an inbox outbox and sent drafts and saved items folders The DiabetesManager may send you messages about your patient that need your attention or patients may send you messages Some messages are based on defined thresholds set in the system for your patient The message system has the following features Inbox Message are received from the DiabetesManager system or from the patient Messages can be general communication or items that need your attention Compose Ability to compose messages for communication with your patients Sent Items Record of messages that were composed Outbox Messages that are currently being sent Drafts Messages that were composed but not sent Messages were saved to this folder Saved Messages that have been specially marked to save Note You can control whether your patient can initiate communication with you see Patient Communication on page 3 2 In This Chapter e Composing Messages e Reading Messages e Deleting Messages e Searching for Messages 4 1 Composing Messages Using the Message Center Composing Messages You can compose messages that are sent directly to your patients Use the message system To compose new messages in between SSC appointments to 1 Click Message Center on the left navigation bar communicate non The messages in your inbox are displayed urgent information to your patient 0 saus row Jas ATERE
64. ok medications and other medical information as well as a method for private communication between you and your patient Two types of healthcare providers can utilise the DiabetesManager HCP Web based application a prescribing HCP pHCP and non prescribing HCP npHCP You are a pHCP if you have a license to write prescriptions You are a npHCP if you provide care to patients but are not licensed to write prescriptions This document describes how to use the DiabetesManager HCP Web based application All features are visible to all HCPs but a few features may only be executed by pHCPs The differences are noted within the manual DiabetesManager helps you manage your patients diabetes The application provides e Educational articles and diabetes tips for you to share with your patients e A logbook that contains data such as blood glucose reading entered by your patients e A message center for better communication between you and your patient e Your patients personal health history In This Chapter Key Features Understanding the DiabetesManag er System Intended Audience Conventions Getting Help 1 1 Understanding the DiabetesManager System About this Guide Understanding the DiabetesManager System Intended Audience Conventions Getting Help User s Manual 1 2 The HCP Web based application is part of the DiabetesManager system The system contains the following components e A mobi
65. on Add a Note GED Have suggestions or comments to make DiabetesManager even better Contact WellDoc Terms amp Conditions 4 Select Save after you have modified information You can also Add More Info such as notes or additional medication to this entry or Delete it by clicking those buttons L User s Manual 6 8 Logbook Reviewing Your Patient s Information Sugar Summary You can view a summary based on blood sugar readings that evaluates the data you have entered and provides you with averages and pair information 1 Select Logbook from the top navigation menu The Logbook Calendar View is displayed 2 Select Sugar Summary The Sugar Summary screen is displayed SUGAR SUMMARY T tum color off OVERALL MEAN 125 mg dL This is the mean of ALL blood sugars entered during this date range including values taken before after exercise in the middle of the night etc The chart below only displays the average blood sugars for meals and bedtime BREAKFAST AFTER LUNCH AFTER AFTER FASTING BREAKFAST INCH DINNER oen 140 142 97 110 128 1287 Pastaverage 270 200 125 Target 70 130 70 170 70 130 70 170 70 130 70 170 100 150 in target 14 100 67 100 67 100 of sugars lt 70 4 Total of sugars H 1 3 3 3 3 D Note All blood sugars are assumed to be measured in mg dL What is a pair A pair looks at TWO different blood sugars related by an event such as a meal
66. oviders are secure and HIPAA compliant DiabetesManager without first signing this disclaimer that explains that their healthcare providers are NOT responsible for reading or responding to any of the patient s information published in the DiabetesManager Would you like to allow patients to contact you through DiabetesManager Message Center Yes You will still be able to send messages to your patients even when you select No to this question Communication from the System Receive an email when there are messages waiting for you in your DiabetesManager inbox Yes You will never receive more than one email per day Your Signature for Outgoing Messages Regardless of your communication settings above please define your signature Name displayed as From when composing a message hep version one dot one Footer shown in messages you compose Have suggestions or comments to make D Terms amp Conditions 2 Click Edit Settings The Update Settings dialog appears 3 Enter the desired information in the Your Signature for Outgoing Messages pane 4 Click Save Changing Your Password You can change the web application login password Your password is case sensitive and must e Have 6 to 10 characters e Have at least one letter e Have at least one number e Be easy for you to remember Write down your new password and keep it in a safe place User s Manual 3 4 Changing
67. rom Yes visit completed cancelled en route up to 1 hour before attempted client not at home attempted client refused visit not rescheduled or attempted client refused visit rescheduled This is a required field Enter the number of miles traveled to see the patient and select the location where you saw the patient This is a required field Check the boxes next to all of the participants that were present at the encounter This is a required field If a text entry box appears enter the name of the participant Click Add to add additional names of participants of this type Click the module radio button Education or Lifestyle Select the descriptor for the module Check the boxes next to the type of Assessments Screening that happened during the encounter Click Next Go to Clinical Assessment on page 7 5 Record calls Enter the date of the encounter using the calendar provided and include the start time of the encounter Select the indicator for visit completion from the Completed pulldown You can choose from Yes visit completed cancelled en route up to 1 hour before attempted client not at home attempted client refused visit not rescheduled or attempted client refused visit rescheduled This is a required field Check the boxes next to all of the participants that were present at the encounter This is a required field If a text entry box appears enter the name of the participant Click
68. s Notes EEGEN Standards of Care Patient Profile Clinical Profile Settings Calendar View Blood Glucose Summary EnterNewInfo Add Old Info Bed Have suggestions or comments to make DiabetesManager even better Cont Terms amp Conditions 3 Select the desired menu item and submenu item if required The following menus are available Meal Info Enter information before they ate a meal Bedtime Enter information before they go to bed Just Take Meds Only enter the medications they are taking Just Check Sugar Only enter blood sugar readings After Meal Enter information related to 1 2 hours after the start of a meal Exercise Info Enter information before exercise After Exercise Info Enter information related to the exercise just done Make A Note Add a note to entries about eating medications feelings schedule activity and anything is important to note User s Manual 6 3 Logbook Reviewing Your Patient s Information Diabetes Manager User s Manual 6 4 An example of a submenu is the Meal info submenu Welcome hep version one dot one Logout Last Login 12 2 2009 11 40 AM EST TEXT SZE AAA Messages Progress Notes BMeldel Standards of Care Patient Profile Clinical Profile Settings Blood Gluc ummary Enter New Info Breakfast Ad 4 Continue navigating through the screens until you reach the desired data entry screen Messages Progress Notes
69. se select the patient and then select Settings from the top navigation bar Communication with your Patients DiabetesManager offers a unique and secure Message Center that allows you to communicate with large volumes of patients in a personalized manner Some highlights of the Message Center are e From your computer you can create messages to be sent to your patients cell phones Your Patients Agreement e You can be confident that unlike email any messages sent to or from your patient or other Patients can not participate in healthcare providers are secure and HIPAA compliant DiabetesManager without first signing this disclaimer that explains that their healthcare providers are NOT responsible for reading or responding to any of the patient s information published in the DiabetesManager Would you like to allow patients to contact you through DiabetesManager Message Center Yes You will still be able to send messages to your patients even when you select No to this question Communication from the System Receive an email when there are messages waiting for you in your DiabetesManager inbox Yes You will never receive more than one email per day Your Signature for Outgoing Messages Regardless of your communication settings above please define your signature Name displayed as From when composing a message hep version one dot one Footer shown in messages you compose
70. ted Have suggestions or comments to make DiabetesManag en better Contact WellDoc Terms amp Conditions 1 is a low rating and 5 is the highest positive rating 2 Enter the percent of planned content that was covered during the encounter 3 Enter the percentage of time spent on each item listed User s Manual 7 8 Admission Admission Recording Patient Homecare Activity The total value must equal 100 Check all the boxes for the type of referrals you suggested Enter the names of the educational material you distributed Enter the names of the forms you completed during the encounter Click Save Se ION a Editing an Existing Encounter To record patient interaction 1 Click Patient List on the left navigation bar The Patient Summary table is displayed 2 Select the desired patient in the Patient Summary table 3 Select VNSNY Forms from the top navigation menu 4 Select Encounter from the top navigation submenu This is default selection If there are existing forms they are listed in the Encounter Summary table Welcome div cm test Logout Last Login 1 7 2010 10 07 AM EST TEXTSZE AAA required Div Pt DOB 9 22 1963 Messages Progress Notes Logbook Standards of Care Patient Profile Clinical Profile Settings MGCDOKdD pEncounter Admission Provider Goals Discharge Encounter List CC NES 1 7 2010 Visit Edit Have suggestions or comments to
71. ticipating in the program Yes No Admission Information Was the patient approved for admission Yes No Comments comments text a Cell Phone Information Provided Yes No Comments Comments text Save ggestions or comments to make DiabetesManag d n oc Terms amp Conditions O User s Manual 7 10 5 Enter information about how the patient was referred to the program in the Referral pane 6 If the patient was called by VNSNY about participating in the program click Yes if not click No 7 If the patient was approved for admission click Yes if not click No Enter comments if needed 8 If the patient cell phone was provided click Yes if not click No Enter comments if needed 9 Click Save Provider Provider Goals Recording Patient Homecare Activity The provider form provide baseline clinical information as recorded by the provider To record provider information 1 Click Patient List on the left navigation bar The Patient Summary table is displayed 2 Select the desired patient in the Patient Summary table Di Select VNSNY Forms from the top navigation menu 4 Select Provider from the top navigation submenu The Provider form appears Patient ist required Div Pt DOB 9 22 1963 Messages Progress Notes Logbook Standards of Care Form Started 1 7 2010 2 35 PM EST 3 most recent Ac levels
72. tion Add the medication from the lists of medications you are currently taking Click Save To add a new medication to the list see Medications on page 6 8 6 After all data has been entered select Save Adding Old Information in the Logbook You can enter information that happened earlier such as blood sugar readings you took You can enter information from anytime after you completed registration of the product 1 Select Logbook from the top navigation menu The Logbook Calendar View is displayed 2 Select Add old info A calendar is displayed Choose the date To select the day click on the date C3 September 2009 LES abe 30 31 1 2 3 4 2 sz EN 3 Select the date the activity occurred User s Manual 6 5 Logbook Reviewing Your Patient s Information User s Manual 6 6 N A time entry window appears Choose the time When was this info from HH 03 MM 4pm 4 Add To Logbook Select the time the activity occurred Use the up and down arrows Include hours minutes and am or pm Click Add to logbook The Enter Old Info Window appears See Entering New Information on page 6 1 for details on menu selections and entering data Select the desired menu item and submenu item if required Enter the data such as blood sugar number or carbohydrate count Select Save Viewing Editing Information in the Logbook The last two weeks worth of entries are disp

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