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CareConnections User Manual

1. Reports Patient Id Phase Survey Submitted 4 Intake Interim Discharge 203831 Intake 12 29 2011 12 27 2011 189745 Discharged va 12 6 2011 11 28 2011 12 7 2011 12 9 2011 Forms 185427 Discharged mi 11 30 2011 11 30 2011 11 30 2011 11 30 2011 Paoa Werksheats 125478 Payer Detail 11 30 2011 11 30 2011 Patient Satisfaction 15198 Discharged va 11 18 2011 11 1 2011 11 18 2011 11 17 2011 123456 Diagnosis 9 16 2011 9 12 2011 Administration 116425 Intake v 9 2 2011 9 1 2011 9 2 2011 Clinic Information 56324 Intake v 7 6 2011 6 30 2011 7 6 2011 Custom Report Groups 131531 Discharged v 6 30 2011 6 30 2011 6 30 2011 6 30 2011 Insurance Setup 98822 Payer Detail 6 30 2011 6 30 2011 Treating Practitioner Setup 154678 Intake va 6 23 2011 6 23 2011 Referring Practitioner Setup 131531 Payer Detail 6 22 2011 6 22 2011 Clinic Users 98822 Intake 5 23 2011 5 23 2011 6 6 2011 Agreements 565656 Discharged v 5 17 2011 5 17 2011 7 20 2011 465239 Intake 5 16 2011 4 30 2011 Page 1 of2 gt mi View 1 15 of 22 Select Reporting Quarter Manage Treatment Episodes Outcomes Treatment Registrations Advanced Search Report Quarter Select a quarter 7 Reports Outcomes Patient Satisfaction Forms Patient Worksheets Patient Satisfaction Administration Clinic Information Custom Report Groups Insurance Setup Treating Practitioner Setup Referring Practitioner Setup Clinic Users Agreements 1st Qtr 2006 4th Qtr 2005 Select appropriate catego
2. Report includes the following measures Patient Population Functional Improvement Visits and Acuity Acute vs Chronic 66 User Manual Version v4 15 06 PELVIC FLOOR REPORT Unique to Pelvic Floor this report summarizes all information collected from the Pelvic Floor outcomes form It includes summarized functional improvement decrease in pain and visit information in combination with graphs of condition distribution leakage frequency and pelvic floor function questions CARE CONNECTIONS PELVIC FLOOR REPORT 3rd Quarter 2012 Pelvic Floor Outcomes 201202 Clinic Rolling Network National Year Rolling Year Rolling Year Condition Distribution PELVIC FLOOR E A Bladder incontinence fy B Urinary urgency frequency ME C Bowel incontinence E D Fecal urgency E Petvic perineal pain E F Other Pelvic Floor Function Questions 1 10 Leakage Frequency Questions 11 13 Work Activities Travel Sleep times night your sleep is interrupted Number of bowel urine leakage Sitting through long events more than 3 hours accidents per 24 hours Physical Activity Exercise Number absorbent products used per day to manage your condition Intimate Relationships Household Activities Frequency of daytime urination Facility SubTotal Activities without bathroom access Frequency of nighttime urination 0 0 2 GE Intake E Discharge GE Intake m Discharge 67 User Manual Version v4 15 06 Quarterly Reports
3. If you experience any technical difficulties or have questions regarding the CareConnections web site please email support careconnections com You may also contact CareConnections support at 800 219 8835 and choose option 7 to reach a CareConnections support technician For questions about Outcomes System procedures scoring and application you may email support catreconnections com or telephone a CareConnections support technician phone information listed above 73 User Manual Version v4 15 06 User Manual Version v4 15 06 74 CONNECTIONS CARECONNECTIONS PARTICIPANT AGREEMENT This agreement represents the complete agreement and understanding between CareConnections and the account holder and supersedes any other written or oral agreement Upon notice CareConnections may modify these terms and conditions amplify them and or modify the prices and services offered 1 0 PROVISION OF SERVICES 1 1 CareConnections will provide services to participant in exchange for payment by the responsible party and compliance with the terms and conditions of this document 1 2 CareConnections Outcomes services are defined as the management and reporting of clinical outcomes and associated patient data for the benefit of account holders Data submitted becomes the property of CareConnections 1 3 CareConnections and its employees agree to maintain the confidentiality of the data reported and will only release blinded and agg
4. This role can view outcomes and patient satisfaction reports Report viewer cannot enter registrations access Administration links or view registrations Pat Sat Survey Viewer This role is only applicable to Patient Kiosk users collecting patient satisfaction surveys This role will allow an Administrative user to view patient satisfaction surveys for individual patients in the Print Assessment History document available in the right click menu on the Treatment Registrations page 19 User Manual Version v4 15 06 Administration Clinic Users continued e New User Activation E Fach new user you create will receive an email with a user name and temporary password that will enable the user to create his her own password e Delete User Account E To delete a user account you must be an Administrator Click on the user name you wish to remove to highlight the user Click on Remove User s button to remove the account Manage Treatment Episodes Clinic User Setup Treatment Registrations Advanced search Reports Registration Registration Username 4 Administrator a Creator Viewer Report Viewer Outcomes dataguy m Patient Satisfaction i tutor1 v Forms Patient Worksheets Patient Satisfaction Administration Clinic Information Custom Report Groups Insurance Setup Treating Practitioner Setup Referring Practitioner Setup Clinic Users Agreements E Confirm deletion to remove account or select Cancel to keep acc
5. PATIENT SATISFACTION Select the Patient Satisfaction link under Reports to view Patient Satisfaction Reports Manage Treatment Episodes My CareConnections Treatment Registrations Incomplete 17 Active 22 Complete 5 Survey 10 Advanced search Patient Id Search New Registration Reports Patient Id Phase Survey Submitted lt Intake Interim Discharge Outcome a 203831 Intake 12 29 2011 12 27 2011 Patient Satisfaction 189745 Discharged v 12 6 2011 11 28 2011 12 7 2011 12 9 2011 Forms 185427 Discharged v 11 30 2011 11 30 2011 11 30 2011 11 30 2011 Patient Worksheets 125478 Payer Detail 11 30 2011 11 30 2011 Patient Satisfaction 15198 Discharged Y 11 18 2011 11 1 2011 11 18 2011 11 17 2011 123456 Diagnosis 9 16 2011 9 12 2011 Administration 116425 Intake v 9 2 2011 9 1 2011 9 2 2011 Clinic Information 56324 Intake v 7 6 2011 6 30 2011 7 6 2011 Custom Report Groups 131531 Discharged wa 6 30 2011 6 30 2011 6 30 2011 6 30 2011 Insurance Setup 98822 Payer Detail 6 30 2011 6 30 2011 Treating Practitioner Setup 154678 Intake v 6 23 2011 6 23 2011 Referring Practitioner Setup 131531 Payer Detail 6 22 2011 6 22 2011 Clinic Users 98822 Intake 5 23 2011 5 23 2011 6 6 2011 Agreements 565656 Discharged v 5 17 2011 5 17 2011 7 20 2011 465239 Intake 5 16 2011 4 30 2011 Page 1 of2 p gt pi View 1 15 of 22 Select Reporting Quarter Manage Treatment Episodes Patient Satisfaction Treatment Registrations Advanced Search R
6. User Manual Version v4 15 06 CONNECTIONS SCORING THE PATIENT WORKSHEET continued SCORING THE PAIN ANALOGUE SCALE 1 The pain analogue scale is a 10 centimeter visual analogue scale that must be measured with a ruler NOTE If Pain Index line on your patient worksheets measures less than 10 cm you will need to re print the worksheet and set page scaling options to None or Actual Size in your print dialogue box 2 Score for Pain Index is the number on the ruler in cm that corresponds to the patient s mark on the pain scale 3 Report all scores to the nearest tenth of a cm e g 7 2 3 4 SCORING THE GLOBAL RATING OF CHANGE SCALE 1 Enter numeric value circled by patient If patient marks between two numbers select the lower of the two values 7 6 5 4 3 2 1 0 1 2 3 4 5 6 7 Very Much Worse Unchanged Completely Recovered User Manual Version v4 15 06 CONNECTIONS ll Logging in to CareConnections Getting Started For new participants your user name and a temporary password will be sent to you via email When you log into CareConnections for the first time you will be required to change your password Please be sure to make a note of your new login information For security reasons your password will be encrypted and CareConnections will not have a record of your new password once you update it e Log in to CareConnections web site E Go to www careconnections com M Click on Client Log
7. field to indicate if surgery is relevant to the patients condition Options include Non Surgical Post Surgical and Pre Surgical Once all required information is complete click on Save Changes to save record or click on Next to save and continue with registration Diagnosis w Interim Discharge PRIMARY DIAGNOSIS ICD 9 Code 724 x Filter by ICD 10 CO fees 2 0 SPINAL STENOSIS NEC AD Filter by ICD 9 724 00 SPINAL STENOSIS NOS Anatomic Group 724 01 SPINAL STENOSIS THORACIC oe f24 02 SPINAL STENOSIS LUMBAR 24 03 SPIN STEN LUMBER W CLAUD ICD 9 Code 724 09 SPINAL STENOSIS OTH SITE f24 1 PAIN IN THORACIC SPINE 24 2 LUMBAGO Anatomic Group YT 724 3 SCIATICA _ SECONDARY DIAGNOSIS Filter by ICD 107 ey ICD 10 Code Filter by ICD 9 I Surgery Select surgery type D i Registration Summary Save Changes Discard Changes 2 User Manual Version v4 15 06 Intake Outcomes data collected at initial evaluation and patient comorbidities make up Patient Intake Once all required information is complete click on Save Changes to save record click on Next to save and continue with registration or click on Save amp Close to save changes and return to active patient list E Function Calculator Function may be calculated manually or you may choose to use the Function Calculator click on Calculator link next to Functio
8. 1 9 and 11 12 The category report is a good way to see data for all of your Treating Practitioners in one report or all of your top 10 insurance payers Comparison rows are included for Clinic Quarter Clinic Rolling Year Network Quarter Network Rolling Year and National Rolling Year PLEASE NOTE Only clinics that submit bar coded patient satisfaction reports will be able to utilize this report Generic surveys cannot be tied back to treating practitioner or insurance payer information Network Reports Network reports are available to network administrators only Networks are comprised of group practice clinics hospital systems and or Independent Practice Associations Networks have access to the same report types as clinics but the reports include access to all member clinics of a network rather than a single clinic Networks also have the ability to drill down to clinic level reports via the Network Clinics link Because network reports are generated at a higher level than Clinic reports one report type can be run to directly compare network clinics together in one report Report types that include Clinic comparisons are Overview Reports for Outcomes and Patient Satisfaction Select Clinic as a Primary report category to get a report that includes all clinics for your network Some combinations allow you to select Clinic as a secondary category as well 12 User Manual Version v4 15 06 X Contact and Technical Support Information
9. 8 multiplied by total possible for each question 5 for a total possible score of 40 8 X 5 37 divided by 40 92 Note that percentages are scored as whole numbers 4 Function may also be scored automatically using the Function Calculator on data intake screens A Calculator symbol will appear next to Function field on data intake screens Click the link to score initial interim or final function FUNCTION CALCULATOR After you select a problem area during the Intake phase of data entry note the Calculator symbol next to the Function field Click on the Calculator link and an online version of the functional questions for the selected problem area will be displayed Select the responses marked by the patient on the patient worksheet Once you complete all of the questions click on the Calculate button The function calculator will close and your functional index score will be complete Function Calculator score values for each question on the patient worksheet will be saved in the CareConnections system Clinics that consistently do this will have access to a Function Question report at the end of each quarter that will show comparative values for each individual question 5 NOTE Patient Kiosk users will not have to score function as it will automatically be scored and inserted into your CareConnections registrations for the appropriate assessment See CareConnections Kiosk Manual for additional information
10. A 5 17 2011 5 17 2011 7 20 2011 Page 1 of2 p gt ri View 1 15 of 23 Generating a Bar coded Survey In order print a bar coded satisfaction survey you must complete at a minimum the Demographics phase of a patient registration Following is an example of the process to follow in otder to administer a bar coded Patient Satisfaction Survey to a patient 1 On initial visit patient completes relevant Outcomes form 2 Sometime before patient s last visit clinic enters and saves patient demographic information 3 Return to Treatment Registrations page and right click on patient registration in the active patient list see above to print a survey Keep printed survey in patient s chart until you request the patient to complete it NOTE Patient Satisfaction survey should be given to patients on their last visit but you may choose to hand out the survey before discharge as well You should NOT request completion of the patient satisfaction survey on initial visit unless patient is only being seen for one visit 38 User Manual Version v4 15 06 CONNECTIONS Patient Satisfaction continued Completing Patient Satisfaction Survey Registration In order to receive reports for bar coded surveys collected from your patients you must complete the registration 1 Return to patient registration and complete all registration phases to complete the record 2 If patient self discharges without interim or discharge outcomes assessment c
11. Agreements 2946875 Diagnosis 9 19 2014 9 10 2014 Page i of6 p gt pi View 1 15 of 80 New Registration Click the New Registration button to start a new patient registration Registrations are broken down into phases You may close a registration after saving any completed phase and return later to edit or enter additional information Patient Satisfaction and Patient Kiosk users need only complete the Demographics phase in order to generate a bar coded patient satisfaction survey or queue a patient assessment to the kiosk though they will need to complete Payer Detail Diagnosis Intake and Discharge phases in order to complete the registration and make it available for reporting See pages 38 39 for details on generating patient satisfaction surveys Required registration fields are noted by a bold text heading Required fields must be completed in order to save a registration phase Demographics This phase represents the minimum amount of information required to save a patient registration in CareConnections Saving demographic information allows you to print a bar coded patient satisfaction survey or queue a patient assessment to kiosk before completing the rest of the registration phases Once demographic information is complete click on Save Changes to save record or click on Next to save and continue with registration Edit Treatments q Demographics gt Diagnosis Intake Interim Discharge Patient ID TestReg1 Date of B
12. Diagnosis Problem Area Starting Pain Insurance Type Work Status Acuity Age Range Starting Function Surgery Diagnosis Problem Area Starting Pain Insurance Type Work Status Acuity Age Range Starting Function Surgery Diagnosis Problem Area Starting Pain Insurance Type Work Status Referring Practitioner Treating Practitioner 63 DEMOGRAPHIC REPORT Demographic Reports are designed to view outcomes for a single category and value in a single page format For example this report would show the overall outcome results for a Primary Category selection of Clinic It would also be the way to view overall outcomes for a single problem area i e Primary Category Problem Area Value Cervical Thoracic Select the Category filters for the report Primary Category Problem Area A D Value Please select Please select ALL Cervical Thoracic Hand Lower Extremity Lumbar Upper Extremity Multi Site Get Report Cancel LE Report includes the following measures Patient Population Age Acuity Surgery Status Work Days Lost Functional Improvement Decrease in Pain and Visits Categories for the DEMOGRAPHIC report include the following selections Primary Category Acuity Age Range Surgery Diagnosis Problem Area Insurance Payer Insurance Plan Insurance Type Referring Practitioner Treating Practitioner Clinic 64 User Manual Version v4 15 06 CATEGORY REPORT Category Reports ar
13. Mailing or Billing Address to view or edit M Click Save Contact Info button to save your changes Manage Treatment Episodes Treatment Registrations Advanced search Reports Outcomes Patient Satisfaction Forms Patient Worksheets Patient Satisfaction Administration Custom Report Groups Insurance Setup Treating Practitioner Setup Referring Practitioner Setup Clinic Users Agreements User Manual Version v4 15 06 Clinic Contact Information YV Physical Address p gt Mailing Address gt Billing Address Contact Name Clinic Admin User Email Address user yahoo com Street Address 101 Palm St Suite 201 Description City Portland State Oregon Zip 99223 Phone 503 5551212 Ext 2234 Fax 503 5551000 12 Administration Custom Report Setup Enter and maintain all Custom Report Groups in your clinic Custom Report Groups are optional and will allow you to track outcomes information by categories not identified in the default CareConnections fields Manage Treatment Episodes Report G roup Setu p Treatment Registrations Advanced search en f gt Reports T Outcomes ASTYM Patient Satisfaction Employer EWEB Forms a Litigation Patient Worksheets Polyclinic Downtown Seattle Patient Satisfaction Starbucks Administration University of Oregon Clinic Information Page 1 of 1 View 1 7 of 7 Custom Report Groups Insurance Setup Treating Practitioner Setup Referring Practitioner Set
14. Pain 0 6 o Global Rating of Change 3 Gi Work Status Return to work with modification mo Lost Work Days 20 Save amp Close Registration Summary Save Changes Discard Changes 32 User Manual Version v4 15 06 Reports Reports Quarterly Outcomes and Patient Satisfaction Reports will be posted here when they become available Click on the report category you wish to view Outcomes or Patient Satisfaction and select a reporting quarter from the dropdown list to see a list of available report links If no reports show for your clinic it means that you have no complete outcomes information entered for the specified reporting quarter Manage Treatment Episodes Treatment Registrations Advanced Search Outcomes Report Quarter Select a quarter Reports 4th Qtr 2012 3rd Qtr 2012 Outcomes 2nd Qtr 2012 Patient Satisfaction jar mi 3rd Qtr 2011 Forms 2nd Qtr 2011 Patient Worksheets he rod pdt Patient Satisfaction 3rd Qtr 2010 J 2nd Qtr 2010 F Administration pe eo so ce Clinic Information 3rd Qtr 2009 Custom Report Groups vay pena ncn Insurance Setup 4th Qtr 2008 3rd Qtr 2008 Treating Practitioner Setup 2nd Qtr 2008 Referring Practitioner Setup 1st Qtr 2008 4th Qtr 2007 Z Clinic Users 3rd Qtr 2007 Agreements heak 4th Qtr 2006 3rd Qtr 2006 2nd Qtr 2006 1st Qtr 2006 4th Qtr 2005 v Outcomes Reports Manage Treatment Episodes Outcomes Treatment Registrations Advanced Search
15. Portable Document PDF format You will need Adobe Acrobat to view and print Advanced Search Data Collection Sheet 119 kb PDF for clinic use only Reports Patient Worksheet 32 5 kb PDF Spanish ver 26 7 kb PDF Outcomes Fear Avoidance Belief Questionnaire 99 kb PDF Spanish ver 227 kb PDF Patient Satisfaction Or select from anatomically specific worksheets below Cervical Thoracic Spanish Russian Paliont Wakshowts Hand Spanish Russian Patie Lower Extremity Spanish Russian Administration Lumbar Spanish Russian Clinic Information TMJ Spanish Russian Custom Report Groups Upper Extremity Spanish Russian Insurance Setup Treating Practitioner Setup Neurological Patient Worksheet Spanish Russian Referring Practitioner Setup Pelvic Floor Worksheet Pilot phase Clinic Users We also have large print versions of the forms available in one easy to download file Agreements PDF Spanish ver IMPORTANT When printing the Patient Worksheets from Adobe Acrobat Reader you must disable all Page Scaling options Actual options may vary depending upon the version of Acrobat you are using For version 6 select None for page scaling For versions older than 6 you must uncheck the Shrink to Fit or Fit to Page options Forms include 10 cm measurement lines which must print orrectly in order to get a valid measurement Patient Satisfaction This link all
16. Report Quarter 3rd Qtr 2012 Reports YV Standard Reports Outcomes Overview Report Patient Satisfaction Profile Rep in Demographic Report Forms Category Report Self Discharge Report Patient Worksheets Function Question Report Patient Satisfaction Administration gt Neuromuscular Reports Clinic Information gt Pelvic Floor Reports Custom Report Groups Patient Satisfaction Reports Manage Treatment Episodes Patient Satisfaction Treatment Registrations Advanced Search Report Quarter 4th Qtr 2012 Reports Outcomes Patient Satisfaction For an explanation of reports and report terminology go to pages 54 72 of this manual User Manual Version v4 15 06 Y Patient Satisfaction Reports Patient Satisfaction Overview Report Patient Satisfaction Category Report 33 Forms Patient Worksheets This link takes you to a listing of available Patient Worksheets Most forms are also available in Spanish and Russian Adobe Reader is required to view and print forms A free version of the program may be downloaded from www adobe com Note printing instructions at the bottom of the page when printing patient worksheets In the Adobe Reader print dialogue box you must set Page Scaling to None or select Actual Size under Size Options for forms to print at the proper scale Manage Treatment Episodes Patient Worksheets Treatment Registrations Kiosk Queue 2 Download Patient Worksheets The Patient Worksheets are in Adobe
17. TO SAVE AND RETURN TO TREATMENT REGISTRATIONS PAGE 51 User Manual Version v4 15 06 3 Patient Discharge with Discharge Assessment When patient completes treatment and fills out a discharge assessment please complete the following fields COMPLETE DISCHARGE DATE NUMBER OF VISITS FUNCTION PAIN GLOBAL RATING OF CHANGE WORK STATUS AND LOST WORK DAYS Edit Treatments Discharge Discharge Date 1 30 2012 ma Patient Self Discharge No Discharge C Assessment Collected Number of Visits 12 ch Function 92 00 oD Pain 0 6 ch Global Rating of Change 6 GD Work Status Return to work with modification 0 Lost Work Days 20 Save amp Close Registration Summary Save Changes Discard Changes CLICK SAVE CHANGES BUTTON TO SAVE OR SAVE amp CLOSE TO RETURN TO TREATMENT REGISTRATIONS PAGE 52 User Manual Version v4 15 06 PATIENT SATISFACTION To print a Patient Satisfaction survey for a patient follow the instructions below Return to Treatment Registrations list by clicking on Treatment Registrations Link My CareConnections Treatment Registrations Advanced Sea Patient Id Search Incomplete 19 Active 25 Complete 6 Survey 13 New Registration Reports Patient Id Phase Survey Submitted 4 Intake Interim Discharge Outcomes TestReg3 Intake 1 26 2012 1 3 2012 1 12 2012 Patient Satisfaction TestReg2 Demographics 1 26 2012 1 2 2012 Forms TestReg1 Discharged 1 26 2012 12 15 2011 12 30 201
18. a grid format so that you can easily view and sort your patient records Clicking on a column name will sort the column in ascending or descending order Standard view includes columns for the following e Patient ID indicates patient identifier entered by user e Phase indicates last phase completed in registration see explanation of Registration Phases on pages 25 32 e Survey indicates whether or not Patient Satisfaction Survey has been printed for patient or completed via Patient Kiosk A check mark indicates that survey HAS been printed or completed via Patient Kiosk e Submitted date registration was entered into CareConnections e Intake date of initial visit outcomes assessment e Interim date of most recent interim progress assessment if applicable e Discharge date of patient discharge final outcomes assessment User Manual Version v4 15 06 22 My CareConnections Tools As the entry point to your CareConnections account the My CareConnections page includes some quick reference tools that may help you better manage your records Patient Counts Incomplete 17 Active 22 Complete 5 Survey 10 Each count heading Incomplete Complete Active Survey is a selectable link that will sort and return only patients in that heading category For instance clicking on Incomplete will return only incomplete records Incomplete Number of incomplete patient records These will not be repor
19. is broken down by question average score and response distribution percentage Comparisons are given for Clinic Rolling Year Network Rolling Year and National Rolling Year Each reported question also contains a comparative graph showing the percentage of patients that responded to a question with a response of Excellent The graph contains Clinic Quarterly Average Clinic Rolling Year average Network Rolling Year average and National Rolling Year average The Overview report contains three different filters for viewing your results Clinic Overview Contains summary information for questions 1 9 and 11 12 Office Staff Overview Contains summary information for questions related specifically to front office staff questions 2 4 in addition to an overall front office staff performance that combines results from questions 2 4 Therapist Overview Contains summary information for questions related specifically to Treating Practitioner questions 5 7 in addition to an overall practitioner performance that combines results from questions 5 7 T1 User Manual Version v4 15 06 PATIENT SATISFACTION CATEGORY REPORT cane 4th Quarter 2012 Patient Satisfaction Insurance Payer Total Surveys Bar Coded Surveys 105 105 Insurance Payer ar Code Facility Off Off Off in Tx Ins Ins Off Helpful Sched Caring esr Prog Serv Cow Staff 5 00 5 00 5 00 5 00 J Di a 3 70 3 70 5 00 73 g1 20 100 CONNECTI
20. only required if secondary diagnosis completed This should relate to the Secondary ICD 9 and or ICD 10 Surgery Indicate whether surgery is applicable to patient s condition Options include Non surgical Post surgical and Pre surgical INTAKE iv Problem Area Select problem area as indicated on completed Patient Worksheet Available Problem Areas relate to your selections for Primary and Secondary Anatomical Group in Diagnosis Phase Function Score tallied from Functional Index on Initial Patient Worksheet This value will always fall between 0 and 100 Always use patient s zni al worksheet for Intake score See also Scoring the Patient Worksheet page 6 or use Function Calculator to determine score NOTE An initial function value of 100 denotes a patient that is at 100 functional ability Patients in these cases will not be able to report any functional gain as a result Pain Score measured from Pain Index on Initial Patient Worksheet This value will always fall between 0 and 10 Always use patient s zzztia worksheet for Intake score See also Scoring the Patient Worksheet page 7 NOTE An initial pain value of 0 denotes a patient that is pain free Patients in these cases will not be able to report any decrease in pain as a result Acuity Days Number of days between onset of condition or exacerbation of symptoms if condition is recurring and initial evaluation date in your
21. plus pages and the processing time is much slower Selecting single values or selecting ALL only on a secondary filter will yield much better system performance and less pages to filter through to find what you are looking for Report includes the following measures Patient Population Functional Improvement Decrease in Pain Visits and graphs for Pain and Function change per visit 61 User Manual Version v4 15 06 Categories for the PROFILE report include the following selections Primary Category Secondary Category Starting Function Acuity Age Range Surgery Diagnosis Problem Area Starting Pain Insurance Type Work Status Surgery Acuity Starting Function Diagnosis Problem Area Starting Pain Insurance Type Work Status Diagnosis Acuity Age Range Starting Function Surgery Starting Pain Work Status Problem Area Acuity Age Range Starting Function Surgery Starting Pain Starting Pain Acuity Age Range Starting Function Surgery Diagnosis Problem Area Insurance Type Work Status Insurance Type Acuity Age Range Starting Function Surgery Diagnosis Problem Area Starting Pain Work Status 62 User Manual Version v4 15 06 PROFILE Report Categories Continued Primary Category Work Status Referring Practitioner Treating Practitioner Custom Report Group User Manual Version v4 15 06 Secondary Category Acuity Age Range Starting Function Acuity Age Range Starting Function Surgery
22. test 1 Discharged vY 10 8 2014 10 8 2014 10 9 2014 Clinic Users 22228 nterim 10 6 2014 10 6 2014 10 8 2014 Agreements 2946875 Diagnosis 9 19 2014 9 10 2014 Page i of6 p gt pi View 1 15 of 80 Demographics Phase Enter Patient ID DOB Gender Patient Email optional and Initial Evaluation Date Edit Treatments Payer detail Diagnosis Intake Interim Discharge Patient ID TestReg1 0 Date of Birth 11 16 1966 Fa T Gender Male a Tm Patient Email Gi Initial Evaluation Date 12 15 2011 CLICK ON SAVE CHANGES TO SAVE OR CLICK ON NEXT BUTTON TO SAVE AND PROCEED TO PAYER DETAIL PHASE 40 User Manual Version v4 15 06 Payer Detail Phase Insurance Payer Insurance Plan Referring Practitioner and Treating Practitioner must be manually selected from the pull down menus To add missing insurances or practitioners see detailed instructions on pages 14 18 SELECT INSURANCE PAYER Select Insurance Payer from the pull down menu you may type the first few characters of the name to narrow the list of options Edit Treatments Payer detail Diagnosis Intake Interim Discharge Insurance Payer Blue D Insurance Plan BlueCross BlueShield Federal Employee Program Premera BlueCross Referring Practitioner Regence BlueCross BlueShield of Oregon Treating Practitioner Regence BlueShield of Washington AST YM Employer Group Litigation Work Conditioning Next Registration Summary SELECT INSURANCE PLA
23. value denotes the number of points that must be attained on the CareConnections functional index between initial evaluation and progress point discharge to be deemed clinically relevant to the patient This is not statistical improvement but rather based on the patient s perception We utilize the Global Rating of Change GRoC from the end of the Care Connections form to help establish this number Average Change in function should be compared against MCID values to ensure that significant progress was made MCID is sometimes subdivided into patient groups to help differentiate between groups of patients that require different levels of improvement on the CareConnections Functional Index For instance lumbar patients with an acuity average of lt 15 days require 22 points of improvement on the CareConnections Functional Index to be considered meaningful while chronic patients gt 90 56 User Manual Version v4 15 06 days acuity only need 10 points to be clinically meaningful This is useful when trying to compare various clinics You must ensure that patient profiles acuity starting function etc are similar between clinics to make a valid comparison In the example image of the Overview Report above MCID values will be listed together on a page at the end of the report NOTE Not every combination of reporting categories will have an MCID to reference As the CareConnections database continues to grow we will eventually have addition
24. you search for Inactive Reported Registrations you will not be allowed to edit the registration but will instead be able to view a Registration Summary Patient Id Phase Survey Submitted Intake Interim Discharge 170295 i Intake ut 4 22 2011 20 2011 465239 Bink 5 16 2011 4 30 2011 Print Registration Summary of View 1 2 0f2 Print English Survey Print Spanish Survey User Manual Version v4 15 06 24 Registration Actions Once you have patients in your Treatment Registrations list you may right click on a record to perform the following actions Edit Print Registration Summary Print English Survey Print Spanish Survey and Delete Patient Kiosk App users will also have options for Queue Patient Assessment and Print Assessment History Manage Treatment Episodes Treatment Registrations Advanced search Reports Patient Id Outcomes 203831 Patient Satisfaction 189745 Forms 185427 Patient Worksheets 125478 Patient Satisfaction 15198 123456 Edit Print Registration Summary Print English Survey Print Spanish Survey Queue Patient Assessment Print Assessment History Delete Registration Phases Patient Id Search My CareConnections Incomplete 17 Active 22 Complete 5 Survey 10 Phase Survey Submitted 4 Intake Interim Discharge Intake 12 29 2011 12 27 2011 Discharged y 12 6 2011 11 28 2011 Queue Patient Assessment Discharged v 11 30 2011 11 30 2011 Print Registratio
25. 1 1 30 2012 Patient Worksheets 203831 Intake 12 29 2011 12 27 2011 Patient Satisfaction 189745 Discharged v 12 6 2011 11 28 2011 12 7 2011 12 9 2011 185427 Discharged v 11 30 2011 11 30 2011 11 30 2011 11 30 2011 Administration 125478 Payer Detail 11 30 2011 11 30 2011 Clinic Information 15198 Discharged v 11 18 2011 11 1 2011 11 18 2011 11 17 2011 Custom Report Groups 123456 Diagnosis 9 16 2011 9 12 2011 Insurance Setup 116425 Intake a 9 2 2011 9 1 2011 9 2 2011 Treating Practitioner Setup 56324 Intake vv 7 6 2011 6 30 2011 7 6 2011 Referring Practitioner Setup 131531 Discharged v 6 30 2011 6 30 2011 6 30 2011 6 30 2011 Clinic Users 98822 Payer Detail 6 30 2011 6 30 2011 Agreements 154678 Intake v 6 23 2011 6 23 2011 131531 Payer Detail 6 22 2011 6 22 2011 Page 1 of2 gt mi View 1 15 of 25 Right click on appropriate Patient ID from the active patient list Select Print English Survey to print a survey in English Select Print Spanish Survey to print a survey in Spanish Manage Treatment Episodes My CareConnections Treatment Registrations Advanced search Patient Id Search Incomplete 19 Active 25 Complete 6 Survey 13 New Registration Reports Patient Id Phase Survey Submitted 4 Intake Interim Discharge Outcomes TestReg3 Intake 1 26 2012 1 3 2012 1 12 2012 Patient Satisfaction TestReg2 Demographics 1 26 2012 1 2 2012 Forms TestReg1 Discharged 1 26 2012 12 15 2011 12 30 2011 1 30 2012 Patient Wor
26. ABLE ENTER SECONDARY DIAGNOSIS CODE AND SELECT SECONDARY ANATOMIC GROUP PRIMARY DIAGNOSIS ICD 9 Code 726 0 ADHESIVE CAPSULIT SHLI m Filter by ICD 10 ICD 10 Code Filter by ICD 9F L Anatomic Group Shoulder SECONDARY DIAGNOSIS ICD 9 Code 847 0 SPRAIN OF NECK Gq Filter by ICD 10 ICD 10 Code T Filter by ICD 9 LJ Anatomic Group Cervical Thoracic Surgery Win el pe a D Select surgery type Surgery field is required Non Surgical Post Surgical A E Pre Surgical Registration Summary Save Changes Discard Changes SELECT SURGERY TYPE TO INDICATE IF SURGERY IS RELEVANT TO PATIENT TREATMENT CLICK ON SAVE CHANGES TO SAVE OR CLICK ON NEXT BUTTON TO SAVE AND PROCEED TO INTAKE PHASE 45 User Manual Version v4 15 06 Intake Phase SELECT APPROPRIATE PROBLEM AREA FROM DROPDOWN LIST Problem area should match the patient worksheet completed by patient C intake Interim Discharge Problem Area S 2 Ts e ce e Ut ae x Function Select problem area Cervical Thoracic Pair Acuity Days Upper Extremity z Fear Avoidance Beliefs Questionnaire FABQ FABQ PA FABQ W m Comorbidities C None C High Blood Pressure C Cancer C Maladaptive Pain Response C Diabetes C Multiple Treatment Areas C Heart Condition C Obesity Litigation Is patient involved in litigation for this injury O Next Save amp Close Registration Summary Save Ch
27. All results can be submitted for benchmarking against therapy sites from around the country CareConnections Prior Authorization Advice System or PAS PAS ties it all together as a tool that permits 24 7 web based dissemination and acquisition of utilization management information PAS delivers prospective utilization of care in the form of an appropriate number of visits per specific patient condition along with an appropriate CareConnections Treatment Guideline PAS provides concurrent utilization management based upon initial measures and continued monitoring using the CareConnections Outcomes System and provider requests for additional treatment It also provides retrospective utilization management in the form of CareConnections Outcome reports and benchmarked utilization statistics The entire suite of CareConnections management tools present powerful yet cost effective systems for today s healthcare world Providers and payers alike can benefit from CareConnections component parts or their integrated ability to serve the needs of both value based and outcome oriented care to all rehabilitation patients User Manual Version v4 15 06 CONNECTIONS CARECONNECTIONS OVERVIEW AND DATA ENTRY INSTRUCTIONS This manual will instruct you on how to e Collect outcomes information e Log onto the CareConnections web site e Set up your account e Enter patient outcomes data online e Process patient satisfaction surveys e Retrieve an
28. CONNECTIONS Online Medical Data Collection and Management USER MANUAL CareConnections is a Suite of Services for Integrated Rehabilitation Management Developed by Therapeutic Associates Inc CONNECTIONS WELCOME TO CARECONNECTIONS As a CareConnections participant you have joined a unique league of clinicians who continually seek to assess the efficacy of therapeutic intervention Collection of outcomes and patient satisfaction data will provide you with information to improve the quality and efficiency of service delivery Additionally questions asked by referral sources and payers can be answered with a quantifiable response The value of outcomes data is influenced by the clinician s understanding of the applicability of information supplied by the outcomes collection procedure The system is not just a method of data collection but it contains indicators specifically selected to be an asset to development of functional goals The specific index score and pain response provide quantifiable documentation figures for reporting progress to referral sources or payers We have found that clinicians eventually come to rely upon the outcomes information as an integral part of therapy Our goal is to enhance your clinical practice with a product that can add value for the patient for the clinician and for the future of rehabilitation The outcomes system was developed by therapists to be user friendly understandable and easily ap
29. Insurance Carrier Payer For CareConnections purposes a carrier or payer is the underwriter or payer responsible for the financial costs of the claim As an example ACME insurance sells health insurance policies to employers and individuals They take in premiums from their customers and disburse dollars to providers for the medical claims submitted for the treatment given to ACMRB s enrollees ACME is responsible for the financial cost of the care hence they are an Insurance Payer CareConnections does not consider PPO networks as Insurance Payers What is an Insurance Plan Panel When applicable Insurance Carriers Payers will have multiple Insurance Plans to choose from in the CareConnections system An Insurance Plan may describe the type of insurance offered by the Payer ACME Health ACME Work Comp and ACME PIP MVA PNC Medicare is listed as an Insurance Payer with the general plans of Part A Part B and Railroad Medicare In cases where CareConnections is working closely with a group of outcomes system customers to collect more specific data for marketing to Insurance Payers we will add plans for the payer that include brand names or PPO networks User Manual Version v4 15 06 16 Administration Treating Practitioner Setup Enter and manage all Treating Practitioner names in your clinic Practitioner Setup includes NPI lookups through the CMS NPI Registry see below for details Manage Treatment Episodes Treatment Regi
30. M FORM You may close the registration at this point or continue directly to Discharge Phase by clicking on Next Edit Treatments Add New Date Func Pain GRoC LWD Visit 1 3 2012 86 00 6 20 1 12 2012 90 00 0 40 5 4 Registration Summary 49 User Manual Version v4 15 06 Discharge Phase You will have 3 options to consider for Discharge Walkthroughs have been provided for each scenario Scenarios include 1 Patient Self Discharge no interim or discharge assessment 2 Patient Self Discharge interim assessment completed but no discharge assessment 3 Patient Discharge with Discharge Assessment 1 Patient Self Discharge No Interim or Discharge Assessment If patient drops out of treatment prior to discharge without completing interim or discharge outcomes assessment please complete the following fields COMPLETE DISCHARGE DATE last date seen in clinic CHECK PATIENT SELF DISCHARGE NO DISCHARGE ASSESSMENT COLLECTED BOX SELECT SELF DISCHARGE REASON FROM DROP DOWN MENU Edit Treatments Discharge Date 1 30 2012 il Patient Sel Discharge No Discharge Assessment Collected Sel Discharge Reason SAGA IETS aE Srl eee mw D Use Last Interim Assessment 1 elect a seli discharge reason a Financial Reasons Number of Visits T Other Function Patient did not Complete Discharge Assessment I Pain Patient Dropped Out w o Notification 0 Fatient had Surgery Global Rating of Change m Patient Moved A
31. M OR DISCHARGE PHASE 47 User Manual Version v4 15 06 Registration Summary REGISTRATION SUMMARY WILL AUTOMATICALLY OPEN AFTER COMPLETION OF INTAKE PHASE CLOSE SUMMARY TO CONTINUE WITH REGISTRATION For more information about the registration summary please see the following news article http www careconnections com news 2014 07 21 reg sum update html DEMO CLINIC REGISTRATION SUMMARY PATIENT ID TestReg3 CHANGE IN FUNCTION 0 00 STATUS Intake 1 3 2014 CHANGE IN PAIN 0 00 TREATMENT OBJECTIVES Clinically Meaningful Change Function MCID 7 Pain MCID 2 based on Problem Area amp Starting Function RISK ADJUSTED EXPECTED OUTCOME NATIONAL AVERAGE 16 15 points of functional change and 2 97 points of pain change over 9 60 visits for an average functional change per visit of 1 68 PROVIDER AVERAGE 14 97 points of functional change and 2 71 points of pain change over 6 01 visits for an average functional change per visit of 1 87 Based on Problem Area Cervical Thoracic Starting Function Range 66 50 100 00 and Age Range 50 64 DIAGNOSTIC SUMMARY Pri Diagnosis Code 647 0 SPRAIN OF NECK Problem Area Cervical Thoracic Pri Anatomic Grp Cervical Thoracic Acuity Days 16 30 Sec Diagnosis Code NIA Surgery Non Surgical Sec Anatomic Grp FABOPA 14 Comorbidities ne FABOW 26 ASSESSMENT HISTORY gt CMS Severity Complexity Modifier CJ PATIENT INFORMATION Patient ID TestReg3 Pri Ins
32. N Select Insurance Plan from the pull down menu Edit Treatments Payer detail Discharge Insurance Payer Regence BlueCross BlueShield of Orn qy Insurance Plan ES Ete a eee ee Ba ta Referring Practitioner Select insurance plan Access Access Panel Treating Practitioner Blue Choice Medicare Advantage Pref Choice 65 1st Choice 65 ASTYM P Care Preferred Care F w 2 Work Condi PAR PPO Participating Provider PPP Preferred Provider Panel Next The Insurance Plan field is required Registration Summary Save Changes Discard Changes 41 User Manual Version v4 15 06 Payer Detail Phase Continued SELECT REFERRING PRACTITIONER Select Referring Practitioner from the pull down menu you may type the first few characters of the name to narrow the list of options To add a missing referring practitioner to your list see detailed instructions on page 18 Edit Treatments Payer detail Diagnosis Intake Interim Discharge Insurance Payer Regence BlueCross BlueShield of Ori qj Insurance Plan PPP Preferred Provider Panel al RE Referring Practitioner Select referring practitioner a Treating Practitioner Direct Access Self Referral g Doctor El wT Litigation Work Condi ealer Rufus Higginbotham David A Loser Katherine D Mike Big No Socks Jr Nicky Olson Donald F ha m Next Registration Summary SELECT TREATING PRACTITIONER Select Treating Practit
33. ONS PATIENT SATISFACTION CATEGORY REPORT UNLISTED Mean 445 4 97 Excint 100 100 g7 Anthem BlueCross BlueShield Mean 5 00 5 00 6 J 2 J i 5 1 8 5 00 So Eeclnt 100 100 E 100 Cigna Mean 5 00 500 J a J 4 Dy 500 So Eeclnt 100 100 i i 100 Health Net Mean 5 00 5 00 3 3 2 J n a 5 00 Excint 100 100 IE i i 100 Lifewise Mean 5 00 5 00 J 3 T t 500 Exoclint H i 100 Mean 94 4 83 7 k 1 J Fa 4 853 5 00 th Exclnt s 6 q f a FF j i r ide 100 ODS Mean J F a i 4 5 00 E 3 Exoclint kzi BBS Saas 100 Providence Health Plans Mean J d 4 J J d ie T i i 4 499 25 4 Exclint oy be Fa 76 ggk Fence BlueCross HueShiel regon ain J 4 5 5 7 oe 38 Reg BlueCross BlueShield of Oreg Me 4 598 State Farm Mean J d j J T Di F J 7 5 00 3 Exclint gij 1 i I 100 Tricare Mean J 33 J x J 1 6 5 5 00 4 Exclint 7 1i i i 434 ga 100 Clinic Quarter Mean 3 E 14 4 455 96 Exclit Dy 3i ga 99 Clinic Rolling Year Mean 4 9 15 l 4 95 Network Quarter Mean k l i rl 4 56 96 Excint 32 96 FR OK OSH OOH IK OOO Network Rolling Year Mean 4 9 1 j 4 9 4 9 i wu 4g 4 96 National Rolling Year Mean Bei 95 4 95 78 ba ja 4 94 Exclnt SO 95 The Patient Satisfaction Category Report can be filtered by either Treating Practitioner or Top 10 Insurance Payers Results are presented in rows showing question average mean and Excellent for questions
34. OPRIATE CODE FROM DROPDOWN LIST z Diagnosis Intake Interim Discharge PRIMARY DIAGNOSIS En bec PUA Male Re Filter by ICD 9 SHLDER l Anatomic Group 726 1 ROTATOR CUFF SYNDR ET D AL SECONDARY DIAGNOSIS 726 10 ROTATOR CUFF SYND NOS CD 9 Code 725 11 CALCIF TENDINITISSHLDER y Filter by ICD 10 726 12 BICIPITAL TENOSYNOVITIS f ne iter hu h OF ICD 10 Code 726 13 PARTIAL TEAR ROTATR GD Filter by ICD 9 Anatomic Group CUFF E T26 40 DOTATO C11CC NIS MEC ig Surgery Select surgery type 0 Next Registration Summary Save Changes Discard Changes Note If you wish to enter CD 10 codes prior to 10 1 2015 you may use the Filter by ICD 9 box to limit ICD 10 selections to an ICD 9 equivalent SELECT ANATOMIC GROUP ASSOCIATED WITH THE DIAGNOSIS CODE FROM THE DROPDOWN LIST os Diagnosis Discharge PRIMARY DIAGNOSIS ICD 9 Code 726 0 ADHESIVE CAPSULIT SHLI G Filter by ICD 10 ICD 10 Code Anatomic Group Select primary anatomic group il pima Select primary anatomic group i group Select primary anatomic group Filter by ICD 97 LJ SECONDARY DIAGNOSIS Cervical Thoracic ICD 9 Code FW Filter by ICD 10 Foot amp Ankle ICD 10 Code Hip Filter by ICD 97 Anatomic Group Knee Lumbar Spine Surgery Neurological A Pelvic Floor i Next Registration Summary Save Changes Discard Changes 44 User Manual Version v4 15 06 Diagnosis Phase Continued IF APPLIC
35. Payer BlueCross BlueShield Federal Employee Program DOB 5 15 1955 Pri Ins Plan BC BS Federal Employee Program Work Status Not reported Treating Prov Coyote PT Wile E Lost Work Days N A Referring Prov Reynolds Burt 48 User Manual Version v4 15 06 Interim Phase Optional If you collect interim outcome assessments on your patients you may enter those assessments under Interim Phase You may enter as many Interim Phases as you like on a single episode of care for a patient If you do not collect interim assessments you may click on Next to proceed to the Discharge Phase CLICK ON ADD NEW BUTTON Edit Treatments z C Interim Discharge Date Func Pain GRoC LWD Visit 4 3 2012 86 00 6 20 Registration Summary Enter Assessment Date Number of Visits at time of interim assessment Function Pain Global Rating of Change Work Status and Lost Work Days Edit Treatments z z Interim Discharge Assessment Date 1 12 2012 a Number of Visits 4 Function 90 00 oO Pain 0 4 Global Rating of Change 5 Work Status O Lost Work Days Select a work status Have not returned to work save e No lost work time Not employed outside home Not reported Registration Summary 7 Return to work with modification Discard Changes Return to work without restriction CLICK SAVE TO SAVE AND CLOSE INTERIM FORM CLICK CANCEL TO DISCARD CHANGES AND CLOSE INTERI
36. Status Work Status Acuity Age Range Starting Function Problem Area Starting Pain Referring Practitioner Acuity Age Range Starting Function Surgery Diagnosis User Manual Version v4 15 06 OVERVIEW Report Categories Continued Primary Category Secondary Category Problem Area Starting Pain Insurance Type Work Status Treating Practitioner Acuity Age Range Starting Function Surgery Diagnosis Problem Area Starting Pain Insurance Type Work Status PROFILE REPORT Profile reports are designed to allow clinics to specify more specific parameters to look at combinations of factors in one easy to read report Primary and Secondary categories are required but category values may be individually selected for example if Primary category Referring Practitioner clinic can specify value of ALL Referring Practitioners or one specific practitioner Secondary category and values follow the same logic as primary For example Select the Category filters for the report Primary Category Referring Practitioner H Value Hogg Robert T Secondary Category Surgery E Value Non Surgical Get Report Cancel A Using the selections in the given example a report would show outcomes for Dr Hogg where surgery status was Non Surgical In most instances we recommend against selecting ALL for both Primary and Secondary report categories Due to the large number of potential combinations your reports may contain upward of 20
37. al MCID values to add for other combinations of reporting categories DECREASE IN PAIN Cane CONNECTIONS OVERVIEW REPORT 4th Quarter 2013 Standard Outcomes Problem Area by Starting Function POPULATION FUNCTIONAL IMPROVEMENT Se ACUITY WORK DAYS LOST oer Een a a Average Change Avg Chg Shows the average mean change in pain for selected category 95 Confidence Interval 95 CI 95 CI is the measure of certainty the Average Change values are representative of the entire patient population Adding and subtracting the 95 CI value to and from the Average Change will show you the average range of change in pain values for approximately 95 of your patient episodes If the 95 CI is high then the average is potentially not representative of your entire patient population since it indicates a large variance exists in the data If the 95 CI is tight to the average shown then you can be fairly certain that the average is actually representative of your entire patient population Average Intake Avg Intake Shows average mean intake pain for selected categories Comparing this value to other groups will help to determine if your patients start higher or lower on the pain scale than the comparison groups Change per Visit Avg Chg Visit Dividing Avg Chg by Average Visits gives you the change in pain per visit This gives you an idea of average decrease in pain that can be attributed to each
38. al care with some increased symptoms A Personal care requires slow concise movements due to increased symptoms need help to manage some personal care need help to manage all personal care gt cannot manage any personal care Sleeping Ihave no trouble sleeping My sleep is mildly disturbed less than 1 hr sleepless My sleep is mildly disturbed 1 2 hrs sleepless My sleep is moderately disturbed 2 3 hrs sleepless My sleep is greatly disturbed 3 5 hrs sleepless My sleep is completely disturbed 5 7 hrs sleepless Recreation Sports Calculate Cancel 4 OPTIONAL COMPLETE FABQ Fear Avoidance Beliefs Questionnaire FIELDS You may enter FABQ scores directly or click on the Calculator link to calculate FABQ scores see screenshot Note that two scores are derived from the FABQ form FABQ PA and FABQ W Both scores are required if you choose to include FABQ Problem Area Cervical Thoracic Function 86 00 a Pain 6 2 Acuity Days 16 30 amo FABQ PA 16 FABO W 26 Comorbidities W None High Blood Pressure Cancer Maladaptive Pain Response Diabetes Multiple Treatment Areas Heart Condition Obesity Litigation Is patient involved in litigation for this injury LJ Next Save amp Close Registration Summary Save Changes Discard Changes COMPLETE COMORBIDITIES select any that are applicable to patient CLICK NEXT OR SAVE CHANGES BUTTON TO PROCEED TO INTERI
39. anges Discard Changes COMPLETE FUNCTION PAIN AND ACUITY DAYS You may enter a function score directly or click on the Calculator link to calculate function score see screenshot Problem Area Cervical Thoracic zj Function 86 00 Pain 6 2 Acuity Days Wa Fatet ae x Fear Avoidance Belief Select Acuity FABQ PA airis 16 30 Comorbidities 31 60 61 90 C None Chronic 91 120 C Cancer Chronic gt 120 ponse C Diabetes Not reported 2as C Heart Condition LJ Obesity Litigation Is patient involved in litigation for this injury O Next Save amp Close Registration Summary Save Changes Discard Changes 46 User Manual Version v4 15 06 Calculator COMPLETE FORM AND CLICK CALCULATE BUTTON TO CALCULATE FUNCTION Functional Calculator Walking Symptoms do not prevent me walking any distance Symptoms prevent me walking more than 1 mile Symptoms prevent me walking more than 1 2 mile Symptoms prevent me walking more than 1 4 mile lcan only walk using a stick or crutches am in bed most of the time and have to crawl to the toilet Work can do as much work as want to can only do my usual work but no more can do most of my usual work but no more 5 cannot do my usual work can hardly do any work at all only light duty cannot do any work at all Personal Care can manage all personal care without symptoms can manage all person
40. ar 9 74 0 0221 NPS 60 65 70 75 80 NPS 80 80 95 94 85 Promoters 9 10 90 Passive 7 8 88 4 88 4 95 3 94 4 95 Patient Satisfaction Clinic Overview Response Total Detractors 1 6 Rate Surveys 100 8 100 50 8 100 50 1 99 925 1 99 3 914 ME Clinic Quarter MP Clinic Rolling Year ME Network Rolling Year EE National Rolling Year Net Promoter Score equals the of Promoters minus the of Detractors This score is a definitive representation of your clinic s performance through the eyes of your customers patients User Manual Version v4 15 06 70 PATIENT SATISFACTION OVERVIEW REPORT Care CONNECTIONS Patient Satisfaction Overview Report 4th Quarter 2012 Patient Satisfaction Clinic Overview Question Very Very Response Total 1 Facility Comfort Avg 95 Cl Excellent Good Fair Poor Poor N A Rate Surveys Clinic Quarter 484 0 1296 88 8 4 0 0 0 100 00 50 Clinic Rolling Year 484 0 1296 88 8 4 0 0 0 100 00 50 Network Rolling Year 491 0 0208 92 6 1 0 0 0 100 00 925 National Rolling Year 486 0 0134 89 8 2 0 0 0 99 90 3 914 ME Clinic Quarter MO Clinic Rolling Year ME Network Rolling Year EE National Rolling Year Excellent 60 65 70 75 80 85 90 95 100 The Patient Satisfaction Overview report gives a summary of each question asked on the patient satisfaction survey Each question
41. ation _ E Sth District Electrical Benefit Funds Custom Report Groups E sth District Electrical Benefit Funds Health Plan E ASI Benetit Administrators JT tee L W A amp I Benefit Administrators Health Plan Referring Practitioner Setup Clinic Users E AAA Agreements E AA E AAI E AARP E AARP El Abri Health Plan El Abri Medicaid LA mm le De eee m n a Add New Insurance from Available Insurance Plans To add insurances check the box next to the insurance carrier or plan name in the list of available insurances and click on the Save Selected Plans button to add the selection to your list of insurance plans All insurances showing a checkmark next to it will be available in your pick list when entering patient outcomes data To search the list of available insurance plans enter the insurance payer or plan name in the Search box As you begin to type the list of available options will begin to narrow For example typing in BlueCross will return any carrier and plan containing the words BlueCross Remove Selected Insurance Plans To remove insurances simply uncheck the box next to the insurance carrier or plan name Click on the Save Selected Plans button to save your changes Removing insurance carriers or plans means they will no longer be available for selection during the patient registration process 14 User Manual Version v4 15 06 Administration New Insurance Request If you can
42. clinic Select appropriate range of days from drop down list Acuity ranges include 0 15 16 30 31 60 61 90 91 120 chronic gt 120 chronic Comorbidities Additional health conditions affecting patient at time of treatment Check all that apply 36 User Manual Version v4 15 06 INTERIM AND DISCHARGE Fields for Interim and Discharge phases are mostly the same Required fields will be the same for both Interim and Discharge Assessments 1 A ssessment Date Discharge Date Fill in patient assessment or discharge date NOTE dates must be entered in MM DD YYYY format Patient Self Discharge No Discharge Assessment Collected Check this box only when dealing with a patient that drops out of treatment prior to discharge Self Discharge Reason This field is only available when Patient Self Discharge No Discharge Assessment Collected box is checked Choose the best selection to indicate why patient failed to complete treatment If none of the reasons apply you may choose Other to specify a different reason Use Last Interim Assessment Check this box only if you collected an Interim Assessment on a patient that drops out of treatment prior to discharge Checking this box will automatically populate your Discharge fields with Interim Assessment scores Number of Visits Number of visits for patient episode of care Function Score tallied from Functional Index on Interim Dischar
43. ct work status most applicable to patient s condition at discharge This field should never be left blank Choices include Not employed outside the home No lost work time Return to work with modification Return to work w o restriction Have not returned to work NOTE For patients that are retired or that are presently school age please select Not employed outside the home 10 Lost Work Days Number of days patient loses from work due to condition 37 User Manual Version v4 15 06 CONNECTIONS VII Patient Satisfaction The CareConnections Patient Satisfaction survey is designed to help your clinic monitor customer service Questions cover five vital areas of operation including Clinic Front Office Staff Clinician Patient Experience and Clinic Recommendation In addition the survey allows patients to rate their insurance company The forms are bar coded and are designed to be scanned which will require you to print an individual survey for each patient that you register in CareConnections It also means that you cannot customize the form or recreate it to your own specifications Forms printed for patients will be populated with your clinic name at the top and clinic identification number at the bottom NOTE Because all patient satisfaction surveys are scanned we ask that you please print patient satisfaction surveys on white paper only and mail the original forms completed by the patients Colored paper photoco
44. d interpret reports SYSTEM REQUIREMENTS e High speed internet connection e Up to date operating system and web browser Oo Internet Explorer 9 0 or later Oo Google Chrome 40 or later o Mozilla FireFox 10 0 or later O Safari 6 0 or later e Adobe Reader 9 0 or later required to view all CareConnections forms and reports TABLE OF CONTENTS I Outcomes Data Collection Procedure 3 7 II Logging in to CareConnections 8 11 III Setting Up Your Account 12 20 IV CareConnections Web Site Overview 21 25 V Ready to Enter Data 26 34 VI Overview of Outcomes Data Entry Fields 35 37 VII Patient Satisfaction 38 39 VIII Entering Your First Record Data Entry Walkthrough 40 53 IX Quarterly Reports 54 72 X Contact and Technical Support Information 73 CareConnections Participant Agreement 75 2 User Manual Version v4 15 06 CONNECTIONS I OUTCOMES DATA COLLECTION PROCEDURE PRIOR TO DATA COLLECTION 1 Make copies of outcomes worksheets for all body areas Page two of each worksheet contains a VAS pain scale 10 cm measurement line that must be copied to scale so be careful not to reduce or increase the size of your copies if you are using paper forms You may copy the forms front to back if you wish e New master copies of the forms can also be printed directly from your CareConnections member account when printing forms online please closely follow printing instructions to avoid printing your forms too small i e in print dia
45. e at their own convenience For those that have the appropriate hardware in their clinic the option may also be presented to set Custom Report Groups up a kiosk or tablet PC where patients can complete the surveys online before they leave your clinic Insurance Setup As you implement this form in your clinic please be advised that CareConnections systems will continue to be enhanced and improved upon This means that there may be ongoing changes to the way patient satisfaction forms are administered to patients Treating Practitioner Setup Thus we recommend that you make copies of the Patient Satisfaction Survey only as you need them Part of the goal with patient satisfaction data is to eventually tie it together with outcomes and utilization management data for a better comprehensive picture of Referring Practitioner Setup your clinic s outcomes and processes Clinic Users Please give a survey to all patients at discharge visit and collect the completed survey from them before they leave your clinic The Agreements CareConnections office must receive all surveys by no later than the 10th of every month unless you are otherwise notified If you have any questions please contact Steve Pearson 800 219 8835 ext 1118 spearson taiweb com 34 User Manual Version v4 15 06 VI Overview of Outcomes Data Entry Fields An overview of the various data entry fields will help you to better understand where to input information from the Patient Work
46. e designed to view outcomes for a single category with all category values in a single report For example this report would show outcome results for a Primary Category selection of Work Status with each status displayed as its own report block i e Have not returned to work No lost work time Not employed outside home Return to work with modification Return to work without restriction Select the Category filters for the report Primary Category Work Status D Value Please select ALL Get Report Cancel LE Report includes the following measures Patient Population Functional Improvement Decrease in Pain and Visits Categories for this report include the following selections Primary Category Acuity Age Range Starting Function Surgery Diagnosis Problem Area Starting Pain Insurance Type Work Status 65 User Manual Version v4 15 06 SELF DISCHARGE REPORT The Self Discharge report shows all self discharge cases in one report and does not require selection of categories to run This report includes cases with and without outcomes Report is rendered to display self discharge cases by self discharge reason The last section of the report shows totals and comparisons for self discharge i e No Outcomes Interim Assessments used as discharge and Complete cases This gives you a means of identifying how many outcomes cases are lost to self discharging patients and what impact that may have on overall outcome
47. ed to the Data Collection Form or entered directly into patient record on the CareConnections web site Total number of treatments should also be tabulated at this time PAPERLESS DATA COLLECTION If you wish to collect paperless outcomes you may choose to use the Patient Kiosk Application See http www careconnections com help html to access the CareConnections Kiosk Manual DATA SUBMISSION DEADLINES 1 Patient records for each quarter should be entered by no later than the 10 of each month Fiscal quarters are 3 months in length Final entry deadline falls on the 10 of the month following the end of the quarter Patient Satisfaction surveys must be mailed so that they reach the CareConnections office by or before the 10 of every month Reports will always be posted online before the 20 of the month following the end of each quarter Deadlines 1 Quarter January February March Submission deadline April 10 2 Quarter April May June Submission deadline July 10 3 Quarter July August September Submission deadline October 10 4 Quarter October November December Submission deadline January 10th Note that an outcomes record is complete only when it contains initial avd discharge information The outcomes system requires two data points both initial and interim discharge data to calculate outcome scores Therefore self discharge outcomes records without interim or discharge information will on
48. egistrations Advanced Search is where you will also be able to search on past patient records that have already been reported Use the radio buttons at the top of the form to specify whether you wish to search your Active Registrations currently in progress and not yet reported on Inactive Reported Registrations past records that have already been reported on and archived or All Registrations includes both active and inactive reported registrations Advanced Search Search Type Active Registrations Inactive Reported Registrations All Registrations From To Patient ID io Patient DOB rf Primary ICD 9 m Reg Submitted Date Code SS Primary ICD 10 Ty Discharge Date Code gt Eee Secondary ICD 9 T Code a Secondary ICD T 10 Code a Discharge Type All Clinic Discharged Self Discharged Insurance TYPE Select an insurance type insurance Payer Select insurance payer Work Status Select a work status i Insurance Flan Select insurance payer Custom Report Select report group Referring Select referring practitioner j T Group Fractitioner J Surgery TYPE Select surgery type Patient ld Phase Page i Treating Practitioner Select a treating practitioner hy msj haa Survey Intake Submitted Interim of0 p gt mi Discharge No records to view Search results will be displayed at the bottom of the page in a grid similar to your active patient list NOTE If
49. elf Discharge No Discharge Assessment Collected box and enter discharge values or 2 check the Patient Self Discharge No Discharge Assessment Collected box and the Use Last Interim Assessment box to automatically populate the Discharge phase with your last recorded interim assessment NOTE You may only check the Use Last Interim Assessment option if you previously recorded outcomes information for an interim assessment ebm ns aa Discharge Date 1 15 2012 ma Patient Self Discharge No Discharge Assessment Collected Self Discharge Reason Eia ROAA ELLO LaO z D Use Last Interim Assessment Ira Number of Visits 8 Function 82 00 a Pain 2 10 Global Rating of Change 4 Work Status Have not returned to work 2 Lost Work Days 15 Save amp Close Registration Summary Save Changes Discard Changes 31 User Manual Version v4 15 06 3 Discharged by Clinic If patient completes treatment and fills out outcomes information on last visit do not check the Patient Self Discharge No Discharge Assessment Collected box Simply complete all other required fields and save your changes to complete the registration Click on Save Changes to save or click on Save amp Close to save registration and return to your active patient list Discharge Discharge Date 1 15 2012 Patient Self Discharge No Discharge Assessment Collected Number of Visits 12 Function 92 00 za
50. eport Quarter Select a quarter 7 Select a quarter Reports Outcomes Patient Satisfaction Forms Patient Worksheets Patient Satisfaction Administration Clinic Information Custom Report Groups Insurance Setup Treating Practitioner Setup Referring Practitioner Setup Clinic Users Agreements Select appropriate report link i e Patient Satisfaction Clinic to view filter and get report Manage Treatment Episodes Patient Satisfaction Treatment Registrations Advanced Search Report Quarter 4th Qtr 2012 z Reports wW Patient Satisfaction Reports Outcomes Patient Satisfaction Overview Report Patient Satisfaction Patient Satisfaction Category Report Forms Patient Worksheets Patient Satisfaction Administration Clinic Information Custom Report Groups Insurance Setup Treating Practitioner Setup Referring Practitioner Setup Clinic Users Agreements User Manual Version v4 15 06 68 PATIENT SATISFACTION Understanding Patient Satisfaction Report Layout Reports are titled at the top of the page Report Header e Report Title name of report e Reporting quarter indicates reporting quarter covered by your report e Network indicates name of primary network your clinic belongs to If you do not belong to a network the network name indicates the category of clinics you are being compared against e g Independent Clinic refers to all independent private prac
51. ertain that the average is actually representative of your entire patient population Distribution Excellent Very Good Fair Poor Very Poor N A Question responses are categorized based on how patients answered each question Responses are broken down by percentage of responses in each category Excellent Very Good Fair Poor Very Poor and N A not applicable Response Rate indicates percentage of patients that responded to a question Response rates less than 100 indicate surveys where a question was not responded to by a patient Graph Each reported question has a comparative graph showing the percentage of patients that responded to a question with Excellent The graph contains Clinic Quarterly Average Clinic Rolling Year average Network Rolling Year average and National Rolling Year average 69 User Manual Version v4 15 06 Net Promoter Score NPS Net Promoter Score is determined by sub dividing responses on question nine Clinic Recommendation Ten responses are possible ranging from Extremely Likely to Not at all Likely Responses are broken down into three categories 1 Promoters scores of 9 10 2 Passive scores of 7 8 3 Detractors scores of 1 6 Care CONNECTIONS Patient Satisfaction Overview Report 4th Quarter 2012 Question 9 Recommendation NPS Avg 95 Cl Clinic Quarter 942 0 3456 Clinic Rolling Year 942 0 3456 Network Rolling Year 9 80 0 0373 National Rolling Ye
52. f every month in order to be included in quarterly reports If you have any questions please contact CareConnections Support support careconnections com 39 User Manual Version v4 15 06 VIII Entering Your First Record Data Entry Walkthrough Log into CareConnections Verify that all Administration links have been set up appropriately before proceeding to enter a new registration GO TO TREATMENT REGISTRATIONS AND CLICK ON NEW REGISTRATION BUTTON Manage Treatment Episodes Treatment Registrations Patient Assessment Queue 0 Advanced Search My CareConnections Patient ld Search Incomplete 67 Active 80 Complete 13 Survey 40 Patient Id Phase Queue Survey Submitted Intake Interim Discharge Reports 258745 intake 4 24 2015 4 24 2015 Outcomes 234567 Demographics 3 31 2015 4 2 2015 Patient Satisfaction 236419 Intake v 3 26 2015 3 26 2015 Forms 2970567 Diagnosis 2 25 2015 32 2015 Patient Worksheets 306375 Demographics 2 23 2015 2 20 2015 Patient Satisfaction 4564564564564 Diagnosis 11 14 2014 11 17 2014 276776 Payer Detail 11 14 2014 11 1 2013 Administration 283147 Intake v4 10 17 2014 10 17 2014 Clinic Information 294657 Discharged va 10 14 2014 10 8 2014 10 14 2014 Custom Report Groups 2358462 Intake v 10 14 2014 10 14 2014 Insurance Setup 257945 Demographics v 10 10 2014 10 1 2014 Treating Practitioner Setup Kiosk Test 2 Demographics 10 8 2014 10 8 2014 Referrin g Practitioner Setu p Kiosk
53. ge Patient Worksheet This value will always fall between 0 and 100 Always use patient s Interim or Discharge worksheet for Interim or Discharge score NOTE Final function should be higher than initial function score if the patient has improved If you measure an interim or final function score that is less than initial function value please check your scoring to verify this may indicate that the patient has worsened in condition has potentially answered the wrong questions did not understand the questions or the index was scored incorrectly See also Scoring the Patient Worksheet page 6 Pain Score measured from Pain Index on Interim Discharge Patient Worksheet This value will always fall between 0 and 10 Always use patient s Interim or Discharge worksheet for this score Note that interim final pain will usually be lower than initial pain score If you measure a final pain score that exceeds initial pain value please check your scoring to verify this may indicate that the patient has increased pain or patient may not have understood the pain scale See also Scoring the Patient Worksheet page 7 Global Rating of Change Score measured from Global Rating of Change index on Interim Discharge Patient Worksheet This value will always fall between 7 and 7 Patient should only complete this section on interim or discharge visit See also Scoring the Patient Worksheet page 7 Work Status Sele
54. in link to access CareConnections CAR CONNECTIONS Home News Help Support Medical Management Tools amp Systems Health Plans PPOs Self Insured Employers and Rehabilitation Providers Learn More CareConnections is a web based suite of rehabilitation medical management services CareConnections uses combinations of tools to assist providers and payers with the medical management of patients and clinical services Prior Authorization and Acivice PAS Clinical Guidelines HIPAA COMPLIANCE TERMS amp CONDITIONS CareConnectone 2012 All Rights Reserved User Manual Version v4 15 06 Creating a New Password The first time you log on you will be required to change your password CONNECTIONS Log On Flease enter your user name and password User name NewUser Password Password Help CONNECTIONS Change Password Use the form below to change your password New passwords are required to be a minimum of 8 characters in length Current password LEELLE New password LAELLE EEE eT Confirm new password SHCCCCECRREE Change Password Password is case sensitive and must be at least eight characters in length We recommend that you use at least one letter and one number in order to have a stronger password Please use alpha and numeric characters only NOTE Please record your user name and password and keep it somewhere safe Once you change your password CareConnection
55. ioner from the pull down menu you may type the first few characters of the name to narrow the list of options To add a missing treating practitioner see detailed instructions on page 17 Save Changes Discard Changes Edit Treatments Payer detail Discharge j i Insurance Payer Regence BlueCross BlueShield of Or x i Insurance Plan PPP Preferred Provider Panel mG Referring Practitioner Mike Big a Ti Treating Practitioner Ets fame e ees ee ee e OD Select a treating practitioner AsTyM 4llcarrs Colin Litigation Work Condi Amador Gregory Case Justin Gravity Andy Heredat Demi Juan Kersaway Anne Lesgettham Darius Moming Angle T Registration Summary Save Changes Discard Changes 42 User Manual Version v4 15 06 Payer Detail Phase Continued IF APPLICABLE SELECT APPROPRIATE CUSTOM REPORT GROUP S Edit Treatments Payer detail F Insurance Payer Regence BlueCross BlueShield of Ori m Insurance Plan PPP Preferred Provider Panel an Referring Practitioner Mike Big a a Treating Practitioner Gravity Andy j ASTYM Employer Group E Litigation E Work Con difioning Registration Summary O Save Changes Discard Changes CLICK ON SAVE CHANGES TO SAVE OR CLICK ON NEXT BUTTON TO SAVE AND PROCEED TO DIAGNOSIS PHASE User Manual Version v4 15 06 43 Diagnosis Phase ENTER TWO OR MORE DIGITS THREE OR MORE LETTERS OF ICD 9 CODE DESCRIPTION AND SELECT APPR
56. irth 11 16 1966 ma O Gender Male Patient Email Initial Evaluation Date 12 15 2011 ma D S jes Discard 26 User Manual Version v4 15 06 Payer Detail All Payer Detail fields must be set up in Administration before names will be available in your pick lists If you are unable to find the appropriate name you must return to Administration and add the appropriate name to your list see pages 12 20 for more information on account setup Once all required information is complete click on Save Changes to save record or click on Next to save and continue with registration eee Payer detail 3 iagnosis Intake Interim Discharge Insurance Payer Regence BlueCross BlueShield of Or i Insurance Plan Blue Choice Referring Practitioner Mike Big a WD Treating Practitioner Gravity Andy Custom Report Groups O ASTYM U Caterpillar Save Changes Discard Changes Primary Diagnosis Complete ICD 9 Code and Anatomic Group to identify patient condition After you enter two numeric characters of the ICD 9 code or three text characters of the CD 9 description a drop down list of options will load Select the appropriate code from the list in order for the code to be recognized as valid NOTE While ICD 10 Code is currently an optional field it will become a required field as of 10 1 2015 Registration Summary Secondary Diagnosis may also be completed where applicable Complete the Surgery
57. ist of common national insurance payers has already been provided for you when you begin using CareConnections For lesser used insurances that you do not need to track outcomes for please select UNLISTED as the insurance payer and choose one of the basic UNLISTED insurance plans UNLISTED has been provided as one of your drop down selections when you begin using CareConnections 2 Insurance Plan required select insurance plan from dropdown list This dropdown list will include plans that fall under Insurance Payer The Insurance Payer must be selected before the Plan can be selected 3 Referring Practitioner select referring practitioner from dropdown list 4 Treating Practitioner required select the practitioner who performed the initial evaluation and who will be writing and overseeing the patient s care plan 5 Custom Report Groups these check boxes can be customized by the clinic to track additional information such as employers or other patient demographic data not represented on clinic intake forms Custom reports may later be generated using this data To add a report group from your custom list simply check the box es next to the appropriate Custom Report Group s 35 User Manual Version v4 15 06 DIAGNOSIS ie Primaty Diagnosis ICD 9 Code required enter Primary ICD 9 code that best reflects patient diagnosis per therapy evaluation Primary diagnosis is used to identify p
58. ksheets 203831 Intake 12 29 2011 12 27 2011 Edit Patient Satisfaction 89745 Discharged y 12162011 112872011 12 7 2011 Print Registration Summary 185427 Discharged v 11 30 2011 11 30 2011 11 30 2011 CEEE ae Print Spanish Surve Administration 125478 Payer Detail 11 30 2011 11 30 2011 e y Clinic Information 15198 Discharged v 11 18 2011 11 1 2011 11 18 2011 11 17 2011 Custom Report Groups 123456 Diagnosis 9 16 2011 9 12 2011 Insurance Setup 116425 Intake va 9 2 2011 9 1 2011 9 2 2011 Treating Practitioner Setup 56324 Intake v 7 6 2011 6 30 2011 7 6 2011 Referring Practitioner Setup 131531 Discharged v 6 30 2011 6 30 2011 6 30 2011 6 30 2011 Clinic Users 98822 Payer Detail 6 30 2011 6 30 2011 Agreements 154678 Intake v 6 23 2011 6 23 2011 131531 Payer Detail 6 22 2011 6 22 2011 Page 1 of2 p gt mi View 1 15 of 25 A Print Preview of the survey will open and a check mark will be placed in the Treatment Registrations grid for the patient registration for which you just printed a survey Give Patient Satisfaction Survey directly to the patient or place it in the patient s chart for completion at a later date User Manual Version v4 15 06 IX Quarterly Reports OUTCOMES Select the Outcomes link under Reports to view Outcomes Reports Manage Treatment Episodes My CareConnections Treatment Registrations Advanced search Patient Id Search Incomplete 17 Active 22 ns n Complete 5 Survey 10 New Registration
59. logue box set Page Scaling in Adobe Reader to None or select Actual Size under Page Sizing amp Handling 2 Read through this manual and follow instructions for getting logged into CareConnections www careconnections com 3 Set up contact information custom report groups and pick lists and additional user accounts using links under Administration on CareConnections web site e Clinic Information e Custom Report Groups optional e Insurance Setup e Treating Practitioner Setup therapists e Referring Practitioner Setup physicians e Clinic Users INITIAL VISIT 1 Front Office dates the Patent Worksheet and checks the Initial or Discharge box as appropriate date the form and check nothing if worksheet applies to an Interim assessment Front Office may optionally complete the Data Collection form except for function and pain information The same information is eventually input in the corresponding fields and pick lists provided on the Treatment Registrations page for outcomes tracking 2 Patient completes Patent Worksheet for the appropriate functional diagnostic group e g Lower Extremity Patient also completes Acuity Days and Pain Analogue scale Available outcomes forms include e Upper Extremity E conditions relating to E bow or Shoulder e Lower Extremity E conditions relating to Hip Knee or Foot Ankle e Cervical Thoracic M conditions relating to Neck or Upper Spinal Region e Hand E condition
60. lt a Page 1 of6 p gt mi View 1 15 of 82 User Manual Version v4 15 06 11 Ill Setting Up Your Account Once you successfully log in to your account you will need to follow a Administration seties of steps outlined in this section to customize your account Note the list of options under Administration Customizable links include Clinic Information Custom Report Groups Insurance Setup Treating Practitioner Setup Referring Practitioner Setup and Clinic Users Prior Clinic Information Custom Report Groups Insurance Setup to entering patient data you must set up names for Treating and Treating Practitioner Setup Referring Practitioners and Insurances so that you have options to select Referring Practitioner Setup from when entering patient records Administration Clinic Information Clinic Users Agreements Enter your clinic information address phone email etc Most of this information will be filled in for you when your account is activated but you may wish to complete any missing information or update information that has changed Contact information for your clinic should be maintained so that CareConnections knows where to contact you about billing system changes or notifications Please be sure to indicate appropriate Mailing and Billing addresses where different from your Physical address e Edit Clinic Information E Place cursor in appropriate field to edit information M Select Physical
61. ly be accounted for in a Self Discharge report report showing number of incomplete registrations and self discharges on your quarterly reports Patient Satisfaction surveys or Outcomes Registrations entered after the deadline at the end of a quarter will be included in subsequent quarterly reports User Manual Version v4 15 06 CONNECTIONS SCORING THE PATIENT WORKSHEET SCORING THE FUNCTIONAL INDEX 1 Answers to the ten functional index questions are scored on a scale of 5 to 0 The first or most functional choice receives a 5 the last or least functional choice receives a 0 Example STAIRS Points value _ I can walk stairs comfortably without a rail _ I can walk stairs comfortably but with a crutch cane or rail Ican walk more than 1 flight of stairs but with increased symptoms _ I can walk less than 1 flight of stairs _ I can manage only a single step or curb _ Iam unable to manage even a step or curb 2 Total the ten questions scores for a total score Patient may answer more or less than 10 questions depending on which patient worksheet was completed but a minimum of 8 questions must be answered to calculate a valid functional score 3 Patient s total score on the index is divided by the total possible of questions answered x 5 Example If patient answers 8 questions for a total score of 37 the total score 37 is divided by the number possible 40 Eight questions answered
62. mes Bonebreak Benjamin ee Direct Access Self Referral md Hagar Sammy Forms v Reynolds MD Burt Patient Worksheets Patient Satisfaction Administration Clinic Information Custom Report Groups Insurance Setup Treating Praciiiioner Setup Referring Practitioner Setup Clinic Users Agreements e Add New Practitioner License NPI Last Name First Name MD Bonebreak Benjamin Direct Access Self Referral APN Hagar Sammy CP Reynolds Burt Page 1 of 1 View 1 4 of 4 Click on Add New Practitioner button and complete Practitioner Details form Add New Referring Practitioner Add New Practitioner NPI 1184751034 First Name Middle Initial Last Name Suffix License Display Name MS Record Found DR ERIC ALAN ACKERMAN M D 1460 G ST SPRINGFIELD OR 97477 4112 207P00000X EMERGENCY MEDICINE OR ind Results for NPI 1184751034 E By entering a valid NPI for a practitioner you will receive confirmation of the name from CMS NOTE CMS data does not automatically populate Practitioner Detail E If you do not have practitioner s NPI enter first and last name and use the Find NPI link to search NPI Registry information from CMS You will need to enter NPI information from CMS into the CareConnections Practitioner Detail form E Complete Display Name field to customize how practitioner name displays in your pick list We recommend using Last Name First Name License type f
63. n Summary Payer Detail 11730 2011 11 30 2011 PNt English Survey Discharged v 11182011 117172011 PUNt Spanish Survey Diagnosis 9 16 2014 911272011 Print es Select Edit to open registration in editing mode you may also double click on a registration to edit Records may be edited until they have been included in quarterly reports Print a registration summary for inclusion in patient chart Summary includes all completed registration fields and comparative outcomes information Print a bar coded patient satisfaction survey for a patient to complete Once survey is printed Treatment Registration Grid will show a check mark in the Survey column to indicate that the survey has been printed Print a Spanish version of a bar coded patient satisfaction survey for a patient to complete Once survey is printed Treatment Registration Grid will show a check mark in the Survey column to indicate that the survey has been printed Queue registration to kiosk for paperless completion by patient Print patient worksheets and surveys completed by kiosk Delete patient registration Note that deleted registrations are irretrievable so use this feature with caution The record grid shows the current Phase of a registration so that you can determine completion status Only when Phase reads Discharged will a registration be available for reporting Diagnosis Intake Interim Discharge Registration phases include Demographic
64. n field Questions that display in the Calculator depend on the Problem Area you select Be sure Problem Area matches the form completed by the patient See Scoring the Patient Worksheet on pages 6 7 of this manual for additional information on scoring Problem Area Cervical Thoracic Function 76 00 o Pain 3 7 Acuity Days 16 30 a E Fear Avoidance Beliefs Questionnaire FABQ FABQ PA 16 FABO W 27 m T Comorbidities W None High Blood Pressure Cancer Maladaptive Pain Response Diabetes Multiple Treatment Areas Heart Condition Obesity Litigation ls patient involved in litigation for this injury L Next Save amp Close Registration Summary Discard Changes E The Fear Avoidance Beliefs Questionnaire FABQ is an optional additional form you may use with your patients Two separate scores are collected from the FABQ and a Calculator function is also available for scoring the form Comorbidities For more information on comorbidities please see the 04 28 2014 CareConnections news article Comorbidity Collection FAQ http www careconnections com news 2014 04 28 comorbidity faq html NOTE After saving Intake information a registration summary will automatically open to display a summary of information entered up through Intake Print or save and close the summary to continue with the registration 28 User Manual Version v4 15 06 Interim Interim assessments are not required However we rec
65. nction for selected category Functional change is represented by the actual number of points moved on the CareConnections functional index between Intake and Discharge visits 95 Confidence Interval 95 CI 95 CI is the measure of certainty the reported Average Change values are representative of the entire patient population Adding and subtracting the 95 CI value to and from the Average Change will show you the average range of functional change for approximately 95 of your patient episodes If the 95 CI is high then the average is potentially not representative of your entire patient population since it indicates a large variance exists in the data If the 95 CI is tight to the average shown then you can be fairly certain that the average is actually representative of your entire patient population The key to an accurate 95 CI is reporting as many complete cases as possible Average Intake Avg Intake Shows average mean intake function for selected categories Change per Visit Avg Chg Visit Dividing Avg Chg by Average Visits gives you the functional change per visit This gives you an idea of average functional progress that can be attributed to each patient visit for the selected report category If MCID 1s available for selected report parameters you can use this value to determine how many visits it takes to attain clinically relevant change MCID MCID stands for the Minimal Clinically Important Difference This
66. nic Name name of your clinic Comparative Report Column Headings e Facility XQ 20XX Facility refers to your clinic Quarter number and year indicate time period of reported data e Facility Rolling Year Shows your clinic s combined averages for the last full year e Network Rolling Year Network refers to the clinic grouping indicated in the report header Averages shown are combined averages for the last full year e National Rolling Year National refers to the entire outcomes database all clinics and all clinic types Averages shown are combined averages for the last full year 55 User Manual Version v4 15 06 OUTCOME REPORT MEASURES POPULATION Number of Patients and Patients Patients indicates number of patients for selected report category and time period quarter Patients indicates overall percentage of patients compared to yout total patients for the selected time period quarter and rolling year FUNCTIONAL IMPROVEMENT Cane CONNECTIONS OVERVIEW REPORT 4th Quarter 2013 Standard Outcomes Problem Area by Starting Function He a a m E N A N A 66 50 100 00 23 2212 1196 3 77 8430 108 293 O93 389 026 39 13 13 oan wa NA N A N A 67 131 puter 40 38 46 18 83 6 07 69 03 1 28 2 71 0 85 4 09 0 19 14 65 37 50 15 00 Rolling Year 135 36 99 21 30 3 26 68 22 1 40 2 63 0 42 3 98 0 17 15 24 11 11 444 Average Change Avg Chg Shows the average mean change in fu
67. not find the insurance you need in the insurance list you may click on the Request New Insurance link Manage Treatment Episodes nsurance Setu p Treatment Registrations Advanced search Request New Insurance Outcomes Patient Satisfaction im V UNLISTED a Foi V Unlisted Health Plan V Unlisted PIP MVA PNC Patient Worksheets l IV Unlisted Work Comp Patient Satisfaction L 21st Century Insurance Administration 21st Century Insurance Clinic Information Sth District Electrical Benefit Funds Custom Report Groups E sth District Electrical Benefit Funds Health Plan Insurance Setup s V A amp I Benefit Administrators Treating Praciitioner Setup V A amp I Benefit Administrators Health Plan Referring Practitioner Setup Clinic Users E Agreements A form will open and allow you to enter any insurance that does not yet appear in our database Note We require Insurance Carrier Payer Insurance Plan Panel and Insurance Type in order to set up a new carrier This information can usually be found on the patient s Insurance ID card Example Insurance Carrier Payer Regence BlueCross BlueShield of Oregon Plan PPP In most cases you may enter the same name for carrier and plan Example Insurance Carrier Payer Allstate Plan Allstate Manage Treatment Episodes Req uest New Insurance Treatment Registrations Advanced search In order to maintain Carrier consistency with all customer
68. ommend you collect and enter Interim Assessments in order to 1 capture a final data point for self discharging patients 2 to view patient progress throughout treatment and 3 to allow treating practitioner to establish and track patient goals in relation to the CareConnections functional index The Interim phase will show a running treatment history including the Intake assessment To add an Interim Assessment click on the Add New button to open the assessment form Interim Discharge 5 Date y Func Pain GRot LWO Visit 12 15 2011 72 00 4 60 Next Registration Summary Again Interim Assessments are optional but highly recommended User Manual Version v4 15 06 29 Interim Continued After clicking on Add New complete the assessment form Once all required information is complete click on Save to save and close the assessment form or click Cancel to abort entry of the Interim assessment _ Interim Assessment Date 12 30 2011 Number of Visits amp Function 82 00 Pain 2 10 Global Rating of Change 4 Work Status Have not returned to work a D Lost Work Days 15 GD Registration Summary Save Changes Discard Changes Once Interim assessment is saved you view Assessment History on the Interim tab When ready to proceed to Discharge click on the Next button Interim 12 15 2011 72 00 4 60 12 30 2011 32 00 2 10 4 15 a Registration Summary User Manual Version v4 15 06 30 Di
69. omplete Payer Detail Diagnosis Intake and Discharge phases In the Discharge Phase complete Patient Self Discharge information in order to complete the registration Patients may complete and turn in the survey to the clinic or they can mail it directly to CareConnections at the address printed on the bottom of the survey Patient Kiosk administered sutveys are automatically submitted to CareConnections Additional patient satisfaction options are also currently available Using the Patient Kiosk method clinics can email a web link to patients which allows patients to complete a satisfaction survey online at their own convenience For those that have the appropriate hardware in their clinic patients can also complete the surveys via kiosk device tablet PC or other web enabled device before they leave your clinic One of the goals for patient satisfaction data is to tie it together with outcomes and utilization management data for a better comprehensive picture of your clinic s outcomes and processes In order to establish this link we highly recommend that you use bar coded satisfaction surveys or use the Patient Kiosk Application Non bar coded surveys only allow us to report satisfaction results at the clinic level Please give a survey to all patients at discharge or interim visit and try to collect the completed sutvey before patients leave your clinic The CareConnections office must receive all surveys by no later than the 10 o
70. on your account has to sign the HIPAA Addendum but all users on your account must accept the Terms and Conditions agreement You are now logged in and ready to begin using CareConnections DEMO CLINIC Welcome DEFAULT USER Sign out Manage User Account Help News CONNECTIONS em DEMO CLINIC Manage Treatment Episodes My CareConnections Treatment Registrations Incomplete 69 Active 82 Complete 13 Survey 40 Patient Assessment Queue 1 Patient Id Search Advanced Search Patient Id Phase Queue Survey Submitted Intake Interim Discharge Reports 318442 Diagnosis 7 47 2015 7 22 2015 Outcomes 319531 Intake 6 5 2015 6 5 2015 Patient Satisfaction 258745 Intake v 4 24 2015 4 24 2015 Forms 234567 Demographics rv 3 31 2015 4 2 2015 Patient Worksheets 236419 Intake v 3 26 2015 3 26 2015 Patient Satisfaction 2970567 Diagnosis v 2 25 2015 32 2015 306375 Demographics 2 23 2015 2 20 2015 Administration 4564564564564 Diagnosis 11 14 2014 11 17 2014 Clinic Information 276776 Payer Detail 11 14 2014 11 1 2013 Custom Report Groups 283147 Intake v 10 17 2014 10 17 2014 Insurance Setup 2358462 Intake va 10 14 2014 10 14 2014 Treating Practitioner Setup 294657 Discharged va 10 14 2014 10 8 2014 10 14 2014 Referring Practitioner Setup 257945 Demographics v 10 10 2014 10 1 2014 Clinic Users Kiosk Test 2 Demographics 10 8 2014 10 8 2014 Agreements Kiosk test 1 Discharged v 10 8 2014 10 8 2014 10 9 2014 1a
71. or display name However you choose to have the name display we recommend you be consistent e Add Existing Practitioner E If practitioner entry already exists in CareConnections you will receive a list of potential duplicates for review This is very common with referring practitioner names E Select the Add Existing Practitioner check box and select the appropriate existing practitioner name from the list Select license complete Display Name and click Save to add the name to yout list e Remove Practitioner M Select name from list of Practitioners E Click Remove Practitioner s button Saved entries can be viewed on the Referring Practitioner setup page Note Please do not enter duplicate information If you enter the same name with different spellings or abbreviations the names will be treated as 2 separate entries Entering NPI number on all practitioners will help to ensure that no duplicate names are recorded User Manual Version v4 15 06 18 Administration Clinic Users Create additional account logins for your staff Assign roles to allow additional users to Create Registrations View Registrations or View Reports Multiple roles may be assigned to users but Administrators have access to all roles Manage Treatment Episodes Clinic User Setup Treatment Registrations Kiosk Queue 1 Advanced Search Reports Outcomes Registration Registration Creator Viewer Pat Sat Survey Username Administ
72. otentially applicable Guidelines and more specific reporting parameters for your clinic NOTE Diagnosis codes are to be used at their highest number of digits available Specifically use a three digit ICD 9code only if there are no four or five digit codes within that code category Use a four digit code only if there are no five digit codes for that category Use a five digit code whenever they exist in a code category Enter first 2 3 digits to populate a drop down list of valid codes to choose from Primary Diagnosis ICD 10 Code will be required as of 10 1 2015 Enter Primary ICD 10 code that best reflects patient diagnosis Check the Filter by ICD 9 code box to see limited code selections based on ICD 9 code Primary Anatomic Group required select the Anatomic Group from the dropdown list that reflects the patient s physical area of treatment This should relate to the Primary ICD 9 and or ICD 10 Secondary Diagnosis ICD 9 Code if the patient has a secondary diagnosis enter the Secondary ICD 9 code that reflects the patient s secondary diagnosis per therapy evaluation Secondary Diagnosis ICD 10 Code if the patient has a secondary diagnosis you may provide a secondary ICD 10 code that reflects the patient s secondary diagnosis per therapy evaluation Secondary Anatomic Group select appropriate Anatomic Group from the dropdown list that reflects patient s secondary diagnosis if applicable
73. ount Remove Confirmation Are you sure you want to delete the selected Clinic User s dataguy Cancel After reviewing and completing information using the Administration links discussed in the previous pages your account will be customized with all of the insurance payers plans treating and referring practitioners and custom report groups specific to your clinic You ate now ready to begin entering patient data 20 User Manual Version v4 15 06 IV CareConnections Web Site Overview ee eee Navigating the CareConnections Web Site CareConnections web pages may be navigated using the links buttons and ans controls on each page We recommend that you do not use your Back a Forward or Refresh controls in your web browser Once you successfully log Patient Satisfaction in all appropriate navigational menus have been included along the left hand side of the page This should make navigating CareConnections easier for you Advanced search Forms Patient Worksheets e Reece No matter what page you go to using the links provided you will always be Administration able to see and access the navigation links pictured left Clinic Information Custom Report Groups Insurance Setup Treating Practitioner Setup Referring Practitioner Setup Clinic Users Agreements News Updates Please note that CareConnections web pages are continually updated with new content Whenever a change is made to the sys
74. ows you to print a generic Patient Satisfaction survey i e not bar coded This survey is also available in Spanish NOTE Generic surveys cannot be tied back to patient or patient outcomes and should be used only when there is no patient registration available for printing a bar coded satisfaction survey See page 38 to learn more about printing bar coded Patient Satisfaction Surveys woes ose So Patient Satisfaction Treatment Registrations Advanced search Print Patient Satisfaction Surveys Reports Patient Satisfaction Survey Outcomes Patient Satisfaction Survey Spanish Version Patient Satisfaction The CareConnections Patient Satisfaction survey is designed to help your clinic monitor customer service Questions cover three vital Forms areas of operation including clinic front office staff and therapist Patient Satisfaction Administration The form is designed to be scanned which will require you to make clean and clear copies so that the forms remain readable by our scanner It also means that you cannot customize the form or recreate it to your own specifications Forms that you print from this page have been created to print with your clinic name at the top Please note printing instructions in red before printing any forms from the CareConnections Web site In the next few months we plan to allow you to email a Web link to patients that have email which allows them to complete the survey Clinic Information onlin
75. patient visit for the selected report category When looking at MCID for pain you can use this value to determine how many visits it takes to attain clinically relevant change Minimal Clinically Important Difference MCID For a 10 point visual analogue pain scale as used by CareConnections the minimally important difference is 2 points or 2 centimeters for musculoskeletal conditions Upper Extremity Lower Extremity Lumbar Cervical Thoracic TMJ Hand and 1 point 1 centimeter for Neuromuscular and Pelvic Floor conditions VISITS ACUITY WORK DAYS LOST Shows average for indicated value Visits Acuity or Work Days Lost and 95 Confidence Interval for selected report categories 57 User Manual Version v4 15 06 DEMOGRAPHIC MEASURES CARE CONNECTIONS DEMOGRAPHIC REPORT 4th Quarter 2013 Standard Outcomes Problem Area Cervical Thoracic Facility Facility Facility Facility Network National 2013 3 2013 4 2013 Rolling Year Rolling Year Rolling Year amosen OO OO POPULATION Patients 48 54 63 71 2963 12460 59 26 66 21 31 25 40 74 30 16 33 79 35 62 34 63 Age 95 Cl ACUITY 16 30 Chronic 91 120 Chronic gt 120 Not Reported 55 71 US ST Pre Surgical j 0 009 Non Surgical 98 15 97 72 25 70 93 23 0 31 61 RGERVSTATUS Post Surgical R S LO SURGERY WORK DA Se T Work Days Lost Avg 4 13 Work Lost 95 Cl PATIENT POPULATION Shows number of patients and what percentage of yo
76. pies or faxed copies do not scan as cleanly and are sometimes unreadable To print a bar coded survey for a registered patient log into your CareConnections account and right click on the appropriate patient registration in the Treatment Registrations grid Select the appropriate option to Print English Survey or Print Spanish Survey Manage Treatment Episodes My CareConnections Treatment Registrations Advanced search Patient Id Search Incomplete 18 Active 23 Complete 5 Survey 11 Reports Patient Id Phase Survey Submitted 4 Intake Interim Discharge Outcomes ERF TestReg1 Intake anomaan saarnansa 4930 2011 Patient Satisfaction Edit 203831 Intake i Print Registration Summary 189745 Discharged z 7 2011 12 9 2011 Forms x Print English Survey i 185427 Discharged e z J30 2011 11 30 2011 Patient Worksheets 5 a Print Spanish Survey rian diana Patient Satisfaction 125478 Payer Detail i 15198 Discharged Y 11 18 2011 11 1 2011 11 18 2011 11 17 2011 Administration 123456 Diagnosis 9 16 2011 9 12 2011 Clinic Information 116425 Intake v 9 2 2011 9 1 2011 9 2 2011 Custom Report Groups 56324 Intake vi 7 6 2011 6 30 2011 7 6 2011 Insurance Setup 131531 Discharged vA 6 30 2011 6 30 2011 6 30 2011 6 30 2011 Treating Practitioner Setup 98822 Payer Detail 6 30 2011 6 30 2011 Referring Practitioner Setup 154675 Intake a 6 23 2011 6 23 2011 Clinic Users 131531 Payer Detail 6 22 2011 6 22 2011 565656 Discharged
77. plicable for marketing referencing and assessing the effectiveness of your operation We welcome your comments as CareConnections continues its success by being a dynamic system that is responsive to the needs of clinicians Sincerely CareConnections Management WHAT IS CARECONNECTIONS CareConnections is a web based suite of rehabilitation medical management services CareConnections uses combinations of tools to assist providers and payers with the medical management of patients and clinical services These tools include CareConnections Outcomes System a functionally based patient data collection system that compares clinical outcomes to similar groups of clinics and provider submitted episodes of care Outcome reports provide valuable clinical information and management data that can be used to promote best practices improve quality of care and add value for those responsible for the costs of care CareConnections Treatment Guidelines therapist written and researched parameters of care grouped by anatomical body region and cross referenced by diagnosis Each guideline suggests appropriate evaluation tests and measures appropriate functional goals appropriate therapeutic modality and procedure interventions discharge criteria and considerations for additional visits CareConnections Patient Satisfaction Monitoring standardized survey for patients allowing them to provide valuable feedback about their provider experience
78. rator Viewer Report Viewer spearson Y Patient Satisfaction Forms Patient Worksheets Patient Satisfaction Administration Clinic Information Custom Report Groups Insurance Setup Treating Practitioner Setup a Practitioner Setup Agreements e Add New User Click on Add User button Add Clinic User Username DataEntryGuy Email dataguy gmail com First Name Data Last Name Guy No existing users found Complete Add Clinic User form ALL fields are required NOTE Each user should have a unique email address in order to have a CareConnections account login Click on Save an automated message will be sent to the new user with the User name and a Temporary Password e Assign Roles Check appropriate boxes next to each User to assign roles Note you may assign more than one role to certain role types i e Registration Creator Report Viewer Role Definitions Administrator This role has access to all CareConnections features including all Administration links Registration Creation Report Viewing and Additional User setup Registration Creator This role can create and view patient registrations Registration creator can also access Insurance and Practitioner setup links under Administration Registration Viewer This role can search for and view patient registrations Registration viewer cannot enter registrations access Administration links or view reports Report Viewer
79. regated data except as it pertains to the specific account holder 1 4 CareConnections will supply standard management reports on a calendar quarterly basis in a format consistent with samples supplied as modified and updated from time to time Reports will be available within 30 days of scheduled submission deadlines provided participant is current with payments to CareConnections Custom reports may be contracted for documented and attached as an Addendum to this agreement 1 5 CareConnections may terminate any account with 30 day written notice without cause or notification and refund any prepaid fees for services not rendered 2 0 ACCOUNT HOLDER RESPONSIBILITIES 2 1 Participant agrees to respect the copyright of CareConnections documentation forms and related information by making only those copies necessary to conduct the data collection within the authorized facilities 2 2 Participant agrees to support the integrity of CareConnections data by providing training to all appropriate personnel according to the instructions provided by CareConnections 2 3 Participant agrees to restrict its use of Outcomes reports and data to its own quality improvement and marketing programs Participant acknowledges the sensitivity of using the information for personnel matters and will only do so according to the advice of independent legal counsel Participant agrees to hold CareConnections harmless from any inappropriate use of Outcomes data An
80. ry Standard Neuromuscular or Pelvic Floor and click on appropriate report link i e Overview Report to select filter options and retrieve the report Manage Treatment Episodes l Outcomes Treatment Registrations Advanced Search Report Quarter 3rd Qtr 2012 f Reports Y Standard Reports Outcomes Overview Report Patient Satisfaction Profile Report Demographic Report Forms Category Report Self Discharge Report Patient Worksheets Function Question Report Patient Satisfaction Administration gt Neuromuscular Reports Clinic Information i Custom Report Groups P Pohic feor Reporta Insurance Setup Treating Practitioner Setup Referring Practitioner Setup Clinic Users Agreements User Manual Version v4 15 06 OUTCOMES Understanding Report Layout and Terminology Most outcomes reports are laid out in a manner that allows for comparison to historical outcomes data and to network and national groups Report Header e Report Title name of report e Reporting quarter indicates reporting quarter covered by your report e Network indicates name of primary network your clinic belongs to If you do not belong to a network the network name indicates the category of clinics you are being compared against e g Independent Clinic refers to all independent private practices that do not belong to a larger chain or network of clinics Hospital OP would refer to all hospital outpatient clinics e Cli
81. s Payer Detail Diagnosis Intake Interim and Discharge The registration grid will always show the name of the phase that was last completed on a patient registration and will automatically open to the next appropriate phase when registration is accessed for editing or completion User Manual Version v4 15 06 29 V Ready to Enter Data Manage Treatment Episodes Manage Treatment Episodes Treatment Registrations Patient Assessment Queue 0 Advanced Search My CareConnections Patient ld Search Incomplete 67 Active 80 Complete 13 Survey 40 Patient Id Phase Queue Survey Submitted Intake Interim Discharge Reports 258745 ntake 4 24 2015 4 24 2015 Outcomes 234567 Demographics 331 2015 4 2 2015 Patient Satisfaction 236419 ntake v 3 26 2015 3 26 2015 Forms 2970567 Diagnosis 2 25 2015 3 2 2015 Patient Worksheets 06375 Demographics 2 25 2015 2 20 2015 Patient Satisfaction 4564564564564 Diagnosis 11 14 2014 11 17 2014 276776 Payer Detail 1 14 2014 11 1 2013 Administration 283147 intake v 0 17 2014 10 17 2014 Clinic Information 294657 Discharged v 10 14 2014 10 8 2014 10 14 2014 Custom Report Groups 2358462 Intake vi 0 14 2014 10 14 2014 Insurance Setup 257945 Demographics v 10 10 2014 10 1 2014 Treating Practitioner Setup Kiosk Test 2 Demographics 10 8 2014 10 8 2014 Referring Practitioner Setup Kiosk test 1 Discharged v 10 8 2014 10 8 2014 10 9 2014 Clinic Users 22228 Interim 10 6 2014 10 6 2014 10 8 2014
82. s requests to add carriers are e mailed to our administration office for processing We will confirm the correct carrier information add it to your list as appropriate and notify you of the update Reports Fill in the form below and submit it to request a new insurance Outcomes Insurance Carrier Payer Patient Satisfaction Insurance Plan Panel Forms Insurance Type Patient Worksheets p Health Plan Medicaid Patient Satisfaction 2 Medicare 2 PIPIMVA PNC Administration gt Self Pay Work Comp Clinic Information PPO Company Custom Report Groups Insurance Web Site O Insurance Setup Treating Practitioner Setup Referring Practitioner Setup m penna Clinic Users Agreements You have the option of entering PPO Company and Insurance web site where applicable Once you complete the requested information click on Save Note All new insurance requests must be reviewed by CareConnections before being officially added to your list We will ensure the entry is valid or determine if it already exists in our database If a requested name appears under a different heading in CareConnections we will notify you of the correct value to use When submitting new insurance names please try to use the full accurate name for the insurance payer instead of more generic descriptions for example Regence BlueCross BlueShield of Oregon instead of BCBS of Oregon 15 User Manual Version v4 15 06 What is an
83. s in your clinic CARE CONNECTIONS SELF DISCHARGE REPORT 4th Quarter 2013 Standard Outcomes POPULATION FUNCTIONAL IMPROVEMENT DECREASE IN PAIN eee ACUITY WORK DAYS LOS Avg Avg Chg Avg Avg Chg Patients Patients Avg Chg 95 CI Intake Visit f Avg Chg 95 CI Intake _ Visit Avg 95 Cl f Acute Chronic Avg 95 Cl 0 No Outcomes N A Facility Rolling Yea 3 0 93 Network Rolling Year 1286 8 53 National Rolling Yea 10 71 Interim Discharge Facility Rolling Yea Network Rolling Yea National Rolling Yea Report includes the following measures Patient Population Functional Improvement Decrease in Pain Visits Acuity Acute vs Chronic and Work Days Lost FUNCTION QUESTION REPORT The Function Question Report is only available to clinics that report individual function question values through the Function Calculator or Patient Kiosk This report breaks down responses on the CareConnections functional index by individual function question i e Walking Work Personal Care etc Report can only be filtered by Problem Area CARE CONNECTIONS FUNCTION QUESTION REPORT 4th Quarter 2013 Standard Outcomes Lumbar POPULATION FUNCTIONAL IMPROVEMENT MCID 8 VISITS ACUITY Avg Intake Avg Discharge AvgChg 95 CI Avg 95 Cl Facility Rolling Year 2 86 3 39 0 53 0 16 10 42 0 77 30 00 10 00 Network Rolling Year 321 3 99 0 78 0 09 10 65 0 40 34 81 13 17 National Rolling Year 5919 3 40 4 18 0 77 0 03 9 80 0 15 38 57 16 91
84. s part of ongoing research that participating clinics can use to improve their service to you and communicate to your insurance provider Check the box that best describes your level of function in each category Check only one box for each section Please indicate the approximate number of days since your symptoms began in the Acuity section point to and or consider circling this section Back side page 2 We also ask that you rate your pain level in the last 24 hours Place a mark on the line indicating your pain level You may think of this as a scale of 0 10 where 10 is intolerable pain Interim Discharge Visit F Please fill out the front of the form as you did on your initial visit again only checking one box per question G In addition to rating your pain on page 2 back side of the form please complete the Global Rating of Change scale This scale represents how much your condition has changed since beginning treatment Circle the number that best indicates your level of change Please indicate how this injury has affected your work point to appropriate place on form for selecting Work Status and completing Work Days Lost Initial indicators functional scale perceived pain are scored by Front Office staff see scoring information on pages 6 7 Information is transferred to the Data Collection form and or entered into the CareConnections web site Patient Satisfaction Subscribers Only Print Patient Satisfaction
85. s personnel will no longer have access to your password User Manual Version v4 15 06 Resetting Your Password Forgotten Password If you forget your password use the Password Help link on the CareConnections Login page CONNECTIONS Log On Please enter your user name and password User name Password Password Help Click on the Password Help link located below the Log On button To successfully complete this process you must submit your User name and Email Address CONNECTIONS Password Reset Usemame Email The email address should be the one you supplied to us at the time you set up your account An automated message will be sent to this email address which will allow you to complete the reset of your password If your email address does not match your username please contact customer suppott Please be sure to check your email account s Junk Mail or Spam filters before using the Password Help function CareConnections will send an automated email to you that could be blocked by some filters Automated messages will come from support careconnections com If you wish to manually change your passwotd after first logging in click on the Manage User Account link only available after logging in 10 User Manual Version v4 15 06 CONGRATULATIONS On your first login you will be required to accept a HIPAA Business Addendum and or a Terms and Conditions agreement Only one Admin user
86. s relating to Wrst or Hand e TMJ E conditions relating to Headache Stress or Jaw e Lumbar Spine E conditions relating to Lower or Middle Spine e Neurological e Pelvic Floor Pilot Phase E conditions related to Incontinence or Pelvic Pain User Manual Version v4 15 06 CONNECTIONS INITIAL VISIT continued 3 NOTE When handing out the worksheet show patient that the form has a front and a back side or page one and two to complete so that questions do not get missed Try not to simply hand paperwork to the patient to sit down and complete without explanation or instruction We recommend using an introduction script with all paperwork given to patients to help them understand purpose scope and importance of the information you are collecting Whenever possible try to explain how completing various components of the paperwork benefits the patient and helps practitioner to determine best course of treatment Here is a sample script for handing out CareConnections worksheets You can modify the language to suit your needs but these are points that help to define the purpose and benefit of completing the forms Functional Index Script Initial Visit A These forms are used to measure your current functional level and help your therapist to set goals and determine the best course of treatment We also use the CareConnections form later in your treatment in order to measure progress Information from this form may be used a
87. scharge Final outcomes data collected either at patient discharge or interim assessment can be entered to complete the registration In order for a patient record to be completed and reported on discharge information must be provided There are 3 different possibilities to consider when entering patient discharge information 1 Self Discharge no outcomes If patient discharges without filling out interim or discharge outcomes check the Patient Self Discharge No Discharge Assessment Collected box and enter Discharge Date date patient was last seen Self Discharge Reason and Number of Visits up to date patient was last seen This will complete the record d Discharge A Discharge Date 1 15 2012 a Patient Self Discharge No Discharge Assessment Collected Self Discharge Reason SACA EE EET ELE a O Use Last Interim Assessment Select a self discharge reason d Financial Reasons Number of Visits Other Function Patient did not Complete Discharge Assessment l Pain Patient Dropped Out w o Notification f Patient had Surgery Global Rating of Change Patient Moved Away Work Status patient Reported Resolution of Symptoms D O Lost Work Days Patient Returned to Referring Physician o Save amp Close Registration Summary Save Changes Discard Changes 2 Self Discharge Interim Assessment collected If patient self discharged but was able to complete an interim assessment you may 1 check the Patient S
88. sheet Please read this section entirely before entering any patient data Data Entry Fields Required field You must enter a value in order for your record to be saved Conditionally required field Field required based on answer to related field DEMOGRAPHICS 1 Patient ID required enter your clinic s identification for the patient Enter patient name code or ID number you will need to assign an ID to each patient you enter Please do not use patient Social Security numbers 2 Date of Birth required enter patient s date of birth NOTE dates must be entered in MM DD YYYY format 3 Gender required select patient s gender from dropdown list Male or Female 4 Patient email Enter patient s email address if available Future additions to CareConnections will allow for outcomes patient worksheets and patient satisfaction surveys to be emailed to patients who give their email address NOTE This feature is not yet available 5 Initial Evaluation Date required Date of initial patient evaluation NOTE dates must be entered in MM DD YYYY format PAYER DETAIL Payer Detail fields must be set up in Administration before names will be available in your pick lists If you are unable to find the appropriate name you must return to Administration and add the appropriate name to your list 1 Insurance Payer required select patient s insurance payer from dropdown list A l
89. strations Advanced search Reports Outcomes Patient Satisfaction Forms Patient Worksheets Patient Satisfaction Treating Practitioners NPI Display Name License Last Name Ma Capt James Kirk SLP Kirk Coyote Wile E PT Coyote Deppeler David PT PT 1649250796 Deppeler Friday Gladys Friday Runner Road PT Runner of 1 First Name James Wile E David Gladys Road View 1 50f5 Page 1 Administration Display Name Capt James Kirk License SLP Speech Language Pathologist NPI Clinic Information First Name James Middle Name T Last Name Kirk Suffix Custom Report Groups Clinic Users Agreements e Add New Practitioner Click on Add New Practitioner button and complete Practitioner Details form Add New Treating Practitioner Add New Practitioner CMS Record Found NPI 1649250796 DAVID ALLEN DEPPELER PT 11481 SW HALL BLVD STE 201 PORTLAND OR 97223 8403 225100000X PHYSICAL THERAPIST WA First Name Middle Initial Find Results for NPI 1649250796 Last Name Suffix License Display Name E By entering a valid NPI for a practitioner you will receive confirmation of the name from CMS NOTE CMS data does not automatically populate Practitioner Detail E If you do not have practitioner s NPI enter first and last name and use the Find NPI link to search NPI Registry information from CMS You will need to enter NPI information from CMS into the CareConnec
90. survey for patient by following instructions under Patient Satisfaction in this manual pages 38 39 User Manual Version v4 15 06 CONNECTIONS INTERIM ASSESSMENT optional but recommended L Patient completes a Patient Worksheet every 4 6 visits frequency to be determined by clinic for the same appropriate functional diagnostic group as initial visit Additionally Work Status Pain Index and Global Rating of Change scales are highlighted for the patient to complete Patient Satisfaction survey may also be given to patient at this time if you are unsure whether or not patient will be returning to continue treatment Interim scores functional scale perceived pain global rating of change are scored by Front Office staff and information is kept on file or entered directly into patient record on the CareConnections web site Total number of treatments at each interim point should also be tabulated at this time FINAL VISIT 1 Patient completes one last Patient Worksheet for the same appropriate functional diagnostic group as initial visit Additionally Work Status Pain Index and Global Rating of Change scales are highlighted for the patient to complete Patient Satisfaction survey should also be administered at this time if survey was not completed during an Interim Assessment Discharge indicators functional scale percetved pain global rating of change are scored by Front Office staff and information is transferr
91. ted on until they are completed 1 e Discharged Incomplete records may be discharged without interim or final outcomes by providing last treatment date reason for patient self discharge and number of visits Complete Number of complete patient records for the current reporting quarter This count shows how many records will be reported on at the end of the current quarter Count is reset quarterly after reports post Active Total number of patient records that have not been reported on for current quarter includes Complete and Incomplete registrations Survey Total number of patient records that have not yet had a bar coded patient satisfaction survey printed or a Patient Kiosk survey completed Patient ID Search My CareConnections Incomplete 17 Active 22 Patient ld Search Complete 5 Survey 10 Located at the top of the page the Patient ID Search box gives you a quick method of pulling up specific patient records in your active patient list Begin typing in the patient ID and the list will sort based on what you ve typed NOTE This quick search feature will only work on Active Patients not those that have been reported on 23 User Manual Version v4 15 06 Advanced Patient Search Click on Advanced Search link to display advanced search fields Here you may specify date ranges or other requested fields to find records and perform more detailed searches Manage Treatment Episodes Treatment R
92. tem web site or forms a news article will be emailed to your primary system contact person and or posted on the CareConnections News page Please read posted news atticles to keep up on changes and new features being added to the site Member Site 4 Log On Help News CARE CONNECTIONS Public Site CONNECTIONS Home News Help Support 21 User Manual Version v4 15 06 MY CARECONNECTIONS My CareConnections Patient ld Search Patient Id 203831 189745 185427 125478 15198 123456 116425 56324 131531 95522 154675 131531 95522 565656 465239 Page 1 Phase Intake Discharged Discharged Payer Detail Discharged Diagnosis Intake Intake Discharged Payer Detail Intake Payer Detail Intake Discharged Intake Survey Incomplete 17 Active 22 Complete 5 Survey 10 Submitted Intake 14292011 127 2011 12 6 2011 1 26 2011 11 30 2011 11 30 2011 11 30 2011 11 30 2011 11 18 2011 11 1 2011 geam 1 9M2 2011 o2011 o 1 2011 F Q2011 6 30 2011 6 30 2011 6 30 2011 6 30 2011 6 30 2011 6 23 2011 6 23 2011 62 2011 622 201 1 2NA 1 23 2011 wW17 2011 17 2011 5 16 2011 4 30 2011 of p gt FI Interim Tarii 11 30 2011 11 18 2011 YA Tieri 6 30 2011 ergai Discharge 1A322011 11 30 2011 11 17 2011 6 30 2011 F0 2011 View 1 15 of 22 The My CareConnections page lists all active patient registrations entered by your clinic Patients are listed in
93. tices that do not belong to a larger chain or network of clinics Hospital OP would refer to all hospital outpatient clinics e Clinic Name name of your clinic Patient Satisfaction Measures Care CONNECTIONS Patient Satisfaction Overview Report 4th Quarter 2012 Patient Satisfaction Clinic Overview Question Very Very Response Total 1 Facility Comfort Avg 95 Cl Excellent Good Fair Poor Poor N A Rate Surveys Clinic Quarter 484 0 1296 88 8 4 0 0 0 100 00 50 Clinic Rolling Year 484 0 1296 88 8 4 0 0 0 100 00 50 Network Rolling Year 491 0 0208 92 6 1 0 0 0 100 00 925 National Rolling Year 486 0 0134 89 8 2 0 0 0 99 90 3 914 ME Clinic Quarter Excellent I Clinic Rolling Year ME Network Rolling Year HB National Rolling Year 60 65 70 75 80 85 90 95 100 Question Average or Mean Question Avg shows average score for each question indicated on report 95 Confidence Interval 95 CI is the measure of certainty the reported values are representative of the entire patient population Adding and subtracting the 95 CI value to and from the Question Average will show you the average response range for approximately 95 of yout patient episodes If the 95 CI is high then the average is potentially not representative of yout entire patient population since it indicates a large variance exists in the data If the 95 CI is tight to the average shown then you can be fairly c
94. tions Practitioner Detail form i Complete Display Name field to customize how practitioner name displays in your pick list We recommend using Last Name First Name License type for display name However you choose to have the name display we recommend you be consistent e Add Existing Practitioner E If practitioner entry already exists in CareConnections you will receive a list of potential duplicates for review M Select the Add Existing Practitioner check box and select the appropriate existing practitioner name from the list Select license complete Display Name and click Save to add the name to yout list e Remove Practitioner M Select name from list of Practitioners E Click Remove Practitioner s button Saved entries can be viewed on the Treating Practitioner setup page Note Please do not enter duplicate information If you enter the same name with different spellings or abbreviations the names will be treated as 2 separate entries Entering NPI number on all practitioners will help to ensure that no duplicate names are recorded 17 User Manual Version v4 15 06 Administration Referring Practitioner Setup Enter and manage all Referring Practitioner names for your clinic Practitioner Setup now includes NPI lookups through the CMS NPI Registry see below for details Manage Treatment Episodes Referring Practitioners Treatment Registrations Advanced search Reports Pnd Display Name O Ss Outco
95. up Clinic Users Agreements e Add New Report Group M Click on Add New Group E Type in report group name M Click on Save Report Group Details Report Group Name Save Cancel 5 e Remove Report Group M Click on Report Group name to select it E Click on Remove Groups button Once you have saved an entry you can see a list of what you have entered Note Please be careful not to enter duplicate information If you enter the same report group name with different spellings ot abbreviations the names will be treated as 2 separate entries 13 User Manual Version v4 15 06 Administration Insurance Setup A list of common national insurance carriers has already been provided for you when you begin using CareConnections For lesser used insurances for which you do not need to track outcomes please select UNLISTED as the insurance carrier and choose one of the basic UNLISTED insurance plans UNLISTED has been provided as one of your drop down selections when you begin using CareConnections so there is no need to add it again Manage Treatment Episodes nsurance S et LI p Treatment Registrations Advanced search Request New Insurance Reports Search Outcomes Patient Satisfaction Mi y W UNLISTED pant W Unlisted Health Plan Unlisted PIPIMVA PNC Patient Worksheets aot W Unlisted Work Comp Patient Satisfaction 24st Century Insurance Administration El 21st Centu ry Insurance Clinic Inform
96. ur overall patient population is represented by number of patients in selected report categories On Demographics reports in particular patient population is broken down by percent male and percent female AGE Shows average age and 95 Confidence Interval for selected report categories ACUITY Shows distribution of Acuity Day ranges reported by patients for selected report categories SURGERY STATUS Similar to Patient Population surgery status simply shows the distribution percentage of patients that fall into each surgery status pre surgical non surgical and post surgical WORK DAYS LOST Shows average number of work days lost and 95 Confidence Interval for selected report categories 58 User Manual Version v4 15 06 Clinic Outcome Reports Manage Treatment Episodes Outcomes Treatment Registrations Advanced Search Report Quarter 3rd Qtr 2012 ha Reports YV Standard Reports Outcomes Overview Report Profile Report Demographic Report Forms Category Report Self Discharge Report Function Question Report Patient Satisfaction Patient Worksheets Patient Satisfaction Administration gt Neuromuscular Reports Clinic Information gt Pelvic Floor Reports Custom Report Groups Insurance Setup Treating Practitioner Setup Referring Practitioner Setup Clinic Users Agreements OVERVIEW REPORT This is the recommended starting point for generating outcome reports The overview report contains higher le
97. vel views of clinic outcomes data and is often beneficial for clinicians who want to view larger amounts of data in one report You may select a Primary and Secondary category with a full range of values for each category In the overview report both primary and secondary category values have only the option of ALL For example Select the Category filters for the report Primary Category Treating Practitioner H Value ALL Secondary Category Problem Area AL Value ALL Get Report Cancel e Using the selections in the given example a report would show all Treating Practitioner outcomes along with a breakdown of outcomes by problem area for each practitioner Report includes the following measures Patient Population Functional Improvement Decrease in Pain Visits Acuity and Work Days Lost 59 User Manual Version v4 15 06 Categories for the OVERVIEW report include the following selections Primary Category Secondary Category Acuity Age Range Starting Function Age Range Starting Function Diagnosis Problem Area Starting Function Starting Pain Surgery Acuity Age Range Starting Function Diagnosis Starting Pain Work Status Diagnosis top 5 Acuity Age Range Starting Function Starting Pain Problem Area Acuity Starting Function Surgery Starting Pain Insurance Payer top 10 Insurance Type Acuity Age Range Starting Function Surgery Diagnosis Problem Area Starting Pain Work
98. way Work Status Patient Reported Resolution of Symptoms OD Lost Work Days Patient Returned to Referring Physician aD Save amp Close Registration Summary Save Changes Discard Changes COMPLETE NUMBER OF VISITS as of last date seen in clinic CLICK SAVE CHANGES BUTTON TO SAVE OR SAVE amp CLOSE TO SAVE AND RETURN TO TREATMENT REGISTRATIONS PAGE 50 User Manual Version v4 15 06 2 Patient Self Discharge Interim Assessment Completed but No Discharge Assessment If patient drops out of treatment prior to discharge but has completed an interim outcomes assessment please complete following fields COMPLETE DISCHARGE DATE ast date seen in clinic CHECK PATIENT SELF DISCHARGE NO DISCHARGE ASSESSMENT COLLECTED BOX SELECT SELF DISCHARGE REASON FROM DROP DOWN MENU CHECK THE USE LAST INTERIM ASSESSMENT BOX This will automatically populate the discharge outcome fields with data from last assessment Edit Treatments Discharge Discharge Date 1 30 2012 Fa T Patient Sel Discharge No Discharge Assessment Collected Sel Discharge Reason Patient Dropped Out w o Notification Use Last Interim Assessment Eil Number of Visits 4 Function 90 00 m a Pain 0 40 T Global Rating of Change 5 T Work Status Return to work with modification j 0 Lost Work Days 4 Save amp Close Registration Summary Save Changes Discard Changes CLICK SAVE CHANGES BUTTON TO SAVE OR SAVE amp CLOSE
99. y group presentation or publication of CareConnections data requires prior authorization in writing from CareConnections 2 4 Participant agrees to submit complete data for 100 of all patient types tracked by CareConnections An account may select to limit data collection to 100 of one anatomical group Please sign PARTICIPANT SIGNATURE TITLE DATE CLINIC NAME CONTRACTED NETWORK AFFILIATION if applicable Responsible Party 75 User Manual Version v4 15 06

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