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User Manual - Research Information Systems

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1. Most recent A1C date between AND O nd RED SAO AO A OA O AA E Or AIC value v eee INCLUDE Patients who have NOT had an A1C test between AND Number of matching records Selected criteria 43 Maintenance Maintenance items are available by selecting Maintenance on the menu bar NOTE Changes made under the Maintenance menu are permanent Diabetes Quality Care Management System DQCMS v3 0 Current Patient Reports Letters DSME Search Maintenance Utilities Help Acrobat gt BS BS BH Fs ABC Letter Patient Primary ere Diagnosis Payor Physician Clinic City Physician ES Vaccination Letters Name on Find and Replace Conversion Modify Templates Update Find and Replace Patient City Allows for a batch change of one or more cities This menu option is most often used to correct spelling mistakes 1 Select the city or cities that need to be revised by clicking on them to highlight 2 Click the Search button to find each patient associated with the highlighted city 3 Type the desired city in the field Replace with field 4 Click the Replace button to complete the task 5 Save and close the form by clicking the Close button 44 FIND AND REPLACE CITY To Search Specify your search criteria below and click the Search button To Sort Search Results Click on the column headers to sort search results
2. Telephone Race Asian Pacific Islander v Medical Record it Status Active v SSN DSME Education Site v Physician lt Payor v Date of Birth Date of Death Diagnosis CORONARY ARTERY DISEASE New Diabetes Type Y RENAL DISEASE HYPERTENSION NEUROPATHY DYSLIPIDEMIA Cancel and Close Last Name First Name Date of Birth and either SSN or Medical Record Number are required Data Entry Fields Required fields are noted with a red asterisk sign If the required fields are not completed the data will not be saved e First Office Visit Date Defaults to today s date for new patients The date may be replaced with the date of the first Office Visit if it occurred prior to today s date e Last Name Enter patient s last name e First Name Enter patient s first name e MI Enter patients middle initial e Gender Select Female or Male from the pull down list e Address Enter patient s street address e City Enter patient s city of residence e State Select patient s state province from the pull down list e Zip Enter patient s zip code e Telephone Enter patient s telephone number If the state field is completed the area code for the telephone number automatically displays in the telephone field e Race Select the patient s race from the pull down list If AsianPacifi
3. BURKE DELTA JONAS NICK KING B B KING LARRY 22 KUEHNE KELLI LEE TOMMY MORRE MARY TYLER lt lt PRESLEY ELVIS TEST TEST Update DSME Select the DSME education site from the Update Patients of DSME Ed Site drop down box Once a site has been selected the List of Patients box will be refreshed with the selected site s patients Select the desired site from the Select DSME Ed Site drop down box to which the patients are to be transferred Double click or use forward arrows gt gt on each of the patients on the left side to move over to the right side to change DSME Education Site When at least one patient in the Selected Patients box and a site have been selected in the Select DSME Ed Site box click Update DSME Ed Site to change each selected patient s education site to the selected education site Click the Close button to close the screen and save the changes 38 e Update Site This option allows for the addition modification and deletion of education sites Follow the instructions at the top of the screen to update sites Click Close to close the screen and save the changes UPDATE DSME EDUCATION SITE To Add Scroll to the very last empty row and enter a DSME education site name To Modify Click on the name and make the necessary changes To Delete Click on the arrow to the left of the DSME education site name and press the delete button BILLINGS Y
4. City REQUIRED State OPTIONAL BIG SKY BISMARCK BOWBELLS n BUFFALO of matching LARAMIE records LISBON 0 Replace with Medical Patient Record Name DOB Address City State Zip Primary Physician Conversion Allows for a batch change of multiple patients to the desired physician s This menu option is most often used if a physician leaves a clinic and the patients need to be assigned to new physicians 1 Select the current physician from the Update Patients of Physician drop down box and the List of Patients box will be automatically refreshed with the selected physician s patients 2 Select the new physician from the Select Physician drop down box to whom the patients are to be transferred 3 Double click on each of the patients on in the List of Patients box left to move over to the Selected Patients box right to change the primary physician association 4 Click on the Update Patient Physician button to change each patient s physician to the selected physician 45 PRIMARY PHYSICIAN CONVERSION Update Patients of Physician TO Select Physician J CO y List of Patients Selected Patients lt lt Update Modify Templates e ABC Action Steps Permanently modifies any of the seven available ABC action steps six default action steps and one blank field Type up to 60 characters including spaces into any field and click
5. Enter the date diabetes education was provided Once the date is entered the Education List box appears to the right of the date field and lists several types of education Select all appropriate types of education from the list box by clicking on each one to highlight it black Unselect the education by clicking on it again To enter specific information about the patient s Diabetes Self Management Education DSME click the DSME button to access the current patients DSME Recognition and Behavior Goals screen e Medications Enter date diabetes medications were prescribed Once the date is entered the Medications List box appears to the right of the date field and lists several types of medications If the patient was previously prescribed medications at an office visit the Medications List box will have those medication highlighted Select all appropriate medications from the list box by clicking on each one to highlight it black If the patient is currently not on any medications specify the date and unselect all medications 11 NOTE If patient is not on any medications No Meds will appear on the IPP form for this patient NOTE Refer to Appendix B for a complete list of medications Screen Buttons Demographics Accesses the Patient Demographics screen where the user can view and edit demographic information for the selected patient Print IPP Sends the current patient s IPP individual patient profile form aut
6. 34 To Modify Click in the text and make the desired changes NOTE Changes made on this form are NOT permanently saved to your template To make permanent changes you must go through the Maintenance Menu Physician Signature HOUSE GREGORY Y a Modify physician signatures Customize text Avery Label Type v No one cares as much about your health or knows as much about your life as you do But you can t do it alone Successful diabetes management is a TEAM effort You are the team captain but your health care providers and diabetes educators form a support team dedicated to your good health We are here to help you live healthfully with diabetes We haven t seen you in a while and because things change in life as well as with diabetes we d like to listen to the needs you may have now and help you meet your diabetes care and health goals Please call our office at 701 777 5000 to set up an appointment We re looking forward to seeing you Sincerely Close e Open Goals Generates a list of patients who have behavioral goals that have NOT been reviewed and scored within a certain amount of days The number of days is required and once a number is entered it will remain the default for future reports The report will be generated for all patients but can be narrowed down based on physician using the physician pull down menu Once the criteria are selected click Report to view t
7. User Manual Version 3 0 2 June 2010 DISCLAIMER EERC DISCLAIMER LEGAL NOTICE LEGAL NOTICE This computer program was prepared by the Energy amp Environmental Research Center EERC an agency of the University of North Dakota as an account of the work sponsored by the Department of Health and Human Services Health Resources amp Services Administration The services performed program apparatus product or process disclosed and accompanying documentation are provided as is without warranty of any kind expressed implied or statutory including warranties of merchantability and fitness for a particular purpose except as stated herein Neither the EERC nor any person acting on behalf of the EERC warrants guarantees or makes any representations regarding the use or the results of the use of the service performed program apparatus product or process disclosed or the accompanying documentation in terms of correctness accuracy reliability currentness or otherwise except as stated herein Nor does the EERC represent that the use of the service performed program apparatus product or process disclosed or the accompanying documentation will not infringe upon privately owned rights including copyright patent and trademark rights If the services performed program or accompanying documentation are defective you and not the EERC or its dealers distributors agents or employees assume the entire cost of all
8. low risk or high risk for recurrent ulceration and ultimately amputation is provided in the following chart along with minimum suggested management guidelines Individuals who are identified as high risk may require a more comprehensive evaluation See the Resource List of obtaining information about other foot exam forms and risk categorization schemes developed by the Bureau of Primary Health Care s Lower Extremity Amputation Prevention LEAP Program Health Care Financing Administration and the Veterans Administration Once feet are categorized as high risk it is unlikely that risk status will change unless vascular surgery is performed At subsequent visits the provider should assess for the development of additional risk factors and focus on maintaining the integrity of the feet and on metabolic control Patients should be educated about avoidance of injury use of therapeutic footwear and preventive self care Risk Category Management Guidelines Defined Low Risk Patients Perform an annual comprehensive foot exam None of the five high risk e Assess recommend appropriate footwear characteristics below F 7 Provide patient education for preventive self care e Perform visual foot inspection at provider s discretion High Risk Patients e Perform an annual comprehensive foot exam One or more of the following e Perform visual foot inspection at every visit Loss of protective sensation Absent pedal pulses
9. 49 BACKUP SES ee a a a cee a tt se 49 EXPO Sr AE E A E ten oy 49 Import CSV Data ae rt tote tn aud AE E E E RA 50 Oia iodo 50 SSO 1 LE LR D ses 50 A soda 50 PR ce NS A E a 50 SU lo res a e eee 50 o kesritacdssatncncte ee ae ataa e teenies 50 TECHNICAL SUPPORT a nan dns E E EE E E 51 FOOT EXAM ASSESSMENT iiiiiiseeeeeeeereereeeeeneeeneeeeennee Appendix A MEDIGA TION ST Sinarcas N g a een Appendix B GETTING STARTED System Requirements Minimum Ideal IBM compatible personal computer IBM compatible personal computer Pentium III processor Pentium 4 processor 128 MB RAM 261 MB RAM 60 MB disk space 100 MB disk space Windows OS Windows OS Printer CD ROM burner for backup Printer NOTE FOR WINDOWS XP USERS Before installing the most recent version or uninstalling a previous version of DQCMS make sure that the latest service pack has been installed In addition to the service pack all Windows updates critical as well as regular updates should have been installed Installing DOCMS Previous Users have a previous version of DACMS on the computer NOTE To upgrade from a previous version to DQCMS v3 0 it is required to have DQCMS v2 1 or higher installed 1 2 Open the current version of DQCMS installed on the computer Back up the data file by going to Utilities on the main menu and selecting Backup Save the file to a specified location Close the current version of DQCMS by going to File on the main men
10. BILLINGS MILES CITY MT Close Record M 1of2 CCR be K No Filte Search 39 e Modify Lost to Follow Up Letter Template Allows the user to permanently modify the DSME lost to follow up letter To modify the template type the changes to the text and click Close and the changes will be permanently saved DSME LOST TO FOLLOW UP LETTER TEMPLATE To Modify Click on the field and make the necessary changes Any changes made on this form will be permanently saved to the template No one cares as much about your health or knows as much about your life as you do But you can t do it alone Successful diabetes management is a TEAM effort You are the team captain but your health care providers and diabetes educators form a support team dedicated to your good health We are here to help you live healthfully with diabetes We haven t seen you in a while and because things change in life as well as with diabetes we d like to listen to the needs you may have now and help you meet your diabetes care and health goals Please call our office at 701 777 5000 to set up an appointment We re looking forward to seeing you Sincerely Close 40 DSME Advanced Search The Advanced Search tool under DSME on the main menu is slightly different from the Advanced Search tool under Search on the main menu in that it contains an extra tab for education called DSME Ed The DSME tab
11. Foot deformity History of foot ulcer Prior amputation e Assess prescribe appropriate footwear Demonstrate preventive self care of the feet e Refer to specialists and an educator as indicated Always refer to a specialist if Charcot foot is suspected Certify Medicare patients for therapeutic shoe benefits Place a High Risk Feet sticker on the medical record Management Guidelines for Active Ulcer or Foot Infection e Never let patients with an open plantar ulcer walk out in their own shoes Weight relief must be provided e Assess prescribe therapeutic footwear to help modify weight bearing and protect the feet Conduct frequent wound assessment and provide care as indicated Demonstrate preventive self care of the feet Provide patient education on wound care e Refer to specialists and a diabetes educator as indicated e Certify Medicare patients for therapeutic footwear benefits e Place a High Risk Feet sticker on the medical record Annual Comprehensive Diabetes Foot Exam Form Name 1 Presence of Diabetes Complications 1 Check all that apply Q Peripheral Neuropathy O Nephropathy A Retinopathy Q Peripheral Vascular Disease O Cardiovascular Disease Q Amputation Specify date side and level hose Y N 2 Any change in the foot since the last evaluation Y ____N 3 Any shoe problems Y__ N___ 4 Any blood or discharge on socks or 5 Smoking history Y__
12. Save and Close MODIFY ABC ACTION STEPS Modifications to the actions steps are permanent You may have a total of seven 7 action steps Get physical activity every day 30 minutes on most days Take medications as prescribed Follow a healthy meal plan Go to regular appointments Check your blood sugar as suggested by your provider Stay at a healthy weight Close 46 e ABC Letter Permanently modifies the Opening and Closing text of the ABC letter template Type any text changes to the letter and click Save and Close NOTE When the ABC letter is first used in DQCMS the clinic name needs to be revised in the Opening and Closing portions of the letter MODIFY ABC LETTER TEMPLATE To Modify Click on the field and make the necessary changes Any changes made on this form will be permanently saved to the template iting to you as part of our special effort to reach out to individual patients with diabetes Research has shown that diabetes control can make a big difference in keeping people healthy New studies have emphasized that blood sugar A1C Blood pressure and Cholesterol are all very important in diabetes control That is why these three tests are now called the ABC s of diabetes What do the ABC s mean A is for the A1C test short for hemoglobin A1C which measures your average blood glucose sugar over the last 3 months B is for blood p
13. Zestoretic Moexipn METZ o paa Uniretic E HET ae e ae greeter gee marca ence enn een e ae ae Re a nee orn eee eae aan Vaseretic Combination ACE Inhibitor Calcium Channel Blocker A Trt cr ern E ee Lexxel Benazepnil Amlodipine ae ee eee ee ee ce Lotrel Toa Tarka ARB s Angiotensin Il Receptor Inhibitors E nn e rer eet Cnr en rere rete Atacand Tg yet ig EE EEE Avapro Olmesatan eane ree cen errr tar eer ern carer vere A e eee ncr ares reece are Benicar Eo ee Wg fe eee ee reer eer ere ee reer ee ne ee eee ee Cozaar N EEE EEE Diovan ae aera ait ree Micardis O Teveten Combination ARB Diuretic Caidos aia A aie eee a ee Atacand HCT INrlotete el a tela rd mil Ge Ih Aran A ae oer eer Avalide OlMOSANAM ACT A E obra Benicar HCT MaS vec bearer Eero or Cry NE Er Diovan HCT Eosartam GTZ A age Hyzaar TN ACTA mee a re ee AR A ne mn Me ER Le Tae on Se EN mn Micardis HCT E A ener eer ee en ee ee Teveten HCT Lipid Lowering Medications HMG CoA Reductase Inhibitors A EEE gate Advicor lovas oui ates 4 fig le late dell sts el cuenea nee mone Senne Re A A ee Altocor FRG SUV ASTD xe tet sree et eee teste one eee eR einem eR ee OAL Ae de NE he At ce as Rie T E eee tne ere kas Crestor FUSS TE Rife it ec OR Bee eee Ae a eee epee RE a EO Oe ea a Oe Ae Re E reat of Lescol A ee OC ee eee oe ane ee Re eee ren ee Lipitor OR OS AIME RS I Ee eh pe ee Ce Mevacor Altoprev Pravastatin ys pment A eee oe Pravachol STW AS TARA a me eA nan ee S A Zocor Combinat
14. by selecting the label size from the pull down menu A separate tab will appear with the label displayed in print preview mode From this screen the label can be printed 6 Close Click Close when finished The letter will not be saved Ea e 3 Diabetes Quality Care Management System DQCMS v3 0 TR a File Current Patient Reports Letters DSME Search Maintenance Utilities Help Acrobat To Copy and Paste the letter from another document highlight the text to be copied and press Ctrl C To paste the content click inside the text box below and press Ctrl V To Print selected records press Ctrl P once you have generated the letter by clicking the Letter button Physician Name HOUSE GREGORY Modify signatures Letter Dated Signature Gregory House MD Include Signature 3 24 2010 Avery Label type v Customize text 20 Updates e Demographics Accesses the Patient Demographics screen where demographic information for the current patient can be modified or viewed Consult the Patient Demographics section of this user manual for more information on each data entry field on this screen e Clinical History Corrects clinical history data entry errors Select the tab for the clinical information then modify or delete information according to the instructions provided on the top of the screen Changes to the clinical history are automatically saved as each field is entered Th
15. chin Alo Ava ER ae koe Tolinas CS LOS O EE Dymelc Second Generation Agents Glyburide opi DiaBeta Micronas Ss TR ener eee ere er Glynase Presta Glpizide cee acca ec ee ee eto as ers a etn ec tae ns ae se eee er Glucotrt EIA as Glucotrol X Glimepinde Fae ee Se EATE te A E RO E A E Amar Biquanides Metionin e ne A A A been rn earver aren Glucophage Glucophage XR Fortamet Riome Combination agents Glipizde Metiormin AR oa TESTS TRE Te Re Sr tere eae Re ee cra eee ey Metagli Glyb ride Metformi m ot isa Glucovanc Rosiglitazone Meron ias Avandame Pioglitazone M MOIRE a A LP dr inner Actoplus me Alpha glucosidase inhibitors AED Se a Precos atascos Glyse Thiazolidinediones TZD O ca aa Avandi Pioglitazone e en in Acto Meglitinides ie ot 0 Nike Prandi Nateglinide Re Sn Ne dede Maureen aces Starli Incretin 0279 a E aa Byett ACE Inhibitors and ARBs ACE Inhibitors Angiotensin Converting Enzyme a eae Accupril A Sill Pree tereemecti eee E rere ern ee are ee eer ere rere Aceon ES LA SU erence rer E art en rence caer rrr re EE Altace CAO y OP e O ene nme nen enc ua eee eter se ree re rns Capoten SE qocssorne Lotensin Mrandolapril e Mavik A LEE Monopril ES a EE eer ace Prinivil Zestril A eee econ eer one rer reer ter eee erie Univasc a O OO Vasotec Combination ACE Inhibitor Diuretic A PP A A te nance sre emer c te te de Accuretic A a o Capozide a EC Lotensin HCT o A te eer tenet rere Prinzide
16. instructions for performing a search 1 2 Use the tabs to select various search criteria Use the Select Patient Demographic Criteria button to narrow down the patient population search criteria based on demographics In the Between Tabs box select And to search for patients who meet all of the criteria selected or select Or to search for patients meeting any of the criteria selected When finished setting the search criteria click Search The number of search results will appear in the Number of matching records box There are three different mechanisms for utilizing the search results o Click View Report to view the resulting report in print preview mode which can be printed o Click Export to send the results to an Excel spreadsheet o Click Generate Letter to create a letter in a blank letter template Either type directly into the template or cut and paste text from another document When finished with the search click Clear All to refresh the Advanced Search tool and begin a new search or click Close to exit and return to the Clinical Information Data Entry Screen 42 NOTE The advanced search is based on most recent lab values poses Por Medications Microalbumin Office Visit Pneumococcal Proteinuria Tobacco UrineACR BMI Blood Pressure Creatinine Dental Referal Education e GFR EyeExam EveReferal Foot Influenza Lipids Between Tabs
17. physician s signature name listed at the bottom of the letter Follow the instructions at the top of the screen to make changes 3 Opening and Closing Text Customize the letter s opening and closing text by typing in the text boxes 4 Action Steps Uncheck any action steps that do not apply Any of the action steps can be customized for the current session Up to 60 characters including spaces are allowed for each action step 5 Printing Labels Print Avery brand labels for the mailing envelope by selecting the label size from the pull down menu A separate tab will appear with the label displayed in print preview mode From this screen the label can be printed 6 Printing Letter View the letter in print preview mode by selecting View Letter Once in print preview mode the letter can be printed 7 Close Click Close when finished Changes to the letter will not be saved Vaccination Letter There are six customizable vaccination letters e Flu Only This letter is for patients who have not had the influenza vaccination during the current flu season regardless of the pneumococcal vaccination e Flu had pneumococcal This letter is for patients who have not had the influenza vaccination during the current flu season but have received the pneumococcal vaccination at any time in the past e Flu and Pneumococcal This letter is for patients who have not had a pneumococcal vaccination or the influenza
18. prompt will appear if the value is gt 12 e E GFR Enter the date of estimated glomerular filtration rate GFR and result with no decimals A validation prompt will appear if the value is lt 9 or gt 186 e Urine ACR Enter date of the urine creatinine ratio ACR and the result with one decimal allowed A validation prompt will appear if the value is gt 5000 Once this field is completed microalbuminuria and proteinuria are automatically populated based on the following criteria Urine ACR lt 30 then microalbuminuria and proteinuria Urine ACR 30 to 299 then microalbuminuria and proteinuria Urine ACR gt 300 then microalbuminuria and proteinuria e Proteinuria Enter date of proteinuria urine test and result of positive or negative e Microalbuminuria Enter date of microalbuminuria urine test and result of positive or negative Immunization Status e Influenza Enter date when the influenza vaccination was provided If declined check the declined box e Pneumo Enter date when the pneumococcal vaccination was provided If declined check the declined box Prevention Services e Tobacco Use Enter date when the patient was asked about tobacco usage If the patient is a current tobacco user select Yes If not select No If the patient is a current smoker select whether an intervention was provided e Diabetes Education
19. single user copy the DiabData accdb file located in the Data File folder in the CD to the C DQCMS folder Multiusers If the software is being used by multiple users create a DQCMS folder in a server location and copy the DiabData accdb file located in the Data File folder in the CD NOTE Make sure all DQCMS users have read write permissions to the folder where the data file is located 7 Double click the icon to open the new version of DQCMS Single User If the DiabData accdb file is located in the CADQCMS folder the application will automatically connect to the DiabData accdb file Multiusers If the DiabData accdb file is located in a server location a prompt will appear for the user to locate the DiabData accdb file In the dialog box provided find the server location and select the DiabData accdb file 8 A prompt will appear providing three options for using DQCMS Select the Open DQCMS button to start entering patients and their clinical information Open DQCMS or Import Data Import Data from Open DUCMS EMR CSV Files Upgrade data from DQCMS v2 1x 9 New DQCMS users will be required to enter the clinic name upon initial execution of the software This name will be used as a header in all reports generated by DQCMS In addition new users will be asked to enter at least one patient s demographic information once the clinic name has been entered NOTE The clinic name can be changed at any time by selecting Main
20. the letter can be printed 6 Close Click Close when finished Changes to the letter will not be saved E3 z Diabetes Quality Care Management System DQCMS v3 0 E File Current Patient Reports Letters DSME Search Maintenance Utilities Help Acrobat Physician Name HOUSE GREGORY Signature Gregory House MD Modify signatures Avery Label Type v Customize opening text First Health is writing to you as part of our special effort to reach out to individual patients with diabetes Research has shown that A diabetes control can make a big difference in keeping people healthy New studies have emphasized that blood sugar 410 Blood pressure and Cholesterol are all very important in diabetes control That is why these three tests are now called the ABC s of diabetes What do the ABC s mean 4 is for the 41C test short for hemoglobin A1C which measures your average blood glucose sugar over the last 3 months _ Select Action Steps Get physical activity every day 30 minutes on most days Take medications as prescribed Follow a healthy meal plan Go to regular appointments Check your blood sugar as suggested by your provider Stay at a healthy weight Customize closing text Ask your healthcare provider what action steps are the best ones for you to improve your ABC values and to help you determine your ABC goals First Health looks forw
21. to highlight the field to be included in the mail merge The mail merge can be created in either a comma delimited text file or an Excel file by selecting the file type from the export pull down menu When finished click generate list to save the mail merge to a specified location Click close when finished NOTE By default this option excludes patients designated with a diabetes type of GDM and prediabetes 49 Import CSV Data Imports data from another electronic management system EMR A clinic using DQCMS along with another EMR system can upload EMR patient demographic lab and DSME education data to DQCMS EMR data should be gathered according to the specifications outlined Other e Clear Locks The clinical information screen is locked for data entry if another user is looking at the information This prevents users from inadvertently updating each other s changes To release all patient locks all users must exit the program before the DQCMS administrator performs the clear lock action Once the action is performed the DQCMS administrator must restart the application e Set Input Mask Turns the date slash between the date fields mm dd yy on and off On will include the slash and Off will require the user to enter the slash between the month day and year fields Security e Set Password Protection Allows the site DQCMS administrator to turn the password protection on or off Before turning the passw
22. vaccination during the current flu season If your clinic wants to reach all patients who need both flu and pneumococcal immunization this option will identify all patients e Pneumococcal Only This letter is for patients who are not known to have received the pneumococcal vaccination regardless of the influenza vaccination e Pneumococcal had Flu This letter is for patients who are not known to have had the pneumococcal vaccination but who have had the influenza vaccination during the current flu season 28 e Vaccination Clinic This letter announces the date s and time s for vaccination clinics It can be sent to patients who have not had a pneumococcal vaccine and or the influenza vaccination during the current flu season Follow the instructions provided to generate a customized vaccination letter 1 Physician Select a physician from the pull down list to include only that physician s patients in the query 2 Signature Select the Modify Signatures button to modify or add the physician s signature name listed at the bottom of the letter Follow the instructions at the top of the screen to make changes 3 Text Customize the letter s text by typing in the text box 4 Printing Labels Print Avery brand labels for the mailing envelope by selecting the label size from the pull down menu A separate tab will appear with the label displayed in print preview mode From this screen the label can be
23. 0 XxX oot id F3 gt File Current Patient Reports Letters DSME Search Maintenance Utilities Help Acrobat Patient Data gt Care Profile gt ES x SV Backup Set Backup C Clear SetImput Set Password Data Reminder General Mail Merge Data Locks Mask Protection Backup Export Import Other Security Backup Export Backup Data Creates a copy of the DQCMS data file and saves it in a specified location The software will prompt the user to select the folder and the name of the file to back up the data file NOTE Back up the data file on a regular basis to avoid the risk of losing data Set Backup Reminder The automatic backup reminder may be turned off and on If the computer department has a system in place for consistently backing up the data the user may want to turn this reminder off If DQCMS is running in a smaller facility with minimal computer technical staff it is recommended to turn the reminder on Care Profile Exports patient care profile data as either a comma delimited text file or an Excel file PATIENT DATA Exports patient data with or without identifiers as either a comma delimited text file or an Excel file The user can select between exporting all data or only the most recent data GENERAL MAIL MERGE Allows the user to select the patient population to send an outreach letter to by stratifying demographic and office visit date information Click on each of the criteria
24. CL 6 Where DOT4_001 Comment Print Range All O Pages From v Properties C Print to File Copies Number of Copies CEH e Quick Print Automatically sends the print job to the default printer Exit Database db Closes the database Once clicked the user will be asked if he she wants to exit the database Click Yes and the data will be automatically saved Current Patient Current Patient menu options are available by selecting Current Patient on the menu bar The Current Patient options apply only to the patient who is selected from the patient drop down list box on the Clinical Information Data Entry Screen gt Diabetes Quality Care Management System DQCMS v3 0 md Clea lt 352 ay File Current Patient Reports Letters DSME Search Maintenance Utilities Help Acrobat Ge Re SS E Delete Individual Patient Lab ABC Customized Demographics Clinical Profile IPP Values Letter Letter History Patient IPP Graphs Letters Updates Delete Patient Removes the current patient and all associated clinical and demographic information from the DQCMS system Individual Patient Profile IPP Accesses the current patient s IPP form which can be viewed or printed The 1 page report provides patient specific indicators of care and diabetes management Graphs Lab Values Generates a graph for each selected clinical lab values within a specified period of ti
25. N__ 6 Most recent hemoglobin A1c result date Date ID Measure draw in and label the patient s skin condition using the key and the foot diagram below C Callus U Ulcer PU Pre Ulcer F Fissure M Maceration R Redness S Swelling W Warmth D Dryness 2 Note Musculoskeletal Deformities Toe deformities Current ulcer or history of a foot ulcer Ill Foot Exam Y N For Sections I amp III fill in the blanks with Y or N or with an R L or B for positive findings on the right left or both feet Il Current History 1 Is there pain in the calf muscles when walking that is relieved by rest Y N disease Y __N 1 Skin Hair and Nail Condition Is the skin thin fragile shiny and hairless Y N__ Are the nails thick too long ingrown or infected with fungal Bunions Hallus Valgus Charcot foot Q Foot drop Q Prominent Metatarsal Heads 3 Pedal Pulses Fill in the blanks with a P or an A to indicate present or absent Posterior tibial Left____ Right____ Dorsalis pedis Left____ Right____ 4 Sensory Foot Exam Label sensory level with a in the five circled areas of the foot if the patient can feel the 5 07 10 gram Semmes Weinstein nylon monofilament and if the patient cannot feel the filament Notes SE Right Foot IV Risk Categorization Check appropriate box O High Risk Patient One or more of the A Low Risk Patien
26. SMENTS Item 1 Foot Exam Assessments Condition of the Skin Hair and Toenails Questions Is the skin thin fragile shiny and hairless Are the nails thick too long ingrown or infected with fungal disease Examine each foot between the toes and from toe to heel Record any problems by drawing or labeling the condition on the foot diagram Skin that is thin fragile shiny and hairless is an indication of decreased vascular supply Loss of sweating function may cause cracking of the skin and fissures that can become infected Remove any nail polish Check toenails to see if they are ingrown deformed or fungal Thick nails may indicate vascular or fungal disease If severe nail or dry skin problems are present refer the patient to a podiatrist or a nurse foot care specialist Measure Draw In and Label the Patient s Skin Condition Item 2 Measure and draw on the form any corns calluses pre ulcerative lesions a closed lesion such as a blister or hematoma or open ulcers Use the appropriate symbol to indicate what type of lesion is present i e callus ulcer redness warmth maceration pre ulcerative lesion fissure swelling or dryness Maceration is present if the tissue is friable moist and soft Label areas that are significantly dry red or warm warmer than other parts of the foot or the opposite foot Musculoskeletal Deformities Foot deformities may be the result of diabetic motor neuropathy The fu
27. ard to working with you to help you set and attain appropriate health goals for the ABC s of diabetes We appreciate the opportunity to provide health care for you and your family e Customized Letter Provides a blank letter template to create a user specific letter for the current patient only Follow the instruction provided to generate a customized letter for the selected patient 1 Signature Check the Modify Signatures box to create or modify the physician s signature name listed at the bottom of the letter Follow the instructions at the top of the screen to make changes 2 Text Type any text into the blank letter Customize text box Since changes to this letter will not be saved it is recommended to create the letter text in a Word document that can be saved and copy and paste the text into the text box To copy highlight the 18 text to be copied and hold down the Control key Ctrl and the letter C on the keyboard To paste hold down the Control key Ctrl and press the letter V on the keyboard 3 Letter Dated Enter the date mm dd yy that will appear in the date area of the letter Today s date automatically appears in the Letter Dated field but it can be overwritten 4 Printing Letter The letter can be viewed in print preview mode by selecting View Letter Once in print preview mode the letter can be printed 5 Printing Labels Avery brand labels can be printed for the mailing envelope
28. as to lose protective sensation e The sensory exam should be done in a quiet and relaxed setting The patient must not watch while the examiner applies the filament e Test the monofilament on the patient s hand so he she knows what to anticipate e The five sites to be tested are indicated on the examination form e Apply the monofilament perpendicular to the skin s surface see diagram A below e Apply sufficient force to cause the filament to bend or buckle using a smooth not a jabbing motion see diagram B below e The total duration of the approach skin contact and departure of the filament at each site should be approximately 1 to 2 seconds e Apply the filament along the perimeter and NOT ON an ulcer site callus scar or necrotic tissue Do not allow the filament to slide across the skin or make repetitive contact at the test site e Press the filament to the skin such that it buckles one or two times as you say time one or time two Have patients identify at which time they were touched Randomize the sequence of applying the filament throughout the examination e To order additional disposable or reusable monofilaments see the Resource List at the end of this document A B a Apply the monofilament perpendicular Apply sufficient force to cause the to the skin s surface filament to bend or buckle Risk Categorization Based on the foot exam determine the patient s risk category A definition of
29. atient s value for clinical indicators outcomes for the entire clinic s population list This report is generated by checking the Include Education Report box at the top of the screen Specific patient lists for education provided within a specified time range can be created by checking each individual clinical indicator outcome check box Once the criteria are selected click View Report to view the report in print preview mode and the report can be printed 25 Ea Diabetes Quality Care Management System DQCMS v3 0 x File Current Patient Reports Letters DSME Search Maintenance Utilities Help Acrobat Include Education Report Patient List O Percent of patients who have received SBGM education since 03 24 09 Percent of patients who have received SBGM education since 03 24 09 whose AIC lt Percent of patients who have received other diabetes education since 03 24 09 Percent of patients who have received other education since 03 24 09 whose 410 lt Percent of patients who have received nutrition education since 03 24 09 Percent of patients who have received nutrition education since 03 24 09 whose AIC lt Percent of patients who have received nutrition education since 03 24 09 whose BMI lt Percent of patients who have received physical activity education since 03 24 09 Percent of patients who have received physical acti
30. c Islander is chosen select the ethnicity from the options provided in the pull down list e Medical Record Number Enter the patient s medical record number A medical record number or social security number is required for every patient e Social Security Number Enter the patient s social security number A medical record number or social security number is required for every patient e Status Select Active if the patient is considered to be a current patient who either has been treated or is receiving ongoing treatment Select Inactive if the patient is deceased or no longer a patient of the clinic e DSME Education Site Select the site where patient receives DSME from the pull down list If the site is not in the list go to DSME on the main menu select Education Site and then select Update Site to add the site to the list Follow the instructions provided at the top of the screen e Physician Select the primary physician from the pull down list If the physician s name is not in the list type the physician s name in the field and press Enter on the keyboard The user will be prompted to add the physician s name to the list Click Yes to access the Update Physician Information screen and follow the instructions at the top of the screen e Payor Select the type of insurance payor from the pull down list e Date of Birth Enter the participant s date of birth manually with two digits in each of the
31. cialist A Pedorthist Q Other Q Orthotist 5 Follow up Care Schedule follow up visit Date Monofilaments for Sensory Testing To order monofilaments call or write to any of the following organizations Center for Specialized Diabetes Foot Care P O Box 373 405 Hayden St Belzoni MS 39038 Phone 800 543 9055 Connecticut Bioinstruments Inc P O Box 2567 Danbury CT 06813 Phone 800 336 1935 Lower Extremity Amputation Prevention LEAP Program HRSA BPHC DPSP 4350 East West Highway 9 Floor Bethesda MD 20814 Phone 888 275 4772 Internet http ophc hrsa gov leap Medical Monofilament Manufacturing LLC 116 Long Pond Road Plymouth MA 02360 Phone 508 746 7877 Internet http www medicalmonofilament com North Coast Medical Inc 18305 Sutter Blvd Morgan Hill CA 95037 2845 Phone 800 821 9319 Sensory Testing Systems 1815 Dallas Drive Suite 11A Baton Rouge LA 70806 Phone 225 923 1297 Smith amp Nephew Inc P O Box 1005 Germantown WI 53022 8205 Phone 800 558 8633 APPENDIX B MEDICATION LISTS DQCMS Medication List January 23 2006 Color Code Key Insulin B 1 Oral Antidiabetes Agents Sulfonylureas First Generation Agents Chop amide ener eee ART PR Re er ee ste rent ne Parle rares Diabines First Generation Agents Now Rarely Used TOD amag ER SERRE RARE A AIN EE end nn qe Orinas Tolazamider dois hue go he rn be E eh ne Nk o kM sl eee A Radda Sek
32. day and month fields and four digits in the year field mm dd yyyy e Date of Death Enter the date the patient died Once a date is entered deceased patients will be marked as Inactive e Diagnosis Four coexisting diagnoses Coronary Artery Disease Renal Disease Hypertension and Neuropathy are permanently stored in DQCMS Site provider specific diagnoses may be added to the list To add modify or delete a diagnosis click the New button next to the diagnosis and enter the information NOTE The new diagnosis will not be listed specifically on the patient s IPP rather it will be listed as Other e Diabetes Type Select the type of diabetes Type 1 Type 2 Prediabetes GDM or Unknown from the pull down list Saving Patient Demographics Remember to click the Save and Close button after all edits to return to the Clinical Information Data Entry Screen The data will not save if the required fields noted with a red asterisks sign are not completed MEN File File menu options are available by selecting File on the menu bar U DESCRIPTIONS cs 5 Setup Print DQCMS Patient Print Exit Patient Print e New Opens a blank Demographics screen to allow the user to enter new patient information Diabetes Quality Care Management System DQCMS v3 0 File Current Patient Reports Letters DSME Search Maintenance l DE x New Find Page Print Quick Exit Acrobat e Find Searches fo
33. ded For advanced users 9 Select Finish when the Setup Wizard is finished The software icon will be saved on the computer desktop as DQCMS v3 0 10 Data File e Single User If the software is being used by a single user copy the DiabData accdb file located in the Data File folder in the CD to the CADQCMS folder e Multiusers If the software is being used by multiple users create a DQCMS folder in a server location and copy the DiabData accdb file located in the Data File folder in the CD NOTE Make sure all DQCMS users have read write permissions to the folder where the data file is located 11 Double click the DQCMS icon to open the new version of DQCMS e Single User If the DiabData accdb file is located in the CADQCMS folder the application will automatically connect to the DiabData accdb file e Multiusers If the DiabData accdb file is located in a server location a prompt will appear for the user to locate the DiabData accdb file In the dialog box provided find the server location and select the DiabData accdb file 12 A prompt will appear that provides three options for using DQCMS Select the Upgrade data from DQCMS v 2 1x button to import data from a previous version Open DQCMS or Import Data Import Data from Open DQCMS EMR CSV Files Upgrade data from DQCMS v2 1x 13 In the browse window find the location of the previous data file During the uninstall of the previous version of DQCMS t
34. e Print Export button generates a clinical history report or graph for selected lab values generated within a specified period of time The data can also be exported from this screen Click Close to close the screen Diabetes Quality Care Management System DQCMS v3 0 File Current Patient Reports Letters DSME Search Maintenance Utilities Help Acrobat Click on the field and make the necessary changes To Delete Select the record and click on the arrow to the left of the Date and press the delete button Influenza LipidPanel Medications Microalb Office Visits Pneumo Proteinuria Tobacco UrineACR Weight AIC Blood Pressure Creatinine Dental Referal Education e GFR EyeExam Eye Referal FootExam Height 06 07 07 05 11 06 07 22 04 12 18 02 Record 1of5 ter Search 21 Reports Reports menu options are available by selecting Reports on the menu bar tre y E File Current Patient Reports Letters Lab PA Population Practice Values Eh Selected Patients Profile PPP Graphs Individual Patient Profile IPP PPP DSME L Current Patient Last Modified Date Preview Select QS QS Quarterly Summary QS Diabetes Quality Care Management System DQCMS v3 0 Maintenance Utilities Help Acrobat Es Education J i Monthly Collaborative Blank Blank i Population Lists IPP Abstract Other Reports Template
35. e of GDM or Prediabetes Depending on the amount of clinical data it may take a few seconds for DQCMS to complete all the necessary calculations The QS report can be saved to a specified location as an Excel file or printed e Select QS Criteria Allows the user to select specific criteria to stratify the QS data set Options include Age Gender Race City Diabetes Type including GDM and Prediabetes Diagnoses Physician and Payor Once the criteria are selected click View QS to save the report to a specified location or print it 24 File Current Patient Diabetes Quality Care Management System DQCMS v3 0 5 X Reports Letters DSME Search Maintenance Utilities Help Acrobat Age years lal v Gender Race American Indian Alaska Native Asian Pacific Islander Black Hispanic White Unknown Other City BIG SKY BILLINGS BISMARCK BOWBELLS BUFFALO LARAMIE LISBON Diabetes Type Include CO GDM C Prediabetes Diagnosis CORONARY ARTERY DISEASE RENAL DISEASE HYPERTENSION NEUROPATHY DYSLIPIDEMIA Physician GREY MEREDITH HOUSE GREGORY HOWSER DOOGIE REID ELLIOT ROSS DOUG Payor BLUECROSS AND BLUESHIE MEDICARE MEDICAID MEDICARE AND MEDICAID NO INSURANCE OTHER INSURANCE UNKNOWN Close Other Reports e Education The education report provides a percentage of p
36. ecent Contact Date E Lost to Follow Up Total Comp Initial Hours Comp Initial Completed Comments Record 14 1of1 gt l K t Search Record I 1of1 pl amp X No Filte Search Open Goals max of 2 Goals for selected date Record 14 1of1 mM gt XK No Filter Search Use the following steps to collect and enter DSME education 1 2 Select the patient who obtained DSME from the drop down list Most Recent Contact Date is manually entered to record the most recent patient contact date mm dd yy Lost to Follow Up date is manually entered when the educator determines that the patient was not able to be contacted and is considered lost to follow up as according to program policy or practices The date must be greater than or equal to the most recent contact date If the most recent contact date is changed to a date later than the lost to follow up date then the lost to follow up date will be cleared out Total Comp Initial Hours is automatically updated based on the hours input for the type of comprehensive initial education received Comp Initial Completed is manually checked if comprehensive initial education has been completed If this box is checked any further diabetes education provided will be considered postprogram instruction To enter Education click the drop down box by the word Type Select if the education provided counts toward the comprehensive initial education or i
37. elect individual patients double click on a name from the List of Patients box or select each patient from the list by clicking on the name to highlight it and clicking the forward arrow button gt gt to transfer them to the Selected Patients box Patients can be moved back and forth between the two boxes by clicking on the forward arrow gt gt and back arrow lt lt buttons Once there is at least one patient in the Selected Patients box click Print IPPs button and each report will be automatically sent to the default printer O Select All Active Patients List of Patients Selected Patients BURKE DELTA DOE JANE JONAS NICK KING B B KING LARRY KUEHNE KELLI LEE TOMMY MORRE MARY TYLER PRESLEY ELVIS TEST TEST e Population Practice Profile The PPP report is described under the Reports section of this manual DSME PPP reports allow the education program to compare aggregate Clinical information of patients who have received education to those who have not The DSME PPP allows a DSME date range to be entered in the PPP Demographic Criteria screen The office visit date is entered only if the user wants to limit the criteria by office visit date as well as education date range The DSME Education tab on the PPP form also offers the opportunity to generate various patient lists for targeted intervention The report can be printed e Goal Follow Up Generates a list of patients who have goals to foll
38. ents DOE JANE JONAS NICK KING B B KING LARRY KUEHNE KELLI LEE TOMMY MORRE MARY TYLER PRESLEY ELVIS TEST TEST Population Practice Profile PPP Generates a list of services or lab tests based on selected dates patient demographics and clinical indicators NOTE By default the PPP excludes patients designated with a diabetes type of GDM or Prediabetes However the Select Patient Demographic Criteria button allows the user to identify a subset of the population by defining the target population for the PPP Marking the GDM or Prediabetes box will include these patients in the population Customize the PPP report by changing the time periods and values of various clinical indicators Individual tabs are available for A1C Blood Pressure Dilated Eye Dental Exam Foot Exam Kidney Lipid Profile Office Visits Prevention Services and Tobacco Use To create a patient list and PPP summary report select the desired patient list and check the box next to the PPP Summary Once changes are made there are two options for generating PPPs Clicking the View Report button will show the reports in print preview mode which can be printed Clicking the Export button will export the list to an Excel or comma delimited file Click Close when finished generating PPP reports HINT It may be a good idea to write down the exact steps used to generate each customized PPP report If you are trend
39. enu options are available by selecting Letters on the menu bar The ABC and Vaccination letters can be customized under this menu z Diabetes Quality Care Management System DQCMS v3 0 x File Current Patient Reports Letters DSME Search Maintenance Utilities Help Acrobat f Es ES C E ABC Flu Flu had Flu and Pneumococcal Pneumococcal Vaccination Only Pneumococcal Pneumococcal Only had Flu Clinic ABC Letter Vaccination Letter ABC Letter Creates an individualized patient letter that shows the patient s A1C blood pressure and LDL values compared with the current ADA clinical practice recommendations gt Diabetes Quality Care Management System DQCMS v3 0 x File Current Patient Reports Letters DSME Search Maintenance Utilities Help Acrobat Age years v Office Visit vi i View Letter Lett Physician L n n Signature 0 Modify signatures Customize opening text Avery Label Type i First Health is writing to you as part of our special effort to reach out to individual patients with diabetes Research has shown that diabetes control can make a big difference in keeping people healthy New studies have emphasized that blood sugar 410 Blood pressure and Cholesterol are all very important in diabetes control That is why these three tests are now called the ABC s of diabetes What do the ABC s mean is fo
40. f the education qualifies as postprogram instruction 30 10 11 12 13 14 15 16 Enter the date mm dd yy the patient received the education Enter the total amount of time spent providing education on the date indicated Time can be documented in quarter hour 0 25 increments When the patient has completed the comprehensive initial phase click the check box This will allow the education program to identify all patients who have completed the Comprehensive Initial education and who are now eligible for postprogram instruction formerly known as follow up education Comments can be entered for a specific date Be brief as there are only 50 characters per entry Previous entries are displayed in descending date order Behavioral Goals that have NOT been reviewed and scored will be displayed as open goals so as not to be overwhelming to the patient Only two goals can be open for a patient at one time The goals can be updated in the Goals for selected date section of the form Select a goal category which are based on the AADE 7 Self Behavior Goals visit www diabeteseducator org for more information then type in the patient s actual individualized goal Be brief and abbreviate as there are only 50 characters available Goals should be realistic and achievable Follow Up Date is the expected date that the person is to be contacted to check on his her goals Review Date is the date the educator spoke to
41. he DiabData mdb file automatically was renamed to DiabData org mdb Find and select the DiabData org mdb file Click Open Locate File Look in C3 DQCMS Y osa File name pen if g My Network Files of type Access mdb v 14 The data will import automatically message will appear to confirm completion of the import process Click OK F frmConversioninProgress Conversion in Progress Open DQCMS or Import Data Open DOCMS Import Data from Microsoft Office Access ES Cx New Users no previous version of DQCMS 1 Insert the DQCMS Version 3 0 CD into the CD ROM drive 2 Double click the Installation Package folder C2 mantas ICON setup Microsoft Setup Bootstrapper 3 Double click the setup exe file icon FREE 4 Follow the instructions in the DQCMS Setup Wizard by clicking Next to go through the setup procedures Select Typical when the prompt appears to choose setup type Choose Setup Type Choose the setup type that best suits your needs Typical Installs the most common program features Recommended For most users Custom Allows users to choose which program features will be installed and where they will be installed Recommended for advanced users 5 Select Finish when the Setup Wizard is finished The software icon will be saved on the computer desktop as DQCMS v3 0 6 Data File e Single User If the software is being used by a
42. he report in print preview mode The report can be printed Not selecting a physician will generate the report for all patients Physician v Time Frame REQUIRED gt 0 days e DSME Recognition Report The DSME Recognition Report computes DSME education data that have been entered into DQCMS during the specified time frame It allows the user to gather data related to the National Standards for Diabetes Self Management Education for the purpose of pursuing or maintaining DSME Education Recognition 35 Required Criteria A start and end date are required to create the report and the behavioral goal criteria can be changed from the number of patients to the number of encounters The check box to include a patient list for behavior goals is checked by default but can be unchecked Optional Criteria Include the diabetes type of GDM or Prediabetes or select a specific diabetes type Data can be gathered either by education site or physician NOTE By default this report excludes patients designated with a diabetes type of GDM or prediabetes but these patients can be included by checking the check boxes associated with each condition Once the criteria are selected click the View Report button to generate the DSME Recognition Report in print preview mode The first page of the report contains statistical data about the clinic s diabetes education program that is needed for the DSME recogniti
43. ing this report over time it is beneficial to create the report the same way each time in order to identify the exact quality improvement QI that was implemented within each time frame and which was the most successful approach 23 0 y Diabetes Quality Care Management System DQCMS v3 0 HX BE File Current Patient Reports Letters DSME Search Maintenance Utilities Help Acrobat Select Patient Note Click on the Patient Lists check box if a specific patient list is needed Due to the limitations of Access limit your reporting to less than 10 reports at a time AIC Blood Pressure Dilated Eye Dental Exam Foot Exam Kidney Lipid Profile Office Visits Prevention Services Tobacco Use Patient Lists Match Opposite a Patients who have had an AIC test from 03 24 09 o 03 24 10 O O Of patients with A1C from 03 24 09 to 03 24 10 the percent whose most recent result is less than 7 0 O O Patients who have had 2 or more A1C results separated by more than 3 months in the past 12 months Quarterly Summary QS QS reports provide an aggregated summary of the clinic s performance for the previous 3 months e Preview QS Generates the current QS report for all active patients if no criteria is selected and displays the report in print preview mode By default the QS report excludes patients designated with a diabetes typ
44. inical result in order for it to be saved es gt Diabetes Quality Care Management System DQCMS v3 0 ox Ta File Current Patient Reports Letters DSME Search Maintenance Utilities Help Acrobat D TEST TEST v Most Recent Date mm dd yy Office Visit Weight Foot Exam Height i Type v Risk Blood Pressure Active Prob Recommend Kidney Creatinine mg dl e GFR ml min Urine ACR mg g LDL Proteinuria Triglyceride Microalbuminuria O declined Pneumo O declined Current Intervention Diabetes Educ DSME Save and Refresh Medications Cancel Changes Data Entry Fields Most Recent Date Office Visit Enter date of office visit Clinical Exam Weight Enter date weight was obtained and the weight in pounds lb or kilograms kg and the other value will automatically calculate Validation is required if weight is less than 100 Ib or greater than 300 Ib Height Enter date height was measured and height in feet and or inches without shoes If inches are equal to zero leave the field blank Height is required for the patient s body mass index BMI to calculate Blood Pressure Enter date blood pressure was taken Enter sys
45. ion Agents Pr Gite Wale BASSO ASPIRE E A nee ere eae Une Ene ree ee Previgard PAC HMG CoA Reductase Inhibitor Antiplatelet salicylate Atonastaiin PAmMOdIDINe wer eaterrn Pe Ree er etceet Sere meee Sete Greener rer SSE cnr eee E ne emer eee ere Se ear ee Caduet Statin Calcium Channel Blocker Eva ee de eee cane ON eee een eee ee ee Advicor Statin Fibrate SINN AED a e ra rte err tea rere ae Vytorin Statin Cholesterol Absorption Inhibitor Bile Acid Sequestrants Ste SF EE ee a Questran COS fe Mace a A Dee rene reat eee eee tere et e Colestid ES AN ee ce ee ee eee WelChol Miscellaneous Agents DOMO TOM A a A EA EE Choloxin Fenofibrate end dad EE Tricor E ree Lopid NA Ve ivan eve tal ears eree are te ee eee mn Niacor Nicolar Nico 400 Slo Niacin Niaspan Omega 3 Fatty Acids Fish Oil Promega Cardio Omega 3 Sea Omega Marine Lipid Concentrate SuperEPA 1200 Omacor EXIT pta dona ia dida odia lanas Zetia Insulin ete et poble yerno Lispro Lyspro A a frre Aspart A e nie e oa eee Humulin R Novolin R NP anat Humulin N Novolin N E a oda On Humulin L Novolin L RO e pr PA O Humulin U MEATUS ce se acct ap E O osed Glargine BETS pro L TO protamine na e a Humalog 75 25 50 50 NPR Reola a a8 acted cule iad eae lirio Humulin 70 30 amp 50 50 Novolin 70 30
46. le allows the user to search for a most recent DSME education date range and the type comprehensive initial or postprogram instruction of education received See the Advanced Search section of this manual for more information on how to use Advanced Search NOTE The advanced search is based on most recent lab values gs AIC BMI Blood Pressure Creatinine Dental Referral Education e GFR EyeExam Eye Referral Foot Influenza Lipids Medications Microalbumin Office Visit Pneumococcal Proteinuria Tobacco Urine ACR DSME Ed Between Tabs Most recent DSME education date between AND And A a a le or DSME Education types Comp initial Recwd Post Prog Inst Clear All Number of INCLUDE sarl Patients who have NOT had DSME education between AND i 0 Close Selected criteria Advanced Search The Advanced Search tool is based on most recent lab values and allows the user to select the most recent clinical indicators as well as demographic information to create a customized patient list a mail merge file in Excel or a generic letter The advanced search allows for singular or multiple integrated queries as specified by the user NOTE Searching based on DSME education criteria is only available using the Advanced Search tool under DSME on the main menu 41 Please contact your clinical site coordinator for assistance in developing the queries and accompanying documentation The following are basic
47. me for the current patient The graph can be viewed or printed Letters The Letters menu allows for temporary modifications to the ABC Letter or to create a one time customized letter for the patient Changes to the letters will not be saved e ABC Letter Generates a temporary customized letter that lists the current patient s A1C blood pressure and cholesterol values in a table To make permanent changes to the ABC Letter go to Maintenance on the main menu and select ABC Letter Follow the instruction provided to generate a customized ABC letter for the selected patient 1 Signature Check the Modify Signatures box to create or modify the physician s signature name listed at the bottom of the letter Follow the instructions at the top of the screen to make changes 2 Opening and Closing Text Customize the letter s opening and closing text by typing in the text boxes 3 Action Steps Uncheck any action steps that do not apply Any of the action steps can be customized for the current session Up to 60 characters including spaces are allowed for each action step 4 Printing Labels Print Avery brand labels for the mailing envelope by selecting the label size from the pull down menu A separate tab will appear with the label displayed in print preview mode From this screen the label can be printed 5 Printing Letter View the letter in print preview mode by selecting View Letter Once in print preview mode
48. n the database Instead of opening each object in a separate window it now places objects in a single pane and separates them with tabs The tabs help keep open objects visible and accessible 3 Diabetes Quality Care Management System DQCMS v3 0 ox Ca File Current Patient Reports Letters DSME Search Maintenance Utilities Help Acrobat To close tabs click the black X in the upper right corner of the open object Viewing Multiple Records When letters or reports are created multiple pages may appear in the same window To tab through each page use the arrow keys in the bottom left of the screen First Record Last Record Page M 42 k FE Previous Record Page Next Record DATA ENTRY Clinical Information The Clinical Information Data Entry Screen is the main screen in the DQCMS application To enter data a patient must first be selected from the Patient pull down list Upon selection the screen will be refreshed to show the most recent information for the patient To enter new information type the date as mm dd yy and the result for each available clinical test over the existing information When new information is entered the background color of the updated field will be highlighted yellow The yellow background indicates that the data shown in the field are new and need to be saved Enter all relevant information for the patient before clicking Save and Refresh NOTE A revised date is required for each new cl
49. nction of intrinsic muscles is lost causing the toe digits to buckle as other muscles become imbalanced Muscle wasting occurs The plantar fat pad becomes displaced and the metatarsal heads become more prominent Limited joint mobility occurs and contributes to the potential for toe and foot injury If Charcot foot is present there are severe bone and joint changes and the foot is swollen and warm to the touch Indicate any of the foot deformities listed i e toe deformities bunions foot drop prominent metatarsal heads or Charcot foot The more serious deformities are illustrated below Prominent metatarsal heads are evidence of major deformity such as midfoot collapse A 1 Hammer Toes Claw Toes Bunions Plantar View of Hallux Valgus Charcot Joint Item 3 Pedal Pulses Check the pedal pulses posterior tibial and dorsalis pedis in both feet and note whether pulses are present or absent Item 4 Sensory Exam The sensory testing device supplied in the Feet Can Last A Lifetime kit is a 5 07 10 gram Semmes Weinstein nylon monofilament mounted on a holder that has been standardized to deliver a 10 gram force when properly applied Research has shown that a person who can feel the 10 gram filament in the selected sites is at reduced risk for developing ulcers Because sensory deficits appear first in the most distal portions of the foot and progress proximally in a stocking distribution the toes are the first are
50. necessary servicing repair or correction except as stated herein The EERC does not warrant that the operation of the program will be uninterrupted or error free Reference herein to any specific commercial product process or service by the trade name trademark manufacturer or otherwise does not necessarily constitute or imply its endorsement or recommendation by the EERC or any sponsor UNITED STATES GOVERNMENT DISCLAIMER LEGAL NOTICE This project is funded in part by Grant No U32 CCU822743 03 from the Centers of Disease Control and Prevention of the U S Department of Health and Human Services and from the Montana Department of Public Health and Human Services The contents herein do not necessarily reflect the official views and policies of the U S Department of Health and Human Services or the Montana Department of Public Health and Human Services ACKNOWLEDGMENTS The material in this Diabetes Quality Care Monitoring System DQCMS user manual was prepared for publication by Montana Department of Public Health and Human Services Chronic Disease Prevention and Health Promotion Program Marcene Butcher RD CDE Susan Day Elizabeth Johnson RN CNP Dorothy Gohdes MD Todd Harwell MPH Steven Helgerson MD MPH Chris Jacoby RN BSN Elisabeth Mann RN CDE Janet McDowall RN BSN Carrie Oser MPH Wyoming Department of Health Preventive Health and Safety Division Diabetes Prevention amp Control Program Joe Grandp
51. nts To select individual patients double click on a name from the List of Patients box or select each patient from the list by clicking on the name to highlight it and clicking the forward arrow button gt gt to transfer them to the Selected Patients box Patients can be moved back and forth between the two boxes by clicking on the forward arrow gt gt and back arrow lt lt buttons Once there is at least one patient in the Selected Patients box click View Report to view the lost to follow up report in print preview mode The report can be printed from the screen 33 O Select All Active Patients List of Patients Selected Patients BURKE DELTA MORRE MARY TYLER gt gt lt lt A lost to follow up letter for patients who have a lost to follow up date can be created from the Select Patients for DSME Lost to Follow Up screen by clicking Letter The letter will be sent to the patients in the Selected Patients box in the screen above or it can be further limited to the selected physician s patients The letter text can be temporarily modified in the Customize text box To view the letter s in print preview mode select View Letter The letter can be printed from this screen Print Avery brand labels for the mailing envelope by selecting the label size from the pull down menu A separate tab will appear with the label displayed in print preview mode From this screen the labels can be printed
52. omatically to the default printer Other Comments Add up to 75 characters of text including spaces that will appear on the bottom of the printed IPP report The comment field is not intended for medical charting but could serve as a reminder note for future visits NOTE Comments are not saved in the history Save and Refresh Saves newly entered information and refreshes the Clinical Information Data Entry Screen Cancel Changes Disregards all new changes clears out all yellow background fields and refreshes the form Exit Closes the DQCMS software DSME Accesses the current patients DSME Recognition and Behavior Goals screen Patient Demographics The Patient Demographics data entry screen allows users to enter demographic information about each patient Accessing Patient Demographics Screen New Patient Select File on the main menu bar and select New Existing Patient Select the patient from the patient pull down list on the Clinical Information Data Entry Screen Once the patient is selected there are two options for accessing the patient demographics screen Option 1 On the main menu bar click Current Patient and select Demographics Option 2 Click the Demographics button on the Clinical Information Data Entry Screen PATIENT DEMOGRAPHICS PAPER First Office Visit Date ZAT First Name MI Haria L se Address City v State MONTANA v Zip
53. on application based on the data period entered The second page is the Behavior Goals Report which is also needed for DSME recognition and should be addressed at the annual review Page 2 includes data on how the clinic s patient population is doing with its overall goal achievement Values of 4 and 5 indicate that patients are meeting goals and this is reflected in the overall report The report can be printed 36 Maintenance REQUIRED CRITERIA mm dd yy mm dd yy Start Date End Date m Behavorial Goal Criteria Page 2 Based on of Patients Based on of Encounters Include patient list for behavioral goals OPTIONAL CRITERIA Diabetes Type A Include C GDM C Prediabetes Education Site v OR Physician GREY MEREDITH HOUSE GREGORY HO WSER DOOGIE REID ELLIOT ROSS DOUG e Education Site 1 Conversion Allows for a batch change of multiple patients to the desired DSME education site This option defaults with all patients who are not assigned to an education site Select desired patients and assign them to the appropriate education site NOTE Make sure to enter the education site s prior to opening the conversion screen see Update Site section below on how to add education sites DSME EDUCATION SITE CONVERSION Update Patients of DSME Ed Site TO Select DSME Ed Site NO ASSIGNED SITE v v List of Patients Selected Patients
54. ord protection on for the first time a message will appear to require the input of at least one site administrator The database must be closed and reopened for the change to take effect e DQCMS Users Only users assigned to the Admin user group have access to this menu option It allows the administrator to input modify or delete database users and assign them to a user group for access to the database Help gt Diabetes Quality Care Management System DQCMS v3 0 PAS 2 File Current Patient Reports Letters DSME Search Maintenance Utilities Help Acrobat O About Support File Paths Help About Provides info on version number and program Support Provides contact names for QI and technical support The QI support information is updated by selecting Maintenance on the main menu and then QI Information File Paths Identifies the path of the application files 50 TECHNICAL SUPPORT Your username and password are saved only by the DQCMS administrator at your site Please contact that individual for assistance For data management and entry support please contact your DQCMS administrator For technical DQCMS support please contact Mary McLaughlin Energy amp Environmental Research Center Phone 701 777 5267 E Mail mmclaughlin undeerc org Tera Buckley Energy amp Environmental Research Center Phone 701 775 0514 E Mail touckley undeerc org 51 APPENDIX A FOOT EXAM ASSES
55. ow up on within a certain amount of days The number of days can be changed and it will remain the default 32 for future reports The report can be generated for all patients but can be narrowed down based on physician using the physician pull down menu Once the required time frame and optional physician criteria are selected click List Patients to view the report in print preview mode The report can be printed Not selecting a physician will generate the report for all patients Physician v Time Frame REQUIRED gt 0 days List Patients Lost to Follow Up Generates a list of patients who have lost to follow up status The report will be generated for all patients but can be narrowed down based on physician using the physician pull down menu Click List Patients to view the patients meeting the physician criteria selected Not selecting a physician will generate the report for all patients Physician v List Patients Once List Patients is clicked the Select Patients for DSME Lost to Follow Up screen appears It allows the user to select which patients will receive a letter or be listed in the DSME Lost to Follow Up report All Active Patients To print a report for all active patients mark the Select All Active Patients check box Click View Report to view the lost to follow up report in print preview mode The report can be printed from the screen Selected Active Patie
56. printed 5 Printing Letter View the letter in print preview mode by selecting View Letter Once in print preview mode the letter can be printed 6 Close Click Close when finished Changes to the letter will not be saved Formatting the ABC and Vaccination Letters The format for these letters can be customized Instructions for editing letter templates are explained under the Maintenance function Headings are included with each immunization letter screen specifying the criteria for each patient list The page margins can be changed by going to File on the main menu and selecting Page Setup DS ME The DSME menu option was created for sites with a DSME Recognized Education Program Each education program that is formally recognized by the American Diabetes Association is responsible to collect and trend data gt Diabetes Quality Care Management System DQCMS v3 0 ame EX 2 File Current Patient Reports Letters DSME Search Maintenance Utilities Help Acrobat 3 o l B B 3 L Lost To Follow Up DSME Individual Population Practice DSME Recognition Education Modify Lost To Follow Up Advanced Patient Profile Profile PPP L Open Goals Report Site Letter Template Data Entry Reports Maintenance Search Data Entry DSME data can be entered from the menu bar by clicking DSME and then Data Entry or by clicking the DSME button on the main clinical form 29 Education DSME DATA ENTRY Most R
57. r a patient by medical record number or social security number Print menu options are only available when a report or graph is viewed The print menu will be disabled not available when portions of the DQCMS software are viewed that are not printable such as data entry screens e Page Setup Customizes the page setup using the following three tabs Print Options allows the user to change the page margin sizes Page allows the user to select the page orientation portrait or landscape choose the paper size and source and select a printer The printer is already set to the default printer If a different printer is desired select Use Specific Printer and click Printer Select the printer from the pull down list and click OK If the printer is not in the pull down list click Network to select the printer from the network and click OK Columns tab is not used for the DQCMS application A Page Setup Print Options Page Columns Margins inches Sample Top 0 75 Bottom 0 581 Left r 1 Right 0 8 C Print Data Only Split Form e Print Prints the active report Before printing the user can select the printer the print range all pages or a range of pages and the number of copies to be printed Clicking the Setup button will open the Page Setup window where page margins can be adjusted Printer Name PERE Status Ready Type hp LaserJet 1300 P
58. r the AIC test short for hemoglobin A1C which measures your average blood alucose sugar over the last 3 months Select ABC Criteria Select Action Steps _ Ale al v Get physical activity every day 30 minutes on most days Take medications as prescribed Blood Pressure Follow a healthy meal plan systolic all v Go to regular appointments diastoli Il diastolic a Check your blood sugar as suggested by your provider Cholesterol LDL all v Stay at a healthy weight dE E EE Customize closing text sk your healthcare provider what action steps are the best ones for you to improve your ABC values and to help you determine our ABC goals First Health looks forward to working with you to help you set and attain appropriate health goals for the ABC s of diabetes We appreciate the opportunity to provide health care for you and your family 27 Follow the instruction provided to generate a customized ABC letter 1 Define the patient demographic criteria if desired as follows Age Enter the age range in years for patients to be included Office Visit Enter a time period for patients who have had one or more office visits Physician Select a physician from the pull down list to include only that physician s patients in the query 2 Signature Select the Modify Signatures button to modify or add the
59. re PhD MPH Star Morrison MS RD Betty Holmes MS RD University of North Dakota Energy amp Environmental Research Center Research Information Systems Madhavi Marasinghe Mary McLaughlin Tera Buckley Erin O Leary University of North Dakota School of Medicine and Health Sciences Department of Community Medicine James Brosseau MD MPH Patricia Campbell MPH LRD CDE Richard Clarens PharmD Melissa Gardner Gregory Holzman MD MPH Donna Shuller PA C This publication was made possible by Grant No U32 CCU822743 03 from the Centers of Disease Control and Prevention of the U S Department of Health and Human Services and from the Montana Department of Public Health and Human Services TABLE OF CONTENTS GETTNG S TAR TED A rt nee ne TR tn CAR ts ey 1 System Requirements A e a nc rer 1 Installing DOSMS 2 06 4 Cn ea TS a a 1 Previous USOS sacred 1 New USEFS En ie nr a a o tt okt EE nat EA RE aed Ula cn Re en tn es 5 QUICK Tips 10001 Stated ess ocio iia 7 Shortcut KEYS cuicos an einen toed Bees ten reg dic aline 7 MOP NG Paste soninn ts it ne end a tios 7 WS iN aE ae E E E E O E A O A S 8 Viewing Multiple Records cc 8 DATA ENTER a laa 9 Clinical ATOR MAO nn e A SR A E A LA A Sr 9 BEICH LA A CLS pee a er ee re ener ee een aE 10 SCOOP LOS SES SM AE A nr ee esr ee RC ery res er AR A 12 Patient DEMOGrap MGS escrito tien ententes de Net Ed 12 Accessing Patient Demographics Screen 12 Dalla Entry Fields scsi da 13 Saving Patien
60. ressure High blood pressure makes your heart work too hard Cis for cholesterol Bad cholesterol also known as LDL is more likely to build up and clog your arteries Close 47 e Vaccination Letters Permanently modifies any of the six vaccination letter templates To modify a letter choose the letter from the pull down menu and the preexisting text will appear Edit the text by typing in the window and click Save and Close when finished NOTE Be sure to enter the appropriate clinic phone number and vaccination clinic date and time in the appropriate section of each letter if applicable MODIFY VACCINATION LETTER TEMPLATES To Modify Click on the field and make the necessary changes Any changes made on this form will be permanently saved to the template Have vou had y NMfluenza and Pnemococcal flu pai Influenza Only Pneumococcal had Influenza Pneumococcal Only Vaccine Clinic Day zou to tell you about the importance of getting a yearly more serious illness and even death When you get a cting the people you spend time with your family It is important t flu shot you re and friends Please read the enclosed information and share it with your family It tells why people over the age of 65 those lin poor health or those with chronic illnesses such as diabetes should get a flu shot and what the shot will do Please contact our office at INSERT PHONE NUMBER gt p
61. rior to coming in for your shot and we will have your medical record available for your arrival Sine erely Close Update NOTE Instructions for adding updating or deleting any of the following items are found at the top of each screen e Diagnoses Corrects spelling mistakes and adds clinic specific diagnoses to the diagnoses list The user will not be able to edit or delete the first four diagnoses in the list Coronary Artery Disease Renal Disease Hypertension or Neuropathy e Payor Corrects spelling mistakes and adds new payors to the list The user will not be able to edit or delete the first seven items in the list e Physician Info Allows for revisions to the physician population list Only physicians with no assigned patients can be deleted from DQCMS e Clinic Name Allows the user to modify the name of the clinic The name of the clinic is required before the screen is exited 48 Utilities Quality Improvement QI Information Allows the user to modify and update the two Quality Improvement Support representatives for their site and their associated contact information these support personnel are different than the technical support contacts The QI information is accessable to the user by going to Help on the main menu and selecting Support Utility functions are available by selecting Utilities on the menu bar Lie Diabetes Quality Care Management System DQCMS v3
62. s x Graphs Lab Values Creates a graph for selected lab values generated within a specified period of time for the selected patient The graph can be viewed or printed Individual Patient Profile e Current Patient Accesses the current patient s IPP form which can be viewed or printed e Last Modified Date Prints IPP reports for patients whose clinical information was last modified between a specified period of time e Selected Patients Prints an IPP report for selected patients or all active patients in the patient population All Active Patients To print a report for all active patients mark the Select All Active Patients check box Click Print IPPs to print the IPPs for all active patients and the reports will be automatically sent to the default printer Selected Active Patients To select individual patients double click on a name in the List of Patients box or select each patient from the list by clicking on the name to highlight it and clicking the forward arrow button gt gt to transfer them to the Selected Patients box Patients can be moved back and forth between the two boxes by clicking on the forward arrow gt gt and back arrow lt lt buttons Once there is at least one patient in the Selected Patients box click Print IPPs button and each report will be automatically sent to the default printer 22 O Select All Active Patients List of Patients Selected Pati
63. t All of the following Q Intact protective sensation following Q Pedal pulses present Q Loss of protective O No deformity sensation 3 Absent pedal pulses Q Foot deformity Q History of foot ulcer O Prior amputation O No prior foot ulcer Q No amputation V Footwear Assessment ndicate yes or no 1 Does the patient wear appropriate shoes Y 2 Does the patient need inserts Y __N__ 3 Should corrective footwear be prescribed Y ___N N VI Education ndicate yes or no 1 Has the patient had prior foot care education Y_N__ 2 Can the patient demonstrate appropriate foot care Y_N__ 3 Does the patient need smoking cessation counseling Y_N_ 4 Does the patient need education about HbA1c or other diabetes self care Y_N__ Provider Signature O Notes Re OS Left Foot VII Management Plan Check all that apply 1 Self management education Provide patient education for preventive foot care Date __ Provide or refer for smoking cessation counseling Date Provide patient education about HbA c or other aspect of self care Date 2 Diagnostic studies Q Vascular Laboratory Q Hemoglobin A1c at least twice per year Q Other 3 Footwear recommendations Q None Q Custom shoes Q Athletic shoes Depth shoes 0 Accommodative inserts Refer to U Primary Care Provider Q Diabetes Educator Q Endocrinologist Q Vascular Surgeon Podiatrist Q Foot Surgeon 2 RN Foot Specialist Q Rehab Spe
64. t Demo PIES ia 14 MENU DESCRIPTION Scsi 15 A LS a AR AT Se a RAA SE A AN Re RS A A CA nt An 15 Patenta erae O e beer lagers 15 PriNt iira eie nese ned cabins E EE ued cud oteies EEEE E EEEE E REE tev a a EAA 15 Exit Database table cada lid ie detal 16 Curent Patient en an ed chsh ant ae en lt et te 17 Delete Patent Sen en ne nt en tet Niel deeb desde A A ester 17 Individual Patient Profile IP Paros 17 Graphs Lab Values cicle 17 A O 17 NE Pe 21 A Rae AL We a lee ce lech aa at 22 Graphs bab Values Re me Rennes nina eau titles 22 Individual Patient Profilet vocacion Sedu hace net en ee ata dee Denham ante 22 Population Practice Profile PPP Tus iba 23 Quarterly Summary QS ironia Telde leelo edici 24 o 4 kishore htt cae tee a ee On Sd nee 25 TEMPS titan 26 E O 27 ABG Lettera ias 27 Vaccination Letter iaa ada E a tel 28 Formatting the ABC and Vaccination Letters oooooocccnnccocncccancnaoaccconnncnnnnanannnncnnnncnnnnnnns 29 DOME A A a La e oe eae 29 DEE i A AA rat ista 29 Repons iniri a e e oa a a ae o 31 Maintenant nio ies 37 DSME Advanced Se od 41 Continued TABLE OF CONTENTS continued Advanced Sea O easel nt tent en eae ede ave abet eae a 41 A er A rome Rel er ER er renee ER Srey PS Aad cd aN EE Poe ee oe Pee ee ae 44 Find and Replace Patient City drid ad aa 44 Primary Physician Conversion artista io 45 Modify Templates Re de ona 46 CSIC ATG RP CR oat a EaR 48 VA Puck ie e E teas aA E Mab AERA e aa a te
65. tenance from the main menu and then Clinic Name Electronic Medical Record System Users The Import Data from EMR CSV button is for users with data in an Electronic Medical Record EMR system The data must be exported from the EMR according to the CSV specifications before importing Please contact your quality improvement QI coordinator for more information Quick Tips to Get Started Shortcut Keys e F1 enters the current date into the current date field e F2 enters the office visit date into the current date field e key adds one day to the date in the current date field e key subtracts one day from the date in the current date field e Esc allows the user to clear the changes in a field on any of the forms Copy and Paste The copy and paste functions allow for importing or exporting text in DQCMS Because the software does not have built in editing functions like word processing software keyboard shortcuts are needed to copy and paste To copy highlight text to be copied by holding down the left button on the mouse while selecting the text then hold down the Control Ctrl key on the keyboard and press the letter C To paste highlight text to be copied by holding down the left button on the mouse while selecting the text then hold down the Control Ctrl key on the keyboard and press the letter V 7 Using Tabs DQCMS Version 3 0 provides a new way to work with the graphs reports and other objects i
66. the patient and discussed goal progress Score at Latest Review is based on the scoring scale listed below The score will be linked to a patient population report on overall goal achievement 1 not started 2 started but stopped 3 doing some 4 meeting goal 5 exceeding goal Click the Close button to save data and close the screen NOTE To delete information that has been entered incorrectly select the record by clicking on the leftmost light blue column to highlight the box to black and press the Delete key on the keyboard Reports Reports can be run from the DSME Reports option on the main menu bar Individual Patient Profile The IPP report is described under the Reports section of this manual Current Patient Shows the selected patient s DSME IPP report in print preview mode The report can be printed 31 Last Modified Date Prints the DSME IPPs of patients whose DSME information was modified during a specified date range The reports will be sent to the default printer automatically after clicking Print e Selected Patients Prints an IPP report for selected patients or all active patients in the patient population All Active Patients To print a report for all active patients mark the Select All Active Patients check box Click Print IPPs to print the IPPs for all active patients and the reports will be automatically sent to the default printer Selected Active Patients To s
67. tolic and diastolic values in the respective fields Validation is required if the systolic value is lt 90 or gt 165 or if the diastolic value is lt 50 or gt 100 Foot Exam Enter the date the foot exam was completed Select type of foot exam as Monofilament or Visual Select the level of risk as High Low or Unknown Select whether a foot problem is currently active or not If this is unknown or not documented tab through this field to leave it blank 5 If the level of risk is High or Low select a recommendation If this is unknown or not documented tab through this field to leave it blank ROD NOTE Refer to Appendix A for information on completion of foot exam Eye and Dental Exams Dilated Eye Exam Enter date of dilated eye exam and select the diagnosis as No Retinopathy Mild Retinopathy Severe Retinopathy or Unknown Eye Exam Referral Enter date patient was referred for an eye exam Dental Exam Referral Enter date patient was referred for a dental exam Laboratory Data A1C Enter date A1C test was completed and the resulting value A validation prompt will appear if the result is lt 5 or gt 14 Lipid Panel Enter date and result of lipid panel tests A validation prompt will appear if HDL is lt 25 or gt 60 LDL is gt 200 Triglyceride is gt 400 e Creatinine Enter the date the creatinine test was completed and the result with up to two decimals A validation
68. u and selecting Exit Uninstall the previous version of DQCMS by going to Start in the lower left corner of the computer screen select Control Panel then Add Remove Programs A list of programs installed on the computer will be displayed Select the DQCMS file and click the Change Remove button Follow the uninstall wizard to remove the program by clicking Next until Finished InstallShield Wizard Welcome Modify repair or remove the program Welcome to the DOCMS Setup Maintenance program This program lets you modify the current installation Click one of the options below C Modify Select new program features to add or select currently installed features to remove C Repair oP Reinstall all program features installed by the previous setup E Remove all installed features ces 5 Insert the DQCMS Version 3 0 CD into the CD ROM drive 6 Double click the Installation Package folder C2 A icon setup Bootstrapper 7 Double click the setup exe file icon 8 Follow the instructions in the DQCMS Setup Wizard by clicking Next to go through the setup procedures Select Typical when the prompt appears to choose setup type Choose Setup Type Choose the setup type that best suits your needs Typical Installs the most common program features Recommended For most users Custom Allows users to choose which program features will be installed and where they will be installed Recommen
69. vity education since 03 24 09 whose A1C lt Percent of patients who have received physical activity education since 03 24 09 whose BMI lt Percent of patients who have set personal goals since 03 24 09 O O O O O O O O O O O Percent of patients who have received foot care education since 03 24 09 e Monthly Collaborative This report is helpful for clinics who wish to trend information monthly It is recommended that this report be run each month to update relevant database tables with the previous month s information The monthly collaborative report can either be saved as an Excel file by selecting Export or printed as a report by selecting Report e Population Lists Three separate population list reports are available Patients Provides a listing of all patients stored in DQCMS under a specified physician Not selecting a physician will generate a report for all patients Physicians Provides a listing of all current physicians and providers stored in DQCMS No Height Provides a list of all active patients without a height measurement A height measurement is required for DQCMS to calculate the patient s BMI Each report can be printed Templates e Blank IPP Displays a blank IPP report that can be printed e Blank Abstract Displays a blank form for patient demographics and clinical information that can be printed 26 Letters Letter m

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