Enhancing QiRePort To Support On-Line PCS Service Planning (Update/Status Report)

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1 Attention: The implementation date for the new QiRePort functionality Is June 10, 2015 Enhancing QiRePort To Support On-Line PCS Service Planning (Update/Status Report) PCS Regional Provider Training Sessions: May 5-18, 2015

2 Today s Presentation Recap of Pilot Project Review of QiRePort Functionality To Be Implemented Review of Upcoming Training Review of Roll-Out Review of Available Support 2

3 Pilot Project Summary 3

4 Pilot Project Overview Fifteen Pilot Sites Pilot Period - December 2014 March 2015 Approximately 200 Completed Service Plans Major Findings Easy to navigate and use Average service plan completion time Around 5-10 minutes Altered service plan to allow for in-home and residential care versions of the service plan Optional functionality No major changes Finalization of Proposed Functionality Various small changes to reflect current practices of service provider (approximately 40 refinements) Final version of modifications awaiting PCS policy update 4

5 New QiRePort Functionality To Be Added Expanded Home Page Functionality On-Line PCS Service Planning The focus of new features Person-Centered Goals Beneficiary Profile And Supporting Docs Upload Designed to support a more comprehensive beneficiary electronic record Aide/Staff Credentialing Documentation Reports Let s look at each of these enhancements >> 5

6 New Home Page 6

7 Updated Left Index 7

8 On-Line PCS Service Planning 8

9 Service Planning Functionality Sections Scheduling Aide Assignment (Optional) Service Outcomes (Optional) Aide Instructions (Optional) Medical Monitoring Parameters (Optional) Plan Narrative (Optional) Two Versions In-home With capacity for visit scheduling Residential care Assumes 7 day a week schedule 9

10 PCS Service Planning Functionality New Module To Be Added To Current QiRePort Provider Interface No Software to Install Or Maintain On Your Agency Computers Provides A Standardized On-line PCS Service Plan Template Service Plan Template Built Around The Independent Assessment Ability To Stop and Resume Service Plan Development Includes Built-In Validation of the PCS Service Plan The PCS assessment drives the service plan. Let s review how >> 10

11 QiRePort Extracts the Assessment Information To Create a PCS Service Plan Template 11

12 Initiation Of A PCS Service Plan Starts With A Service Referral From Liberty Via QiRePort Each referral is accompanied by a completed assessment and authorized hours 12

13 Provider Acceptance Of A Referral When a referral is accepted, QiRePort generates a service plan template for the beneficiary. The new service plan is added to the in-process service plan list. 13

14 On-Line PCS Service Plan Completion Tracking When a user selects a beneficiary from the in-process service plan list, the PCS service plan template will appear. Let s review the steps in service plan completion >> 14

15 Basic Steps To Develop On-Line Service Plan Identifying The Days of The Week The Service Will Be Provided In-home providers only Scheduling ADL/IADL Tasks By Day of Week Scheduling Special Assistance Tasks By Day of Week Scheduling Delegated Medical Monitoring Tasks By Day of Week Finalizing Plan Narrative Identification of Service Outcomes (Optional) Aide Assignment (Optional) Indicating the Plan Is Complete To Trigger Validation Remember, the PCS service plan is populated with the assessment results for the beneficiary whose service plan you are developing. Let s look at the service planning scheduling functionality >> 15

16 Entry of Weekly Schedule Into the Service Plan The PCS Service Plan Template Is Based On A Typical Week Determine The Days Of The Typical Week PCS Will Be Provided The assessment results identify the need frequency (days/week) for PCS for each qualifying ADL. When developing the weekly schedule, the need frequency for all the qualifying ADLs must be considered. Enter From and To Times For Each Selected Day As Appropriate, Designate A Shift As You Enter the Days and Times Per Day, QiRePort Calculates the Following: Hours of service accounted for by the schedule already entered Remaining hours to be scheduled based on the authorized hours There are two versions of the service plan scheduling: in-home provider version and residential care provider version. 16

17 Weekly Schedule / In-Home Provider Version Select days of the week and the time of day the PCS service will be provided. As the day and from and to entries are made, QiRePort computes remaining weekly hours. Click here to view the beneficiary s assessment 17

18 Weekly Schedule / Residential Care Version 18

19 Entry Of Task Completion Schedule Required Tasks Are Populated In The PCS Service Plan From the Assessment Each qualifying ADL s ADL tasks Each qualifying ADL s IADL tasks Each required special assistance task Each required medical monitoring task Providers Identify Which Days of the Week Each Required Task Will Be Completed (Taking into account assessment findings) Shift Designations Are Supported To Simplify Entry Let s look at the template used to schedule tasks by day of week >> 19

20 Task Schedule Functionality Select which days of the week the task will be performed. The needs/task list, frequency/weekend indicator and assistance level information are populated from the beneficiary s assessment. 20

21 Optional Service Planning Functionality PCS Service Outcomes Aide Assignment Aide Instructions Sent to the aide task plan Monitoring Parameters Specification Plan Narrative 21

22 Plan Completion As The PCS Service Plan Is Entered, QiRePort Will Supply To The User Various Reminders/Warnings Example Warnings Warning: You do not have a time entry for all of the days within the shift(s) selected. Warning: You have selected less days than the assessment need frequency indicates. 22

23 Generation of Aide Task Schedules (Optional) Once A Service Plan Is Completed, Users Can Generate Aide Task Schedules Each Task Schedule Is Beneficiary-Specific and Aide-Specific The Task Schedules Reflect the Completed Service Plan Organized By ADL and special task categories Show tasks to be performed by day of week The Task Schedules Allow For Documentation of Tasks Performed On The Same Form The Task Schedules Allow For Attestation By the Beneficiary Let s look at the Aide Task Schedule format >> 23

24 Sample Weekly Aide Schedule Form (Top) Customized for each beneficiary and each week QiRePort generates an aide task sheet based on entered schedules and tasks. The Aide Task Schedule allows for documentation of aide tasks performed (Status column). 24

25 Weekly Aide Schedule Form (Bottom) Form is also designed to document beneficiary and employee (aide) attestations of tasks performed. 25

26 Aide Task Sheet Generation Shift Selection Users can run the weekly aide task schedules by shift as well. 26

27 Generation of Prior Approvals Prior Approvals Will Continue To Be Based On the Completed Independent Assessment Prior Approvals Will Not be Forwarded To NCTracks Until The PCS Service Plan Is Completed. Completion means that the service plan is deemed complete by the service provider and the service plan also passes validation 27

28 Additional Functionality To Be Included In QiRePort 28

29 Companion Functionality To Be Available Beneficiary Profile Person-Centered Goals Supporting Documents Upload Reports Each of the above features is optional. Individual service providers can elect to use some or none of the above functionality based on their own documentation needs or system capacities. The upcoming Webinar training sessions on service planning will address how service providers can use these additional features of QiRePort. 29

30 Initial Orientation and Training 30

31 Training and Orientation Plan Step 1. Today s Regional Training Session Update and overview of functionality Update of implementation and roll-out Step 2. Place On-line Orientation Materials In QiRePort Look for the training and orientation materials on 5/19 Get a head start on learning about the new functionality Step 3. Training Webinars -- Based on Final Design Twelve sessions Five sessions for in-home providers Seven sessions for residential care providers 31

32 On-Line Instructional Materials Videos Three separate videos See how service plans are entered (separate version for in-home providers and residential care providers) See how aide task sheets are generated Written User Instructions and Guides Easy to follow Related Materials FAQs Getting started instructions 32

33 Webinar Dates In-Home Providers May 27 th June 1 st June 4 th June 8 th Residential Providers May 27 th May 28 th June 1 st June 3 rd June 4 th June 8 th June 9 th Check the QiRePort home page for Webinar times and specifics! 33

34 Implementation and Support 34

35 Implementation Steps Roll-Out Date June 10 th No Manual Referrals Only Through QiRePort All Referrals Posted As Of June 10 th Require A Service Plan Some Providers May Not Receive A Referral For Awhile Keep watching for referrals Remember, service plans need to be completed in 3 days of the referral Additional time will be allowed for completion of EPSDT plans Prior Approval Generation Roll-out 35

36 Continuing Support Ask A Question --- Go to Home Page Website Help Type in your question On-line Instruction and Guidance Materials QiRePort Support Center

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