PT What's New

What's New (2011/08/05)

Quality Menu

Consultant Pharmacist Information: This report displays a myriad of conditions pertinent to facility clinicians, as well as the pharmacist, to assess resident conditions that may indicate effectiveness of treatment, including drug regimen or indication for change in treatment/drug regimen. This report also includes the number of residents in the facility that triggered each category and the percentage of the facility population that it reflects. Any column header that includes a + or ? sign will expand or contract to show or hide more data.

Benefits/Recommendations for use: The facility consulting pharmacist should use this report along with their chart review for evaluating the appropriateness/effectiveness of the residents? drug therapy regimen. The facility should evaluate this data monthly to assure supporting documentation or care planning is updated as is indicated by the conditions. The report can be exported to Microsoft Excel where the row of statistics (totals and percentages) can be tracked for the calendar year. Are rates increasing or decreasing? Document your analysis in your Quality Improvement program including any actions taken and the outcome.
Pain: The pain report provides valuable information regarding what your MDS assessments reveal about the presence of pain. This critical quality of life issue needs to be identified, assessed, reported to physicians and care planned. This single report will identify residents with pain, either self reported or staff assessed, and of significance, in that it will clearly identify ?new? reports of pain. To aid clinicians in their assessments or auditors in their reviews, the report includes pain frequency, attributes (how it manifests), pain interventions already implemented and potential complications of pain. ?Drilling down? on the residents name will provide the actual MDS scores pertinent to this report for all historical MDSs.

Benefits/Recommendations for use:This report should be viewed weekly but minimally monthly. Clinicians should include the contributing information in their pain assessments and care plan interventions/outcomes to assure consistency in the medical record. Don?t let the MDS assessment conflict with your pain assessments or reveal information that was omitted from your pain assessments. This report can be used as a guide to be sure all complaints of pain, including new reports of pain are documented, assessed, physician reported and care planned and to determine the effectiveness of interventions.
Cognitive and Depression Interview: This report will display BIMS? and PHQ9? scores, including facility averages and the number of residents that scored in each category of cognitive impairment or depression. ?Drilling down? on the score in any category will display the residents and their actual scores within that category. In addition there is an indicator of whether the score has improved or deteriorated since the previous assessment. This will aide clinicians or an auditor to validate supporting documentation is in the medical record and appropriate conditions have been assessed and/or care planned.

Benefits/Recommendations for use:This report should be analyzed monthly, most importantly to identify the changes in resident cognition or depression levels to be sure improvement or decline in status has been assessed. It can also be used as an overall status report for the effectiveness of activity programs for cognitive performance and to target appropriate activities and interventions to residents exhibiting depression.
Decubitus Ulcer Report: This incredibly valuable report displays all residents with healed and/or unhealed decubitus ulcers, as well as other skin conditions captured on the MDS. There are several collapsible headers with supporting information about the ulcers including treatments (as identified by the MDS) and possible risk factors. Active skin impairment with no risk factors needs thorough assessment and documentation.

Benefits/Recommendations for use:This report should be analyzed monthly for the facility Quality Improvement Committee and for clinical audits of the care plan and medical record to be sure all skin impairments have supporting documentation for risk factors, physician notification, weekly assessment i.e., PUSH tool) and care planning.

Reimbursement

Facility Care Mix Report: The facility case mix report displays residents by name and location and includes their State RUG and case mix index scores. Since this report is based on submitted MDSs, it provides valuable reimbursement information. Most States use snapshot dates for calculating reimbursement rates but this report can be run at anytime to project future reimbursement. The report includes several MDS factors including ARD and assessment type.

Benefits/Recommendations for use: This report would typically be run every month to view suggested Medicaid revenue. Clinicians can also use it to evaluate resident RUG categories and case mix.
Corporate Case Mix Report: The corporate view of the case mix report provides valuable summary information regarding facilities, including total assessments completed, by type and the facility average case mix score.

Benefits/Recommendations for use: Regional or corporate staff should review this data monthly to evaluate the fiscal health of their facilities. Is the facility average case mix increasing or decreasing? Significant swings should be evaluated for contributing factors to assure MDS assessments are being completed appropriately. This data can easily be exported to Microsoft Excel to track on an annual basis.
Restorative Report: The restorative report displays all residents participating in a restorative program. It also includes the number of days they participate in each restorative program. We will be adding some analytical data (near future) to identify the number of residents participating in each of the restorative programs, the total number of residents participating in restorative services and identifying any resident receiving restorative services less than 5 days a week. In addition to that, a corporate view of the statistics for this report will be available in the near future.

Benefits/Recommendations for use:The Restorative Report should be viewed monthly to evaluate the strength of your restorative program and the case load of your RNAs. Especially target residents receiving restorative services but less than 5 days a week to see if they could benefit from more. This is also another good audit tool to check that restorative services have been care planned, a physician order recorded and all supporting documentation is present in the medical record.

Demographics Menu

Facility Average LOS This customer requested report displays resident length of stay including admissions, reentries and discharges within the past 30 days. Entry and discharge dates are displayed as well as primary pay source. The facility average LOS displays in the report header.

Benefits/Recommendations for use: Can be viewed on demand, as needed, to confirm increasing or decreasing LOS. Can be sorted by location and exported to Microsoft Excel to compare LOS for different units.
Corporate Average LOS The corporate view provides the number of admissions and discharges per facility within the last 30 days, the number of residents with reentries or ongoing stays and the facility averages. Selecting any score will display the detailed data contributing to the score.

Benefits/Recommendations for use: Can be viewed on demand, as needed, to confirm increasing or decreasing LOS for all facilities in a national or regional group.

Audit Menu

Section I Diagnoses: Resident List This new report lists all residents and the DX triggered by their current MDS. It includes the ability to select any diagnosis and view a list of residents that have that current DX.

Benefits/Recommendations for use: The instructions for MDS section I state ?... code diseases that have a relationship to the resident?s current functional status, cognitive status, mood or behavior status, medical treatments, nursing monitoring, or risk of death.? That means that these conditions need to be assessed and care planned. This report provides an easy tool to audit diagnosis/conditions occurring in your resident population to assure appropriate intervention, assessment and care planning. There are several views available including all diagnosis per resident and all residents per diagnosis. The final ?drill down? provides a history of diagnosis from one MDS to another. An excellent way to identify first time DX or dropped/resolved DX.
Section I Diagnoses: Resident List - Infection: This new report displays a subset of diagnoses for residents that have triggered an infection on the latest MDS.

Benefits/Recommendations for use: Information in this report should be viewed monthly for the infection control committee since these DX are all current with 7 or 30 days of the displayed ARD. This report provides two views including all infectious DX per resident and a list of residents per infectious diagnosis. It is a convenient audit tool to check for supporting documentation in the medical record (physician notification, documentation and care planning)..
Section I Diagnoses: Facility Summary
Facility View: This summary report provides statistical evaluation of the occurrence of DX in the facility compared to facilities state wide and nation wide (using PT ?s extensive database). Selecting the number of residents with the DX will display the names of those that triggered the DX.

Benefits/Recommendations for use: This report will be especially beneficial for the infection control committee with the stats that are provided. This report should be executed monthly on the same day for monthly comparison of stats.

Corporate View:

This report provides a total corporate rollup of active diagnosis including the facility ranges and corporate averages as compared to the national PT database.

Benefits/Recommendations for use:

This report provides corporate summaries of diagnoses including the minimum and maximum range for the facilities as compared to national stats. ?Drilling down? on any condition will display facility stats for that diagnosis.

Section I Diagnoses: Facility Summary with Gender and Age: This report will break out the diagnoses by gender and age groups, again, with this report selecting the total number for any category will display the names of the residents that triggered in that category.

Benefits/Recommendations for use: This view of diagnoses will supply info for some facility required reporting.

Compliance Menu

Late Transmission notification
Re-entry notification (with no prior DC) Facilities can set-up the parameters they choose for e-mail notification of the following events

Benefits/Recommendations for use: This tool provides key information efficiently to key administrative or regional staff.

Late MDS Transmission		The time since the last MDS transmission received by Pro-Tracking is more than the configured number of days.

MDS 3.0: Reentry w/o a preceding discharge		MDS 3.0: A reentry (A0310F = 01; A1700 = 2) was received that was not preceded by a discharge return anticipated (A0310F = 11).

MDS 3.0: Significant Change (A0310A = 04) received		MDS 3.0: A Significant Change in Status assessment (A0310A = 04) was received.

Significant Change list: This report lists all residents with an MDS that meets potential significant change requirements for MDS 3.0, including the ARD.

Benefits/Recommendations for use: This report is beneficial to view weekly to assure that all MDSs that trigger a potential significant change have been assessed as legitimate or not. If legitimate, that a significant change MDS has been completed and the conditions documented and care planned. If not, then to audit the chart to be sure there is supporting documentation to account for it.

Survey Menu

CMS 802P: The CMS 802P form is populated with the most current MDS data and is editable to update conditions to current status, including the ability to add new admissions that do not yet have a completed MDS. Data that cannot be populated by the MDS and referred to as manual data can be entered in the special color coded columns. This report can be printed for surveyors. The [Refresh Auto] button: will import new data for residents that have not been manually updated. If a resident was manually entered, he/she might have 2 lines..

The [Refresh All] button: will import new data for all residents. No information that has been manually entered/updated will be saved.

The [802P Help] button: will display the CMS instructions for completing this form.

The [Print Matrix] button: will print the CMS 802P form

The [Print Details] button: will display a list of residents by name that trrigged each category and the total number and % of residents triggering each category.

CMS 672: The CMS 672 form is populated with the most current MDS data and is editable to update conditions to current status, including the ability to add new admissions that do not yet have a completed MDS. Data that cannot be populated by the MDS and referred to as manual data can be entered in the special color coded columns. This report can be printed for surveyors.

The [Refresh Auto] button: will import new data for residents that have not been manually updated. If a resident was manually entered, he/she might have 2 lines..

The [Refresh All] button: will import new data for all residents. No information that has been manually entered/updated will be saved.

The [Print blank Form w/ Instructions] button: Will display an editable 672 PDF form. This form can be printed blank to use as a worksheet or, if desired, this form can also be manually completed and printed.

The [View PDF w/ Scores] button: will display the 672 in a PDF form populated with MDS data and is modifiable to bring current. Updated forms can be printed in a single work session but cannot be saved.

The [View Summary w/ Drilldown] button: will display the number of residents per condition with the ability to ?drill down? to view the identity of the residents triggering for the condition.

The [Print Roster Census & ADLs] button: will display a list of residents and their census status and ADL scoring to print or export to a variety of formats.

The [Print Roster Sections A-D] and [Print Roster Sections E ?G] buttons: will print a list of residents display how the scored in those areas.

Benefits/Recommendations for use: Both the CMS 672 and 802 reports are required by surveyors during their annual reviews. These reports must be current to the day requested. To save time these reports are populated with the latest MDS information and then modifiable to bring them current. New resident can be added and existing residents can be removed to accommodate admissions and discharges that have occurred since the latest submission of MDS files. It is also recommended to print these report ?Details? monthly to compare changes from month to month and analyze in your Quality Improvement program as indicated. Have they increased or decreased? Are they within acceptable parameters?