Objectives• Overview of iCare
• Navigate the iCare Software application
• Utilize population management concepts to identify populations of patients
• Create and modify customized panels of patients based on user defined needs
• Utilize iCare panels and patient record to display data related to GPRA measures and Reminders
Agenda
• Overview of iCare
• Getting Started
• Community Alerts• Tools in iCare
• Panel Creation
• Panel View
• Patient Record• Practical Use of iCare
• iCare is a Population Management tool
• iCare provides an easy way for providers to identify and manage their patients proactively
• iCare is an interface to underlying RPMS data
• iCare provides the framework and the background processes to enable this functionality
• iCare utilizes existing RPMS applications and logic
What is RPMS iCare?
Provider Identified Needs
Population management tool
Provider-defined populations
Clinical quality performance review
User friendly display of diverse data elements
Different views
iCare Evolution
Phased Development
•Version 1.0 - deployed 05/07
•Version 1.1 - deployed 06/08
•Version 2.0 - deployed 06/09
•Version 2.1 - analyzing requirements and testing
Key Features
• Panel Creation • Diagnostic Tags • Community Alerts• Flags• National Measure Adherence Status• Reminders• Best Practice Prompts• Care Management• Patient Record
Resources:
• Joanna Kelsey, BSN, RN - User Support Specialist• Telephone: 505 – 248-4901• Email: [email protected]
• iCare Website: http://www.ihs.gov/CIO/ca/icare/index.asp
• OIT Help Desk:• Toll free number: 1-888-830-7280• E-mail: [email protected]• http://www.ihs.gov/GeneralWeb/HelpCenter/Helpdesk/index.cfm
Site Manager
• Load the software on Server• Initiate Background Jobs• Assign security keys• Assign Package Manager Access• Load client on individual machines
Taxonomies
• Used in the various applications (e.g. CRS; Reminders) to define things like Diagnoses; Labs; Medications; Procedures etc.
• 2 types of taxonomies:– Hard coded
• Standardized code sets (e.g. ICD; CPT; LOINC; NDC)
– Site Populated• Labs
• Medications
Community Alerts
• Suicidal Behavior– Ideation– Attempt– Completion
• CDC Nationally Notifiable Diseases– Updated Annually
• Public Health Concerns– Influenza Like Illnesses (ILI)– H1N1 Flu
Glossaries and Help
• iCare Help• Care Management Glossaries• Community Alerts Glossary• Diagnostic Tags Glossary• National Measures Glossary• Reminders Glossary• Best Practice Prompts Glossary• About iCare
Icons in iCare
Reset View
Refresh
Mail Merge
Search
Export to Excel
Copy Selected Rows
Background Jobs
Glossary
Filter
Stick Column
Community Alerts
Flags
Sensitive Patient
Population Search Options
• No Pre-defined Population - Manual• My Patients• Patients Assigned To• Scheduled Appointments• QMan Template• RPMS Register• Ad Hoc Search
Living Pts = 100,000
Female Pts = 60,000
Female Pts ≥40 yrs = 20,000
Female Pts ≥ 40 yrs w/ at least 1 visit in past year = 10,000
Female Pts ≥ 40 yrs w/ at least 1 visit in past year from either Community A or B = 250
Female Pts ≥ 40yrs w/ at least 1 visit in past year from either community A or B for whom we have not met the Mammogram Performance Measure =
125
Pt X coming in this afternoon…what else does she need?
Scenario #1
You are a Nurse Case Manager at your clinic and you have been tasked with ensuring that routine cancer screens are performed on your active clinic population