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Page 1: ASPEN Training Library-CMS-NSTP-20151109-v2.0 · PDF file · 2016-04-12ASPEN Training Library 2 Document History Date Version Description Name 8/21/2015 1.0 Baseline A. Demick 11/09/2015

ASPENTrainingLibrary

November9,2015

Version2.0

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DocumentHistoryDate Version Description Name8/21/2015 1.0 Baseline A.Demick11/09/2015 2.0 Incorporateeditsfromreviewersandpublishas

finalD.Ward

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TableofContentsAccreditation..................................................................................................................................4

AccreditingOrganization(AO)........................................................................................................5

ASPENCentralOffice(ACO)...........................................................................................................6

ASPENComplaints/IncidentsTrackingSystem(ACTS)...................................................................8

ASPENEnforcementManager(AEM)...........................................................................................10

ASPENRegionalOffice(ARO).......................................................................................................11

ASPENSchedulingandTracking(AST)..........................................................................................12

ASPENSurveyExplorer–Quality(ASE-Q)....................................................................................12

ASSURE.........................................................................................................................................13

ASSUREcont.................................................................................................................................14

AutomatedSurveyProcessingEnvironment(ASPEN)..................................................................14

CertificationandSurveyProviderEnhancedReporting(CASPER)...............................................18

Certifications................................................................................................................................18

Certificationscont........................................................................................................................19

CivilMonitoryPenaltyTrackingSystem(CMPTS)........................................................................19

ClinicalLaboratoryImprovementAmendments(CLIA)................................................................19

DRS...............................................................................................................................................25

ElectronicPlanofCorrection(ePOC)............................................................................................26

HomeHealthAgency(HHA).........................................................................................................27

LongTermCare(LTC)...................................................................................................................27

OutcomeandAssessmentInformationSet(OASIS).....................................................................28

QualityIndicatorSurveyprocess(QIS).........................................................................................28

QualityImprovementandEvaluation(QIES)................................................................................28

Regulation(REG)..........................................................................................................................28

RegionalOffice/StateAgency(RO/SA)........................................................................................29

SurveyorTechnicalAssistanceforRenalDisease(STAR).............................................................29

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AccreditationASPENWeb-CLIA116ELearning

Module5:AccreditationObjective: DemonstrateusingtheASPENCLIA116webapplicationtoaddalabapplyingtoAccreditation.

Module6.1:AccreditationObjective: PerformabasicstatuschangefromaCertificateofAccreditationtoaCertificateofPPM.

Module6.2:AccreditationObjective: PerformabasicstatuschangefromaCertificateofWaivertoaCertificateofCompliance.

Module6.3:AccreditationObjective: PerformastatuschangefromaCertificateofWaivertoaCertificateofAccreditationwithin6monthsoftheCertificateEffectiveDate.

Module6.4:AccreditationObjective: Demonstratehowtoperformastatuschangewhenthelabhasasurveyscheduled.

Module6.5:AccreditationObjective: Performastatuschangeforaninitialcertificationwhenthelabdecidestochangeitscertificatewhilethesurveyorisonsite.

Module7:AccreditationObjective: DemonstrateexamplesofterminationsandreactivationsintheCLIA116webapplication.

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AccreditingOrganization(AO)

UserGuideforASPEN9.5-CLIAAOUploadObjective: ACertificationofAccreditationisissuedtoalaboratoryoncetheaccreditingorganization(AO)verifiestoCMStheaccreditationstatusofthelaboratory.AccreditationbyanAOisvoluntaryandisnotrequiredforMedicarecertification.TheAOmustfindaproviderwherealltheapplicableconditionsaremetorexceeded,beforetheAOmayverifythatthoserequirementstobemetbytheproviderorsupplier.Toaccomplishthis,thelaboratorymustrequesttheAO’sservices.TheAOmustacceptandconfirmtheirparticipationforthelaboratory.TheAOperformsasurveyandsubmitsthesurveydataintotheCLIAsystem.TheAOsusetheCMSsoftware,ASPENWeb[CLIACMS-116]Application,torecordtheirparticipationandresults.TheAOUploadProcessisaportionofthatapplication.Thisdocumentprovidesthestep-by-stepinstructionshowtoutil izetheAOUploadProcessasanAccreditingOrganizationONLY.AOsareassignedaccesswiththeAORolesecurity.

ManagementofDeemedProviders/SuppliersinASPEN10.1.3Objective: ChangesinASPEN10.3toimplementdetailedtrackingofAccreditingOrganizationsthatdeemsomecategoriesofhealthproviders.

ASSURERecordedTrainingSessions

Module5:AOAdministration-ContactManagementandAuditTrackingObjective: Thismodulewill provideanintroductiontomanagingsurveyswithintheWebASSUREapplication.Thismodulewill guideyouthroughthestepstoperformthefollowingfunctions:ContactManagement,Addinganewcontact,Updatinganexistingcontact,Deletinganexistingcontact,AuditTracking,LocaterecordsinAuditTracking,andFilteringAuditTransactions.

Module6AOUploadHandout:Module6Objective :Thismodulewill provideanintroductiontoperforminganuploadofdatatotheWebASSUREsystemfromaCSVFile.

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ASPENCentralOffice(ACO)

ACO/ARO10.2ReleaseQuickInstallGuideObjective: ToupdateASPENCentralOffice/ASPENRegionalOffice(ACO/ARO)toASPEN10.2,youcanperformaThinorClient/Shared/FullInstallasappropriate.Youwill mostlikelyprefer,andbeabletodoaThinInstall. Instructionsforall installationoptionsfollow.

ACO10.2ProceduresGuideObjective: TheACOProceduresGuidegivesyoutheinformationyouwillneedtocreateandmaintainproviderrecordsandprocesscertificationsusingASPENsoftware.FunctionsspecifictoASPENRegionalOffice(ARO)anddifferencesbetweenACOandAROareidentified.

ImportingandExportingSurveysandComplaintsUsingAspenSurveyExplorerObjective: ASPENSurveyExplorerInstructions

CLIAinACOELearning

Instructions

Module1:ACOQuickTourObjective: CLIAIntegrationintoACOandtheACODesktop.

Module2:SelectionSetsObjective: Whatisaselectionset?CreatingaNewSelectionSet,ActivatingaSelectionSet,andModifyingaPersonalselectionset.

Module3:ACOActionItemsObjective: AboutActionItems,ClosingMultipleActionItems,CreatinganActionItemFilter,andCreatingaPublicActionItemFilter.

Module4:CLIALabRecordsinACOObjective:CLIALabTypesinASPEN,CLIALabRecordsintheASPENTree,FacilityProperties,andNavigatingintheTree.

Module5:UsingFindinACOObjective:UsingFindtoLocateaRecordinACOandWorkingwithFindFunctions.

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ASPENCentralOffice(ACO)continuedModule6:LabswithnoCLIANumberObjective: AddaRecordforalabwithNoCLIANumberandaddaProvider(CLIA)NumbertoNOCNLab.

Module7:ASPENCertificationKitsObjective:WhatisaCertificationKit?CertificationKits-AFirstLook.

Module8a:CreateInitialKitandScheduleSurveyObjective:CreateanInitialKitandScheduleaSurvey,EnterSurveyData,ReceivePOCandScheduleRevisit,EnterCorrectedDates,andUploadtheCertificationKit.

Module8b:EnterSurveyData

Module8c:ReceivePOCandScheduleRevisit

Module8d:EnterCorrectedDatesandUpload

Module9a:CreateRecertification-Part1Objective:UpdateAllowedFacilityTypes,CreateaRecertificationKitforaLab,AddResponsibleParties,andScheduleaSurvey.CreateanOffsiteRevisit,SACompletestheKitandUploads.

Module9b:CreateRecertification-Part2Objective: Createanoff-siterevisit.

Module10:ValidationSurveysObjective:ROSelectsLabforaValidationSurvey,SASchedulesValidationSurvey,SAEntersPost-surveyInformation,andSACompletestheKitandUploads.

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ASPENComplaints/IncidentsTrackingSystem(ACTS)ACTS10.2ReleaseQuickInstallGuideObjective: ToupdateASPENComplaints/IncidentsTrackingSystem/ASPENComplaints/IncidentsTrackingSystemRegionalOffice(ACTS/ACTSRO)toASPEN10.2,youcanperformaThinorClient/Shared/FullInstallasappropriate.Youwill mostlikelypreferandbeabletodoaThinInstall. Instructionsforall installationoptionsfollow.

ACTS10.1.7ProceduresGuideObjective: TheACTSProceduresGuideprovidestheinformationyouwillneedtoprocesscomplaints/incidentsusingtheACTSapplication.

ImportingandExportingSurveysandComplaintsUsingAspenSurveyExplorerObjective: ASPENSurveyExplorerInstructions

ACTSforNursingHomesOnlineLearning

Instructions

Module1:ACTS-TheQuickTourObjective: PointsoutfunctionsavailableinACTSandtipsonhowtonavigate.

Module2:SelectionSetsinACTSObjective: Whatisaselectionset?Creatinganewselectionset,activatingaselectionset,andmodifyapersonalselectionset.

Module3:ActionItemsObjective: Aboutactionitems,creatinganactionitemfilter,andcreatingapersonalactionitemfilter.

Module4:TheACTSIntakeObjective: TheIntaketab,theAllegationstab,theContact/Refertab,theActivitiestab,InvestigationProperties/562View,theActions/Closetab,andtheUploadIntaketab.

Module5:GenerateanIntakefromtheACTSHotlineObjective: TheACTSHotline,generatinganintakefromtheHotline,addinganAllegationtoanIntake.

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ASPENComplaints/IncidentsTrackingSystem(ACTS)continuedModule6:AssignPriority&LinkIntaketoanInvestigationObjective: HowtoassignPrioritytoanintakeandHowtolinkanintaketoaninvestigation.

Module7:IntakebyRegionalOfficeObjective: LookattheCMSRegionalOfficeversionofACTS,withareviewofbasicstepslikelocatinganursinghomerecord,andcreatinganewintake.

Module8:LinkaSecondIntaketoanInvestigationObjective: UsingFind,Addingacomplainanttoanintake,addingaresidenttoanintake,andprocessinganintake.

Module9:SurveyTasksinASPENObjective: Citingatag,PrintingFormCMS-2567,Completingthe670Workload,POCTracking,ANDSchedulingaRevisit.

Module10:Post-InvestigationTasksinACTS–Part1Objective: Enterallegationfindings,Attachafiletoaninvestigation,Linkdeficiencies,andEnterInvestigationCompleteddate.

Module11:Post-InvestigationTasksinACTS–Part2Objective: EnterProposedAction,AddContactInformation,SendaLetterfromACTS,andForwardtoCMSRegionalOffice.

Module12:ACTSUploadsObjective: CMS562Uploads,ACTSDetailUploads,andTrackingUploadTransactions.

Module13:RegionalOfficeSignoffObjective: CMSRegionalOfficeSignoffandCMS562UploadbyRegionalOffice.

Module14:FinalizingaComplaintObjective: AboutFinalization,ReasonClosedandFinalizingMountainMeadows.

Module15:ACTSReportsObjective: Quick,Reports,andReportCustomization.

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ASPENComplaints/IncidentsTrackingSystem(ACTS)continuedACTSRecordedTrainingSessions

ACTS10.0DeathRestraintSeclusionObjective: CreatingDRSinstructions.

DRSWebExSupportingMaterialsObjective: CreatingDRSinstructions.

ASPENTraintheTrainer(TTT)ComplaintsDescription: TheASPENComplaintTract(formerlyASPENAdvanced)examinesthestepsinvolvedinthecomplaintprocess.Thisincludesinformationonhowtologacomplaintorentity-reportedintake,openaninvestigation,recordallegationsandfindings,completetheinvestigationandtransferdata,emailsurveysandintakesfromACTS,associaterelatedintakes,andcloseacomplaintinvestigation.Specialintaketypesfordeemed,EMTALA,anddeath-restraints/seclusionwill bediscussed.We’lldemonstratehowASPENuploadsintakes,andtracksnotifications,andwewill reviewACTSmanagementtoolsandreportsformonitoringthecomplaintprocess.

ASPENEnforcementManager(AEM)AEM10.2ProceduresGuideObjective: TheAEMProceduresGuidegivesyoutheinformationyouneedto:• Openandeditanenforcementcase• Addandremovesurveysfromacase• RecorddetailsaboutspecificsituationscitedataJ,KorLScope/Severitylevel• Enterfederaland/orstateremedies• Add/modify/deletecivil monetarypenalties• Maintainahistoryofall correspondencerelatedtotheenforcementcase• Enterallappeal-relatedinformation,includingrequestdates,docketnumbers,and

decisioninformation• Uploadenforcementcasedatatothenationalserver

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ASPENEnforcementManager(AEM)continuedAEMRecordedTrainingSessions

HHAEnforcement-ASPEN10.1.6Handout:HHAEnforcement-ASPEN10.1.6Objective: TodemonstratetheentryofenforcementrelatedinformationforHHAsinAEM.InaccordancewithCMSpolicy,whenaconditioniscited,anenforcementcaseshouldbecreatedfortheHHA.

CLIAEnforcement-ASPEN10.1.6Handout:CLIAEnforcement-APSEN10.1.6Objective: TodemonstratetheentryofenforcementrelatedinformationforCLIALabsinAEM.PolicyquestionsshouldbedirectedtoeitheryourCMSRegionalOfficeorCMSCentralOffice.

ASPENRegionalOffice(ARO)ACO/ARO10.2ReleaseQuickInstallGuideObjective: ToupdateASPENCentralOffice/ASPENRegionalOffice(ACO/ARO)toASPEN10.2,youcanperformaThinorClient/Shared/FullInstallasappropriate.Youwillmostlikelyprefer,andbeabletodoaThinInstall. Instructionsforall installationoptionsfollow.

ACO10.2ProceduresGuideObjective: TheACOProceduresGuidegivesyoutheinformationyouwillneedtocreateandmaintainproviderrecordsandprocesscertificationsusingASPENsoftware.FunctionsspecifictoASPENRegionalOffice(ARO)anddifferencesbetweenACOandAROareidentified.

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ASPENSchedulingandTracking(AST)AST10.2ProceduresGuideObjective: TheASTProceduresGuidegivesyoutheinformationyouneedto:• ConfigureMySettingsinAST• Add,modify,anddeletestaffmemberactivities• Schedulecertifications,l icensevisits,andrevisits• Beginaninitialcertificationprocess• AddaCHOWeventtoanexistingcertification• UsePrescheduletoautomaticallyselectandprovidetargetdatesforaspecified

percentageofasingleprovidertype

ASPENSurveyExplorer–Quality(ASE-Q)

ASE-Q10.2ReleaseQuickInstallGuideObjective: ASPENSurveyExplorer-Quality(ASE-Q)isdesignedtoworkasastandaloneapplicationonfieldcomputersusedbysurveyorswhentheyarenotconnectedtoyouragency’scentralnetwork.

ASE-Q10.2ProceduresGuideObjective: TheASE-QProceduresGuidegivesyoutheinformationyouneedto:• Manageproviderandsurveyorrecords• Create/modifysurveys,citations,andintakes• BuildanduseaContentLibrary• Manageregulations

QIS402ITSurveyorGuideObjective: TheQISITandSurveyorGuideincludesITinformationforadministratingandmanagingASE-QandtheQISToolforQISsurveyors,andQISsoftwareprocedures,information,andtipsforQISsurveyors.ThisguidedoesnotincludeinformationregardingtheQISsurveyprocess.IfyouneedQISsurveyprocessinformation,contactyourQISStateTrainer.

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ASSUREASSURERecordedTrainingSessions

Module1IntroductionandAccessFormsHandout:Module1Objective :Thismodulewill provideanintroductiontothestepsthatneedtobetakeninordertocompletethenecessaryformstogainaccesstothewebASSUREapplication.

Module2AssessingandNavigationinWebAssureandCASPERReportsHandout:Module2Objective: Thismodulewill providethestepsnecessarytoaccessandnavigatetheWeb-ASSUREandCASPERreportingsystems.

Module3FacilityManagementHandout:Module3Objective: Thismodulewill provideanintroductiontomanagingfacilitieswithintheWebASSUREapplication.Thismodulewill guideyouthroughthestepstoperformthefollowingfunctions:• Performingafacilitysearch• Creatinganewfacility• Creatingasurveyforafacility• Updatingafacility• Printingafacilityl ist

Module4SurveyManagementHandout:Module4Objective: Thismodulewill provideanintroductiontomanagingsurveyswithintheWebASSUREapplication.Thismodulewill guideyouthroughthestepstoperformthefollowingfunctions:• Creatingasurveyforanexistingfacility• Updatingasurvey

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ASSUREcontinuedModule5AOAdministration-ContactManagementandAuditTrackingHandout:Module5Objective: Thismodulewill provideanintroductiontomanagingsurveyswithintheWebASSUREapplication.Thismodulewill guideyouthroughthestepstoperformthefollowingfunctions:• ContactManagement• Addinganewcontact• Updatinganexistingcontact• Deletinganexistingcontact• AuditTracking• LocaterecordsinAuditTracking• FilteringAuditTransactions

Module6AOUploadHandout:Module6Objective: Thismodulewill provideanintroductiontoperforminganuploadofdatatotheWebASSUREsystemfromaCSVFile.

Module7ASSURECASPERReportsHandout:Module7Objective: Thismodulewill provideanintroductiontotheCASPERReportsforASSURE.

AutomatedSurveyProcessingEnvironment(ASPEN)ASPEN10.2ReleaseNotesObjective: ChangesandNewFeaturestothefollowing:AcrossASPEN,ACO,ACTS,AEM,ASE-Q,CLIA,ePOCCMS,ePOCFacility,QIS,STAR,andASPENDatabaseAdditionsandModifications.

ASPENFullInstallGuideObjective: ASPEN10.0InstallationGuide,LaptopfortheFirstTime,EnteringaTemporaryAccessCode,RequirementsforwiredandwirelessASE-QtoASE-Qtransfers,HowtoShutDown/RestarttheSybaseDatabase,SpecialConsiderationsforImaged-BasedInstallation,andIfyoumustuseASE-QasaWorkgroupServer.

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AutomatedSurveyProcessingEnvironment(ASPEN)continuedPointofContacts

ASPENPointofContactListObjective: ASPENCentralOfficePointsofContactASPENAssistant10.0Objective: ASE10.0isintroducinganewdatabasearchitecture,enhancedsecurity,andQualityIndicatorSurveys(QIS)fornursinghomes(currentQISstatesonly).

ASPENTechnicalTrainingePOCWorkbookObjective: ePOCOverview,CurrentPOCProcess,NewPOCProcess,andASPENWeb:ePOC

ASPEN10.1.6LetterMacrosObjective: ASPENMacroDescriptions:Analphabeticall istofallmacrosinASPEN,withdescriptionsandexamples.MacroGroups:Listsofmacrosorganizedintorelevantgroups.

ASPENTechnicalTraining2013Objective: ASPENInstallProcess(ACO/ARO/ACTS/ASE-Q)

UserGuideforASPEN9.5-CLIAAOUploadObjective: ACertificationofAccreditationisissuedtoalaboratoryoncetheaccreditingorganization(AO)verifiestoCMStheaccreditationstatusofthelaboratory.AccreditationbyanAOisvoluntaryandisnotrequiredforMedicarecertification.TheAOmustfindaproviderwherealltheapplicableconditionsaremetorexceeded,beforetheAOmayverifythatthoserequirementstobemetbytheproviderorsupplier.Toaccomplishthis,thelaboratorymustrequesttheAO’sservices.TheAOmustacceptandconfirmtheirparticipationforthelaboratory.TheAOperformsasurveyandsubmitsthesurveydataintotheCLIAsystem.TheAOsusetheCMSsoftware,ASPENWeb[CLIACMS-116]Application,torecordtheirparticipationandresults.TheAOUploadProcessisaportionofthatapplication.Thisdocumentprovidesthestep-by-stepinstructionshowtoutil izetheAOUploadProcessasanAccreditingOrganizationONLY.AOsareassignedaccesswiththeAORolesecurity.

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AutomatedSurveyProcessingEnvironment(ASPEN)continuedASPEN10.1.3ReleaseOverviewObjective: Overviewoffeatures

ASPEN10.0ReleaseReviewandPreparationObjective: SummarizeinformationfromOtherInformationSourcesalreadyprovidedontheASPEN10.0release.ReviewthestateagencyASPEN10.0releasechecklist.

ASPENRegulationManagerTrainingObjective: Creatinganewregulationpatchorregulationset.

ASPENRegulationManagerWebExDemonstrationOutlineObjective: Creatinganewregulationpatchorregulationset

ASPENOverviewWebExObjective: TheASPENOverviewWebExdiscussesbasiclayout,navigation,fi ltering,andcommonfeaturesoftheASPENapplications.ThisWebExisapre-requisitefortheCertificationandComplaintTracksandisaccompaniedbyabriefpre-andpost-exam.

ASPENTechnicalTraining2013Objective: • Section1.ASPENInstall Process(ACO/ARO/ACTS/ASE-Q)• Section2.StateCustomization• Section3.ASPENConfiguration(ACO/ARO/ASE-Q/ACTS)• Section4.SystemAdministrationandSpecialtyFunctions• Section5.ASPENLetterManagement• Section6.Reporting• Section7.Security,AccessControlandEncryption• Section8.ASPENDataTransfer

ASPENTechnicalDescription: Classroomtraining

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AutomatedSurveyProcessingEnvironment(ASPEN)continuedASPENTechnicalAdvancedTrainingDescription: TheASPENTechnicalAdvancedcourseprovidesadvancedexercisesinprocessingcertifications,complaints,andenforcementcases,includingdatareplicationtofieldsurveyors.Thisyearincludesdiscussionsofnewfeatures,datasecurity,andspeedandconnectivityissues.AlsocoveredwillbehowstatesandCMSROscanbestprepareforupcomingreleases.

ASPENTechnicalBasicTrainingDescription: TheASPENTechnicalBasiccourseisdesignedtofocusonroutinetasksrelatedtoSurvey&Certification:creatingnewfacilities,schedulingsurveys,generatinglettersandrunningreports.Basicsystemconfiguration,administration,datasecurity,andnewuseraccountinfoforASPEN10.0will alsobecovered.Thiscoursewill provideanoverviewoftheASPENsuitetothosenewtoASPEN,withanemphasisonhowinformationfromallASPENapplicationsisintegrated.

ASPENExplorerDescription: 1dayclassroomtraining

ASPENLCMS2.5:AProductOverviewDescription: ThepurposeofthiscourseistoprovideyouwithanexampleofcontentbuiltwithinAspenLCMS.Thecoursewasdesignedtowalkyouthroughtheprimaryfeaturesandtoolsthatyoucanusewhiledevelopingyouronlinecontent.

PsychiatricResidentialTreatmentFacilitySurveyorTrainingDescription: ThistrainingcourseisdedicatedtoprovideFederalandStatesurveyorsthenecessaryskills,knowledgeandabilitiesneededtofunctionsuccessfullyassurveyorsofPsychiatricResidentialTreatmentFacilities(PRTF).Throughoutthecourse,studentswill notonlylearnabouttheConditionsofParticipationforthisprovidertype,butalsobecomefamiliarizedwiththeproceduresandprocessesofsurveyingthem.Studentswill beaskedtoparticipateinsmallgroupactivitiesandscenariosinordertoapplytheirknowledgetoreall ifesurveyexperiences.Atthecompletionofthiscourse,thesurveyorwill beabletosuccessfullyconductanddocumentaPRTFsurvey.

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CertificationandSurveyProviderEnhancedReporting(CASPER)

ASSURERecordedTrainingSessionsModule2AssessingandNavigationinWebAssureandCASPERReportsHandout:Module2Objective: Thismodulewill providethestepsnecessarytoaccessandnavigatetheWeb-ASSUREandCASPERreportingsystems.Module7ASSURECASPERReportsHandout:Module7Objective: Thismodulewill provideanintroductiontotheCASPERReportsforASSURE.

CertificationsASPENWeb-CLIA116ELearning

Module4:PPMCertificate,MultisiteSitesandAuxiliaryFunctionsObjective: • EnternecessaryinformationforaPPMcertificateapplication• Completemultiplesitedetails• Explorethe116application'sauxiliaryfunctions• Enternecessarydataforthosefunctions

CLIA10.1.9ProceduresGuideObjective: TheCLIA116andCertificationProceduresGuidegivesyoutheinformationyouwill need(dependingonyouruserclass)to:• EnterCMS-116applicationdatainASPENWebCLIA’s116application.• CreateandmaintainCLIAlabrecords,exceptforsubtype225-NOCLIA

NUMBER,usingtheCLIA116webapplication.• CreateandupdatecertificationkitsforCLIAlabsinASPENCentralOffice

(ACO).• Createnewlabsofsubtype225inACO.• AccessandviewCLIAaccountingrecordsonASPENWebCLIA.

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CertificationscontinuedASPENTraintheTrainer(TTT)CertificationsObjective: TheASPENCertificationTractexaminesthestepsinvolvedinthecertificationprocess.Thisincludesinformationonhowtocreateacertificationkit,createandconductasurvey(withandwithoutdeficiencies),transferdatabetweenACOandASE-Q,completecertificationforms,andmonitor,track,anduploadacertificationkit.Importantdifferencesintheprocessduetoprovidertypeanddeemingstatuswill bediscussed.We’ll showyouhowASPENcantrackIDR/IIDRs,addaffil iations,transferregulationsets,create,send,andtracknotifications,andcreateanenforcementcase.Wewill alsoshowyouhowtoprintACOreportsthathelptomanageandtrackthecertificationprocess.

CivilMonitoryPenaltyTrackingSystem(CMPTS)CMPTSforLTC-ASPEN9.2Objective: CMPTSchanges.

CMPTSforCLIA-ASPEN9.2Objective: Reviewofnewrelease.

ClinicalLaboratoryImprovementAmendments(CLIA)ASPENWeb-CLIA116ELearning

Instructions

Module1:Login&Search

Module2:CertificateofWaiverObjective: DemonstrateusingtheASPENCLIA116webapplicationtoaddalabapplyingforaCertificateofWaiver.

Module3:CertificateofComplianceObjective :• CompletetherequiredfieldsforacompliancelabintheCLIA116web

application.• Searchforlabdirectoraffil iations.• Addanattachmenttoa116record.

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ClinicalLaboratoryImprovementAmendments(CLIA)continuedModule4:PPMCertificate,MultisiteSitesandAuxiliaryFunctionsObjective:• EnternecessaryinformationforaPPMcertificateapplication.• Completemultiplesitedetails.• Explorethe116application'sauxiliaryfunctions.• Enternecessarydataforthosefunctions.

Module5:AccreditationObjective: DemonstrateusingtheASPENCLIA116webapplicationtoaddalabapplyingtoAccreditation.

Module6.1:AccreditationObjective: PerformabasicstatuschangefromaCertificateofAccreditationtoaCertificateofPPM.

Module6.2:AccreditationObjective: PerformabasicstatuschangefromaCertificateofWaivertoaCertificateofCompliance.

Module6.3:AccreditationObjective: PerformastatuschangefromaCertificateofWaivertoaCertificateofAccreditationwithin6monthsoftheCertificateEffectiveDate.

Module6.4:AccreditationObjective: Demonstratehowtoperformastatuschangewhenthelabhasasurveyscheduled.

Module6.5:AccreditationObjective: Performastatuschangeforaninitialcertificationwhenthelabdecidestochangeitscertificatewhilethesurveyorisonsite.

Module7:AccreditationObjective: DemonstrateexamplesofterminationsandreactivationsintheCLIA116webapplication.

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ClinicalLaboratoryImprovementAmendments(CLIA)continuedCLIAinACOELearning

Instructions

Module1:ACOQuickTourObjective: CLIAIntegrationintoACOandtheACODesktop

Module2:SelectionSetsObjective: Whatisaselectionset?CreatingaNewSelectionSet,ActivatingaSelectionSet,andModifyingaPersonalselectionset.

Module3:ACOActionItemsObjective: AboutActionItems,ClosingMultipleActionItems,CreatinganActionItemFilter,andCreatingaPublicActionItemFilter.

Module4:CLIALabRecordsinACOObjective:CLIALabTypesinASPEN,CLIALabRecordsintheASPENTree,FacilityProperties,andNavigatingintheTree

Module5:UsingFindinACOObjective:UsingFindtoLocateaRecordinACOandWorkingwithFindFunctions.

Module6:LabswithnoCLIANumberObjective: AddaRecordforalabwithNoCLIANumberandaddaProvider(CLIA)NumbertoNOCNLab.

Module7:ASPENCertificationKitsObjective:WhatisaCertificationKit?CertificationKits-AFirstLook.

Module8a:CreateInitialKitandScheduleSurveyObjective:CreateanInitialKitandScheduleaSurvey.EnterSurveyData.ReceivePOCandScheduleRevisit.EnterCorrectedDatesandUploadtheCertificationKit.

Module8b:EnterSurveyData

Module8c:ReceivePOCandScheduleRevisit

Module8d:EnterCorrectedDatesandUpload

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ClinicalLaboratoryImprovementAmendments(CLIA)continuedModule9a:CreateRecertification-Part1Objective:UpdateAllowedFacilityTypes,CreateaRecertificationKitforaLab,AddResponsibleParties,ScheduleaSurvey,CreateanOffsiteRevisit,SACompletestheKit,andUploads.

Module9b:CreateRecertification-Part2Objective: Createanoff-siterevisit.

Module10:ValidationSurveysObjective:ROSelectsLabforaValidationSurvey,SASchedulesValidationSurvey,SAEntersPost-surveyInformation,andSACompletestheKitandUploads.

CLIA10.1.9AccountingProceduresGuideObjective: • BrowseandlocateCLIAbill ingrecordsbyproviderandbylockbox.• Usetheinquiryfunctionsforcertificatesandbill ing.• PrinttheBill ingInquirywindows.• Create,print,anddeleteunresolvedaccountingrecords.• ApplycashtoCLIAaccountingrecords.• Moveandcancelpayments.• Locateandauthorizerefunds.• Generatefeecoupons.• SearchCLIA116recordsforprovidernumbersrequiredinCLIAAccountingscreens.• UsetheSystemInquiryfunctiontolearnaboutovernighterrors.

CLIA10.1.9ProceduresGuideObjective: • EnterCMS-116applicationdatainASPENWebCLIA’s116application.• CreateandmaintainCLIAlabrecords,exceptforsubtype225-NOCLIANUMBER,using

theCLIA116webapplication.• CreateandupdatecertificationkitsforCLIAlabsinASPENCentralOffice(ACO).• Createnewlabsofsubtype225inACO.• AccessandviewCLIAaccountingrecordsonASPENWebCLIA.

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ClinicalLaboratoryImprovementAmendments(CLIA)continuedUserGuideforASPEN9.5-CLIAAOUploadObjective: ACertificationofAccreditationisissuedtoalaboratoryoncetheaccreditingorganization(AO)verifiestoCMStheaccreditationstatusofthelaboratory.AccreditationbyanAOisvoluntaryandisnotrequiredforMedicarecertification.TheAOmustfindaproviderwherealltheapplicableconditionsaremetorexceeded,beforetheAOmayverifythatthoserequirementstobemetbytheproviderorsupplier.Toaccomplishthis,thelaboratorymustrequesttheAO’sservices.TheAOmustacceptandconfirmtheirparticipationforthelaboratory.TheAOperformsasurveyandsubmitsthesurveydataintotheCLIAsystem.TheAOsusetheCMSsoftware,ASPENWeb[CLIACMS-116]Application,torecordtheirparticipationandresults.TheAOUploadProcessisaportionofthatapplication.Thisdocumentprovidesthestep-by-stepinstructionshowtoutil izetheAOUploadProcessasanAccreditingOrganizationONLY.AOsareassignedaccesswiththeAORolesecurity.

CLIA10.1.9AccountingProceduresGuideObjective: TheCLIAAccountingProceduresGuideconsistsofthisintroductionandthefollowingchapters:• CLIAAccountingProcedures:Containstask-basedproceduresforusingASPENWeb

accountingfunctions.• CLIAAccountingScreens:ContainspicturesandbriefdescriptionsofASPENWeb

accountingscreens.• CLIAAccountingFieldsandButtons:Presentsdescriptionsofthefieldsandbuttonsin

theASPENWebaccountingscreens.

• SupportingMaterials:Containssupplementalreferencematerial.Whileitisdesignedtobeusedeasilyonline,youcanprintthisdocumentifyouprefer.

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ClinicalLaboratoryImprovementAmendments(CLIA)continuedCLIA10.1.9ProceduresGuideObjective: TheCLIA116andCertificationProceduresGuidegivesyoutheinformationyouwill need(dependingonyouruserclass)to:• EnterCMS-116applicationdatainASPENWebCLIA’s116application.• CreateandmaintainCLIAlabrecords,exceptforsubtype225-NOCLIANUMBER,using

theCLIA116webapplication.• CreateandupdatecertificationkitsforCLIAlabsinASPENCentralOffice(ACO).• Createnewlabsofsubtype225inACO.

AccessandviewCLIAaccountingrecordsonASPENWebCLIA.

CLIAProficiencyTestingUser'sGuideObjective: ThisCLIAProficiencyTestingUser’sGuideisintendedforuseprimarilybyPTProgrampersonnel.Itconsistsofthisintroductionandthefollowingthreechapters:• CLIAProficiencyTestingSpecifications:DescribesPTProgramfileprocessingand

presentsfilespecifications.• PTUpload:ProvidesproceduresforusingthePTUploadcomponentoftheASPEN

WebCLIAMaintenancesystemtouploadPTtestingresultsandreviewtheuploadedfilesaswellastheErrorandStatisticsfi lescreatedwhenthePTfilesareprocessed.ShowsanddescribesPTUploadscreensanddialogboxes.

• Terminology

CLIAEnforcement-ASPEN10.1.6Handout:CLIAEnforcement-APSEN10.1.6Objective: TodemonstratetheentryofenforcementrelatedinformationforCLIALabsinAEM.PolicyquestionsshouldbedirectedtoeitheryourCMSRegionalOfficeorCMSCentralOffice.

CMPTSforCLIA-ASPEN9.2Objective: Reviewofnewrelease

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ClinicalLaboratoryImprovementAmendments(CLIA)continued

FinalCLIAQualitySystemRuleObjective: TounderstandtheFinalCLIAQualitySystemRuleRegulatoryRequirements,toutil izetheFinalCLIARegulationtoassesscomplianceinLaboratories,andtobeabletoprovidetechnicalassistanceandguidanceaboutlaboratorypracticetotheLaboratoryCommunity.Description:ThepurposeoftheFinalCLIAQualitySystemRuleSurveyorTrainingcourseistoprovidethelaboratorysurveyorthepremisesthatformthefoundationoftheFinalCLIARegulationonhowtoassesscomplianceandcitedeficiencies.

CLIAPhaseIII(ASPENv9.5)TrainingDescription: Thecoursewill includeanin-depthreviewoftheASPENWebApplication(AWEB)forCLIA,thesoftwareapplicationthatwill holdCMS-116applicationdatafollowingtheconversionofthe116functionfromCLIAtoASPEN.Duringthecourse,participantswill receiveanoverviewofthevarioustabsintheAWEBapplication,includingthe116searchscreen,116dataentryscreen,themulti-sitestab,theaccreditationtabandothers.Participantswill learnhowtoadd,updateandviewCMS-116data,processcertificatechangesandterminateorreactivatealaboratoryintheAWEBapplication.Additionaltopicsincludehowtoprintthe116form,enternotes,addattachments,viewtheaudithistoryandviewthecertificateandbill inghistory.

CLIAQIES/ASPENTraintheTrainerDescription: Participantswill begivenanoverviewofthefeaturesincludedwithv9.0andhaveaccesstothev9.0software.Lessonplanswill includeanumberofpreparedscenarios,soparticipantswill havehands-onexperienceinthenewsurveyprocessforCLIAlabs,fromdataentrytosuccessfulupload.MembersofthedevelopmentteamwillbeavailableforQ&A.ThecoursewilluseaTrain-the-TrainerapproachtointroduceparticipantstothenewCLIAfunctionalitythatwill beavailablewithASPENv9.0.

DRSDRSWebExSupportingMaterialsObjective: CreatingDRSinstructions.

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ElectronicPlanofCorrection(ePOC)ePOC10.2ReleaseNotesObjective: ChangesandnewfeaturestotheePOCwebapplication.

ASPENTechnicalTrainingePOCWorkbookObjective: ePOCOverview,CurrentPOCProcess,NewPOCProcess,andASPENWeb:ePOC.

ASPENePOC10.1.7ProceduresGuideforSA,RO,COObjective: Thisguideconsistsofthisintroductionandthefollowingfourchapters:• ASPENePOCProcedures:Providestask-basedprocedurestotheSA/ROforcompleting

allstepsintheePOCprocess. • ASPENePOCScreens:ContainspicturesandbriefdescriptionsofePOC-relatedscreens

andwindowsinASPEN.• ASPENePOCFieldsandButtons:Presentsdescriptionsofthefieldsandbuttonsinthe

ePOC-relatedscreensandwindowsinASPEN• SupportingMaterials:Containssupplementalinformationandreferenceitems

ePOCRecordedTrainingSessions

ePOCProviderWebinarHandout:ePOCWebinarforProvidersObjective: Demonstratetheelectronicplanofcorrectionprocess.

ePOCState/ROWebinarHandout:ePOCWebinarforSA/ROObjective: ASPENWeb:ePOCProcessFlow

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HomeHealthAgency(HHA)

HHAEnforcement-ASPEN10.1.6Handout:HHAEnforcement-ASPEN10.1.6Objective: TodemonstratetheentryofenforcementrelatedinformationforHHAsinAEM.InaccordancewithCMSpolicy,whenaconditioniscited,anenforcementcaseshouldbecreatedfortheHHA.OtherpolicyquestionsshouldbedirectedtoeitheryourCMSRegionalOfficeorCMSCentralOffice.

AlternativeSolutionsforHomeHealthAgenciesObjective: Thetopicsofthistwohourwebinarinclude:• PublicationofthefinalruleonavailablesanctionsforHHAs• PublicationofHHAEnforcementguidance• AvailableHHAalternativesanctions• Implementationdates• DevelopmentofAutomatedSurveyProcessingEnvironment(ASPEN)Enforcement

Manager(AEM)forHHAsinASPENDescription:• HHASurveyEnforcements• Regulations/AlternativeSanctions• TheintentionistoprovideimportantguidancerelatedtotheimplementationofHHA

alternativesanctionstosurveyorsandsolicittheirinputtodetermineissuesforfuturediscussion.

HHAAlternativeSanctionsDescription: DevelopmentofAutomatedSurveyProcessingEnvironment(ASPEN)EnforcementManager(AEM)forHHAsinASPEN.

LongTermCare(LTC)

CMPTSforLTC-ASPEN9.2Objective: CMPTSchanges

QISITObjective: OverviewoffeaturesinASPEN

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OutcomeandAssessmentInformationSet(OASIS)OASISTrainingObjective: ChangedItems&DataCollectionResources

QualityIndicatorSurveyprocess(QIS)

QISITObjective: OverviewoffeaturesinASPEN

QIS402ITSurveyorGuideObjective: TheQISITandSurveyorGuideincludesITinformationforadministratingandmanagingASE-QandtheQISToolforQISsurveyors,andQISsoftwareprocedures,information,andtipsforQISsurveyors.ThisguidedoesnotincludeinformationregardingtheQISsurveyprocess.IfyouneedQISsurveyprocessinformation,contactyourQISStateTrainer.

QualityImprovementandEvaluation(QIES)

QIESAdvancedDescription: ThissessionprovidesaquickreviewofbasicQWtopicsandfocusesonskillsusedtoacuminateyouradhocreportingactivities.This2½dayclassisintendedforthosewithpriorQWexperienceand/orthosethathaveattendedpriorQWtrainingclasses.YoucanexpectanagilereviewofbasicQWfunctionalityalongwithafewrelationaldatabaseconcepts,areviewofdatawithintheQIESNationaldatabaseandseveraldetailedexampleswithreall ife,hands-onpractice.

Regulation(REG)ASPENRegulationManagerTrainingObjective:Creatinganewregulationpatchorregulationset.

ASPENRegulationManagerWebExDemonstrationOutlineObjective :Creatinganewregulationpatchorregulationset.

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RegionalOffice/StateAgency(RO/SA)ePOCRecordedTrainingSessions

ePOCProviderWebinarHandout:ePOCWebinarforProvidersObjective: Demonstratetheelectronicplanofcorrectionprocess.

ePOCState/ROWebinarHandout:ePOCWebinarforSA/ROObjective: ASPENWeb:ePOCProcessFlow

HHAAlternativeSanctionsDescription: DevelopmentofAutomatedSurveyProcessingEnvironment(ASPEN)EnforcementManager(AEM)forHHAsinASPEN.

SurveyorTechnicalAssistanceforRenalDisease(STAR)STARObjective: Thiscourse,whichhasbeenupdatedtoconformtotheESRDCoreSurveyprocess,teachestheESRDsurveyorhowtousetheSTARsoftwareasasinglesurveyororasaleaderormemberofateam,howtousetablettechnology,andhowtointegrateSTARintoASPEN.Description: SurveyorTechnicalSurveyorTechnicalAssistantforRenalDisease(STAR)issoftwaredesignedforuseonaTabletPCthatguidesasurveyorthroughtheESRDsurveyprocess.Thiscourse,whichhasbeenupdatedtoconformtotheESRDCoreSurveyprocess,teachestheESRDsurveyorhowtousetheSTARsoftwareasasinglesurveyororasaleaderormemberofateam,howtousetablettechnology,andhowtointegrateSTARintoASPEN.PleasenotethattheStatesareexpectedtoinstallthecurrentversionsofASE/STARsoftwareonyourTabletpriortothecourse.