iCareiCare

Joanna Kelsey, BSNRPMS Clinical User Support Specialist

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

Overview of iCareOverview 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

Who should use iCare?

…Any one who cares for patients!

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: joanna.kelsey@ihs.gov

• iCare Website: http://www.ihs.gov/CIO/ca/icare/index.asp

• OIT Help Desk:• Toll free number: 1-888-830-7280• E-mail: support@ihs.gov• http://www.ihs.gov/GeneralWeb/HelpCenter/Helpdesk/index.cfm

iCare website home page http://www.ihs.gov/CIO/CA/icare/

iCareiCareGetting StartedGetting Started

Site Manager

• Load the software on Server• Initiate Background Jobs• Assign security keys• Assign Package Manager Access• Load client on individual machines

Package Manager

• Assign another Packager Manager

• Assign Editor Access

• Populate Taxonomies

Background Jobs

Assign Package Manager and Editor Access

Assign Taxonomy Editor Access

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

Taxonomy Setup

User Preferences

Community Alerts

• Suicidal Behavior– Ideation– Attempt– Completion

• CDC Nationally Notifiable Diseases– Updated Annually

• Public Health Concerns– Influenza Like Illnesses (ILI)– H1N1 Flu

Community Alert Setup

Mandatory

Recommended

Optional

Community Alerts

CDC NND

Public Health

Suicidal Behavior

Package Managers View Detail

Tools in iCareTools in iCare

Windows Functions

• Click and Drag

• Sort

• Filter

• Column Width• Stick

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

Print

Background Jobs

Glossary

Filter

Stick Column

Community Alerts

Flags

Sensitive Patient

iCareiCarePanel Creation/ModificationPanel Creation/Modification

Panel Creation

Definition Tab

Population Search Options

• No Pre-defined Population - Manual• My Patients• Patients Assigned To• Scheduled Appointments• QMan Template• RPMS Register• Ad Hoc Search

Patient List Layout

Reminders Layout

Nat’l Measures Layout

iCareiCarePanel View Panel View

Patient List

Flags Tab

Reminders Tab

Reminders Aggregated

Nat’l Measures

Nat’l Measures Aggregated

Diagnostic Tags Tab

Care Management Tab

Remember…

Populations are made up

of Individuals!

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?

iCareiCarePatient RecordPatient Record

Patient Record

Cover Sheet

Patient Record

Snapshot

Patient Record

Flags

Patient Record

Reminders

Patient Record

Best Practice Prompts

Patient Record

National Measures

Patient Record

Summaries and Supplements

Patient Record

PCC

PCC Historical Event Data Entry

Patient Record

Problem List

Patient Record

Care Management

Patient Record

Referrals

Patient Record

Cover Sheet

Patient Record

Family History

The Practical Use The Practical Use of iCareof iCare

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

Questions?