PQIP Management System
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Alerts Report
Member Name
EMR ID
Medicaid ID
ID1
ID2
ID3
Issue Name
Created Date
Alert Status
Type of Alert
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Office
LHCSA Team
Zip Code
MLTC
Bill To
Plan ID
Aide
Aide ID
ActionTakenBySC
ActionTakenByCC
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Care Manager
DOB
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Aide Shifts vs OAR Calls Report
Office
Last Name
First Name
ID1
Shifts
OAR Calls
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Vaccination History Report
Member ID1
Plan
Member Name
Vaccination Date
Declination Date
LHCSA Team
Branch Name
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Verified Positives vs False Positives
Aide Name
LHCSA Team
Aide Branch
MLTC
Earliest OAR Call
Verified Positives
False Positives
Success Rate %
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Flu Member Data
LastName
FirstName
EMRID
MedicaidID
ID1
ID2
ID3
DateOfBirth
ContractClientID
MLTC
BillTo
BranchName
LHCSATeam
VaccOrDec
DecReasonStep1
MemSelectOtherStep1
Step2SubmissionDateTime
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MemSelectOtherStep3
IsThereAnIssueOpen
CurrentStepIfOpen
CurrentUserIfOpen
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Late Workflows
Action Required By
Role
Member
ID1
MLTC
Issue
Began
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Time Overdue
Has the Step Started?
Office
LHCSA Team
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User Timeliness
Office
Team
Role
User
Steps Completed Early
Steps Completed Late
Total Mins Early (+) Late (-)
Done Early Rate (%)
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Member Off Service
Name
EMR ID
ID1
ID2
ID3
Medicaid ID
MLTC
BillTo
Office
Date of Issue
Reason
SC
FNS
Health Notification Date & Time
CM Notification
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Verified Alerts of All OAR Calls
Issue
Verified Alerts
Total OAR Calls
Alert %
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OAR Calls vs Arrow Shifts Summary
Office
Total Shifts
OAR Calls Completed
OAR Calls Not Completed
Completed %
Not Completed %
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OAR Calls vs Arrow Shifts Details
Branch
Service Coordinator
AideID1
AideLastName
AideFirstName
Billto
MemberID1
MemberLastName
MemberFirstName
CIN
Shift
OAR1Training
OAR2Training
OARID
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Members Not Using OAR
Branch
ID1
Last Name
First Name
BillTo
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All Alerts
Member Name
Name of Issue
Date of Issue
Current Step
Medicaid ID
Office
ZipCode
MLTC
Plan ID
SC
FNS
CC
PC
Manager
Health Notification Date & Time
CM Notification
Premier Care Managed?
Premier Care Manager
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ER Utilization
Branch
MLTC
Date of Positive Alert
Members Name
Members Address
Zipcode
Medicaid ID
Aide
Aide ID
LHCSA Team
SC
FNS
CC
SC
DateTimeOfERVisit
WasTheMemberAdmitted
UrgentCarePCP
MemberToTheER
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All Members by MLTC
Member
EMR ID
Medicaid ID
ID1
ID2
ID3
ContractClientID
Date of Birth
First Admission Date
Status
DateOfDischarge
ReasonForDischarge
Zipcode
Borough/County
MLTC
BillTo
Office
LHCSA Team
Service Coordinator
Clinical Coordinator
Field Nurse Supervisor
Manager
Care Manager
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Follow-Up Report
Member
Medicaid ID
EMR ID
ID1
ID2
ID3
Zipcode
Borough/County
Office
LHCSA Team
MLTC
Date Created
Submitted By SC (Step One)
Submitted By CC (Step Two)
Submitted By FNS (Step Three)
Manager
Issue in Question
Date/Time of Visit
Call or Visit?
Follow-Up?
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Issue Step History
Member
EMR ID
Medicaid ID
ID1
ID2
ID3
Office
LHCSA Team
Issue
Date of Alert
Service Coordinator
Date/Time of SC Submission
SC Time Length
Clinical Coordinator
Date/Time of CC Submission
CC Time Length
Field Nurse Supervisor
Date/Time of FNS Submission
FNS Time Length
PQIP Coordinator
Date/Time of PCSubmission
PC Time Length
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OAR Telephony Responses
Member ID1
CIN
Member Last Name
Member First Name
MLTC
Aide ID1
Aide Last Name
Aide First Name
Date/Time of OAR Call
Office
LHCSA Team
Service Coordinator
Field Nurse Supervisor
Emergency Room
Fall
Pain
Lonely
Incontinence
Shortness of Breath
Change to Condition
Refill Medication
Refusal to take Medication
Change in Skin
Wound
Change in Functional Status
Change in Appetite
Change in Home Enviornment
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Open Alert Audit
Member Name
Medicaid ID
EMR ID
ID1
ID2
ID3
Zip Code
MLTC
Office
Issue
Type of Alert
Current Step
Date Created
Action Required By
Next Action Due
Role
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PAH Report
Office
Service Coordinator
Member
EMR ID
ID1
ID2
ID3
Medicaid ID
MLTC
Bill To
ActiveInArrow?
PAH Diagnosis
When PAH Occurred
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Additional Documentation Report
Member Name
Issue
Date of Issue
MLTC
BillTo
Office
Submitted By (Step One)
Submitted By (Step Two)
Submitted By (Step Three)
Requested By:
Date of Request
Reason for Doc
Sent Back To:
Addl Doc Submitted By:
Date of Documentation
Documentation
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Closed Off Service Alerts
Member Name
EMR ID
Medicaid ID
ID1
ID2
ID3
Office
LHCSA Team
BillTo
Issue
Date Created
SC
FNS
Date Issue Closed
Reason for Closed Off Service
Alert Status
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Members Currently On Hold
Last Name
First Name
EMR ID
Medicaid ID
ID1
ID2
ID3
BillTo
Office
LHCSA Team
DateIssueWasCreated
SC
CC
FNS
Client Status
Reason
DateIssueWasSubmitted
#OfDaysSinceSubmission
ReasonForAdmission
AddlDocumentation
Issues10DaysBefore
ListOfIssues10DaysBefore
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QI Report
Member
EMR ID
Medicaid ID
ID1
ID2
ID3
BillTo
Office
LHCSA Team
Aide
Aide ID
SC
FNS
CreatedDate
Issue
Reoccurring Issue?
Type of Alert
Alert Status
Step
Instance
Question #
Question
Answer
Documentation
Step History
Issue Closed?
Date Issue Closed
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Patient Satisfaction Survey Report
Patient last name
Patient first name
EMR ID
Medicaid ID
ID1
ID2
ID3
Office
LHCSA Team
SC
CC
FNS
MLTC
Bill To
Submitted Date
RTD user who filled out survey
1. When you first started getting home health care from Premier, did someone from the agency tell you what care and services you would receive?
2. When you first started getting home health care from Premier, did someone from the agency talk with you about safety precautions so you can move safely around your home?
3. When you started getting home health care from Premier, did someone from the agency talk with you about all the prescription and over-the-counter medicines you were taking?
4. When you started getting home health care from Premier, did someone from the agency talk with you about when to take these medicines?
5. How often did the Premier care team treat you with courtesy and respect?
6. How often did your Premier care team keep you informed about when they would arrive at your home?
7. Did the Premier Care Team assist you when you reported pain issues?
8. Based on your experience with the agency, did the Premier care team assist when you were feeling sad or lonely?
9. Based on your experience with the agency, how often did Premier care team explain things in a way that was easy to understand?
10. Based on your experience with the agency, how often did the Premier care team listen carefully to you?
11. Were you involved in making decisions about your Plan of Care during your last visit with the nurse?
12. Has anyone from the Premier care team discussed with you about appointing someone to make decisions about your health if you are unable to do so.
13. Have you, a family member, or caregiver called the agency with a complaint or grievance, and was it handled to your satisfaction?
14. When you contacted this agency’s office to discuss your complaint or grievance, how long did it take for you to get a resolution?
15. Overall, are you satisfied with your services received from your Premier care team?
Comments
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Patients without a Satisfaction Survey Report
Patient last name
Patient first name
Plan
EMR_ID
MedicaidID
DOB
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Member Recurring Issues Report
Member Name
EMR ID
Medicaid ID
ID1
ID2
ID3
Issue Name
Created Date
Alert Status
Type of Alert
Alert Trigger Date
Office
LHCSA Team
Zip Code
MLTC
Bill To
Plan ID
Aide
Aide ID
ActionTakenBySC
ActionTakenByCC
ActionTakenByFNS
ActionTakenByPC
Care Manager
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Vital Signs Report
First Name
Last Name
EMR ID
Date
Blood Pressure systolic
Blood Pressure diastolic
Pulse
Blood Oxygen Level
Weight
Blood Glucose
Temperature
Respiration Rate
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Patient Demographics Report
Member
EMR ID
Medicaid ID
ID1
ID2
ID3
ContractClientID
Date of Birth
First Admission Date
Status
DateOfDischarge
ReasonForDischarge
Zipcode
Borough/County
MLTC
BillTo
Office
LHCSA Team
Service Coordinator
Clinical Coordinator
Field Nurse Supervisor
Manager
Care Manager
Street1
Street2
City
Phone
SpecialProgram
Diagnoses
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Member Quality Service Survey
ID1
PlanName
Member Name
Question Text
Answer Text
NotesBox Text
Created Date
Issue CreatedBy
Type of Alert
Alert Status