#idd medical records

[hari-100]

Comprehensive IDD Healthcare Solutions with DrCloudEHR

In the evolving landscape of healthcare for individuals with intellectual and developmental disabilities (IDD) and autism spectrum disorder (ASD), having an efficient, reliable, and compliant electronic health record (EHR) system is crucial. DrCloudEHR, a “Meaningful Use Stage 3 – Promoting Interoperability (PI)” “Whole-Person” care solution, stands at the forefront of this transformation. By offering an end-to-end, measurable solution, DrCloudEHR enhances a provider’s ability to deliver value-based care through seamless data capture, consumer engagement, and health information exchange.

Designed for Your Success

DrCloudEHR is specifically designed to support agencies and providers serving individuals with IDD and ASD. Our platform is more than just an EHR; it is a comprehensive suite of services that includes assessments, diagnosis, education, behavioral intervention, skills development, and applied behavior analysis therapies. Our goal is to empower healthcare providers with the tools they need to deliver the highest quality care.

Enhanced Care Coordination

Effective care coordination is essential for individuals with IDD and ASD. DrCloudEHR’s solutions integrate care coordination across various services, ensuring comprehensive support. Real-time communication among caregivers and clinicians enhances care quality and improves client satisfaction. This integrated approach ensures that all aspects of a patient’s care are considered and managed effectively.

Regulatory Compliance and Efficiency

Navigating government regulations and ensuring compliance can be challenging for IDD healthcare providers. DrCloudEHR simplifies regulatory compliance with automated checks and accurate documentation. Our platform supports Electronic Visit Verification (EVV), Medicaid billing, and audit readiness, reducing administrative burdens and allowing staff to focus on quality care. This feature is particularly important for rehabilitation agencies and those working with individuals with developmental disabilities who must adhere to strict compliance requirements.

Advanced Technology for Improved Accessibility

DrCloudEHR leverages advanced technology to improve accessibility and efficiency. Our platform offers mobile access and advanced reporting tools, enabling efficient work and informed decisions from anywhere. Caregivers can update records and manage tasks on the go, while robust reporting provides insights for optimizing care and performance. This mobility ensures that healthcare providers can deliver consistent, high-quality care regardless of location.

Specialized Modules to Enhance Care

DrCloudEHR includes specialized modules designed to streamline various aspects of care for IDD patients:

- Staff Scheduling: Our Staff Scheduling module simplifies workforce management, ensuring optimal coverage and reducing administrative burden. Easily create, manage, and adjust staff schedules to meet the dynamic needs of your organization.

- Service Documentation: Accurate and comprehensive service documentation is critical for quality care and compliance. DrCloudEHR ensures that all services are documented efficiently and effectively.

- Compliance: Our platform includes features to ensure compliance with all relevant regulations, including EVV and Medicaid billing requirements.

- Billing: DrCloudEHR supports complex billing scenarios and offers integrated solutions to streamline the billing process.

- Mobile Access: With mobile access, caregivers can manage tasks and update records from anywhere, enhancing flexibility and efficiency.

- Reporting: Advanced reporting tools provide valuable insights into care and performance, helping to optimize services.

- Residential Support: Our platform supports residential care programs with tailored features to meet the specific needs of these environments.

Customized Workflows and Secure Access

DrCloudEHR offers tailored workflows designed to enhance care efficiency and quality, ensuring that each individual receives the best possible support. Secure access is a top priority, and our platform ensures that all patient data is protected and accessible only to authorized personnel.

Navigating Government Regulations and Compliance

Rehabilitation agencies and those working with individuals with developmental disabilities face unique challenges, including navigating government regulations when billing Medicaid or other local entities, working within established guidelines for 14(c) (sub-minimum wage) payroll, and adhering to strict compliance requirements. DrCloudEHR provides state-compliant solutions tailored to your unique needs. From state reporting to strategic partnerships, DrCloudEHR has solutions regardless of your location.

Conclusion

DrCloudEHR is dedicated to supporting adult autism clinics, IDD healthcare service providers, and other organizations working with individuals with IDD and ASD. By providing a robust, secure, and compliant platform, we enable these organizations to deliver high-quality care while simplifying administrative tasks and ensuring compliance. Whether you are looking for an EHR solution for an adult autism clinic, seeking to enhance your IDD healthcare services, or need a platform to support your practice, DrCloudEHR is your trusted partner in delivering comprehensive and effective care.

Embrace the future of IDD healthcare with DrCloudEHR and experience a new standard of care coordination, compliance, and efficiency. Visit our website to learn more about our specialized modules and how we can support your organization’s needs. Contact us today for a demo and see how DrCloudEHR can transform your practice.

[tndidd]

Therap Update

Notice: On October 30, 2023, Service Authorization Validations will go live. This is a critical step as DIDD prepares for billing in Therap and will include important changes and rules surrounding the submission of SLIs. 

Need Immediate Support? 

For Therap System, Access, and Technical Questions: tnsupport@therapservices.net 

For All Non-Technical or System Use Questions: didd.therapquestions@tn.gov 

DIDD has created a guidance document to assist with the Service Authorization Validations implementation which can be found at the link below. The document will also be shared on the Therap webpage, https://www.tn.gov/didd/for-consumers/didd-waiver-information/idd-program-integration/therap.html beneath "Service Authorization and Billing Information".

Guidance Document Link Here

The next Therap focused Office Hours will be November 22 @ 9:30am. If you have questions, please submit them to didd.therapquestions@tn.gov.  

Need Immediate Support? 

For Therap System, Access, and Technical Questions: tnsupport@therapservices.net 

For All Non-Technical or System Use Questions: didd.therapquestions@tn.gov  

Providers: 

In order to assist providers in troubleshooting Therap access issues, DIDD and Therap have developed the following resources. We strongly encourage everyone to use this guidance or attend one of the webinars below if they have further questions:  

Troubleshooting Provider access to an Individual’s PCSP 

This  flow chart is helpful for troubleshooting Therap access issues.  

Therap Provider Training CoursePerson Centered Support Plans for TN Providers 

Update: Beginning 10/16/23, Therap will be hosting trainings each week to introduce optional Clinical Modules. The link below is a one-time registration link. Once registered, you will be registered for all clinical modules webinars and can discern which webinar(s) to attend. It is the expectation that you may begin using the module(s) as soon after the training as you are comfortable with and able to merge within your current documentation practices.

Module webinar registration link here

 Each webinar will cover one or two modules and will consist of: 

A high-level overview of the module 

Administrative roles associated with the module (if applicable) 

Super Roles associated with the module 

A brief demo of the module 

Reports available for the module in the report library (if applicable) 

Staff training resources 

The following modules will be made available for you to use:  

Behavior Plan & Data

Case Notes

Individual Medical Information

Care Plan (Nursing)

Consent & Authorization

Electronic Comprehensive Health Assessment (eChat) / Health Passport

Health Screening

Health Tracking

Medication Administration Record (MAR)

Orders

Pharmacy Interface

Time Tracking

Training Management System (TMS)

IPOP

Employment and Day Service Providers: Therap hosted a training webinar on October 17 on the Employment History Module for Employment and Day Service Providers. The webinar recording will be shared soon and the presentation can be found at the links below, on the TN DIDD Therap webpage, or the TN DIDD Employment & Day Services Resources webpage.  

10/17 Webinar recording  

10/17 Webinar Slides 

Providers will have access to the Employment History Modules on 10/23/2023.

Courses and webinars for the Employment History Module are already available on the Therap site.  

Important note: All persons supported in the 1915c Waivers will need to have employment data entered into Therap’s Employment History Module. This means that if someone is not working nor receiving an employment service, the Day Service provider will be responsible for entering their employment status into the Therap system.   

Training Links: 

Employment History (therapservices.net)

Part 1:  Course - Employment History Part 1- Managing Employers and Contacts (therapservices.net)

Part 2: Course - Employment History Part 2: The Road to Employment (therapservices.net) 

ISCs/CMs:

Reminder: Please notify the regional mailbox when plans or amendments are submitted.  The Form ID must be included in the email to the regional mailbox so that the Plans Reviewers know the exact plans that need review. The Form ID can be seen when the plan is saved – see screenshot below for an example of where it can be found.

REMINDER: Thank you for your ongoing patience as we release new functionality in Therap. On 10/30/23, the validation rules will go live in Therap that will affect the method in which you calculate and enter the units for day services.  Effective immediately, please use the following method for entering day services to mitigate some of the potential error messages that will appear when the validation rules go live. This guidance applies to the CAC, SW and SD Waivers.  

  Use the spreadsheet method to split the max units. 

5.1.23 - 6.30.23 will be the max number of units per day * number of days  

7.1.23 - 12.31.23 will be the max number of units per day * number of days 

1.1.24 - 4.30.24 will be the max number of units per day * number of days 

Note: Statewide Waiver (SW) - Until billing goes live in Therap, it may  

appear that the person is over the SW waiver cap, however DIDD is continuing to 

monitor waiver caps and will provide your monthly Statewide Waiver MBA 

Calculation Report by ISC. This will ensure you have access to current waiver cap 

information for persons on your caseload. 

Daily Maximums  

Daily Max 

1- Behavior Respite, Daily Transportation, Respite1,2,&3 and Residential 

16-Intermittent Emp and CP Wraparound 

24 -Res and Non-Res Homebound and Community Participation Dual Providers 

31-Respite4 Qtr Hour - Less than 8 hours 

96-Job Coaching, Facility Based Day and Community Participation 

Link to updated “Calculating Units for SLIs” Guidance. 

Update: For ISCs, CMs, and Plans Reviewers, DIDD hosted a presentation on Tuesday, October 10th to cover high-level updates regarding the October 30, 2023 Go-Live of Service Authorization Validations and Pre-Authorizations. The recording and presentation can be found at the links shared below.  Therap also held a one-time webinar on Wednesday, October 18th to cover how to update, correct SLI’s, and resolve validation issues.  

Participation in both the webinar and presentation is important to complete training requirements for this implementation in Therap. If you are unable to attend, these will both be recorded and shared via Open Line and posted to the Therap webpage. 

10/10 presentation recording can be found here. 

The presentation itself can be found here.

Both of these items may also be found at tn.gov/didd on the Therap webpage, beneath “Service Authorization & Billing Information”

10/18 Therap webinar recording can be found here.

The presentation itself can be found HERE.    

Both of these items may also be found at tn.gov/didd on the Therap webpage, beneath “Service Authorization & Billing Information” once they are available. 

New: For the ISCs, CMs, and Plans Reviewers that attended the 10/10 presentation or 10/18 webinar, if you have questions that didn’t get addressed you may forward them to the didd.therapquestions@tn.gov mailbox with the subject line “Service Validation Questions”. 

[zkarehealth]

The Role of IDD EHR Solutions in Improving Patient Outcomes

Intellectual and developmental disabilities (IDD) affect millions of people in the United States, and providing care for these individuals requires specialized knowledge and expertise. IDD treatment involves a comprehensive approach that addresses the unique needs of each patient, and technology has played an increasingly important role in delivering this care. One such technology is IDD EHR solutions, which offer numerous benefits to both patients and providers.

IDD EHR solutions are specialized electronic health record (EHR) systems that are designed specifically for providers who offer IDD services. These solutions include features and functions that are tailored to the unique needs of IDD patients, such as tools for tracking behavior and communication, medication management, and customized care plans.

One of the primary benefits of IDD EHR solutions is improved patient outcomes. By providing a centralized system for managing patient data, providers can more easily track patient progress and identify areas for improvement. For example, a provider can use an IDD EHR system to track changes in behavior over time and adjust treatment plans accordingly. This can lead to better outcomes for patients, including increased communication, socialization, and independence.

Another benefit of IDD EHR solutions is improved efficiency for providers. These systems streamline many of the administrative tasks associated with providing IDD services, such as billing, scheduling, and documentation. This frees up time for providers to focus on delivering care and developing treatment plans for their patients.

In addition, IDD EHR solutions can also improve the overall quality of care provided to IDD patients. These systems facilitate better communication and collaboration between providers, caregivers, and patients themselves. By allowing for real-time access to patient information, IDD EHR solutions enable providers to make more informed decisions about treatment plans and respond quickly to changes in a patient's condition.

IDD software solutions, including IDD EHR systems, are increasingly becoming a critical part of the IDD care landscape. Providers who invest in these solutions are able to deliver more comprehensive and effective care to their patients, while also improving the efficiency of their practices.

In summary, IDD EHR solutions are an essential tool for providers who offer IDD services. These systems offer numerous benefits, including improved patient outcomes, increased efficiency, and better overall quality of care. Providers who invest in IDD software solutions, including IDD EHR systems and IDD practice management software, are better positioned to deliver high-quality care to their patients, while also improving the performance of their practices.

[terfslying]

i hope this doesn't come across as overbearing, and of course feel free to ignore this because ik unsolicited advice is understandably not always welcome, but: i've seen people give out very personal information, like medical records and location, as part of online debates and then get hurt/endangered when people use the info they gave out + a little googling to track them down in real life. the work you do on this blog is fantastic and i respect that, but i hope u know ur safety matters more.

I do appreciate that. I know I’m running significant risks showing as much as i do on this blog.

So far all the details I’ve given out are things mostly everyone else in WA my age also knows, or references to large facilities that deal with thousands of people, or rural areas I’ve been in but don’t live in. Combine that with my age, sexuality and field of study and I’m sure I could be IDd from what I’ve shown. I am relying on pretty significant trust about the medical establishments and universities keeping their info private. Which i know is not as reliable as we would hope - but does at least take above average effort and skills.

The cat’s out of the bag now anyway, but yeah I’m aware of the risks I am taking. Thank you for your concern.

[kierarutherford]

Vent/Shit overload

I’m going to post this, leave it and that’s that. So, if you want to travel down the Kiera’s last week of insanity rabbit hole, it’s under the break.

So, as per usual this week started rough. Couldn’t sleep well, my youngest started school (Last monday, I’m venting remember) and things seemed to kick off to a miserable start. He’s my baby, my LAST baby and he’s got issues. The first day went well considering and the poor thing came home, stripped to his undies and curled up under a blanket; instantly zonked. WELL we could not wake him for anything. Que midnight wake up and 6 am sleep.... We forced him to school, got to get that schedule going right. Tuesday... He goes straight to class, curls up into a ball on the carpet and zonks out for 3 hours. *Sigh* comes home to sleep a couple more. AGAIN, a late night. Wednesday repeats, but no nap at home. Thursday comes... Ah fuck me thursday. He is due for his Psyche Eval - A.K.A an IQ test for kids with issues. He comes in with: IDD also known as Intelligent Development Disorder. Link here, scoring between mild to moderate. My precious baby will “never catch up.” Or so I am told. I get all this access to help, but NO direction.... My brain melts. I zombie the rest of the day.

Friday comes. My two older children go to visit their grandparents. Enter phone call, daughter is ill. I work at a pharmacy. Pick up the staples, ginger ale, chicken noodle soup, meds. Drop EVERYTHING off, stick around for a cup of tea and chat. Dad’s been fired.... What?! He’s 60 this next week... Where’s my dad going to get a job at his age? He can’t retire yet, doesn’t have enough in savings to survive.... I zombie again... 

Storm rolls in, kills internet. No writing. 

Back track to Tuesday. It’s been a week since my husband had intervascular imaging on his legs. -Born with club feet, link here. He’s experiencing pain, swelling and general bullshit of having a mother who IGNORED all the medical work he needed done throughout his growing year. Call Dr. Office. “No records have been recieved yet.” -I work at a pharmacy.- We fax that office daily. I’ve been getting scripts from him. So, I know his fax works. Call imaging center, they’re “resending the paperwork now.” 

Que to today; call Dr. Office, knowing they now have the paperwork. Leave voice message. Recieve multiple faxed with Dr. Signature on them.. NO. CALL. BACK.... 

OH, and I am dropping out of my University Major (haven’t started yet so whew, caught that in time) to pursue a learning course to earn my Pharmacist Technician certification. And my doctor doesn’t have my vaccination records.... 

Needless to say, Fuck me, fuck my life, fuck it all. NOTHING has gone right this week. NOTHING. Tried to apply for a mortgage, a whooping $250,000 in a market that starts at $389,000. Checked for rentals. NOTHING. 

I’m behind in writing, behind in just about everything, including rent. I owe for this month, and I’ve put nothing away for next month... Which increases too... So, ya. Mental health is important folks, venting is important.... and the final nail you ask? I have 0 friends. Literally no one near me I can go vent to, cry to, coffee with. I sure as hell can’t unload this on my mother and father, they might be losing everything. My sister is going for MASSIVE surgery in a few weeks... so.. fuck. Fuck, fuck, FUCK, 

I can’t tell if I’m numb, or just in triage mode. I should be a balled mess in a corner, but I just keep moving. 

Anyways, helps to rant. Helps to unload. Even if it’s just a thing on the internet. Makes me feel like I’m not alone. Ya know? I’m going to try to put words to page and maybe that will help? Don’t know, but it’s worth a try. Take care of yourselves, all of you. It’s hard enough out there.  

[tndidd]

THERAP UPDATES

Notice: On October 30, 2023, Service Support Validations (formerly known as Service Authorization Validations) will go live. This is a critical step as DIDD prepares for billing in Therap and will include important changes and rules surrounding the submission of SLIs.  

DIDD has created a guidance document to assist with the Service Authorization Validations implementation which can be found at the link below. The document will also be shared on the Therap webpage, https://www.tn.gov/didd/for-consumers/didd-waiver-information/idd-program-integration/therap.html beneath "Service Authorization and Billing Information".

Guidance Document Link Here

The next Therap focused Office Hours will be October 25th @ 9:30am. If you have questions, please submit them to didd.therapquestions@tn.gov. 

Need Immediate Support? 

For Therap System, Access, and Technical Questions: tnsupport@therapservices.net 

For All Non-Technical or System Use Questions: didd.therapquestions@tn.gov  

Providers: 

In order to assist providers in troubleshooting Therap access issues, DIDD and Therap have developed the following resources. We strongly encourage everyone to use this guidance or attend one of the webinars below if they have further questions:  

Troubleshooting Provider access to an Individual’s PCSP 

This  flow chart is helpful for troubleshooting Therap access issues.  

Therap Provider Training CoursePerson Centered Support Plans for TN Providers  

Update: Beginning 10/16/23, Therap will be hosting trainings each week to introduce optional Clinical Modules. The link below is a one-time registration link. Once registered, you will be registered for all clinical modules webinars and can discern which webinar(s) to attend. It is the expectation that you may begin using the module(s) as soon after the training as you are comfortable with and able to merge within your current documentation practices.

Module webinar registration link here

 Each webinar will cover one or two modules and will consist of:

A high-level overview of the module 

Administrative roles associated with the module (if applicable) 

Super Roles associated with the module 

A brief demo of the module 

Reports available for the module in the report library (if applicable) 

Staff training resources 

The following modules will be made available for you to use:  

Behavior Plan & Data

Case Notes

Individual Medical Information

Care Plan (Nursing)

Consent & Authorization

Electronic Comprehensive Health Assessment (eChat) / Health Passport

Health Screening

Health Tracking

Medication Administration Record (MAR)

Orders

Pharmacy Interface

Time Tracking

Training Management System (TMS)

IPOP

Employment and Day Service Providers: Therap hosted a training webinar on October 17 on the Employment History Module for Employment and Day Service Providers. The webinar recording will be shared soon and the presentation can be found at the links below, on the TN DIDD Therap webpage, or the TN DIDD Employment & Day Services Resources webpage.  

10/17 Webinar recording will be made available soon. 

10/17 Webinar Slides 

Providers will have access to the Employment History Modules on 10/23/2023.

Courses and webinars for the Employment History Module are already available on the Therap site.  

Important note: All persons supported in the 1915c Waivers will need to have employment data entered into Therap’s Employment History Module. This means that if someone is not working nor receiving an employment service, the Day Service provider will be responsible for entering their employment status into the Therap system.   

Training Links: 

Employment History (therapservices.net)

Part 1:  Course - Employment History Part 1- Managing Employers and Contacts (therapservices.net)

Part 2: Course - Employment History Part 2: The Road to Employment (therapservices.net) 

ISCs/CMs:

Reminder: Please notify the regional mailbox when plans or amendments are submitted.  The Form ID must be included in the email to the regional mailbox so that the Plans Reviewers know the exact plans that need review. The Form ID can be seen when the plan is saved – see screenshot below for an example of where it can be found. 

REMINDER: Thank you for your ongoing patience as we release new functionality in Therap. On 10/30/23, the validation rules will go live in Therap that will affect the method in which you calculate and enter the units for day services.  Effective immediately, please use the following method for entering day services to mitigate some of the potential error messages that will appear when the validation rules go live. This guidance applies to the CAC, SW and SD Waivers.  

  Use the spreadsheet method to split the max units. 

5.1.23 - 6.30.23 will be the max number of units per day * number of days  

7.1.23 - 12.31.23 will be the max number of units per day * number of days 

1.1.24 - 4.30.24 will be the max number of units per day * number of days 

Note: Statewide Waiver (SW) - Until billing goes live in Therap, it may  

appear that the person is over the SW waiver cap, however DIDD is continuing to 

monitor waiver caps and will provide your monthly Statewide Waiver MBA 

Calculation Report by ISC. This will ensure you have access to current waiver cap 

information for persons on your caseload. 

Daily Maximums  

Daily Max 

1- Behavior Respite, Daily Transportation, Respite1,2,&3 and Residential 

16-Intermittent Emp and CP Wraparound 

24 -Res and Non-Res Homebound and Community Participation Dual Providers 

31-Respite4 Qtr Hour - Less than 8 hours 

96-Job Coaching, Facility Based Day and Community Participation 

Link to updated “Calculating Units for SLIs” Guidance. 

Update: For ISCs, CMs, and Plans Reviewers, DIDD hosted a presentation on Tuesday, October 10th to cover high-level updates regarding the October 30, 2023 Go-Live of Service Authorization Validations and Pre-Authorizations. The recording and presentation can be found at the links shared below.  Therap also held a one-time webinar on Wednesday, October 18th to cover how to update, correct SLI’s, and resolve validation issues.  

Participation in both the webinar and presentation is important to complete training requirements for this implementation in Therap. If you are unable to attend, these will both be recorded and shared via Open Line and posted to the Therap webpage. 

10/10 presentation recording can be found here. 

The presentation itself can be found here.

Both of these items may also be found at tn.gov/didd on the Therap webpage, beneath “Service Authorization & Billing Information”

10/18 Therap webinar recording can be found here.

The presentation itself can be found HERE.    

Both of these items may also be found at tn.gov/didd on the Therap webpage, beneath “Service Authorization & Billing Information” once they are available. 

New: For the ISCs, CMs, and Plans Reviewers that attended the 10/10 presentation or 10/18 webinar, if you have questions that didn’t get addressed you may forward them to the didd.therapquestions@tn.gov mailbox with the subject line “Service Validation Questions”. 

[tndidd]

Therup Updates

Notice: On October 30, 2023, Service Support Validations (formerly known as Service Authorization Validations) will go live. This is a critical step as DIDD prepares for billing in Therap and will include important changes and rules surrounding the submission of SLIs.  

DIDD has created a guidance document to assist with the Service Authorization Validations implementation which can be found at the link below. The document will also be shared on the Therap webpage, https://www.tn.gov/didd/for-consumers/didd-waiver-information/idd-program-integration/therap.html beneath "Service Authorization and Billing Information".

Guidance Document Link Here

The next Therap focused Office Hours will be October 25th @ 9:30am. If you have questions, please submit them to didd.therapquestions@tn.gov.  

Need Immediate Support? 

For Therap System, Access, and Technical Questions: tnsupport@therapservices.net 

For All Non-Technical or System Use Questions: didd.therapquestions@tn.gov  

Providers: 

In order to assist providers in troubleshooting Therap access issues, DIDD and Therap have developed the following resources. We strongly encourage everyone to use this guidance or attend one of the webinars below if they have further questions:

Troubleshooting Provider access to an Individual’s PCSP 

This  flow chart is helpful for troubleshooting Therap access issues.  

Therap Provider Training CoursePerson Centered Support Plans for TN Providers  

Update: Beginning 10/16/23, Therap will be hosting trainings each week to introduce optional Clinical Modules. The link below is a one-time registration link. Once registered, you will be registered for all clinical modules webinars and can discern which webinar(s) to attend. It is the expectation that you may begin using the module(s) as soon after the training as you are comfortable with and able to merge within your current documentation practices.

Module webinar registration link here

 Each webinar will cover one or two modules and will consist of: 

A high-level overview of the module 

Administrative roles associated with the module (if applicable) 

Super Roles associated with the module 

A brief demo of the module 

Reports available for the module in the report library (if applicable) 

Staff training resources 

The following modules will be made available for you to use:  

Behavior Plan & Data

Case Notes

Individual Medical Information

Care Plan (Nursing)

Consent & Authorization

Electronic Comprehensive Health Assessment (eChat) / Health Passport

Health Screening

Health Tracking

Medication Administration Record (MAR)

Orders

Pharmacy Interface

Time Tracking

Training Management System (TMS)

IPOP

Attention all Employment and Day Service Providers: Therap will host a training webinar on the Employment History Module for Employment and Day Service providers on Tuesday, October 17 at 3:00 p.m. CDT. The webinar will be recorded and may accessed via a link on the DIDD Therap Webpage.

10/17 webinar registration link here

Once a provider is trained, the module will be opened up in order for the provider to complete the setup process.  

Courses and webinars for the Employment Module are already available on the Therap site. Providers are strongly encouraged to take the online training before the webinar date and to come prepared with questions.  

Important note: All persons supported in the 1915c Waivers will need to have employment data entered into Therap’s Employment History Module. This means that if someone is not working nor receiving an employment service, the Day Service provider will be responsible for entering their employment status into the Therap system.   

Training Links: 

Employment History (therapservices.net) 

Part 1:  Course - Employment History Part 1- Managing Employers and Contacts (therapservices.net) 

Part 2:  Course - Employment History Part 2: The Road to Employment (therapservices.net)

Reminder: Please notify the regional mailbox when plans or amendments are submitted.  

ISCs/CMs:

NEW: Thank you for your ongoing patience as we release new functionality in Therap. On 10/30/23, the validation rules will go live in Therap that will affect the method in which you calculate and enter the units for day services.  Effective immediately, please use the following method for entering day services to mitigate some of the potential error messages that will appear when the validation rules go live. This guidance applies to the CAC, SW and SD Waivers.  

  Use the spreadsheet method to split the max units. 

5.1.23 - 6.30.23 will be the max number of units per day * number of days  

7.1.23 - 12.31.23 will be the max number of units per day * number of days 

1.1.24 - 4.30.24 will be the max number of units per day * number of days 

Note: Statewide Waiver (SW) - Until billing goes live in Therap, it may  

appear that the person is over the SW waiver cap, however DIDD is continuing to 

monitor waiver caps and will provide your monthly Statewide Waiver MBA 

Calculation Report by ISC. This will ensure you have access to current waiver cap 

information for persons on your caseload. 

Daily Maximums  

Daily Max 

1- Behavior Respite, Daily Transportation, Respite1,2,&3 and Residential 

16-Intermittent Emp and CP Wraparound 

24 -Res and Non-Res Homebound and Community Participation Dual Providers 

31-Respite4 Qtr Hour - Less than 8 hours 

96-Job Coaching, Facility Based Day and Community Participation 

Link to updated “Calculating Units for SLIs” Guidance. 

Update: For ISCs, CMs, and Plans Reviewers, DIDD hosted a presentation on Tuesday, October 10th to cover high-level updates regarding the October 30, 2023 Go-Live of Service Authorization Validations and Pre-Authorizations. The recording and presentation can be found at the links shared below.  DIDD will also be holding a one-time webinar on Wednesday, October 18th to cover how to update, correct SLI’s, and resolve validation issues.  

Participation in both the webinar and presentation is important to complete training requirements for this implementation in Therap. If you are unable to attend, these will both be recorded and shared via Open Line and posted to the Therap webpage. 

10/10 presentation recording can be found here. 

The presentation itself can be found here.

Both of these items may also be found at tn.gov/didd on the Therap webpage, beneath “Service Authorization & Billing Information”

10/18 webinar 9:30 – 10:30 AM, CST registration link here

[zkarehealth]

The Future of EHR Software for IDD Services: Trends and Predictions.

Electronic Health Record (EHR) software has revolutionized the healthcare industry by providing a centralized, secure, and efficient way to manage patient data. For individuals with intellectual and developmental disabilities (IDD), EHR software is especially important for tracking their health, treatment plans, and progress. In this article, we'll take a look at the trends and predictions for the future of EHR software for IDD services.

What is IDD EHR Software?

IDD EHR software is a specialized electronic health record system designed specifically for individuals with intellectual and developmental disabilities. It provides a comprehensive view of a patient's medical history, including their diagnoses, medications, treatments, and outcomes. IDD EHR software also allows for tracking of behavior and communication, which is crucial for ensuring quality of life and effective treatment.

Trends in IDD EHR Software

1] Integration with Other Systems

As healthcare becomes more integrated and collaborative, IDD EHR software is being designed to connect with other healthcare systems, such as hospital EHR systems, pharmacy systems, and insurance systems. This integration will help streamline patient care and improve outcomes.

2] Data Analytics

As more data is collected and stored in EHR software, there is a greater opportunity to use that data for analysis and research. IDD EHR software will increasingly incorporate data analytics to help providers identify patterns and improve treatment.

3] Patient Engagement

Patient engagement is becoming a priority in healthcare, and IDD EHR software is no exception. New features are being added to encourage patient engagement, such as patient portals that allow individuals and their families to access and update their medical information.

4] Telehealth Integration

Telehealth has become a valuable tool for providing remote care to individuals with IDD. IDD EHR software will increasingly integrate with telehealth platforms, allowing providers to offer virtual visits, remote monitoring, and other telehealth services.

Predictions for the Future of IDD EHR Software

1] Increased Personalization

As IDD EHR software evolves, it will become increasingly personalized to the needs of each patient. This may include customized treatment plans, personalized behavior tracking, and individualized care plans.

2] Artificial Intelligence (AI)

AI has the potential to revolutionize healthcare, and IDD EHR software is no exception. AI-powered systems can assist with diagnosis, identify potential health risks, and help providers make data-driven treatment decisions.

3] Wearables

Wearable devices are becoming more common in healthcare, and IDD EHR software will increasingly incorporate data from wearable devices to track patient health and behavior. This data will be used to improve treatment and outcomes.

Best EHR Software Provider in USA for IDD Services

If you're looking for the best EHR software provider in the USA for IDD services, there are several factors to consider. Look for a provider that offers a user-friendly and customizable system, with features tailored to the needs of individuals with IDD. The provider should also offer excellent customer service and technical support.

Conclusion

IDD EHR software has come a long way in recent years, and the future looks bright for this specialized healthcare system. With new trends and predictions, IDD EHR software will become even more effective at tracking and improving patient outcomes. If you're looking for the best EHR software provider in the USA for IDD services, be sure to research your options and choose a provider that can meet the unique needs of your patients.

[tndidd]

Spotlight on Performance Measures: Health Care for Adults with Intellectual and Developmental Disabilities

Among the most central needs of persons with IDD is adequate health/mental health care.  A 2002 report by the Surgeon General of the United States stated that people with ID have “exceptional challenges in staying healthy and getting appropriate health services when they are sick.” Among the greatest challenges in getting good health care, is ensuring that the health care provider knows what’s wrong. Ordinarily healthcare providers rely on the patient to give them this information.  However, patients with IDD are not always able to clearly provide information about their condition.  Because of these communication problems, they often receive inadequate health care. Agencies that support people with IDD are expected to assist them in communicating with their doctor so that they can get the health/mental health care that they need.  

Each month DIDD provides a report to TennCare regarding progress on several key performance objectives. These objectives were developed to make sure we are meeting the needs of persons supported and that we establish quality improvement plans when needed.   One of these performance objectives is to ensure that providers supply adequate information to physicians and psychiatric providers at regular appointments.  Our Quality Assurance teams conduct surveys each month and we report the percentage of surveyed providers who had an adequate system for reporting this information.  The goal is to ensure that at least 86% of providers have an adequate system.  Over the past year, our network has consistently fallen short of that goal with an average of 80.7%

This means we have opportunities for improvement.  Fortunately, there is a relatively easy solution for agencies that are not meeting the standard.  One of the tools from the IDD Toolkit (https://vkc.mc.vanderbilt.edu/etoolkit/) is a form titled Today’s Visit Form. The form provides a brief format for providing the critical information to the physician/psychiatrist so that he/she can make an accurate assessment of the person’s needs.  Of course, the staff using the form must be trained in how to use the form for it to be effective.  Dr. Thomas Cheetham recorded a 3 part series entitled “Making the Most of Medical Appointments”” that can give your staff the information they need to complete the form in about a half hour. Remember, the more accurate the doctor’s assessment, the more likely that the person will get the treatment they need.  We all have an investment in ensuring people with IDD get appropriate health care.