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Assessments
Q. How can assessments realistically
save me time?
The assessments that we offer generally are self-administered
by the patient and automatically scored, producing the results
in seconds. They involve no more staff time than handing a survey
unit to a patient, docking it when it is returned, and putting
the report in the patient’s chart.
Depending on the assessment used, a complete work up on the
patient can be summarized and trended, highlighting the key
areas of concern. This could save easily 5 minutes of interview
time per visit. If a chiropractor does 20 – 30 visits
in a day, the range of time savings is 1.6 to 2.5 hours per
day
Q. How many patients really
need assessment services?
Using Chiropractic Outcomes, it’s beneficial to assess
patients at Baseline, Frequent Visit, Re-evaluation, Semi-annual
review and Annual review. This way you can assess and compare
results over time to measure the effectiveness of treatment
programs. When deeper issues are uncovered (approximately
10 – 15%) of the time, in-depth condition-specific assessments
should also be used.
Q. Can I use my own assessments?
What makes information valuable for population management and
outcomes is the ability to compare, which requires standardized
data. We can implement your own assessments, but it is highly
recommended and more cost-effective to configure available assessment
to fit your needs.
Q. Why would you administer
more than one assessment?
The results may reveal that a specific co-morbid or underlying
issue exists, that can better be addressed by administering a
condition-specific assessment. When this occurs, you can queue up an additional assessment and follow up
on the results before the patient ever leaves the office.
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Hardware
Q. Why do you recommend a survey
unit?
Patient Tools supports many different types of devices for patient
input and each has its advantages and disadvantages. Generally,
when clients consider all the cost and spatial factors involved,
they find survey units to be the best option.
Survey units are designed to look and function much like a banking
ATM machine. They are the least intimidating of the devices available.
Being a portable tablet, they function better than kiosk PCs,
overcoming the space, queuing, and privacy problems. Using a docking
station and IR communication, they are more secure than wireless
web tablets or tablet PCs. Because no one wants to actually touch
the fingerprint smear from the previous user of touch screens
on PCs, tablets or Pocket PCs, a stylus is required, which typically
gets lost.
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Q. Can we use different hardware/input
devices than you have listed?
Due to HIPAA concerns, each device offered by Patient Tools has
integrated security measures. Without the drivers for these security
measures, other devices simply can not communicate with the Patient
Tool servers. Patient Tools is continually developing new technologies,
so we are happy to discuss integrating your specialized hardware
needs.
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Security
Q. How do you provide HIPAA
compliance?
Beyond the typical measures of user name and password authentication
using 128-bit encrypted communications (similar to online banking),
Patient Tools implements two significant additional measures.
First, we “de-identify” all data by storing all Protected
Health Information (PHI) inside the client’s firewall, creating
a patient code for any data that goes to the Patient Tools’
servers. Second, integrated security for all access to the Patient
Tools’ servers uses device-specific signatures to lock any
account to one known valid location. Attempts to login from any
other location is automatically rejected. These two additional
measures provide a superior level of security for all Patient
Tools’ clients.
Q. Why does the information
have to reside on Patient Tool’s server?
In order to trend, aggregate, and access information from multiple
locations, the information has to be centrally located. Patient
Tools securely handles this centralized data in its data warehouse,
enabling these types of reporting functions to be performed.
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Training
Q. Do you train our internal
IT staff to maintain the programs?
There are several different types of training, depending on the
audience and functions used. For instance, Patient Tools provides
training for in-service, office managers, IT personnel, and aggregate
dashboard access. This training can be performed remotely or on-site.
In larger organizations it makes sense to train-the-trainer, basically
training personnel on your staff who in turn train the rest of
your organization.
Enterprise
Q. We want to view our data
from different locations. Is this possible?
Because your data is centralized in Patient Tools’ data
warehouse, with proper permissions and security, you can view
your data from any location with internet access.
Q. Does the PTI data merge
into our system that currently collects all of our EMRs for patients
nationwide?
Because interfacing to the different EMR systems available is
not straight forward, some customization is usually required to
push data into a local EMR, or alternately pull pertinent data
from the EMR.
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Data Collection
Q. What is a “launch”
form?
Launch forms are used at Launch Stations to initiate an assessment.
The forms can be configured to collect supporting clinical and
financial data prior to starting the assessment. They are also
the access point for interfacing to a local EMR.
Q. What is an “update”
form?
In many situations, all of the supporting clinical information
around a patient is not known at the time the assessment needs
to be administered. For these situations, an Update form can be
configured and accessed at a later time, enabling you to go back
and fill in the information generated as a result of the visit.
Q. Can I create my own aggregate
reports?
The ability to configure your own aggregate “dashboard”
reports is one of the key services provided by Patient Tools.
Standard templates can be imported and easily modified to execute
statistical analysis and display the results in tabular and/or
graphical form. The data definitions are automatic and you can
look at your data in real time.
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Billing
Q. Can I get reimbursed for
administration of assessments?
While the primary reason to use Patient Tools is to save time
(dollars) while getting more in-depth information, you can potentially
get reimbursed for administering assessments as well. Assessments
provide a higher level of documentation, which can enable you
to code at a higher level.
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