Montana Adult Home Visit
Contents
1. oz l Rpt C Section fi F Live Birth f Vaginal Lb Gestational Age M Miscarriage YBAC F Stillborn Prim C Sec oz l Rpt C Section Total of PHHV Vists Infant C I Live Birth I Vaginal E Lb E Miscarriage E VBAC Total of Medical Prenatal Visits F Stillborn Prim C Sec oz l Rpt C Section Preterm Labor During this Pregnancy Yes No f Unknown Violent Abusive Relationship during Pregnancy Yes No J Unknown 3 or more Residences or Homeless during Pregnancy Yes No J Unknown Cigarettes Tobacco Alcohol Drugs Smoked Cigarettes during Pregnancy Yes No J Unknown Smoked Cigarettes during Last 3 Months of Pregnancy Yes No J Unknown Stopped Quit Smoking Cigarettes during Pregnancy Yes No J Unknown Print Modify Add Enter the outcome information All fields labeled in RED are MANDATORY 11 Medical Infant Risks I Medical Record 1812 Encounters HRPIO Intake HRPIO Outcome LSP Care Plan S 0 A1P Assessment Tools Date of Client Discharge Completed By Current Age if v ree T ICM HV Client Outcome Medicaliinfant Risks STD DURING PREGNANCY Yes No J Unknown chlamydia Gonorthea SF svennis oo ooo Genitalwarts I GenitalHemes I Tichomoniasis P Other MEDICAL RISKS COMPLICATIONS INFECTIONS Yes No Unknown GBS Group B Strep Placenta Previa RH Factor wi Anemia ETOHISubstance I Maternal Death M Preeciam2. Click to open the care plan zoom window Click to open the Print window Modity Add Click to modify or add a care plan record 16 a Adult SMITH as ma WA Aas be I T A ee ee ee Pe E Select Care Plan Encounters Hf otes Checklist Tadd Diagnosis o ewen SSS COSTt t zd pate Hf E Nutrition PrenatavPostpartum Linkwith info re appropriate amount type and or variety offoods _s LA TF Nutrition PrenataPostparum Refer and assistto access nutrition resources PP Nutrition PrenataiPostparum Link with info re managing nauseaNomiting during pregnancy Pd Nutrition PrenataiPostpartum Link with info re managing weight gainin pregnancy H Nutrition PrenatavPostpartum ReferandassisttoaccessRD_ Nurton PrenataiPostpartum JAssistto develop plantomodiydiets O PF C Nutrition Prenatal Postpartum Link with info re risks of low iron and info re diet modification to increase iron i a P Nutrition PrenatavPostpatum WonitorHOBHCTIevels PP Nutrition PrenatalPostpartum Link with info re postpartumfbreastfeeding nutritional requirements J Elimination Prenat Refer and assistto access medical evaluation EliminationPrenatal O O e Link with info re changes in normal elimination functioning during pregnancy Oooo Elimination Prenatal Jlinkwith info re safe methods to manage bowel pattem changes H __ Elimination Prenatal SS _ Linkw
3. Generates a return visit report for your clients Grant 2006 Grant 2007 Quarterly Report Visits To Be Billed Adult By Generates a to be billed report for your adult clients by date Date of Entry of entry To Be Billed Adult By Generates a to be billed report for your adult clients by date Date of Service of entry Maintenance Add Delete Modify Tables 21 Ot A2 Maintenance Health District Information System Home Visit Reports Browse ListfExport Count Graph Motes Return Add Delete Modify Tables Field Names General Profile Printer Setup Tables Adult Tables Child Tables Encounters Tables Follow the Child Tables Household amp Client Details City County Dentists Ethnic Health Service Employees ICD9 Codes Physicians Political Subdivisions Race Zip Codes The maintenance menu contains a list of the tables that you can modify for your program For client demographics there are two selections under the Maintenance Menu where you can add or modify your dropdown selections Health District Information System Home Visit Reports BrowselListiExport CountfGraph SFist Return 4dd Delete Modify Tables Field Mames General Profile Printer Setup Tables Adult Tables Child Tables Encounters Tables Fallow the Child Household amp Client Details pO o Agency Providing Service Disposition Insurance Carriers Marriage Stat
4. Adult button All fields labeled in RED are MANDATORY Encounters W Adult SMITH JANE 01 01 1976 33 Medical Record 2 t Modify Add To begin entering encounters click the Modify Add button W Adult SMITH JANE 0170171976 33 Medical Record 2 Encounters HRPIO Intake HRPIO Outcome LSP Care Plan 0 A 1 P Assessment Tools Progress Notes narrative Progress Notes Checklist Date Nurse Program Setting C Billlabletime iCD9_ CPT A Re SortDates Delete Encounter Add Encounter zoom Print Modify t Add Close Right click the Add Encounter button Once you have clicked the Add button you do not have to click it again to add the information a Encounter Date of Entry Date of Service Nurse Outreach Worker 07 22 2009 ff Program Setting Activity Billable Time CPT Code r Y Non Billable Time Location of PHHV Face to Face Visit Y Travel Time Vehicle Mileage Total Time Return Visit ii Previous Encounter Mext Encounter Add to Dailys When the Add Encounter button is clicked the above Zoom screen appears for you to enter the encounter Location of PHHV Face to Choose the location of the face to face visit mandatory Face Visits HRPIO Intake HRPIO Intake W Adult 4 4 Medical Record 1812 Encounters HRPIO Intake HRPIO Outcome LSP Care Plan S 0 ALP Assessment Tools Progress Notes nar
5. HRPIO Oubcome LSP Improvement Score Sheet Mailing Labels to Household By Encounters Referred By Return Visit Report State Reports To Be Billed User Defined The Home Visits program has a set of pre defined reports to choose from Each reported will ask for From date and To date HRIIO Intake Report Options From HAIG Intake Date To HRI Intake Date rir ra Employee i f Preview C Printer Filters OK Close You may also preview the report before printing Also you have the ability to use filters to build a query 26 Reports Description Description S Adult By Nurse By Setting Generates a List of Clients and their Billable Non Billable Non Billable Travel Billable T ravel times Time Adult List HRPIO Clients Generates a list of HRPIO clients LSP Clients List LSP Clients HRPIO Outcome Vs Intake Measures outcomes for HRPIO risk factors Generates a caseload of clients by employee and program Community Service Counts Community Service being used Involvement Export LSP HRPIO HRIIO Used by Gallatin County for research purposes Data HRPIO Intake Generates your HRPIO Intake forms in bulk HRPIO Outcome Generates your HRPIO Outcome forms in bulk LSP Improvement Score Generates the LSP Improvement Score Sheet sheet Mailing Labels to Household Generates mailing labels by encounters By Encounters Referred By Generates a count report of referrals Return Visit Reports
6. Home Visits Adult User s Manual Home Visits Adult Health District Information System HDIS Windows Ver 5 3 Copyright 1998 by CHC Software Inc All Rights Reserved CHC Software Inc Health District Information Systems helpdesk hdis org Table of Contents I TFOGUGCTION scanciaria 1 ADOUL FNIS Manila cironi T 1 NAMIC ION souien irer EaR E 2 Entering an Adult Record cccccesceeeeeeseenseensenseenseenseeneeeees 4 ENCOUNIETS secpeseciccsvcstccwesvecven sancacttecvadnctvesidaciesseewentuandagiiaewneceeecuuert 4 HARPIO MaKe niinn 8 HARPIO QULCOME iaiacceccencaceccanrsectet cecccateseeccnntecenretieeeiteneeenceineee 11 LSP ODUONAl serisinin anea 14 Care Plan Optional cccccccssecensecssecenseceseeensesenseenseseasesenees 16 SOALP OpHONaAl arisini ana 17 PSSESSMENT TOONS asicroseiaina 20 Progress Notes Narrative Optional ccsssesssseseseeees 21 Progress Notes Checklist cccscccesecesecesecesesenseeneeensecnees 23 Prini BUOM ciciren 25 REDOT S anian aea E aA 26 Maintenance Add Delete Modify Tables sscssssssseeeeeees 27 Introduction This program is designed to assist you in organizing a systematic approach to entering your High Risk Pregnancy visits and provides accurate up to date records within your health district Please review the manual carefully to obtain the maximum benefits Little or no prior computer experience is nec
7. PIO Outcome form Progress Notes narrative Progress Notes Checklist Exit Camments Exited High Risk Pregnancy Project Post Outcome l Lostto Care Moved l Refused M Transferred Print Modify Add 13 LSP Optional WE Adult SMITH JANE 01 01 1976 33 Medical Record 2 Encounters HRPIO Intake HRPIO Outcome LSP Care Plan 5 0 A I P Assessment Tools Progress Notes narrative Progress Notes Checklist Adult s Last Name Adult s First Name Sex Date of Birth Individual Number Family Record Number SMITH JANE E 01 01 1976 2 562 Race Ethnic Date of LSP Next LSP Due if Initial Ongoing Closing if EE OEE Home Visitor Agency Months of Service Attempted Visits Completed Visits LAKE Program Does mom live with FOB Does mom read for fun reads to child Medical Codes vr 7 Development 0 0 14 Education 0 0 21 Child Sick Care 0 0 28 Self Esteem 0 0 35 Child Care 0 0 Re Sort Dates Delete LSP Add LSP Zoom Print Modify Add The LSP tab is for entering your Life Skills Progression form for your client To enter the scores click the Zoom button 14 w Adult SMITH JANE 01 01 1976 33 Medical Record 2 Encounters HRPIO Intake HRPIO Outcome LSP Care Plan 5 0 A I P Assessment Tools Progress Notes narrative Progress Notes Checklist Adult s Last Name Adult s First Name Sex Date of Birth Individual Number Family Record Numb
8. RPIO Outcome LSP Care Plan 5 0 A4 1 P Assessment Tools Progress Notes narrative Progress Notes Checklist Screening Date ti F2 ASSESS F3 PLAN F4 MONITOR F5 REFER F6 EDUCATION Date of visit issue Focus Area mT PE CE O Re Sort Dat Add Form elete Er Rows zoar Print Modify Ada The Progress Notes Checklist allows you to enter pre created forms for the clients To add on of these forms enter the screening date and click the Add Form button a Adult SMITH JANE 01 01 1976 33 Medical Record 2 Encounters HRPIO Intake HRPIO Outcorme LSP Care Plan S 0 A1 P Assessment Tools Progress Notes narrative Progress Notes Checklist Progress Notes Checklist A cc A fe SS J Gallatin County Select Screening Form Newborn Nutrition Progress Notes C Nuitrition Prenatal Progress Notes C Pediatric Progress Notes 0 6 Months C Pediatric Progress Notes 6 months 1 year C Pediatric Progress Notes 1 4 Years C Postpartum Newhorn Assessment C RN Prenatal Progress Notes C SW Progress Notes Bef Eee eee t Date Add Form ate Empt is Zol Print Modify Add Select the form that you wish to add to the grid and click the Add amp Close button 23 W Adult SMITH JANE 01 01 1976 33 Medical Record 2 Encounters HRPIO Intake HRPIO Outcome LSP Care Plan S O ALP Assessment Tools Progress Notes narrative Progress Notes Checklist Pro
9. ent Counseling Alcohol M Inhalants Methamphetamines M PCP a Cocaine crack M LSD Opiates Heroin a Ecstasy M fmariwana oo o S Other OR DEMONSTRATES AN INABILITY TO OBTAIN NECESSARY RESOURCES AND SERVICES AND MEETS 3 OF THE FOLLOWING check all that apply History of physical or sexual abuse Agei8or19 F Lack of support system M Age 35 or over l Not educated beyond 12th grade or GED l Limited english proficiency Physical or developmental disability M Migrant worker or refugee status No prenatal care in first 20 weeks of gestation M Other specify l No dental cleanings in the last year i Delete Pregnancy Add Pregnancy Print Modify Add Complete the risk factors portion of the intake form Field Button Previous Pregnancy Click to view the previous HRPIO Next Pregnancy Click to view the next HRPIO 10 HRPIO Outcome HRPIO Outcome W Adult 44 Medical Record 1812 Encounters HRPIO Intake HRPIO Outcome LSP Care Plan S 0 A1 P Assessment Tools Progress Notes narrative Progress Notes Checklist Date of Client Discharge Completed By Current Age if le ICM HV Client Outcome Medical Infant Risks Exit Comments Delivery Method of Gendet Brith Wt Birth Wt Nursery APGAR APGAR Convert to Grams Outcome Delivery Gm Lb oz Days 1min 5 min l Live Birth M Yaginal Lb M Miscarriage VBAC E Date of Live Birth F Stillborn l Prim C Sec
10. er SMITH JANE 01 01 1976 2 562 a The Life Skills Progression Number 1 k amp or Extended Family 15 SEPARATED NO CONFLICTED INCONSISTENT OR VERY SUPPORTIVE CONTACT NOT CRITICAL OR VERBAL CONDITIONAL MUTUALLY AVAILABLE FOR ABUSE FREQUENT NURTUTING FAMILY SUPPORT ARGUMENTS RELATIONSHIPS RELUCTANT SUPPORT IN CRISIS AVAILABLE Previous i Re Sort Dates Previous LSF Next LSF Delete LsP Add LSP Zoom Print Modify Add The Zoom screen allows you to navigate through each question of the Life Skills Progression form To enter the score simply click on one of the black numbers You may also enter your own comments for each question Click the Previous or Next buttons to go to advance through the question 15 Care Plan Optional Care Plan WE Adult SMITH JANE 01 01 1976 33 Medical Record 2 Encounters HRPIO Intake HRPIO Outcome LSP Care Plan 5 0 A I P Assessment Tools Progress Notes narrative Progress Notes Checklist Date Diagnosis Related to F2 Resolved F3 Closed F4 Intervention Ongoing F5 Intervention Completed F6 Barriers to Completion F7 Client Refusal Delete Plan Row Add Care Plan Row Add Master Care Plan Zoom Print Modify Add To enter a Care Plan right click the Add Master Care Plan button HDIS has preloaded care plans already in the system but you can also create your own care plans under the Maintenance Menu
11. es Checklist Date Staff Subjective Objective Assessment Intervention Add S 0ALP Row Print Modify Add Modify Add The S O A I P tab is for entering your S O A I P notes for your client To add a row right click the Add S O A I P Row button Field Button Description Re Sort Dates Right click to put the dates in chronological order Delete Blank S O A I P Row Right click to delete any blank rows in the grid Add S 0O A 1 P Row Right click to add a S O A I P note oom Click to open the S O A I P zoom window Print Click to open the print window Modity Add Click to modify or add a S O A I P record 18 Date C Staff Subjective Assessment l Intervention l Previous 0 4 P 1 Next 0 4 P 1 Spell Check Close Enter your S O A I P notes and click the close button To navigate through your notes use the Previous and Next buttons You also have to ability to perform a spell check on your notes with the Spell Check button 19 Assessment Tools Assessment Tools W Adult SMITH JANE 01 01 1976 33 Medical Record 2 Encounters HRPIO Intake HRPIO Outcome LSP Care Plan S 0 AILP Assessment Tools Progress Notes narrative Progress Notes Checklist Date of Test Test Score if M Test l Delete Add Test Print Modif Add To add an assessment tool enter the data in the fields above the grid and right click the Add Test bu
12. essary to operate this program About This Manual The Home Visit Module is simple to use The maximum benefit with the least time spent will be obtained if you start at the first page of this manual and follow the directions exactly as you enter the first record in your computer Square boxes in this manual surround the key that you are to press on your keyboard As an example when you read press the enter key on your keyboard ENTER The word TYPE is followed by bracketed instructions of what to type into a field Note For Technical Support email helodesk hdis org Navigation Whenever you see one Os click the left side of your mouse once Whenever you see two c click the left side of your mouse twice Navigation Keys For Entering Information or ENTER to move to next field or to go back one field Editing Keys Backspace deletes one character left of cursor deletes one character inserting amp overwriting modes When you see a pull down field click the arrow to the right to view all your choices Starting HDIS Start Programs Health District Info Systems HDIS Health District Information System Menu Bar Health District Information System Management Services Environmental Health Community and Public Health Services Wital Statistics Maintenance About Exit HDIS Health District Information System j i has several different modules designed to p assist your health district i
13. gress Note checklist F4 MONITOR F5 REFER F6 EDUCATION Date of Visit Home Visitor p2 04 2009 F2 ASSESS F3 PLAN Issue Focus Area Intervention Spell Check zi Add to Notes Next Previous z Close Print Modify Add Choices Re Sort Dates Add Form Delete Empty Rows After the selected form has been added to the grid you can scroll through each issue by using the Zoom button 24 Print Button C Care Plan C Intake Form C Outcome Form LSP Form LSP Cumulative Scores C Progress Notes C Specific Progress Note C Specific Staff Progress Notes C S 0LALP t Specific 5 0 ALP l T ACE Form C ACOG Form C Encounters i Preview C Print Print The print button is available on all the tabs L S Note you have positioned to S S O A I P Prints the S O A I P notes pecific S O A I P Prints a specific S O A I P note 25 T ACE Form Prints the T ACE form ACOG Form Prints the ACOG form Reports Reports Health District Information System Home Visit Bente Browse ListlExport CountiGraph Maintenance Return Adult By Nurse By Setting Billable Non Billable Travel Time Child Adult List HRPIO Clients Adult By LSF Date List LSP Clients Adult LSF Adult By Mexk LSP Dake List LSP Clients Child LSP HRPIO Gukcome versus Intake Caseload Community Service Involvement Report Export LSFJHRPIO HRIIO Data HRI Intake HARIO Outcome HRPIO Intake
14. gt T D D a 5 The Select Care Plan window allows you to select which care plans that you would like to add to the grid Put a checkmark in the Add column for which of the care plans you would like to add when finished click Add Care Plans amp Close w Adult SMITH JANE 01 01 1976 33 Medical Record 2 Encounters HRPIO Intake HRPIO Outcome LSP Care Plan 5 0 A I P Assessment Tools Progress Notes narrative Progress Notes Checklist 02 08 2009 Nutrition Prenatal iska ooo 02 08 2009 Nutrition Prenatal Date 02 08 2009 Elimination Prenal 02 05 2009 020512009 _ Eimination Prena 07092009 Diagnosis oF Elimination Prenatal i eee 1l Related To Max 254 characters i i s i i hl i GO O y i oC Intervention CT SSC Link with info re when to access medical assistance i ie Bo o po o y y O OoOo CO F2 Resolved F3 Closed F4 Intervention Ongoing F5 Intervention Completed F6 Barriers to Completion F7 Client Refusal Previous Q OMpIE Delete Plan Row Add Care Plan Row Add Master Care Plan Modify Add After you have added the care plans click Zoom to navigate through each care plan to enter the client s information S 0 A 1 P Optional 17 W Adult SMITH JANE 01 01 1976 33 Medical Record 2 ncoun ters HRPIO Intake HRPIO Outcome LSP Care Plan S O AL P Assessment Tools Progress Notes narrative Progress Not
15. ith info re when to access medical assistance py E _ Ti Doo E A I Do E i Co D Elimination Prenatal Link with info for relief measures of hemorrhoid discomfort 5leep Rest Prenatal ___ Linkwith info re sleep positions o SleenRestPrenatal Link with info re importance of adequate sleep to prevent fatique stress Sleep Rest Prenatal _JAssistto develop plan to obtain adequate rest O 5leep Rest Prenatal Monitor sleep patterns o ActivitwExercise Prenatal Link with info re importance of appropriate activityfexercise ActivitwExercise Prenatal _ Linkwith info re good body mechanics and good posture fActivitwExercise Prenatal _ Link with info re comfort positions during pregnancy Taylor sitting semi reclini CosnitiverPerceptual Prenatal Adaptinformationtomeetlearningneeds ofclient CognitiverPerceptual Prenatal Link with info re problem solving techniques O E Health Perception Management Prenatal Refer and assistto access transportation i Health Perception Management Prenatal Refer and assist to access medical coverage i Health Perception Management Prenatal Develop plan to utilize community and other resources to pay for health care Health Perception Management Prenatal Refer and assist to access immunizations Health Perception Management Prenatal Develop plan to access telephone as needed Add Care Plans amp Close Modify Add Oo o D
16. n its day to day operations The Home Visits module is a great addition to these modules and simplifies your record keeping billing and information management needs Community and Public Health Services Home Visits Health District Information System Management Services Environmental Health Metiniitiiegeusholle imectlaeetagm re Maintenance About Exit Format Appointment Books Adult Travel Immunizations Childhood Immunizations Communicable Disease Insurance Claims Lead Clinic Nurse Employee Daily Works Sheets Parents s Teachers Tuberculosis Testing Latent and Active Home Visit 7a Heans District Information System Home Visit eports BrowselListiExport CountiGraph Maintenance Return ee Entering an Adult Record Household Information Household Information Find pyName C ByDOB C ByAddress C ByStreetName CMR Find Street Street Apt Address Directions P O Box City State Zip Code Phone Date of Entry Contact Instructions MT 1 406 02 04 2009 Political Subdivision Yv Household size Gross Income Verified Revised Sliding Fee Week Month Year Calc By Week rai ad Calc Sliding Fee Middle Suffix DOB Sex Relationship SSN Race aa a E Add Client Delete Household Comments When you are ready to enter the Adult portion of the Home Visit module click the on the client in the grid you wish to enter data for and then click the
17. psia Gestational Diabetes PID Preterm Labor Po Ef Other Depression Screen Score l Referred for Mental Health Assessment Counseling INFANT RISKS COMPLICATIONS INFECTION Indicate A B C etc for multiple births Breech Hyperbilirubinemia Jaundice Cong Anomalies In Utero Exposure to Alcohol Meconium Aspiration Fetal Distress In Utero Exposure to Substances Preterm Down Syndrome In Utero Exposure to Tobacco PROM Other A i a a a i Ri Enter the medical infant risks information Progress Notes narrative Progress Notes Checklist Exit Comments RDS Seizures Print Modify Add 12 W Adult Encounters HRPIO Intake HRPIO Outcome LSP Care Plan S 0 ALP Assessment Tools Date of Client Discharge C Medicaid l Yes M No l Not Eligible M Unknown Other Exit Comments Medical Record 1812 Outcome wic T Yes M No l Not Eligible M Unknown Completed By Current Age re ICM HV Client Medical Infant Risks Referrals Made by PHHV to Community l MTUPP Quitline l Resources to Obtain Housing l Other Tobacco Cessation Resources Food Resources Other than WIC Substance Use Cessation Resources WiC Domestic Violence Resources F Medicaid Mental Health or Support Services M No Referrals Made F Clients who received postpartum care within 8 weeks I Infants delivered who received care within 4 weeks Complete the HR
18. rative Progress Notes Checklist Intake Date Completed By County Reservation Current Age Individual Case Pregnancy History Risk Factors Risk Factors cont EDD Archive ii pec Pregnancies inc current pem M fee ae PRETERM LABOR IN PREVIOUS PREGNANCIES i i MONTH OF FIRST PRENATAL MEDICAL VISIT GA AT FIRST VISIT TO HIGH RISK PREGNANCY PROJECT PHHV wks Add Pregnancy To add a HRPIO Intake form right click the Add Pregnancy button All fields labeled in RED are MANDATORY W Adult f Medical Record 1812 Encounters HRPIO Intake HRPIO Outcome LSP Care Plan 0 AI P Assessment Tools Progress Notes narrative Progress Notes Checklist Intake Date Completed By County Reservation Current Age Individual Case ii ity 1812 Pregnancy History Risk Factors Risk Factors cont Archive EE Pregnancies inc current Terminations Total a PRETERM LABOR IN PREVIOUS PREGNANCIES Yes No Unknown MONTH OF FIRST PRENATAL MEDICAL VISIT GA AT FIRST VISIT TO HIGH RISK PREGNANCY PROJECT PHHV wks Next Pregnancy Delete Pregnancy Add Pregnancy Print Modify Add Enter the pregnancy history portion of the intake form Risk Factors W Adult 44 Medical Record 1812 Encounters HRPIO Intake HRPIO Outcome LSP Care Plan S 0 ALP Assessment Tools Progress Notes narrative Progress Note
19. s Checklist Intake Date Completed By County Reservation Current Age Individual Case if ihj 1812 Pregnancy History Risk Factors Risk Factors cont Risk Factors Need 1 of the following check all that apply l Someone in immediate environment abuses alcohol tobacco or drugs Currently in an abusive relationship Positive ACOG Domestic Violence screen l Homeless or multiple residences gt 3 during pregnancy M Medical Risks Depression Screen Score l Referred for MH Assessment Counseling Asthma l High Blood Pressure M Nutritional Risk WIC Defined PID E Gestational Diabetes Mental lllness Depression Obesity a Hepatitis B F Multiple Gestation Previous Hx PTL M UT s x Other STD at intake Yes fF No Jf Unknown ed ae rl 2reyious Pregnan Next Preg Delete Pregnancy Add Pregnancy Print Modify Add Enter the risk factors portion of the intake form Ot A Risk Factors cont Health District Information System W Adult 44 Medical Record 1812 Encounters HRPIO Intake HRPIO Outcome LSF Care Plan S 0 A1LP Assessment Tools Progress Notes narrative Progress Notes Checklist Intake Date Completed By County Reservation Current Age Individual Case Hi 00S Gaara ask l Enhanced HY Client whe 1812 Pregnancy History Risk Factors Risk Factors cont F Abuses alcohol tobacco or drugs T ACE Score ll l Referred for CD Assessm
20. tion Once a test has been entered into the grid click on the Zoom button to enter additional information for that specific test Field Button Right click to delete a row Add Test Right click to add a test to the grid Click to open the print window Modity Add Click to modify or add an assessment tool record 20 Progress Notes Narrative Optional Progress Notes Narrative W Adult SMITH JANE 01 01 1976 33 Medical Record 2 Re Sort Dates Delete Blank Progress Note Add Progress Note Print Modify Add To enter your narrative progress notes on the client right click the Add Progress Note button Fi Click to open the progress note zoom window Click to open the print window Modify Add Click to modify a progress note record 21 a Adult SMITH JANE 01 01 1976 33 Medical Record 2 Encounters HRPIO Intake HRPIO Outcome LSP Care Plan 0 4 1 P Assessment Tools Progress Notes narrative Progress Notes Checklist im Progress Notes Progress Note a Previous Progress Note Next Progress Note Spell Check Close Re Sort Dates Delete Blank Progress Note Add Progress Note Zoom Print Modify Add Click the Zoom button to navigate and enter your progress notes 22 Progress Notes Checklist Progress Notes Checklist WE Adult SMITH JANE 0170171976 33 Medical Record 2 Encounters HRPIO Intake H
21. us Medicaid Status Program Reason for Referral Referred By Relationship Sliding Fee Table 28 al Add Delete Modify Close Add FOOD STAMPS HELPING HANDS HMHE JOB AND FAMILY SERVICES Delete F MENTAL HEALTH SERVICES OPPORTUNITY INCORPORATED OTHER PLANNED PARENTHOOD SALVATION ARMY ST VINCENTS TANE Bitte The above is an example of what the Maintenance tables will look like Field Button Enter the name Closes the table Add Adds a row to the table Deletes the row Prints the table 29 CHC Software Inc Health District Information Systems helpdesk hdis org CHC Software Inc Health District Information Systems helpdesk hdis org
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