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1. 5 16 to right HCFA 1500 Print Test BCMH HCFA 1500 s Display charges outside LOA County Code Check to use alignment A Check to use alignment B Check to use alignment C Check to use alignment D Enter your health department s PIN number Enter your health department s Nutritional PIN number Go up or down to move print on HCFA 1 8 of an inch Check to use alignment A Check to use alignment B Check to use alignment C Check to use alignment D Check to use alignment E Check to use alignment F Click button to print out a test HCFA 1500 to check alignment Check to bill for all contacts regardless of the LOA dates Enter your health department s county code 56 Health Service Employees W Add Delete Modify Nurse Employee Table ame ANDERSON GAIL ATC RN BRIDGETT MYERS AROL MCKNIGHT RN ATC CAROL SIRL RN ATC CAROL TACKETT RN CARSEY LORETTA COLE DAWN COX DONNA DL COLE DURCHIK KATHY DURDA LINDA WYER JUDY ULTON LOIS UNSCH ANNMARIE ENNIFER MURRAY ATC KATHY DURCHIK KATHY MACKEY RN KATHY VERNON RN ATC 103 KEE MICHELLE ATC KEENER TERRY KERESTMAN KRISTIN CH ke OJO EES Q 4 ho Kal Cl M co E be Kal i E 973 LA CO E cm Field Button Description Code Enter a code for the employee N
2. Delete Deletes a highlighted record 11 Service Coordination Service Coordination k BCMH SMITH JOHN J Progress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan Find Demo Info Serice Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List Service Co ordination From Date To Date Seq Admit Discharged Service Co ordinator Primary ICD 9 Code and Description Secondary ICD 9 Code and Description Tertiary ICD 9 Code and Description Other ICD 9 Code and Description The next three tabs Service Diagnostic and Treatment allow you to enter the ICD9 codes depending on what type of LOA you have Once you have entered a ICD9 code click the Tab or Enter key and the description of the code will automatically appear Note If you type in the code and the description does not appear return to the code field and hit Ctrl D This will bring up the entire list of ICD9 codes whereupon you can choose the correct code Field Button Description From Date LOA letter of approval start date As a LOA is received the dates are updated To Date LOA end date for that period Beginning Date that service first started for this client Discharge Date that client is discharged Service Coordinator Name of the service coordinator ICD 9 Codes Enter the code in the first field then hit the Enter or Tab key Modify Modifies a record 1
3. ABELSON MD TOMI Delete ABUS SHAWEESH MD JALAL M H ADLER Print AHARAR Envelope AHMED AHUJA DR SAM Find amp Replace AKAZAR ALBANESE Jaren o ALVI DR AMDUR ANDERSON MD MICHAEL ANDREW DR ANDREWS ANNABLE MD WILLIAM L ANNAI Field Button Name Address1 Address2 City State Zip Provider Phone Fax Group Name Type of Practice Close Button Add Button Close Button Delete Button Print Button Envelope Find amp Replace Description Enter the name of the physician Enter the address of the physician Enter the address of the physician Enter the city of the physician Enter the state of the physician Enter the zip of the physician Enter the provider of the physician Enter the phone number of the physician Enter the fax number of the physician Enter the group name of the physician Enter the type of practice Closes the table Adds a physician to the table Closes the table Deletes a highlighted entry Prints the list Closes the table Click to find and replace physician names 60 ox Political Subdivisions W Add Delete Modify Political Subdivision Table Code Subdivision CH ES Field Button Subdivision Close Button Add Button Delete Button Print ne 90 Jomes _ __ S E ae enn Description Enter the code of the subdivision Enter the subdivision Closes the table Adds a code to the table Delete
4. Add Assessment Select the assessment to be added Highlight the circle next L3 BCMH SMITH JOHN J FOLLOW UP APPTS 0 MO DENTAL ISSUES FLOURIDE SOURCE Delete All Assessments E Print Delete Assessments Add Assessments Modify This assessment is created in the maintenance section of the BCMH Module The assessment will be divided as above Field Button Age Issues Review W Within Normal Limits A Abnormal D Denies Concern Comments Delete Assessments Modify Description Age for the assessment Main areas of assessment Areas to assess under each main area selected Upon assessment results were within normal range Upon assessment results were not within normal range Upon assessment denies concern Additional comments with unlimited characters Deletes a highlighted entry Modifies a record 31 Below is an example of what the Age Specific Assessment looks like after it is printed Age Specific Assessment Date SMITH JOHN Date of Birth 07 25 2005 111 111111 1 11 Nurse Informant name relationship Age Issues Review WALABL DEN Comments OMOS MEDICAL ISSUES CURRENT MEDS ETC E WIEN W FOLLOW UP APPTS ESIE kE HOSPIT ALIZATIONS O fl THERAPIES Ol IMMUNIZATIONS NEEDS ACTION TAKEN Oio o UP TO DATE G issel DENTAL ISSUES FLOURIDE SOURCE EVET RE in eens GUM CONDITION EFIE REGI ORAL CLEANING oji PACIFIER USE
5. 17 Social Security Number 13 Home phone 14 Work phone 18 Home phone 19 Work phone 1 655 222 0676 1 555 448 9556 1 655 222 0678 1 555 665 6565 Insurance Information 20 Health insurance coverage Policy number Begin date End date Carrier number K 1 Yes 2 No 3333333333 08 15 2005 bed 44444444444444 44 Maintenance Add Delete Modify Tables Maintenance Health District Information System BCMH BCMH WNuitrition Reports Browse List Export Count Graph Maintenance Return Age Specific Assessments gt BCMH Billing Codes D lay amp Comprehensive PHN Assessment Dentist Ethnic Export Import to Lap Top Field Names b General Profile Health Service Employees ICD9 Letters Physicians Political Subdivision Nutrition Assessment Printer Setup Race Referral Reindex Pack BCMH Data Files Service Coordinator Type of Contact The maintenance menu contains a list of tables that you can modify for your program 45 Age Specific Assessments W Add Modify Delete 3 Months Age Specific Developmental Assessment Numberissues Review o OA rr EE fame RI 1 dE HOSPITALIZATIONS Po THERAPIES IMMUNIZATIONS ACTION TAKEN Delete Print DENTAL ISSUES Le JOHN GONDDON O S O Le OD OUER O S O E USE ETC Pon CIRCUMFERENCE Le JHEIGHTAND Cd POI Po LIS PAINS Po WATERNET Cd ff __ WEIGHT AND S rot ow re e sh Ieper S ____ HANDS TOGETHER ROLLS OVER rm You h
6. User s Manual BCMH Health District Information System HDIS Windows Ver 4 0 Copyright 1998 by CHC Software Inc All Rights Reserved CHC Software Inc Health District Information Systems helpdesk hdis org Table of Contents Je Ze IT dn E 1 About Tbischlaptal sees eessen See 1 Navigation E 2 PINGING a CMGI EE 4 Entering a CHOI euer eee 5 Service Coordination sccceeeeeeecssssseeeeeeeeeeeeeneeeees 12 DIAGMOSUG EE 13 Ren E 14 COMLAGCUS EE 15 Prnt TE TEE 16 Total Amount Billed Button cccsssssseeeseeesseeeseeees 17 PHN RENE 18 Concern Problem Diagnosis List cscccsseseeesseeee 25 Erogress Nef egeweegueereeueg ttiereeeeegeEeENeteeSE SEENEN 26 Comprehensive geess deeg oianean 27 Age Specific ASSeSSments ccccccsssesseeeeeseeeeeneeeees 29 PHN Care Plat EE 33 BCMH Application EE 35 Maintenance Add Delete Modify Tables 45 FRO en CC 68 Introduction This program is designed to assist you in organizing a systematic approach to entering BCMH clients and provides accurate up to date records within your county Please review the manual carefully to obtain the maximum benefits Little or no prior computer experience is necessary to operate this program About This Manual BCMH 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
7. 12345 ANYWHERE STREET City State Zip Code 4 County CLEVELAND OH amp 44138 D CUYAHAOGA Delete Medical Application Modify On this page you will fill out the applicants demographic information To add an applicant click the Add Medical Application button Be sure to check the appropriate box across top of the page for which program the applicant is applying 36 Parents Guardians 10 19 la BCMH Medical Application SMITH JOHN WILLIAM Find Demo 1 25 Other Info 26 36 Major Services 37 42 Public Health Nurse Referral 43 54 Child s Info 1 9 Parents Guardians 10 19 Health Insurance 20 21 Dental Vision Ins 22 25 10 Parent Guardian Last Parent Guardian First SMITH JANE 11 Address 12 SSN 12345 ANYWHERE STREET 222 22 2222 City State Zip Code 13 Home Phone 14 Work Phone CLEVELAND oH D 44138 1 555 555 5555 1 555 666 6666 15 Parent Guardian Last Parent Guardian First Name SMITH JOHN 16 Address breed i 12345 ANYWHERE STREET 333 33 3333 State Zip Code 18 Home Phone 19 Work Phone AE oH 44138 1 555 555 5555 1 555 777 7777 Delete Medical Application Add Medical Application On this page you will enter the parent guardian s information 37 Cs Health Insurance 20 21 kd BCMH Medical Application SMITH JOHN WILLIAM Find Demo 1 25 Other Info 26 36 Major Services 37 42 Public Health Nurse Referral 43 54 Child s Info 1 9
8. 42 Lj BCMH Medical Application SMITH JOHN WILLIAM Find Demo 1 25 Other Info 26 36 Major Services 37 42 Public Health Nurse Referral 43 54 Category of Service 1 amp 2 Category of Service 3 amp 4 38 Recommendations include attach Plan of Treatment Medical Report and or Discharge Summary ven 40 Initial exam 41 Name of person completing form Phone 42 Most recent exam i7 if 42 Ki Public Health Nurse Referral 43 54 L3 BCMH Medical Application SMITH JOHN WILLIAM 43 Print Ze Preview C Print The Print button allows you to print the Medical Application that is sent to the Ohio Department of Health Below is a portion of how the form will appear Note The form will print out on TWO pages PLEASE PRINT Ohio Department of Health Medical Application Bureau for Children with Medical Handicaps 246 North High Street P O Box 1605 Columbus Ohio 43216 1603 O Diagnostic MTreatment C Case Renewal LJService Coordination LJPHN Referral C Adult Hemophilia CJHMG SMITH JOHN WILLIAM 2005001 3 Address 4 County CLEVELAND OH 44133 5 Child s Client s birthdate 6 SSN child s client s 7 Sex 8 Ethnic Group 9 Ohio Resident 10 Parent s L egal guardian s Client s name last first 15 Parent s L egal guardian s Client s name last first 11 Address 16 Address CLEVELAND OH 44138 CLEVELAND OH 44138 12 Social Security Number
9. button to move onto the Info tab ox Info Tab L3 BCMH SMITH JOHN J Progress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan Find Demo Info Service Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List BCMH Pending Age at Start 1st Adm Final Dis Nurse Managing Physician Primary Physician Dentist Information Household Constellation Most Common Identified Barriers Hay A A ed a a Add BCMH Record When you are entering a client for the first time you will have to give them a BCMH record To do this simply click the Add BCMH Record button This will allow you to begin filling out all of the information Note You only have to add a BCMH record once Once a record has been created you do not have to add them again 10 lj BCMH SMITH JOHN J Progress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan Find Demo Info Service Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List BCMH Managing Physician v Add Information l Education Plan lEP l Service Plan ISP M Non compliant l Difficultto schedule l Refused home visit Family health issues Lack BCMH providers M Lack understanding Unplanned pregnancy Pending Age at Start 1st Adm Final Dis Nurse Primary Physician Dentist v Add v Add Household Constellation Habilitat
10. Educational Issues Sevice Plans Old Report Equipment in Home 2 Purchased at Date Payment Repaired by Date Glasses Glucose Monitor Ee EH Orthotics ooo ES Enteral Feeding fs eeng IR Supplies Feeding Pm rd E Other E IT H Print Next Previous Delete PHN Services Add PHN Services Modify Field Button Description Purchased at Date Enter the place of purchase of the equipment and the date Payment Enter the type of payment for the equipment Repaired by Date Enter who repaired the equipment and the date of repair 20 Gs Therapies L3 BCMH SMITH JOHN J Progress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan Find Demo Info Service Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List Changes New Info Equipment in Home 1 Equipment in Home 2 Therapies nutritional Issues l Educational Issues Sevice Plans Old Report Therapies Name of Therapist Location s Frequency Funding Source Se mmm mmm mmm Physical TTT Occupational fs i Ee E Print Next Previous Delete PHN Services Add PHN Services Modify Field Button Description Name of Therapist Enter the name of the client s therapist Location s Enter the location of the therapy Frequency Enter the frequency of visits for the therapy Funding Source Enter the funding source of therapy 21 Nutritional Issues L3 BCMH SMITH JOHN J Progress Notes Comprehensive PHN A
11. Enter key The program will automatically find the name in the database If the client s name is not in the list you will then enter it in the database Entering a Client As Select Add Name Cs Add data in fields W Add Client Demographic Information Patient Name and Address Parent if applicable Insurance HIPAA Other Info Last Name First Name Middle Name Suffix Date of Bith Age as of Today Sex Race Social Security 06 29 2005 OM M WHITE z 123 56 7891 Street Street Street Suffix Apt 123 ANYWHERE St City State Zip Code County BELLBROOK X oH sl 45050 x Political Subdivision Phone 1 440 555 1199 Primary Care Physician Census een Once a client is entered a record is created that is accessible to all Community Health modules Field names that appear in green are optional fields for data entry You may not always have every piece of information on the client Remember you can use either the Enter key or Tab key to navigate from field to field Note All phone numbers must start with a 1 Entering a Primary Physician Enter Primary Physician First Middle Last Title EE ee ee Street Street 2 optional Phone optional Fax optional Group Practice Name optional Provider Number optional Cancel If the client s primary care physician does not appear in the dropdown list you can add it to the list by clicking the Add butto
12. Parents Guardians 10 19 Health Insurance 20 21 Dental Vision Ins 22 25 20 Primary Insurance Carrier Policy Carrier Mo bass 4444444444 e Begin Date End Date Name of Insured 09 08 2005 if JOHN SMITH 21 Secondary Insurance Carrier Policy Carrier ATHENS 222222222222222 33333333333333333333 Begin Date End Date Name of Insured if if Delete Medical Application Add tied On this page you will enter the health insurance information for the client 38 Dental Vision Ins 22 23 L3 BCMH Medical Application SMITH JOHN WILLIAM Find Demo 1 25 Other Info 26 36 Major Services 37 42 Public Health Nurse Referral 43 54 Child s Info 1 9 Parents Guardians 10 19 Health Insurance 20 21 Dental Vision Ins 22 25 22 Dental Insurance Coverage Carrier Begin Date End Date MEDICARE 454545454554 09 08 2005 t Name of Insured JOHN SMITH 23 Vision Care Insurance Coverage Carrier Begin Date End Date ic rt Name of Insured 24 Medicaid Eligible Medicaid Recipient Billing Begin Date End Date MV Yes No 8888888888 09 08 2005 if 25 5 5 1 Eligible V Yes No Delete Medical Application Add Med On this page you will enter the dental vision insurance information for the client 39 Other Information 26 36 kd BCMH Medical Application SMITH JOHN WILLIAM Find Demo 1 25 Other Info 26 36 Major Services 37 42 Public Health Nurse Referral 43 54 26 Managin
13. Po RAINE Po HEARING Po BRACING E 2 CHEWING IOS SS SS SI SIS SIU SS SS SI SS SS Se gt To ooo METRY Delete 3 ALERTNESS E Field Button Description Number Groups review items under an issues listing Issues Select the main issues headers for the assessment Review Main items to be assessed Close Button Closes the table Add Button Allows you to add to the table Delete Button Deletes a highlighted entry Print Button Prints the list 48 Dentiste W Add Delete Modify Dentists ANDREA MILLER DDS DENTAL SPECIALISTS DR BEDNARCIK DDS DR CROWELL DR DIMLING DDS DR GEHRKE DR PEG VANEK FRED GEHRKE DDS FRED GEHRKE DDS JEFFREY ORCHEN DDS LAURA ADELMAN DDS LYNN MACK DDS METROHEALTH MED CTR MUSSA ROXANNA NON BCMH PROVIDER NONE AT PRESENT ANDREA MILLERDDS DENTAL SPECIALISTS DR BEDNARCIKDDS DR CROWELL S DR DIMLING DDS DR GEHRKE S DR PEG VANEK i FRED GEHRKE DDS FRED GEHRKE DDS JEFFREY ORCHEN DDS _ LAURA ADELMAN DDS LYNN MACK DDS METROHEALTH MED CTR Jusen ROXANNA C NON BCMH PROVIDER NONE AT PRESENT E CO 4 gt v v E O gt DI E m a Field Button Name Address1 Address2 City State Zip Provider Phone Fax Group Name Type of Practice SSN or T I N License Close Button Add Button Close Button Delete Button Name Address A eg Add Delete Print Envelope Find amp Replace
14. different tabs with the last tab being the old PHN Services report It may look confusing but it will print out the exact form with all the required information One PHN Services form is sent in for each new LOA or if there are changes that you have to report to the state Field Button Dates of PHN Services LOA Family Status Address Medicaid Insurance Service Needs Yes No Date of Change Description Enter the dates of the PHN Services Enter the changes or new information to the LOA Enter the changes or new information to the client s family status Enter any changes to the client s address Enter any changes or additions to the client s Medicaid Enter any changes or additions to the client s insurance status Enter any changes or additions to the client s service needs Check if there are changes Check if there are no changes Enter the date of the change 18 Physician Managing Click on the Memo button to enter the Physician Managing Diagnosis Diagnosis Print Click to open the Print menu Next Click to go to the next PHN Services form Previous Click to go to the previous PHN Service form Delete PHN Services Right click to delete the PHN Service information Add PHN Service Click to add a PHN Service Right click to copy information from a previous PHN Service Report Modify Click to modify information to the current PHN Service Equipment in Home 1 L3 BCMH SMITH JOHN J Pr
15. 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 The word TYPE is followed by bracketed instructions of what to type into a field Note For Technical Support email helpdesk hdis org Navigation Whenever you see one A Click the left side of your mouse once Whenever you see two A 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 R places you in the receipt screen Editing Keys deletes one character left of cursor _Deiete Dr 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 MICROSOFT Windows Users Start Programs Health District Info Systems HDIS Health District Information System Menu Bar 7 Health District Information System Management Services Environmental Health Community and Public Health Services Vital Statistics Maintenance About Exit HDIS Health District Information System has several different modules designed to assist your health district in its day to day operations The BCMH Module is a great addition to these modules and simplifies your record keeping billing and information management needs Select Community amp P
16. 2 Diagnostic A Diagnostic L3 BCMH SMITH JOHN J Progress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan Find l Demo Info Service Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List Treatment From Date To Date Seq Admit Discharged E Zz BE Ez Primary ICD 9 Code and Description D Ne Secondary ICD 9 Code and Description Tertiary ICD 9 Code and Description Other ICD 9 Code and Description Field Button Description From Date LOA letter of approval start date As a LOA is received the dates are updated here To Date LOA end date for that period Beginning Date that service first started Discharge Date of discharge Nurse Name of the nurse involved with this case ICD 9 Codes Enter the code in the first field then hit the Enter or Tab key Modify Modifies a record 13 Treatment 2 Treatment Lj BCMH SMITH JOHN J Progress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan Find Demo l Info Service Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List Treatment From Date To Date Seq Admit Discharged if if BE if Primary ICD 9 Code and Description mm Secondary ICD 9 Code and Description Tertiary ICD 9 Code and Description Other ICD 9 Code and Description Field Button Description From Date LOA letter of approval start date As a new LOA is receive
17. CE COORDINATOR PRIMARY CARE PHYSICIAN F4 NO F5 WNL WITHIN NORMAL LIMITS F8 NA NOT ASSESSED Print Delete Assessment Modify You can create this assessment in the maintenance section of the BCMH Module The assessment will be divided as above To start an assessment click the Add Assessment button You may use the function keys as shortcuts for your answers You can also add comments to your answers Field Button Issue Review W Within Normal Limits A Abnormal D Denies Concern Comments Add Assessment Button Delete Assessment Button Modify Button Print Description Main categories or systems for assessment Areas in each category with more detailed information Upon assessment findings were within normal range Upon assessment findings were not within normal range Upon assessment denies concern Additional comments with unlimited characters Adds assessment below the current assessment Deletes a highlighted entry Modifies a record Prints the Comprehensive Assessment See Below 27 Comprehensive PHN Assessment CAMERON MICHELLE NATYA Date of Birth 10 14 1988 Nurse Issues Review WAL ABL DEN Comment D 1 SUTURES HEAD CIRCUMFERENCE WII CIRCUMFERENCE INFESTATION WII INFESTATION III DAIN K PAN SYMMETRY amp Right side of head is iregular and bes a concave
18. Changes New Info l Equipment in Home 1 Equipment in Home 2 l Therapies l Nutritional Issues Educational Issues Sevice Plans EI Report Educational Issues Service Plans Therapies Addressed inIEP res No J NIA Transitional Plan Yes No F NA BCMH CSP I Yes T No I NIA Date of Last Contact with Team Service Coordinator Parent Guardian Client Concerns Memo mm PHN Concerns Actions Memo Does the family have any special needs that BCMH should be aware of Memo P Initial Annual T Interim Immunizations Current Print Next Previous Delete PHN Services Add PHN Services Modify Field Button Child in Special Education Classes Yes Child in Special Education Classes No Transition Plan Yes Transition Plan No Transition Plan N A Therapies Address in IEP Yes Therapies Address in IEP No Therapies Address in IEP N A BCMH CSP Yes BCMH CSP No BCMH CSP N A Date of Last Contact With Team Service Coordinator Description Check if the client is in any special education classes Check if the client is not in any special education classes Check if the client has a transition plan Check if the client does not have transition plan Check if the transition plan is not applicable for the client Check if the therapies are addressed in IEP Check if the therapies are not addressed in IEP Check if the therapies being addressed in the IEP are not applicable Check for BCMH CSP Chec
19. Description Enter the name of the dentist Enter the address of the dentist Enter the address of the dentist Enter the city of the dentist Enter the state of the dentist Enter the zip of the dentist Enter the provider of the dentist Enter the phone number of the dentist Enter the fax number of the dentist Enter the group name of the dentist Enter the type of practice Enter the license number of the dentist Close the table Adds a dentist to the table Closes the table Deletes a highlighted entry Prints the list Print Button 49 Prints envelope to dentist Click to find and replace dentist names Envelope Find amp Replace Find amp Replace You may find and replace a misspelled physician s name You must find and replace full names Examples Find Replace SMITH JON SMITH MD JOHN JONS MD JAMES JONES MD JAMES Before running the Find and Replace utility make sure you have a complete backup of the HDIS data folders Find i Replace With an Find amp Replace All Close Description Type in the name you wish to find Type in the new name you wish to replace the first name with Right click to find and replace the names Closes the Find amp Replace window 50 Ethnic W Add Delete Modify Ethnic Table Field Button Close Button Add Button Delete Button Print Button Description Closes the table Adds an ethnicity to the table Deletes a highlighted entr
20. ETC E TAT NUTRITION FEEDINGS FORM JBREAST EI Weit Le HE AD CIRCUMFERENCE EI WEIEN Po rt PERCENTILE Wii 32 PHN Care Plan PHN Care Plan L3 BCMH SMITH JOHN J Find Demo Info Service Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List Progress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan E 4 Print a Delete Care Plan Add Care Plan Modify The PHN Care Plan is no longer in use but you can still enter data if you wish This page is for your records only PHN Care Plan Field Button Description Add Care Plan Button Adds current data in plan Concern Add concerns found during assessment that become part of the care plan Objective Goal of intervention Plan Indicate what you plan in relation to the intervention Resolution Date Date concern is resolved Delete Care Plan Button Deletes a highlighted entry Modify Opens the record to be modified Print Prints all the plans in the record 33 Below is an example of what the PHN Care Plans looks like after you print it PHN Care Plan SMITH JOHN Date of Birth 07 25 2005 111 111111 1 11 Nurse Concem Objective Plan Resolution Date Needs medica insurance coverage Get coverage Get in contact with ODH 10 04 2005 34 BCMH Application Health D information System BCMIH BCMH Medical Application BIIMH Nuitrition Repor
21. al Report when you enter a From and To date 70 CHC Software Inc Health District Information Systems helpdesk hdis org CHC Software Inc Health District Information Systems helpdesk hdis org
22. ame Enter the name of the employee District Enter the district of the employee Close Button Closes the table Adds Button Adds a employee to the table Delete Button Deletes a highlighted entry Print Button Prints the list 57 ox ICD9 Codes W Add Delete Modify ICD9 Table 01 0 CHOLERA DUE TO VIBRIO CHOLERAE Add 011 01 9 02 0 02 1 Delete CH Print by Code il 02 2 ARATYPHOID FEVER B CH 02 3 ARATYPHOID FEVER C 02 9 ARATYPHOID FEVER UNSPECIFIED Print by Alpha il P P P P 030 031 03 20 03 21 L L L Di 0 CH 03 22 03 23 03 24 03 29 038 039 04 0 04 1 SHIGELLA FLEXNERI 04 2 SHIGELLA BOYDII 004 3 SHIGELLA SONNEI ER CH E EA A A me ee ee ee el ac e es ele ease s CH a Field Button Description Add Button Adds a code to the table ICD9 Adds an ICD9 number to the table Description Description related to the code Close Button Closes the table Delete Button Deletes a highlighted entry Print by Code Button Prints the list in numeric order Print by Alpha Button Prints the list in alphabetical order 58 Cs Letters Enter Modify BCMH sl c o ForProgessnotes o H 1 vs k Jit The Wayne County Health Department has received notification your child PATIENT is participating in the Bureau for Children with Medical Handicaps BCMH Program As part of the BCMH services provided to you and your child a local p
23. appearance over the Right Right ear This is how the report will appear for the Comprehensive PHN Assessment when it is printed 28 Age Specific Assessments Age Specific Assessments la BCMH SMITH JOHN J Progress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan age issues Review WIAD Comments A Delete All Assessments Print Delete Assessments Add Assessments Modify To add an Age Specific Assessment click the Add Assessments button and the window below will pop up 29 Select Age Specific Assesment Age as of Today OM ei D Month C 10 Months C 20 Months 8 Years 18 Years 1 Month C 11 Months C 21 Months 9 Years 19 Years 2 Months C 12 Months 22 Months 10 Years 20 Years 3 Months 13 Months 23 Months 11 Years 21 Years 4 Months C 14 Months C 2Years 12 Years 5 Months C 15 Months C 3 Years 13 Years 6 Months C 16 Months C 4 Years 14 Years 7 Months C 17 Months C 45 Years 15 Years 8 Months C 18 Months C 6 Years 16 Years 9 Months 19 Months C 7 Years 17 Years e e C e e C e E g On this screen click the correct age of the client and then click Add Assessment An assessment will be automatically added for that age Field Button Description to the appropriate age The assessment is added to the record BELOW current assessments in the record Close Button Exits the age assessment selection area without adding an assessment 30
24. arge Print HCFA old style I HCFA 1500 Alignment F 5 16 to right BCMH HCFA 1500 AlignmentA BCMH HCFA 1500 Alignment B BCMH HCFA 1500 Alignment C BCMH HCFA 1500 Alignment D PIN Nuitrition PIN r HCFA 1500 Print test BCMH HCFA 1500 s Display charges outside LOA County Code The BCMH tab allows you to fill in some information for billing along with providing different alignments when printing the HCFA 1500 s Be sure you have a PIN entered in the lower left hand corner of the screen This will print the PIN on the bottom of the HCFA for you Field Button Check Boxes BCMH Enter billing in minutes not BCMH codes BCMH Style 2 Wayne County BCMH Export Import from lap top BCMH Folder on Server BCMH Clerical Staff BCMH Nursing Staff Description WAYNE COUNTY ONLY WAYNE COUNTY ONLY Check if your are using a laptop that you take out of the office Enter the data folder located on the server WAYNE COUNTY ONLY WAYNE COUNTY ONLY 55 BCMH HCFA 1500 Alignment A BCMH HCFA 1500 Alignment B BCMH HCFA 1500 Alignment C BCMH HCFA 1500 Alignment D PIN Nutritional PIN Move Print Down 1 8 for Every HCFA 1500 Alignment A HCFA 1500 Alignment B 1 16 to right HCFA 1500 Alignment C 1 8 to right HCFA 1500 Alignment D 3 16 to right HCFA 1500 Alignment E 1 4 to right HCFA 1500 Alignment F
25. ate due to religious beliefs Red Book ChUMS given F Other list Memo l Family Immunizations Discussed Family lmms Current 7 List of individuals Memo Copy To Team Serice Coordinator J Primary Physician Other M Managing Physician M ODHIBCMH Print Next Previous Delete PHN Services Add PHN Services Modify The last tab of the PHN Services is the old PHN Services report This page is here in case you want to look up previous information on the client You DO NOT have to enter any new information on this page 24 Concern Problem Diagnosis List Concern Problem Diagnosis List L3 BCMH SMITH JOHN J Progress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan Find Demo Info Serice Diagnostic Treatment E Contacts PHN Services Concern Problem Diagnosis List Add to Parent Guardian Cleint Concerns Add to PHN ConcernsiActions Print Delete Problem Planz Add Problem Modify The Concerns Problem Diagnosis page allows you to enter just that You can also transfer information that you enter to the PHN Services Form Field Button Description Add to Click to add to the Parent Guardian Client Concerns on the Parent Guardian Client PHN form Right click to add the Parent Guardian Client Concerns Concerns to the PHN Service form Add to PHN Click to add to the PHN Concerns Actions on the PHN form Concerns Actions Right click to add the Parent Guardian Client Concerns to the PHN Ser
26. ave been provided assessments that you may use or you may create your own We have found that the easiest method of using the assessment section is to print the assessment table and compare it to what data you already collect Field Button Description Number Groups review items under an issues listing Issues Select the main issues headers for the assessment Review Main items to be assessed Close Closes the table Add Button Adds assessment to the table Delete Button Deletes a highlighted entry Print Button Prints the list 46 o BCMH Billing Codes W Add Delete Modify BCMH CPT Codes Above is the table for the CPT codes for billing You do not have to worry about this table If there are updates CHC Software will send them to you Field Button Code Description POS DC Fee Units Minutes Close Button Add Button Delete Button Description Billing code Description of billing code Place of Service Diagnostic Code column on HCFA 1500 Fee amount Number of units billed Number of minutes Closes the table Add a code to the table Deletes a highlighted entry Print Button Prints the list 47 Comprehensive PHN Assessment Table ml Add Modify Delete Comprehensive PHN Assessment Table etiissues Review o O Po INFESTATION y O UL 1 2 rA H umb 2 Sg ete NEURO Po EF CIT oC IZZINESS Print SEIZURES VERTIGO Po INFLAMMATION pO Pina PoE Po IES
27. d the dates are updated here To Date LOA end date for that period Beginning Date the service first began Discharge Date the client was discharged ICD 9 Codes Enter the code in the first field then hit the Enter or Tab key Modify Modifies a record 14 Contacts L3 BCMH AABBOOTT JOSEPH M Progress Notes Contacts Comprehensive PHN Assessment Age Specific Assessment Care Plan Find Demo Info Service Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List Date Nurse Type of Contact Billing Codes Min POS Return Visit 06 29 2005 AE X HOME vISIT X 99600 X 50 12 10 04 03 Date Wes Type of Contact _ BCMH BC Minutes Units Amount Bill Date 1 Refresh Total Amount Billed Print Delete Contact Add Contact Modify Contacts The nurse s billable activities are recorded here and this information creates the HCFA 1500 form Enter a contact across the fields on the top of the grid and then click the Add Contact button This will put the billable contact in the list below Also be sure not to miss the scroll bars on the contact list as there are additional fields to the right Field Button Modify Button Date Type of Contact BCMH Billing Code Return Visit Date Add Contact Button Bill Date Paid Delete Contact Print Description Opens record to enter visit data Date of the visit contact Location of the contact Select
28. eyboard Prints out all of the progress notes Prints a fax inquiry to Ohio Department of Health Prints Documentation of Public Health Referral Services form Prints Additional Reimbursement form for the Ohio Department of Health Prints Notification of Changes Form for the Ohio Department of Health Total Amount Billed Button x Total Amount Billed Total Amount Billed Service Coordination Treatment Ge Diagnostic UA ES The Total Amount Billed button displays how much you have billed for the client for the LOA from and to dates PHN Services L3 BCMH SMITH JOHN J PHN Services Progress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan Find Demo Info Service Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List Changes New Info Eouipment in Home 1 Equipment in Home 2 Therapies Nutritional Issues l Educational Issues Sevice Plans l Old Report Dates of PHN Services if To CS Changes New Information LOA Family Status Address Medicaid Insurance Date of Change ves No M yes No Yes No M yes No Yes Mol Service Needs yes Noj Physician Managing Diagnosis Memo Next Previous Delete PHN Services Add PHN services Modify The PHN Services tab is used to fill out the information for the PHN Services form that you mail to ODH It is divided into six
29. g Physician Site SINGER MD NORA Add a Private Office Iw Clinic 30 Primary ICD 9 Code and Description 833 09 ner CLOSED DISLOCATION OTHER 31 Secondary ICD 9 Code and Description 32 Tertiary ICD 9 Code and Description 33 Other ICD 9 Code and Description E E 34 If child client has any other handicapping condition s please describe memo 35 Name of Primary Care Physician 36 Name of Primary Care Dentist MEUNSTER DR D Add ANDREA MILLER DDS D Add Print Modify This page allows you to enter the applicant s diagnosis along with their physician and dentists information Once you have entered a ICD9 code hit the Tab or Enter key and the description of the code will automatically appear Note If you type in the code and the description does not appear return to the code field and hit Ctrl D This will bring up the entire list of ICD9 codes whereupon you can choose the correct code 40 Category of Service 1 amp 2 3 amp 4 kd BCMH Medical Application SMITH JOHN WILLIAM Demo 1 25 Other Info 26 36 Major Services 37 42 Category of Service 3 amp 4 37 Category of Service mmm Name and Address of Provider Provider Number Unit of Service Category of Service Name and Address of Provider Provider Number Unit of Service Public Health Nurse Referral 43 54 Major Service 38 42 Source of Payments Source of Payments 41 Major Service 38
30. hat have been discharged from BCMH For this report to work you must fill in the Discharge Date field in the BCMH program Prints envelopes use filters to specify the mailing address Prints filing labels use filters to specify the mailing address Prints out HCFA 1500 in batch Prints a list of billed claims fill in the From Date Billed and a To Date Billed to get the report Prints a list of paid claims fill in the From Date Paid and a To Date Paid to get the report Prints a list of unpaid claims fill in the From Contact Date and a To Contact Date to get the report Prints labels use filters to modify your labels Prints a list of clients use filters to modify your report Prints a list of clients by political subdivision use filters to modify your report Prints a list of pending clients you must fill in the Pending field for this report to pick up the pending clients Provides the nurse or coordinator with date of next visit The date for the next visit can be entered on the Contacts page of the program Prints out the report when you enter a From Contact Date and a To Contact Date Prints a list of contacts that are to be billed for fill in a From Contact Date and a To Contact Date and choose a Nurse from the dropdown Prints the total amount billed when you fill in the To LOA Date Prints out your Yearly Statistic
31. ion Plan lIHP T 504 Plan Family Service Plan lFSP l Comprehensive Service Plan CSP Most Common Identified Barriers IT No transportation Financial issues l Renewal issues Educational issues Nutritional issues Psychological issues IT Equipment need Print Delete BCMH Record Modify F Rural location medication IT Medication issues Transition issues l Family dynamics Large problem list l Housing On this page you will enter much of the information from the client s LOA The check boxes represent the plans that the client is on and for the Most Common Identified Barriers that you notice Note Be sure not to miss the Household Constellation tab Field Button BCMH Number Age at start Pending Primary Physician Managing Physician Dentist Household Constellation Rel DOB Educ Comments Add BCMH Record Modif Description Number assigned by BCMH Age at which the client started the program Put a Y in this field only if you have not yet received an LOA for the client but have made contact with the client There is a report that will display all of your pending clients Primary physician s name Managing physician s name Dentist s name Names of people living in the household Example M Mother GM Grandmother etc Date of birth Level of education in years Additional comments with unlimited characters Allows you to add a BCMH record Modifies a record
32. k if not BCMH CSP Check if the if BCMH CSP is not applicable Enter the date of the last contact with the team service coordinator 23 Parent Guardian Client Click on Memo to enter any concerns Concerns PHN Concerns Actions Click on Memo to enter any PHN concerns or actions Does the family have any Click on Memo to enter any special needs that BCMH special needs that BCMH should be aware of should be aware of Initial Click if this is the initial PHN Service report Annual Click if this is an annual PHN Service report Interim Click if this is an interim PHN Service report Immunizations Current Click if the client s immunizations are current Cs Old Report L3 BCMH SMITH JOHN J Progress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan Find Demo Info Service Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List Changes New Info Equipment in Home 1 Equipment in Home 2 Therapies Nutritional Issues l Educational Issues Sevice Plans 5b List nursing issues and family concerns memo List medical diagnosis s reported by parents memo 6 PHN activities Comprehensive Assessment Reassessment M Immunizations Current I Information l Referral Referrals Needs M Counseling l Advocacy Patient Teaching wTM DEER M Monitoring Anticipatory Guidance Not up to date due to medical reasons I Injury Prevention l Emergency Planning F Not up to d
33. n and filling out the information When finished click Add Select Parent if applicable Enter Data W Add Client Demographic Information Patient Name and Address Parent if applicable Insurance HIPAA Other Info Mother Guardian Last Mother Guardian First Mother Guardian Middle DOE JANE Mother Guardian Maiden Mother Guardian Date of Birth Mother Guardian SSN Lei are Mother Guardian Ethnic Mother Guardian Wor Phone Father s Last Name Father s First Name Father s Middle Name Father s Date of Birth Father s SSN Insurance HIPAA a8 Add Client Demographic Information Patient Name and Address Parent if applicable Primary Insurance Carrier Insurance MEDICAID Secondary Insurance Carrier Insurance Notice of Privacy Practice Given Client FF I Custodian Authorization for Release of Information M Physician s Health Departments l Family M Day CarelSchools M WIC Insurance HIPAA Other Info Group Group Other z Date Modified L I Other Info W Add Client Demographic Information Patient Name and Address Parent if applicable Insurance HIPAA Other Info Alternate Mailing Address City State Zip Code J Al Household size Gross Income Verified Revised Io O Week l Month Year Zz Zz Sliding Fee A D M No Statement M Match Consent OK Cancel When you are finished entering the client s demographic data click the OK
34. ofile General Management Environmental Community amp Public Health Services Vital Health Department Lake County General Health District Division BO Address1 a3 Mil Stet Address2 oe City Painesville State oH Zip Laun County GREENE Phone s 1 440 350 2543 Fax Federal TaD Commissioner H Client Server Location CAHDISIDATA o IT 20047 2003 Jf 2002 Jf 2001 f 2000 J 1999 Jf 1998 Make Checks Payable to Close The General Profile allows you to fill out the basic information for your health department The BCMH information can be found under the Community amp Public Health Services tab It is shown on the next page 54 BCMH General Profile Demographics General Management Environmental Community amp Public Health Services Vital HIV SIDS Testing Help Me Grow Lead Clinics Nurses Dailys TB Testing Welcome Home Appointments Match Adult Immunizations i Childhood Immunizations Clinical Services Communicable Disease Flu Clinics F BCMH Enter billing in minutes not BCMH codes New HCFA 1500 Style l BCMH Style 2 Wayne County l BCMH Export Import from lap top BCMH Folder on Server l BCMH Clerical Staff BCMH Nursing Staff 0 Move Print Down 1 8 for every l HCFA 1500 Alignment A l HCFA 1500 Alignment B 1 16 to right l HCFA 1500 Alignment C 1 8 to right HCFA 1500 Alignment D 3 16 to right l HCFA 1500 Alignment E 1 4 to right L
35. ogress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan Find Demo Info Service Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List ChangesiNew Info Equipment in Home 1 Eouipment in Home 2 l Therapies l Nutritional Issues l Educational Issues Sevice Plans Old Report Equipment in Home 2 Purchased at Date Payment Repaired by Date Walker Wheelchair 00 sd ii Crutches WE ES Aerosol Machine OoOo OEE Hearing Aid eg Right Leg Digital J Standard Programmable needs PA Next Previous Delete PHN Services Add PHN Services Modify Field Button Description Purchased at Date Enter the place of purchase of the equipment and the date Payment Enter the type of payment for the equipment Repaired by Date Enter who repaired the equipment and the date of repair Right Check if the hearing aid is for the right ear Left Check if the hearing aid is for the left ear Digital Check if the hearing aid is digital Standard Check if the hearing aid is standard Programmable Check if the hearing aid is programmable 19 o Equipment in Home 2 L3 BCMH SMITH JOHN J Progress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan Find Demo Info Serice Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List Changes New Info Equipment in Home 1 Equipment in Home 2 Therapies l Nutritional Issues
36. s Survey Questions Survey Question Comments To Be Billed Total Amount Billed i Yearly Statistical Report The reports menu contains a list of the many reports that you are able to obtain from the program 68 HCFA 1500 Report Options Output to e Preview li From Contact Date Close C Printer To Contact Date Filters ts For each report an option box will appear similar to the one shown above It allows you to enter dates for your reports as well as use of filters Field Button From Return Date To Return Date OK Button Close Button Filters Preview Printer Description First date for visits due date Last date for visits due date Runs report Closes report See below Preview displays data on screen Print prints to printer You may print after previewing data on the screen 69 Reports Reports Adjusted Off Caseload Discharged Envelopes Filing Label HCFA 1500 HCFA Claims Billed HCFA Claims Paid HCFA Claims Unpaid Labels List List by Political Subdivision Pending Return Visit Report Statistical Report Form for PHN Diagnostic Referral Services To Be Billed Total Amount Billed Yearly Statistical Report Description Prints out the amount adjusted of your payments fill in a from and to date for your report Prints out a caseload of clients You may sort by LOA date employee or type of service plan Prints a list of clients t
37. s a highlighted entry Prints the list 61 Printer Setup Print Setup m Printer Name PDF Change 2 5 DE e Properties Status Ready Type PDF XChange 2 5 DE Where PDF XChange Comment Paper Size Letter ANSI A D Portrait Source Main paper tray DI Landscape m Orientation Network OK Cancel Newark _ Cancel The print setup allows you to choose what printer you would like to print from Pick the printer in the name dropdown and click OK 62 Race ml Add Delete Modify Race Table ame MEN MER INDIAN SIAN LACK HISPANIC Ole Field Button Description Name Enter the name of the race classification Close Button Closes the table Add Button Adds a race classification to the table Delete Button Deletes a highlighted entry Print Button Prints the list 63 Cs Referral W Add Delete Modify Referrals Field Button Name Close Button Add Button Delete Button Print Button Description Enter the name of the referral Closes the table Adds a race classification to the table Deletes a highlighted entry Prints the list 64 Reindex Pack BCMH Data Files L3 Maintenace Reindex Pack BCMH Data Files This procedure will reindex pack all data files If you have the Network Version please have all users exit HDIS This function is only needed should your data be corrupt due to a power failure Please contact CHC Software if yo
38. ssessment Age Specific Assessment Care Plan Find Demo l Info Serice Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List Changes New Info l Equipment in Home 1 l Equipment in Home 2 l Therapies Nutritional Issues Educational Issues Sevice Plans Old Report Nutritional Issues Special Formula Supplements i a Covered by BCMH J Yes T No Name Dietitian Consulted Yes M No Location Date of Last Contact Fi Other Nutritional Concerns Memo Print Next Previous Delete PHN Services Add PHN Services Modify Field Button Description Special Enter any special formulas of supplements Formula Supplements Covered by BCMH Yes Check if the formulas supplements are covered by BCMH Covered by BCMH No Check if the formulas supplements are not covered by BCMH Dietician Consulted Yes Check if a dietician was consulted Dietician Consulted No Check if a dietician was not consulted Name Enter the name of the dietician Location Enter the location of the dietician Date of Last Contact Enter the date the dietician was last seen Other Nutritional Concerns Click on Memo to enter any additional nutritional concerns 22 k BCMH SMITH JOHN J Progress Notes Comprehensive PHN Assessment Educational Issues Service Plans Age Specific Assessment Care Plan Find Demo l Info Service Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List
39. the current code that the health department is using i e 99600 Date you expect to make a return visit contact The return visit report captures this date Adds data that you have just entered to the table below Will automatically be completed once the visit is billed Manually mark this as paid Right click to delete a highlighted entry Prints the HCFA 1500 See Printing 15 Print Menu HCFA 1500 From DOS if TaDOSs ri i C Envelope C Comprehensive PHN Assesment Close r r Letter A Comprehensive PHN Assesment form only Update Billed C Letter B C Age Specific Assessment C Letter C C PHN Care Plan C Letter D C Problem List C Letter E C Form for PHN Services Service Co ordination C Progess Notes C Form for PHN Services Diagnostic C Letter G C Form for PHN Services Treatment C Letter H C Progress Notes Bracketed Only C Letter C Progress Notes C Letter J C FAX Inquiry C Letter K C Documentation of Public Health Nurse Referral Services C Letter L C Additional Reimbursement Request Form C Notification of Changes in Child Family Status Form e Preview e Address Envelope Letter to Parent C Address Envelope Letter to Managing Physician C Address Envelope Letter to Primary Physician Print C Address Envelope Letter to Dentist Print The print button is available on all the tabs from contacts through the progress notes tab The print menu is the same and you may print any of the options no matter what tab you ha
40. ts Browse List Export Count Graph Maintenance Return To begin an application click on BCMH Medical Application on the menu bar Once the information is filled out you will be able to print the Medical Application for the Ohio Department of Health kd BCMH Medical Application Find Demographics 1 23 Other Information 24 29 Diagnosis 30 33 e by Name C by BCMH C By Name BCMH Patient s Only Enter Name last first middle name or BCMH Add Name Close Lg Pa Wo au Date of Birth Sex Jam JOHN wua onomoos M_ es ce EE To find an existing applicant enter their name last first middle and press the Enter key The program will automatically find the name in the database for you If the applicant s name is not in the list you will then enter it in the database by clicking the Add Name button EN kj BCMH Medical Application SMITH JOHN WILLIAM Find Demo 1 25 Other Info 26 36 Major Services 37 42 Public Health Nurse Referral 43 54 Child s Info 1 9 Parents Guardians 10 19 Health Insurance 20 21 Dental Vision Ins 22 25 l Diagnostic V Treatment Case Renewal Service Coordination PHN Referral Adult Hemophilia HMG 1 Last Name First Name Middle Name Suffix SMITH JOHN WILLIAM 2 Case 5 Date of Birth 6 SSN 7 Sex 8 Ethnic Group 9 Ohio Res 200 000500 0 1 01 01 2005 111 11 1111 M v M Yes T No 3 Street Street Street Suffix Apt
41. u have any questions or concerns 65 Cs Service Coordinator Si Add Delete Modify Service Coordinator Name EES URNS RN KAREN ORTUNA RN SUZANNE HOUSIAUX RN TONI KERR UG MARY ANN D ING MSSA LISW CINDY K ACKETT RN CAROL OSPER RN KAREN no Kaka Field Button Description Name Enter the name Close Button Closes the table Add Button Adds a name to the service coordinator list Delete Button Deletes a highlighted entry Print Button Prints the list 66 o Type of Contact ml Add Delete Modify Type of Contact 2 E D COMMUNITY s OFFICE O OFFICE OFFICE STIC EMAIL MAIL Q m zZ 2 Ee E D CH ka SA O m OFFICE PHONE CALL CHOOL CH kal SA O m E OH gt oa m EN njo E Si O m EY m D a ir ao Field Button Description Name Enter the type of contact Close Button Closes the table Add Button Adds a contact to the list Delete Button Deletes a highlighted entry Print Button Prints the list 67 Reports da Reports Health District Information System BCMH BCMH Nuitrition Reports Browse List Export Count Graph Maintenance Return BCMH b Adjusted Off BCMH Nuitrition gt Caseload SE Discharged Envelopes Filing Label HCFA 1500 HCFA Claims Billed HCFA Claims Paid HCFA Claims Unpaid Labels List List by Political Subdivision Pending Return Visit Report Statistical Report Form for PHN Diagnostic Referral Service
42. ublic Health E i Select BCMH Health District Information System Management Services Environmental Health Community and Public Health Services vital Statistics Maintenance About Exit Appointment Books Adult Travel Immunizations CFHS Childhood Immunizations Clinical Services Billing Communicable Disease Early Intervention Flu Clinic Help Me Grow HIPAA HI AIDS Test Site Data Systems Lead Clinic Making Tracks Client Nurse Employee Daily Works Sheets OIMRI Payin Reports Receipts Tuberculosis Testing Surveillance and Control User Defined Databases Welcome Home Newborn Visits Women s Health Finding a Client Progress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan Find Demo Info Serice Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List byName byBCMH C Du Date ofBirh C By Name BCMH Patient s Only Enter Name last first middle name or BCMH Add Name Close Le mg M i ag Date of Bith Sex ABER Jeng LL J enener H ABER aer LL na ju ABEREGG Paan LL onos lr ABEREGG pve ooo Jenenees Tu ABERNATHY Eau RL ono lr ABERNATHY Lem Il onser Iw BE CR BEE CR F ABLES pa ABRAHAM Dem JE IL Basse ABRECHT AMBER JL 1 pose lr ABT AUDREY M 01 23 1979 F 4 rt To find an existing client enter the name last first middle and press the
43. ublic health nurse from the Wayne County Health Department has been assigned to be your local point of contact for the BCMH program Enclosed you will find the business card of the nurse assigned to your child Please keep this with your important papers in case you need to contact her with questions in the future The role of the local public health nurse is to be an advocate for you and your child to insure your child is receiving all necessary services and to answer questions about BCMH The nurse assigned to your child s case will be contacting you in the near future to set up a time to get to know you and your child Please feel free to contact NURSE R N at 330 264 9590 between 8 00 a m and 4 30 p m Monday through Friday if any assistance is needed prior to your first meeting with your nurse Since our nurses are often out and about in the community please leave a message if you call and she is notin her office She will return your call as soon as possible E Spell Check Close The HDIS system provides you the flexibility to write standard letters that can be sent to clients These letters will pull data through use of the The is placed on each end of the field name that you want to pull into the letter Use capital letters to describe the field name The letters are automatically addressed to the caregiver of the client 59 Physicians W Add Delete Modify Physicians Name Cds st g E ABDULLAH Add
44. ve open at the time Note When printing out a HCFA 1500 make sure you click on the Update Billed button so the system can give your contacts a bill date Field Button Description HCFA 1500 When you select the HCFA 1500 button you must also enter the dates of service DOS Envelope Prints an envelope for the parent of the client Letter A L Prints a letter addressed to the parent managing physician primary physician or dentist You have total control over any data in the letter See maintenance section Comprehensive PHN Prints the assessment as long as one has been initiated Assessment Comprehensive PHN Prints the assessment form Print out only Assessment form only Age Specific Assessment Prints the age specific assessments 16 PHN Care Plan Problem List Form for PHN Services Service Co ordination Form for PHN Services Diagnostic Form for PHN Services Treatment Progress Notes Bracketed Only Progress Notes FAX Inquiry Documentation of Public Health Referral Services Additional Reimbursement Request Form Notification of Changes in Child Family Form Prints the care plan Prints out the client s problem list Prints the PHN Services form for Service Co ordination Prints the PHN Services form for Diagnostic Prints the PHN Services form for Treatment Prints bracketed notes only The brackets are the square brackets usually found after the letter P on the k
45. vice form Print Click to open the Print menu Delete Problem Plan Right click to delete a problem Add Problem Click to add a problem to the list Modify Click to modify information 25 Progress Notes A2 Progress Notes L3 BCMH SMITH JOHN J Find Demo Info Service Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List Progress Notes Comprehensive PHN Assessment Age Specific Assessment Care Plan H Print Bracketed LetterF gt lt Fax Inquiry Spell Check Print Modify You may record additional data in the client s record You may also choose which data you wish to print Bracket the data you want to print with the brackets next to the letter p on the keyboard Use the curly brackets for the information that you want to include in letter F Finally use the greater than and less than signs to include the information in the fax inquiry The Print button will print the selected data 26 lel BCMH SMITH JOHN J Comprehensive Comprehensive PHN Assessment Find Demo Info Service Diagnostic Treatment Contacts PHN Services Concern Problem Diagnosis List Progress Notes INFORMATION F2 0K F3 YES F6 A ABNORMAL Delete All Assessments Comprehensive PHN Assessment SERVICE COORDINATION PLAN CURRENT F7 D DENIES CONCERN Age Specific Assessment Care Plan Issues Review Comment INITIAL VISIT DATE BCMH SERVI
46. y Prints the list 51 Export Import to Lap Top L3 Export Import BCMH Clients e Export BCMH Clients to Server xport Child s Name Date of Birth Emort child sName Je EEE E EEE i e EEN E BN Ses me a pee RE he Pe a Se E E BN ee mo E BN EE E BN E BN WR ee The Export Import function allows you to take your BCMH data out of the office on your laptop If you use a laptop for your visits or are interested in this function please contact CHC Software for directions helpdesk hdis org 52 ox Field Names Maintenance Return Age Specific Devlelopment Assessment Table gt BCMH Billing Codes Comprehensive PHN Assessment Table EI ig Kl Dentist Ethnic Export Import to Lap Top Field Names gt BCMH Follow up PHN Assessment Table BCMH Age Specific Assessment General Profile BCMH Comprehensive PHN Assessment Health Service Employees BCMH Contacts ICD9 BCMH PHN Services Letters BCMH Satisfaction Survey PHN Service Memos Physicians Political Subdivision Post BCMH Billing Codes Printer Setup Race Referral Reindex Pack BCMH Data Files Service Coordinator Survey Survey Responses Type of Contact The field names listing can be very useful in determining what fields you wish to utilize to capture data for letters and when creating reports for that data The program will display a list of names that you can print 53 Cs General Profile General Pr

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