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        ASPEN and QIS - QIES Technical Support Office
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1.   The ASE database   aspen mdb  is not  installed in the default  folder assumed by QIS   C  Program  Files  ASE   Data      Install Access 2000 or  2000 RTE on laptop    Or  enter correct path  parameter in QIS Settings   System System  Configuration      Click OK and enter actual  location of aspen mdb in  the next dialog        Prompt asks you to enter the  path to aspen mdb the first  time QIS is run     The ASE database   aspen mdb  is not  installed in the default  folder assumed by QIS   C  Program  Files  ASE   Data     Enter actual location of  aspen mdb        Survey team information  entered in ASE doesn t  appear on QIS DCT logon  screen           The path to the ASE  database  aspen mdb   specified to QIS conflicts  with the ASPEN Workarea  defined through ASE  Config        If not running ASE from  the default C  Program  Files ASE folder  but this  folder exists  rename it   Then start QIS DCT  get  prompt to enter the path to  aspen mdb  enter actual  location           64    January 2008    QIS Pilot    QIS Export Import    Problem Error Message    Cause    Troubleshooting ASPEN QIS    Fix        Cannot change the name of  the QIS export file      QIS Export file must be  named   Q   eventID    zip      Do not change default QIS  Export filename  just select  folder to place file in         Unable to compress files     I O error from WinZip    Delete the transfer file and  try the export again        SQL Error 3380    Field     field name      already exists 
2.  A  if you are using a floppy  and click OK     The Stage I survey data file will be saved as Survdata zip   6 Click OK in the message that appears when the export is complete     Repeat this procedure for all secondary laptops to complete the backup of  Stage I survey data     40 1 7 08 QIS Pilot    Complete the Stage I survey process    Task 21 Merge  Import  Stage I survey data    Onsite  onto Primary laptop    After Stage I survey data on each secondary laptop has been backed up   exported   it is merged  imported  on the primary laptop     1  2    Start the QIS DCT from ASE  See Task 11     If you are importing a secondary laptop s Stage II survey data from a  floppy disk  insert the disk into the floppy drive     The floppy containing the survey data is labelled  2   Surveyor Laptop  Name  S1  amp  S2 Backup per the QIS DCT Technical Support Staff User  Manual     If the Stage II survey data is on a flash memory disk rather than a floppy     Training Guide    insert it into the primary laptop s USB port     From the Utilities menu  select Import Data   On the Import Data screen  click the Import Stage I Survey Data button     In the Select a location window  select the transfer location  e g   A  if you  are using a floppy  and click OK     The Stage I survey data file is named Survdata zip   Click OK in the message that appears when the import is complete     Repeat this procedure with the data from each secondary laptop to  complete the backup merging of Stage I surve
3.  Back up  Export  Stage II survey data  Onsite  from Secondary laptops    At the end of each day of the Stage II survey process  and when the laptops  are left for an extended period   the survey data in the QIS DCT must be backed  up  i e   exported from all secondary laptops  Then it is merged  imported  on  the primary laptop     Note  When entry of all Stage II survey data is complete on each secondary  laptop  you will use this same procedure to export all the Stage II data for  merging on the primary laptop     1 Start the QIS DCT from ASE  See Task 11     2 Ifyou are exporting Stage II survey data to a floppy disk  insert the disk  into the floppy drive     The floppy should be labelled  2   Surveyor Laptop Name  S1  amp  S2  Backup per the QIS DCT Technical Support Staff User Manual     If you have a flash memory disk rather than a floppy  insert it into the  laptop s USB port     3 From the Utilities menu  select Export Data     On the Export Data screen  click the Export Stage I  Survey Data button     Training Guide 1 7 08 49    5 Inthe Browse for Folder window  specify the export transfer location  e g    A  if you are using a floppy  and click OK     The Stage II survey data file will be saved as Stg2data zip   Click OK in the message that appears when the export is complete     7 Repeatthis procedure for all secondary laptops to complete the backup of  Stage II survey data     Task 33 Merge  Import  Stage II survey data  Onsite  onto Primary laptop  After Stage 
4.  QIS data in the QIS DCT                        62   TPOUDIESNOOUNG eM coL c 63   Troubleshooting ASPEN QIS                             eese 64    January 2008 QIS Pilot    Training Guide    Introduction          In this section  you will be introduced to     v QIS integration in ASPEN  v QIS structured survey process    January 2008 5       6 January 2008 QIS Pilot    ASPEN and QIS    ASPEN and QIS    The Quality Indicator Survey  QIS  process was developed to ensure that  Nursing Home surveys address all regulatory areas in a comprehensive and  consistent manner  It is based on the use of quality of care indicators  QCIs   that cover both the process and outcome of care at the facility and resident  levels  See     QIS Structured Survey Process  on page 8 for more detail     A custom application  the QIS Data Collection Tool  DCT  automates and  simplifies the survey sampling process  data collection and entry  and the  processing and evaluation of survey results     ASPEN integrates QIS both directly and indirectly  You can create and transfer  QIS surveys in ASPEN  open the QIS DCT from ASPEN Survey Explorer  ASE    and export and import QIS survey data to and from the QIS DCT and ASPEN as  shown below     ASPEN QIS Data Flow       QIS Summary  Screen         QIS  Reports       ACO  amp  ARO             SURVEY   amp  MDS  DATA           Training Guide January 2008 7    QIS Structured Survey Process    QIS Structured Survey Process    The QIS process was designed to provid
5.  a description of the Sample screen and instructions on reconciling the  Census Sample with the Resident Census  adding new residents to the Census  Sample  updating Census residents  etc   see the following section in the QIS  DCT Software User Manual        Stage I   Sample Screen       Task 15 Discharge a resident from the Resident Pool    Onsite  Primary laptop    1 Start the QIS DCT from ASE  See Task 11     2 Fromthe Stage I Sample screen  select Resident Pool as the Resident List  to display    3 In the left pane  select the resident to be discharged  and click the  Discharge Readmit Resident button     4 Click Yes in the confirmation message   The residency status icon next to the resident s name changes from  green  indicating that the resident is in the facility  to blue  indicating that  the resident is discharged from the facility     1 7 08 QIS Pilot    Prepare for Stage I    Task 16 Print revised Census Sample Report    Onsite  Primary laptop  Start the QIS DCT from ASE  See Task 11   From the Reports menu  select Census Sample     3 Click the Print icon  change the Number of Copies to 4  and select OK to  print the Census Sample report     Provide one copy to each surveyor     4 Click Close to close the Census Sample report preview screen     Task 17 Export Stage I sample data    Onsite  from Primary laptop  1 Start the QIS DCT from ASE  See Task 11     2 If you are exporting Stage I sample data to a floppy disk  insert the disk  into the floppy drive     The f
6.  complete     Task 40 Import and view archived QIS data in the QIS    Once you have exported the archived QIS survey from ACO to a transfer file   you can open the QIS DCT in stand alone mode  That is  you will start the QIS  DCT directly instead of using the QIS Tool button in ASE  Then you can import  the archived QIS survey and view it in the QIS DCT     The cross references here are to the relevant procedures in the QIS DCT  Software User Manual     i Start the QIS DCT directly        Start Stand Alone QIS DCT     2 Import the archived QIS survey and view it in the QIS DCT          Import and View an Archived QIS Survey    1 7 08 QIS Pilot    Training Guide    Troubleshooting          This section includes   v Troubleshooting tips for ASPEN QIS    January 2008 63    Troubleshooting ASPEN QIS    Troubleshooting ASPEN QIS    QIS DCT Configuration  Problem Error Message     Can t find FFO1FTags mdb   QIS Data mde  or QIS Field  Data mdb      Cause    QIS DCT  Field Tool  is  not installed to the  default C  Program  Files QIS folder     Fix    Click OK and enter the  correct location of the   mdb  mde file  Or  run the  ASE Install again and  select the default  Destination for QIS Field  Tool        QIS DCT doesn t start when  called from ASE      The required file     aspen mdb    could not be  found      Access 2000 or 2000 RTE  is not installed or path  parameter is invalid or  empty in QIS Settings   ASE      No message is sent from  DCT indicating Access is  missing   
7.  did earlier during the transition from Stage I to Stage    Training Guide 1 7 08 45    Prepare for Stage II    II  Task 26   The report will be printed with each surveyor s assignments on  separate pages for easy distribution to the surveyors     Start the QIS DCT from ASE  See Task 11   From the Reports menu  select Stage ll Report   Choose the Stage    Surveyor sort option     Click the Preview Report button to view the report     Uu Bb WN E    To print the report  click the Print icon     The report will be printed with each surveyor s assignments on separate  pages for ease of distribution to the surveyors     6 Click Close to close the Stage II Report preview screen     46 1 7 08 QIS Pilot    Prepare for Stage II    Task 29 Export Stage II sample data to secondary laptops    Onsite  from Primary laptop    1    Training Guide    Start the QIS DCT from ASE  See Task 11     If you are exporting Stage II sample data to a floppy disk  insert the disk  into the floppy drive     The floppy should be labelled  4  S2 Sample per the QIS DCT Technical  Support Staff User Manual     If you have a flash memory disk rather than a floppy  insert it into the  laptop s USB port     From the Utilities menu  select Export Data   On the Export Data screen  click the Export Stage ll Survey Data button     In the Browse for Folder window  specify the export transfer location  e g    A  if you are using a floppy  and click OK     The Stage II survey data file will be saved as Sampdata zip   C
8. Area Stage ll tab shows the Care Areas that were triggered by  Stage I of the QIS process and investigated in Stage II  For each of these  Care Areas  Stage II details are provided     Select the Care Areas individually to see the QCIs and Associated Ftags  for each as well as Potential and Cited Ftags for those Care Areas that  were identified as resident specific and investigated during Stage II  You  can filter Care Areas by Ftag and show all QCIs  or only those that  exceeded the Threshold     Citations for  IL2K11   0870572005   Open x       1 7 08 QIS Pilot    Transfer and View QIS Data    4 Fora detailed summary of how the QIS process was used to determine  actual citations  click QIS Details at the bottom of the Citations dialog      QIS Details       For Care Areas listed in the Surveyor Initiated Care Areas section  Stage  I was skipped  For Ftags  both Stage I and Stage II were skipped     Surveyor Deleted Care Areas overrode DCT   s calculations from Stage I  data that included them in Care Areas to be investigated in Stage II     The Tags section includes all the tags selected for citation by DCT in Stage  II and indicates whether or not each was actually cited     e Fora survey linked to an enforcement case  click View Enforcements  to display the enforcement case     e Click Close to return to the Citations dialog     5 Fora survey linked to a complaint or enforcement case  click View  Complaint or View Enforcement at the bottom of the Citations dialog to  disp
9. Consequently  the printed  Admission Sample report is used to mark record reviews as having  been completed     The second copy is for the facility to use when gathering discharged  residents    medical records for review by the survey team  The survey  team will use the resident census provided by the facility to reconcile  residency discharge status for residents in the Admission Sample  report before providing the report to the facility  Additionally  current  residents  names will be blacked out before the list is given to the  facility     e Census Sample option prints the Census Sample report     The Census Sample will be modified onsite using the resident census  and the New Admission Information Form provided by the facility to  reflect only current residents  assigned units and room numbers  and  surveyor assignments     Training Guide 1 7 08 35    Prepare for Stage I    36    Task 14 Reconcile Census Sample and Resident Pool    Onsite  Primary laptop    Before the Stage I investigation  you will need to reconcile the Census Sample  with the facility provided Resident Census  As needed  you will add new  residents to the Census Sample and update the Resident Census records     In addition to the Census Sample  the Resident Pool must be reconciled with  the facility   s records  When the QIS DCT selects the Stage II Sample  it will  select current facility residents ahead of residents who have been discharged   so the Resident Pool should be completely current     For
10. II survey data on each secondary laptop has been backed up   exported   it is merged  imported  on the primary laptop   1 Start the QIS DCT from ASE  See Task 11     2 If you are importing a secondary laptop s Stage II survey data from a  floppy disk  insert the disk into the floppy drive     The floppy containing the survey data is labelled  2   Surveyor Laptop  Name  S1  amp  S2 Backup per the QIS DCT Technical Support Staff User  Manual     If the Stage II survey data is on a flash memory disk rather than a floppy   insert it into the primary laptop s USB port     3 From the Utilities menu  select Import Data   On the Import Data screen  click the Import Stage    Survey Data button     5 Inthe Select a location window  select the transfer location  e g   A  if you  are using a floppy  and click OK     The Stage II survey data file is named Stg2data zip   6 Click OK in the message that appears when the import is complete     Repeat this procedure with the data from each secondary laptop to  complete the backup merging of Stage II survey data     50 January 2008 QIS Pilot    Task 34 Back up merged Stage II survey data  Onsite  Primary laptop  After you import merge the Stage II survey data from all secondary laptops  and complete the Potential Citation Screen  you need to create a backup of the  merged Stage II survey data on the primary laptop   1 Start the QIS DCT from ASE  See Task 11     2 If you are backing up merged Stage II survey data on a floppy disk  insert  the di
11. S information in archived QIS surveys is uploaded to CASPER  where it  is available for reporting generation     Training Guide 1 7 08 55    Transfer and View QIS Data    56    Export a QIS survey and data from ASE     1    In ASE  locate and select a QIS survey in Tree or List view  and drag it to  the Export button in the toolbar     In the Export window  indicate your transfer location     e Select ASPEN Transfer Location and then select the transfer drive   e g   A  if you are using a floppy      Or   e Select Other Location  Enter the transfer location path  or click Find    to navigate and select the location  ASPENTx zip is the default export  transfer file name  You can assign another name if you wish     Click OK   Messages indicate the progress of the transfer of QIS data  When the    process is finished  a message indicates the export was successful  or  not      Import a QIS survey and data into ACO     1    If you are importing data from a floppy disk  insert the disk containing the  export transfer file with the QIS survey s  you want to import     On the ACO toolbar  click the Import button     In the Import window  select Surveys as the Import Type   Do one of the following     e Select ASPEN Transfer Location and then select the transfer location  from the drop down list     e Select Zip or mdb file and enter the transfer file path  or click Find to  locate and select the file     Click OK     ACO searches for the export transfer file  When the file is locate
12. Stage I sample data     38 1 7 08 QIS Pilot    Complete the Stage I survey process    Exercise 4 Complete the Stage I survey process    Task 19 Collect Stage I data and enter it in the QIS DCT  Onsite  Secondary laptops    For instructions on collecting and entering Stage I data  see the following  sections in the QIS DCT Software User Manual        Stage I   Data Entry Screen          QCI Results Screen          Skip patterns    In the Stage I Survey screen  certain questions need to be answered only when  required by the response to a previous question     Questions that should be skipped based on answers to a previous question are  part of a  skip pattern  and appear in italics and in gray  instead of black or  red      Example   Skip Pattern Applicable  Question 1   Does the resident currently have a contracture   If the answer is No  then   Question 2   Does the resident have a splint device in place   will be skipped  and appear in italics and gray     Example   Skip Pattern Not Applicable  Question 1   Does the resident currently have a contracture   If the answer is Yes  then     Question 2   Does the resident have a splint device in place   will be available  and appear in red until answered  and then will turn black      Because a skip pattern becomes applicable based on the answer to a previous  question  it is essential that the questions in the Stage I Admission and Stage I  Census review be answered in the sequence that they appear on the screen     Warning  Fai
13. Table of Contents    Introduction  A tH NM PE 5  ASPEN  and QUIS qe                           7  QIS Structured Survey Process         cccccccccseeeeeeneeeeeeeeeeeeeeeeeeeeeeeeeeseeeeeeeeeeeeneenes 8    eH Rete PERI A T tite cede teagan Dade Eset sch cz eewleeel TEE 8  pl B                                                8  Facility FReVIeWS e ciet tee teet enden te UL ee decere rs 8   Installation and Setup                                      eeeeeseseeeeeeeeeeeeeee eren nennen 11   Exercise 1  Install and Set Up ASPEN QIS                                     eene 13  Task 1 InstallASE         iiir iet ir Cr e S XO E ERI RE QR A Re YER eases 14  Task 2  Install the QIS DOT rea a a emen 15  Task 3  Install Access 2000 RTE               ssssssss emm 15  Task 4  Configure QIS in ASE                 sssssssssss eme 16  Task 5  Create a QIS security group in ACO                            sees 17  Task 6  Set Permissions for QIS Folders               ccccccccceeeeeeeeeeeeeeeeeeeeeeeeeeeeees 17   QIS Surveys In ASPEN    eaae rsec cca ierra a D e Rdeee sup OE DAN Tu RKCh IM cce PIN iSCL dE 19   Exercise 2  Create a QIS Survey                               eese nnn 21  Task 7  Create a survey In AGO Qoi ooi ta setae Pesci c tope tap dte eas 21  Task 8  Export the survey and MDS data from ACO                     eusuuss 23  Task 9  Import the survey and MDS data into ASE                     sessssssus 25  Task 10  Enable decryption in ASE               ceccececcececceeeeeeseeeeeeeeeee
14. a survey on any tab in the Tree view or in the List  view and select Citation Manager     If the Add Team Member window appears  it means that you are not a  member of the survey team  Select the option you want and click OK     Training Guide 1 7 08 31    Prepare for Stage I    2 Inthe Citation Manager window  click QIS Tool   This button is available only for QIS surveys   The QIS DCT splash screen and then the Logon Screen appears      amp 3 Logon Screen          3 Select the applicable Current Surveyor and Laptop Type     32 1 7 08 QIS Pilot    4    QIS Field Tool    Stage     Sample   Active Surveyor  05638   REUER  FRANCIS   Secondary     Training Guide    Click Select to open the QIS DCT     rf ALPAUGH  JAMES B   06 14 1942  iP ARGENZIO  MARGERY    11 18 1911  ff BAILES  CATHERINE L   01 29 1923  if BERGGREN  HAROLD L   02 28 1925  rf BISHOP  RICHARD D   11 13 1926  if BOHNERT  WILLARD B   04 04 1931  rff BONER  BOBBIE E   01 13 1947   rfi BOX  MILLARD M   08 15 1949    fe BOYLE  JAMES W   09 10 1938   ff BOYLE  MARJORIE R   12 18 1942  if BUFORD  FRANK Y   11 25 1938   if CANTRALL  ROBERT E   06 12 1928  i CASSICK  LINDA    05 29 1947   rff  CHASE  JOHN M   01 25 1944   if CHAVEZ  ODELIA    07 19 1917   rfi CHEATHAM  SAMUEL G   12 30 1940  if CLARK  JUANITA    08 03 1914   rf CLARKE  THOMAS B   10 08 1932   f COTTON  ALVIN R   08 15 1929    1 7 08    Prepare for Stage I    Ead WeW ReSsigent    ie OF Play  Selinies       33    Prepare for Stage I    34    Task 12 Proce
15. ally imported onto the primary laptop     Transfer files are encrypted to protect confidential information as it is  transmitted  The data must be decrypted upon import into ASE  so be sure  decryption is enabled before you attempt the import  See Task 10 below     1 If you are importing data from a floppy disk  insert the disk containing the  export transfer file with the QIS survey s  you want to import     The floppy containing the QIS survey with MDS data for the facility to be  surveyed is labelled  A  ASPEN MDS Data per the QIS DCT Technical  Support Staff User Manual     2 On the ASE toolbar  click Import     Warning  You should not use Import My Surveys to import QIS surveys   Import My Surveys imports all surveys as non QIS     3 In the Import window  select Surveys as the Import Type   4 Do one ofthe following     e Select ASPEN Transfer Location and then select the transfer location  from the drop down list  e g   A  if you are using a floppy     e Select Zip file and enter the transfer file path  or click Find to locate  and select the file     5 Click OK     When ASE locates the export transfer file  the Select Survey s  to Import  window appears  It lists the surveys contained in the transfer file     Training Guide 1 7 08 25    6 Highlight the survey you want to import    Select All allows you to import all of the surveys in the transfer file     The survey is imported  decrypted  and decompressed  Messages indicate  the progress of the import process     When 
16. d  the  Select Survey s  to Import window appears  It lists the surveys contained  in the transfer file     Select the survey s  you want to import  choose Select All to import all  of the surveys in the export transfer file     Messages indicate the progress of the import process  A message appears  when import is complete     Task 38 View a QIS survey summary in ACO    ACO provides a high level  but detailed summary of QIS data collected by DCT   The QIS Summary option displays only for QIS surveys with QIS data     1 7 08 QIS Pilot    Transfer and View QIS Data    1 Locate and right click a QIS survey in the Tree view   2 Select QIS Summary to open the Citations dialog    There are four tabs that provide general and stage specific summaries   3 Click the appropriate tab to view the information you want to review     The QIS Survey Summary tab lists all the citations for the survey with  QIS and ASPEN details for each  You can compare the SS and QIS SS  columns to see changes made to Severity Scope in ASPEN after the QIS  survey process was completed     Click Details in the Stage 2 column for a tag to go to the Care Area Stage  II tab and view Stage II details for the selected tag  Click Tag or Care  Area in the Surveyor Initiated column for a tag to open the QIS Details  screen and view information about that particular surveyor initiated tag  or care area  See step 4 below for more information about the QIS Details  screen     Tags added in ASPEN after the QIS process wa
17. dd some citations in the QIS DCT  load them  to ASE  add more citations in the QIS DCT  upload those to ASE  and so on until  the QIS survey is wrapped up     1 In AS     locate and right click a QIS survey on any tab in the Tree view or  in the List view and select Citation Manager     If the Add Team Member window appears  it means that you are not a  member of the survey team  Select the option you want and click OK     2 In the Citation Manager window  click Load Cites   This button is available only for QIS surveys     When the process is finished  a message indicates if the upload was  successful or not  The process will fail if there are no citations associated  with the survey in the QIS database     If successful  the QIS citations for the survey are added to the Citations  list in Citation Manager and also to the Tree and List views     Task 37 Archive a QIS survey and data in ACO    Once the QIS survey is wrapped up  you archive it in ASPEN  i e   export it back  to ACO from ASE  QIS data is exported along with survey and citation  information     The transfer process takes two steps as always  export the QIS survey from  ASE to a transfer file  import it into ACO from the transfer file     When a QIS survey is archived  i e   imported back into ACO  the QIS data will  not change  You can still update ASPEN survey details in ACO  add or delete  tags  change Severity Scope  add or change citation text  etc  without affecting  the QIS portion of the survey     The QI
18. e C  Program Files Microsoft Office ART Office   MSACCESS exe    3 Click OK to save the settings     Task 5 Create a QIS security group in ACO    ACO   A QIS security group must exist in ACO s Menu Security Editor before  anyone can work with QIS surveys  Only members of this group can create and  modify QIS surveys  For the QIS pilot  a database patch creates the QIS  security group for you in ACO     Warning  Do not remove the QIS security group installed by the database  patch     ARO   A QIS security group is not available in ARO  Only ACO users who are  members of the QIS security group can export QIS surveys  ARO users can   however  view QIS surveys and run the QIS DCT     Task 6 Set Permissions for QIS Folders    QIS creates temporary files in the QIS directory  QIS users need to be able to  create  modify and delete these files  Beginning with v4 3  users no longer need  administrator rights to perform these actions  You can instead assign QIS  permissions to individual user accounts     On each machine that will be using QIS   1 Open Windows Explorere and browse to C  Program Files  QIS   2 Right click on the QIS folder and select Properties     Training Guide 1 7 08 17    18    3 Select the Security tab  and assign the user s  who will be using QIS Full  Control over this folder and all sub folders     QIS Properties      General   Sharing   Security Customize      Group or user names        brad  ALPINE  brad     E SYSTEM                   Permissions for brad All
19. e a structured approach to surveys of  Nursing Homes that     Stage    Stage    Examines the full range of regulatory Care Area systematically and  consistently     Identifies quality of care and quality of life problems accurately and  consistently     Uses Minimum Data Set  MDS  data and information gathered onsite to full  advantage     Automates selection of Care Areas of concern and potential citations   Improves documentation of findings throughout the survey process     I    QIS surveys are conducted in two stages  Stage I is an initial quality  assessment that uses several resident samples and a comprehensive set of  quality of care indicators  QCIs  to identify resident Care Areas that should  be more thoroughly investigated in Stage II  When the rate of a QCI  exceeds an established threshold  it triggers a Care Area for Stage II  examination     2    Stage II is a more in depth investigation of Care Areas identified in Stage I   Critical Element Pathways  CEs  established for each Care Area guide the   surveyor in a systematic review of the triggered Care Areas  The CEs assist  surveyors in determining if the facility is in compliance with the associated  regulations  F tags      Facility Reviews    The QIS process also includes investigation of facility level issues  Facility  review tasks can either staged or non staged  Staged facility level reviews  are triggered as a result of information gathered Stage I and are performed  in Stage II  Non staged facility lev
20. eeeeevecnenenene 27   QIS Survey PIOCOSS is cece te aet ete eee antes 29   Exercise 3  Prepare for Stage l                                    eese 31  Task 11  Start the QIS DCT from ASE                ssssssseeeene 31  Task 12  Process imported MDS data                    sssssssss 34  Task 13  Print initial Stage   forms                           eeeeeeeneene 35  Task 14  Reconcile Census Sample and Resident Pool                                36  Task 15  Discharge a resident from the Resident Pool                                  36  Task 16  Print revised Census Sample Report                    sssssssssssssss 37  Task 17  Export Stage   sample data                                eese 37  Task 18  Import Stage   sample data                       ssssssssssssss 38    Training Guide January 2008 3    Table of Contents    Exercise 4  Complete the Stage   survey process                             suse 39  Task 19  Collect Stage   data and enter it in the QIS DCT                             39  Task 20  Back up  Export  Stage   survey data    40  Task 21  Merge  Import  Stage   survey data                         ssseeeeeessss 41  Task 22  Back up merged Stage   survey data                          sseesssesssss 42   Exercise 5  Prepare for Stage ll                                                eene 43  Task 23  Process Stage T dala en eee tete ite oabe tat Gennsaiaaabaetnds 43  Task 24  Print transition forms                     ssssssssee 44  Task 25  Create Stage Il samp
21. el reviews are conducted in either or both  Stage I and Stage II     The following diagram illustrates the various components and progression of  the QIS process     January 2008 QIS Pilot    QIS Structured Survey Process    QIS Process    Offsite  amp  Pre Stage    Survey Preparation           m  STAGE   RESIDENT  SAMPLES    STAGE I INVESTIGATION    mission    Sample    v     STAGE II INVESTIGATION       Training Guide January 2008 9       10    January 2008    QIS Pilot    Installation and Setup          This exercise will teach you to    v Install ASE and QIS   v Configure QIS in ASE   v Create a QIS security group in ACO    Training Guide January 2008    11       12    January 2008    QIS Pilot    Install and Set Up ASPEN QIS    Exercise 1 Install and Set Up ASPEN QIS    Components    e ACO ARO current version   e ASE current version  All pilot surveyors must be using ASE 8 6 or higher  e QIS DCT 4 4 or higher    e MS Access 2000 RTE  Runtime Engine   if Access 2000 isn   t already  loaded  Higher versions of MS Access should not be installed     Warning  If another version of MS Access is already installed  do not ever open  that version of MS Access  If it is opened  even once  it registers itself as the  handler for MDB and MDE files  and QIS will no longer work properly  If this  occurs  you must remove and reinstall the MS Access Runtime Engine  It is  advisable to remove any existing version of MS Access as well     Before you begin     e Have your ASE and QIS insta
22. g Guide    January 2008    65    Troubleshooting ASPEN QIS    QIS Export Import    Problem Error Message    Cause    Fix       SQL Error 3127      The INSERT INTO  statement contains the  following unknown field    mn    name      lt field_name gt            You tried to import a QIS  survey into ASE version  8 5  8 2  or 8 1  Only ASE  8 6 or higher supports  QIS surveys        Import QIS surveys to ASE  8 6 or higher only  If a  survey team is still using  ASPEN 8 5  8 2  or 8 1   surveys should not be  exported from ACO as QIS        QIS Survey    Problem Error Message    Cause    Fix          QIS Tool is open        You selected the Change  Event ID option  for any  survey  QIS or not  in  ASE while the QIS Field  Tool  QIS DCT  was open   or  you selected Load  Cites in Citation Manager     Close QIS DCT  then select  the desired option           Event ID cannot be  changed for a QIS survey         You cannot delete a QIS  survey until the survey has  been uploaded to ACO         You selected the Change  Event ID option in ASE or  ACO for a QIS survey     You attempted to delete a  QIS survey from ASE that  hadn t been uploaded to  ACO        Do not attempt to change  the Event ID of a QIS  survey     Upload the survey to ACO   then delete it in ASE        QIS Field Tool  QIS DCT     Problem Error Message    Cause    Fix       QIS DCT seemed to hang  after you chose an option on  the Process MDS Data  screen           You chose Process MDS  Data Now  The  processing take
23. icator  the source of the data  the question  the answer   and the Surveyor  Date  and Time the response was entered     e When the responses are displayed in the upper right pane  click the  Show Logic button to list the criteria that caused the resident to meet  the condition     e The lower right pane provides Additional Information About This  Quality Indicator     Training Guide 1 7 08 43    Prepare for Stage II    Task 24 Print transition forms    Onsite  Primary laptop    1    Start the QIS DCT from ASE  See Task 11     Stage I Relevant Findings    2  3    7    From the Reports menu  select Stage   Relevant Findings     On the Select Residents for Relevant Findings Report screen  select a  Sample Group  All is the default  and a Sort Order  Resident Name is the  default      Select the Residents To Appear On Relevant Findings Report     Use Shift click to select consecutive names  or Ctrl  click to select  nonconsecutive names     Click the Preview Report button to view the report     To print a copy of the Stage I Relevant Findings Report for each surveyor   click the Print icon and select the applicable Number of Copies     Click Close to close the Stage I Relevant Findings Report preview screen     QCI Results    1    From the Reports menu  select QCI Results Report   The report is displayed in the QCI Results Report preview screen     2 To print the report  click the Print icon     3    Click Close to close the preview screen     Task 25 Create Stage II sample    O
24. import of the MDS Resident Assessment tables for a survey is  complete  the Transfer Info screen appears with a summary of the MDS  data that has been imported     Transfer Info             7 Click OK to close this window     If you import more than one QIS survey  the Transfer Info screen appears  for each     When the whole process is finished  a message indicates whether the  import was successful or not  If successful  the imported survey s  are  included in the Tree view     Warning  The data you import to your laptop  including PHI data  is no longer  encrypted  so it is not automatically protected  It is your responsibility to  ensure that data on your laptop is protected     January 2008 QIS Pilot    Task 10 Enable decryption in ASE    You must enable decryption before you use the Import function in ASE  If  decryption is not enabled when you attempt an import  you will receive a  message  To enable decryption  you provide the decryption password    In ASE  select System  System Configuration  Enable Decryption   In the Set Decryption window  select Enabled and click OK   3 In the Enable Decryption window  enter the password  and click OK   A message confirms that decryption is enabled     e To disable decryption  select Disabled in the Set Decryption window     Each state can configure its own decryption password in ACO     e From the System menu  select System Configuration  State  Customization  and enter the system administration password     e Inthe State Customi
25. in table   survey      Cannot find temporary  Windows directory      You selected multiple  surveys in List view and  exported them together     Laptop configuration is  not correct  or there is  not enough space on the  machine     Click OK and all surveys  will be successfully  exported  Or  export each  survey separately to the  transfer file     Set up temporary directory  in Windows         Cannot open output file      Laptop configuration is  not correct  or there is  not enough space on the  machine     Check permissions for the  directory  check space  try  another location         Unable to add to zip file      Laptop configuration is  not correct  or there is  not enough space on the  machine     Check permissions for the  directory  check space  try  another location         Unable to encrypt zip file      Laptop configuration is  not correct  or there is  not enough space on the  machine     Check permissions for the  directory  check space  try  another location         Unable to run query from  QIS EXPORT      Laptop configuration is  not correct  or there is  not enough space on the  machine     Check permissions for the  directory  check space  try  another location         QIS Transfer Error  Cannot  determine location of QIS  database   no   S2KDataPath  setting in  Alpinesetup table           QIS Data Path incorrect  or not specified in QIS  Settings  ASE         Add or correct QIS Data  Path in QIS Settings   System System  Configuration            Trainin
26. ity    wi Resident In Both Admission and Census Samples  81 Residents In List of Al Residents  WZTWI 1   08 22 2005    Facility Name             1 7 08 QIS Pilot    Prepare for Stage I    Task 13 Print initial Stage I forms    Offsite  Primary laptop    i Start the QIS DCT from ASE  see Task 11      2 From the Reports menu  select each of the following options  then click  the Print icon to print the indicated Stage I forms     3 Click Close to close each report preview screen     e New Admit Form option prints the New Admission Information Form     The Team Coordinator will provide the New Admission Information  Form to the facility upon arrival  ask the facility to list all new  admissions within the previous 30 days  and request that the facility  return the completed form to the survey team as soon as possible     e Discharge Form option prints the Discharge Information Form     The Team Coordinator will provide the Discharge Form to the facility  upon arrival  ask the facility to list discharges not readmitted within  the previous 30 days  and request that the facility return the  completed form to the survey team as soon as possible     e Admission Sample option prints the Admission Sample report   You need to print two copies     One copy is for the survey team to use onsite to check off record  reviews as they are completed  Records review is an unassigned task   so all survey team members will conduct these reviews between  completion of other assigned survey tasks  
27. l or Load Cites  failure because QIS Data  Path is incorrect or not  specified in QIS Settings   ASE      Add or correct QIS Data  Path in QIS Settings   System System  Configuration         Splash Screen Form   Timer  3073  Operation must use  an updateable query   Source  DAO  Query Def     QIS Database Files are  set to read only     Make sure the following  files in C  Program  Files QIS have write  permissions    QIS Field Data mdb  QIS Field Tool mde  FFO1 F Tags mdb   QIS Data mde       Click event not supported          Corrupt  QIS Field Tool mde file       Run    Restore QIS Field  Tool bat  from C  Program  Files QIS          Training Guide    January 2008    67    Troubleshooting ASPEN QIS    68 January 2008 QIS Pilot    
28. lay the complaint or enforcement case     6 For all tabs except QIS Survey Summary  click Print to print the data on  the tab in report form     Task 39 Export archived QIS data from ACO  Once the QIS survey is complete  it should be removed from the QIS DCT and    stored in ACO before another QIS survey begins  ASPEN and CASPER both  provide high level summary views of the information collected and entered for    Training Guide 1 7 08 61    Transfer and View QIS Data    62    the survey in the QIS DCT  However  there may be occasions when you need to  see full details of the QIS information after removing the survey from the QIS  DCT and archiving it in ACO  In that case  an option is available that lets you  transfer it from ACO for viewing in the QIS DCT     The transfer process is in two steps as usual  export the QIS survey to a  transfer file  import the QIS survey into the QIS DCT from the transfer file  The  QIS Export option displays only for QIS surveys with QIS data     Note  You can t use the regular Export function in ACO for a QIS survey with  QIS data if you are exporting it in order to view it in DCT     1 Locate and right click an archived QIS survey   2 Select Send To QIS Export     3 Inthe Open window  click Open to accept the default transfer file location  and name     The file name is of the form Q    event ID   zip  You can change the default  transfer file location but not the default file name     Messages indicate that QIS export is underway and then
29. le  entero aieo fe oboe rete buts 44  Task 26  Print initial Stage II forms                        eeseeee 45  Task 27  Assign Stage I  tasks    icio Laer ette etse oeste it 45  Task 28  Print the Stage IEGDOTU  emi c rale s eet pb tus 45  Task 29  Export Stage II sample data to secondary laptops                           47  Task 30  Import Stage II sample data               cccccceccceceeeeeeeeeeeeeeeeeeteeeeeeeeeeeees 48   Exercise 6  Complete the Stage Il Survey process                   seeeeeeeeeeeeeeeeeeees 49  Task 31  Collect Stage II data and enter it in the QIS DCT                            49  Task 32  Back up  Export  Stage ll survey data                             sessessssss 49  Task 33  Merge  Import  Stage II survey data                      ssssssssssssus 50  Task 34  Back up merged Stage ll survey data                           sesesssssss 51  Task 35  Print the Potential Citation Report                     ssssssssssssssss 51   POS  f SUEVOy ioie Conon ied e tit eiue dva baze ctas cusa sagen nda eost e eeR nS le seed eu a 53   Exercise 7  Transfer and View QIS Data                               eeeeeeeeeeeeeeeneee 55  Task 36  Transfer citations from the QIS DCT to ASE    eee 55  Task 37  Archive a QIS survey and data in ACO                     sssssssessssss 55  Task 38  View a QIS survey summary in ACO                    sssseeee 56  Task 39  Export archived QIS data from ACO                         sssseeeeeeeeeee 61  Task 40  Import and view archived
30. lick OK in the message that appears when the export is complete     1 7 08 47    Prepare for Stage II    48    Task 30 Import Stage II sample data    Onsite  onto Secondary laptops    1    Start the QIS DCT from ASE  See Task 11     If you are importing Stage II sample data from a floppy disk  insert the  disk into the floppy drive     The floppy containing the sample data is labelled  4  S2 Sample per the  QIS DCT Technical Support Staff User Manual     If the Stage II sample data is on a flash memory disk rather than a floppy     insert it into the secondary laptop s USB port     From the Utilities menu  select Import Data   On the Import Data screen  click the Import Stage ll Sample Data button     In the Select a location window  select the transfer location  e g   A  if you  are using a floppy  and click OK     The Stage II sample data file is named Sampdata zip   Click OK in the message that appears when the import is complete     Repeat this procedure for all secondary laptops to complete the  distribution of Stage II sample data     1 7 08 QIS Pilot    Complete the Stage II survey process    Exercise 6 Complete the Stage II survey process    Task 31 Collect Stage II data and enter it in the QIS DCT    Onsite  Secondary laptops    For instructions on collecting and entering Stage II data  see the following  sections in the QIS DCT Software User Manual       Stage II   Critical Elements Screen           Documentation Form         Potential Citation Screen        Task 32
31. ll files available  either on CD  or by  downloading the zip files from www qtso com     e You will be asked for a password when unzipping the QIS files  Call the  ASPEN HelpDesk if you need the password     e Make sure all applications are closed     e Optional  If you plan to use ASE to connect to ASPEN Central Office  ACO   data stored on the Oracle server  you must be sure the Oracle 10g client  upgrade has been applied to your machine and that Oracle s  TNSNAMES ORA connection file has been properly implemented  see the  ASPEN 8 1 installation guide for details      This procedure installs ASE  QIS DCT 4 4  and the MS Access 2000 Runtime  Engine  RTE   if Access 2000 is not already loaded     Training Guide 1 7 08 13    Install and Set Up ASPEN QIS    Task 1 Install ASE    i Insert the ASE Install CD  or download the new 9 1 ASE Full Install from  www qtso com     2 On your Windows taskbar  select Start then Run from the menu  and  Browse to the ASE installation files     3 Select SETUP EXE  then click OK   On the Welcome screen  click Next   5 Select the default Destination Folder  then click Next     Warning  The pilot version of QIS has numerous connectivity issues  To  avoid problems  we strongly recommend that you install all components   ASE  QIS DCT  Access 2000  to their default Destination folders     6 On the Select Features screen  expand the ASE feature list and select the  checkbox next to Full install  then click Next   m    a eld  Select Features p   Selec
32. loppy should be labelled  1  S1 Sample per the QIS DCT Technical  Support Staff User Manual     If you have a flash memory disk rather than a floppy  insert it into the  primary laptop s universal serial bus  USB  port     From the Utilities menu  select Export Data   On the Export Data screen  click the Export Stage   Sample Data button     5 Inthe Browse for Folder window  specify the export transfer location  e g    A  if you are using a floppy  and click OK     The Stage I sample data file will be saved as Sampdata zip   6 Click OK in the message that appears when the export is complete     Training Guide 1 7 08 37    Prepare for Stage I    Task 18 Import Stage I sample data    Onsite  onto Secondary laptops  1 Start the QIS DCT from ASE  See Task 11     If you are importing Stage I sample data from a floppy disk  insert the disk  into the floppy drive     The floppy containing the sample data is labelled  1  S1 Sample per the  QIS DCT Technical Support Staff User Manual     If the Stage I sample data is on a flash memory disk rather than a floppy   insert it into the secondary laptop s USB port     3 From the Utilities menu  select Import Data   On the Import Data screen  click the Import Stage   Sample Data button     5 Inthe Select a Location window  select the transfer location  e g   A  if you  are using a floppy  and click OK     The Stage I sample data file is named Sampdata zip     6 Repeat this procedure for all secondary laptops to complete the  distribution of 
33. lure to answer questions in sequence may cause delays or  conflicts in the software and during review     When a surveyor has answered all of the questions about a resident  except for  those questions that are skipped  the resident s name will appear in black   indicating that the resident s initial assessment is complete     Training Guide 1 7 08 39    Complete the Stage I survey process    Task 20 Back up  Export  Stage I survey data  Onsite  from Secondary laptops    At the end of each day of the Stage I survey process  and when the laptops are  left for an extended period   the survey data in the QIS DCT must be backed  up  i e   exported from all secondary laptops  Then it is merged  imported  on  the primary laptop     Note  When entry of all Stage I survey data is complete on each secondary  laptop  you will use this same procedure to export all the Stage I data for  merging on the primary laptop     1 Start the QIS DCT from ASE  See Task 11     If you are exporting Stage I survey data to a floppy disk  insert the disk  into the floppy drive     The floppy should be labelled  2   Surveyor Laptop Name  S1  amp  S2  Backup per the QIS DCT Technical Support Staff User Manual     If you have a flash memory disk rather than a floppy  insert it into the  laptop s USB port     3 From the Utilities menu  select Export Data   On the Export Data screen  click the Export Stage   Survey Data button     5 Inthe Browse for Folder window  specify the export transfer location  e g   
34. nsite  Primary laptop    For instructions on creating the Stage II sample  see the following section in  the QIS DCT Software User Manual     44       Stage II   Sample Screen     1 7 08 QIS Pilot    Prepare for Stage II    Task 26 Print initial Stage II forms  Onsite  Primary laptop  1 Start the QIS DCT from ASE  See Task 11   Sample Resident List  2 From the Reports menu  select Stage ll Sample Resident List     The report is displayed in the Stage II Sample Resident List preview  screen     3 To print the report  click the Print icon    4 Click Close to close the preview screen    Stage II Care Area List   1 From the Reports menu  select Stage ll Care Area List   The report is displayed in the Stage II Care Area List preview screen    2 To print the report  click the Print icon    3 Click Close to close the preview screen    Stage II Report   1 From the Reports menu  select Stage ll Report    Choose the Care Area sort option    Click the Preview Report button to view the report    To print the report  click the Print icon     Uu A W N    Click Close to close the Stage II Report preview screen     Task 27 Assign Stage II tasks  Onsite  Primary laptop    For instructions on assigning surveyors to Stage II tasks  see the following  section in the QIS DCT Software User Manual        Stage II   Assignment Screen     Task 28 Print the Stage II Report    Onsite  Primary laptop    Now you will print the Stage II Report sorted by Surveyor Assignment rather  than by Care Area as you
35. ow Deny    Full Control   Modify   Read  amp  Execute  List Folder Contents  Read    mem       S   S   S   S   S     v    For special permissions or for advanced settings   click Advanced                January 2008 QIS Pilot    Install and Set Up ASPEN QIS    QIS Surveys in ASPEN          This exercise will teach you to   v Create a survey in ACO  v Export the survey and MDS data from ACO    v Import the survey and MDS data into ASE  v Enable decryption in ASE    Training Guide 1 7 08 19    Install and Set Up ASPEN QIS       20 1 7 08 QIS Pilot    Create a QIS Survey    Exercise 2 Create a QIS Survey    QIS surveys can be created only for NHs for which resident records are  available  A QIS survey includes MDS Resident Assessment and threshold data  that is processed in the QIS DCT during a structured survey process  Only  members of the QIS security group can create a QIS survey     Not all survey types can be QIS surveys as determined by policy  see Appendix  P in the SOM   For example  recertification surveys or revisits may be QIS  surveys  Initial certification surveys cannot be QIS because they do not include  MDS data  Standalone complaint surveys cannot be QIS  but a combined  recertification complaint survey can be QIS     To create a QIS survey  you must   e Create the survey in ACO     e Export it as a QIS survey from ACO to a transfer file  i e   export the survey  and associated MDS data     e Import the survey and MDS data into ASE from the transfer file     Ta
36. s 15 25  minutes        Do not select this option  unless you are the Team  Coordinator using the  primary laptop to prepare  data for Stage I     QIS DCT may hang if other  programs are running on  the laptop during this  processing  Wait long  enough for processing to  finish  then kill the process   Ctrl Alt Del End Task            66    January 2008    QIS Pilot    Troubleshooting ASPEN QIS    QIS Field Tool  QIS DCT     Problem Error Message    Cause    Fix          Microsoft Access can   t  delete  lt path gt  mdb after  compacting it        The Access database QIS  Field Data mdb did not  compress correctly when  you closed QIS DCT     To prevent this  keep the  number of programs you  are running simultaneously  with ASPEN QIS DCT to a  minimum     To fix  go to the QIS  directory  default is  C  Program Files QIS   and rename db1 mdb to   lt path gt  mdb         QIS Transfer Error  Cannot  determine location of QIS  database   no   S2KDataPath  setting in  Alpinesetup table        Attempted load of QIS  citations failed because  the QIS Data Path is  incorrect or not specified  in QIS Settings  ASE      Add or correct QIS Data  Path in QIS Settings   System System  Configuration          S2KToolPath parameter  invalid         QIS Tool or Load Cites  failure because QIS Tool  Path is incorrect or not  specified in QIS Settings   ASE      Add or correct QIS Tool  Path in QIS Settings   System System  Configuration          S2KDataPath parameter  invalid         QIS Too
37. s completed appear in the  grid without QIS information  i e   the QIS SS  Stage 2  and Surveyor  Initiated columns are all blank  See Tag 0176 in the screenshot below     Citations for  IL2K11   0870572005   Open    El  E  a  H  H  H  El  H  El  El  H  a       At the bottom of the screen  the Cited in QIS Only field lists tags cited in  QIS that haven   t been loaded into ASPEN via Load Cites  see Task 36  or  tag citations removed from ASE or ACO but still present in QIS     Training Guide 1 7 08 57    Transfer and View QIS Data    The QIS Overview tab provides a high level view of survey results by Care  Area  It indicates the Care Areas that had tags cited  whether the  threshold for each Care Area was exceeded  and if there was surveyor  intervention       Citations for  IL2K11   0870572005   Open       58 1 7 08 QIS Pilot    Transfer and View QIS Data    The QC  Stage I tab shows the QCIs that are calculated at the end of  Stage 1  You can display all QCIs  filter them by sample type  MDS   Admission  Census  or list only those that were triggered  Select the QCIs  individually to see the QCI Calculation for each as well as the Residents  considered in the calculation for resident specific QCIs  The QCI Category  column indicates whether or not each resident met the threshold criteria  for the selected QCI     Citations for  IL2K11   0870572005   Open    m  E  E  Ej  E  E  E  E  m  m  H    d       Training Guide 1 7 08 59    Transfer and View QIS Data    60    The Care 
38. sk 7 Create a survey in ACO    QIS surveys cannot be created in ASE  This procedure outlines how to create a  recertification survey in ACO  You will designate the survey as QIS on export     In the ACO tree  locate the nursing home   Right click the nursing home name and select Create Certification     On the Certification  amp  Surveys tab  scroll to the Survey List section and  click New     4 Click OK to select the default Health survey     In the Create Health Survey window  enter Start and Exit dates for the  survey     The Exit date must be the same as or later than the Start date   Select the Regulation s  that apply to the survey   Recertification is selected as the survey Type   You can add Complaint as a survey Type when appropriate    8 If you want to define the Team Roster  click Update     e Inthe Select Surveyors window  select the names of one or more  surveyors you want on the team for this survey  Click OK to save your  additions     Training Guide 1 7 08 21    Create a QIS Survey    9 Select the Type of Survey and Extent s    You can select more than one of each if appropriate   10 Click OK to save the survey   A message asks if you want to proceed to Citation Manager  Say No     11 Click Done to close the certification kit     22 1 7 08 QIS Pilot    Create a QIS Survey    Task 8 Export the survey and MDS data from ACO    From ACO  you can export one or more QIS surveys  the surveys and  associated MDS data  in an encrypted format to a transfer location  Yo
39. sk into the floppy drive     The backup floppy containing the survey data is labelled  5  Merged S2  Data per the QIS DCT Technical Support Staff User Manual     If you are backing up merged Stage II survey data on a flash memory disk  rather than a floppy  insert it into the primary laptop s USB port     3 Complete steps 3 6 of Task 32 to back up the merged Stage II survey  data     Task 35 Print the Potential Citation Report    Onsite  Primary laptop    The survey team reviews this report when determining Severity Scope for  citations     Start the QIS DCT from ASE  See Task 11   From the Reports menu  select Potential Citation Report     To print the report  click the Print icon     h W N HM    Click Close to close the Potential Citation Report preview screen     Training Guide January 2008 51       52    January 2008    QIS Pilot    Training Guide    Complete the Stage II survey process    Post survey          This exercise will teach you to     v Transfer citations from the QIS DCT to ASE  v Export a QIS survey and data to ACO   v View a QIS survey summary in ACO   v Export archived QIS data from ACO  v    Import and view archived QIS data in the  QIS DCT    1 7 08 53    Complete the Stage II survey process       54 1 7 08 QIS Pilot    Transfer and View QIS Data    Exercise 7 Transfer and View QIS Data    Task 36 Transfer citations from the QIS DCT to ASE    When a QIS survey is complete  you can transfer all citations added in the QIS  DCT to ASE  Or  you may elect to a
40. ss imported MDS data    Offsite  Primary laptop    The Team Coordinator runs a utility in the QIS DCT that generates Admission  and Census samples for Stage I and calculates the MDS QCIs for the MDS data  that was imported into ASE  Task 9   The QCIs will be used in Stage II    1 Start the QIS DCT from ASE  see Task 11 if you need help     2 For Laptop Type  select Primary     A message displays for several seconds while the QIS DCT generates the  Admission and Census samples     3 Onthe Process MDS Data screen that appears  select Process MDS Data  Now   A warning message indicates that this process can be quite lengthy    4 Click Yes to calculate the MDS QCIs     Depending on the volume of MDS data and the speed of the primary  laptop s processor  the MDS QCI calculations may take 15 25 minutes     After the QCI calculations are complete  the Stage I Sample screen  appears  You can view the Admission and Census samples that have been  generated  The MDS QCIs are stored for use in Stage II        Li QIS Field Tool    Stage I   Sample   Active Surveyor  KA001   ALMS  KAREN   PRIMARY         E  View Screen Reports Utilities Help 5  xj  Which Resident Ust  do you want desplayed   Resident Pook C Admission Sample C Census Somcle C Surveyor Intieted Sample     C Facility       Intited Care Areas for     Resident Names    Update Census Residents   Ducharge Reodnt Resident Add New Resident    3 od Now Amis    Survey Steps    sfp Resident In The Facity  v Rescbeet Orcharged From Fac
41. t Office ART Office     Do not select Customize to specify another folder for installation of the  RTE     2 When you see the message saying     Microsoft Access 2000 Runtime Setup  completed successfully     click OK     3 On the InstallShield Wizard Complete screen  click Finish     Once all installations are complete  reboot your machine     Training Guide 1 7 08 15    Install and Set Up ASPEN QIS    Task 4 Configure QIS in ASE    In order for ASPEN to    know about    QIS surveys and data  you must specify  the paths to QIS field data  the QIS DCT executable  and the Access 2000 RTE  executable     The connectivity between ASE  the QIS DCT  and various databases is shown in  the following diagram     ASE QIS DCT Connectivity    QIS DCT  QIS Field Too    QIS Survey Data          Regulation Sets  FFO1FTags mdb    QIS Static Data                 QIS Data mde             QIS Field Data mdb    16 1 7 08 QIS Pilot    Install and Set Up ASPEN QIS    1 From the System menu in ASE  select System Configuration  QIS  Settings to open the QIS Settings window     2 Click Find  4  to navigate to and enter the following paths     e QIS Data   path to the Access database containing QIS field data  The  path should be C  Program Files QIS QIS Field Data mdb     e QIS Tool   Access database containing the QIS DCT executable and  links to the field data  The path should be C  Program Files QIS QIS  Field Tool mde     e Access 2000   path to the Access 2000 RTE executable  The path  should b
42. t the features setup will install        MASE  ogg Client  cog Shared                7 Onthe Completion screen  click Yes to restart your computer  or No if you  would like to continue on to the QIS installation     14 1 7 08 QIS Pilot    Install and Set Up ASPEN QIS    Task 2 Install the QIS DCT    1 On your Windows desktop  select Start  then Run  and Browse to the  location of your QIS Install files    Select Setup exe    Enter your password  and click OK     On the Welcome Screen  click Next     Uu A W N    On the Field Tool Install screen  click Next to accept the default  Destination of C  Program Files QIS     6 On the Ready to Install the Program screen  click Install to install the QIS  DCT application     7 On the InstallShield Wizard Completed screen  clear the checkbox to  display the release notes and click Finish     The system responds   Do you need to load the Microsoft Access 2000  Runtime Engine      e Answer Yes if you do not have Access 2000 loaded on your machine  and continue with the Access installation  below     e Answer No only if you already have Access 2000 loaded on your  machine  The Installer will finish the QIS DCT install     Warning  Having versions of MS Access other than 2000 on your machine  may cause problems when you run QIS DCT     Task 3 Install Access 2000 RTE    1 On the Microsoft Access 2000 Runtime Ready to Install screen  click the  button next to Install Now to accept the default folder  which should be  C  Program Files Microsof
43. t transfer file name  You can assign  another name if you wish     5 Inthe Resident Assessment Transfer  window  click OK to accept the Resident Assessment Transfer XI  default selection of Transfer QIS  Data        Training Guide 1 7 08 23    Create a QIS Survey    The Resident Assessment Transfer window is displayed only when you  export NH surveys and only if you are a member of the QIS security group     By accepting the default  you are designating the survey as QIS  If you do  not want to export the survey as QIS  clear the checkbox     6 Click OK to begin the export     Messages indicate the progress of the transfer process     When transfer of the MDS Resident Assessment tables for a survey is  complete  the Transfer Info window appears with a summary of the MDS  data that   s been transferred     Transfer Info             7 Click OK to continue the transfer of survey data     If you are exporting more than one QIS survey  the Resident Assessment  Transfer and Transfer Info screens appear for each     When the transfer process is complete  the survey is encrypted   compressed and stored in the transfer location     Now surveyors can import the QIS survey into ASE on their laptops to use  with the QIS field tool     24 1 7 08 QIS Pilot    Create a QIS Survey    Task 9 Import the survey and MDS data into ASE    In order to perform a structured QIS survey  encrypted MDS data for the facility  involved must be imported into ASE to be processed in the QIS DCT  It is  gener
44. u can  then import the QIS survey s  from the transfer file into ASE for use with the  QIS DCT     The export import procedures in this guide generally assume you are using  floppies to transfer data  but you can also use memory sticks and shared  network folders  Although ASPEN does not support the direct connect method  for import of QIS surveys  it is a viable option for export     An export is cancelled if you specify a survey is QIS and ACO does not find  resident data for the facility     Note  You cannot export QIS and non QIS surveys simultaneously     1 If you are exporting data to a floppy disk  insert the disk into the floppy  drive     The floppy should be labelled  A  ASPEN MDS Data per the QIS DCT  Technical Support Staff User Manual     2 Inthe ACO tree  locate and expand the certification kit you created in Task  7  You will see the Health survey listed beneath     3 Click on the survey and drag it to the Export button on the toolbar     TIP  Although you will probably export just one QIS survey at a time  you  can export multiple surveys from the Tree view one by one  Each new  survey is appended to the transfer file     4 Inthe Export window  specify your transfer location     e Select ASPEN Transfer Location and then choose the transfer drive  from the drop down list  e g   A  if you are using a floppy      Or   e Select Other Location  Enter the transfer location path  or click Find  to navigate to and select the location   ASPENTx zip is the default expor
45. y data     1 7 08 41    Complete the Stage I survey process    42    Task 22 Back up merged Stage I survey data  Onsite  Primary laptop  After you import merge the Stage I survey data from all secondary laptops  you  need to create a backup of the merged Stage I survey data on the primary  laptop   1 Start the QIS DCT from ASE  See Task 11     2 If you are backing up merged Stage I survey data on a floppy disk  insert  the disk into the floppy drive     The backup floppy containing the survey data is labelled  3  Merged S1  Data per the QIS DCT Technical Support Staff User Manual     If you are backing up merged Stage I survey data on a flash memory disk  rather than a floppy  insert it into the primary laptop s USB port     3 Complete steps 3 6 of Task 20 to back up the merged Stage I survey data     1 7 08 QIS Pilot    Prepare for Stage II    Exercise 5 Prepare for Stage II    Task 23 Process Stage I data    Onsite  Primary laptop    The QIS DCT processes Stage I QCI results and displays them in the QCI  Results screen     1 Start the QIS DCT from ASE  See Task 11   2 From the View Screen menu  select QC  Results     After the QIS DCT processes and loads QCI results  the QCI Results screen  appears  You can view the results by QCI  Resident  or Care Area     e The left pane displays results in a tree that expands to provide details  about the QCI  Resident  or Care Area being viewed     e Inthe upper right pane  click the Display Responses button to display  the Quality Ind
46. zation window  click Set Encryption File Password  and provide the requested information in the Edit Password window     Training Guide January 2008    27       28    January 2008    QIS Pilot    Training Guide    Create a QIS Survey    QIS Survey Process          These exercises will teach you how to use  the QIS DCT to     v Prepare for Stage I    v Complete the Stage I survey process  v Prepare for Stage II    v Complete the Stage II survey process    1 7 08 29    Create a QIS Survey       30 1 7 08 QIS Pilot    Prepare for Stage I    Exercise 3 Prepare for Stage I  Before arriving at the facility for the survey  the Team Coordinator must  complete offsite data preparation on the primary laptop  This includes   e Processing imported MDS data  e Printing initial Stage I forms  The onsite Stage I preparation tasks include   e Reconciling the Census Sample and Resident Pool  e Printing the revised Census Sample Report  e Exporting Stage I sample data to secondary laptops    Task 11 Start the QIS DCT from ASE    The QIS DCT is used throughout the QIS process to structure and automate  data collection and decision making  Surveyors can start the QIS DCT on their  laptops from ASE     The exercises in this section run through the steps in using the QIS DCT to  complete the QIS survey process  You can also check applicable sections in the  QIS DCT Technical Support Staff User Manual  QIS DCT Software User Manual   and the QIS Surveyor Training Manual     1 Locate and right click 
    
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