Envision Newsletter

Envision Summer Newsletter 2014

Hi Everyone

Just sharing for everyone’s reading pleasure – or not.  We are celebrating our 50th year during this fiscal year, 7/14 – 6/15.  Final decisions about events are not yet ready to be shared, but looking at an activity that will encompass all 4017 square miles of Weld County, Colorado.  Envision is the Community Centered Board, responsible for intake and case management for all individuals with intellectual and developmental disabilities in Weld County.

By |2016-11-03T10:15:11+00:00September 4th, 2014|Categories: Linda Medina's Posts|Tags: |Comments Off on Envision Newsletter

Good Golly it is Difficult to Remember….

…to come up with ideas to write in this blog!  I calendar the need to write, but then when my calendar pings at me, I find myself at a loss for what to record for posterity, or any other reason.  So today, what is on my mind?  Besides Allison’s email that reminded me that I have not written a blog for awhile?  Lots and lots of things – I/DD determination changes in Colorado (ok, that was in August 2013, but I have an appeals hearing Thursday, so it is on my mind), billing Targeted Case Management units – yes, Therap helps, but cannot make them remember to record all of their activities!  Um … Supports Intensity Scale, Quality Improvement Strategy, and Incident Report Trend Analysis.  Oh, wait … that last item would be great to blog about, and ask the rest of you all what types of IR Trend Analysis you use and how you use the reports available in Therap to help support trend analysis!  So, do you and what do you use?  I have absolutely no use for the reports that tell me how often a GER is viewed (is that helpful for anyone out there?  If so, please enlighten me), but find difficulty generating reports with other information that I would like to have.  Still trying to figure out how to get everything I need out of Therap without needing to supplement with other data.  Once I could do that, I could make a pitch for using Therap GERs exclusively without having to record the information in yet another database just to get other reports (yes, we do still use another database, sadly)!  Feedback would be most welcome.  Maybe I will write more on this topic in another blog, taking the time to first gather my thoughts.

What else is on my mind?  How about The Walking Dead?  Yes, yes, I am a fan nerd.  LOVE IT!  The character development and storyline is so much more than the undead – they are just background, really.   So GLAD it is back on again for another 8 weeks, before heartbreak again strikes.  The only difficulty is that I lie in bed Sunday nights thinking about how the Zombie Apocalypse would affect me and everyone I know.  Probably should record it and save it to watch on Friday night; but who can stand to wait that long??  Hmmm… no electricity, so no electronic record keeping in Therap.  Would any of us take time to assist the people we serve today to try to survive, or would it be a free-for-all, everyone for themselves kind of thing?   It would be a rough situation, so likely only the strongest and luckiest (unluckiest?) would survive, even briefly.  I think I would like to survive – but only if I could hang with a Daryl and Michonne; I would likely be the Hershel character, or so I would like to think (would love to be Michonne, but have to be a realist…).  So what does The Walking Dead or Zombie Apocalypse have to do with Developmental Disabilities services or Therap?  I have no idea.  However, I will ponder that thought and look for a correlation before continuing this post thread, if I ever do.  Meanwhile, in a grisly way, it kinda fits with the season … Happy Valentines’ Day! I’d chews you! ;)

By |2016-11-03T10:15:18+00:00February 11th, 2014|Categories: Linda Medina's Posts|Tags: , , , , |4 Comments


One of my favorite times of the year – but sadly, I have not come up with any creative costume ideas this year! Since I am out of time, unless I am struck my a bolt of inspiration yet today, I will likely put some blue color in my hair, temporary tattoos on my face, find something odd in my closet (yes, I do have some odd clothing), and dress up tomorrow as either an aging teenage wannabee (oh to be young again! but retain the knowledge and experience of my years …) or an indeterminant alien. We will see what occurs. I have a meeting to attend tomorrow in Denver where there will be State employees, so will likely attend by phone. Not that I would be embarrassed, but do not want to be a potential distraction from the business of the meeting! Yeah, I’ll just stay here in Evans for the day. That way I can be sure to be home in time for Trick or Treating kids!

Flood recovery in Colorado is still underway. Still a lot of people hurting and working on recovery, but a lot already re-settled as well. The destruction was amazing to see, but even more amazing is the speed in which roads were re-constructed (even though mostly temporary fixes) and re-opened. Each time I drive on the one road closest to where I live that cut Greeley off to the east, I see different things each time that attest to the power of flooding rains and rushing waters. Wow.

Therap, Therap, Therap! I have not tried anything new for awhile, and we are not currently looking to add additional modules to what we are now doing, so I am spending far less time in Therap than previously. However, I am playing more with reports, trying to find data that we need in a manner that will be most useful and easy to locate. So today I downloaded multiple reports from multiple places in Therap, deleted columns, sorted, added formulas, added colors, and other fun stuff. I was able to create 3 different reports that will each give me a part of what I was trying to find, but none that give me all that I want. Hmmm. I have saved and sent them off to others here, to be certain that what I created is indeed what everyone else wants, and if confirmed, will see if I can either find in Therap or have Therap create for me a report that combines all desired information, or start playing to see if I can combine the information in the reports through use of pivot tables. I do not have a lot of experience with pivot tables, so it will be an interesting effort. However, I do know how to read instructions, and can usually figure out what it is I want to do if it can be done! And I think I understand that we can combine information from one or more tables as long as there is some common data in each report, right? We will see how that goes. Hopefully it is not too frightening an endeavor.

If you enjoy the day, have a frightening Halloween!

By |2016-11-03T10:15:20+00:00October 30th, 2013|Categories: Linda Medina's Posts|Tags: |Comments Off on Halloween!

Colorado Floods

It was not 40 days and 40 nights, but at times it did begin to feel that way, especially for people who felt the full impact of the floods, and especially given our normal semi-arid climate. The rain began in our area (Greeley/Evans, CO) on Monday, September 9th, and did not quit until early Monday morning, September 16th (yesterday). More than 20 inches of rain fell in mountain communities, many of which are so incredibly damaged with no road access and certainly without fresh water. Rescues happened – and are still happening – by zipline and by helicopter. Weather reporters indicate that Weld County received (only) between 4 and 5 inches of rain, but being downriver, we have received those 20 + inches as well. Many communities in Envision’s catchment area, all of Weld County, are significantly impacted. We continue to try to contact all of our clients, families and staff to assure they are ok and to see what we can do to help. Envision is located in the city of Evans, which has a compromised sewer system due to the floods (the water treatment plant is under water), and we are under a “no-flush’ rule – an inconvenience at best given the devastation for many that has resulted in total loss of homes and belongings, and I believe 8 lives at last count. That is expected to rise, but we pray it rises by very little, as more people are found and communications are re-established. Many, many Colorado communities are impacted by the flooding, including mountain communities of Estes Park, Lyons, front range communities of Ft. Collins, Longmont, and Boulder, in addition to the northeastern plains communities in Weld County and those beyond who just began to receive the flooding waters over the weekend and will continue to do so throughout this week as the water continues it’s path of destruction. Water that will now just sit until it slowly trickles on downstream or evaporates over time. Meanwhile, the clean up has begun. We are beginning to collect funds from all employees and board members who are willing and able to contribute to help anyone with a need. My family has been very fortunate, as our home was 3 – 4 blocks from the flooding to the south and to the east, and about 10 blocks from the closest flooding to the north. My extended family – children and grandchildren, siblings – living out in smaller towns across eastern Colorado were also spared any flood damage, for which we are eternally grateful, and we can deal with the imposed travel restrictions due to damaged or no longer existing roads or inability to flush for a few days, which is annoying and sometimes frustrating, but it is nothing compared to what others are facing. Please keep all Coloradoans impacted by floods in your thoughts and prayers, and contribute through charitable organizations if you are interested and able. We have a long road ahead, but we will get there!

By |2016-11-03T10:15:21+00:00September 17th, 2013|Categories: Linda Medina's Posts|Tags: , |2 Comments

Therap Committee

Our company has now had it’s second Therap Committee meeting. Why we didn’t think we needed a committee in the beginning is beyond me. Of course we did! If we want to be consistent in how we use Therap company wide then it is very important. And we learn from each other. We are using GTM so that we can include users throughout the company wherever they may be. It’s really cool when someone says, “We need a way to….”. And someone else in the group says, “Oh, well I just do this….”. So sharing is a big part of the meetings so far.

By |2016-11-03T10:15:24+00:00May 25th, 2013|Categories: Jo Vaughan's Posts|Tags: , , , , , , , |Comments Off on Therap Committee

Dreaming of full implementation

We have been working on trying to get all departments fully on board with use of Therap. It has been a long drawn out process. I wish that I had a magic wand and could wave it and make it all happen…..Allison can you look into that PLEASE.

We are still trying to get buy in from everyone, I am getting all the same stories…we don’t have time to input the data…it takes too long…why do we have to change…what if the computers go down…on and on….
I’m sure you all have heard the same thing at some point. I have done demonstrations & trainings to large groups, small groups and individuals. I think I am finally starting to win the battle. It will get there eventually.

I spent a week in Loveland, Colorado at a Dog show recently and had a great week but the heat was horrible. going from 30 – 40 in Alaska to 80 in Colorado with the altitude change was quite different. I was not able to show my own dogs because I had my knee in a brace from a dislocation that had happened in April. But they did very well with handlers. My home bred puppies took placements in Futurity, Cassi took 2nd and Sprig took 4th, and Cassi took a 3rd in the regular puppy conformation class. Their mother Emma got two qualifying scores in Rally Advanced which completed her title. We have a local show this weekend and all three will be competing again, not sure if my knee is up to handling them but we will see.

Have a great Memorial Day weekend!!!!!!

Tornadoes and Therap

This week’s massive tornado in Oklahoma has affected so many people – my family included. Growing up in Nebraska, I am not shocked to see a tornado at least a few times each year, and know what to do when severe weather threatens. However, as I was reviewing some IDF’s in Therap this morning, it brought to mind the importance of having good, quality data that can be accessed whenever something happens. Many people remember (and still have) the big massive notebooks with all individual information. As we move to Therap, we need to remember that the information in Therap is just as important, if not more important, than the information in physical form. Therap should be the system of record, and information should be as complete and accurate as possible. As I looked at some IDF’s this morning that contained only the name and birthdate, it brought concern that in an emergency situation, their Emergency Data Form would be useless. Being a type 1 diabetic myself, I can’t imagine what would happen to me if no one had my information and I was unable to speak.

So, along with fire drills and disaster preparedness, make sure that the information in the IDF for all active Individuals is as complete and accurate as possible – you never know when it may be needed by people other than you!

By |2013-05-24T14:42:42+00:00May 24th, 2013|Categories: Lorelei Glenn's Posts|Tags: , , , , , , , |1 Comment

Upcoming Regional Conference

Our NM Regional Conference is quickly approaching – next week infact! I’m looking forward to learning new things and helping others learn about Therap. I’ll be leading two sessions that I’m pretty excited about.

1. Reports for Audits, Survey, and Accreditation
2. The NM ISP and Therap

I’m hoping to support NM agencies to maximize their state-mandated Therap access, so it is useful to them in many levels. The most time cosuming part is making sure there is enough dummy data in the demo accounts to actually show something worthwhile when pulling reports. So for the next week, that’s what I’m up to.

By |2013-05-20T17:48:11+00:00May 20th, 2013|Categories: Brianne Conner's Posts|Tags: , , , , , , , , , , |Comments Off on Upcoming Regional Conference

Long Overdue …


Yes, it has been awhile. We continue to use Therap daily. We are gearing up for tracking training in Therap, and almost have it ready to go. As an oversight agency – a Community Centered Board providing case management and contracting services for individuals through a number of agencies, some of whom are using Therap and some who are not – we were exploring the possibility of having everyone enter GERs into Therap, regardless of whether or not they use Therap. It would certainly help when looking at trends, saving a great deal of time over our current method of trend reporting. I have gone so far as creating a GER entry super role, and played with it, but there are some significant barriers.

We have both a service agency Therap account, through which our internal provider agency completes all of their documentation and through which we route all billing, and we have an oversight account, through which case managers can view activity involving clients served by providers using Therap. If we began requiring all providers to enter Therap GERs, I believe they would have to enter them into our oversight account to enable us to pull data across all agencies. The difficulty is that I believe we would then need to import all of the IDFs for those clients in our oversight account, creating alot of extra work. I need to explore further if it would be feasible to enter outside agencies’ GERs into our provider account without them then interfering with the internal agency GER reports. As I write this, I think it would be possible; we have IDFs entered anyway, so as long as they are assigned to the correct program, it should work. Once I figure that out, it will likely be more challenging to talk service providers into entering them online rather than creating and sending paper copies. If anyone else has done such a thing and has suggestions, I would welcome them.

Some personal updates: In July, my position changed. I stepped down from Case Management Director after 14 years, and am now doing Compliance and Quality Monitoring. I am also continuing to be our agency administrator for Therap and two State data systems, a Supports Intensity Scale Trainer and Interviewer, and I serve on various work groups as they crop up. Also in July, my big, sweet, 6.5 year old black lab mix, Jack, passed away from a mast cell cancer that grew above his heart. That was so very difficult. We had little warning.

I am nearly a hypochondriac when it comes to my pets, and Jack had been to the vet frequently during the year, beyond annual shots updates. He had bloodwork in April and in May to look at the effectiveness of a supplement I was giving him. Later in June, I noticed Jack acting lethargic, panting more and eating less. As we were experiencing extremely hot weather, I figured that was the cause, but took him in to be checked out anyway on a Friday. As I had not noticed any vomiting or diarrhea when I was with him – he spent stretches outside with our other dog – the vet barely looked at him, commenting that his respiration seemed fine and he was looking good. That weekend, I followed him around every time he was outside, collecting samples. I took him back again Monday, providing the samples and again telling them he was lethargic, not eating at all, but still drinking plenty of water. The vet checked the samples, proclaimed him to have an overgrowth of a bacteria in his colon, and prescribed an antibiotic. Again, the vet did not touch him and commented on how great he looked. On Friday, I was back again – he was still not eating, I was having to force-feed him the antibiotics, he was now drinking less, and his breathing seemed even worse to me. The vet stated that since his bloodwork looked so good, she just did not know what to tell me. I argued with her that she had not taken any bloodwork since looking at the effectiveness of the supplement early in June. She insisted that bloodwork had been drawn the previous week. I had to insist that she look again because she was mistaken.

When she returned to acknowledge her mistake, she approached it as if she would have to talk me into allowing the test with the costs involved. I told her I had been asking her to run a full panel, and that was what I expected that day. When she returned with the results, she noted that there were concerns and sent me immediately to the Pet Specialty/Emergency clinic 30 miles away. Of course I went. After a late night there, and a full day the next day, costing over $1600, I learned my Jack had cancer. They recommended further diagnostics to pinpoint the specific type of cancer – a mass above his heart, which was either mast-cell, requiring cracking his chest open and extensive recovery time if it had not metastasized and they were able to get it all, or lymphoma, requiring 6 months of chemotherapy, which may extend his life a year – and I needed to make a decision about treatment. Having experienced a CCL tear, surgery, and therapy/recovery just over a year earlier, I knew I could not put Jack through that again, and opted to take comfort measures, only. They told me we would have a few weeks with him.

We took him home Saturday evening, notified our kids and grandkids who also loved Jack enormously and who came to see him Sunday, and he passed away waiting by the front door for me to come home from work on Monday. So much for a few weeks. Needless to say, after 16 years of using the same veterinary clinic, I will not return. I had an especially difficult July, trying to figure out why I did not notice that he was ill much earlier. On the other hand, our other dog, who pretty much always followed Jack around, going out when he did and just being a very playful, fun-loving dog, also went through a period of mourning, during which she also had to teach us her communication system. She would not alert us to her needs as Jack always had, and never had to because Jack took care of “speaking” for both of them. So we have had a period of re-bonding and re-training, and discovering what a bright, unique dog Sophie is. The photo is of Jack with our granddaughter, Danica, on his last full day with us. He was always lovely with kids.


By |2016-11-03T10:15:31+00:00March 4th, 2013|Categories: Linda Medina's Posts|Tags: , , |3 Comments

Welcome, Kaye!

Picture of Kaye Williams, Therap Regional Coordinator for Arizona and Colorado

I’m sensing a pattern here.

Kaye Williams is the Therap Regional Coordinator for Arizona and Colorado, the latest to join the League of Extraordinary Trainers.

She is from Mosaic. They are apparently all uber-Therap nerds overs there…and it appears that they may be trying to dominate the Certified Trainers. ;)

I’m waiting for her overheated 110 degree blog from Phoenix. :D


By |2016-11-03T10:15:39+00:00June 25th, 2012|Categories: Allison's Posts|Tags: , , , |1 Comment
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