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State-Specific GER Interfaces

Here in Utah, providers have been pushing the State to work with Therap to develop a GER interface so that information on the GER can be downloaded to the State’s documentation system.  We currently fill out a GER and a state-specific form (wish I was joking but I’m not).

The State of Utah just released their online incident reporting module and I’m thinking about how the GER will need to change to make them compatible.

  • What are other people’s experiences with State-specific, customized GERs?
  • Can Therap really design a GER to fill out all the fields on the State’s incident report?
  • Did the new GER change significantly?
  • Is there a magic button somewhere that sends the GER info from Therap to the state system?

Any insights from the Therapverse would be most appreciated!  Thanks!

By | 2016-11-03T10:15:14+00:00 March 7th, 2014|Categories: Eddie Fung's Posts|Tags: , |Comments Off on State-Specific GER Interfaces

Fatal Four Tracking/Trending from GER’s

Does anyone have suggestions on gathering information on the Fatal Four (seizure, constipation, aspiration & dehydration)? Is there a specific type of report you use or document the information in a certain way for tracking and trending? I’m currently trying to figure out the best way to accomplish this with all of the data in GER’s. Any help would be much appreciated. Thank you!

By | 2013-09-26T15:42:56+00:00 September 26th, 2013|Categories: Lorelei Glenn's Posts|Tags: , , , |Comments Off on Fatal Four Tracking/Trending from GER’s

Thank you, Nahar!

I would just like to give a big Thank You to Nahar for the Nebraska ICF GER report – this was a joint effort between the State Department of Health, Mosaic, BSDC and Therap that should improve efficiency for both the agencies and the state surveyors. Thanks again!

Did I mention that Therap staff ROCK??? You are all great to work with!

 

By | 2013-05-30T14:56:55+00:00 May 30th, 2013|Categories: Lorelei Glenn's Posts|Tags: , , , , , |Comments Off on Thank you, Nahar!

I’m a presenter!!??

So I just agreed to be a presenter at the Montana Regional Conference in Helena June 12-13. I am excited and nervous all at the same time. I am going to be talking about GER’s and Montana’s Incident Management System and also how to take Montana’s PSP’s and put them into Therap’s ISP module. Are there comments/suggestions on these topics that people wish they would have known about or that I should make sure to mention?

By | 2013-03-19T17:34:12+00:00 March 19th, 2013|Categories: Lacy Hutchens's Posts|Tags: , , , , |1 Comment

Long Overdue …

Danica

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.

Linda

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

Getting ready for fall in CT

I have to admit that I am very “reserved” (a little shy) when it comes to blogging and hosting webinars.  This is definitely obvious from the date of my last blog (almost one year ago to date).  I am committing myself to get a lot better and overcome this.  As it is the same time of year as my last post, rereading that one really shows how routine things can be.  I am once again getting ready for my sons birthday as well as the CT Therap Conference in Meriden next week.  This is the absolute best time of year in CT in my opinion-summer humidity is ending and fall is right around the corner.  Apple and pumpkin picking, long sleeved shirts and chilly nights.  Some of the great things that I hope never change.

As for the company I work for (WILA), we have advanced in our use of Therap somewhat.  We have more users on board and they are a lot more advanced in their Therap skills than a year ago.  We are currently utilizing as much of Therap as pertains to us as a smaller company, including but not limited to T-Logs, Scomms, GER’s, ISP Data and Programs, TMS, Health Tracking and other Therap “staples”.  We are not using IPOP’s, MAR’s or time tracking yet but hopefully they will be included in our near future endeavors.  The benefits of Therap are more than obvious for all of our staff.  The nurses see a lot of the benefits with Health Tracking and the ease of communicating updates/changes with all of the staff.   Therap allows for new staff to get to know our clients from different view points as well as track their health/behaviors/activities a lot more efficiently than ever before.  Therap has been a great advancement for us and I personally look forward to all that it will bring us in the future.

Hopefully I will see some of you at the CT Therap next week, especially as I will be hosting 2 classes during the conference!

P.S. Allison…I blogged!!!!

By | 2016-11-03T10:15:34+00:00 September 18th, 2012|Categories: Michelle Hansen's Posts|Tags: , , , , , , , |1 Comment

If you only have 15 minutes…

Sometimes we are really pressed for time – ok, maybe a lot of the time! If you only had 15 minutes to spend in Therap, what would you do? Here are 4 Therap reports that I gave our agencies that can make good use of limited time if you are using T-Log, GER, IDF and SComm.

  • Demographic Report (under Agency > Management Reports in Dashboard or on the right-hand side of FirstPage Admin Mode under Management Reports) – this report will provide a lot of counts for Individuals in service, such as Gender, Programs, Age Ranges, Top 10 Diagnosis, Communication method, Mobility and Race. You can click on a number to see the names of everyone included in the count. This is an easy way to check if all Individuals are in Therap or have been discharged if no longer in service.
  • Event Summary (under Agency > Management Reports in Dashboard or on the right-hand side of FirstPage Admin Mode under Management Reports) – this report can be run for any time period (up to 1 year), and will show a count of GER’s. You can also select to see the GER’s by Type or Program. Selecting Next will take you to a page where you can download specific information into a spreadsheet.
  • T-Log Detailed Report (under Agency > Management Reports > List of Reports in Dashboard or on the right-hand side of FirstPage Admin Mode under Management Reports) – this report can be run for any time period, but I would only recommend 1 month at the most due to the large amount of T-Logs. This is an easy way to review T-Logs at a glance if you download to a spreadsheet. You can also sort by status and type within a spreadsheet.
  • Password Expiration (under Agency > Management Reports > List of Reports in Dashboard or on the right-hand side of FirstPage under Report Library > List of Reports) – this report shows all system users and when their password expires (or expired), along with number of days left. If the number is negative, the user is not able to get into Therap, and has not been logged in at least the number of days showing as negative.

As we roll out additional Therap modules, I will be creating a one-page cheat sheet of reports to run.

If anyone has additional suggestions of reports that they find useful, please let me know!

On a side note, I started hiking in July and absolutely love it! Who says you can’t hike in Omaha? Ok, maybe there are no mountains, but we do have a few hills! Slacklining is my newest endeavor, where you walk on a strap that is 2 inches wide. Right now I am only about 18 inches off the ground between 2 trees, but have made it up to 3 steps so far!

Photobucket
 

By | 2012-09-13T21:02:05+00:00 September 13th, 2012|Categories: Lorelei Glenn's Posts|Tags: , , |Comments Off on If you only have 15 minutes…

Oh how time flies…and things change

It is hard to believe that two years ago this month Dungarvin Oregon began implementing Therap.  At the time, it felt like a daunting task to me, and to many of our staff.  As I began training GERs and T-Logs, I will never forget the looks on the faces staring back at me; most in disbelief that we really were doing this…making the switch from paper to electronic documentation.  How could we?!

My have things changed!  As time passed and we continue(d) to implement module after module,  those doubtful faces staring back at me in trainings began to change.  Long term staff began to embrace the idea that Therap was here to stay.  They began to see the value in Therap, and were relieved (and surprised!) by it’s intuitive nature.  Finally, I was not alone in my excitement! 

 In addition to GERs, T-Logs, Health Tracking, ISP data, and MARs, I am excited to say that we are looking to implement the financial, TMS, and a newly created (specifically designed for Oregon) ISP modules  by the end of this year.  At every conference and user group meeting, I am amazed at the possibilities and the creative ways Therap can be utilized.  So many modules, so little time!

Thank you Therap (and Allison) for opening our eyes, helping us implement positive change, and saving trees!

By | 2012-08-21T22:24:26+00:00 August 21st, 2012|Categories: Gina Loraine's Posts|Tags: , , , , , |Comments Off on Oh how time flies…and things change

Gorillas in the Mist!

 

Gorillas in the Mist

It has been a busy July here in Kansas.  I have had several agencies  have their kick-off for Therap and spent most of the month training staff on how to use Therap’s T-Log, GER, and SComm modules.  I have also been able to spend some time talking to other providers in Kansas to see how they are using Therap.  So I just want to give a big shout out to my new friends at CCL and Futures Unlimited.  They all do great work with individuals with intellectual disabilities and it is amazing to see what they can do with Therap.

But, I really wanted to use this post to share with everyone in Therapland what an awesome job the staff in Mosaic of Southeast Kansas did with implementing Therap in their Pittsburg and Coffeyville agencies.  Most of the Mosaic agencies that I’ve had the pleasure of working with have put together teams to guide the successful implementation of Therap.  These teams have been made up of two people as provider administrators along with one or two other staff as the subject matter experts for the Therap modules.  So far these staff were in an administrative function in their respective agencies.  But not the team in Mosaic of Southeast Kansas.  They had a whole gob of people on their team.  Not only the administrative staff in the key roles but also direct support staff.  They had around ten members total on this team.   They are members of the agency’s Change Management team and are used to help roll out new projects for the agency.  So naturally they were the perfect fit for this new project.  The potential benefits of having direct support staff as subject matter experts is endless.  Anytime day or night if a staff has a question about Therap they will be able to ask their co-worker who will have the best possible answer for them.  A new staff is hired…no problem, just pair them up with one of the many subject matter experts working at the sites.

So, if you’re thinking about implementing Therap in your agency look around…the direct support staff might be just what you need to get your implementation plans rolling out smoothly.  So thanks again to the staff  in Southeast Kansas for making it a great visit and Go Gorillas!

And now…it’s the derby!

watch?v=mN9Le5F1oIM

By | 2016-11-03T10:15:35+00:00 July 26th, 2012|Categories: Matthew Rice's Posts|Tags: , , |Comments Off on Gorillas in the Mist!

Therap in Omaha

Working closely with key Omaha staff, we scheduled Therap classes that spanned June, July and August.

To ensure complete saturation of the Omaha market, accommodations were made to receive as many as 900 staff members, providing 108 hours of basic Therap training.

Using the “rolling rollout” model, success is immediately realized after each class when newly trained staff starts using the production Therap database immediately, upon leaving class.

In addition, supplementary training, which was attended by a dozen Managers, focused primarily on General Event Report process flow.

Supplementary training will continue later this week when I meet with Omaha Nurses to discuss medication errors and reporting.

We are nearing the finish line of this team effort here in Omaha. I’m proud of the work that we have done. I’m happy to have been a part of it.

By | 2016-11-03T10:15:35+00:00 July 16th, 2012|Categories: Gregg Staroscik's Posts|Tags: , , , , |Comments Off on Therap in Omaha