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Hanging my head.

I have not posted in a long while, and for that I hang my head in shame. And now to add insult to injury, I am just going to pose a question.

For those agencies using skin/wound how do you get your staff to access the tracking in the same way, since there are 3 options for accessing the data?

That being asked, all is well here in the Pacific Northwest. Several of our departments are coming more online and using more pieces of Therap. The greatness of job security…I love it.

By | 2014-08-14T20:48:51+00:00 August 14th, 2014|Categories: Craig Buswell's Posts|Tags: , , , , , , |Comments Off on Hanging my head.

HELP! Too Many Shared Contacts!!!

Have you ever been updating an IDF, adding an Therap appointment or adding a shared contact and think “There’s just too many!” well, this is what makes therap great. You CAN DELETE!. Now, if you just created a therap contact and realized there was another one, the best thing to do is to delete it. otherwise, when you delete a shared contact and it’s been used (such as in appointments, IDF’s etc) all that information will be Poof! Gone.

But fear not, the wonderful programmers have made their way around it. So, in order to DISCONTINUE a Shared Contact, and clean up the giant mess that shared contacts can become you must:

 

1. Have the Admin Ability assigned to you via a Super Admin in your Therap System.

2. Go to the Admin Tab on Dashboard.

3. Under General: Shared Contact: Click “List”.

This gives you the big giant list of shared contacts for your organization. Now looking at them all can all the pages can seem like they’re endless. Cleaning up your Shared Contact list is a bit tedious, but worth it in the end.

so Now that you’ve got the list, what to do?

1.  Find the Shared Contact you are no longer using and click on it.

2. At the Bottom Right corner, you’ll see 2 options.

“Update” or “delete”.

3. Click Delete. ( yes, we will discontinue it, but to get there, we have to click the Delete button :) )

4. Now therap will automatically tell you if your Shared Contact is already in use (such as any past appointments, IDF’s, etc) and where it is being used at.

For Example: If it’s an old pharmacy, it will show you all the old IDF’s it was being used in, or it is being used in (if you haven’t updated those IDF’s like you were supposed too. )

5. Now we know where the Contact is being used, on the bottom right is the Discontinue button. This is great, because it allows us to get it off the shared contact list, but still have the information available if we need it and can be found in the archives (i’ll save the archives for a later post :) )

6. You have now been transported back to the beginning and will see the long list of all your shared contacts again and at the top it will confirm that the shared contact was discontinued.

You then just repeat the process until your Shared Contact List is Short and Simple.

Hope this helps all of you out there that have a Shared Contact list longer the Pi. :)

Happy Spring Cleaning of all those Pesky unused Contacts!.

– Racheal.

 

By | 2016-11-03T10:15:12+00:00 May 29th, 2014|Categories: Racheal Anderson's Posts|Tags: , , , , , , |Comments Off on HELP! Too Many Shared Contacts!!!

Training Therap to New Employees

Hi There again,

So for those out there that face some employees that may be, for lack of a better word, Technologically Challenged, how do you have them prove that they understand the documentation that you require on Therap? Ensuring that they have those skills and are competent to be able to write a GER, run reports on Intake/Elimination, Enter ISP Data, or even the most basics of reading SComms and T-logs? Here at CSS we have a great staff that created these wonderful  things called competencies. These competencies detail out a lot of information, everything from understanding of our policies and Mission, Vision and Values, to initial trainings on ISP’s, BSP’s, financials and an understanding of using Person First Language and Person Centered Thinking. Along with all that and many other items, it also has a wonderful page that allows you to mark off their understanding of Therap. Now for us, these are all done over a 6 month period, but it’s reviewed at the 1st, 3rd, and 6th month to ensure compliance with Oregon Administrative Rules (OAR’s) and keeps it all neat and tidy in one place.

When your out there Training Therap, how does everyone do it? Therap is so user friendly with T-Girl, Live Help, and the step by step instruction sheets, it’s a wonder someone may not “get it. ” However, there are those out there in the world of Therap that may have trouble or may not be so used to computers. How do you get them there, and prove that they can demonstrate these skills? By creating a competency!! We have a one day training that is spent with anywhere from 5-10 employees and 2 Trainers (even though I’m the only certified one :)  ) that train  the new employees on how to use Therap and what we want from them in regards to documentation. For Example: Therap’s Purpose, Accessibility,What users use therap, How to access live help/My Issues, What to do when arriving on shift with Therap, Demonstration of Access to IDF’s/EDF’s, “My Account”, T-logs, GER’s, SCOMMs, Health Tracking and Running Reports, Contacts and supports, etc. …… and ANYTHING ELSE you wish to add! It’s a great place to keep everything in one place. This way no one can state that they didn’t know how, or was never trained, or never got the help (they should be accessing LIVE HELP, if not asking).

This helps prevent any error in documentation with the excuse I didn’t know how, or no one showed me, or geesh, I never knew that!. We’ve all heard the excuses I’m sure… but with these, not only to you ensure that your staff have the knowledge, but that they can demonstrate it as well! It makes lives easier all around, by knowing, and trusting that the staff you have in place are not only confident in their abilities on Therap, but they have access to help when they need it, and your job becomes easier by having competent staff that know HOW to Document what they need to, Where they need to.

Now, for everyone out there, I would like to know how you train? Do you have an easier process? A different one? A similar one? We all have so much to offer, and now I’ll be picking your brains on all the possibilities that are out there. ….

with that… I’m off… :D

-Racheal.

 

 

By | 2014-03-30T06:22:36+00:00 March 30th, 2014|Categories: Racheal Anderson's Posts|Tags: , , , , , |Comments Off on Training Therap to New Employees

How to Complete A Quality Assurance Check with Therap.

Okay, for those that know me I LOVE the Therap MAR. I tend to keep all my ducks in one basket, so for QA checks, I didn’t want them completed elsewhere, or someplace additional that my staff would have to search for or forget about,  so I added them to the MAR itself, (as that’s what they’re QA’ing anyway). Keeps everything neat and tidy. So here it is everyone, How to complete QA checks using the Therap MAR. :) hope you find it as useful as I do.  I also have a Print outable copy, that’s picture friendly as well if anyone feels up to using it, just shoot me an email and I can zip It off into cyber space for you. :)

How to do QA (Quality Assurance) Checks on Therap

First off you will be tracking this medication on the MAR, similar to a PRN medication. To Do this you will see similar steps in the process.

  1. Click “Add New Medication”
  2. This will now take you to the Medication history page. Here is where you begin to create the QA check.
  3. Under Medication Name:
    1. This is where you enter QA and the time that you want the check done. For example:     “ QA CHECK 8AM”  This should be done at each shift change. Normally, just putting QA check is best, you’ll see later, that you can see the time that the QA was done, showing you for each shift change that It was completed.
  4. For all the medication information. Fill in the medication type for “PRN MEDICATION” and  schedule for “As Needed”.  Leaving it blank will cause the QA section to not work properly.
  5. In the comments section, add the purpose for the QA and include all the items you want staff to QA.  For Example: QA check of all MARS, Bubble packs, Intake/Elimination Data, BSL Entries, etc.
    1. This helps to ensure that staff are acknowledging that they checked to ensure that all the listed items are accurate.
  6. Now when you open the MAR you will see that it is listed in the PRN section.
  7. In order to record the QA, you need to open up the Medication up to Record Data in Detailed Mode.
  8. For the very first entry you should scroll down to “administered”. This will allow for follow ups to be completed. This should be completed by your staff only on the 1st day of the new month.
  9. You will now see that the medication has been administered. This is the VERY First and only entry that should be entered like this. You can now click “view” to see the comments.
    1. By viewing the comments, you’re able to see the time and date stamp and the staff responsible for completing the check. This ensures that they are completed accurately and on time at the beginning/end of each shift or per your QA system and does not allow staff to alter the QA check.

Happy QA’ing Everyone. :) – Racheal.

By | 2016-11-03T10:15:13+00:00 March 28th, 2014|Categories: Racheal Anderson's Posts|Tags: , , , , , , |Comments Off on How to Complete A Quality Assurance Check with Therap.

Training and Quality

We all know the critical link between training and quality of services, as well as quality of documentation. It takes a lot of training and follow up to ensure your staff give you what you need to meet state and federal requirements. You need a keen eye as a quality assurance staff member to catch errors, fill gaps, and communicate the necessity of good documentation.

Having said that, many providers are using different techniques to train their staff, both in the classroom and online. Making sure that all of your personnel have been trained accordingly is a fundamental need for all quality assurance.

For your consideration, we are offering a session open to Certified Trainers and the Quality Assurance Special Interest Group on looking at tools to both help with training, as well as managing all of that information.

Lorelei Glenn will be discussing this on November 22 at 1PM EST. She has been doing some research about Learning Management Systems (LMSs) versus Training Management Systems (TMSs). Lorelei put it this way, “In our organization, many people were confused between LMS and TMS – thinking that TMS was an LMS solution. We are currently looking into implementing an LMS that will work with Therap’s TMS (interface). We have reviewed about 10 different LMS’s, and imported Therap SCORM trainings (which was super cool) as well as our own SCORM formats. Most of the systems allow a CSV export, which can then be used to import into Therap’s TMS. An LMS can often be implemented with low or no cost, especially for small providers.”

An invitation has been sent to all current members of the Special Interest Group. To join, click here.

Happy October!

Allison

By | 2016-11-03T10:15:20+00:00 October 19th, 2013|Categories: Events|Tags: , , , , , , , , |Comments Off on Training and Quality

Waiting is a killer

We are finally going individual based. Well at least bending Therap to make it look like the system is individual based. Since we have been using Therap (back when electricity was the new thing) it was set up in a way (program based caseloads) that required a lot of work to transfer the people we support. And since that time heated discussions have ensued regarding that need for it to be this way and the need for it to change. Well the day as I arrived that we are fixing it, but oh the massive amount of work that its going to take! If only we had done this sooner. So word to you all DON’T WAIT!  Wish us luck and hopefully I will not be broken when we all meet again.Waiting is a killer

Still Breathing

Yesterday was a monumental day for me. I hosted, with the aid of the incomparable Allison, my first webinar and I am still alive. This was an eye opening experience for me. I am the main Therap trainer for my company and I have never “heard” myself before. Note, “um” fills space in a bad way. Other than that I am super excited and hope you watch, Allison has posted it, and enjoy.

By | 2013-04-23T17:41:36+00:00 April 23rd, 2013|Categories: Craig Buswell's Posts|Tags: , , , , , , |Comments Off on Still Breathing

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

Save Time With Health Care Report

One of our managers commented on the helpfulness of Therap’s Health Care Report tool. She remarked that she had experienced problems with her staff  not correctly posting follow-ups to medical appointments. Typically they would enter remarks in the ‘comment’ section instead of the ‘results’ section.  The Health Care Report makes it easy to check this.

Under Health Tracking select Report and then Health Care Report. Select an individual from the drop down menu and enter a date, for example the past week or month.  You can select just appointments or add a variety of other Health Tracking report features.  Clicking on the report button quickly gives you an array of information in summary form. In the case of the appointment follow-up information, if the ‘results’ section is blank, it indicates that staff either did not enter results, or entered them in the comment section (vs results).

The Health Care Report feature is very fast, very convenient, very cool.

…in short, “typically Therap.”

 

By | 2016-11-03T10:15:39+00:00 July 5th, 2012|Categories: Bryan Thayer's Posts|Tags: , , |Comments Off on Save Time With Health Care Report

Reports and Gathering Data

In my last blog, I mention Therap as a “Time Saver”. This month I was the fortunate recipient of an AUDIT (cue music..dun,dun,dun). Yes, the ever dreaded word.

This Audit covered a time frame of 6 months regarding attendance v/s billing in our Vocational Program. At first I thought, yeah, we capture all this information in the Attendance module and our billing department using the attendance report to dump into their billing Excel spreadsheet. All I had to do was pull those reports. A snap!
Then reality hit, we had only been using Therap Attendance for the last 3 months of this AUDIT timeframe. So, I started to think about where this information was currently being kept. The billing department informed me; those records were now in the storage shed, way across town! We hopped in the car and took off. Dug through the storage shed (ask Allison about stuff that comes out of our storage shed!!!) searching for the correct time frames on the boxes (please label your boxes correctly with dates and what’s in them!). Hauled the boxes back to the main office and started the process of pulling the correct information. Once this information was found, we hand calculated the attendance and cross reference with the billing. The time it took to gather information for the first 3 months of the time frame was 2 days. (Driving, thinking, sorting, cursing, disinfecting, coffee)

The process to gather information for the last 3 months for the AUDIT was far less painful. I sat in billing and pulled the saved reports in Therap and attached to the billing and WALA, we were done. This process took approx. 30 minutes and another 30 minutes to package the material into a pretty presentation!!

This whole ordeal “solidified” my belief that Therap is a “Time Saver” and a saver of stress everywhere! So, if you are thinking about adding more modules, don’t be me and stating “I wish we would have added that module a long time ago”!

By | 2016-11-03T10:15:40+00:00 June 14th, 2012|Categories: Susie Walton's Posts|Tags: , , , |1 Comment