AlphaCM
Purpose of this module is to allow MCS staff to create and maintain scores for different client and provider measures in the AlphaMCS system. This is accomplished by utilizing the Measures Maintenance screen which will be used to create measure types and the scores associated with the measure. Measures are grouped, which will allow for placement and usage in specific areas of the application. The measure group type will be setup as either client or provider based. Once a Measure type is created it can then be used on the associated tile within MCS.
Provider Monitoring: The North Carolina Gold Star Provider Monitoring Process for LME/MCOs
Measure Maintenance Basics
To start configuring and set up your Measures, navigate to the Measures Maintenance screen by navigating to Menu > Master > Measure Maintenance
The below screen will load in order for you to Create, Filter or Update a measure:
**Choose the 3 view to access the update button.
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Create: click create to Start a new Measure
Filter: click filter to search for particular measures by Measure ID, Group, Name and Active/Inactive (displayed below)
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Measure ID: unique Alpha assigned ID used to determine a particular record.
Measure Group: MCO named group or agency the associated measures are inteded for.
Measure Name: identifiable name of the measure within the measure group.
Total Score: displays the total possible scores for a particular measure name w/in a group.
Effective/End Date: date range the scoring measure name is available.
Creating a Measure: adding a Group (TOP)
To create a new Measure, choose Create. The below screen will appear:
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After choosing Add Group, the below screen will appear to start creating your new Group Measure:
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After clicking OK on the “Inserted Successfully” message, your newly created group will be listed on the Measure Group dropdown on the previous menu:
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Creating a Measure: measure name and scale (TOP)
From here, we’ll use an actual example of a Gold Star measure. For this example I am going to the website to add one of the Gold Star Specialized tools for “DHHS Residential Treatment Staff Ratio Review Tool:”
Select the Measure Group: Give the measure a name and the number of scores you want to include:
[pic] [pic]
Measure ID: unique Alpha assigned ID used to determine a particular record.
Measure Group: select the group you just created to add measures to.
Measure Name: create a name for the measure you’re creating within the group.
Total Score: identify the number of scores you want to use by typing the number.
Effective Date: choose a start date you want this measure to be available.
End Date: choose an end date when this measure will no longer be valid.
Creating a Measure: identifying the measure function (TOP)
After creating the “Base information” for the measure, you will now want to identify how the measures function, to do so, choose Save after creating the measure and additional configurable information will display below the measure you just created, demonstrated below:
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Score: indicates each score in the measure, since I chose 2 earlier, I have 2 different scores for my measure name. 1 and 2.
Score Name: assign a name to the measure to define and identify what it means.
Is Required: if checked, a score needs to be documented every time this measure is used.
Active: if unchecked, then the particular score will not be available or will be invalid.
Is Text Field: choose this if you want the score a “free-type” text field.
Date Picker: choose if you want to calendar dates as the measure
Is Dropdown: choose this if you want options presented in a dropdown menu.
Edit Dropdown: after a dropdown is created, you can go back and edit them by clicking this button.
Creating a Measure: configuring dropdowns (TOP)
To utilize the dropdown menu option, click on the “Is Dropdown” radio button. Once selected, the below screen options will display:
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Dropdown list Properties:
Add: click the add button as you need to add additional dropdown options.
Remove: if you make a mistake or need to remove a line click the line to be removed and choose remove.
Display Name: the name you created to display as a dropdown option.
Value: enter the value to determine the sorting order of the dropdown menu.
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Measuring Providers (TOP)
To utilize the Provider Measure we just created to idenfity the providers standing, navigate to the Provider Measures module by navigating to: Menu > Provider Network > Provider Measures
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A single tile screen will load that will list all measures currently associated with providers. As the module is utilized and time goes on, you may need to utlize the Filter to search for particular measures by Provider, Measure Group, or Measure Name:
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To create a measure, choose the Create button. Once clicked, the below screen will load for you to start recording provider measures:
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Once the measure is saved, you will be brought back to the opening screen and you can confirm your measure:
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Tech Notes: (TOP)
|Table Name |Fields |
|Tb_measure_group – table that stores |Field Name |
|the measure’s definition (represents |Type |
|one measure form). |Desc |
| | |
| |Measure_grp_id |
| |int |
| |Primary key |
| | |
| |Measure_group |
| |Varchar(200) |
| |Group name |
| | |
| |Measure_type |
| |Int |
| |“patient” or “provider” should be value displayed |
| | |
| |Eff_dt |
| |Datetime |
| | |
| | |
| |End_dt |
| |Datetime |
| | |
| | |
| |Active |
| |Bit |
| | |
| | |
| |Create_dt |
| |Date |
| | |
| | |
| |Create_by_id |
| |Int |
| | |
| | |
| |last_upd_dt |
| |Date |
| | |
| | |
| |Last_upd_by_id |
| |Int |
| | |
| | |
|Tb_measure – table that stores the |Field Name |
|measure’s definition (represents one |Type |
|measure form). |Desc |
| | |
| |Measure_id |
| |int |
| |Primary key |
| | |
| |Measure_name |
| |Varchar(200) |
| |Measure name |
| | |
| |Measure_grp_id |
| |Int |
| |Foreign key to link with tb_measure_group |
| | |
| |Measure_freq |
| |Int |
| |Id from dd_list_det |
| | |
| |Eff_dt |
| |Datetime |
| | |
| | |
| |End_dt |
| |Datetime |
| | |
| | |
| |Num_scores |
| |int |
| | |
| | |
| |Measure_desc |
| |Varchar(max) |
| |Description of the measure |
| | |
| |Active |
| |Bit |
| | |
| | |
| |Create_dt |
| |Date |
| | |
| | |
| |Create_by_id |
| |Int |
| | |
| | |
| |last_upd_dt |
| |Date |
| | |
| | |
| |Last_upd_by_id |
| |Int |
| | |
| | |
|Tb_measure_det – table that defines |Field Name |
|the individual measures that make up |Type |
|the entire measure form |Desc |
| | |
| |Measure_det_id |
| |Int |
| |Primary key |
| | |
| |Measure _id |
| |Int |
| |Foreign key that links to tb_measure |
| | |
| |Pat_ID |
| |Int |
| |Allows nulls |
| | |
| |Prov_id |
| |Int |
| |Allows nulls |
| | |
| |Total |
| |Varchar |
| | |
| | |
| |Score_dt |
| |datetime |
| |Date of scoring |
| | |
| |Score1 |
| |Varchar |
| | |
| | |
| |Score2 -50 |
| | |
| | |
| | |
| |Create_dt |
| |Datetime |
| | |
| | |
| |Upd_dt |
| |Datetime |
| | |
| | |
| |Active |
| |Bit |
| | |
| | |
| | |
| | |
| | |
| | |
|Tb_measure_type |Field Name |
| |Type |
| |Desc |
| | |
| |Measure_type_id |
| |int |
| | |
| | |
| |Measure_type_desc |
| |Varchar(20) |
| |Description of the type. The values in this table will be “TRUE/FALSE”, or “NUMBER” |
| | |
|Tb_measure_doc_ |Field Name |
| |Type |
| |Desc |
| | |
| |Measure_doc_id |
| |int |
| |Primary key |
| | |
| |Measure_id |
| |Int |
| |Foreign key |
| | |
| |Doc_img |
| | |
| |Stores the uploaded document |
| | |
| |Create_dt |
| |Date |
| | |
| | |
| |Create_by_id |
| |Int |
| | |
| | |
| |last_upd_dt |
| |Date |
| | |
| | |
| |Last_upd_by_id |
| |Int |
| | |
| | |
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