PATIENT APPOINTMENT AND SCHEDULING REFERENCE MANUAL

Transcription

PATIENT APPOINTMENT AND SCHEDULING REFERENCE MANUAL
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PATIENT APPOINTMENT AND SCHEDULING
REFERENCE MANUAL
Copyright 1996 SAIC
License is granted under Contract DAHC94-88-D-0005 and the provisions of
DFAR 52.227-7013 (May 1987) to the U.S. Government and third parties under its employ
to reproduce this document, in whole or in part, for Government purposes only .
Submitted in Response to
Contract DAHC94-88-D-0005, CDRL Item B047
For:
U.S. Army Information System Section & Acquisition Agency
and Composite Health Care System Program Office
By:
Science Applications International Corporation (SAIC)
Health Care Technology Sector (HCTS)
10260 Campus Point Drive, San Diego, CA 92121
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
LIST OF EFFECTIVE PAGES
Reference copyright on title page.
•
This document includes the specific pages cited below.
•
The “Date” column indicates the date carried in the header of the subject
page, thereby identifying the current issue of each page in this document.
•
If change pages are issued, insert as specified in the change notice.
Dispose of superseded pages in accordance with applicable regulations.
Date
Page Number
29 Jul 1996
Title page (i)
29 Jul 1996
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29 Jul 1996
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29 Jul 1996
2-1 — 2-114
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3-1 — 3-36
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ii
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RECORD OF CHANGE
This record is maintained throughout the life of the document; each published
update is recorded. A Change Package (re-issue of changed pages only) carries
change bars in the page margins to identify differences from the preceding issue.
Due to the scope of change that necessitates a Revision (re-issue of entire
document), a Revision does not carry change bars.
Issue
Date
Summary Description
Alpha
Draft
06 May 1996 Initial draft submittal.
CHCS-4.5
Final
29 Jul 1996
CHCS-4.51
Initial submittal.
iii
Reference Data
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PATIENT APPOINTMENT AND SCHEDULING REFERENCE MANUAL
Table of Contents
Section
Page
INTRODUCTION TO THE REFERENCE MANUAL .............................
vi
Section 1
Subsystem Overview ...............................................................................
1-1
Table 1. File Access Codes for Common, PAS, and MCP Files .............
Table 2. PAS and MCP Security Keys ....................................................
1-6
1-8
Section 2
Menu Diagrams & Definitions ..............................................................
2-1
PAS System Menu Diagram....................................................................
Scheduling Supervisor Menu Diagram...................................................
Scheduling Supervisor Menu Definitions ...............................................
Clerk Scheduling Menu Diagram ...........................................................
Clerk Scheduling Menu Definitions........................................................
Emergency Room Menu Diagram ...........................................................
Emergency Room Menu Definitions .......................................................
Managed Care Program Menu Diagram ................................................
Managed Care Program Menu Definitions.............................................
2-16
2-17
2-20
2-40
2-41
2-48
2-49
2-54
2-64
Section 3
Procedure Flowcharts ............................................................................
3-1
BOOK APPOINTMENTS FOR A SINGLE PATIENT ..........................
BOOK APPOINTMENTS FOR MULTIPLE PATIENTS
(SINGLE CLINIC) ................................................................................
BOOK APPOINTMENTS FOR A FAMILY ............................................
OVERBOOK AN APPOINTMENT SLOT ..............................................
MODIFY AN APPOINTMENT SLOT ....................................................
CREATE A PROVIDER SCHEDULE ....................................................
WAIT LIST PROCESSING .....................................................................
CANCEL APPOINTMENT SLOTS BY FACILITY ...............................
MODIFY PROVIDER SCHEDULES ......................................................
CREATE DAILY PROVIDER TEMPLATE ............................................
CREATE WEEKLY PROVIDER TEMPLATE .......................................
EDIT A CLINIC PROFILE ......................................................................
CHECK-IN PATIENT(S) .........................................................................
iv
3-2
3-3
3-4
3-5
3-6
3-7
3-8
3-9
3-10
3-11
3-12
3-13
3-14
Table of Contents
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PATIENT APPOINTMENT AND SCHEDULING REFERENCE MANUAL
Table of Contents (continued)
Section
Page
END-OF-DAY PROCESSING .................................................................
ADD/MODIFY/DELETE WAIT LIST REQUEST ..................................
APPOINTMENT CANCELLATION BY PATIENT ...............................
CHECK-OUT EMERGENCY ROOM PATIENT ....................................
UPDATE EMERGENCY ROOM PATIENT DATA ...............................
CHECK-OUT/RECHARGE PATIENT MEDICAL RECORD ................
ENROLL AN ACTIVE-DUTY PATIENT INTO THE MCP ..................
ENROLL A FAMILY MEMBER INTO MCP .........................................
AUTO ENROLL AN ACTIVE-DUTY PATIENT INTO MCP ................
ASSIGN AN EXCEPTION PROVIDER TO AN MCP PATIENT ..........
REASSIGN A FAMILY TO A NEW PCM ..............................................
REASSIGN A PCM’S PATIENTS TO ONE OR MULTIPLE
NEW PCMS ..........................................................................................
BOOK AN APPOINTMENT FOR AN ENROLLED PATIENT
WITH AN ASSIGNED PCM ................................................................
BOOK AN APPOINTMENT FOR AN ENROLLED PATIENT
WITH A PROVIDER ............................................................................
BOOK AN APPOINTMENT FOR A NON-ENROLLED PATIENT
WITH A PROVIDER ............................................................................
BOOK AN APPOINTMENT FOR A CASE MANAGEMENT
PATIENT WITH AN EXCEPTION PROVIDER ................................
GENERATE A NON-AVAILABILITY STATEMENT ...........................
ENTER A NEW PLACE OF CARE .........................................................
CREATE A PROVIDER GROUP ............................................................
ASSIGN A UNIT IDENTIFICATION CODE (UIC) TO A PCM ...........
3-15
3-16
3-17
3-18
3-19
3-20
3-21
3-23
3-25
3-26
3-27
3-28
3-29
3-30
3-31
3-32
3-33
3-34
3-35
3-36
Section 4
Quick Reference Guides .........................................................................
4-1
Section 5
Subsystem Glossary.................................................................................
5-1
Section 6
Sample Output Reports ..........................................................................
6-1
MCP ............................................................................................................. 6-229
v
Table of Contents
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INTRODUCTION TO THE REFERENCE MANUAL
The subsystem-specific Reference Manual is designed to help you during CHCS
training classes and at the workcenter as you become familiar with CHCS. You
can use the information in this manual to:
• Review what you learned in your functionality training
• Become familiar with other options included in your subsystem
• Provide detailed on-the-job quick references
The subsystem Reference Manual contains the following sections:
Section 1. Subsystem Overview
Section 2. Menu Diagrams & Definitions
This section contains menu diagrams for the entire subsystem, and definitions of
every menu option in the diagrams.
The first part of this section is the Option Finder, where every menu option in the
subsystem is listed alphabetically by option name (not synonym). The page
number where the option definition is found is listed at the right margin, opposite
the option name.
A diagram of the main subsystem menu immediately follows the Option Finder.
Beginning on the page following this diagram, options on the main subsystem
menu are briefly defined in the order they appear on the menu.
Options on the main subsystem menu that lead to additional menus are also
diagrammed to show all menu layers. On a separate page, associated option
definitions immediately follow each main option diagram, also in the order they
appear on the successive menus.
Section 3. Procedure Flowcharts
Flowcharts are a visual representation of the steps required to complete a
procedure.
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Introduction
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Section 4. Quick Reference Guides
This section contains “at a glance” information, including option or action
definitions, screen displays, entry path, and other “need to know” information, for
commonly used options and actions. Most of the guides are specific to the
subsystem; however, some of the guides in each Reference Manual apply to all
subsystems. The titles of these common Quick Reference Guides all begin with
“CHCS.”
The guides are displayed sideways on the paper so that the sites can have the
guides bound into a pocket-size quick reference for users.
Section 5. Subsystem Glossary
This section contains CHCS and subsystem terminology and definitions. The
terms are arranged alphabetically for easy reference.
Section 6. Sample Output Reports
This section contains sample copies of subsystem reports. You may want to refer
students to this section during class as you discuss the various reports available.
• END
vii
Introduction
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PATIENT APPOINTMENT AND
SCHEDULING
REFERENCE MANUAL
Section 1
Subsystem Overview
1-1
Subsystem Overview
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PATIENT APPOINTMENT AND SCHEDULING REFERENCE MANUAL
Section 1. Subsystem Overview
CHCS provides functionality in nine subsystems. This is the software that most
medical treatment facility (MTF) personnel use on a daily basis as they perform
patient care and administrative activities. A description of the Patient
Appointment and Scheduling (PAS) subsystem follows.
PATIENT APPOINTMENT AND SCHEDULING (PAS)
PAS software is used by scheduling supervisors who use the PAS Subsystem to
add and maintain clinic, provider, and appointment type profile information.
Processing provider schedules is simplified by templates that can quickly create
the needed schedules. The transfer of schedules between providers in a clinic can
be performed automatically and any schedule conflicts are displayed to the user
for resolution.
When new schedules are created, Wait List requests can be processed
automatically, including generation of mailers notifying the patients of the booked
appointments, or interactively recording the results of the attempted phone
contact and any booked appointment.
Booking personnel use PAS functions in the performance of their daily tasks to
search for single or multiple appointments in one or more clinics; to cancel and
reschedule appointments, and enter Wait List requests. Patient appointment
information, (past, present, or future) can be quickly displayed and printed when
needed.
The Front Desk personnel use various options to check-in patients, process Wait
List requests, and maintain the End-Of-Day Processing Report.
Emergency Room (ER) personnel use PAS functionality to enter and update ER
encounters. Rapid entry of patients not registered can be performed, and the
patient data can be easily updated as necessary. Encounter forms (SF558) can be
printed automatically or on demand.
PAS personnel use CHCS to automate collecting data for the generation and
printing of rosters, management reports, operational reports, and workload
statistics.
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MANAGED CARE PROGRAM (MCP)
MCP software is an automated program that helps MTFs manage information for
MCP network providers and their subcontractors. MCP allows health care finders
(HCFs), health benefits advisors, MTF booking clerks, and MTF supervisors to
search for the most cost-effective source of speciality care regardless of whether
the patient is enrolled in the MCP.
When searching for specialty care, the MCP simultaneously searches for both
MTF and civilian providers in the network. MCP then displays a list of providers,
grouped by discount rate, from which a selection can be made.
MCP personnel can maintain system files and tables that support MCP; create
and maintain information to support the provider network and other MCP
management reports and outputs; perform patient enrollment processing; manage
appointment referrals, perform provider searches, and book appointments with
specialists in the provider network for both enrolled and non-enrolled patients;
book appointments for enrolled patients with their primary care manager; and
issue non-availability statements (NASs) and care authorizations.
MENU ASSIGNMENTS
Prior to activation of the PAS subsystem, users must be assigned their access and
verify codes, menus, File Manager (FileMan) access codes, and security keys.
PAS Primary Menu Assignments
All users are assigned a primary menu. When the user logs on to the system, this
menu displays. Some PAS users can be assigned the PAS System Menu [SD PAS
MAIN MENU] as their primary menu, while others are assigned a different
primary menu depending on their function within the clinic. The PAS System
Menu gives access to all supervisor and clerk functionality and should be limited
to supervisors.
The following guidelines are used for assigning menus to PAS users:
User
Menu
PAS Supervisors
SD PAS SUPER
PAS Clerk
SD CLERK MENU
PAS Supervisors and Clerks
SD PAS MAIN MENU
Emergency (ER) Personnel
SD EMERGENCY ROOM MAIN MENU
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MCP Menu Assignments
The following guidelines, FileMan access codes, and security keys are used for
assigning menus to MCP users:
–
MCP File and Table (F/T) Point of Contact (POC)
Primary Menu Option:
Secondary Menu Options:
FileMan Access Codes:
Security Keys:
–
Systems Manager Menu (EVE)
#SsA
CPZ MCP
CPZ NET
CPZ FILE
CPZ AGRMOD
DOD DATABASE ADMIN
DOD F-T MANAGEMENT
DOD REACTIVATE
DOD MEPRS SYSTEM
DOD MEPRS SD
MCP F/T POC - Systems Manager Menu (EVE) Restricted
Primary Menu Option:
Secondary Menu Options:
FileMan Access Codes:
Security Keys:
Managed Care Program Menu [MCP MAIN
MENU]
Menu Management Menu [XUMAINT]
User Management Menu [XUSER]
Database Administration Menu [DOD DB
MENU]
#SsA
CPZ MCP
CPZ NET
CPZ FILE
CPZ AGRMOD
CPZ AD HOC/DIOUT
DOD DATABASE ADMIN
DOD F-T MANAGEMENT
DOD REACTIVATE
DOD MEPRS SYSTEM
DOD MEPRS SD
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–
MCP HCFs
Primary Menu Option:
Secondary Menu Options:
FileMan Access Codes:
Clinic Access (PAS
Booking Keys):
Managed Care Program Menu [MCP MAIN
MENU]
End-of-Day Processing/Editing [SD EOD
EDITING]
Operational Reports Menu [SD OPER REPORTS]
&s
Security Keys:CPZ MCP
CPZ CASE
CPZ NAS
CPZ PCM LABEL
SD (BOOKING AUTHORITY)
SD (CHANGE AUTHORITY)
SD (OVERBOOK AUTHORITY)
FILEMAN ACCESS
Some files and some fields within the files are protected with FileMan access
security. The user must have one of the file access codes assigned in the User file
record to be able to perform the read, write, delete, copy, or learn as you go
(LAYGO) of the file.
Each subsystem within CHCS has specific FileMan access codes. Generally,
uppercase codes specify supervisor access and usually permit both read and write
access. Lowercase codes specify standard user access and usually permit read-only
access. Each subsystem defines the use of the related code.
Table 1 lists the Common, PAS, and MCP files and the associated FileMan access
codes needed to read, write, or LAYGO into each file. Note that only one of the
codes specified is needed for access. After a FileMan access code has been added
or edited, the user must perform a restart session to update the user account.
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Table 1. File Access Codes for Common, PAS, and MCP Files
File #
File Name
Access
Read
Write
LAYGO
#
#
Common Files
40.8
Medical Center Division
S
45.7
Department and Service
#
#
8119
MEPRS Codes
#
#
5.8002
Zip Code
#^
#^
40.5
Holiday
#
#
44
Hospital Location
Ss
Ss
7
Provider Class
#
#
3.1
Title
#
#
3
User
#
#
6
Provider
#P
#P
8111
Unit Ship ID
#
#
Ss
@
PAS Files
44.5
Appointment Type
Ss
S
44.6
PAS Profile Template
Ss
S
S
Aa
Aa
MCP Files
8064
Insurance Company
8561
MCP Assignment Reason
Ss
S
S
8564
MCP Disenrollment Reason
Ss
S
S
8560
MCP Form Text
S
S
S
39.4
Embosser Format
#DdSs
#DS
#DS
FM-00398-1
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Table 1. File Access Codes for Common, PAS, and MCP Files (continued)
File #
File Name
Access
Read
Write
LAYGO
8555
MCP Office
Ss
Ss
Ss
8556
MCP HCF
Ss
Ss
Ss
8577
MCP Zip Code Combination
Ss
Ss
Ss
8566
MCP Facility Type
Ss
S
Ss
8583
NAS Issuing Officer
S
S
S
8576
MCP Provider Specialty
Type
Ss
S
S
8568
Professional Category
Ss
S
S
8569
Military Status
Ss
S
S
8550
MCP Provider Group
Ss
S
8553
MCP Place of Care
Ss
S
78551
MCP Provider
Ss
S
S
8570
MCP Appointment Refusal
S
@
@
8578
MCP Parameters
S
S
S
8579
MCP Unit PCM
Ss
Ss
@
FM-00398-2
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SECURITY KEYS
Table 2 briefly describes the PAS and MCP security keys.
Table 2. PAS and MCP Security Keys
Security Key
Description
PAS Security Keys
SDCL1
Security key for supervisors at the clinic level. Assign to
supervisors who are the only ones allowed to book a
particular appointment type (if set up with clinic
appointment types) or perform End-of-Day Processing
more than seven days in the past. This key can be given
to the appointment types at the clinic level.
SDCL2
Security key for senior/lead clerks at the clinic level.
This key does not restrict or control any PAS options at
this time.
SDCL3
Security key for general clerks at the clinic level. This
key does not restrict or control any PAS options at this
time.
SDEROOM
Allows holders access to the Emergency Room primary
menu [SD EMERGENCY ROOM MAIN MENU].
Assign to all ER personnel who require access to
perform ER functions in CHCS.
SDHCP1
Security key for supervisors at the provider level.
Assign to supervisors who need the capability to edit
End-of-Day processing more than seven days in the
past.
SDHCP2
Security key for senior/lead clerks at the provider level.
This key does not restrict or control any PAS options at
this time.
SDHCP3
Security key for general clerks at the provider level.
This key does not restrict or control any PAS options at
this time.
FM-00399-1
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Table 2. PAS and MCP Security Keys (continued)
Security Key
Description
SDZ PAS
FILE-TABLE
MAINT
Allows holders access to the PAS File/Table
Maintenance Menu. Assign to those supervisors who
need to activate and inactivate providers in clinics;
create new clinics; enter/edit Medical Expense and
Performance Reporting System (MEPRS) codes/cost
pools, method of transit codes, outpatient disposition
codes, schedule modification reasons, trackable entity
codes, wait list priorities; and enter/edit, view, and print
PAS mailers.
SD ARCHIVE
Locks the Archive Patient Date option on the PAS
Menu. (Note: Do not assign this security key to any
users as the archive functions are still under
development.) This key does not restrict or control any
PAS options at this time.
SDZ RESTRICTED
VIEW
Allows holders to set restricted clinics and to give other
users access to them. (Note: Do not assign this security
key to any users as the restricted view functions are still
under development.) This key does not restrict or
control any PAS options at this time.
MCP Security Keys
CPZ MCP
Allows holders to access the Managed Care Program
Menu [MCP MAIN MENU] on the PAS Main Menu [SD
PAS MAIN MENU]. All HCFs and MCP File and Table
POCs should be assigned this key.
CPZ NET
Locks the Provider Network Management Menu [MCP
NET MAINTAIN MENU] option on the Managed Care
Program Menu [MCP MAIN MENU]. MCP File and
Table POCs should be assigned this key.
CPZ FILE
Locks the File and Table for MCP Menu [MCP FILE
TABLE MAINT MENU] on the Managed Care Program
Menu [MCP MAIN MENU]. MCP File and Table POCs
should be assigned this key.
FM-00399-2
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Table 2. PAS and MCP Security Keys (continued)
Security Key
Description
CPZ AGRMOD
Allows holders to access the Modify Group Agreement
Effective Date [MCP AGREEMENT MODIFICATION]
option on the Provider Network Management Menu
[MCP NET MAINTAIN MENU]. This is a central
processing unit (CPU)-intensive option and should only
be assigned to a few select MCP File and Table POCs.
CPZ AGREEMENT
Locks the Agreement Type Enter/Edit [MCP
AGREEMENT TYPE ENTER EDIT] option on the
Provider Network File/Table Maintenance Menu [MCP
HCP NET FILE MAINT MENU]. Allows users with the
CPZ FILE security key to edit the agreement types for
the MTF. This key should only be assigned to a few
select MCP File and Table POCs.
CPZ OHI
Allows PAS users to enter other health insurance (OHI)
via the PAS Demographics Display Action Bar.
CPZ CASE
Allows holders to enter/edit case managers (nonnetwork providers/exception providers) for patients.
PAS users who hold the CPZ OHI security key in
addition to this key have the capability to add case
managers via the OHI option on the Demographics
Display screen.
CPZ NAS
Locks the Interactive NAS Processing Menu [MCP NAS
MAIN MENU] option on the Managed Care Program
Menu [MCP MAIN MENU]. This option allows users to
enter non-availability statements (NASs).
CPZ PCM BATCH
Locks the Batch PCM Reassignment [MCP BATCH
PCM REASSIGNMENT] option from the Managed
Care Program Menu [MCP MAIN MENU]. This is a
CPU-intensive task that should be restricted to selected
personnel.
CPZ AD HOC
Allows holders within the MCP module to access Print,
Search, and Inquire File Entries options.
FM-00399-3
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Table 2. PAS and MCP Security Keys (continued)
Security Key
Description
CPZ LABEL
Allows holders to generate provider labels, and mailing
labels for individual patients or by family (batch).
CPZ ZIP
Allows holders to override a patient's residential zip
code if that zip code has been defined as being outside
the enrollment (catchment) area for the site.
CPZ PARAMETER
Allows holders access to the MCP Parameters file.
Allows the site to set restrictions on enrollment mix and
zip codes, and to determine if the site is going to run in
Local Empanelment Mode or Full Enrollment Mode.
Additional Security Keys
DOD DATABASE
ADMIN
Locks the Database Administration Menu [DOD DB
ADMIN] option on the Core Application Menu
[EXOCHORIA]. Assign to MCP File and Table POCs in
order to access the MEPRS System Menu [DOD MEPRS
SYSTEM MENU] and the Common Files and Tables
Management Menu [DOD F-T BUILD MAIN MENU].
DOD F-T
MANAGEMENT
Locks the Common Files and Tables Management
Menu [DOD F-T BUILD MAIN MENU] option on the
Database Administration Menu [DOD DB ADMIN].
Assign to MCP File and Table POCs in order to access
the Provider File Enter/Edit [DOD PROVIDER EDIT]
option and Inactivate/Reactivate File Entries [DOD
REACTIVATION] option.
DOD REACTIVATE
Locks the Inactivate/Reactivate File Entries [DOD
REACTIVATION] option on the Common Files and
Tables Maintenance Menu [DOD MAINTAIN F-T].
This is a very powerful option that should be closely
monitored. It is primarily needed for MCP File and
Table POCs that maintain the Civilian Provider
Network.
FM-00399-4
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Table 2. PAS and MCP Security Keys (continued)
Security Key
Description
DOD MEPRS
SYSTEM
Locks the MEPRS System Menu [DOD MEPRS
SYSTEM MENU] option on the Database
Administration Menu [DOD DB ADMIN]. Allows
holders to inquire to four-digit MEPRS codes.
DOD MEPRS SD
Locks the Site Definable MEPRS Table Maintenance
[DOD MEPRS SD TABLE MAT] option on the
Workload Files Maintenance Menu [DOD MEPRS
MAINTAIN F-T MENU]. The user who holds this key
must also hold the DOD MEPRS SYSTEM key. Assign
this key to the MCP File and Table POCs responsible for
building the generic MEPRS codes for the MCP
catchment area. The codes must be built under the
Defense Medical Information Systems (DMIS) ID and
GROUP ID associated with the MCP division. This is
accomplished by building the codes while signed on to
the MCP division.
FM-00399-5
PAS Security Keys
The PAS subsystem allows PAS supervisory personnel to control which scheduling
clerks can book a slot for specified appointment types (Booking Authority),
overbook according to a particular appointment type (Overbook Authority), or
have the authorization to change, join, or split specified appointment types
(Appointment Change Authority). These can be controlled either at the clinic level
or provider level by using seven pre-assigned PAS security keys that are sent out
with the PAS package for basic security access control (SDCL1-SDHCP3). The site
can set up more elaborate security schemes by creating its own set of security keys.
Selected PAS clinic personnel also need security keys to access some Medical
Record Tracking (MRT) functions.
END
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PATIENT APPOINTMENT AND
SCHEDULING
REFERENCE MANUAL
Section 2
Menu Diagrams & Definitions
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PATIENT APPOINTMENT AND SCHEDULING REFERENCE MANUAL
Section 2. Menu Diagrams & Definitions
Menu Definitions Index
Title
Page
Activate/Inactivate Clinic Provider (AFIL) ......................................
2-35
Activity Date and ER Clinic Edit (AER)...........................................
2-50
AD Family Member by Unit Enrollment Roster (1) ........................
2-73, 2-83
Ad Hoc Report Menu (AHOC) ...........................................................
2-34
Ad Hoc Report Menu (AMCP) ...........................................................
2-113
Address Label for Patient (APAL) ....................................................
2-80
Agreement Data Changes (AGDC) ...................................................
2-112
Agreement Reports Menu (AMRM) ..................................................
2-104
Agreement Type Referral Summary (1) ...........................................
2-65, 2-87
Alphabetic Enrollment Roster by Service (2) ...................................
2-74, 2-83
Appointment Order Processing (AOP)..............................................
2-42
Appointment Referral Booking (AHCF) ...........................................
2-64
Appointment Type Enter/Edit (APRO) .............................................
2-21
Appointment Type List (5) ................................................................
2-22
Appointment Utilization Report (1) ..................................................
2-29
Assign PAS Primary Clinic Location (AUSR) ..................................
2-38
Assignment Reports Menu (APCM)..................................................
2-99
Audit Trail for Provider Network Menu (AUDI)..............................
2-112
Available PCM Capacity by Provider Group (1)...............................
2-79, 2-93
Available Schedule Monitor Bulletin (1) ..........................................
2-37
Aviation Medicine Report (2).............................................................
2-37
Batch Enroll Active Duty (BENR) ....................................................
2-70
Batch PCM Reassignment (BPCM) ..................................................
2-100
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Menu Diagrams & Definitions
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Definitions Index (continued)
Title
Page
Batch PCM Reassignment Menu (BMCP)........................................
2-98
Batch Reports & Utilities Menu (BRPT) ..........................................
2-37
Book Appointments (BOK) ................................................................
2-41
Branch of Service Summary Report (BNAS)....................................
2-101
Call No-Show Report (1) ....................................................................
2-25, 2-44
Cancel a Request (CAN) ....................................................................
2-47, 2-98
Cancellation by Facility (CMSC).......................................................
2-25
Cancellation by Patient (CBP) ..........................................................
2-41
Cancellation by Patient (CMCP) .......................................................
2-81
Cancellation Processing (Mail/Phone) (CNOT) ................................
2-33, 2-42
Case Management Program Enrollment Roster (3) ........................
2-74, 2-83
Catchment Area Zip Code Enter/Edit (CAZC) .................................
2-110
Change Division of a Clinic (3)..........................................................
2-37
Change in Eligibility Enrollment Roster (4) ....................................
2-75, 2-84
Check-out & Patient Instructions (CER) ..........................................
2-49
Clean Up Appointment Global (4).....................................................
2-37
Clean Up DMIS ID Update (CLUP)..................................................
2-109
Clerk Scheduling Menu .....................................................................
2-41
Clerk Workload Recap Report (2) .....................................................
2-30
Clerk Workload Report (3).................................................................
2-30
Clinic Profile Edit (CPRO).................................................................
2-20
Clinic Profile List (3)..........................................................................
2-22
Clinic Schedule Summary (2) ............................................................
2-44
Clinic Workload Report (1) ................................................................
2-51
Clinic Workload Report (4) ................................................................
2-30
Command Facility Workload Recap Report (5) ................................
2-31
2-3
Menu Diagrams & Definitions
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Definitions Index (continued)
Title
Page
Command Security Program Report (5) ...........................................
2-37
Conditional Enrollment Processing (CENR) ....................................
2-68
Consolidated OR Provider Roster (One Clinic) (1) ...........................
2-33
Consolidated OR Provider Roster (One Clinic) (3) ...........................
2-44
Consolidated Roster (ALL Clinics) (2) ..............................................
2-33
Correct Patient Data Menu (CPAT)..................................................
2-39
Create a New Clinic (CFIL)...............................................................
2-35
Create Schedules (CSCH)..................................................................
2-23
Create/Edit Daily Template (CTEM) ................................................
2-23
Daily Outpatient Encounter Forms (Clin/Prov/Indv) (4) .................
2-45
Daily Outpatient Encounter Forms (Division/All) (2)......................
2-26
DEERS Eligibility Request (2) ..........................................................
2-52
DEERS Eligibility Request (DRDM).................................................
2-43, 2-96
DEERS/Enrollment Maintenance Reports Menu (DEMR)..............
2-95
DEERS/Enrollment Maintenance Reports Menu (DRPM)..............
2-69
Default PCM/UIC Report (6) .............................................................
2-80, 2-94
Delete Potential Candidate List (DBER)..........................................
2-71
Delete Template (DTEM) ..................................................................
2-23
Delinquent End-of-Day Processing Report (1) .................................
2-26
Department and Service File Enter/Edit (DEPT) ............................
2-111
Discount Provider Agreement Roster (1) ..........................................
2-90
Discount Provider Agreement Roster (4) ..........................................
2-105
Discrepancy Avoidance Report (3) ....................................................
2-106
Disenrollees for Period by Reason Code (5) .....................................
2-75, 2-84
Disenrollment (DENR) ......................................................................
2-68
Disenrollment Reason Enter/Edit (DISE) ........................................
2-107
2-4
Menu Diagrams & Definitions
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Definitions Index (continued)
Title
Page
Disenrollment Summary by Reason (1) ...........................................
2-77, 2-86
Display Patient Appointments (DMCP) ...........................................
2-81
Display Patient Appointments (DPA)...............................................
2-41
Display Request (DIS) .......................................................................
2-47, 2-98
Disposition Processing (DER)............................................................
2-50
Division Profile Edit (DPRO) ............................................................
2-20
Division Profile List (2)......................................................................
2-22
Edit a Request (EDI)..........................................................................
2-47, 2-98
Emergency Room Clinic Profile Edit (1) ...........................................
2-21, 2-51
Emergency Room Clinic Profile List (6)............................................
2-22
Emergency Room Menu .....................................................................
2-49
Emergency Room Profiles Menu (EER) ............................................
2-50
Emergency Room Profiles Menu (EPRO) .........................................
2-21
Emergency Room Provider Profile Edit (2) ......................................
2-51
Emergency Room Provider Profile List (7) .......................................
2-22
End-of-Day Processing/Editing (2) ....................................................
2-51
End-of-Day Processing/Editing (EOD)..............................................
2-42
Enrollee DMIS ID Update (DMIS)....................................................
2-109
Enrollee Entitlement Discrepancy Report (10) ................................
2-77, 2-85
Enrollee Lockout Override Reason Enter/Edit (LORE)...................
2-108
Enrollee/Patient Assignment Notification (ERPT) ..........................
2-99
Enrollment Block Reason Enter/Edit (EBRE)..................................
2-108
Enrollment Enter/Edit (EENR).........................................................
2-68
Enrollment File/Table Maintenance Menu (ETAB).........................
2-107
Enrollment Processing Menu (EMCP)..............................................
2-68
Enrollment Reports Menu (ERME) ..................................................
2-81
2-5
Menu Diagrams & Definitions
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Definitions Index (continued)
Title
Page
Enrollment Reports Menu (ERPM)...................................................
2-72
Enrollment Roster by PCM (2) ..........................................................
2-79, 2-93
Enrollment Roster Exception Conditions (6)....................................
2-75, 2-84
Enrollment Rosters Menu (ROST) ....................................................
2-73, 2-82
Enrollment Summaries Menu (SUMM) ...........................................
2-77, 2-86
Enrollment Summary Report (2) .....................................................
2-77, 2-86
Enrollment/Disenrollment Discrepancy Report (2)..........................
2-70, 2-95
Enter Network Appointment Refusals (EHCF) ...............................
2-65
Enter/Edit MEPRS Codes/COST POOL Codes (EFIL) ....................
2-35
Enter/Edit PAS Mailers (EML) .........................................................
2-36
Expiration Date Provider Agreement Roster (2)..............................
2-90
Expiration Date Provider Agreement Roster (5)..............................
2-105
Facility Cancellation Statistical Report (6) ......................................
2-31
Facility File/Table Maintenance Menu (FTAB) ...............................
2-109
Facility Profile Edit (FPRO) ..............................................................
2-20
Facility Profile List (1).......................................................................
2-22
Facility Type Enter/Edit (FACI) .......................................................
2-110
Family Batch Enrollment Labels Build Utility (1) .........................
2-72, 2-82
Family Batch Enrollment Labels Menu (LABL) ..............................
2-72, 2-81
Family Batch Enrollment Labels Print Utility (2) ..........................
2-73, 2-82
Family PCM Reassignment (FPCM).................................................
2-100
File/Table for MCP Menu (FMCP) ....................................................
2-107
File/Table Maintenance Menu (FILE) ..............................................
2-35
Former Patient Name (3) ..................................................................
2-52
Former Patient Name (FPAT)...........................................................
2-39
Freeze/Release Schedules (FMSC)....................................................
2-24
2-6
Menu Diagrams & Definitions
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Definitions Index (continued)
Title
Page
Frozen Slot Monitor Bulletin (6) .......................................................
2-38
Full ER Encounter (FER) ..................................................................
2-50
Full Registration (1)...........................................................................
2-52
Generate Embossed Card (4).............................................................
2-52
Generate Embossed Card (GRDM) ...................................................
2-43, 2-96
Group Data Changes (GPDC) ...........................................................
2-113
Group Enter/Edit (GROU).................................................................
2-111
Group Management Reports Menu (GMRM) ...................................
2-103
Group Member Roster (1) ..................................................................
2-103
Group Member Roster (3) ..................................................................
2-91
Group Profile/Agreements Enter/Edit (GNET) ................................
2-102
Hard Copy of Registration Form (5) .................................................
2-52
Hard Copy of Registration Form (HRDM)........................................
2-44, 2-96
Health Care Finder Menu (HMCP) ..................................................
2-64
Health Care Finder Reports Menu (HRPT) .....................................
2-87
Health Care Finder Reports Menu (RHCF) .....................................
2-65
Identify Duplicate Patients (IDP) .....................................................
2-39
Identify Potential Active Duty Candidates (IBER)..........................
2-70
Image Tracking (I) .............................................................................
2-46, 2-97
Incomplete Patient Address Report (3) ............................................
2-73, 2-82
Incomplete Provider Address Report (3)...........................................
2-90
Individual Patient Check-In (IPC)....................................................
2-41
Individual Provider Profile/Agreements Enter/Edit (INET) ...........
2-103
Information Desk Display (6) ............................................................
2-52
Initial and Follow-up Clinic Visit Report (7) ....................................
2-31
Inpatient Ward Roster for Today (3).................................................
2-34
2-7
Menu Diagrams & Definitions
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Definitions Index (continued)
Title
Page
Inpatient Ward Roster for Today (5).................................................
2-45
Inquire to File Entries (IDHC)..........................................................
2-114
Inquire to File Entries (IHOC)..........................................................
2-34
Insurance Company Enter/Edit (INSU) ...........................................
2-107
Interactive DEERS Eligibility Request (IENR) ...............................
2-69
Interactive NAS Processing Menu (IMCP).......................................
2-100
JCAHO Control Register Print (JER)...............................................
2-50
John Doe Registration (7) ..................................................................
2-52
Labels for Providers Menu (LABM) ..................................................
2-89
List File Attributes (LDHC) ..............................................................
2-114
List File Attributes (LHOC) ..............................................................
2-35
List PAS Users (LUSR) .....................................................................
2-39
List Profiles Menu (LPRO) ................................................................
2-21
Maintain/Cancel Schedules Menu (MSCH)......................................
2-24
Managed Care Program Menu ..........................................................
2-64
Management Reports Menu (MER) ..................................................
2-51
Management Reports Menu (MGRM) ..............................................
2-25
MCP Conditional Enrollment Roster (1) ..........................................
2-69, 2-95
MCP DEERS Ineligibility Report (3) ................................................
2-70, 2-95
MCP Division Profile Edit (DIVI) .....................................................
2-109
MCP Embosser Attribute Enter/Edit (EMBA) .................................
2-108
MCP Embosser Cards Enter/Edit (EMBC).......................................
2-108
MCP Embosser Type Enter/Edit (EMBT) ........................................
2-108
MCP Enrollment Form (MEFM) .......................................................
2-80
MCP Forms Text Enter/Edit (FORM)...............................................
2-107
MCP Health Care Finder Profile Enter/Edit (HEAL)......................
2-110
2-8
Menu Diagrams & Definitions
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Definitions Index (continued)
Title
Page
MCP Office Enter/Edit (OFFI) ..........................................................
2-109
MCP Parameters Profile Enter/Edit (PARA) ...................................
2-110
MCP Place of Care Report (1)............................................................
2-92
Medical Records Tracking (MRT) .....................................................
2-46, 2-97
Merge/Transfer Patient Data (MPAT)..............................................
2-39
Method of Transit Enter/Edit (MFIL)...............................................
2-36
Military No-Show Report (7) .............................................................
2-38
Military Status Enter/Edit (MILI) ....................................................
2-112
Mini Registration (8)..........................................................................
2-53
Mini Registration (MRDM) ...............................................................
2-44, 2-96
Miscellaneous Network Reports Menu (MMRM) .............................
2-106
Miscellaneous Reports Menu (MMGR) .............................................
2-25
Modify Group Agreement Effective Date (MNET) ...........................
2-107
Modify/Add/Delete Schedules (MMSC).............................................
2-25
Monthly Statistical Report (8)...........................................................
2-31
Multiple Check-In by Default (MCD) ...............................................
2-42
NAS Issuing Officer Enter/Edit (ISSO) ............................................
2-110
NAS Statistical Report (NNAS) ........................................................
2-101
Network Provider Reports Menu (NPRM) .......................................
2-89
New ER Patient Enter (NER) ...........................................................
2-49
Next Available Appointment Report (9) ...........................................
2-32
Non-Availability Statement Processing (NNAS) .............................
2-100
Non-Enrolled Booking (NHCF) .........................................................
2-65
Non-Enrolled Booking (NMCP).........................................................
2-67
No-Show Processing (Mail/Phone) (NNOT) ......................................
2-33, 2-43
No-Show Statistical Report (10)........................................................
2-32
2-9
Menu Diagrams & Definitions
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Definitions Index (continued)
Title
Page
Notify Patients Menu (Cancel, No-Show, Wait List) (NOT)............
2-42
Notify Patients Menu (Cancel, No-Show, Wait List) (NOTP) .........
2-32
OHI Enrollment Summary (3) .........................................................
2-78, 2-86
Open Schedules (OSCH) ....................................................................
2-23
Operational Reports Menu (ORM) ....................................................
2-44
Operational Rosters & Displays Menu (ORDM) ..............................
2-33
Outpatient Disposition Enter/Edit (OFIL) .......................................
2-36
Outpatient Disposition Roster (6) .....................................................
2-45
Output Products (OHCF)...................................................................
2-65
Outputs & Enrollment Maintenance Reports Menu (OENR) .........
2-69
Outputs & Management Reports Menu (OMCP) .............................
2-81
Outputs & Network Management Reports Menu (ONET) ..............
2-103
PAS DEERS Ineligibility Report (4) ................................................. 2-34, 2-70, 2-95
PAS DEERS Inquiries (8)..................................................................
2-38
PAS Mailer Menu (PFIL)...................................................................
2-36
PAS Weekly Data Clean Up (9).........................................................
2-38
Patient Cancellation Statistical Report (11) ....................................
2-32
Patient Category Enrollment Summary (4) .....................................
2-78, 2-87
Patient Check-Out (PCO) ..................................................................
2-47, 2-98
Patient Registration Report (3) .........................................................
2-26
Patient Visit Summary Report (7) ....................................................
2-45
PCM Activity Report (3) ....................................................................
2-79, 2-93
PCM Activity Report (4) ....................................................................
2-66, 2-88
PCM Assignment Change Roster by Reason (4) ..............................
2-79, 2-34
PCM Assignment Change Summary (5) ...........................................
2-80, 2-94
PCM Assignment Reason Enter/Edit (PCMA) .................................
2-107
2-10
Menu Diagrams & Definitions
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Definitions Index (continued)
Title
Page
PCM Booking (PHCF)........................................................................
2-64
PCM Enrollment Mix Discrepancy Report (5)..................................
2-104
PCM Enrollment Mix Discrepancy Report (8)..................................
2-94
PCM Enrollment Mix Discrepancy Statistical Summary (4) ..........
2-104
PCM Enrollment Mix Discrepancy Statistical Summary (7) ..........
2-94
PCM Reassignment Report (RRPT) ..................................................
2-99
PCM Reports Menu (PRPM) .............................................................
2-78
PCM Reports Menu (PRPT) ..............................................................
2-93
Place of Care Data Changes (LCDC) ................................................
2-113
Place of Care Enter/Edit (PLAC) ......................................................
2-111
Primary Provider Report (4)..............................................................
2-26
Print Batch Enrollment Report (PBER) ...........................................
2-71
Print Clinic/Provider Schedules (PSCH) ..........................................
2-24
Print Daily/Weekly Template (PTEM) .............................................
2-23
Print File Entries (PDHC).................................................................
2-114
Print File Entries (PHOC).................................................................
2-34
Print PAS Mailer Notices (10)...........................................................
2-38
Print PAS Mailers (PML) ..................................................................
2-36
Print PAS User (PUSR) .....................................................................
2-39
Print Patient Address Label (LHCF) ................................................
2-67
Print/Display Enrollment History (PENR).......................................
2-69
Print/Display Provider Roster (5) .....................................................
2-34
Print/Display Provider Roster (8) .....................................................
2-45
Problem Avoidance Report (2)...........................................................
2-26
Problem Avoidance Reports Menu (PMGR) .....................................
2-26
Problem, Procedure & Diagnosis Enter/Edit (PER).........................
2-49
2-11
Menu Diagrams & Definitions
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Definitions Index (continued)
Title
Page
Professional Category Enter/Edit (PROF)........................................
2-112
Profiles Menu (PROF)........................................................................
2-20
Provider Agreement Detail Report (3) ..............................................
2-92
Provider Alphabetic Agreement Roster (1).......................................
2-104
Provider Alphabetic Agreement Roster (4).......................................
2-91
Provider Assignment Notification (PRPT) .......................................
2-99
Provider Batch Address Labels - Build Utility (1) ...........................
2-89, 2-106
Provider Batch Address Labels - Print Utility (2)............................
2-89, 2-106
Provider Change (PMSC) ..................................................................
2-24
Provider Data Changes (PRDC)........................................................
2-113
Provider Enter/Edit (PROV)..............................................................
2-111
Provider Group Report (2) .................................................................
2-92, 2-103
Provider List by Specialty (3) ............................................................
2-104
Provider List by Specialty (5) ............................................................
2-91
Provider Network File/Table Maintenance Menu (PTAB) ..............
2-111
Provider Network List (3)..................................................................
2-66, 2-88
Provider Network Management Menu (PMCP) ...............................
2-102
Provider Patient Workload Report (5) ..............................................
2-67, 2-88
Provider Profile Enter/Edit (PPRO)..................................................
2-20
Provider Profile List (4) .....................................................................
2-22
Provider Roster (ALL Clinics) (6)......................................................
2-34
Provider Rosters Menu (PROM) .......................................................
2-90
Provider Schedule Summary (9) .......................................................
2-45
Reactivate MCP Enrollment (RACT)................................................
2-111
Reason for Issue by Patient Category Report (PNAS) .....................
2-101
Reason for Issue Summary Report (SNAS) ......................................
2-101
2-12
Menu Diagrams & Definitions
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Definitions Index (continued)
Title
Page
Re-Charge Records (RCR) .................................................................
2-46, 2-97
Reciprocal Disenrollment by Reason Roster (7) ..............................
2-76, 2-84
Reciprocal Disenrollment Discrepancy Report (8) ..........................
2-76, 2-85
Reciprocal Disenrollment Processing (RENR) .................................
2-68
Refused Appointments Report (6) .....................................................
2-67, 2-89
Registration & DEERS Menu (RDM) ...............................................
2-43
Registration & DEERS Menu (RREG) .............................................
2-96
Registration Menu (RER) ..................................................................
2-51
Registration Menu (RMCP) ...............................................................
2-96
Repeat No-Show & Strong Notice Processing (RNOT) ....................
2-33, 2-43
Replicate Daily Template (RTEM)....................................................
2-23
Replicate Schedules (RSCH) .............................................................
2-24
Reports for NAS (RNAS) ...................................................................
2-101
Reports for Provider Menu (RPTM) ..................................................
2-92
Request a Record (9) ..........................................................................
2-53
Request a Record (QUE) ....................................................................
2-47, 2-97
Schedule Deficiencies Report ............................................................
2-28
Schedule Deficiency Monitor Report (3) ...........................................
2-28
Schedule Modification Reason Enter/Edit (SFIL) ............................
2-36
Schedule Problem Avoidance Report (11).........................................
2-38
Schedules Menu (SCHE) ...................................................................
2-23
Scheduling Supervisor Menu ............................................................
2-20
Search File Entries (SDHC) ..............................................................
2-114
Search File Entries (SHOC) ..............................................................
2-35
SF558 Print (SER) .............................................................................
2-49
Short Record Inquiry (INQ)...............................................................
2-47, 2-98
2-13
Menu Diagrams & Definitions
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Definitions Index (continued)
Title
Page
Specialty Provider Agreement Roster (2) .........................................
2-105
Specialty Provider Agreement Roster (6) .........................................
2-91
Specialty Provider Agreement Summary (3)....................................
2-105
Specialty Provider Agreement Summary (4)....................................
2-92
Specialty Type Enter/Edit (SPEC) ....................................................
2-112
Specialty Type Referral Summary (2) ..............................................
2-66, 2-87
Statistical & Workload Reports Menu (SMGR) ...............................
2-29
Stuff Security Keys for Clinic/Provider (SPRO) ...............................
2-21
Templates Menu (TEMP) ..................................................................
2-22
Track & Request Medical Records Menu (TREG)............................
2-97
Track & Request Medical Records Menu (TRM)..............................
2-46
Track User Report (9) ........................................................................
2-77, 2-85
Trackable Entity (Patient) Add/Delete (TER) ..................................
2-49
Trackable Entity Enter/Edit (TFIL) .................................................
2-36
Trackable Entity Report (3)...............................................................
2-51
UIC Maintenance Report (URPT).....................................................
2-99
UIC/PCM Maintenance Enter/Edit (UICP) ......................................
2-111
Unanswered Telephone Consults Report (10) ..................................
2-46
Unanswered Telephone Consults Report (4) ....................................
2-29
Un-Identify Duplicate Patients (UDP) .............................................
2-39
Unscheduled Visit (Walk-in, Tel-Con, S-Call) (USV).......................
2-41
Update Appt History & Encounter Data (UER)...............................
2-49
Update/Print/Enroll Potential AD Candidates (UBER) ..................
2-71
User PAS Menu (USRP) ....................................................................
2-38
View PAS Mailers (VML) ..................................................................
2-36
View Patient Appointment History (VER) .......................................
2-50
2-14
Menu Diagrams & Definitions
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Definitions Index (continued)
Title
Page
View Patient DEERS Status (10)......................................................
2-53
View Patient DEERS Status (VRDM) ..............................................
2-44, 2-96
View Registration Information (11) ..................................................
2-53
Wait List - Automatic Booking Roster (7) ........................................
2-34
Wait List Hold/Release Schedules (WMSC) .....................................
2-25
Wait List Management Report (5) ....................................................
2-29
Wait List Priority Enter/Edit (WFIL) ...............................................
2-37
Wait List Processing (Mail/Phone) (WNOT).....................................
2-33, 2-43
Wait List Requests (WLR).................................................................
2-43
Wait List Status Report.....................................................................
2-27
Walk In Patients (WER) ....................................................................
2-50
Weekly Template Create/Edit (WTEM)............................................
2-23
ZIP Code Agreement Roster (6).........................................................
2-105
ZIP Code Agreement Roster (7).........................................................
2-91
ZIP Code Combinations Enter/Edit (ZIPC) ......................................
2-110
2-15
Menu Diagrams & Definitions
PATIENT APPOINTMENT AND SCHEDULING
SYSTEM MENU DIAGRAM
Scheduling Supervisor Menu
PAS System Menu
Clerk Scheduling Menu
2-16
Emergency Room Menu
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Diagrams & Definitions
Managed Care Program Menu
PAS SYSTEM MENU DIAGRAMS
Scheduling Supervisor Menu
PROF
TEMP
SCHE
MGRM
NOTP
2-17
Profiles Menu
Templates Menu
Schedules Menu
Management Reports Menu
Notify Patients Menu (Cancel,
No-Show, Wait List)
ORDM Operational Rosters &Displays Menu
AHOC Ad Hoc Report Menu
FILE
File/Table Maintenance Menu
BRPT Batch Reports & Utilities Menu
USRP User PAS Menu
CPAT Correct Patient Data Menu
FPRO
DPRO
CPRO
PPRO
APRO
EPRO
SPRO
LPRO
Facility Profile Edit
Division Profile Edit
Clinic Profile Edit
Provider Profile Enter/Edit
Appointment Type Enter/Edit
Emergency Room Profiles Menu
Stuff Security Keys for Clinic/Provider
List Profiles Menu
Create/Edit Daily Template
Replicate Daily Template
Weekly Template Create/Edit
Print Daily/Weekly Template
Delete Template
CSCH
OSCH
RSCH
PSCH
MSCH
Create Schedules
Open Schedules
Replicate Schedules
Print Clinic/Provider Schedules
Maintain/ Cancel Schedules Menu
1
2
3
4
5
Facility Profile List
Division Profile List
Clinic Profile List
Provider Profile List
Appointment Type
List
6 Emergency Room
Clinic Profile List
7 Emergency Room
Provider Profile List
PMSC Provider
Change
FMSC Freeze/Release
Schedules
WMSC Wait List Hold/
Release
Schedules
CMSC Cancellation by
Facility
MMSC Modify/Add/
Delete
Schedules
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Menu Diagrams & Definitions
CTEM
RTEM
WTEM
PTEM
DTEM
1 Emergency Room
Clinic Profile Edit
2 Emergency Room
Provider Profile
Edit
PAS SYSTEM MENU DIAGRAMS
1
2
Scheduling Supervisor Menu
3
4
PROF
TEMP
SCHE
MGRM
NOTP
2-18
Profiles Menu
Templates Menu
Schedules Menu
Management Reports Menu
Notify Patients Menu
(Cancel, No-Show, Wait List)
ORDM Operational Rosters & Displays Menu
AHOC Ad Hoc Report Menu
FILE
File/Table Maintenance Menu
BRPT Batch Reports & Utilities Menu
USRP User PAS Menu
CPAT Correct Patient Data Menu
MMGR Miscellaneous Reports
Menu
PMGR Problem Avoidance
Reports Menu
SMGR Statistical & Workload
Reports Menu
2
3
4
5
Delinquent End-of-Day Processing
Report
Problem Avoidance Report
Schedule Deficiency Monitor Report
Unanswered Telephone Consults
Report
Wait List Management Report
1
2
3
4
5
Appointment Utilization Report
Clerk Workload Recap Report
Clerk Workload Report
Clinic Workload Report
Command Facility Workload Recap
Report
6 Facility Cancellation Statistical
Report
7 Initial and Follow-up Clinic Visit
Report
8 Monthly Statistical Report
9 Next Available Appointment Report
10 No-Show Statistical Report
11 Patient Cancellation Statistical
Report
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Menu Diagrams & Definitions
CNOT Cancellation Processing
(Mail/Phone)
NNOT No-Show Processing
(Mail/Phone)
RNOT Repeat No-Show &
Strong Notice
Processing
WNOT Wait List Processing
(Mail/Phone)
1
Call No-Show Report
Daily Outpatient Encounter Forms
(Division/All)
Patient Registration Report
Primary Provider Report
PAS SYSTEM MENU DIAGRAMS
1 Consolidated OR Provider
Roster (One Clinic)
2 Consolidated Roster (ALL
Clinics)
3 Inpatient Ward Roster for
Today
4 PAS DEERS Ineligibility
Report
5 Print/Display Provider Roster
6 Provider Roster (ALL Clinics)
7 Wait List - Automatic Booking
Roster
Scheduling Supervisor Menu
PROF
TEMP
SCHE
MGRM
NOTP
2-19
ORDM
Inquire to File Entries
Print File Entries
Search File Entries
List File Attributes
AFIL
Activate/Inactivate Clinic
Provider
Create a New Clinic
Enter/Edit MEPRS Codes/
COST POOL Codes
Method of Transit Enter/Edit
Outpatient Disposition
Enter/Edit
PAS Mailer Menu
Schedule Modification Reason
Enter/Edit
Trackable Entity Enter/Edit
Wait List Priority Enter/Edit
CFIL
EFIL
MFIL
OFIL
PFIL
SFIL
TFIL
WFIL
AUSR Assign PAS Primary Clinic
Location
LUSR List PAS Users
PUSR Print PAS User
FPAT
IDP
MPAT
UDP
Former Patient Name
Identify Duplicate Patients
Merge/Transfer Patient Data
Un-Identify Duplicate Patients
EML
VML
PML
Enter/Edit PAS Mailers
View PAS Mailers
Print PAS Mailers
1
Available Schedule Monitor
Bulletin
2 Aviation Medicine Report
3 Change Division of a Clinic
4 Clean Up Appointment
Global
5 Command Security Program
Report
6 Frozen Slot Monitor Bulletin
7 Military No-Show Report
8 PAS DEERS Inquiries
9 PAS Weekly Data Clean Up
10 Print PAS Mailer Notices
11 Schedule Problem Avoidance
Report
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Menu Diagrams & Definitions
AHOC
FILE
BRPT
USRP
CPAT
Profiles Menu
Templates Menu
Schedules Menu
Management Reports Menu
Notify Patients Menu
(Cancel, No-Show, Wait List)
Operational Rosters & Displays
Menu
Ad Hoc Report Menu
File/Table Maintenance Menu
Batch Reports & Utilities Menu
User PAS Menu
Correct Patient Data Menu
IHOC
PHOC
SHOC
LHOC
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PAS MENU DEFINITIONS
Scheduling Supervisor Menu
The Scheduling Supervisor Menu is the primary menu for setting patient
appointments and schedules, managing the facility profiles, creating master
schedule templates, creating provider schedules, processing Wait Lists, and
managing reports and utilities.
• Profiles Menu (PROF)
The Profiles Menu options allow you to create and maintain profile and
table information. The profile and table information is established at the
facility level and can be modified at the clinic or provider level to suit
specific needs.
••
Facility Profile Edit (FPRO)
The Facility Profile Edit option allows you to set up and edit
parameters for facility address, pull products, DEERS eligibility
appointment overlap intervals, schedule hold and deletion times, and
inactivation periods.
••
Division Profile Edit (DPRO)
The Division Profile Edit option allows you to set up and edit
parameters for a division within the facility. Information defined in
the Facility Profile is the default information and can be modified for
the specified division.
••
Clinic Profile Edit (CPRO)
The Clinic Profile Edit option allows you to complete and modify
profile data for existing clinics within a division. Wait List processing
for the clinic is activated and defined using this option. All
appointment types used by providers in the clinic must be defined in
the Clinic Profile. New clinics cannot be created using this option.
••
Provider Profile Enter/Edit (PPRO)
The Provider Profile Enter/Edit option allows you to add new
providers to an existing clinic, review and edit profile information for
providers currently assigned to the selected clinic, and add or modify
appointments for a provider.
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••
Appointment Type Enter/Edit (APRO)
The Appointment Type Enter/Edit option allows you to add new
appointment types to the master list of appointment types, and
modify the information for existing appointment types.
••
Emergency Room Profiles Menu (EPRO)
The Emergency Room Profiles Menu options allow you to complete,
modify, and review data for existing emergency room clinics and
providers.
•••
Emergency Room Clinic Profile Edit (1)
The Emergency Room Clinic Profile Edit option allows you to
complete and modify profile data for existing Emergency Room
clinics within a division. All appointment types used by
providers in the Emergency Room clinic must be defined in the
Emergency Room Clinic Profile.
New Emergency Room locations can be created using the
Create a New Clinic option in the File/Table Maintenance
Menu.
•••
Emergency Room Provider Profile Edit (2)
The Emergency Room Provider Profile Edit option allows you
to add new providers to an existing Emergency Room clinic,
review and edit profile information for providers currently
assigned to the selected Emergency Room clinic, and add or
modify appointments for an Emergency Room provider.
••
Stuff Security Keys for Clinic/Provider (SPRO)
The Stuff Security Keys for Clinic/Provider option allows you to
restrict the capability to book, change appointments, and overbook
authority for a clinic or providers. Setting keys provides security by
restricting users without the appropriate keys from booking,
overbooking, or modifying (joining or spliting) appointment slots.
••
List Profiles Menu (LPRO)
The List Profiles Menu options allow you to print profile information
for facility, divisions, clinics, providers, appointment types, and
emergency rooms.
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•••
Facility Profile List (1)
The Facility Profile List option allows you to print all profile
information for the selected facility.
•••
Division Profile List (2)
The Division Profile List option allows you to print all profile
information for the selected division.
•••
Clinic Profile List (3)
The Clinic Profile List option allows you to print all profile
information for the selected clinic.
•••
Provider Profile List (4)
The Provider Profile List option allows you to print all profile
information for the selected provider.
•••
Appointment Type List (5)
The Appointment Type List option allows you to print all
profile information for the selected appointment type.
•••
Emergency Room Clinic Profile List (6)
The Emergency Room Clinic Profile List option allows you to
print all profile information for the selected Emergency Room
clinic.
•••
Emergency Room Provider Profile List (7)
The Emergency Room Provider Profile List option allows you
to print all profile information for a selected Emergency Room
provider.
• Templates Menu (TEMP)
The Templates Menu options allow you to create, edit, replicate, combine,
print, and delete provider templates. Templates are created for a provider
within a specific clinic and do not contain date, patient, or Wait List
information.
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••
Create/Edit Daily Template (CTEM)
The Create/Edit Daily Template option allows you to generate a
provider’s templates for specified days of the week within a specific
clinic.
••
Replicate Daily Template (RTEM)
The Replicate Daily Template option allows you to copy an existing
provider template. Templates can be copied for another provider
within the same clinic if both providers have identical appointment
type information in their profiles.
••
Weekly Template Create/Edit (WTEM)
The Weekly Template Create/Edit option allows you to assemble a
provider’s weekly template from existing daily templates for the
same provider. You assemble your weekly template from existing
templates.
••
Print Daily/Weekly Template (PTEM)
The Print Daily/Weekly Template option allows you to print daily and
weekly templates for all desired providers within a clinic.
••
Delete Template (DTEM)
The Delete Template option allows you to delete obsolete daily and
weekly templates.
• Schedules Menu (SCHE)
The Schedules Menu options allow you to create, open, replicate, print, and
maintain provider schedules.
••
Create Schedules (CSCH)
The Create Schedules option allows you to create a provider's
schedules with or without templates) for a specific clinic within a
specified timeframe.
••
Open Schedules (OSCH)
The Open Schedules option allows you to open previously created
schedules in order to book appointments.
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••
Replicate Schedules (RSCH)
The Replicate Schedules option allows you to copy an existing
schedule for the same provider or to another provider within the
same clinic. When copying schedules to other providers in the clinic,
the appointment types for each provider are compared and must be
identical or the schedule will not be replicated.
••
Print Clinic/Provider Schedules (PSCH)
The Print Clinic/Provider Schedules option allows you to print
schedules for either specified providers or all providers in the selected
clinic.
••
Maintain/Cancel Schedules Menu (MSCH)
The Maintain/Cancel Schedules Menu options allow you to maintain
existing schedules. Schedules can be transferred to other providers in
the same clinic; schedules can be frozen and released; schedules can
be cancelled; slots can be added and deleted in a schedule; and
comments and instructions can be deleted, added, or edited for
schedule slots.
•••
Provider Change (PMSC)
The Provider Change option allows you to transfer a provider's
schedule to another provider in the same clinic. The schedule is
shifted to the new provider after the system has checked to
ensure that: 1) the schedule actually exists; 2) that there is no
scheduling conflict for the provider receiving the schedule; and
3) that the receiving provider has the same appointment types
as the sending provider. If the receiving provider has existing
schedules, the transferred schedule will be merged with the
provider’s existing schedule.
•••
Freeze/Release Schedules (FMSC)
The Freeze/Release Schedules option allows you to lock
schedules from further booking or release slots that are
currently frozen. Schedule slots that are frozen can be
automatically released by entering an automatic release date,
or manually released using this option. Frozen slots will not be
displayed during appointment searches except when the
Browse function of the Book Appointments option is being
used.
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•••
Wait List Hold/Release Schedules (WMSC)
The Wait List Hold/Release Schedules option allows you to
reserve schedules or slots for Wait List processing, or to release
Wait List reserved slots for open booking.
•••
Cancellation by Facility (CMSC)
The Cancellation by Facility option allows you to cancel open
and booked slots or entire schedules at the request of the
provider or other facility agency. When canceling booked
appointment slots, the system goes directly to the Notify
Patients option. The number of patients cancelled, and the
reason for the cancellations, are automatically reported in the
Facility Cancellation Statistical Report. Appointment slots
with a status of Wait cannot be cancelled.
•••
Modify/Add/Delete Schedules (MMSC)
The Modify/Add/Delete Schedules option allows you to add or
delete slots, delete a block of schedules (within a specified date
range), change slot appointment type, change number of
patients per slot, and enter or edit slot comments.
• Management Reports Menu (MGRM)
The Management Reports Menu options allow you to generate reports for
the efficient management of provider schedules and patient appointments.
These management reports are categorized as either Miscellaneous,
Problem Avoidance, or Statistical & Workload.
••
Miscellaneous Reports Menu (MMGR)
The Miscellaneous Reports Menu options allow you to generate the
Call No-Show Report, Daily Outpatient Encounter Forms, Patient
Registration Report, and the Primary Provider Report.
•••
Call No-Show Report (1)
The Call No-Show Report option allows you to print a report of
all no-show patients with their phone numbers for a specified
date. The information provided in this report implements noshow patient follow-up procedures required by the Joint
Commission on Accreditation of Health Care Organization
(JCAHO).
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•••
Daily Outpatient Encounter Forms (Division/All) (2)
The Daily Outpatient Encounter Forms (Division/All) option is
for all patients with pending booked appointments for all
clinics. It allows the user to document all patient encounters
on system-generated forms.
•••
Patient Registration Report (3)
The Patient Registration Report option provides the patient
registration count for the facility. This report consists of
patient category codes, descriptions, and counts for each
category. This is a very complex report and should only be
produced after normal duty hours.
•••
Primary Provider Report (4)
The Primary Provider Report option provides a list of entries
in the Primary Provider field in the CHCS Complete
Registration option.
••
Problem Avoidance Reports Menu (PMGR)
The Problem Avoidance Reports Menu options allow you to generate
the following reports: Delinquent End-of-Day Processing, Problem
Avoidance, Schedule Deficiency Monitor, and Wait List Management.
•••
Delinquent End-of-Day Processing Report (1)
The Delinquent End-of-Day Processing Report option identifies
any booked appointment slots that still have an appointment
status of Pending or Missing Providers. It will be printed out
by any monthly statistical report option that requires complete
end-of-day processing. This report can only be printed for the
entire facility; therefore, it should only be requested by
supervisory personnel.
•••
Problem Avoidance Report (2)
The Problem Avoidance Report option addresses situations
that could result in lost schedule availability and inadequate
notification of schedule change. This report will only print for
clinics with deficiencies.
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The Problem Avoidance Report is a series of eight linked
reports that provide PAS supervisors with a daily summary of
potential scheduling problems. This comprehensive report
provides PAS supervisors with sufficient information to resolve
potential problems.
These options do not show up on your screen, but they will be
part of the printed 132-column report:
••••
Appointment Orders for Inpatients Not
Processed Report
The Appointment Orders for Inpatients Not Processed
Report option provides a list of provider orders
entered through the Clinical Subsystem Order Entry
module. Although these orders have been entered,
they have not been acted upon by a PAS clerk as of the
report date.
••••
Cancelled Appointment Slots Report
The Cancelled Appointment Slots Report option
provides a list of all appointment slots cancelled by
the facility when the patient has not been notified by
mail or phone as of the report date. The report will
include the total number of facility cancellations for
patients not notified for the specified date range.
••••
Frozen Slots Report
The Frozen Slots Report option provides a list of all
frozen slots that fall within the schedule date and the
clinic-defined schedule hold duration (entered in the
Schedule Hold Duration Field in the Clinic Profile).
This report also tells you which frozen slots are
booked and which are open.
••••
Wait List Status Report
The Wait List Status Report option provides a list of
the total number of patients on the Wait List for each
clinic and the total number of slots reserved for Wait
List processing.
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••••
Schedule Deficiencies Report
The Schedule Deficiencies Report option provides a
summary list of clinics and providers that need
schedules. The identity of the clinics and providers is
selected by the Schedule Deficiency Monitor function,
and is based on parameters entered in the Available
Schedule field in the Clinic Profile.
••••
Open Schedules Report
The Open Schedules Report option provides a
summary list of all schedules that have been created
for a provider in a clinic, but have not been opened.
This summary includes the number of slots not
opened.
••••
Pending Appointments & Missing Providers
Report
The Pending Appointments & Missing Providers
Report option provides a summary list of all pending
appointments and missing providers that must be
updated in order to run the Statistical & Workload
reports.
••••
Wait List Mailer No-Shows Report
The Wait List Mailer No-Shows Report option
provides a summary list of all Wait List patients who
were automatically booked for appointments from the
Wait List. After these patients were booked, they were
sent a notification mailer; however, they did not show
up for their appointment.
•••
Schedule Deficiency Monitor Report (3)
The Schedule Deficiency Monitor Report option provides a
status of schedule availability for each clinic in the facility. The
statuses are reported for each provider and show the number
of days schedules are required in advance for appointment
processing, number of days deficient, and schedule status. This
report also notifies the system manager when existing
schedules need to be opened.
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This report is based upon available schedule parameters
entered in the clinic profile. It informs the supervisor that
schedules need to be created or opened for providers in specific
clinics. An alerting mail message is also sent to the SDSMGR
mailgroup.
•••
Unanswered Telephone Consults Report (4)
The Unanswered Telephone Consults Report option allows you
to print unanswered telephone consults by clinic, provider, or
patient. Individual sites can set the site parameters to
determine the number of days before an unanswered telephone
consult becomes “old.”
•••
Wait List Management Report (5)
The Wait List Management Report option allows you to print
or display Wait Lists for a clinic, a division, or the facility. It
may be sorted by either Wait List priority, entered date, target
date, or patient name. It includes patient name, FMP/SSN,
priority type, entered date, target date, number, provider,
home and work telephone numbers, and total number of Wait
List requests.
••
Statistical & Workload Reports Menu (SMGR)
The Statistical & Workload Reports Menu options allow you to
generate 11 reports: Appointment Utilization Report, Clerk
Workload Recap Report, Clerk Workload Report, Clinic Workload
Report, Command Facility Workload Recap Report, Facility
Cancellation Statistical Report, Initial and Follow-up Clinic Visit
Report, Monthly Statistical Report, Next Available Appointment
Report, No-Show Statistical Report, and the Patient Cancellation
Statistical Report.
•••
Appointment Utilization Report (1)
The Appointment Utilization Report option measures the
planned access and availability of care by tabulating the
number of schedule appointment slots created. This report can
be run for future dates. A facility can evaluate appointment
types and determine which appointment types are not being
used so that profiles can be changed.
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•••
Clerk Workload Recap Report (2)
The Clerk Workload Recap Report option provides statistics on
the number of appointments made by each clerk within each
clinic. This report is based on the date when the appointment
was made, not on the date of the actual appointment;
therefore, the totals will not match the Monthly Statistical
Report.
Since most Unscheduled Visits occur on the day the
appointment was made, this report provides a good
comparative summary of the unscheduled activity in the clinic,
department, and division.
A summary of this report is produced as part of the Command
Facility Workload Recap Report.
•••
Clerk Workload Report (3)
The Clerk Workload Report option identifies the work
transactions performed by individual clerks, sorted by clinic,
for the purpose of assessing productivity. This report is based
on the date when the appointment was made, not on the date
of the actual appointment; therefore, the totals will not match
the Monthly Statistical Report. This report is also based on the
clinic in which the appointment was made for the specified
date range. Running this report identifies any appointment in
the clinic that was made by unauthorized personnel.
This report is the same as the Clerk Workload Recap Report
except that the Clerk Workload Report reports each day's
workload in the specified date range.
•••
Clinic Workload Report (4)
The Clinic Workload Report is an exact copy of the Dietetics
Subsystem Clinic Workload Report, but is available for PAS
Emergency Room clinics. This report is an on-demand single
clinic, single or multiple Health Care Provider (HCP) version
of the Monthly Statistical Report. This report will not print
unless all delinquent end-of-day (EOD) processing is complete
for the reporting date interval. If EOD processing is not
complete, the Delinquent EOD Report will be printed instead
of the Clinic Workload Report. The Delinquent EOD Report
then prints with a warning that EOD processing is not
complete.
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•••
Command Facility Workload Recap Report (5)
The Command Facility Workload Recap Report option creates
a three- or four-page clinic-level summary of the four main
monthly statistical reports: Monthly Statistical Report,
Facility Cancellation Statistical Report, No-Show Statistical
Report, and Patient Cancellation Statistical Report. This
report will not print unless all delinquent EOD processing is
complete for the reporting date interval.
If EOD processing is not complete, the Delinquent EOD Report
will print instead of the Command Facility Workload Recap
Report with a warning that EOD processing is not complete.
•••
Facility Cancellation Statistical Report (6)
The Facility Cancellation Statistical Report option provides a
list of the total number of appointments cancelled by the
facility for each clinic and HCP, and is sorted by reason. A
high-level summary of the Count Workload section of this
report is produced as part of the Command Facility Workload
Recap Report.
•••
Initial and Follow-up Clinic Visit Report (7)
The Initial and Follow-up Clinic Visit Report option provides a
high-level management report of statistics on the number of
initial and follow-up visits that occur within the division or
group of divisions. Since this report only provides data on clinic
visits, the inpatient/outpatient sections of this report are based
on the entry of the Kept, S-Call, Tel-Con, and Walk-in
appointment statuses for patient visits.
Because this report usually contains information for more than
one clinic, it cannot be requested or ordered by a clinic.
•••
Monthly Statistical Report (8)
The Monthly Statistical Report option provides monthly
statistics for the clinics and facility. The system calculates
inpatient/outpatient workloads for this report based on the
Medical Expense and Performance Reporting System (MEPRS)
code for the specified clinic. Each clinic is assigned its own
unique MEPRS code.
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This report will not print unless all delinquent EOD processing
is complete for the reporting date interval. If EOD processing is
not complete, the Delinquent EOD Report will be printed
instead of the Monthly Statistical Report. The Monthly
Statistical Report then has to be printed on demand.
•••
Next Available Appointment Report (9)
The Next Available Appointment Report option provides a list
of appointment availability by appointment type and provider
within a specific clinic on a given date and time. A summary of
this report is part of the Command Facility Workload Recap
Report.
•••
No-Show Statistical Report (10)
The No-Show Statistical Report option provides a profile of noshows by provider, clinic, and facility. There are three parts to
this report: 1) a breakdown of no-shows by clinic and provider;
2) a breakdown of no-shows by clinic for the specified date
range; 3) all no-shows in alphabetical order. A summary of this
report is part of the Command Facility Workload Recap Report.
This report will not print unless all delinquent EOD processing
is complete for the reporting date interval. If EOD processing
is not complete, the Delinquent EOD Report will be printed
instead of the No-Show Statistical Report. The No-Show
Statistical Report then has to be printed on demand.
•••
Patient Cancellation Statistical Report (11)
The Patient Cancellation Statistical Report option provides a
list of the total number of appointments cancelled by patients
for each clinic and HCP, and is sorted by reason. It lists all
cancellations and requests to reschedule at a patient’s request.
A summary of this report is produced as part of the Command
Facility Workload Recap Report.
• Notify Patients Menu (Cancel, No-Show, Wait List) (NOTP)
The Notify Patients Menu (Cancel, No-Show, Wait List) options allow you
to notify patients when their appointments are cancelled by the facility, to
follow-up on no-show patients, and to process Wait List requests.
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••
Cancellation Processing (Mail/Phone) (CNOT)
The Cancellation Processing (Mail/Phone) option allows you to notify
patients that their scheduled appointment has been cancelled by the
facility. Patients can be notified by mail or phone and rescheduled, or
placed on a Wait List.
••
No-Show Processing (Mail/Phone) (NNOT)
The No-Show Processing (Mail/Phone) option allows you to notify
patients by phone of missed appointments, or to generate a mailer to
the patient if sufficient mailing information is available.
••
Repeat No-Show & Strong Notice Processing (RNOT)
The Repeat No-Show & Strong Notice Processing option allows you to
generate and send strongly worded reminders to chronic no-show
patients. These mailers can be sent only after the No-show Statistical
Report has been generated.
••
Wait List Processing (Mail/Phone) (WNOT)
The Wait List Processing (Mail/Phone) option allows you to notify a
patient by phone of an available appointment slot(s) and to book the
appointment, or to book the appointment and notify the patient by
sending a mailer.
• Operational Rosters & Displays Menu (ORDM)
The Operational Rosters & Displays Menu options allow you to display or
print rosters for individual providers, single clinics, all clinics in the facility,
and the DEERS Ineligibility Report.
••
Consolidated OR Provider Roster (One Clinic) (1)
The Consolidated OR Provider Roster (One Clinic) option allows you
to print either of two reports: 1) by specifying an individual provider,
a roster printout of only that provider’s appointments is generated; or
2) if no provider is selected, a consolidated roster of the patients for
all providers in the selected clinic will be generated.
••
Consolidated Roster (ALL Clinics) (2)
The Consolidated Roster (ALL Clinics) option allows you to generate
rosters for a specified day, and includes all providers for the clinics in
chronological order.
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••
Inpatient Ward Roster for Today (3)
The Inpatient Ward Roster for Today option allows you to print a
report of patient data and appointment information for each patient
on each ward for today.
••
PAS DEERS Ineligibility Report (4)
The PAS DEERS Ineligibility Report option allows you to generate a
report of all patients whose eligibility was not confirmed by the
Defense Enrollment Eligibility Reporting System (DEERS). This
report is sorted by Patient Identification (PTID).
••
Print/Display Provider Roster (5)
The Print/Display Provider Roster option allows you to print or
display one provider's roster, for a specific clinic, on a specific day.
••
Provider Roster (ALL Clinics) (6)
The Provider Roster (ALL Clinics) option allows you to print or
display, chronologically, the patients for each provider in a specific
clinic, division, or all clinics in the facility.
••
Wait List - Automatic Booking Roster (7)
The Wait List - Automatic Booking Roster option allows you to
automatically book Wait List patients to appointment slots and
generate notification mailers of these appointments.
• Ad Hoc Report Menu (AHOC)
The Ad Hoc Report Menu options allow you to review, search for, and print
file entries. The output is in the form of user-defined, special-purpose
reports.
••
Inquire to File Entries (IHOC)
The Inquire to File Entries option allows you to view the data of
single or multiple entries in a file.
••
Print File Entries (PHOC)
The Print File Entries option allows you to display or print selected
file entries.
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••
Search File Entries (SHOC)
The Search File Entries option allows you to search for specified data
in a file.
••
List File Attributes (LHOC)
The List File Attributes option allows you to print out the data
dictionary for a specified file. This listing is helpful for programmers,
analysts, and others interested in database structures for ad hoc
reporting.
• File/Table Maintenance Menu (FILE)
The File/Table Maintenance Menu options allow you to create a new clinic
name in the Hospital Location File, activate/inactivate clinic providers,
edit or enter MEPRS and Cost Pool codes for hospital/clinic locations, and
edit codes and information in the following tables: Method of Transit,
Outpatient Disposition, PAS Mailers, Schedule Modification Reason,
Trackable Entity, Wait List Priority.
••
Activate/Inactivate Clinic Provider (AFIL)
The Activate/Inactivate Clinic Provider option allows you to edit the
Inactivation Field in the Hospital Location file, so that a provider
who was active in the facility can be inactivated on a specified date in
a specified clinic. With this option, you can also reactivate a provider
who was previously inactivated.
••
Create a New Clinic (CFIL)
The Create a New Clinic option allows you to enter a new name in the
Hospital Location file, and the location will automatically be assigned
a location type of clinic. The new clinic name must exist before the
clinic profile can be edited.
••
Enter/Edit MEPRS Codes/COST POOL Codes (EFIL)
The Enter/Edit MEPRS Codes/COST POOL Codes option allows you
to enter either an assigned MEPRS code or a Cost Pool code for a
specified clinic. If the MEPRS code is entered, then this code will be
displayed at the MEPRS code field on all booking-related screens for
each appointment booked for that clinic. If the MEPRS code is not
entered, then the Cost Pool code must be entered or the MEPRS code
field for each booking-related screen will be blank.
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••
Method of Transit Enter/Edit (MFIL)
The Method of Transit Enter/Edit option allows you to enter new
Method of Transit codes, and edit the existing codes.
••
Outpatient Disposition Enter/Edit (OFIL)
The Outpatient Disposition Enter/Edit option allows you to enter new
Outpatient Disposition codes, and edit existing codes.
••
PAS Mailer Menu (PFIL)
The PAS Mailer Menu options allow you to edit the facilitycustomized form letters sent out for No-Show, Strong No-Show, and
Appointment Cancellation by Facility reasons.
•••
Enter/Edit PAS Mailers (EML)
The Enter/Edit PAS Mailers option allows the site or File &
Table build team to customize the form letters that are sent to
patients to notify them of a previously booked appointment, an
automatically booked Wait List request, a missed
appointment, several missed appointments, or an
appointment(s) that has been cancelled by the facility, NoShow Notice, Strong No-Show Notice, or cancellation letter.
•••
View PAS Mailers (VML)
The View PAS Mailers option allows you to view the return
address and the text of PAS mailers.
•••
Print PAS Mailers (PML)
The Print PAS Mailers option allows an authorized user to
print the PAS mailers.
••
Schedule Modification Reason Enter/Edit (SFIL)
The Schedule Modification Reason Enter/Edit option allows you to
enter new schedule modification reasons, or edit existing entries that
appear on the Cancellation Statistics Report.
••
Trackable Entity Enter/Edit (TFIL)
The Trackable Entity Enter/Edit option allows you to enter new
trackable entities, or to edit existing entries in the Trackable Entity
file.
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••
Wait List Priority Enter/Edit (WFIL)
The Wait List Priority Enter/Edit option allows you to enter new Wait
List Priority codes, or edit the existing codes in the Wait List Priority
file.
• Batch Reports & Utilities Menu (BRPT)
The Batch Reports & Utilities Menu options allow you to create batch
utility reports, and run clean-up utility programs.
••
Available Schedule Monitor Bulletin (1)
The Available Schedule Monitor Bulletin option allows you to
generate bulletins to send to members of the SDSMGR mailgroup
that indicate those providers needing future schedules to meet the
minimum future schedule interval defined in the clinic profile.
••
Aviation Medicine Report (2)
The Aviation Medicine Report option allows you to generate a report
indicating the patients on flying status who were seen the previous
day.
••
Change Division of a Clinic (3)
The Change Division of a Clinic option allows you to notify the
schedule supervisor that an option exists for the system manager to
change the division of a clinic.
••
Clean Up Appointment Global (4)
The Clean Up Appointment Global option allows you to kill FileMan
cross-references of the ^SDAV global used the previous day to search
for appointments, preventing appointment searches for appointments
in the past. This utility must be run daily!
••
Command Security Program Report (5)
The Command Security Program Report option allows you to
generate a report indicating all patients listed as members of the
three security programs: the Personnel Reliability Program, the
Compartmented Security Program, and the Presidential Security
Program.
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••
Frozen Slot Monitor Bulletin (6)
The Frozen Slot Monitor Bulletin option allows you to generate a
bulletin to send to the members of the SDSMGR mailgroup that
frozen slots currently exist that need to be dispositioned.
••
Military No-Show Report (7)
The Military No-Show Report option allows you to generate a report
of all active duty service members who were no-shows for scheduled
appointments.
••
PAS DEERS Inquiries (8)
The PAS DEERS Inquires option allows you to generate a report of
DEERS inquiries for scheduled appointments.
••
PAS Weekly Data Clean Up (9)
The PAS Weekly Data Clean Up option allows you to delete expired
schedules, and expired profiles and templates of inactive providers.
••
Print PAS Mailer Notices (10)
The Print PAS Mailer Notices option allows you to print all mailer
notices in the PAS Mailer Notice file.
••
Schedule Problem Avoidance Report (11)
The Schedule Problem Avoidance Report option is used to compile
data each day for this report so that you can print the report on
demand based upon the “snapshot” of the database calculated
previously.
• User PAS Menu (USRP)
The User PAS Menu options allow the supervisor to enter primary location
code in the user file, produce reports summarizing data stored in the user
file, and display or print user file attributes applicable to PAS.
••
Assign PAS Primary Clinic Location (AUSR)
The Assign PAS Primary Clinic Location option allows you to assign
or change the User Primary Location code.
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••
List PAS Users (LUSR)
The List PAS Users option allows you to display or print a list of PAS
users for a clinic, division, or the facility.
••
Print PAS User (PUSR)
The Print PAS User option allows you to print or display user data for
individual PAS users.
• Correct Patient Data Menu (CPAT)
The Correct Patient Data Menu options allow you to enter former names of
a patient.
••
Former Patient Name (FPAT)
The Former Patient Name option allows you to create a crossreference file of a patient's former and present names.
••
Identify Duplicate Patients (IDP)
The Identify Duplicate Patients option allows you to identify a patient
as a duplicate of another patient record. Once this has been done, the
correct patient record is automatically retrieved. Note that the process
of identifying a patient as a duplicate patient must be completed prior
to merging the records.
••
Merge/Transfer Patient Data (MPAT)
The Merge/Transfer Patient Data option allows you to merge
duplicate records into one correct record. Only records that have been
previously identified as a duplicate record may be merged. The merge
process transfers data from the incorrect patient record (duplicate) to
the correct patient record. It also places the duplicate record under
access control. After the merge process is complete, you cannot access
this record.
Following the merge process, you may generate an output displaying
all data elements that have been merged. Note that the merge process
cannot be reversed, so use this option carefully.
••
Un-Identify Duplicate Patients (UDP)
The Un-Identify Duplicate Patients option allows you to reverse the
identification process of a duplicate patient. Use this option when a
patient has been incorrectly identified as a duplicate record.
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Menu Diagrams & Definitions
PAS SYSTEM MENU DIAGRAMS
Clerk Scheduling Menu
BOK
USV
2-40
CBP
DPA
IPC
MCD
AOP
EOD
NOT
ORM
TRM
*
The Record Tracking Application
prompts you to choose either
Image Tracking or Medical
Records Tracking.
DRDM
GRDM
HRDM
MRDM
VRDM
DEERS Eligibility Request
Generate Embossed Card
Hard Copy of Registration Form
Mini Registration
View Patient DEERS Status
1 Call No-Show Report
2 Clinic Schedule Summary
3 Consolidated OR Provider Roster
(One Clinic)
4 Daily Outpatient Encounter Forms
(Clin/Prov/Indv)
5 Inpatient Ward Roster for Today
6 Outpatient Disposition Roster
7 Patient Visit Summary Report
8 Print/Display Provider Roster
9 Provider Schedule Summary
10 Unanswered Telephone Consults Report
I
MRT
Image Tracking
Medical Records Tracking
RCR
QUE
CAN
DIS
EDI
PCO
INQ
Re-Charge Records
Request a Record
Cancel a Request
Display Request
Edit a Request
Patient Check-Out
Short Record Inquiry
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Menu Diagrams & Definitions
WLR
RDM
Book Appointments
Unscheduled Visit
(Walk-in, Tel-Con, S-Call)
Cancellation by Patient
Display Patient Appointments
Individual Patient Check-In
Multiple Check-In by Default
Appointment Order Processing
End-of-Day Processing/Editing
Notify Patients Menu
(Cancel, No-Show, Wait
List)
Wait List Requests
Registration & DEERS
Menu
Operational Reports Menu
Track & Request Medical
CNOT Cancellation Processing
(Mail/Phone)
NNOT No-Show Processing
(Mail/Phone)
RNOT Repeat No-Show & Strong Notice
Processing
WNOT Wait List Processing
(Mail/Phone)
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PAS MENU DEFINITIONS
Clerk Scheduling Menu
The Clerk Scheduling Menu is the primary PAS menu for appointment booking,
patient check-in, processing appointment cancellations, processing Wait List
requests, and ordering operational reports.
• Book Appointments (BOK)
The Book Appointments option allows you to perform booking actions for a
single patient or multiple patients in one or more clinics, and block
appointments in a single clinic. Each of these actions can be performed in a
single transaction.
• Unscheduled Visit (Walk-in, Tel-Con, S-Call) (USV)
The Unscheduled Visit option allows you to check-in patients for walk-in
visits, telephone consultations, and sick-call.
Clinic, appointment type, and patient name are mandatory information
during check-in. When the provider is not entered at check-in, the
information must be updated during end-of-day processing.
• Cancellation by Patient (CBP)
The Cancellation by Patient option allows you to cancel an appointment at
the patient’s request. Slots cancelled using this option are available for
immediate booking of Wait List Requests. Patient name is required
information for this option.
• Display Patient Appointments (DPA)
The Display Patient Appointments option allows you to print or display
past and future appointments for an individual (and their family
members) registered under the same social security number.
• Individual Patient Check-In (IPC)
The Individual Patient Check-In option allows you to check-in patients
with scheduled appointments.
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• Multiple Check-In by Default (MCD)
The Multiple Check-In by Default option allows you to simultaneously
check-in all patients who kept their scheduled appointments. This option
allows you after end-of-day processing has been completed for no-shows
and cancellations.
• Appointment Order Processing (AOP)
The Appointment Order Processing option allows you to transfer orders
entered through Order Entry functionality. This option is normally used
for patients with an inpatient status.
• End-of-Day Processing/Editing (EOD)
The End-of-Day Processing/Editing option allows you to edit, modify, or
update appointment history data including the status of daily
appointments for each clinic and provider. It provides the means by which
the computer database is updated to reflect what has really happened in
the clinic, and which data is reported in numerous statistical reports.
This option allows you to update the appointment status of any patient
who was checked in manually. This option allows you to insert all missing
providers or to change the Pending appointment status for all
appointments in a clinic for one day. The Pending appointment status and
missing provider information will cause the Delinquent End-of-Day
Processing Report to be generated in lieu of the End-of-Day Processing
Report.
• Notify Patients Menu (Cancel, No-Show, Wait List) (NOT)
The Notify Patients Menu options allow you to notify patients of
appointments cancelled by the facility, process No-Show notifications, and
process Wait List requests.
••
Cancellation Processing (Mail/Phone) (CNOT)
The Cancellation Processing option allows you to notify patients of
scheduled appointments cancelled by the facility. When notifying a
patient by phone, a new appointment may be scheduled immediately
if an appointment slot is available. When no appointments are
available, a Wait List request can be entered for the patient if the
clinic maintains a Wait List.
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••
No-Show Processing (Mail/Phone) (NNOT)
The No-Show Processing (Mail/Phone) option allows you to notify
patients by phone of missed appointments, or to generate a mailer to
the patient if sufficient mailing information is available.
••
Repeat No-Show & Strong Notice Processing (RNOT)
The Repeat No-Show & Strong Notice Processing option allows you to
generate and send strongly-worded reminders to chronic no-show
patients. These mailers can be sent only after the No-Show
Statistical Report has been generated.
••
Wait List Processing (Mail/Phone) (WNOT)
The Wait List Processing (Mail/Phone) option allows you to either
notify a patient by mail of a booked appointment, or to notify a
patient with a Wait List request by phone of an available
appointment and book the appointment.
• Wait List Requests (WLR)
The Wait List Request option allows you to add a new Wait List request for
a patient to a clinic that has activated the Wait List Activated field in the
clinic profile; delete an existing Wait List request, or modify a patient's
Wait List request.
• Registration & DEERS Menu (RDM)
The Registration & DEERS Menu options allow you to change the
sponsor’s name for a registered patient, check for DEERS eligibility,
generate an embossed card, print a registration form, perform miniregistration, and view a current patient’s DEERS status.
••
DEERS Eligibility Request (DRDM)
The DEERS Eligibility Request option allows you to conduct a
DEERS check for a specific patient.
••
Generate Embossed Card (GRDM)
The Generate Embossed Card option allows you to print an embossed
card containing pertinent patient registration information.
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••
Hard Copy of Registration Form (HRDM)
The Hard Copy of Registration Form option allows you to print a
paper copy of the registration and administration information for a
patient.
••
Mini Registration (MRDM)
The Mini Registration option allows you to register a new patient
while booking appointments.
••
View Patient DEERS Status (VRDM)
The View Patient DEERS Status option allows you to view the status
of a registered patient.
• Operational Reports Menu (ORM)
The Operational Reports Menu options allow you to print reports, rosters
and schedule summaries for clinics and providers. The following reports,
rosters, and summaries can be generated and printed using this menu:
••
Call No-Show Report (1)
The Call No-Show Report option allows you to print a report of all noshow patients with their phone numbers for a specified date. The
information provided in this report implements no-show patient
follow-up procedures required by the Joint Commission on
Accreditation of Health Care Organizations (JCAHO).
••
Clinic Schedule Summary (2)
The Clinic Schedule Summary option allows you to generate and
print a clinic schedule summary for past and future dates. This
report is a summary for all providers in the specified clinic, and
includes a chronological list of each providers slots, the week day,
date/time, appointment type, slot status, maximum patients per slot,
and current number of patients booked.
••
Consolidated OR Provider Roster (One Clinic) (3)
The Consolidated OR Provider Roster (One Clinic) option allows you
to generate and print either of two rosters: 1) when a provider is
specified, a roster of that provider’s appointments will be produced; or
2) when no provider is specified, a consolidated roster of all providers
in the specified clinic is produced. If the Print Roster with Open Slots
field in the provider profile is set to Yes, the system will print all slots
open or booked.
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••
Daily Outpatient Encounter Forms (Clin/Prov/Indv) (4)
The Daily Outpatient Encounter Forms (Clin/Prov/Indv) option
allows you to generate and print an Encounter Form for each existing
appointment of the category selected.
••
Inpatient Ward Roster for Today (5)
The Inpatient Ward Roster for Today option allows you to generate
and print Inpatient Ward Rosters for each ward for the date specified.
The roster includes appointment time, appointment type, reason for
appointment, referred by, clinic, FPM/SSN, sex, provider, comment,
registration comment, and date of birth for each patient.
••
Outpatient Disposition Roster (6)
The Outpatient Disposition Roster option allows you to generate and
print a roster of outpatient dispositions for one, multiple, or all
providers, clinics, divisions, or groups for a specified date range. For
the category selected, you also specify one, multiple, or all patient
categories, and one, multiple, or all outpatient dispositions to display.
••
Patient Visit Summary Report (7)
The Patient Visit Summary Report option allows you to generate and
print a patient visit summary for one, multiple, or all clinics,
providers, or patients for a specified date range.
••
Print/Display Provider Roster (8)
The Print/Display Provider Roster option allows you to generate and
print the Provider Roster for a provider in a specified clinic on a
specific date. The roster includes facility, date/time report generated,
date specified, clinic, appointment time, appointment type, DEERS
code, reason for appointment, FPM/SSN, sex, provider, comment,
home telephone number, work telephone number, comment, and date
of birth for each patient.
••
Provider Schedule Summary (9)
The Provider Schedule Summary option allows you to generate and
print a Provider Schedule Summary for past and future dates. This
report is a schedule summary for the provider in each clinic assigned,
and includes a chronological list of the provider's slots, the week day,
date/time, appointment type, slot status, maximum patients per slot,
and current number of patients booked.
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••
Unanswered Telephone Consults Report (10)
The Unanswered Telephone Consults Report option allows you to
print unanswered telephone consults by clinic, provider, or patient.
Individual sites can set the site parameters to determine the number
of days before an unanswered telephone consult becomes “old.”
• Track & Request Medical Records Menu (TRM)
The Track & Request Medical Records Menu options allow you, as the PAS
Clerk, to recharge records to other clinics, and to request records from
Medical Records File Rooms.
Record Tracking Application
The Record Tracking Application allows you to electronically track patient
records, whether they are medical records, film folders (radiology records),
or records related to Nuclear Medicine. Through the use of this application,
you can request patient records, maintain up-to-date information on the
location of the record, and be provided significant information for user
determination of record availability for charge-out.
••
Image Tracking (I)
The Image Tracking Menu presents the same functions and options as
those for Medical Records Tracking; however, this menu allows you to
track radiology records, such as X-ray files.
••
Medical Records Tracking (MRT)
The Medical Records Tracking option allows you to track inpatient
and outpatient medical records throughout the facility.
•••
Re-Charge Records (RCR)
The Re-Charge Records option allows you to record the transfer
of records charged from your own clinic to another clinic. This
recharge capability allows record tracking outside of the
Medical Records File Room. As an example, a patient’s medical
record is checked out to your clinic, the Cardiology Clinic. The
patient has just seen a provider in your clinic and takes her
medical record to the Surgical Clinic for another scheduled
appointment. You, as the Front Desk clerk in the Cardiology
Clinic, recharge this patient's medical record to the Surgical
Clinic.
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•••
Request a Record (QUE)
The Request a Record option allows you to enter a request for a
medical record from the Medical Record File Room when it was
not on the scheduled Pull List for your clinic. Using this option,
you can request a patient's medical record for an unanticipated
provider review of the patient's medical record or for a patient
with an unscheduled appointment.
•••
Cancel a Request (CAN)
The Cancel a Request option allows you to cancel a previous
request for a medical record. You must hold the proper security
key access.
•••
Display Request (DIS)
The Display Request option allows you to display data
associated with a specific request for a patient's record. You
may access request data for a specific patient by scanning the
barcode on a record request label, entering the request number,
or entering the patient name.
•••
Edit a Request (EDI)
The Edit a Request option allows you to access each record
request by request number, and allows the user to edit patient
demographic and record location information.
•••
Patient Check-Out (PCO)
The Patient Check-Out option allows you to electronically
record the patient as the borrower of their own medical record.
•••
Short Record Inquiry (INQ)
The Short Record Inquiry option allows you to generate an
abbreviated online list of all medical records for a specified
patient information. Information includes current borrower,
record type, and medical record number.
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Menu Diagrams & Definitions
PAS SYSTEM MENU DIAGRAMS
Emergency Room Menu
2-48
New ER Patient Enter
Problem, Procedure & Diagnosis Enter/Edit
Check-out & Patient Instructions
Update Appt History & Encounter Data
SF 558 Print
Trackable Entity (Patient) Add/Delete
JCAHO Control Register Print
Walk-In Patients
View Patient Appointment History
Disposition Processing
Full ER Encounter
Activity Date and ER Clinic Edit
Emergency Room Profiles Menu
Management Reports Menu
Registration Menu
1
2
Emergency Room Clinic Profile Edit
Emergency Room Provider Profile Edit
1
2
3
Clinic Workload Report
End-of-Day Processing/Editing
Trackable Entity Report
1
2
3
4
5
6
7
8
9
10
11
Full Registration
DEERS Eligibility Request
Former Patient Name
Generate Embossed Card
Hard Copy of Registration Form
Information Desk Display
John Doe Registration
Mini Registration
Request a Record
View Patient DEERS Status
View Registration Information
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Menu Diagrams & Definitions
NER
PER
CER
UER
SER
TER
JER
WER
VER
DER
FER
AER
EER
MER
RER
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PAS MENU DEFINITIONS
Emergency Room Menu
The Emergency Room Menu options are used to enter new patients into an
emergency room, check patients out of an emergency room, update patient
appointment history and encounter data, print the SF 558 Worksheet, add and
delete trackable entities, print the JCAHO Control Registers, and process walk-in
patients.
• New ER Patient Enter (NER)
The New ER Patient Enter option allows you to process a new or
previously registered emergency room patient. You can also enter arrival
time, chief complaint, appointment type, specify if there is a third party
payer, arrival category, or next of kin.
• Problem, Procedure & Diagnosis Enter/Edit (PER)
The Problem, Procedure & Diagnosis Enter/Edit option allows you to enter
or edit diagnosis, problems, procedures, patient's chief complaint, and
instructions to the patient related to an existing emergency room visit.
• Check-out & Patient Instructions (CER)
The Check-out & Patient Instructions option allows you to check-out
individual patients and process their patient instructions.
• Update Appt History & Encounter Data (UER)
The Update Appt History & Encounter Data option allows you to update
information in appointment history fields for data entered during new
patient emergency room processing.
• SF558 Print (SER)
The SF558 Print option allows you to print or display the SF 558
Encounter Form Worksheet.
• Trackable Entity (Patient) Add/Delete (TER)
The Trackable Entity (Patient) Add/Delete option allows you to add
trackable entity information or delete existing data.
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• JCAHO Control Register Print (JER)
The JCAHO Control Register Print option allows you to produce a 132column printout of the JCAHO control register.
• Walk In Patients (WER)
The Walk In Patients option allows you to check-in a new or previously
registered patient.
• View Patient Appointment History (VER)
The View Patient Appointment History option allows you to display or
print past and pending appointments for a patient and family members.
• Disposition Processing (DER)
The Disposition Processing option allows you to disposition individual or
all patients in an emergency room of a specific date.
• Full ER Encounter (FER)
The Full ER Encounter option allows you to enter or edit data for
parameters available in the Check-out & Patient Instructions, Update
Appointment History & Encounter Data, and the Problem, Procedure &
Diagnosis Enter/Edit options for an individual encounter.
• Activity Date and ER Clinic Edit (AER)
The Activity Date and ER Clinic Edit option allows you to change the date
and/or name of the emergency room clinic for which you wish to enter
information.
Normally, today’s date allows you as the ER activity date. However, if the
system has been down or an encounter must be back-dated, the date of the
actual encounter can be entered.
• Emergency Room Profiles Menu (EER)
The Emergency Room Profile Menu options allow you to edit the
Emergency Room Profile for an existing emergency room clinic or provider.
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••
Emergency Room Clinic Profile Edit (1)
The Emergency Room Clinic Profile Edit option allows you to complete
and modify profile data for existing Emergency Room clinics within a
division. All appointment types used by providers in the Emergency
Room clinic must be defined in the Emergency Room Clinic Profile.
New Emergency Room locations can be created using the Create a
New Clinic option in the File/Table Maintenance Menu.
••
Emergency Room Provider Profile Edit (2)
The Emergency Room Provider Profile Edit option allows you to add
new providers to an existing Emergency Room clinic, review and edit
profile information for providers currently assigned to the selected
Emergency Room clinic, and add or modify appointments for an
Emergency Room provider.
• Management Reports Menu (MER)
The Management Reports Menu options allow you to generate a single or
multiple provider version of the Monthly Statistical Report or a report of
trackable entities.
••
Clinic Workload Report (1)
The Clinic Workload Report option allows you to generate and print
an on-demand, single or multiple provider, version of the PAS
Monthly Statistical Report.
••
End-of-Day Processing/Editing (2)
The End-of-Day Processing/Editing option is defined in the
definitions for the Clerk Scheduling Menu.
••
Trackable Entity Report (3)
The Trackable Entity Report option allows you to generate and print
a report of trackable items borrowed from the emergency rooms (i.e.,
canes, crutches).
• Registration Menu (RER)
The Registration Menu options allow you to change the sponsor's name for
registered patients, check for DEERS eligibility, generate embossed cards,
print registration forms, perform mini-registration, and view current
patients DEERS status.
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Note: Definitions for the following registration options are presented in
the Clerk Scheduling Menu Definitions: Change Sponsor's Name, DEERS
Eligibility Request, Generate Embossed Card, Hard Copy of Registration
Form, Mini-Registration, and View Patient DEERS Status.
••
Full Registration (1)
The Full Registration option allows you to add a new patient into
CHCS, enter registration data needed to process the patient, and edit
the existing data.
••
DEERS Eligibility Request (2)
The DEERS Eligibility Request option allows you to conduct a
DEERS check for a specific patient.
••
Former Patient Name (3)
The Former Patient Name option allows you to create a cross
reference between a registered patient's current and former name.
The cross reference will permit patient file search using the patient's
former name.
••
Generate Embossed Card (4)
The Generate Embossed Card option allows you to print an embossed
card containing pertinent patient registration information.
••
Hard Copy of Registration Form (5)
The Hard Copy of Registration Form option allows you to print a
paper copy of the registration and administration information for a
patient.
••
Information Desk Display (6)
The Information Desk Display option allows you to view the following
current MTF information for a patient: location, FMP/SSN, rank,
ward location, room-bed, and visiting hours.
••
John Doe Registration (7)
The John Doe Registration option allows you to register a patient
whose identity is unknown. The system will assign pseudo
registration data until the John Doe registration information can be
updated with correct patient information when known.
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Menu Diagrams & Definitions
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••
Mini Registration (8)
The Mini Registration option allows you to register a new patient
while booking appointments.
••
Request a Record (9)
The Request a Record option allows you to enter a request for
existing patient records. Record requests can be for the present or a
future date/time.
••
View Patient DEERS Status (10)
The View Patient DEERS Status option allows you to view the status
of a registered patient.
••
View Registration Information (11)
The View Registration Information option allows you to view all
registration information for a patient. This is a view-only option.
2-53
Menu Diagrams & Definitions
PAS SYSTEM MENU DIAGRAMS
Managed Care Program Menu
2-54
Health Care Finder Menu
Non-Enrolled Booking
Enrollment Processing Menu
Display Patient Appointments
Cancellation by Patient
Outputs & Management Reports Menu
Registration Menu
Batch PCM Reassignment Menu
Interactive NAS Processing Menu
Provider Network Management Menu
File/Table for MCP Menu
Ad Hoc Report Menu
PCM Booking
Appointment Referral Booking
Non-Enrolled Booking
Enter Appointment Refusals
Output Products
Health Care Finder Reports
Menu
LHCF Print Patient Address Label
1
2
3
4
5
6
Agreement Type Referral Summary
Specialty Type Referral Summary
Provider Network List
PCM Activity Report
Provider Patient Workload Report
Refused Appointments Report
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Menu Diagrams & Definitions
HMCP
NMCP
EMCP
DMCP
CMCP
OMCP
RMCP
BMCP
IMCP
PMCP
FMCP
AMCP
PHCF
AHCF
NHCF
EHCF
OHCF
RHCF
PAS SYSTEM MENU DIAGRAMS
Managed Care Program Menu
2-55
HMCP
NMCP
EMCP
DMCP
CMCP
OMCP
RMCP
BMCP
IMCP
PMCP
FMCP
AMCP
Enrollment Enter/Edit
Disenrollment
Reciprocal Disenrollment Processing
Conditional Enrollment Processing
Print/Display Enrollment History
Interactive DEERS Eligibility Request
Outputs & Enrollment Maintenance Reports
Menu
BENR Batch Enroll Active Duty
DRPM DEERS/Enrollment Maintenance Reports
Menu
ERPM Enrollment Reports Menu
PRPM PCM Reports Menu
MEFM MCP Enrollment Form
APAL Address Label for Patient
1
2
3
4
MCP Conditional Enrollment Roster
Enrollment/Disenrollment Discrepancy Report
MCP DEERS Ineligibility Report
PAS DEERS Ineligibility Report
IBER
UBER
PBER
DBER
Identify Potential Active Duty Candidates
Update/Print/Enroll Potential AD Candidates
Print Batch Enrollment Report
Delete Potential Candidate List
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Menu Diagrams & Definitions
EENR
DENR
RENR
CENR
PENR
IENR
OENR
Health Care Finder Menu
Non-Enrolled Booking
Enrollment Processing Menu
Display Patient Appointments
Cancellation by Patient
Outputs & Management Reports Menu
Registration Menu
Batch PCM Reassignment Menu
Interactive NAS Processing Menu
Provider Network Management Menu
File/Table for MCP Menu
Ad Hoc Report Menu
PAS SYSTEM MENU DIAGRAMS
DRPM
ERPM
PRPM
MEFM
APAL
Managed Care Program Menu
2-56
EENR
DENR
CENR
PENR
IENR
OENR
Health Care Finder Menu
Non-Enrolled Booking
Enrollment Processing Menu
Display Patient Appointments
Cancellation by Patient
Outputs & Management Reports Menu
Registration Menu
Batch PCM Reassignment Menu
Interactive NAS Processing Menu
Provider Network Management Menu
File/Table for MCP Menu
Ad Hoc Report Menu
Enrollment Enter/Edit
Disenrollment
Conditional Enrollment Processing
Print/Display Enrollment History
Interactive DEERS Eligibility Request
Outputs & Enrollment Maintenance Reports
Menu
LABL Family Batch Enrollment Labels Menu
ROST Enrollment Rosters Menu
SUMM Enrollment Summaries Menu
1
2
3
4
Disenrollment Summary by Reason
Enrollment Summary Report
OHI Enrollment Summary
Patient Category Enrollment Summary
1
2
3
4
5
6
7
8
9
10
AD Family Members by Unit Enrollment Roster
Alphabetic Enrollment Roster by Service
Case Management Program Enrollment Roster
Change in Eligibility Enrollment Roster
Disenrollees for Period by Reason Code
Enrollment Roster Exception Conditions
Reciprocal Disenrollment by Reason Roster
Reciprocal Disenrollment Discrepancy Report
Track User Report
Enrollee Entitlement Discrepancy Report
1
2
3
Family Batch Enrollment Labels Build Utility
Family Batch Enrollment Labels Print Utility
Incomplete Patient Address Report
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Menu Diagrams & Definitions
HMCP
NMCP
EMCP
DMCP
CMCP
OMCP
RMCP
BMCP
IMCP
PMCP
FMCP
AMCP
DEERS/Enrollment Maintenance Reports Menu
Enrollment Reports Menu
PCM Reports Menu
MCP Enrollment Form
Address Label for Patient
PAS SYSTEM MENU DIAGRAMS
Managed Care Program Menu
2-57
EENR
DENR
CENR
PENR
IENR
OENR
Health Care Finder Menu
Non-Enrolled Booking
Enrollment Processing Menu
Display Patient Appointments
Cancellation by Patient
Outputs & Management Reports Menu
Registration Menu
Batch PCM Reassignment Menu
Interactive NAS Processing Menu
Provider Network Management Menu
File/Table for MCP Menu
Ad Hoc Report Menu
Enrollment Enter/Edit
Disenrollment
Conditional Enrollment Processing
Print/Display Enrollment History
Interactive DEERS Eligibility Request
Outputs & Enrollment Maintenance Reports
Menu
1
2
3
4
5
6
7
8
Available PCM Capacity by Provider Group
Enrollment Roster by PCM
PCM Activity Report
PCM Assignment Change Roster by Reason
PCM Assignment Change Summary
Default PCM/UIC Report
PCM Enrollment Mix Discrepancy Statistical Summary
PCM Enrollment Mix Discrepancy Report
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Menu Diagrams & Definitions
HMCP
NMCP
EMCP
DMCP
CMCP
OMCP
RMCP
BMCP
IMCP
PMCP
FMCP
AMCP
DRPM DEERS/Enrollment Maintenance Reports
Menu
ERPM Enrollment Reports Menu
PRPM PCM Reports Menu
MEFM MCP Enrollment Form
APAL Address Label for Patient
PAS SYSTEM MENU DIAGRAMS
Managed Care Program Menu
HMCP
NMCP
EMCP
DMCP
CMCP
OMCP
2-58
Health Care Finder Menu
Non-Enrolled Booking
Enrollment Processing Menu
Display Patient Appointments
Cancellation by Patient
Outputs & Management Reports
Menu
RMCP Registration Menu
BMCP Batch PCM Reassignment Menu
IMCP Interactive NAS Processing Menu
PMCP Provider Network Management Menu
FMCP File/Table for MCP Menu
AMCP Ad Hoc Report Menu
1
2
3
4
5
6
Enrollment Reports Menu
Health Care Finder Reports Menu
Network Provider Reports Menu
PCM Reports Menu
DEERS/Enrollment Maintenance Reports Menu
Agreement Type Referral Summary
Specialty Type Referral Summary
Provider Network List
PCM Activity Report
Provider Patient Workload Report
Refused Appointments Report
1
2
3
4
Disenrollment Summary by Reason
Enrollment Summary Report
OHI Enrollment Summary
Patient Category Enrollment Summary
1
2
3
4
5
6
7
8
9
10
AD Family Members by Unit Enrollment Roster
Alphabetic Enrollment Roster by Service
Case Management Program Enrollment Roster
Change in Eligibility Enrollment Roster
Disenrollees for Period by Reason Code
Enrollment Roster Exception Conditions
Reciprocal Disenrollment by Reason Roster
Reciprocal Disenrollment Discrepancy Report
Track User Report
Enrollee Entitlement Discrepancy Report
1
2
3
Family Batch Enrollment Labels Build Utility
Family Batch Enrollment Labels Print Utility
Incomplete Patient Address Report
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Menu Diagrams & Definitions
ERME
HRPT
NPRM
PRPT
DEMR
LABL Family Batch Enrollment Labels Menu
ROST Enrollment Rosters Menu
SUMM Enrollment Summaries Menu
PAS SYSTEM MENU DIAGRAMS
Managed Care Program Menu
HMCP
NMCP
EMCP
DMCP
CMCP
OMCP
Health Care Finder Menu
Non-Enrolled Booking
Enrollment Processing Menu
Display Patient Appointments
Cancellation by Patient
Outputs & Management Reports
Menu
RMCP Registration Menu
BMCP Batch PCM Reassignment Menu
IMCP Interactive NAS Processing Menu
PMCP Provider Network Management Menu
FMCP File/Table for MCP Menu
AMCP Ad Hoc Report Menu
2-59
1
2
3
4
1
2
3
4
5
6
7
8
Enrollment Reports Menu
Health Care Finder Reports Menu
Network Provider Reports Menu
PCM Reports Menu
DEERS/Enrollment Maintenance Reports Menu
MCP Conditional Enrollment Roster
Enrollment/Disenrollment Discrepancy Report
MCP DEERS Ineligibility Report
PAS DEERS Ineligibility Report
Available PCM Capacity by Provider Group
Enrollment Roster by PCM
PCM Activity Report
PCM Assignment Change Roster by Reason
PCM Assignment Change Summary
Default PCM/UIC Report
PCM Enrollment Mix Discrepancy Statistical Summary
PCM Enrollment Mix Discrepancy Report
1
2
3
4
MCP Place of Care Report
Provider Group Report
Provider Agreement Detail Report
Specialty Provider Agreement Summary
1
2
3
4
5
6
7
Discount Provider Agreement Roster
Expiration Date Provider Agreement Roster
Group Member Roster
Provider Alphabetic Agreement Roster
Provider List by Specialty
Specialty Provider Agreement Roster
ZIP Code Agreement Roster
1
2
3
Provider Batch Address Labels - Build Utility
Provider Batch Address Labels - Print Utility
Incomplete Provider Address Report
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Menu Diagrams & Definitions
ERME
HRPT
NPRM
PRPT
DEMR
LABM Labels for Providers Menu
PROM Provider Rosters Menu
RPTM Reports for Provider Menu
PAS SYSTEM MENU DIAGRAMS
Managed Care Program Menu
2-60
HMCP
NMCP
EMCP
DMCP
CMCP
OMCP
RMCP
BMCP
IMCP
PMCP
FMCP
AMCP
Health Care Finder Menu
Non-Enrolled Booking
Enrollment Processing Menu
Display Patient Appointments
Cancellation by Patient
Outputs & Management Reports Menu
Registration Menu
Batch PCM Reassignment Menu
Interactive NAS Processing Menu
Provider Network Management Menu
File/Table for MCP Menu
Ad Hoc Report Menu
DRDM
GRDM
HRDM
MRDM
VRDM
DEERS Eligibility Request
Generate Embossed Card
Hard Copy of Registration Form
Mini Registration
View Patient DEERS Status
I
MRT
Image Tracking
Medical Records Tracking
* The Record Tracking Application prompts you to
choose either Image Tracking or Medical Records
Tracking.
RCR
QUE
CAN
DIS
EDI
PCO
ING
Re-Charge Records
Request a Record
Cancel a Request
Display Request
Edit a Request
Patient Check-Out
Short Record Inquiry
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Menu Diagrams & Definitions
RREG Registration & DEERS Menu
TREG Track & Request Medical Records Menu*
PAS SYSTEM MENU DIAGRAMS
Managed Care Program Menu
APCM Assignment Reports Menu
BPCM Batch PCM Reassignment
FPCM Family PCM Reassignment
2-61
HMCP
NMCP
EMCP
DMCP
CMCP
OMCP
RMCP
BMCP
IMCP
PMCP
FMCP
AMCP
Health Care Finder Menu
Non-Enrolled Booking
Enrollment Processing Menu
Display Patient Appointments
Cancellation by Patient
Outputs & Management Reports Menu
Registration Menu
Batch PCM Reassignment Menu
Interactive NAS Processing Menu
Provider Network Management Menu
File/Table for MCP Menu
Ad Hoc Report Menu
ERPT
PRPT
RRPT
URPT
Enrollee/Patient Assignment Notification
Provider Assignment Notification
PCM Reassignment Report
UIC Maintenance Report
NNAS Non-Availability Statement Processing
RNAS Reports for NAS
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Menu Diagrams & Definitions
BNAS Branch of Service Summary Report
NNAS NAS Statistical Report
PNAS Reason for Issue by Patient
Category Report
SNAS Reason for Issue Summary Report
PAS SYSTEM MENU DIAGRAMS
Managed Care Program Menu
HMCP
NMCP
EMCP
DMCP
CMCP
OMCP
RMCP
BMCP
IMCP
PMCP
FMCP
AMCP
2-62
GNET
INET
ONET
MNET
Health Care Finder Menu
Non-Enrolled Booking
Enrollment Processing Menu
Display Patient Appointments
Cancellation by Patient
Outputs & Management Reports Menu
Registration Menu
Batch PCM Reassignment Menu
Interactive NAS Processing Menu
Provider Network Management Menu
File/Table for MCP Menu
Ad Hoc Report Menu
Group Member Roster
Provider Group Report
Provider List by Specialty
PCM Enrollment Mix Discrepancy Statistical Summary
PCM Enrollment Mix Discrepancy Report
Group Profile/Agreements Enter/Edit
Individual Provider Profile/Agreements Enter/Edit
Outputs & Network Management Reports Menu
Modify Group Agreement Effective Date
Provider Batch Address Labels - Build Utility
Provider Batch Address Labels - Print Utility
Discrepancy Avoidance Report
1
2
3
4
5
6
Provider Alphabetic Agreement Roster
Speciality Provider Agreement Roster
Speciality Provider Agreement Summary
Discount Provider Agreement Roster
Expiration Date Provider Agreement Roster
ZIP Code Agreement Roster
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Menu Diagrams & Definitions
GMRM Group Management Reports Menu
AMRM Agreement Reports Menu
MMRM Miscellaneous Network Reports Menu
1
2
3
1
2
3
4
5
PAS SYSTEM MENU DIAGRAMS
Managed Care Program Menu
HMCP
NMCP
EMCP
DMCP
CMCP
OMCP
RMCP
BMCP
IMCP
PMCP
FMCP
AMCP
2-63
IDHC
PDHC
SDHC
LDHC
Health Care Finder Menu
Non-Enrolled Booking
Enrollment Processing Menu
Display Patient Appointments
Cancellation by Patient
Outputs & Management Reports Menu
Registration Menu
Batch PCM Reassignment Menu
Interactive NAS Processing Menu
Provider Network Management Menu
File/Table for MCP Menu
Ad Hoc Report Menu
Inquire to File Entries
Print File Entries
Search File Entries
List File Attributes
Enrollment File/Table Maintenance Menu
Facility File/Table Maintenance Menu
Provider Network File/Table Maintenance
Menu
DEPT
PLAC
PROV
GROU
SPEC
PROF
MILI
AUDI
Department and Service File Enter/Edit
Place of Care Enter/Edit
Provider Enter/Edit
Group Enter/Edit
Specialty Type Enter/Edit
Professional Category Enter/Edit
Military Status Enter/Edit
Audit Trail for Provider Network Menu
Insurance Company Enter/Edit
PCM Assignment Reason Enter/Edit
Disenrollment Reason Enter/Edit
MCP Forms Text Enter/Edit
MCP Embosser Attribute Enter/Edit
MCP Embosser Cards Enter/Edit
MCP Embosser Type Enter/Edit
Enrollment Block Reason Enter/Edit
Enrollee Lockout Override Reason Enter/Edit
Enrollee DMIS ID Update
Clean Up DMIS ID Update
DIVI
OFFI
HEAL
ZIPC
CAZC
FACI
ISSO
PARA
UICP
RACT
MCP Division Profile Edit
MCP Office Enter/Edit
MCP Health Care Finder Profile Enter/Edit
ZIP Code Combinations Enter/Edit
Catchment Area Zip Code Enter/Edit
Facility Type Enter/Edit
NAS Issuing Officer Enter/Edit
MCP Parameters Profile Enter/Edit
UIC/PCM Maintenance Enter/Edit
Reactivate MCP Enrollment
AGDC
LCDC
GPDC
PRDC
Agreement Data Changes
Place of Care Data Changes
Group Data Changes
Provider Data Changes
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Menu Diagrams & Definitions
ETAB
FTAB
PTAB
INSU
PCMA
DISE
FORM
EMBA
EMBC
EMBT
EBRE
LORE
DMIS
CLUP
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Managed Care Program Menu
This is the primary menu for the Managed Care Program (MCP). MCP is an
automated program that helps MTFs manage information for MCP network
providers and their subcontractors. MCP allows you to search for the most costeffective source of specialty care regardless of whether the patient is enrolled in
the MCP.
When searching for specialty care, the MCP simultaneously searches for both
MTF and civilian providers in the network. MCP then displays a list of providers,
grouped by discount rate, from which you may choose.
From this menu, MCP allows you to maintain system files and tables that support
MCP; create and maintain information to support the provider network and other
MCP management reports and outputs; perform patient enrollment processing;
manage appointment referrals, perform provider searches, and book
appointments with specialists in the provider network for both enrolled and nonenrolled patients; book appointments for enrolled patients with their primary care
manager; and issue non-availability statements (NASs) and care authorizations.
• Health Care Finder Menu (HMCP)
The Health Care Finder Menu options allow you to add and modify
appointment referrals; conduct provider searches for both enrolled and nonenrolled patients; book appointments with specialists from a network of
providers, who work within or outside of the MTF; and generate
authorization forms, ID cards, and health care finder reports that support
these tasks.
••
PCM Booking (PHCF)
The PCM Booking option allows you to book appointments for an
enrolled patient with the patient’s primary care manager (PCM). PCM
booking only processes patients with an MCP status of enrolled. Note
that for non-enrolled, pending enrolled, and conditionally enrolled
patients, use the Non-Enrolled Booking option.
••
Appointment Referral Booking (AHCF)
The Appointment Referral Booking option allows you to enter/edit an
appointment referral and book appointments for both MCP-enrolled
and non-enrolled patients with network providers. Appointments can
be cancelled only through the Cancellation by Patient option.
Referrals without appointments can be deleted in this option.
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••
Non-Enrolled Booking (NHCF)
The Non-Enrolled Booking option permits you to book appointments
for patients not enrolled in MCP. It also permits you to process
patients who are conditionally enrolled or pending enrolled. This
option supports both MTF and Non-MTF booking.
••
Enter Network Appointment Refusals (EHCF)
The Enter Network Appointment Refusals option permits you to enter
an appointment refusal from a separate menu option on the Health
Care Finder Menu, rather than from the action bar on the NonEnrolled Booking screen.
••
Output Products (OHCF)
The Output Products option permits you to generate three output
products for a specified patient: an enrollment form, membership id,
or a patient label. It also permits you to generate two output products
for a specified patient and appointment referral: a care authorization
form or a provider label. After generating products for one patient, you
may select another patient, or quit and exit the option.
Note: If you use this option, you should be entered as a health care
finder via the Health Care Finder Profile Enter/Edit option. Your
record in the system should contain your name, telephone number,
and the MCP office to which you are assigned. These fields will print
on the care authorization form.
••
Health Care Finder Reports Menu (RHCF)
The Health Care Finder Reports Menu options allow you to generate
information for agreement type referrals, specialty type referrals, the
provider network, PCM activity, provider patient workload, and
refused appointments.
•••
Agreement Type Referral Summary (1)
The Agreement Type Referral Summary option allows you to
generate/print reports showing the number of referrals that
were entered into the system within a selected division during
a specified time range.
There are two Agreement Type Referral Summary types. The
first is sorted by the agreement type of the provider who
received the patient care referral. The second is sorted by the
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agreement type and then by the specialty of the provider who
received the patient care referral.
The report additionally shows an overall division total for the
number of referrals. Each division is printed on a separate
page.
•••
Specialty Type Referral Summary (2)
The Specialty Type Referral Summary option allows you to
produce a Referral Summary by Specialty Type report for
selected division(s). This report shows the number of referrals
that were entered into the system during a specified date range.
This report includes specialty type, provider, professional
category, and number of referrals. The report is sorted by the
specialty type, and within the specialty type by the provider to
whom the patients were referred.
The total number of referrals is reported for each provider.
Additionally, totals for each specialty type, for the division, as
well as for all the referrals entered for the date range specified
are generated and shown.
•••
Provider Network List (3)
The Provider Network List option allows the user to print a
report showing provider PCM capacity, assignments, and
availability by provider agreement and provider specialty(s)
within the agreement.
The Provider Network List report is sorted by agreement type,
individual provider specialty, place of care zip code, and then
provider name. The reports also lists place of care appointment
contact, address, and hours of service for each place of care.
•••
PCM Activity Report (4)
The PCM Activity Report option allows you to print reports
showing the current number of enrollees, enrollment capacity,
and available enrollment capacity for each PCM; number of
emergency room visits; number of referrals made; number of
visits with a referral; and number of visits without a referral
within the specified date range.
You can generate three different reports: the PCM Activity
Report by Individual PCM, PCM Activity Report by Provider
Group, and PCM Activity Report by Specialty. The PCM
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Activity Report by Individual PCM is sorted by individual
provider, provider group, and provider group agreement. The
PCM Activity Report by Provider Group is sorted by individual
or group PCM and by agreement type. The PCM Activity Report
by Specialty is sorted by individual provider specialty,
individual provider, group, and agreement type.
•••
Provider Patient Workload Report (5)
The Provider Patient Workload Report option allows you to
print a report showing outpatient visit activities to MTF
providers and the total number of kept visits to MTF providers
or provider groups. It also displays outpatient visit activity to
non-MTF providers or provider groups and records the total
number of booked visits to non-MTF providers or provider
groups. In addition, the system reports the total number of
different patients in the specified date range. The data is sorted
first by agreement type, then by provider or provider group, and
then by patient category status.
•••
Refused Appointments Report (6)
The Refused Appointments Report option allows you to print a
report for selected patient(s) for a specified time period who
have refused an available MTF or civilian network
appointment. It shows the reason for the appointment refusal.
This report may be requested either individually by patient
name or for all patients. The report is sorted by refusal status
and then by patient name when requested for all patients.
••
Print Patient Address Label (LHCF)
The Print Patient Address Label option allows you to print an address
label for one or more patients, provided the patients have complete
home or duty addresses.
• Non-Enrolled Booking (NMCP)
The Non-Enrolled Booking option permits you to book appointments for
patients not enrolled in MCP. Non-Enrolled Booking also permits you to
process patients who are conditionally enrolled or pending enrolled. This
option supports both MTF and Non-MTF booking.
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• Enrollment Processing Menu (EMCP)
The Enrollment Processing Menu options allow you to verify DEERS
eligibility for an MCP patient; enroll a patient into MCP; enroll family
members into MCP; assign and modify a PCM for an MCP patient; enter
and modify other health insurance (OHI) information; assign an exception
provider as a case manager for a patient; and disenroll a patient from MCP.
••
Enrollment Enter/Edit (EENR)
The Enrollment Enter/Edit option allows you to enroll a patient in
MCP and assign a PCM. This option prompts you to enter a patient
name, then allows you to enter a new MCP enrollment, or view and
edit a current MCP enrollment for a patient.
You may both enroll and disenroll a patient, so that one patient may
have more than one enrollment record in the system. The system also
tracks family relationships of enrolled patients, and permits you to
enroll other family members of enrolled patients. After each
enrollment or disenrollment, the system sends an enrollment or
disenrollment transaction for the Defense Enrollment Eligibility
Reporting System (DEERS) as a background process.
You may also print PCM place of care information, enter or copy OHI
information, or print an encounter form or patient address label.
••
Disenrollment (DENR)
The Disenrollment option allows you to disenroll patients enrolled in
MCP. This option prompts you to enter the name of a patient
registered in CHCS, then allows you to disenroll any enrolled
members of the patient’s family.
••
Reciprocal Disenrollment Processing (RENR)
The Reciprocal Disenrollment Processing option allows you to
reciprocally disenroll beneficiaries from another facility (the losing
facility) without enrolling them in your facility (the gaining facility).
••
Conditional Enrollment Processing (CENR)
The Conditional Enrollment Processing option allows you to perform
DEERS Eligibility checks on conditionally enrolled patients and to
cancel their enrollments. You may select individual patients or all
conditionally enrolled patients in one specific division, several specific
divisions, or all divisions.
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••
Print/Display Enrollment History (PENR)
The Print/Display Enrollment History option generates a list of the
enrollments for a given patient, and allows you to print the enrollment
history.
••
Interactive DEERS Eligibility Request (IENR)
The Interactive DEERS Eligibility Request option allows you to
perform a DEERS check on a given patient. You specify the patient
name, family member prefix (FMP), sponsor SSN, and patient date of
birth (DOB), since these are the main fields by which DEERS
identifies the patient. You may specify eligibility start and end dates
to determine whether a patient who is currently ineligible in DEERS
was eligible at an earlier date.
This option, unlike other options that perform DEERS checks, always
queries DEERS directly. It does not make use of DEERS data stored
in the patient file by DEERS checks performed by other options within
the past five days. It also does not store DEERS data in the Patient
file for the benefit of other options that check DEERS eligibility.
••
Outputs & Enrollment Maintenance Reports Menu (OENR)
The Outputs & Enrollment Maintenance Reports Menu options allow
you to generate information about DEERS/enrollment maintenance,
enrollment, and PCMs. It also allows you to print the MCP enrollment
form and address labels for patients.
•••
DEERS/Enrollment Maintenance Reports Menu (DRPM)
The DEERS/Enrollment Maintenance Reports Menu options
allow you to generate information about conditional
enrollment, enrollment/disenrollment discrepancies, DEERS
ineligible patients from MCP, and DEERS ineligible patients
from PAS.
••••
MCP Conditional Enrollment Roster (1)
The MCP Conditional Enrollment Roster option
identifies those patients who received an ineligible
response from DEERS and are conditionally enrolled.
Data includes patient name, FMP/SSN, DOB, patient
category, sponsor rank, home and work phone
numbers, enrollment date, address, OHI status, and
automatic disenrollment date.
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••••
Enrollment/Disenrollment Discrepancy
Report (2)
The Enrollment/Disenrollment Discrepancy Report
option enables you to generate a report for a selected
time period listing those patients for whom a DEERS
discrepancy response was received for their enrollment
or disenrollment transaction.
••••
MCP DEERS Ineligibility Report (3)
The MCP DEERS Ineligibility Report option allows
you to generate a report listing those patients that
received an ineligible response from DEERS.
••••
PAS DEERS Ineligibility Report (4)
The PAS DEERS Ineligibility Report contains a list of
those patients who have had a DEERS check
performed in the last 24 hours and who have been
returned as DEERS ineligible for those eligibility
checks that have originated from PAS.
This report enables you to produce the DEERS
Ineligibility Report either by clinic, division, or group.
This report is sorted by patient identification (PTID)
and lists all patients who did not meet the DEERS
eligibility standards. Data provided includes each
patient’s name, FMP/SSN, DOB, date of last DEERS
check, date of next appointment, home phone, work
phone, clerk scheduler, and current DEERS status.
••
Batch Enroll Active Duty (BENR)
The Batch Enroll Active Duty option displays only when the CPZ
BATCH ENROLL security key is assigned. This menu allows you to
batch enroll active-duty beneficiaries into MCP.
•••
Identify Potential Active Duty Candidates (IBER)
The Identify Potential Active Duty Candidates option allows
you to create a Potential Candidate List of active-duty
beneficiaries eligible for batch enrollment. This is the first step
in the batch enrollment process. The system searches the
Patient file for all active-duty beneficiaries who have no MCP
history. The system then subdivides these records into two
groups: (1) beneficiaries with medical activity (e.g., an order,
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admission, appointment, or MCP referral) within a userdefined period, and (2) all candidates. You can either process all
candidates, or process only those with medical activity.
•••
Update/Print/Enroll Potential AD Candidates (UBER)
The Update/Print/Enroll Potential AD Candidates option
allows you to subdivide the Potential Candidate List for better
manageability. You can create these subsets using the following
criteria: UIC (then alphabetically), patient category (then
alphabetically), alphabet, and SSN. Once a subset has been
identified, you can choose to view the candidates in the subset,
print the subset list, update the candidate data, or enroll the
subset candidates. Before performing the batch enrollment
process, you can update individual or multiple candidate
records with new data: UIC, PCM, alternate PCM, enrolling
division, and enrollment block flag. Once the eligible (and
updated) candidates are identified, you can start the batch
enrollment process.
•••
Print Batch Enrollment Report (PBER)
The Print Batch Enrollment Report option allows you to print
the Active Duty Enrollment Report. This report contains two
parts:
– Part I: Successful Enrollments - This section lists
successfully enrolled candidates. It also provides the
enrollment date, enrolling division, end enrollment date,
and total number of successful enrollments.
– Part II: Candidates Unable to be Enrolled - This section lists
candidates who were not enrolled. It subdivides candidates
by the reason they cannot be enrolled.
You can either print each part separately or print them
together.
Note: The Default PCM/UIC Report is also available to help
manage default PCMs. This report, on the PCM Reports Menu,
indicates the current assignments of UICs to PCMs. It can be
sorted by either UIC or PCM.
•••
Delete Potential Candidate List (DBER)
The Delete Potential Candidate List option allows you to delete
the existing Potential Candidate List file. This option deletes
all candidates for all users, and all batch enrollment jobs
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currently tasked but not yet completed. If you want to resume
batch enrollment, you must rerun the identification process
from the beginning.
•••
Enrollment Reports Menu (ERPM)
The Enrollment Reports Menu options allow you to generate
information about active-duty dependents by unit, alphabetic
enrollment by service, case management program enrollment,
change in eligibility enrollment, disenrollees for period by
reason code, disenrollment by reason, enrollment roster
exception conditions, OHI enrollment, and patient category
enrollment. These options also allow you to create and print
labels for families.
••••
Family Batch Enrollment Labels Menu (LABL)
The Family Batch Enrollment Labels Menu options
allow you to build and print family batch enrollment
labels for enrolled and nonenrolled patients, and to
sort them by unit or location. During the build process,
you may define selection criteria. Labels are generated
only for patients who meet the criteria and who have
complete address information. You may then print
these labels either in their entirety or in subsets.
You may also print an Incomplete Patient Address
Report showing the patients that failed the minimum
address requirements. After updating these patients’
addresses, you may print their labels.
••••• Family Batch Enrollment Labels Build
Utility (1)
The Family Batch Enrollment Labels Build
Utility option allows you to create labels for
families. You may generate labels for enrolled
or nonenrolled patients and have them sorted
by unit or location. In addition, you may
specify certain selection criteria, which may
include patient category group, OHI
indicator, expiration within days, and PCM.
Labels may be printed with either duty
address or home address. Labels are
generated only for patients who meet the
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criteria specified and who have complete
address information for the type of address
selected.
••••• Family Batch Enrollment Labels Print
Utility (2)
The Family Batch Enrollment Labels Print
Utility option allows you to print labels which
were built using the Family Batch Enrollment
Labels Build Utility option. You may print a
batch in its entirety or in subsets. Once
printed, a label is removed from the batch and
cannot be reprinted.
••••• Incomplete Patient Address Report (3)
The Incomplete Patient Address Report
option allows you to print a listing of patients
with incomplete patient address (home or
duty) information. This report is generated
when a user attempts to print patient address
labels, and patients with insufficient address
information exist.
••••
Enrollment Rosters Menu (ROST)
The Enrollment Rosters Menu options allow you to
print rosters pertaining to patient enrollment. These
rosters include current MCP-enrolled dependents of
active-duty enrollees; active enrollees by division and
branch of service; active enrollees with case
management records by division, and exception
providers within the division; active enrollees with
pending change of eligibility status; disenrollees by
reason code; and enrollees with defined exception
conditions. These rosters are normally generated for a
specified date range and for selected divisions.
••••• AD Family Member by Unit Enrollment
Roster (1)
The AD Family Member by Unit Enrollment
Roster option allows you to print a list of all
current MCP enrollees with a patient
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category status of “dependent of active duty.”
The report includes sponsor name, SSN, rank,
family member name, FMP, DEERS
dependent suffix (DDS), DOB, and enrollment
date. The report provides subtotals for the
number of enrollees by family and Unit ID,
and a grand total of all active-duty family
members. The report is sorted by the
sponsor’s Unit ID and SSN.
••••• Alphabetic Enrollment Roster by
Service (2)
The Alphabetic Enrollment Roster by Service
option enables you to print a roster of
enrollees by branch of service for selected
division(s). The roster may be printed for one,
multiple, or all divisions; and within the
selected division(s), by one, multiple, or all
branches of service. Data provided includes
name, FMP/SSN, DDS, DOB, PCM, sponsor,
rank, home and work phone numbers,
address, enrollment effective date, exception
condition text, OHI status, patient category,
and MCP status.
••••• Case Management Program Enrollment
Roster (3)
The Case Management Program Enrollment
Roster option allows you to print an
alphabetical list of all currently enrolled
beneficiaries who have been identified as
Case Management patients in the local MCP
network. The reports provides a subtotal for
each exception provider, and then a total for
all exception providers in a specified division.
Data provided includes name, FMP/SSN,
DDS, DOB, sponsor rank, home and work
phone numbers, address, enrollment effective
date, exception condition text, OHI status,
patient category, and MCP status.
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••••• Change in Eligibility Enrollment
Roster (4)
The Change in Eligibility Enrollment Roster
option allows you to print a report listing and
totaling the number of current MCP enrollees
projected to have a change in their eligibility
status based on a key eligibility category
parameter (for example, beneficiary
approaching the age of 65). Authorized users
can specify the change-in-eligibility category
and the end-of-eligibility date for generating
the report. The report subtotals each
eligibility category and totals all eligibility
categories within a specified division.
••••• Disenrollees for Period by Reason
Code (5)
The Disenrollees for Period by Reason Code
option allows you to print a report listing
patients whose disenrollment date falls into a
specified date range. You can generate the
report for a specific disenrollment reason code
and division. The report subtotals
disenrollees for each reason code and division,
and provides a grand total of disenrollees for
the specified date range. Report data includes
name, FMP/SSN, DDS, DOB, PCM, sponsor
rank, home and work phone numbers,
address, OHI status, patient category, and
disenrollment date.
••••• Enrollment Roster Exception
Conditions (6)
The Enrollment Roster Exception Conditions
option allows you to print a report
alphabetically listing beneficiaries, who are
currently enrolled in the MCP, by exception
provider with defined exception conditions.
The reports subtotals each provider specialty
and exception provider, and totals all
exception providers within the specified
division.
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••••• Reciprocal Disenrollment by Reason
Roster (7)
The Reciprocal Disenrollment by Reason
Roster option allows you to print a report
showing only reciprocal disenrollments with
the Disenrollment Code of Reciprocally
Enrolled/Disenrolled (RED) or Reciprocally
Disenrolled (RD). You can select either one or
both of the reciprocal disenrollment reasons
that you wish to see on the report for a
specified date range. This is a wide (132
column) report and may be output to line
printers.
Note: The Disenrollees for Period by Reason
Report option allows you to print all of the
other disenrollment reasons, including
Remotely Disenrolled (RM).
••••• Reciprocal Disenrollment Discrepancy
Report (8)
The Reciprocal Disenrollment Discrepancy
Report allows you to print a report containing
the following discrepancies: Patient Not
Enrolled at Losing Facility, and Patient Not
Registered/Not Found at Losing Facility. This
report must be printed within 14 days;
otherwise, it is automatically deleted. You
should print the report so that the
discrepancies can be resolved.
Note: You should print the Disenrollees for
Period by Reason Report to list the
beneficiaries who were remotely disenrolled.
••••
Track User Report (9)
The Track User Report allows you to print a
report showing MCP enrollment records that
have been originated, modified, or had the
PCM changed within a specified date range.
This report shows the users that originated or
modified an enrollment record, or changed the
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PCM for an enrollment record. This report
may be printed for one, multiple, or all
divisions, and within divisions by one,
multiple, or all Sponsor SSNs, Patient
Category Groups, or Users.
••••
Enrollee Entitlement Discrepancy Report (10)
The Enrollee Entitlement Discrepancy Report
option allows you to print a list of all enrollees
with entitlement discrepancies. You select the
Enrolling Divisions for the report. You will get
a message indicating that it is a complex
report and asking if you wish to proceed.
••••
Enrollment Summaries Menu (SUMM)
The Enrollment Summaries Menu options allow you to
generate summary enrollment and disenrollment
reports. The disenrollment report shows totals by
disenrollment reason within each selected division.
The enrollment summary reports show totals by
selected categories, such as other health insurance
(OHI), patient category status, and primary care
manager (PCM).
••••• Disenrollment Summary by Reason (1)
The Disenrollment Summary by Reason
option allows you to print a report
summarizing the number of disenrollees for a
specified date range. The report contains a
subcount of disenrollees for each reason code,
a subtotal for each division, and a grand total
for all disenrollees within the specified date
range and the specified divisions.
••••• Enrollment Summary Report (2)
The Enrollment Summary Report option
allows you to print a two-part summary
report.
The first part contains enrollment summary
information for enrollments, disenrollments,
reenrollments, families enrolled, admissions,
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and number of kept count and noncount
appointments by patient category status
within a selected date range in the direct care
system. The report is subdivided into
subcategories based upon sponsor rank for
active-duty personnel and active-duty
dependents.
The second part of the report contains the
same information and selection capabilities
as the first part, but is reported by PCM.
••••• OHI Enrollment Summary (3)
The OHI Enrollment Summary option allows
you to print a report listing the number of
current enrollees who have active policies
with other health insurance companies. An
enrollee covered by multiple policies is
reported for each insurance company. This
report sorts alphabetically by insurance
company name.
••••• Patient Category Enrollment
Summary (4)
The Patient Category Enrollment Summary
option allows you to print a report listing the
number of current enrollees by their patient
category status (i.e., active duty, dependents
of active duty, retirees, etc.) The report
provides totals for each group, and a grand
total for all groups. The last page of the report
shows patient category group totals by
service.
•••
PCM Reports Menu (PRPM)
The PCM Reports Menu options allow you to generate
information about available PCM capacity by provider group,
enrollment by PCM, PCM activity, PCM assignment change by
reason, and PCM assignment change summary.
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••••
Available PCM Capacity by Provider Group (1)
The Available PCM Capacity by Provider Group option
allows you to print reports summarizing overall
maximum capacity and patient type capacity, the
number of current enrollees, and the remaining
capacity for each PCM. You can select one or multiple
provider groups for the report.
••••
Enrollment Roster by PCM (2)
The Enrollment Roster by PCM option allows you to
print an enrollment roster by PCM for one, multiple, or
all divisions; and within the selected divisions, either
by one or more individual PCMs, or one or more
provider groups. Report data includes patient name,
FMP/SSN, DDS, DOB, sponsor rank, home and work
phone numbers, effective dates for enrollment,
address, OHI status, patient category, and MCP
status.
••••
PCM Activity Report (3)
The PCM Activity Report option allows you to print
reports showing the current number of enrollees;
enrollment capacity and available enrollment capacity
for each PCM; number of ER visits; number of referrals
made; number of visits with a referral; and number of
visits without a referral.
You can generate three different reports: PCM
Activity Report by Individual PCM, PCM Report by
Provider Group, and PCM Activity Report by
Specialty. The PCM Report by Individual PCM is
sorted by individual provider, provider group, and
provider group agreement. The PCM Activity Report
by Provider Group is sorted by individual or group
PCM and by agreement type. The PCM Activity Report
by Specialty is sorted by individual provider specialty,
individual provider, group, and agreement type.
••••
PCM Assignment Change Roster by Reason (4)
The PCM Assignment Change Roster by Reason option
allows you to print reports listing the current
beneficiaries whose PCM assignment was modified
within a user-specified date range, or entered with a
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specific PCM assignment change reason code. If you do
not enter a change reason code, the system lists all
beneficiaries who have had a change in PCM during
the specified date range. All reports are sorted
alphabetically by the assignment change reason code
with subtotals for each, and by the losing provider and
enrollee name. The report also provides a grand total
for all beneficiaries and reasons.
••••
PCM Assignment Change Summary (5)
The PCM Assignment Change Summary option allows
you to print reports summarizing the number of PCM
assignment changes for all enrollees that occurred
during a user-specified date range. You may specify
one, multiple, or all PCMs and assignment change
reasons for the report. The report subtotals the
number of enrollees changing PCMs for each PCM,
and a grand total for all selected PCMs.
••••
Default PCM/UIC Report (6)
The Default PCM/UIC Report option allows you to
print a report listing the association between Unit
Identification Codes (UICs) and default PCMs. You
can sort the report by UIC or default PCM.
•••
MCP Enrollment Form (MEFM)
The MCP Enrollment Form option allows you to print an MCP
enrollment form for a specified MCP patient. This form includes
the enrollment date and ending eligibility/enrollment date;
patient name and identifying data; sponsor name and
identifying data; PCM and place of care data; insurance
company and policy data; and case management involvement.
The form additionally displays a site-definable eligibility,
benefits, and responsibility statement for the patient; and area
for the patient’s signature and date of signing; and an area to
indicate the record room for the patient.
•••
Address Label for Patient (APAL)
The Address Label for Patient option allows you to print an
address label for one or more patients.
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• Display Patient Appointments (DMCP)
The Display Patient Appointments option allows you to display or print a
patient’s future or past appointments and Wait List requests, as well as
those of other family members registered under the same SSN. It is a quick
way to find out which provider saw a patient on a previous visit so that
return visits can be scheduled with the same provider for continuity of care.
These printouts may be given to patients to remind them of future
appointments. Printouts also provide a listing of applicable instructions
and appointment type messages.
• Cancellation by Patient (CMCP)
The Cancellation by Patient option allows you to cancel and reschedule
appointments booked through MCP options, such as Appointment Referral
Booking, Non-Enrolled Booking, and PCM Booking. The system enables
you to enter the patient name and other selection criteria, and then search
for all appointments for the patient that meet the search criteria. For each
appointment slot, you have the option of cancelling or rescheduling/
cancelling.
• Outputs & Management Reports Menu (OMCP)
The Outputs & Management Reports Menu options allow you to generate
reports for enrollment, health care finder, network provider, PCM, and
DEERS/enrollment maintenance.
••
Enrollment Reports Menu (ERME)
The Enrollment Reports Menu options allow you to generate
information about active-duty dependents by unit, alphabetic
enrollment by service, case management program enrollment, change
in eligibility enrollment, disenrollees for period by reason code,
disenrollment by reason, enrollment roster exception conditions, OHI
enrollment, and patient category enrollment. These options also allow
you to create and print labels for families.
•••
Family Batch Enrollment Labels Menu (LABL)
The Family Batch Enrollment Labels Menu options allow you
to build and print family batch enrollment labels for enrolled
and nonenrolled patients, and to sort them by unit or location.
During the build process, you may define selection criteria.
Labels are generated only for patients who meet the criteria
and who have complete address information. You may then
print these labels either in their entirety or in subsets.
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You may also print an Incomplete Patient Address Report
showing the patients that failed the minimum address
requirements. After updating these patients’ addresses, you
may print their labels.
••••
Family Batch Enrollment Labels Build
Utility (1)
The Family Batch Enrollment Labels Build Utility
option allows you to create labels for families. You may
generate labels for enrolled or nonenrolled patients
and have them sorted by unit or location. In addition,
you may specify certain selection criteria, which may
include patient category group, OHI indicator,
expiration within days, and PCM. Labels may be
printed with either duty address or home address.
Labels are generated only for patients who meet the
criteria specified and who have complete address
information for the type of address selected.
••••
Family Batch Enrollment Labels Print Utility (2)
The Family Batch Enrollment Labels Print Utility
option allows you to print labels which were built using
the Family Batch Enrollment Labels Build Utility
option. You may print a batch in its entirety or in
subsets. Once printed, a label is removed from the
batch and cannot be reprinted.
••••
Incomplete Patient Address Report (3)
The Incomplete Patient Address Report option allows
you to print a listing of patients with incomplete
patient address (home or duty) information. This
report is generated when a user attempts to print
patient address labels, and patients with insufficient
address information exist.
•••
Enrollment Rosters Menu (ROST)
The Enrollment Rosters Menu options allow you to print rosters
pertaining to patient enrollment. These rosters include current
MCP-enrolled dependents of active-duty enrollees; active
enrollees by division and branch of service; active enrollees
with case management records by division, and exception
providers within the division; active enrollees with pending
change of eligibility status; disenrollees by reason code; and
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enrollees with defined exception conditions. These rosters are
normally generated for a specified date range and for selected
divisions.
••••
AD Family Members by Unit Enrollment
Roster (1)
The AD Family Members by Unit Enrollment Roster
option allows you to print a list of all current MCP
enrollees with a patient category status of “dependent
of active duty.” The report includes sponsor name,
SSN, rank, family member name, FMP, DDS, DOB,
and enrollment date. The report provides subtotals for
the number of enrollees by family and Unit ID, and a
grand total of all active-duty family members. The
report is sorted by the sponsor’s Unit ID and SSN.
••••
Alphabetic Enrollment Roster by Service (2)
The Alphabetic Enrollment Roster by Service option
enables you to print a roster of enrollees by branch of
service for selected division(s). The roster may be
printed for one, multiple, or all divisions; and within
the selected division(s), by one, multiple, or all
branches of service. Data provided includes name,
FMP/SSN, DDS, DOB, PCM, sponsor, rank, home and
work phone numbers, address, enrollment effective
date, exception condition text, OHI status, patient
category, and MCP status.
••••
Case Management Program Enrollment
Roster (3)
The Case Management Program Enrollment Roster
option allows you to print an alphabetical list of all
currently enrolled beneficiaries who have been
identified as Case Management patients in the local
MCP network. The reports provides a subtotal for each
exception provider, and then a total for all exception
providers in a specified division. Data provided
includes name, FMP/SSN, DDS, DOB, sponsor rank,
home and work phone numbers, address, enrollment
effective date, exception condition text, OHI status,
patient category, and MCP status.
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••••
Change in Eligibility Enrollment Roster (4)
The Change in Eligibility Enrollment Roster option
allows you to print a report listing and totaling the
number of current MCP enrollees projected to have a
change in their eligibility status based on a key
eligibility category parameter (for example,
beneficiary approaching the age of 65). Authorized
users can specify the change-in-eligibility category and
the end-of-eligibility date for generating the report.
The report subtotals each eligibility category and
totals all eligibility categories within a specified
division.
••••
Disenrollees for Period by Reason Code (5)
The Disenrollees for Period by Reason Code option
allows you to print a report listing patients whose
disenrollment date falls into a specified date range.
You can generate the report for a specific
disenrollment reason code and division. The report
subtotals disenrollees for each reason code and
division, and provides a grand total of disenrollees for
the specified date range. Report data includes name,
FMP/SSN, DDS, DOB, PCM, sponsor rank, home and
work phone numbers, address, OHI status, patient
category, and disenrollment date.
••••
Enrollment Roster Exception Conditions (6)
The Enrollment Roster Exception Conditions option
allows you to print a report alphabetically listing
beneficiaries, who are currently enrolled in the MCP,
by exception provider with defined exception
conditions. The reports subtotals each provider
specialty and exception provider, and totals all
exception providers within the specified division.
••••
Reciprocal Disenrollment by Reason Roster (7)
The Reciprocal Disenrollment by Reason Roster option
allows you to print a report showing only reciprocal
disenrollments with the Disenrollment Code of
Reciprocally Enrolled/Disenrolled (RED) or
Reciprocally Disenrolled (RD). You can select either
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one or both of the reciprocal disenrollment reasons
that you wish to see on the report for a specified date
range. This is a wide (132 column) report and may be
output to line printers.
Note: The Disenrollees for Period by Reason Report
option allows you to print all of the other disenrollment
reasons, including Remotely Disenrolled (RM)
••••
Reciprocal Disenrollment Discrepancy
Report (8)
The Reciprocal Disenrollment Discrepancy Report
option allows you to print a report containing the
following discrepancies: Patient Not Enrolled at
Losing Facility, and Patient Not Registered/Not Found
at Losing Facility. This report must be printed within
14 days; otherwise, it is automatically deleted. You
should print the report so that the discrepancies can be
resolved.
Note: You should print the Disenrollees for Period by
Reason Report to list the beneficiaries who were
remotely disenrolled.
••••
Track User Report (9)
The Track User Report allows you to print a
report showing MCP enrollment records that
have been originated, modified, or had the
PCM changed within a specified date range.
This report shows the users that originated or
modified an enrollment record, or changed the
PCM for an enrollment record. This report
may be printed for one, multiple, or all
divisions, and within divisions by one,
multiple, or all Sponsor SSNs, Patient
Category Groups, or Users.
••••
Enrollee Entitlement Discrepancy Report (10)
The Enrollee Entitlement Discrepancy Report
option allows you to print a list of all enrollees
with entitlement discrepancies. You select the
Enrolling Divisions for the report. You will get
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a message indicating that it is a complex
report and asking if you wish to proceed.
•••
Enrollment Summaries Menu (SUMM)
The Enrollment Summaries Menu options allow you to
generate summary enrollment and disenrollment reports. The
disenrollment report shows totals by disenrollment reason
within each selected division. The enrollment summary reports
show totals by selected categories, such as other health
insurance (OHI), patient category status, and primary care
manager (PCM).
••••
Disenrollment Summary by Reason (1)
The Disenrollment Summary by Reason option allows
you to print a report summarizing the number of
disenrollees for a specified date range. The report
contains a subcount of disenrollees for each reason
code, a subtotal for each division, and a grand total for
all disenrollees within the specified date range and the
specified divisions.
••••
Enrollment Summary Report (2)
The Enrollment Summary Report option allows you to
print a two-part summary report.
The first part contains enrollment summary
information for enrollments, disenrollments,
reenrollments, families enrolled, admissions, and
number of kept count and noncount appointments by
patient category status within a selected date range in
the direct care system. The report is subdivided into
subcategories based upon sponsor rank for active-duty
personnel and active-duty dependents.
The second part of the report contains the same
information and selection capabilities as the first part,
but is reported by PCM.
••••
OHI Enrollment Summary (3)
The OHI Enrollment Summary option allows you to
print a report listing the number of current enrollees
who have active policies with other health insurance
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companies. An enrollee covered by multiple policies is
reported for each insurance company. This report sorts
alphabetically by insurance company name.
••••
Patient Category Enrollment Summary (4)
The Patient Category Enrollment Summary option
allows you to print a report listing the number of
current enrollees by their patient category status (i.e.,
active duty, dependents of active duty, retirees, etc.)
The report provides totals for each group, and a grand
total for all groups. The last page of the report shows
patient category group totals by service.
••
Health Care Finder Reports Menu (HRPT)
The Health Care Finder Reports Menu options allow you to generate
information for agreement type referrals, specialty type referrals, the
provider network, PCM activity, provider patient workload, and
refused appointments.
•••
Agreement Type Referral Summary (1)
The Agreement Type Referral Summary option allows you to
generate/print reports showing the number of referrals that
were entered into the system within a selected division during
the specified time range.
There are two Agreement Type Referral Summary types. The
first is sorted by the agreement type of the provider who
received the patient care referral. The second is sorted by the
agreement type and then by the specialty of the provider who
received the patient care referral. The report also shows an
overall division total for the number of referrals. Each division
is printed on a separate page.
•••
Specialty Type Referral Summary (2)
The Specialty Type Referral Summary option allows you to
produce a Referral Summary by Specialty Type report for
selected division(s). This report shows the number of referrals
that were entered into the system during a specified date range.
Report data includes specialty type, provider, professional
category, and number of referrals. The report is sorted by the
specialty type, and within the specialty type, by the provider to
whom the patient was referred. The report totals the number of
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referrals for each provider. It also totals each specialty type and
each division, and includes a grand total for all the referrals
entered for the date range specified.
•••
Provider Network List (3)
The Provider Network List option allows you to print a report
showing PCM capacity, assignments, and availability by
provider agreement and provider specialties within the
agreement. The Provider Network List reports is sorted by
agreement type, individual provider specialty, place of care zip
code, and then by provider name. The reports also lists place of
care appointment contact, address, and hours for each place of
care.
•••
PCM Activity Report (4)
The PCM Activity Report option allows you to print reports
showing the current number of enrollees, enrollment capacity,
and available enrollment capacity for each PCM; number of ER
visits; number of referrals made; number of visits with a
referral; and number of visits without a referral.
You can generate three different reports: PCM Activity Report
by Individual PCM, PCM Activity Report by Provider Group,
and PCM Activity Report by Specialty. The PCM Activity
Report by Individual PCM is sorted by individual provider,
provider group, and provider group agreement. The PCM
Activity Report by Provider Group is sorted by individual or
group PCM and by agreement type. The PCM Activity Report
by Specialty is sorted by individual provider specialty,
individual provider, group, and agreement type.
•••
Provider Patient Workload Report (5)
The Provider Patient Workload Report option allows you to
print a report showing outpatient visit activities to MTF
providers and the total number of kept visits to MTF providers
or provider groups. It also displays outpatient visit activity to
non-MTF providers or provider groups and records the total
number of booked visits to non-MTF providers or provider
groups. In addition, the system reports the total number of
different patients in the specified date range.
The data is sorted first by agreement type, next by provider or
provider group, and then by patient category status.
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•••
Refused Appointments Report (6)
The Refused Appointments Report option allows you to print a
report for a specified time period for selected patient(s) who
have refused an available MTF or civilian network
appointment, and shows the reason for the appointment
refusal. This report may be requested either individually by
patient name or for all patients.
The report is sorted by refusal status and then by patient name
when requested for all patients.
••
Network Provider Reports Menu (NPRM)
The Network Provider Reports Menu options allow you to generate
information about provider groups, providers by specialty, provider
agreements, specialty provider agreements, discount provider
agreements, expiration date of provider agreements, agreements by
zip code, and MCP places of care. You can also print address labels for
providers.
•••
Labels for Providers Menu (LABM)
The Labels for Providers Menu options allow you to build and
print provider address labels. During the build process, you
may define selection criteria. Labels are generated only for
providers who meet the criteria and who have complete address
information. You may then print these labels either in their
entirety or in subsets.
••••
Provider Batch Address Labels - Build Utility (1)
The Provider Batch Address Labels - Build Utility
option allows you to create address labels for
providers. You may generate labels for an individual,
multiple, or all providers; all providers by agreement
type; all providers by specialty; or all providers whose
agreements expire by a specified expiration date.
Labels are generated only for providers who meet the
criteria specified and who have complete address
information.
••••
Provider Batch Address Labels - Print Utility (2)
The Provider Batch Address Labels - Print Utility
option allows you to print labels which were built using
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the Provider Batch Address Label Build Utility
option.You may print a batch in its entirety or in
subsets. Once printed, a label is removed from the
batch and cannot be reprinted.
••••
Incomplete Provider Address Report (3)
The Incomplete Provider Address Report option allows
you to print a listing of providers with incomplete
address information. This report is generated when a
user attempts to build provider address labels, and
providers with insufficient information exist.
•••
Provider Rosters Menu (PROM)
The Provider Rosters Menu options allow you to print rosters
pertaining to MCP providers. They include provider agreement
discounts; expiration dates for provider agreements; listings of
providers by specialties; listings of agreements by zip code; and
listings of MCP provider groups, showing MCP providers
within the groups, along with the specialties and agreements
pertaining to those providers.
••••
Discount Provider Agreement Roster (1)
The Discount Provider Agreement Roster option
allows you to print reports showing all active provider
agreements. The report is sorted by agreement,
provider type, specialty, and discount percent. Report
data includes provider name, provider group, and
specialty.
••••
Expiration Date Provider Agreement Roster (2)
The Expiration Date Provider Agreement Roster
allows you to print reports listing and totaling provider
agreement types which expire within a user-specified
date range for one or more agreement types. The
report is sorted by expiration date, provider name, and
provider agreement type. Data is totaled by agreement
type.
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••••
Group Member Roster (3)
The Group Member Roster option allows you to print
reports listing providers associated with a group, along
with their respective specialties for one, multiple, or
all provider groups.
••••
Provider Alphabetic Agreement Roster (4)
The Provider Alphabetic Agreement Roster option
allows you to print reports alphabetically, listing
providers with current agreements with one or more
provider types. Report data includes provider name,
specialty, provider group, agreement type, effective
stop date, and overall discount rate. The report totals
each provider type, and includes a grand total for all
provider types and providers.
••••
Provider List by Specialty (5)
The Provider List by Specialty option allows you to
print reports listing providers by provider type and
specialty. The report totals providers by specialty, and
totals providers by provider type.
••••
Specialty Provider Agreement Roster (6)
The Specialty Provider Agreement Roster option
allows you to print reports listing and totaling provider
agreements by specialty, along with a grand total for
all providers and specialties. Report data includes
specialty, agreement type, provider name, provider
group, agreement effective and stop dates, and overall
discount rate.
••••
ZIP Code Agreement Roster (7)
The ZIP Code Agreement Roster option allows you to
print reports listing and totaling providers by specialty
and zip code. You may request the report for all
providers or for PCMs only. The report is sorted by zip
code, provider specialty, provider name, provider
group, agreement type, and agreement effective date.
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•••
Reports for Provider Menu (RPTM)
The Reports for Provider Menu options allow you to print
detailed information reports for selected MCP places of care
and provider groups. You may also print a summary report that
showing the number of agreements by provider type, provider
specialty, and agreement type.
••••
MCP Place of Care Report (1)
The MCP Place of Care Report option allows you to
print the MCP Place of Care Report for a selected MCP
place of care. The reports includes street address, city,
state, zip code, appointment contact name, telephone
number, place of care hours, directions, and comments.
••••
Provider Group Report (2)
The Provider Group Report option allows you to print
provider group reports by selected provider group(s)
and section(s). The group report sections include
Group Information, Places of Care, Agreements &
Providers, Primary Care Managers, Group Level
Exceptions, and Individual Provider Exceptions. Each
section requested is printed on separate pages.
••••
Provider Agreement Detail Report (3)
The Provider Agreement Detail Report option allows
you to generate a summary of one, multiple, or all
agreements for each provider within a specified group.
The report is listed alphabetically by provider name
and contains each provider's specialties, dates and
types of agreements, the most recent overall discount
rates, exceptions, places of care, and billing/payment
contact information.
••••
Specialty Provider Agreement Summary (4)
The Specialty Provider Agreement Summary option
allows you to print the Provider Agreement Roster by
Specialty Report, which lists the number of
agreements by provider type, provider specialty, and
agreement type. It totals each agreement type
pertaining to a specialty, each specialty pertaining to a
provider type, and each provider type.
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••
PCM Reports Menu (PRPT)
The PCM Reports Menu options allow you to generate information
about available PCM capacity by provider group, enrollment by PCM,
PCM activity, PCM assignment change by reason, and PCM
assignment change summary.
•••
Available PCM Capacity by Provider Group (1)
The Available PCM Capacity by Provider Group option allows
you to print reports summarizing overall maximum capacity
and patient type capacity, the number of current enrollees, and
the remaining capacity for each PCM. You may select one or
multiple provider groups for the report.
•••
Enrollment Roster by PCM (2)
The Enrollment Roster by PCM option allows you to print an
enrollment roster by PCM for one, multiple, or all divisions; and
within the selected divisions, either by one or more individual
PCMs, or one or more provider groups. Report data includes
patient name, FMP/SSN, DDS, DOB, sponsor rank, home and
work phone numbers, effective dates for enrollment, address,
OHI status, patient category, and MCP status.
•••
PCM Activity Report (3)
The PCM Activity Report option allows you to print reports
showing the current number of enrollees; enrollment capacity
and available enrollment capacity for each PCM; number of ER
visits; number of referrals made; number of visits with a
referral; and number of visits without a referral.
You can generate three different reports: PCM Activity Report
by Individual PCM, PCM Report by Provider Group, and PCM
Activity Report by Specialty. The PCM Report by Individual
PCM is sorted by individual provider, provider group, and
provider group agreement. The PCM Activity Report by
Provider Group is sorted by individual or group PCM and by
agreement type. The PCM Activity Report by Specialty is sorted
by individual provider specialty, individual provider, group,
and agreement type.
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•••
PCM Assignment Change Roster by Reason (4)
The PCM Assignment Change Roster by Reason option allows
you to print reports listing the current beneficiaries whose PCM
assignment was modified within a user-specified date range, or
entered with a specific PCM assignment change reason code. If
you do not enter a change reason code, the system lists all
beneficiaries who have had a change in PCM during the
specified date range. All reports are sorted alphabetically by
the assignment change reason code with subtotals for each, and
by the losing provider and enrollee name. The report also
provides a grand total for all beneficiaries and reasons.
•••
PCM Assignment Change Summary (5)
The PCM Assignment Change Summary option allows you to
print reports summarizing the number of PCM assignment
changes for all enrollees that occurred during a user-specified
date range. You may specify one, multiple, or all PCMs and
assignment change reasons for the report. The report subtotals
the number of enrollees changing PCMs for each PCM, and
includes a grand total for all selected PCMs.
•••
Default PCM/UIC Report (6)
The Default PCM/UIC Report option allows you to print a
report listing the association between Unit Identification Codes
(UICs) and default PCMs. You can sort the report by UIC or
default PCM.
•••
PCM Enrollment Mix Discrepancy Statistical Summary
(7)
The PCM Enrollment Mix Discrepancy Statistical Summary
lists PCM Beneficiary Categories which have discrepancies.
The discrepancies are identified with an asterisk or flag ("Y").
This report identifies patient loads which include beneficiaries
whose age is outside the PCM’s age range preferences or if the
PCM Beneficiary Category Capacity is lower than the current
assigned patients.
•••
PCM Enrollment Mix Discrepancy Report (8)
The PCM Enrollment Mix Discrepancy Report includes the
statistics from the PCM Enrollment Mix Discrepancy Summary
Report and the names of the individual beneficiaries who are
currently assigned to PCMs in categories where the number of
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assigned beneficiaries exceed the PCMs capacity for that
category, or whose age is outside the PCM’s age range
preference. You may choose to sort the report by PCM, by MCP
Provider Group, or by Beneficiary.
••
DEERS/Enrollment Maintenance Reports Menu (DEMR)
The DEERS/Enrollment Maintenance Reports Menu options allow
you to generate information about conditional enrollment, enrollment/
disenrollment discrepancies, DEERS ineligible patients from MCP,
and DEERS ineligible patients from PAS.
•••
MCP Conditional Enrollment Roster (1)
The MCP Conditional Enrollment Roster option identifies those
patients who received an ineligible response from DEERS and
are conditionally enrolled. Data includes patient name, FMP/
SSN, DOB, patient category, sponsor rank, home and work
phone numbers, enrollment date, address, OHI status, and
automatic disenrollment date.
•••
Enrollment/Disenrollment Discrepancy Report (2)
The Enrollment/Disenrollment Discrepancy Report option
allows you to generate a report for a selected time period listing
those patients who received a DEERS discrepancy response for
their enrollment or disenrollment transaction.
•••
MCP DEERS Ineligibility Report (3)
The MCP DEERS Ineligibility Report option allows you to
generate a report listing those patients who received an
ineligible response from DEERS.
•••
PAS DEERS Ineligibility Report (4)
The PAS DEERS Ineligibility Report option allows you to
produce the PAS DEERS Ineligibility Report either by clinic,
division, or group. This report lists those patients who have had
a DEERS check performed in the last 24 hours and who have
been returned as DEERS ineligible for eligibility checks
originating from PAS.
This report is sorted by Patient Identification (PTID) and lists
all patients who did not meet the DEERS eligibility standards.
Data includes each patient’s name, FMP/SSN, DOB, date of last
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DEERS check, date of next appointment, home phone, work
phone, clerk scheduler, and current DEERS status.
• Registration Menu (RMCP)
For more information on Registration Menu options, refer to the Patient
Administration Reference Manual, TC-4.4-0702.
••
Registration & DEERS Menu (RREG)
The Registration & DEERS Menu options allow you to change the
sponsor’s name for a registered patient, check for DEERS eligibility,
generate an embossed care, print a registration form, perform miniregistration, and view a current patient’s DEERS status.
•••
DEERS Eligibility Request (DRDM)
The DEERS Eligibility Request option allows you to conduct a
DEERS check for a specific patient.
•••
Generate Embossed Card (GRDM)
The Generate Embossed Card option allows you to print an
embossed card that contains pertinent patient registration
information.
•••
Hard Copy of Registration Form (HRDM)
The Hard Copy of Registration Form option allows you to print
a paper copy of the registration and administration information
for a patient.
•••
Mini Registration (MRDM)
The Mini Registration option allows you to register a new
patient in the system and enter complete data necessary to
process the patient’s registration. This option also allows you to
edit an existing patient’s registration data.
•••
View Patient DEERS Status (VRDM)
The View Patient DEERS Status option allows you to view the
DEERS status of a registered patient.
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••
Track & Request Medical Records Menu (TREG)
The Track & Request Medical Records Menu options allow you to
recharge records to other clinics, and to request records from Medical
Records File Rooms.
Record Tracking Application
The Record Tracking Application allows you to electronically track
patient records, whether they are medical records, film folders
(radiology records), or records related to Nuclear Medicine. Through
the use of this application, you can request patient records, maintain
up-to-date information on the location of the record, and be provided
significant information for user determination of record availability
for charge-out.
•••
Image Tracking (I)
The Image Tracking Menu presents the same functions and
options as those for Medical Records Tracking; however, this
menu allows you to track radiology records such as X-ray files.
•••
Medical Records Tracking (MRT)
The Medical Records Tracking option allows you to track
inpatient and outpatient medical records throughout the
facility.
••••
Re-Charge Records (RCR)
The Re-Charge Records option allows you to record the
transfer of records charged from the file room from one
borrower to another. This option is for use with inhouse borrowers only. The system records the new
borrower, location/phone, and date/time of re-charge.
The system displays this information each time the
associated record inquiry is accessed through the
Record Tracking System.
••••
Request a Record (QUE)
The Request a Record option allows you to enter a
request for a patient’s record. You can request a single
record or multiple records for a patient. You can
request the record for the current time, or a date and
time in the future. The person/location borrowing the
record must be in the Borrower file.
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••••
Cancel a Request (CAN)
The Cancel a Request option allows you to cancel a
previous request. You must hold the proper security
key access.
••••
Display Request (DIS)
The Display Request option allows you to display data
associated with a specific request for a patient's record.
You may access request data for a specific patient by
scanning the barcode on a record request label,
entering the request number, or entering the patient
name.
••••
Edit a Request (EDI)
The Edit a Request option allows you to edit data
associated with a request for a patient’s record. Only
the date/time needed and the requestor can be edited.
••••
Patient Check-Out (PCO)
The Patient Check-Out option allows you to record a
patient as the borrower of the patient’s own record(s).
For example, you can use this option for patients
carrying their X-rays to an outside HCP. The system
records the patient as the borrower of the record, along
with the date/time of charge-out, by entering this
information into the movement history for the record.
••••
Short Record Inquiry (INQ)
The Short Record Inquiry option allows you to
generate an abbreviated online list of all records for a
specified patient. This is the same list that is displayed
throughout the Record Tracking package when a
patient name is entered.
• Batch PCM Reassignment Menu (BMCP)
The Batch PCM Reassignment Menu options allow you to reassign a group
of enrollees to from a current PCM a new gaining PCM without having to
do individual reassignments. You can reassign all patients to one or
multiple new PCMs; all patients of the same patient type; or an entire
family.
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In addition, a variety of reports are generated as a result of the batch PCM
reassignment process.
••
Assignment Reports Menu (APCM)
The Assignment Reports Menu options allow you to print reports
generated as a result of the batch PCM reassignment process: the
Enrollee/Patient Assignment Notification, Provider Notification
Roster, and PCM Reassignment Report.
•••
Enrollee/Patient Assignment Notification (ERPT)
The Enrollee/Patient Assignment Notification option allows
you to obtain assignment notifications. For a given PCM and a
given assignment date, this option generates a form letter for
each patient who was assigned to the PCM on or after that date,
notifying the patient of the assignment.
•••
Provider Assignment Notification (PRPT)
The Provider Assignment Notification option allows you to
obtain provider assignment notifications. For a given PCM and
a given assignment date, this option generates a roster of all
patients who were assigned to the PCM on or after that date,
notifying the provider of the assignment. You may also obtain a
cover letter to the PCM explaining the roster.
•••
PCM Reassignment Report (RRPT)
The PCM Reassignment Report option allows you to print a
report listing the results of a reassignment action. The report
has three parts: Patients Reassigned by Gaining PCM,
Reassignment Discrepancies, and Appointments Booked With
a Prior PCM. The reports listed by this option are created by
batch processes started by the Batch PCM Reassignment
option.
•••
UIC Maintenance Report (URPT)
The UIC Maintenance Report option allows you to print a twopart summary report.
The first part contains the names of active-duty enrollees whose
UIC code has changed since the PCM was assigned. This helps
you determine if reassignment of a new PCM is appropriate. If
the PCM is the same for a patient’s former and new UIC code,
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the patient name is not included on the report. However, when
a default PCM has been defined for the patient’s new UIC code,
the PCM name and available active-duty capacity is included.
The second part of the report contains the names of active-duty
enrollees who have invalid UIC codes; i.e., is not a valid entry
in the Unit Ship ID file (8111).
••
Batch PCM Reassignment (BPCM)
The Batch PCM Reassignment option allows you to reassign one
PCM’s patients to one or more other PCMs. You enter the name of the
current PCM and select the appropriate agreement for that PCM.
Then the system prompts you to select either to assign a gaining PCM
directly; choose the gaining PCM from those PCMs who meet certain
search criteria; choose one or more gaining PCMs from the current
PCM’s provider group; or to transfer patients from one place of care to
another for the same provider.
Following a reassignment, the system generates a mail message
informing appropriate personnel of the completion of reassignment,
and then produces the PCM Reassignment Report.
••
Family PCM Reassignment (FPCM)
The Family PCM Reassignment option allows you to reassign one or
more members of a family to a new PCM. You enter the name of the
patient, and specify which members of the patient’s family are to be
reassigned. You may assign a new PCM directly, or specify search
criteria and select the new PCM from the list of those who meet the
search criteria. If reassigned family members have appointments
booked with their prior PCM, a reports of those appointments will be
generated.
• Interactive NAS Processing Menu (IMCP)
The Interactive NAS Processing Menu options allow you to issue, cancel, or
print Unconditional Non-Availability Statements (NASs) for CHAMPUSeligible patients who are registered in DEERS; issue, cancel, or print
Conditional NASs for CHAMPUS-eligible patients who are not registered in
DEERS; and generate NAS Summary reports.
••
Non-Availability Statement Processing (NNAS)
The Non-Availability Statement Processing option allows you to issue,
print, and cancel an NAS in DEERS. A cancelled NAS is not deleted
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from DEERS, but can still be queried and printed. An NAS can be
accessed either by NAS number or by patient name. This option
functions only when DEERS is online.
Note: In this option, the system does not permit you to quit a DEERS
NAS transaction. Whenever the system queries DEERS for an NAS, it
will display the Processing DEERS Request screen. After the request
is completed, the system will proceed to the next step in the option. If
the transaction results in a discrepancy, the system will display the
DEERS NAS Response screen with a discrepancy message. After
viewing the message and pressing <Return>, the system will return to
the previous action.
••
Reports for NAS (RNAS)
The Reports for NAS option allows you to generate NAS summary
reports. Running the NAS reports requires access to DEERS.
•••
Branch of Service Summary Report (BNAS)
The Branch of Service Summary Report option allows you to
generate a report listing the total number of non-availability
statements issued under a given DMIS ID in a given month,
broken down by major diagnostic code (MDC) and branch of
service.
•••
NAS Statistical Report (NNAS)
The NAS Statistical Report option allows you to generate a
report listing, for a given DMIS ID and for both the current and
previous months, the total number of non-availability
statements generated, the total number cancelled, and the
difference between the two.
•••
Reason for Issue by Patient Category Report (PNAS)
The Reason for Issue by Patient Category Report option allows
you to generate a report listing the total number of nonavailability statements in a given DMIS in a given month for a
given reason for issue, broken down by MDC and patient
category.
•••
Reason for Issue Summary Report (SNAS)
The Reason for Issue Summary Report option allows you to
generate a report listing the total number of non-availability
statements in a given DMIS in a given month, broken down by
reason for issue and MDC.
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• Provider Network Management Menu (PMCP)
The Provider Network Management Menu options allow you to create and
maintain provider groups, enter and update network agreements, and
maintain provider profile information.
••
Group Profile/Agreements Enter/Edit (GNET)
The Group Profile/Agreements Enter/Edit option allows you to enter
or edit agreement and provider profile data for selected MCP provider
groups. You can also inactivate or reactivate places of care and
providers using this option.
Note: New MCP provider groups must first be created using the File/
Table for MCP Menu options. At least one place of care and one
provider must be entered for each MCP provider group.
During the adding or editing process for places of care, the system
allows you to enter the Clinic Profile Edit option to update clinic
profiles for the selected provider group. Upon completion, the system
returns you to the Group Profile/Agreements Enter/Edit option to
continue processing.
The Agreements action allows you to add new group agreements;
edit existing group agreements; add or edit PCM enrollment mix data
for selected group agreements; add, edit, or delete specialty exception
data for group agreements; add, edit, or delete group procedure
exceptions; renew an agreement; and terminate group agreements.
The Providers action allows you to add a provider to a group; edit
the profile of an existing provider; and edit or delete exception data for
selected providers. When adding or editing provider profiles, you may
enter the Provider Profile Enter/Edit option to update the provider
profiles. The system will then return to the Group Profile/Agreements
Enter/Edit option to continue processing.
When editing exception data, the system allows you to select the
agreements in which the selected provider participates; select
agreements to edit; select agreements to edit PCM data (enrollment
mix); select agreements to edit procedure exception data; and select
agreements for which to process specialty exception data.
The Inactivate/Reactivate action allows you to inactivate or
reactivate an existing place of care for a group or for one or more
providers by entering or editing the inactivation date, reactivation
date, and reason for inactivation. You can also inactivate a provider
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within a group. However, there is no reactivation date for providers.
Additionally, this action allows you to print the Discrepancy
Avoidance Report.
••
Individual Provider Profile/Agreements Enter/Edit (INET)
The Individual Provider Profile/Agreements Enter/Edit option allows
you to enter or edit individual provider profile and agreement data for
selected MCP providers. You can inactivate or reactivate MCP
providers or the provider places of care. A provider can also be added
as a new member to an existing MCP provider group.
During the adding or editing process for the places of care, the system
allows you to enter the Provider Profile Enter/Edit option to update
provider profiles since no appointments can be booked for the provider
until PAS provider profile information is entered.
Additionally, you can also print the Discrepancy Avoidance Report
when using the Inactivate/Reactivate Place of Care or Provider
actions.
••
Outputs & Network Management Reports Menu (ONET)
The Outputs & Network Management Reports Menu options allow
you to generate information relating to provider group management
and provider agreements. You can also print address labels for
providers and the Discrepancy Avoidance Report.
•••
Group Management Reports Menu (GMRM)
••••
Group Member Roster (1)
The Group Member Roster option allows you to print
reports listing providers associated with a group, along
with their respective specialties for one, multiple, or
all provider groups.
••••
Provider Group Report (2)
The Provider Group Report option allows you to print
provider group reports by selected provider group(s)
and section(s). The group report sections include
Group Information, Places of Care, Agreements &
Providers, Primary Care Managers, Group Level
Exceptions, and Individual Provider Exceptions. Each
section requested will be printed on separate pages.
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••••
Provider List by Specialty (3)
The Provider List by Specialty option allows you to
print reports listing providers by provider type and
specialty. The report totals providers by specialty, and
totals providers by provider type.
••••
PCM Enrollment Mix Discrepancy Statistical
Summary (4)
The PCM Enrollment Mix Discrepancy Statistical
Summary lists PCM Beneficiary Categories which
have discrepancies. The discrepancies are identified
with an asterisk or flag ("Y"). This report identifies
patient loads which include beneficiaries whose age is
outside the PCM’s age range preferences or if the PCM
Beneficiary Category Capacity is lower than the
current assigned patients.
••••
PCM Enrollment Mix Discrepancy Report (5)
The PCM Enrollment Mix Discrepancy Report
includes the statistics from the PCM Enrollment Mix
Discrepancy Summary Report and the names of the
individual beneficiaries who are currently assigned to
PCMs in categories where the number of assigned
beneficiaries exceed the PCMs capacity for that
category, or whose age is outside the PCM’s age range
preference. You may choose to sort the report by PCM,
by MCP Provider Group, or by Beneficiary.
•••
Agreement Reports Menu (AMRM)
The Agreement Reports Menu options allow you to generate
information for provider alphabetic agreements, specialty
provider agreements, discount provider agreements, provider
agreement expiration dates, and agreements by zip code.
••••
Provider Alphabetic Agreement Roster (1)
The Provider Alphabetic Agreement Roster option
allows you to print reports alphabetically, listing
providers with current agreements with one or more
provider types. Report data includes provider name,
specialty, provider group, agreement type, effective
stop date, and overall discount rate. The report totals
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each provider type, and includes a grand total for all
provider types and providers.
••••
Specialty Provider Agreement Roster (2)
The Specialty Provider Agreement Roster option
allows you to print reports listing and totaling provider
agreements by specialty, along with a grand total for
all providers and specialties. Report data includes
specialty, agreement type, provider name, provider
group, agreement effective and stop dates, and overall
discount rate.
••••
Specialty Provider Agreement Summary (3)
The Specialty Provider Agreement Summary option
allows you to print the Provider Agreement Roster by
Specialty Report, which lists the number of
agreements by provider type, provider specialty, and
agreement type. Totals are shown for each agreement
type pertaining to a specialty, each specialty
pertaining to a provider type, and each provider type.
••••
Discount Provider Agreement Roster (4)
The Discount Provider Agreement Roster option
allows you to print reports showing all active provider
agreements. The report is sorted by agreement,
provider type, specialty, and discount percent. Report
data includes provider name, provider group, and
specialty.
••••
Expiration Date Provider Agreement Roster (5)
The Expiration Date Provider Agreement Roster
option allows you to print reports listing and totaling
provider agreement types which expire within a userspecified date range for one or more agreement types.
The report is sorted by expiration date, provider name,
and provider agreement type. Data is totaled by
agreement type.
••••
ZIP Code Agreement Roster (6)
The ZIP Code Agreement Roster option allows you to
print reports listing and totaling providers by specialty
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and zip code. You may request the report for all
providers or for PCMs only. The report is sorted by zip
code, provider specialty, provider name, provider
group, agreement type, and agreement effective date.
•••
Miscellaneous Network Reports Menu (MMRM)
The Miscellaneous Network Reports Menu options allow you to
print address labels for providers and the Discrepancy
Avoidance Report.
••••
Provider Batch Address Labels - Build Utility (1)
The Provider Batch Address Labels - Build Utility
option allows you to create address labels for
providers. You may generate labels for an individual,
multiple, or all providers; all providers by agreement
type; all providers by specialty; or all providers whose
agreements expire by a specified expiration date.
Labels are generate only for providers who meet the
criteria specified and who have complete address
information.
••••
Provider Batch Address Labels - Print Utility (2)
The Provider Batch Address Labels - Print Utility
option allows you to print labels which were built using
the Provider Batch Address Label Build Utility
option.You may print a batch in its entirety or in
subsets. Once printed, a label is removed from the
batch and cannot be reprinted.
••••
Discrepancy Avoidance Report (3)
The Discrepancy Avoidance Report option allows you
to generate a report that informs you, for either a
provider or place of care, of the patients,
appointments, Wait List requests, and/or provider or
place-of-care associations that need to be changed
before you may inactivate the provider or place of care.
For places of care, the report lists: Patients assigned to
providers as primary care managers (PCMs), patients
having appointments and referrals to providers,
patients having Wait List requests for providers, and
providers in each group.
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For providers, the report lists: Patients assigned to the
provider as a PCM, patients having appointments with
and referrals to the provider, patients having Wait
List requests for the provider, and places of care for
each provider.
••
Modify Group Agreement Effective Date (MNET)
The Modify Group Agreement Effective Date option allows you to
update, change, or review the effective date of existing provider group
agreements. Each modification produces an agreement history record.
These records are numbered and sorted in chronological order.
• File/Table for MCP Menu (FMCP)
The File/Table for MCP Menu options allow you to maintain system files
and tables that support the MCP.
••
Enrollment File/Table Maintenance Menu (ETAB)
The Enrollment File/Table Maintenance Menu options allow you to
enter/edit MCP enrollment files and tables.
•••
Insurance Company Enter/Edit (INSU)
The Insurance Company Enter/Edit option allows you to enter/
edit an insurance company record.
•••
PCM Assignment Reason Enter/Edit (PCMA)
The PCM Assignment Reason Enter/Edit option allows you to
enter a new PCM assignment reason for an MTF, or edit the
description for an existing PCM assignment reason.
•••
Disenrollment Reason Enter/Edit (DISE)
The Disenrollment Reason Enter/Edit option allows you to
enter a new disenrollment reason code and description, or edit
the description for an existing disenrollment reason.
•••
MCP Forms Text Enter/Edit (FORM)
The MCP Forms Text Enter/Edit option allows you to edit text
for an existing Enrollment Form or Care Authorization Form.
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•••
MCP Embosser Attribute Enter/Edit (EMBA)
The MCP Embosser Attributes Enter/Edit option allows you to
associate software attribute codes that are inherent with
different embossers without having to hard code the attributes
and codes for each type of embosser. The codes can be literal
text strings or an interpreted variable such as $C(13) that is
sent to the embosser.
For more information on embosser type attributes, refer to the
Patient Administration Reference Manual, TC-4.4-0702.
•••
MCP Embosser Cards Enter/Edit (EMBC)
The MCP Embosser Cards Enter/Edit option allows you to
define the type of embosser cards that may be generated by the
PAD subsystem, and the information to be embossed on each
card. This option allows you to build or modify a print template
for the card embosser; edit the fields to be displayed on an
embosser card; and display or print a sample (test) embosser
card.
For more information on embosser cards, refer to the Patient
Administration Reference Manual, TC-4.4-0702.
•••
MCP Embosser Type Enter/Edit (EMBT)
The MCP Embosser Type Enter/Edit option allows you to define
embosser types. The embosser type is then called from the
Emboss Card Format file to tie emboss cards to types of
embossers. At run time, the defaults entered in this option will
be extracted for use on the emboss card.
For more information on embosser cards, refer to the Patient
Administration Reference Manual, TC-4.4-0702.
•••
Enrollment Block Reason Enter/Edit (EBRE)
The Enrollment Block Reason Enter/Edit option allows you to
enter a new enrollment block reason code and description, or to
view or modify the description for an existing enrollment block
reason.
•••
Enrollee Lockout Override Reason Enter/Edit (LORE)
The Enrollee Lockout Override Reason Enter/Edit option
allows you to enter a new enrollee lockout override reason code
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and description, or to modify or view the description for an
existing enrollee lockout reason
•••
Enrollee DMIS ID Update (DMIS)
The Enrollee DMIS ID Update option is used to send update
enrollment transactions for enrollees in either all or the
specified division. This option will result in the DMIS ID of the
Enrolling Division being recorded on the patient’s enrollment
records on DEERS.
•••
Clean Up DMIS ID Update (CLUP)
The Clean Up DMIS ID Update option is used to re-set the
system in the event that a DMIS ID Update action failed to
finish due to a system crash or a TaskMan error. This option
will kill the job previously scheduled. It will allow the user to retask the DMIS ID Update action.
••
Facility File/Table Maintenance Menu (FTAB)
The Facility File/Table Maintenance Menu options allow you to enter
or edit MCP facility files and tables.
•••
MCP Division Profile Edit (DIVI)
The MCP Division Profile Edit option allows you to set up and
edit the profiles for the divisions within an MTF, and to
determine which of the divisions within the facility is an MCP
division, if any. Data in the profile includes the address of the
division; time frames for pulling patient records; and schedule
hold times (that is, the maximum number of days a schedule or
appointment slot may remain frozen before being released for
appointment booking). The schedule hold duration specified in
the division profile can be overridden by the clinic profile.
•••
MCP Office Enter/Edit (OFFI)
The MCP Office Enter/Edit option allows you to set up and edit
the profiles for the MCP offices. Data in the office profile
includes the name of the office supervisor, street address, city,
state, zip code, office phone, office location, and office hours.
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•••
MCP Health Care Finder Profile Enter/Edit (HEAL)
The MCP Health Care Finder Profile Enter/Edit option allows
you to set up and edit profiles for MCP health care finders
(HCFs). Data in the profile includes the HCF name and phone
number, and the MCP office with whom the HCF is associated.
•••
ZIP Code Combinations Enter/Edit (ZIPC)
The ZIP Code Combinations Enter/Edit option allows you to
enter new zip code combinations, and edit or delete existing zip
code combinations. Entire zip code combinations, or individual
zip codes within a combination, may be entered, edited, or
deleted.
•••
Catchment Area Zip Code Enter/Edit (CAZC)
The Catchment Area Zip Code Enter/Edit option allows you to
edit the Provider Network Area and Patient Enroll Area data
fields for existing zip codes. These fields define the zip codes as
part of the allowable patient or provider network.
•••
Facility Type Enter/Edit (FACI)
The Facility Type Enter/Edit option allows you to enter a new
facility type code and description, or edit a description for an
existing facility type.
•••
NAS Issuing Officer Enter/Edit (ISSO)
The NAS Issuing Officer Enter/Edit option allows you to enter
a new NAS issuing officer, or to edit information for an existing
NAS issuing officer. For an existing issuing officer, you may
edit the title and either the military rank field or the
government service rank field.
•••
MCP Parameters Profile Enter/Edit (PARA)
The MCP Parameters Profile Enter/Edit option allows you to
enter or edit MCP parameters. You may specify whether
enrollment is to be restricted by residential address, activeduty dependents, retired beneficiaries, or retired dependents.
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•••
UIC/PCM Maintenance Enter/Edit (UICP)
The UIC/PCM Maintenance Enter/Edit option allows you to
enter or edit Unit Identification Code (UIC) assignments to
PCMs. A PCM may be selected directly, or by specifying search
criteria such as agreement type, specialty, and location. For a
given PCM, UICs can be entered, viewed, or deleted.
•••
Reactivate MCP Enrollment (RACT)
The Reactivate MCP Enrollment option allows you to reactivate
the enrollment option if the option was locked during the batch
disenrollment process and the job was aborted.
••
Provider Network File/Table Maintenance Menu (PTAB)
The Provider Network File/Table Maintenance Menu options allow
you to enter/edit MCP provider network facility files and tables.
•••
Department and Service File Enter/Edit (DEPT)
The Department and Service File Enter/Edit option allows you
to set up new department or service files, or edit existing
department or service files for an MTF. Data in the file includes
the department and service name, code, department name (for
a department associated with a service), abbreviation, and
inactive flag.
•••
Place of Care Enter/Edit (PLAC)
The Place of Care Enter/Edit option allows you to enter a new
place of care and associated file information, or edit the data of
an existing place of care. This option also allows you to enter the
Clinic Profile Edit option to update the clinic profile.
•••
Provider Enter/Edit (PROV)
The Provider Enter/Edit option allows you to enter a new
provider, or edit information for an existing provider within the
MTF.
•••
Group Enter/Edit (GROU)
The Group Enter/Edit option allows you to enter new MCP
provider groups and associated file information to the MTF, or
edit the data for an existing provider group.
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•••
Specialty Type Enter/Edit (SPEC)
The Specialty Type Enter/Edit option allows you to enter new
MCP provider specialty types, or edit the data for an existing
specialty type.
•••
Professional Category Enter/Edit (PROF)
The Professional Category Enter/Edit option allows you to
enter a new professional category, or edit the category code and
description for an existing professional category.
•••
Military Status Enter/Edit (MILI)
The Military Status Enter/Edit option allows you to enter a new
military status code and description, or edit the description for
an existing military status.
•••
Audit Trail for Provider Network Menu (AUDI)
••••
Agreement Data Changes (AGDC)
The Agreement Data Changes option allows you to
print a report showing changes in agreement data
according to the following primary selection criteria:
Agreement (type), Group, and Provider. The selection
criteria are displayed on the screen as three columns,
each with the following choices: One, Multiple, or All.
The system displays a variety of different selection
criteria and prompts depending on which selection
combination you choose. The system requires a
selection from the Agreement and Group columns, but
not from the Provider column.
If you do not make a selection from the Provider
column, the system will assume that you do not want
to include changes to individual provider agreement in
the report. Therefore, the report will include data
changes made at the group level only.
If you make selection from all three columns, the
report will include changes at the individual provider
level only.
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If you select one agreement, the system will require
you to specify a group name, agreement type, and
effective date.
The system requires that an agreement be associated
with one group, and does not allow one agreement to be
associated with multiple or all groups. A pick list for
exclusive provider agreements display the group
effective and stop dates only so you can identify the
“mother” agreement for which to report changes. The
provider lists with agreements do not include
providers who do not participate in the agreements
displayed.
••••
Place of Care Data Changes (LCDC)
The Place of Care Data Changes option allows you to
print a report showing changes in places of care. You
can specify one, multiple, or all places of care to include
in the report. Data elements include Place of Care
Name, DMIS ID, Address/Phone Data, and
Inactivation/Reactivation date.
••••
Group Data Changes (GPDC)
The Group Data Changes option allows you to print a
report showing changes in provider groups. You can
specify one, multiple, or all provider groups to include
in the report.
••••
Provider Data Changes (PRDC)
The Provider Data Changes option allows you to print
a report showing changes in provider groups. You can
specify one, multiple, or all provider groups to include
in the report.
• Ad Hoc Report Menu (AMCP)
The Ad Hoc Report Menu option provides you with the ability to inquire,
print, and search MCP files, as well as information concerning group
providers.
Refer to FileMan (Version 26.0) Reference Guide, RQMTS-93-103, for
complete information on ad hoc reports.
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••
Inquire to File Entries (IDHC)
The Inquire to File Entries option allows you to quickly access the
data of a single entry or a few selected entries in a file.
••
Print File Entries (PDHC)
The Print File Entries option allows you to generate output of data
contained within all, or a selected group, of fields within an existing
file. The print prompts allow you to vary the output in a number of
ways.
••
Search File Entries (SDHC)
The Search File Entries option allows you to select entries from a file
that meet a certain set of criteria. The search involves identifying the
file to be searched, describing the search criteria, specifying the logic
for the search, and specifying the fields and their order to be printed
for each entry selected in the search.
••
List File Attributes (LDHC)
The List File Attributes option allows you to list attributes of selected
files. This option is useful for programmers, analysts, and others
interested in database structure.
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ENDND
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29 Jul 1996
PATIENT APPOINTMENT AND
SCHEDULING
REFERENCE MANUAL
Section 3
Procedure Flowcharts
3-1
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
BOOK APPOINTMENTS FOR A SINGLE
PATIENT
PAS-00014REF
3-2
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
BOOK APPOINTMENTS FOR MULTIPLE
PATIENTS (SINGLE CLINIC)
PAS-00009REF
3-3
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
BOOK APPOINTMENTS FOR A FAMILY
PAS-00008REF
3-4
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
OVERBOOK AN APPOINTMENT SLOT
PAS-00057REF
3-5
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
MODIFY AN APPOINTMENT SLOT
PAS-00055REF
3-6
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
CREATE A PROVIDER SCHEDULE
PAS-00023REF
3-7
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
WAIT LIST PROCESSING
PAS-00045REF
3-8
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
CANCEL APPOINTMENT SLOTS BY FACILITY
PAS-00016REF
3-9
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
MODIFY PROVIDER SCHEDULES
PAS-00043REF
3-10
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
CREATE DAILY PROVIDER TEMPLATE
PAS-00021REF
3-11
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
CREATE WEEKLY PROVIDER TEMPLATE
PAS-00024REF
3-12
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
EDIT A CLINIC PROFILE
PAS-00025REF
3-13
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
CHECK-IN PATIENT(S)
PAS-00017REF
3-14
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
END-OF-DAY PROCESSING
PAS-00031REF
3-15
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
ADD/MODIFY/DELETE WAIT LIST REQUEST
PAS-00001REF
3-16
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
APPOINTMENT CANCELLATION BY PATIENT
PAS-00003REF
3-17
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
CHECK-OUT EMERGENCY ROOM PATIENT
PAS-00018REF
3-18
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
3UPDATE EMERGENCY ROOM PATIENT DATA
PAS-00033REF
3-19
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
CHECK-OUT/RECHARGE PATIENT MEDICAL
RECORD
PAS-00019REF
3-20
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
ENROLL AN ACTIVE-DUTY PATIENT INTO
THE MCP
PAS-00026REF
3-21
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
ENROLL AN ACTIVE-DUTY PATIENT INTO
THE MCP (continued)
PAS-00027REF
3-22
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
ENROLL A FAMILY MEMBER INTO MCP
PAS-00028REF
3-23
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
ENROLL A FAMILY MEMBER INTO MCP
(continued)
PAS-00029REF
3-24
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
AUTO ENROLL AN ACTIVE-DUTY PATIENT
INTO MCP
PAS-00006REF
3-25
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
ASSIGN AN EXCEPTION PROVIDER TO AN
MCP PATIENT
PAS-0004REF
3-26
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
REASSIGN A FAMILY TO A NEW PCM
PAS-00058REF
3-27
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
REASSIGN A PCM’S PATIENTS TO ONE OR
MULTIPLE NEW PCMS
PAS-00059REF
3-28
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29 Jul 1996
BOOK AN APPOINTMENT FOR AN ENROLLED
PATIENT WITH AN ASSIGNED PCM
PAS-0007REF
3-29
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29 Jul 1996
BOOK AN APPOINTMENT FOR AN ENROLLED
PATIENT WITH A PROVIDER
PAS-00011REF
3-30
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
BOOK AN APPOINTMENT FOR A NONENROLLED PATIENT WITH A PROVIDER
PAS-00012REF
3-31
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
BOOK AN APPOINTMENT FOR A CASE
MANAGEMENT PATIENT WITH AN
EXCEPTION PROVIDER
PAS-00010REF
3-32
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29 Jul 1996
GENERATE A NON-AVAILABILITY
STATEMENT
PAS-00054REF
3-33
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
ENTER A NEW PLACE OF CARE
PAS-00030REF
3-34
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
CREATE A PROVIDER GROUP
PAS-00020REF
3-35
Procedure Flowcharts
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
ASSIGN A UNIT IDENTIFICATION CODE (UIC)
TO A PCM
PAS-00005REF
END
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29 Jul 1996
PATIENT APPOINTMENT AND
SCHEDULING
REFERENCE MANUAL
Section 4
Quick Reference Guides
4-1
Quick Reference Guides
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PATIENT APPOINTMENT AND SCHEDULING REFERENCE MANUAL
Section 4. Quick Reference Guides
Index
Title
Page
COMMON
ACCESSING HELP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BASIC FUNCTION KEYS FOR CHCS . . . . . . . . . . . . . . . . . . . . . . . . .
THE LA75 PRINTER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LOADING PAPER/CHANGING RIBBON FOR LA75
PRINTER SERIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LOGGING ON AND LOGGING OFF CHCS . . . . . . . . . . . . . . . . . . . . .
MINI REGISTRATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ONLINE USERS MANUAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PRINT A REPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RECHARGE A RECORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RECORD TRACKING OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . .
REQUEST A RECORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RETRIEVE ALL
ARCHIVED DATA FOR A PATIENT . . . . . . . . . . . . . . . . . . . . . . .
RETRIEVE ARCHIVED PATIENT DATA BY RECORD TYPE . . . . .
SCREEN EDITOR OPTIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SHORT RECORD INQUIRY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SWITCH DIVISIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
USER-DEFINED KEYS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-6
4-7
4-8
4-9
4-13
4-16
4-18
4-20
4-21
4-22
4-23
4-24
4-25
4-27
4-29
4-30
4-31
PATIENT APPOINTMENT AND SCHEDULING
ADD A PATIENT TO THE WAIT LIST . . . . . . . . . . . . . . . . . . . . . . . . .
ASSIGN SECURITY KEYS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BLOCK BOOKING OF A GROUP OF PATIENTS . . . . . . . . . . . . . . . .
BOOK A PATIENT INTO MULTIPLE CLINICS . . . . . . . . . . . . . . . . .
BOOK APPOINTMENTS FOR A SINGLE PATIENT . . . . . . . . . . . . .
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY . . . . . . . . . . . . . . . . . . . .
4-2
4-33
4-37
4-38
4-46
4-54
4-62
Quick Reference Guides
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guide Index (continued)
Title
Page
PATIENT APPOINTMENT AND SCHEDULING (continued)
CANCEL APPOINTMENT BY PATIENT . . . . . . . . . . . . . . . . . . . . . . .
INTERACTIVE DEERS ELIGIBILITY REQUEST . . . . . . . . . . . . . . .
DISPLAY PATIENT APPOINTMENTS . . . . . . . . . . . . . . . . . . . . . . . .
EDIT CLINIC PROFILE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
EDIT EMERGENCY ROOM PROFILE . . . . . . . . . . . . . . . . . . . . . . . . .
END-OF-DAY PROCESSING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERATE A PROVIDER ROSTER . . . . . . . . . . . . . . . . . . . . . . . . . .
INDIVIDUAL PATIENT CHECK-IN. . . . . . . . . . . . . . . . . . . . . . . . . . .
MULTIPLE CHECK-IN BY DEFAULT. . . . . . . . . . . . . . . . . . . . . . . . .
PRINT A CLINIC WORKLOAD REPORT. . . . . . . . . . . . . . . . . . . . . . .
PRINT AN OUTPATIENT ENCOUNTER FORM (SF600) . . . . . . . . .
PRINT WAIT LIST HOLD/RELEASE SCHEDULES. . . . . . . . . . . . . .
PROBLEM AVOIDANCE REPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PROCESS APPOINTMENT ORDERS. . . . . . . . . . . . . . . . . . . . . . . . . .
SCHEDULE CREATION FOR WAIT LIST PROCESSING . . . . . . . . .
SPLIT AN APPOINTMENT SLOT
AND BOOK ONE OF THE MODIFIED SLOTS . . . . . . . . . . . . . .
TELEPHONE CONSULTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNANSWERED TELEPHONE CONSULTS . . . . . . . . . . . . . . . . . . . .
THE UNANSWERED TELEPHONE
CONSULTS REPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNSCHEDULED VISITS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-69
4-72
4-74
4-76
4-78
4-80
4-85
4-86
4-88
4-91
4-97
4-98
4-100
4-101
4-107
4-111
4-118
4-121
4-122
4-123
MANAGED CARE PROGRAM
ADD AN AGREEMENT EXCEPTION TO A PROVIDER
GROUP PROFILE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ADD AN AGREEMENT TO A PROVIDER
GROUP PROFILE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
APPOINTMENT REFERRAL BOOKING . . . . . . . . . . . . . . . . . . . . . . .
ASSIGN AN EXCEPTION PROVIDER TO AN MCP PATIENT
FOR CASE MANAGEMENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-3
4-127
4-128
4-129
4-138
Quick Reference Guides
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guide Index (continued)
Title
Page
MANAGED CARE PROGRAM (continued)
ASSIGN A PCM TO AN MCP PATIENT . . . . . . . . . . . . . . . . . . . . . . . .
AUTO ENROLL A PATIENT INTO THE MCP . . . . . . . . . . . . . . . . . .
BATCH PCM REASSIGNMENT PROCESSING . . . . . . . . . . . . . . . . .
CHANGE THE PARTICIPATION STATUS OF AN
INDIVIDUAL PROVIDER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CREATE A NEW SET OF ZIP CODE COMBINATIONS. . . . . . . . . . .
CREATE A PROVIDER GROUP PROFILE . . . . . . . . . . . . . . . . . . . . .
DISENROLL A PATIENT FROM THE MCP . . . . . . . . . . . . . . . . . . . .
DOCUMENT A PATIENT CANCELLATION . . . . . . . . . . . . . . . . . . . .
DOCUMENT A PATIENT REFUSAL . . . . . . . . . . . . . . . . . . . . . . . . . .
EDIT AN INDIVIDUAL PROVIDER PROFILE . . . . . . . . . . . . . . . . . .
EDIT TEXT FOR AN MCP FORM . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ENROLL A PATIENT INTO THE MCP . . . . . . . . . . . . . . . . . . . . . . . .
ENROLL FAMILY MEMBERS INTO THE MCP . . . . . . . . . . . . . . . . .
ENTER A NEW MCP OFFICE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ENTER A NEW MILITARY STATUS IN THE MILITARY
STATUS FILE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ENTER A NEW PROFESSIONAL CATEGORY IN THE
PROFESSIONAL CATEGORY FILE . . . . . . . . . . . . . . . . . . . . . . .
ENTER AND EDIT A NEW MCP PROVIDER IN THE
PROVIDER FILE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ENTER AND EDIT A NEW NAS ISSUING OFFICER IN THE
NAS ISSUING OFFICER FILE . . . . . . . . . . . . . . . . . . . . . . . . . . .
ENTER AND EDIT A NEW PLACE OF CARE. . . . . . . . . . . . . . . . . . .
ENTER AND EDIT A NEW SERVICE/DEPARTMENT IN THE
DEPARTMENT AND SERVICE FILE . . . . . . . . . . . . . . . . . . . . . .
ENTER AND EDIT AN MCP HEALTH CARE FINDER IN
THE MCP HEALTH CARE FINDER FILE . . . . . . . . . . . . . . . . . .
ENTER AND UPDATE INSURANCE COMPANY DATA . . . . . . . . . .
ENTER OHI INFORMATION FOR AN MCP PATIENT . . . . . . . . . . .
FILE MAINTENANCE CONCEPTS AND DEFINITIONS . . . . . . . . .
GENERATE A CARE AUTHORIZATION FORM. . . . . . . . . . . . . . . . .
4-4
4-141
4-143
4-145
4-147
4-148
4-149
4-154
4-156
4-159
4-161
4-162
4-164
4-167
4-170
4-171
4-172
4-173
4-175
4-176
4-180
4-181
4-182
4-183
4-185
4-186
Quick Reference Guides
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guide Index (continued)
Title
Page
MANAGED CARE PROGRAM (continued)
GENERATE A NON-AVAILABILITY STATEMENT . . . . . . . . . . . . . .
GENERATE AN MCP MEMBERSHIP ID CARD . . . . . . . . . . . . . . . . .
INACTIVATE/REACTIVATE AN MCP PROVIDER . . . . . . . . . . . . . .
INTERACTIVE NAS PROCESSING . . . . . . . . . . . . . . . . . . . . . . . . . . .
NON-ENROLLED BOOKING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PCM BOOKING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TERMINATE AN MCP PROVIDER AGREEMENT . . . . . . . . . . . . . . .
4-5
4-189
4-193
4-196
4-197
4-201
4-207
4-211
Quick Reference Guides
ACCESSING HELP
Accessing Help at Field Prompts on a Screen:
CHCS provides help throughout the system. You can use question marks (?, ??,
or ???) to access help at any menu, prompt, or field. You can also access the
Online Users Manual (OLUM) for more in-depth assistance.
Select CLINIC: ?
Answer with HOSPITAL LOCATION NAME, or ABBREVIATION, or DESCRIPTION, or
SPECIALTY, or MEPRS CODE, or SERVICE.
Accessing Help at Menu Prompts:
Do you want the entire HOSPITAL LOCATION list?
Select MailMan Menu Option: ?
4-6
AML
BOP
EML
GML
HML
LNM
NML
QML
RML
SML
Assume another identity as a surrogate
Basket Options
Edit User Options
Group Membership
Help Menu
List New Messages
New Messages and Responses
Queued Message Deletion
Read a Message
Send a Message
Sponsor: NEEB, ALTHEA A
Personal Data - Privacy Act of 1974 (PL 93-579)
======================================================================
Sponsor Name: NEEB, ALTHEA A
Sponsor SSN: 222-33-4561
Sponsor FMP: 20 (SPONSOR)
Branch of Service: ARMY
Grade/Rank: COLONEL
Command Security: ?
Station/Unit: 400-ARMY
Enter ?? for more options, ??? for brief descriptions, ?OPTION or ?OPTION SYNONYM for
online documentation.
Select MailMan Menu Option:
Sponsor Info MINI1
COMMAND SECURITY
Enter a valid COMMAND SECURITY code or name.
The patient's level of COMMAND SECURITY.
Want list of allowed values? N
Quick Reference Guides
• Entering ?? displays the Secondary Menu.
• Entering ??? displays a brief description of each option on the menu.
• Entering ?OPTION or ?OPTION SYNONYM displays the section of the
OLUM that discusses that option. Enter OLUM to access the Online Users
Manual Menu. (See Quick Reference Guide: Online Users Manual.)
• Entering ? displays a brief description of the field.
Additional help prompts may display that allow you to access more
information.
• Pressing <Help> also displays help at any field on a screen.
CHCS
ACCESSING HELP
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• Entering ? accesses a message that tells you how to get additional help.
BASIC FUNCTION KEYS FOR CHCS
2
1
3
4
5
6
7
8
10
9
11
12
13
14
15
16
F7
F8
F9
F10
F11
^
X
Return
Ctrl Lock
\
Shift
?
/
Shift
Spacebar
4-7
22
<Hold Screen>
<Print Screen>
<Set-Up>
Caret <^> and
Menu Mnemonic
5. <F7>
6. <F8>
7. <F9>
8. <F10>
9. <F11>
10. <Help>
11. <Select>
MC-00666
Stops text from scrolling off screen
Prints screen to printer with slave cable only
Allows user to enter terminal features
Moves cursor from field, and accesses a menu
option from another menu
Moves to bottom of list
Moves to top of list
Expands order
Allows user to abort option
Selects all the orders, tasks, etc., seen on screen
Provides user with online help
Allows user to select text
21
20
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
19 18
Editing Keypad
<Insert>
<Prev Screen>
<Remove>
<Next Screen>
<PF1> – Backspace/
Delete Key
Down-arrow Key
Up-arrow Key
Backspace/Delete Key
<Return>
??
Spacebar – <Return>
17
Numeric Keypad
Allows user to insert typed characters
Moves to previous screen
Erases line and moves cursor to next field
Moves to next screen
Erases characters to the left of the cursor
Moves cursor to the following field/screen
Moves cursor to the previous field/screen
Erases character-by-character to the left
Processes data just entered or exits option/menu
Provides user with online help
Recalls the last information typed in that field
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
1.
2.
3.
4.
Main Keypad
THE LA75 PRINTER
FRONT PANEL INDICATOR LIGHTS AND CONTROLS
• Power Indicator (A) - This indicator is green, and is illuminated when printer
is powered up.
• Fault Indicator (B) - The indicator is red, and is illuminated when paper is not
loaded or a mechanical problem occurs.
• NLQ/LQ (C) - The Near Letter Quality (NLQ) and Letter Quality (LQ)
indicators are green. One of these is illuminated if the print quality selected is
other than draft.
• Ready (D) - This indicator is green. The ready light must be illuminated to
print.
IF THE PRINTER DOES NOT PRINT, CHECK THE FOLLOWING:
• Is the power indicator (A) on the control panel illuminated?
4-8
– Check to see if the printer is plugged in.
– Check to see if the power is turned on at the printer and at the power strip
(if a power strip or surge protector is being used).
• Is the green ready light (D) on the control panel illuminated?
• Is the printer hooked up to the terminal?
• Is the paper loaded into the printer?
MC-00667
This quick reference guide provides the following information:
• Understanding the indicator lights and controls on the control panel.
• Loading paper from the back of the printer.
• Loading paper and card stock from the bottom of the printer.
CHCS
THE LA75 PRINTER
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
The LA75 series printers are used in most CHCS workcenters. Some locations,
such as the Pharmacy, Laboratory, Radiology, and the record rooms, have special
printers for labels and bar codes.
LOADING PAPER/CHANGING RIBBON FOR LA75
PRINTER SERIES
FRONT PANEL INDICATOR LIGHTS AND CONTROLS
• RDY Indicator (A) - This indicator is green, and is illuminated when printer
is powered up.
• Fault Indicator (B) - The indicator is amber, and is illuminated when paper is
not loaded or a mechanical problem occurs.
• LQ (C) - The Letter Quality (LQ) and Draft indicators are green. One of these
is illuminated if the print quality selected is other than draft.
IF THE PRINTER DOES NOT PRINT, CHECK THE FOLLOWING:
• Is the RDY indicator (A) on the control panel illuminated?
– Check to see if the printer is plugged in.
– Check to see if the power is turned on at the printer and at the power strip
(if a power strip or surge protector is being used).
4-9
• Is the Fault light (B) on the control panel illuminated?
• Is the printer hooked up to the terminal?
• Is the paper loaded into the printer?
LA75 PLUS PRINTER
This quick reference guide provides the following information:
• Understanding the indicator lights and controls on the control panel.
• Loading paper from the back of the printer.
• Loading paper and card stock from the bottom of the printer.
CHCS
LOADING PAPER/CHANGING RIBBON FOR
LA75 PRINTER SERIES
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
The LA series printers are used in most CHCS workcenters. Some locations,
such as the Pharmacy, Laboratory, Radiology, and the record rooms, have
special printers for labels and barcodes.
LOADING PAPER/CHANGING RIBBON FOR LA75
PRINTER SERIES (continued)
BACK LOADING THE PRINTER
BACK LOADING THE PRINTER
Loading Continuous-Form Paper
Paper is normally loaded in the back of the printer using the following procedure:
• Feed paper
– Across tractors
– Under and around platen
••
• Press the paper release lever to tractor mode.
Loading Continuous-Form Paper
4-10
CHCS
LOADING PAPER/CHANGING RIBBON FOR
LA75 PRINTER SERIES
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• Turn the power switch to the “O” (off) position.
• Remove the paper cover and access cover from the top of the printer.
• Place the tractor bar in the down position.
– Pull the tractor release levers forward. Instructions are posted on the
tractor bar.
– Push the tractor bar down until it is locked.
• Position the left tractor against the tractor stop.
– Release both tractor clamps.
– Move the left tractor toward the right until it is positioned at the stop.
– Relock the left tractor.
• Load the continuous-form paper.
– Open the tractor doors.
– Feed the paper over the paper positioners, across the tractors, then under
and around the platen.
– Align the pin feed holes in the paper with the tractor pins.
– Close the tractor doors.
– Adjust the right tractor so that the paper is snug, but not too tight.
– Relock the right tractor.
– Roll the paper forward until the top of the page is aligned with the bail bar.
Pull the bail bar away using the bail bar lever.
– Replace the paper cover and the access cover.
• Ensure that the printer is ready for printing.
– Set the paper release lever toward the front of the printer (tractor mode).
– Turn the power switch to the “|” (on) position.
LOADING PAPER/CHANGING RIBBON FOR LA75
PRINTER SERIES (continued)
BOTTOM LOADING THE PRINTER
Loading Card Stock or Continuous-Form Paper
• Feed paper
– Up and around platen
– Across tractors
•*
BOTTOM LOADING THE PRINTER
Loading Card Stock or Continuous-Form Paper
Card stock is always loaded into the bottom of the printer. Continuous-form
paper can also be loaded into the bottom.Use the following procedure in either
case:
• Turn the power switch to the “O” (off) position.
• Remove the paper cover and access cover from the top of the printer.
Note: A printer stand that provides paper access to the paper slot in the bottom
of the printer must be used for this setup.
• Press the Paper release lever to tractor mode.
4-11
CHCS
LOADING PAPER/CHANGING RIBBON FOR
LA75 PRINTER SERIES
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• Place the tractor bar in the up position.
– Pull the tractor release levers forward. Instructions are posted on the
tractor bar.
– Pull the tractor bar up until it is locked.
• Position the left tractor against the tractor stop.
– Release both tractor clamps.
– Move the left tractor to the right until it is positioned at the stop.
• Load the card stock or continuous form paper.
– Open the tractor doors.
– Feed the card stock/paper through the bottom paper access, around the
platen, and across the tractors.
– Align the pinfeed holes in the paper with the tractor pins.
– Close the tractor doors.
– Adjust the right tractor so that the paper is snug, but not too tight.
– Relock the right tractor.
– Roll the paper forward until the top of the page is aligned with the bail bar.
– Replace the paper cover and the access cover.
• Ensure that the printer is ready for printing.
– Set the paper release lever toward the front of the printer (tractor mode).
– Turn the power switch to the “|”+ (on) position.
LOADING PAPER/CHANGING RIBBON FOR LA75
PRINTER SERIES (continued)
CHANGING THE RIBBON
CHANGING THE RIBBON
• Remove the old ribbon from the printer by pushing the mounting clips
outward and lifting the cartridge straight up.
• Remove the new ribbon cartridge from the wrapper.
• Turn the ribbon adjustment knob in the direction indicated on the cartridge.
• Fit the cartridge between the mounting clips on the carriage. Make sure the
ribbon fits securely between the printhead and the clear plastic smudge guard.
Press the cartridge down until you hear it click into place. Be sure the ribbon
is secured on both the left and right sides.
• Tighten the ribbon by turning the adjustment knob.
4-12
LOADING PAPER/CHANGING RIBBON FOR
LA75 PRINTER SERIES
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
CHCS
LOGGING ON AND LOGGING OFF CHCS
Access the Logon Prompt:
• If the terminal has just been turned on, the screen displays the message,
VT[default] Okay. Press <Return> to begin the logon procedure.
• If the terminal has timed out, a blinking cursor appears at the lower right
corner of the screen. Press <Return> to continue logon procedure.
• If a logon prompt doesn’t appear, verify the following:
– The terminal is powered on (both plugged in and switched on)
– The Hold Screen indicator light is off. If the light is on, press
<Hold Screen> to release the screen. (Consider that the indicator light may
be burned out.)
– The keyboard is connected to the terminal.
– The terminal is connected to the wall port.
4-13
• Depending on how your terminal is connected to the system, you may or may
not see a prompt for the system service.
The name of the CHCS system service at most sites is CHCS. It may also
relate to a particular system.
LOGGING ON AND
LOGGING OFF CHCS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
CHCS
LOGGING ON AND LOGGING OFF CHCS
(continued)
Log On the CHCS Production System:
• You will receive your username, password (optional), and access/verify
codes to the CHCS production system after you have completed CHCS
training.
– Do not share these codes with anyone.
– Do not write them down.
• To sign on to the production system, respond to the following prompts. (Some
prompts may not display.)
4-14
Username:
Password:
ACCESS CODE:
VERIFY CODE:
Select DIVISION:
Keyboard/Terminal type:
• The Username and Password prompts do not appear at terminals tied directly
to CHCS.
• At PC sites, only the Access Code and Verify Code prompts appear.
• Once you are logged on, your assigned primary menu is displayed. The CHCS
Administrator can change your primary menu.
• You can change your verify code. (See Quick Reference Guide: Edit User
Characteristics.) The CHCS Administrator can change your access code.
• You can display a list of your allowable divisions. (See Quick Reference
Guide: Display User Characteristics.) The CHCS Administrator can add and
delete allowable divisions.
Log On the CHCS Training System:
• During your CHCS training, you will access and use a practice system that
provides a sample database. The training system may be accessed using
specially designated terminals.
• Your presenter will identify the username, password (optional) training area,
access and verify codes, and division (optional) that you will use during class.
• There is a small difference between signing on to the training system and the
production system. In the training system, you see the Training Menu
between the Username and Access Code prompts. Your entry on this menu
identifies which area (database) you will use during class.
Quick Reference Guides
Note: When you log on to CHCS (a government computer system) be aware
that the government has the legal right to pursue civil/criminal charges
against you if you perform an illegal or hostile act on the system.
• Access and verify codes do not display on the screen as they are entered.
• If you make a mistake when entering your access and verify codes, you may
try again. The number of access attempts permitted is determined by your site.
After an excessive number of attempts, your terminal will lock up for a set
amount of time. Someone at the Help Desk can clear your terminal.
• The Division prompt does not appear if your site is not a multidivision site, or
if you have a default division. If you commonly work with a particular
division, you can set a default division. (See Quick Reference Guides: Edit
User Characteristics and Switch Divisions.)
CHCS
LOGGING ON AND
LOGGING OFF CHCS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• Depending upon how the CHCS user account is set up at your site, a VMS
password may not be required.
• Depending on your site parameters, the Keyboard/Terminal type prompt may
not appear. If it does, the most common entry is C-VT320 or C-VT420. This
is usually the default. Press ? to list other valid entries.
LOGGING ON AND LOGGING OFF CHCS
(continued)
• You can use one of the following Secondary Menu options to log off CHCS:
HALT
• To sign on to the training system, respond to the following prompts. (Some
prompts may not display.)
Username:
Password:
Select AREA:
ACCESS CODE:
VERIFY CODE:
Select DIVISION:
Keyboard/Terminal type:
• Depending on how the training system is set up at your site, the Password
prompt may not appear.
4-15
• At PC sites, only the Access Code and Verify Code prompts appear.
• The Division prompt does not appear if the student users are given a default
division.
Returns to your first logon prompt
(usually Username).
Returns to the Access Code prompt.
Returns to your first logon prompt
(usually Username). The next time you
log on, the system will ask whether you
wish to continue from the menu where
you last exited CHCS.
RESTART
CONTINUE
Log Off the CHCS Training System:
• Unless your presenter indicates otherwise, exit the training area by using the
HALT command.
• To exit the training system, enter the following:
[Any menu prompt]: HALT
Halting at [time]
<^>
Select Area: <^> then <Return>
Log Off the CHCS Production System:
• Log off the production system whenever you leave your terminal. This helps
to prevent unauthorized access to the system.
• You can also enter <^> at your primary menu to log off CHCS. However, you
will not be asked to verify the halt. Using <^> to log off is not recommended
for that reason.
CHCS
LOGGING ON AND
LOGGING OFF CHCS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• You can back off your CHCS primary menu to log off CHCS. Press <Return>
at the Primary Menu prompt. The system will prompt you to verify that you
wish to halt. If you confirm the halt by pressing <Return> again, you return
to your first logon prompt. If you indicate you do not wish to halt, you return
to the Primary Menu prompt.
MINI REGISTRATION
The Mini Registration option allows you to add new patient records to the
database or to edit an existing record. A mini registration provides the minimum
data necessary to process a patient’s registration. The Mini Registration option
includes a DEERS check of the patient’s eligibility for care.
You can access the Mini Registration option from several subsystem menus.
• To add a new patient, you must have the & FileMan access code. However,
you may edit an existing patient registration without that code.
• When you access the Mini Registration option, the system prompts you for a
patient name and a sponsor name.
IMPORTANT! It is critical to identify the patient and sponsor correctly. Small differences in
entry of a name, even just including an extra space, can create a duplicate patient entry.
4-16
PLEASE BE CAREFUL. Adding a duplicate patient to the database can have a significant
impact on patient safety.
• Many ways exist to look up the patient to answer the Patient and Sponsor
prompts. (See Quick Reference Guide: Patient Lookup.) Enter ? for help.
• Try to display a limited picklist from which you can select the correct patient
entry.
• PATIENT NAME and SPONSOR NAME: The names are the same if the
patient is his or her own sponsor (FMP=20). At the Sponsor Name prompt,
press the spacebar, then <Return> to use the same name entered for patient
name.
• Depending on your entries for patient name and sponsor name, the system
determines which of four paths you will take through Mini Registration:
–
–
–
–
Update an existing patient registration.
Add a new patient as own sponsor.
Add a new patient with a new sponsor.
Add a new patient with an existing sponsor.
• In all cases, a DEERS check is performed. (See Quick Reference Guide:
DEERS Check.) However, you may see one or more screens depending upon
your path through Mini Registration.
• You may see one or both of the Initial Information screens.
The Patient Initial Information screen displays when a patient is being added
to the database as his/her own sponsor, or when the patient has a registered
sponsor.
The Sponsor Initial Information screen displays when a new sponsor is being
added to the database.
1. Enter the first letter of the patient’s last name and the last four digits of the
sponsor’s Social Security number.
2. Enter the sponsor’s full Social Security number.
3. Enter the patient’s last name.
CHCS
MINI REGISTRATION
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• You should use at least three methods to locate a patient name before adding
a new patient to the database:
• LASTNAME,FIRSTNAME I: The required format for a patient name uses
a comma, but no spaces between the first and last names. There should be no
period after the middle initial or following space after the name.
MINI REGISTRATION (continued)
Enter sponsor and patient names, SSN, FMP, DOB, and patient category
code. The most common entries for Patient Category are:
Patient Categories
USA
USN USAF USMC USCG
Active Duty
Dependent, Active Duty
Retired, Length of Service
Dependent, Retired
A11
A41
A31
A43
N11
N41
N31
N43
F11
F41
F31
F43
M11
M41
M31
M43
• A site can determine whether and which postregistration options follow the
Mini Registration option. Possible postregistration options include Print
Registration Form, Print Emboss Card, Allergy Information, Print Patient ID
Label, and Create Medical Record.
C11
C41
C31
C43
Civilian Emergency is K92.
Enter ? to display a picklist of all possible patient category codes.
4-17
• The Family Member Selection screen appears when you are entering a patient
with an existing sponsor.
On this screen, you can select a family member record from which to move
demographic data. Position the cursor on a family member name, then press
<Return>.
• The Mini Registration screen displays when you are adding or editing a
patient record.
Quick Reference Guides
–
–
–
–
–
–
Patient address, including ZIP
Home and work phone numbers
Outpatient record location
Rank
Station/unit
Organ donor
• The system checks for data inconsistencies. Resolving data inconsistences is
generally a concern for a full registration rather than a mini registration.
CHCS
MINI REGISTRATION
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Complete the Mini Registration screen as fully and accurately as possible. Of
special importance are:
ONLINE USERS MANUAL
The Online Users Manual (OLUM) consists of the user instructions for the
CHCS basic system, MailMan, ad hoc reporting options of FileMan, and each
subsystem. Each subsystem volume provides the menu hierarchy, functional
descriptions for each option, step-by-step instructions, and samples of screens
and reports.
You can select OLUM topics to review by accessing the Index (IND) or the Table
of Contents (TOC).
MENU PATH: [Any menu option prompt] ➔ OLUM ➔ IND ➔
MMG (for MailMan User Guide)
4-18
ACCESSING MAILMAN
MailMan is an option on the CHCS secondary menu. To access MailMan (refer to Sample
Screens: MailMan Menu) after you have logged on to the system, perform the following steps:
--------------------------------------------------------------------------------------------------------------------------1. From your CHCS primary menu, bring up the secondary menu by entering ??.
2. Enter MAIL. The system displays the MailMan Menu from which you may select an
option.
+
AML
BOP
Browse
Assume Another Identify as a Surrogate
Basket Options
References
Keywords
backUp
Glossary
Help
• The IND is a list of subject matter topics arranged in alphabetical order.
Search for a topic by using the features on the action bar.
• Press <Return> to move between action bars and selection windows.
• Use the up-arrow and down-arrow keys to scroll through the entries and place
the cursor at the entry of your choice.
• Press <Select> to display the OLUM section that contains your chosen topic.
• Enter Q at an action bar to return to the OLUM Menu.
• Enter F and press <Return>, then enter a letter, letters, or words that you want
to find within the IND.
• Select Browse.
• Select Accessing MailMan.
Quit
CHCS
ONLINE USERS MANUAL
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MM ONLINE USERS MANUAL INDEX
--------------------------------------------------------------------------------------------------------------------------1 Accessing MailMan
2
2 Adding Lines to End of Text
6
3 Assume Another Identity as a Surrogate
2
4 Assume Another Identify as a Surrogate
2.1
5 Basket Rename
2.2.3
6 Basket Options
2
7 Basket Options
2.2
8
Delete
2.2.1
9
List Subjects
2.2.2
10
Statistics
2.3.2
11
Transfer Messages
2.3.1
12 Bold Characters
5
13 Breaking a Line
5
14 Breaking a Line in Two
6
15 Cancelling a MailMan Operation
1.1
16 Copying a Block of Text
5
17 Cutting and Pasting Text
5
--------------------------------------------------------------------------------------------------------------------------Browse
Find
Glossary
Help
backUp
Quit
MM 2 ACCESSING MAILMAN
ONLINE USERS MANUAL (continued)
MENU PATH: [Any menu option prompt] ➔ OLUM ➔ TOC ➔
MMG (MailMan User Group)
4-19
MM TABLE OF CONTENTS
--------------------------------------------------------------------------------------------------------------------------RECORD OF CHANGE (ROC)
INTRODUCTION AND OVERVIEW
ACCESSING MAILMAN
MESSAGE ACTIONS
TRANSMIT OPTIONS
FILEMAN EDITING OF A MESSAGE
PRINTING A MESSAGE
NETWORK MAIL MESSAGE
APPENDIX A: ACRONYMS AND ABBREVIATIONS
SAMPLE SCREENS: SAMPLE SCREENS FOR MAILMAN
--------------------------------------------------------------------------------------------------------------------------<F9> = Next level
<Select> = Select
'?' <Return> = Help
<F10> = Previous level
<Return> = Action bar
Select (V)iew/Select or (Q)uit: V//
• Enter Q at an action bar to return to the OLUM Menu.
• From within the OLUM from either the IND or the TOC:
– Enter K at the action bar to list keywords in that OLUM section.
* Select a keyword by using the up-arrow or down-arrow keys to place
the cursor next to your keyword choice and press <Select>.
– Enter R at the action bar to list references to other parts of your document
or other documents.
* Also lists screens and reports for that option description.
* All references in text are displayed in reverse video.
* Select a reference by using the up-arrow or down-arrow keys to place
the cursor next to your reference choice and press <Select>.
– Enter U at the action bar to backup of the OLUM one level at a time.
– Press <Next Screen> to move forward one screen.
– Press <Prev Screen> or <^> to back up one screen.
– Enter ? from anywhere within the OLUM to get List Processor help.
• The TOC corresponds to the menu hierarchy of each subsystem.
– To view or select a topic press <Return>.
– To move to the next deeper level of the menu hierarchy, place the cursor
next to your choice and press <F9>. To back up one level, press <F10>.
* Press <Return> to return to the OLUM screen.
• Enter ?OPTION NAME at any menu/option selection prompt to go directly
to a description of that option.
• Enter ??? after an Enter/Edit prompt within any option to go directly to a
description of that option.
• Press <Return> to move between action bars and selection windows.
• Use the up-arrow and down-arrow keys to scroll through the entries and place
the cursor at the entry of your choice.
• Press <Select> to display the OLUM section that contains your chosen topic.
CHCS
ONLINE USERS MANUAL
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• The first screen of the TOC displays the highest menu level in the OLUM
volume.
PRINT A REPORT
CHCS provides a variety of ways to display or print a report. Select the desired
display or print choice at the Device prompt.
Device: [Site Device]
RIGHT MARGIN: 80//
Notes:
• Information about reports specific to your subsystem will be covered in
training classes for that subsystem. The subsystem-specific Reference
Manuals contain sample output reports.
• When generating reports, you may be prompted to specify a value or range of
values. Limit the range of information needed for the report; for example,
give a narrower date range. Otherwise, the report may be too long and take
excessive system resources to generate. If you specify a long date range,
queue the report to compile during a low-use time period. You may produce
reports of limited length by specifying date ranges as follows:
• A device may be a printer, terminal, queue, or spool.
EXAMPLE:
• At the Device prompt, enter ? to list available devices.
Earliest Date/Time: FIRST// T-2@0900
Latest Date/Time: LAST// T@1000
• To display a report on your terminal screen, enter HOME, <Return>, or
0 (zero).
• To print a report interactively, enter a printer name.
or
4-20
• To queue a report, enter Q, date/time, and a printer name.
Earliest Transaction Date: FIRST// T-7
Latest Date Logged: LAST// T
• At the Device prompt, you can specify a shared printer name, or enter SLAVE
to identify a printer attached to your terminal.
Note: A range of dates or numbers is inclusive. The range includes the
values you specify and all the values in between.
• To store a report in a VMS spool file, enter SPOOL.
EXAMPLE:
• A Print Spool file option must be used to print the VMS file.
Quick Reference Guides
EXAMPLE: DEVICE: HOME;80;24
First: 2
Last: 4
This returns 2, 3, and 4.
This entry will send the report to your terminal screen with a right margin of
80, and 24 lines to each page of the report.
• The default right margin for many reports is 80 columns. You can enter
another right margin, but your printer must be set up to handle right margins
greater than 80 (for example, 132 columns).
CHCS
PRINT A REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• Printers have default settings you will use most of the time, but you can
customize the print by adding modifiers separated by semicolons.
RECHARGE A RECORD
This option allows you to check out a patient record to another borrower without
checking it into the file room.
MEDICAL MENU PATH: RTM ➔ M ➔ CH
IMAGE MENU PATH:
RTM ➔ I ➔ CH
At the record tracking profile screen, select the records to be recharged. If the
current borrower field is blank, the record is flagged as Missing and the request
will not be completed.
An associated borrower can be entered when recharging records.
Additional records can be recharged by continuing to enter patient identifiers and
selecting records.
Records Selected to be 'Recharged' to 'CASEY,BETH'
Personal Data - Privacy Act of 1974 (PL-93-579)
----------------------------------------------------------------------------------------Select Records:
Deselect choice using the <Select> key.
Selections will be processed when you enter a final <Return>
4-21
**** MEDICAL RECORDS TRACKING Profile ****
Personal Data - Privacy Act of 1974 (PL 93-579)
--------------------------------------------------------------------------------------Name: CARTIER,JOHN (05/347-06-1267)
Ward:
Birth Date: 02 JAN 1999
Run Date: 02 JAN 2002@0906
--------------------------------------------------------------------------------------Current Borrower
-----------------------CALDWELL,LORRAIN
Date Charged
Phone/Location
-------------------- ----------------------19 Nov 2001@1507 555-7917/5129
Quick Reference Guides
--------------------------------------------------------------------------------------2 INPATIENT
V1
INPATIENT FILE ROOM 31 Aug 2001@1132 555-7247/5229
Date Created: 15 Aug 2001@0800 Reg. #: 2606
Select borrower who is requesting the record.
At the recharge screen, enter the patient identifier for the records to be recharged,
or wand the records to be recharged with the barcode reader.
CHCS
RECHARGE A RECORD
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Record Type
Vol
---------------------*1 OUTPATIENT V1
RECORD TRACKING OVERVIEW
The record tracking option is available to all users on the secondary menu and
allows you to access the record tracking functions of the software.
The Record Tracking Menu options can be used from the image tracking
perspective (film folders) or the medical record tracking perspective (outpatient/
inpatient). The following is an overview of the difference between the two:
RECORD TYPES:
Radiology
Image Tracking
Medical
Record Tracking
MASTER FOLDER
Subfolders by type
(e.g., chest, bone)
INPATIENT
(1 volume per
inpatient episode.)
Borrowers are established in the system set up for record tracking and establish
the entities that may borrow records. The borrower may be a provider, a hospital
location (such as a clinic, ward, or file room), a medical treatment facility, NONDOD MTF, or other specific locations. For example, a record can be charged to
the Cardiology clinic with the associated borrower being Dr. Caldwell.
If the system does not recognize the selected borrower, contact the applicable
record room to request that the borrower be entered into the system. If the user
has FileMan access K, borrowers can LAYGO into the system.
4-22
OUTPATIENT
(Multiple volumes
created to hold the
patient record)
RECORD CREATION:
INPATIENT
When a patient is
admitted to the facility.
Quick Reference Guides
OUTPATIENT
When record location
is entered through
registration options.
All of the Record Tracking Menu options are similar and each has an associated
quick reference guide. The quick reference guides are written from the medical
record perspective.
The system asks for borrowers and associated borrowers when you use the
Request a Record and Recharge Records options.
CHCS
RECORD TRACKING OVERVIEW
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
When a patient arrives
for an x-ray or when
file room workers
create a folder.
REQUEST A RECORD
This option allows you to request a record. File room personnel handle the actual
checking in and out of the records.
****MEDICAL RECORDS TRACKING Folders Currently Charged to Borrower****
Personal Data - Privacy Act of 1974 (PL-93-579)
===================================================================
Borrower: CALDWELL,LORRAINE
Page: 1
Phone/Location: WARD 6B
Run Date: 02 JAN 2002@090502
===================================================================
Record Type
Vol
MEDICAL RECORDS (3) Charged Since... Days Overdue
--------------------------------------------------------------------------------OUTPATIENT
V1
HAAN,PAUL
26 Oct 2001@1340
67
OUTPATIENT
V1
SANTOS,MERVYN
26 Oct 2001@1340
4-23
****MEDICAL RECORDS TRACKING Profile****
Personal Data - Privacy Act of 1974 (PL-93-579)
=======================================================================
Name: CARTIER,JOHN
(05/347-06-1267)
Birth Date: 02 JAN 1999
Ward:
Run Date: 02 JAN 2002@0906
Quick Reference Guides
****Request Profile for OUTPATIENT Vol: 1****
Personal Data - Privacy Act of 1974 (PL-93-579)
======================================================================
Name: CARTIER,JOHN
(05/347-06-1267) Birth Date: 02 JAN 1999
Ward:
Run Date: 02 JAN 2001@0906
--------------------------------------------------------------------------------------------------------------------------Current: OUTPATIENT FILE
Cur Ph: 555-7917 Home: OUTPATIENT
Since: 19 Nov 2001@1507
Loc/Rm #: 5129
Hm Ph: 555-7917
======================================================================
[* pull list request
Record Requestor
Date Needed
Phone/Room#
Request
No requests
• SELECT BORROWER: This is the provider/clinic requesting the record.
The first screen displays information regarding records currently
checked out to the selected borrower.
If set in the Record Tracking parameters, you can update the borrower’s
location and phone number.
• SELECT RECORD: Enter first initial of last name and last four digits of the
Social Security number for the required patient record(s).
At the display of the selected patient’s records, select required record(s) using
<Select>.
The system displays any existing requests for the record or a message that no
requests exist. The system automatically assigns a request number. If
required, an associated borrower can be entered.
• ENTER DATE/TIME RECORD IS NEEDED: The default is NOW, but
a future time and date can be entered. This is useful if there are existing
requests.
If set in the record tracking parameters, the system either prints a record
request at your record room, or you may use pull list report CIT ➔ MA to see
requests.
If you select more than one record for an individual patient, the system
processes each record separately so you can enter individual request times and
applicable comments.
Options on the Request Menu can be used to checkout, cancel, or reprint the
requests.
Users must have FileMan access K to request a record.
CHCS
REQUEST A RECORD
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
=========================================================================
Record Type
Vol
Current Borrower
Date Charged
Phone/Location
-------------------- ------------------------------------------------------------* 1 OUTPATIENT V1
OUTPATIENT FIL
19 Nov 2001@1507 555-7917/5129
---------------------------------------------------------------------------------------------------------------------------2 INPATIENT
V1
INPATIENT FILE RM
31 Aug 2001@1132 555-7247/5229
Date Created: 15 Aug 2001@0800
Reg. #: 2606
MENU PATH: Medical RTM ➔ M ➔ RR
Image
RTM ➔ I ➔ RR
RETRIEVE ALL
ARCHIVED DATA FOR A PATIENT
The Retrieve All Archived Data for Patient (PAL) option allows you to request
a retrieval of all archived data for a patient. To use this option, you must have the
associated security keys assigned to you.
MENU PATH:
Secondary Menu ➔ REA ➔ PAL
Note: The Retrieve Archive Data Menu (REA) option is available from most
secondary menus, except for User Management (UM) and Menu Management
(ME).
OPTION PATH:
Enter Patient Name ➔ Enter Starting Date ➔ Enter
Ending Date ➔ Select F[ull], B[rief], M[ini] or
C[ustomized]: B//
4-24
Important: If you do not enter a starting date, you are not prompted for an ending
date.
Notes:
Radiology Records
Exam Date
Nursing Records
Nursing Result Date
Clinical Event Records
Clinical Event Start Date
Dietetics Records
User Sig Date for Order
All record types
User Sig Date for Order (if there was no
associated result)
• A Full report lists all archived information; a Brief report contains
information which is considered to be of prime interest; a Mini report is
tailored to the needs of the typical physician; a Customized report allows for
custom-tailored report information to be generated.
• To view Sensitive Lab test data, you must have the associated security key
assigned to you.
• Once you have entered your request, a mail message containing the requested
archived data will be returned to you within 24 hours.
• The retrieved mail message expires according to the timeframe set in the
archive site parameters.
• The date range you enter is specific to type of data (record type) you want to
retrieve.
Quick Reference Guides
Data of Interest
Date of Interest
Laboratory Records
Specimen Collection Date
RX Records
Log-in Date
IV and UD Records
Order Date
Admission, Transfer
Disposition Records
Admission Date
Appointment Records
Appointment Date
CHCS
RETRIEVE ALL
ARCHIVED DATA FOR A PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• For each of the following Data of Interest, the date range should encompass
the following Dates of Interest:
RETRIEVE ARCHIVED PATIENT DATA BY RECORD
TYPE
The Retrieve Archived Patient Data by Record Type (PRT) option allows you to
select the type of data you want to retrieve for a patient. To use this option, you
must have the associated security keys assigned to you.
MENU PATH:
Secondary Menu ➔ REA ➔ PRT
Note: The Retrieve Archive Data Menu (REA) option is available from most
secondary menus, except for User Management (UM) and Menu Management
(ME).
OPTION PATH:
Enter Patient Name ➔ Select record type(s) ➔ Enter
Starting Date ➔ Enter Ending Date ➔ Select F[ull],
B[rief], M[ini], or C[ustomized]: B//
4-25
Important: If you do not enter a starting date, you are not prompted for an
ending date.
After you enter the patient name, the following screen information displays:
Select Record Categories:
Patient: [name]
Quick Reference Guides
Record Category Notes:
• Use the up-arrow and down-arrow keys to move the cursor.
Select Clinical Records:
Patient: [name]
CLINICAL EVENT RECORDS
ANCILLARY PROCEDURE RECORDS
CONSULT RECORDS
DIETETICS RECORDS
LABORATORY RECORDS (use EXPAND key for more)
NURSING RECORDS
PHARMACY RECORDS (use EXPAND key for more)
RADIOLOGY RECORDS
ADMISSION, TRANSFER, DISPOSITION RECORDS
APPOINTMENT RECORDS
Clinical Records Notes:
• If no information is available for a particular record category, “(No records)”
appears after the record category.
• Press <F9> (Expand) to view additional Laboratory or Pharmacy records.
Laboratory Records
Bacteriology
Chemistry
Mycobacterium
Mycology
Parasitology
Virology
Autopsy
Bone Marrow
Cytology/Gyn
Cytology/Non-Gyn
Surgical Pathology
Pharmacy Records
Prescription
Unit Dose
Intravenous
• Press <Select> to select/unselect the record categories for which you want to
obtain archived data.
• Press <F11> to select all record categories.
• Once the record category(s) is selected, press <Return>.
CHCS
RETRIEVE ARCHIVED
PATIENT DATA BY RECORD TYPE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PATIENT DEMOGRAPHIC RECORDS
CLINICAL RECORDS
If you select Clinical Records, the following screen information displays:
RETRIEVE ARCHIVED PATIENT DATA BY RECORD
TYPE (continued)
• Select those records you want to retrieve, then press <Return>.
Starting/Ending Date Notes:
• The date range you enter is specific to the type of data (record type) you want
to retrieve.
• For each of the following Data of Interest, the date range should encompass
the following Dates of Interest:
4-26
Date of Interest
Laboratory Records
Specimen Collection Date
RX Records
Login Date
IV and UD Records
Order Date
Admission, Transfer
Disposition Records
Admission Date
Appointment Records
Appointment Date
Radiology Records
Exam Date
Nursing Records
Nursing Result Date
Clinical Event Records
Clinical Event Start Date
Dietetics Records
User SIG Date for Order
All record types
User SIG Date for Order (if
there was no associated result)
• Once you have entered your request, a mail message containing the requested
archived data will be returned to you within 24 hours.
• The retrieved mail message expires according to the timeframe set in the
archive site parameters.
• To view Sensitive LAB test data, you must have the associated security key
assigned to you.
CHCS
RETRIEVE ARCHIVED
PATIENT DATA BY RECORD TYPE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Data of Interest
Additional Notes:
• A Full report lists all archived information; a Brief report contains
information which is considered to be of prime interest.
SCREEN EDITOR OPTIONS
OPTION
KEY
ACTION
OPTION
KEY
ACTION
Format Text
<PF1> <F>
Abort
<F10>
Exits editor, and prompts, Do you
want to save this text?
Reformats broken lines or
uneven text.
Forward One Space
Right-arrow
Backward One Space Left-arrow
Moves cursor backward one
space.
Moves cursor one character to
the right.
Help
<Help>
Displays help text.
Backspace-Delete
Backspace/Delete
Deletes one character to the left
of the cursor.
Insert Line
<F17>
Inserts blank line above
cursor.
Bold
| ! | text | ! |
Bolds text between | ! | symbols.
Insert/Typeover
<Insert Here>
Bottom of Text
<F7>
Moves cursor down to the line
below last line of text.
Toggles between insert/
typeover mode.
Italics
| I | text | I |
Italicizes text between | I |
symbols.
4-27
<PF1> <X>
Breaks text line at cursor.
<F9>
Inserts predefined text.
Last Window on Screen
<PF1> Down-arrow
Cut and Paste
<PF1> <C>
Moves text block to holding
buffer. (See Mark Text.) Moves
text in buffer to cursor position.
Moves cursor to last field on
the screen.
Leave Field/Line
<Return>
Delete Block of Text <F13>
Deletes paragraph, entire
document, or text block. (See
Mark Text.)
While in Insert Off mode,
moves cursor to next line or
field.
Leave Text
<PF1> <Return>
Moves cursor to the next field
on the screen.
Delete Character
<F14>
Deletes character that cursor is
on.
Margin Setting
<PF1> <M>
Delete Field
<Remove>
Deletes line that cursor is on.
Sets left and right text
margins. Margins apply from
cursor to bottom of text.
Delete Line
<F18>
Deletes line that cursor is on.
Mark Text
<Select>
Marks beginning and ending
of text block.
Delete Word
<PF4>
Deletes word that cursor is on.
Move Block of Text
<F12>
Erase to End
<PF1> <Delete>
Deletes text from cursor to end of
line.
Moves text block to another
position. (See Mark Text.)
CHCS
SCREEN EDITOR OPTIONS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Break Line
Canned Text
SCREEN EDITOR OPTIONS (continued)
OPTION
KEY
ACTION
Reverse Video
|~| text |~|
Displays text between [~]
symbols in reverse video.
Search Text
<Find>
Searches text for a specified
string, in a paragraph, entire
document or text block. (See
Mark Text.)
Spell Check
<PF1> <S>
Scans text for spelling errors, in a
paragraph, entire document or
text block. (See Mark Text.) (See
also Quick Reference Guide:
Spell Checker.)
4-28
KEY
ACTION
Next Field/Line
Down-arrow
Moves cursor down one line.
Next Page
<PF1> Right-arrow
Moves cursor to next page.
Next Screen
<Next Screen>
Moves cursor to next screen.
Next Word
<PF2>
Moves cursor to next word.
Previous Field/Line
Up-arrow
Moves cursor up one line.
Previous Page
<PF1> Left-arrow
Moves cursor to previous page.
Previous Screen
<Prev Screen>
Moves cursor to previous screen.
Previous Word
<PF3>
Moves cursor to previous word.
Tab
<Tab>
Inserts five spaces at cursor.
Print Screen to
Another Device
<F19>
Prints screen to a specified
device. (See Quick Reference
Guide: Printing a Report.)
Top of Screen
<F6>
Moves cursor to top of screen.
Top of Text
<F8>
Refreshes display and places
cursor at top of text.
Overstrike
|-| text |-|
Overstrikes text between [-]
symbols.
Transfer from
another Field
<PF1> <T>
Transfers entry from the same
file.
Refresh Screen
<F20>
Clears screen and redisplays text.
Underscore
|_| text |_|
Underlines text between [_]
symbols.
Repeat Block of Text <F11>
Copies text block to another
position. (See Mark Text.)
Replace
Replaces a character string with
another string, for a paragraph,
entire document, or text block.
(See Mark Text.)
<PF1> <R>
CHCS
SCREEN EDITOR OPTIONS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
OPTION
SHORT RECORD INQUIRY
This option allows you to quickly view all records or folders associated with a
patient, their current location, and borrower. If more details are required, you can
contact the file room personnel to provide detailed movement history.
MEDICAL MENU PATH:
RTM ➔ M ➔ IN
IMAGE MENU PATH:
RTM ➔ I ➔ IN
4-29
***MEDICAL RECORDS TRACKING Profile ***
Personal Data - Privacy Act of 1974 (PL 93-579)
======================================================================
Name: CARTIER, JOHN
(05/347-06-1267)
Birth Date: 02 JAN 1999
Ward:
Run Date: 02 JAN 2002@09061
======================================================================
Record Type
Vol
Current Borrower
Date Charged
Phone/Location
---------------------------------------------------------------- ----------------------*1 OUTPATIENT V1
CASEY,BEN
19 Nov 2001@1507 555-7917/5129
-------------------------------------------------------------------------------------------------------------------------2 INPATIENT V1
INPATIENT
31 Aug 2001@1132 555-7247/5229
FILE ROOM
Date Created: 15 Aug 2001@0800
Reg. #: 2606
• Enter an identifier for the patient you want to review.
Quick Reference Guides
CHCS
SHORT RECORD INQUIRY
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• The screen is view only.
SWITCH DIVISIONS
The Switch Divisions option allows you to change your current division to
another of your allowable divisions. This option is on every user’s Secondary
Menu so it can be selected at any menu prompt.
MENU PATH: Secondary Menu ➔ DIV
• You can review your current division and the list of your allowable divisions.
(See Quick Reference Guide: Display User Characteristics.)
• The Switch Divisions option allows you to manipulate and review data for
another MTF division.
• Switching your current division does not affect your default division. The
next time you log on, your current division will be set at the default division.
When you select the option, the following displays:
You are currently signed on Division: [division].
Select DIVISION: [division]
You are now signed onto Division: [division].
• If a MTF is a multidivision site, then CHCS can:
4-30
– Track information for the divisions, workcenters, and work elements
within the entire site.
– Limit a user’s access to division-specific information to predetermined
allowable divisions.
• All the divisions that you can work with are your allowable divisions. The
CHCS Administrator can modify your list of allowable divisions.
• If you tend to work with a particular division, you can make it your default
division. (See Quick Reference Guide: Edit User Characteristics.) If you have
a default division, you are not prompted for a current division when you log
on. Every time you log on, your current division is set at the default division.
• If you do not have a default division, you must enter a current division when
you log on. (See Quick Reference Guide: Logging On and Logging Off
CHCS.)
CHCS
SWITCH DIVISIONS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• When you log on, the system must know on which of your allowable divisions
you are currently working. This is your current division.
USER-DEFINED KEYS
The User-Defined Key (UDK) Management Menu option is located on the
Secondary Menu in CHCS. You can program UDKs to play back a sequence of
keystrokes. These keys are attached to your access and verify codes, so they can
be used from terminal to terminal.
SL
LL
EL
CL
EU
Show UDK Library
Load UDK Library
Edit UDK Library
Copy UDK Library
Edit UDK User Profile
Select UDK Management Menu Option: EL
*** UDK Library Edit***
4-31
Select UDK LIBRARY NAME: SAMPLER
Are you adding 'SAMPLER' as a new UDK LIBRARY? Y
UDK Library Edit
UDK LIBRARY: SAMPLER
UDK LIBRARY: SAMPLER
UDK Macro Edit
UDK: ??
Macro:
Enter a number from 6 to 20 to indicate which UDK you want to edit. Use 15 for the <Help> key
and 16 for the <Do> key. Current UDK macro definitions:
F6 ;SETCRORDER SETCRESC[23~CRYCR
F7 RCRCRCRNCRLABCRCRCRCR
F8 DOCCREDRCRSCCR4HCRCRCR
F9
F10
F11
F13
F14
F15
F16
F17
F18
F19
F20
Quick Reference Guides
Want to edit macros (Y/N): Y
CHCS
USER-DEFINED KEYS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
NAME: SAMPLER EDITOR: CARTIER,ROBIN
USAGE: PUBLIC EDITABLE: NOT EDITABLE
USER-DEFINED KEYS (continued)
Notes:
• In order for your library to remain loaded after you leave the system, you must
enter the library into your UDK User Profile and establish it as a default
library:
• The definable keys are <Shift> <F6> through <Shift> <F20>.
UDK Library User: CARTIER,ROBIN
• On the UDK Macro Edit screen:
– Enter the number of the function key you wish to program, e.g., 6 (not
F[n]).
– Enter a macro of the exact steps you would use for anything you enter into
the system frequently.
– Insert control characters in a macro by using the special UDK Library
loaded for the macro editor. For example, press <Shift> <F13> to insert a
<Return> key stroke.
4-32
<F6> = Insert
<F7> = Remove
<F8> = Select
<F9> = Prev Screen
<F10> = Next Screen
<F11> = Escape
<F12> = F7
<F13> = Return
UDK USER EDIT
Select UDK Library:
UDK Library: SAMPLER
UDK Library:
Default UDK Library: SAMPLER
• If you wish to delete a UDK Library and it is listed as your default UDK
Library, you must first delete it as your default from your UDK User Profile.
<F14> = F11
<F15> = PF1
<F16> = Do
<F17> = Cursor Up
<F18> = Cursor Down
<F19> = Cursor Left
<F20> = Cursor Right
Quick Reference Guides
– Approximately 400 keystrokes can be stored in each library. (Users may
have multiple libraries.)
• To engage the UDK, press <Shift-F[n]>
• Use the Copy UDK Library (CL) menu option to copy other public libraries.
CHCS
USER-DEFINED KEYS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
– Help is available by pressing <Help> at the Macro prompt.
ADD A PATIENT TO THE WAIT LIST
The Wait List Request option allows you to add, delete, or modify a wait list
request for a patient for a specific clinic, appointment type, and provider. The
Wait List field in the clinic profile must be activated.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ WLR
OPTION PATH:
SELECT (P)atient ➔ COMPLETE mini registration
(optional) ➔ SELECT (A)dd ➔ COMPLETE Wait List
process ➔ FILE request
WAIT LIST REQUEST
Patient:
Clinic
PAS 000
FMP/SSN:
Type Prio Wait #
Date In
Target Date Provider
=================================================================================
4-33
=================================================================================
Select (P)atient, or (Q)uit: P// <Return>
Select Patient Name:
Select Patient Name: SCOTT,ALLAN A
Quick Reference Guides
PAS
ADD A PATIENT TO THE WAIT LIST
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
20/600-60-6504 22 Apr 1975 M A02
OK? YES//
ADD A PATIENT TO THE WAIT LIST (continued)
WAIT LIST REQUEST
Patient: SCOTT,ALLAN A
DEMOGRAPHICS DISPLAY
Name:
Patient Category:
Patient Type:
MCP Status:
ACV:
Direct Care:
SCOTT,ALLAN A
USA AD OFFICER
FMP/SSN:
DDS:
Sex:
DOB/Age:
A-ACTIVE DUTY/CCP ENROLLED DMIS ID:
ELIGIBLE
Medicare:
20/600-60-6504
MALE
22 Apr 1975/26Y
6015
NOT ELIGIBLE
PAS 902
FMP/SSN: 20/600-60-6504
Clinic
Type Prio Wait #
Date In
Target Date Provider
======================================================================
ACARDI NEW 6 092.00000955 20 Jun 2001 21 Jun 2001 ADDAMS,HENRY
ACAST
NEW 6 093.00000956 20 Jun 2001 21 Jun 2001 AGENT,BARRY T
======================================================================
Select (P)atient, (A)dd, (D)elete, (M)odify, or (Q)uit: A
===================================================================================
Sponsor Name: SCOTT,ALLAN A
Rank: FIRST LIEUTENANT
4-34
Station/Unit: SAOASA FINANCE MGMT
DSN:
Home Address: 123 ELM ST.
City: SAN DIEGO
State: CALIFORNIA
Zip Code: 92122
Home Phone: 222-2345
Duty Phone: 222-1234
Work Phone: 222-1234
Registration Comment:
Last Registration Date:
Outpatient Record Room: MEDICAL RECORDS FILE ROOM
MCP Enroll Date: 21 Jun 2001
End Enroll Date: 21 Jun 2002
Primary Care Manager:
PCM Phone: 202 361-4241
Primary OHI:
Case Mgmt: NO
=======================================================================
Select (F)ull, (M)ini, (N)ew Patient, (C)ontinue, or (Q)uit DEMO: C// <Return>
ADD A PATIENT TO THE WAIT LIST
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
ADD A PATIENT TO THE WAIT LIST (continued)
Patient Appointment: SCOTT,ALLAN A
Patient Appointment: SCOTT,ALLAN A
SD WAIT LIST ADD
SD WAIT LIST ADD
Patient: SCOTT,ALLAN A
FMP/SSN: 20/600-60-6504
Home Phone: 222-2345
Work Phone: 222-1234
Street: 123 ELM ST.
Zip Code: 92122
City: SAN DIEGO
State: CALIFORNIA
=======================================================================
Clinic: CAST CLINIC
/DIVA
Type: RET
Provider: CALHOUN,CRAIG M
Wait List Priority: 6
Requested Start Time: 0001
Requested Stop Time: 2400
Days of Week:
Wait List Target Date: 22 Jun 2001
Wait List Comment:
Reason for Appointment:
Patient: SCOTT,ALLAN A
FMP/SSN: 20/600-60-6504
Home Phone: 222-2345
Work Phone: 222-1234
Street: 123 ELM ST.
Zip Code: 92122
City: SAN DIEGO
State: CALIFORNIA
=====================================================================
Clinic: CAST CLINIC
/DIVA
Type: RET
Provider: CALHOUN,CRAIG M
Wait List Priority: 6
Requested Start Time: 0001
Requested Stop Time: 2400
Days of Week: M TU W TH F
Wait List Target Date: 22 Jun 2001
Wait List Comment:
Reason for Appointment: CAST GOT WET. REPLACE
4-35
Select acceptable days of the week with an X. Press spacebar to remove an entry.
Enter <^> to accept all entries. Use the <Return> and/or backspace keys to position the cursor
on a specific day.
M: X TU: X W: X TH: X F: X SA:
SU: <^>
ADD A PATIENT TO THE WAIT LIST
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
ADD A PATIENT TO THE WAIT LIST (continued)
Patient Appointment: SCOTT,ALLAN A
SD WAIT LIST ADD
Patient: SCOTT,ALLAN A
FMP/SSN: 20/600-60-6504
Home Phone: 222-2345
Work Phone: 222-1234
Street: 123 ELM ST.
Zip Code: 92122
City: SAN DIEGO
State: CALIFORNIA
=======================================================================
Clinic: CAST CLINIC
/DIVA
Type: RET
Provider: CALHOUN,CRAIG M
Wait List Priority: 6
Requested Start Time: 0001
Requested Stop Time: 2400
Days of Week: M TU W TH F
Wait List Target Date: 22 Jun 2001
Wait List Comment:
Reason for Appointment: CAST GOT WET. REPLACE
__________________________________________________________________________
4-36
This patient has other Wait List requests for this clinic.
OK to File? Y
Patient: SCOTT,ALLAN A
Notes:
• Brackets [ ] indicate variable data.
• Clinic and appointment type are required fields for wait list requests.
• Requested START time and STOP time and Days of the Week makes the
search for appointment slots much easier. During (A)utomatic Wait List
booking, the system can then find an exact match according to the patient's
request.
• Provider name may or may not be required to make the Wait List Request.
This is dependent on whether YES is entered in the Wait List Provider
Mandatory field in the clinic profile.
• Patients can also be added to the Wait Lists through the Book (BOK)
Appointments option.
• Wait list priority of 2 is the default for active-duty patients, and 6 is the default
for nonactive-duty patients. This default can be changed as needed based on
entries in the Wait List Priority file.
ADD WAIT LIST REQUEST
PAS 902
FMP/SSN: 20/600-60-6504
ACARDI
ACAST
ACAST
NEW
NEW
RET
6
6
6
092.00000955 20 Jun 2001
092.00000956 20 Jun 2001
092.00000957 21 Jun 2001
21 Jun 2001 ADDAMS,HENRY
21 Jun 2001 AGENT,BARRY T
22 Jun 2001 CALHOUN,CRAIG
====================Wait List count for clinic ACAST is now 6=====================
Select (P)atient, (A)dd, (D)elete, (M)odify, or (Q)uit: Q
PAS
ADD A PATIENT TO THE WAIT LIST
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Clinic
Type Prio Wait #
Date In
Target Date Provider
=======================================================================
ASSIGN SECURITY KEYS
The Stuff Security Keys for Clinic/Provider option allows you to restrict the
capability to book, change appointments, and overbook authority for a clinic or
providers. Setting keys provides security by restricting users without the
appropriate keys from booking, overbooking, or modifying (joining/splitting/
changing appointment types) appointment slots.
MENU PATH: PAS System Menu ➔ Scheduling Supervisor Menu ➔ PROF
➔ SPRO
After you access this option, the following prompts display:
Assign security key(s) to (C)linic or (P)rovider(s) profile(s)? C// P or <Return>
Select Security Key for Overbooking: [key]
Select Security Key for Appointment Change Authority: [key]
Select Security Key for Booking Authority: [key]
• The three preassigned security keys for the clinic level are:
SDCL1 supervisory; SDCL2 lead clerks; and SDCL3 clerks.
• The three preassigned security keys for the provider level are:
SDHCP1 supervisory; SDHCP2 lead clerks; and SDHCP3 clerks.
• Sites can set up their own security keys. For example:
SD ACARDI B for booking authority; SD ACARDI C for appointment
change authority; and SD ACARDI O for overbooking.
• If you are stuffing keys by clinic, you are not prompted for a provider at the
SELECT provider prompt.
4-37
• Once security keys have been assigned to a provider or clinic, they can only
be changed by either restuffing them through this option, or by going into the
Provider or Clinic Profile and changing them.
Notes:
• Brackets [ ] indicate variable data for these fields.
• Restriction is done by appointment type only.
• If no security keys have been indicated, the system checks the Clinic Profile.
If different security keys are assigned in these fields at both the clinic and
provider level, the keys assigned at the Clinic level are overridden by the
security keys set in the Provider Profile.
PAS
ASSIGN SECURITY KEYS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• The system checks the Provider and Clinic Profiles to determine any
restrictions for the three booking authorities (book, overbook, and
appointment type (join/split).
BLOCK BOOKING OF A GROUP OF PATIENTS
This action allows you to book a block of appointments in a single clinic on one
or more days for a group of patients.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ BOK
BOOKING SEARCH CRITERIA
Patient:
Clinic:
Provider:
Time Range: 0001 to 2400
Dates: 21 Jun 2001 to 02 Aug 2001
FMP/SSN:
Appt. Type:
Service:
Duration:
Days of Week:
========================================================================
4-38
========================================================================
Select (C)hange Search Criteria, (B)rowse, (W)ait List Add, (M)ultiple Clinic,
(F)amily, or (Q)uit: C// <Return>
BOOKING SEARCH CRITERIA
Patient:
Clinic:
Provider:
Time Range: 0001 to 2400
Dates: 21 Jun 2001 to 02 Aug 2001
FMP/SSN:
Appt. Type:
Service:
Duration:
Days of Week:
========================================================================
Appointment Type
* Provider
* Clinic
* Dates
Patient
Time Range
Days of Week
Duration
+ Service
========================================================================
Use <Select> to select Search Criteria to be changed <Return>
Select Clinic: ACARDI
Select Provider: CALDWELL
OK? YES//
Start Date: 15 Aug 2001
Stop Date: 22 Aug 2001
PAS
BLOCK BOOKING OF
A GROUP OF PATIENTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Note: Clinic, Provider or Specialty allows Block Booking Independent of one another.
BLOCK BOOKING OF A GROUP OF PATIENTS
(continued)
BOOKING SEARCH CRITERIA
Patient:
Clinic: CARDIOLOGY/DIVA
Provider: CALDWELL,LORRAINE
Time Range: 0001 to 2400
Dates: 15 Aug 2001 to 22 Aug 2001
FMP/SSN:
Appt. Type:
4-39
Service:
Duration:
Days of Week: M TU W TH F
======================================================================
Appointment Type
* Provider
* Clinic
* Dates
Patient
Time Range
Days of Week
Duration
+ Service
======================================================================
Select (C)hange Search Criteria, (B)rowse, (S)ingle Patient, (W)ait List Add, (T)el-Consult,
(M)ultiple Clinic,
B(1)ock, (F)amily, or (Q)uit: S// L
__________________________________________________________________________
Patient:
Clinic: CARDIOLOGY/DIVA
Provider: CALDWELL,LORRAINE
Time Range: 0001 to 2400
Dates: 15 Aug 2001 to 22 Aug 2001
FMP/SSN:
Appt. Type:
Service:
Duration:
Days of Week: M TU W TH F
======================================================================
+ WED
0900 22 Aug 01 MULTI 3/0
WED
1000 22 Aug 01 MULTI 3/0
WED
1100 22 Aug 01 MULTI 3/0
WED
1200 22 Aug 01 MULTI 3/0
WED
1300 22 Aug 01 MULTI 3/0
WED
1400 22 Aug 01 MULTI 3/0
WED
1500 22 Aug 01 MULTI 3/0
WED
1600 22 Aug 01 MULTI 3/0
+ WED
1700 22 Aug 01 MULTI 3/0
======================================================================
Use <Select> to select appointment(s) to be booked
FILE APPOINTMENT
Quick Reference Guides
Patient:
FMP/SSN:
Clinic: CARDIOLOGY CLINIC/DIVA
Appt. Type:
Provider: CALDWELL,LORRAINE
Service:
Time Range: 0001 to 2400
Duration:
Dates: 15 Aug 2001 to 22 Aug 2001
Days of Week:
======================================================================
WED
0730 22 Aug 01 NEW 1/0
WED
0900 22 Aug 01 RET
1/0
WED
1000 22 Aug 01 RET
1/0
Select PATIENT NAME:
PAS
BLOCK BOOKING OF
A GROUP OF PATIENTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Searching . . .
SINGLE PATIENT BOOKING
BLOCK BOOKING OF A GROUP OF PATIENTS
(continued)
FILE APPOINTMENT
Patient:
Clinic: CARDIOLOGY CLINIC/DIVA
Provider: CALDWELL,LORRAINE C
Time Range: 0001 to 2400
Dates: 15 Aug 2001 to 22 Aug 2001
FMP/SSN:
Appt. Type:
Service:
Duration:
Days of Week:
======================================================================
WED 1700 22 Aug 01 MULTI 3/0
4-40
============================ Select Slot #1 of 1 ============================
Select Patient Name: SANDERS,ALLAN A
20/600-60-6501 16 Mar 1975 M A03
OK? YES//
SINGLE
PATIENT BOOKING
DEMOGRAPHICS
DISPLAY
Patient:
FMP/SSN:
Clinic: CARDIOLOGY CLINIC/DIVA
Appt. Type:
Name:
SANDERS,ALLAN
A
Provider: CALDWELL,LORRAINE C
Specialty: FMP/SSN: 20/600-60-6501
Patient
Category:
USA
AD
OFFICER
DDS:
Time Range: 0001 to 2400
Duration:
Patient
Dates: 15 Aug
2001Type:
to 22 Aug 2001
Days of Week: Sex: MALE
MCP Status:
DOB/Age: 16 Mar 1975/26Y
=========================================================================
+ WED 0900 22 ACV:
Aug 90 MULTI 3/0
DMIS ID:
WED 1000
22Care:
Aug ELIGIBLE
90 MULTI 3/0
Direct
Medicare: NOT ELIGIBLE
WED 1100 22 Aug 90 MULTI 3/0
==================================================================================
WED Sponsor
1200 22Name:
Aug SANDERS,ALLAN
90 MULTI 3/0 A
Rank: CAPTAIN
WED 1300 22 Aug 90 MULTI 3/0
Station
Unit:
400-ARMY
DSN:
WED 1400 22 Aug 90 MULTI 3/0
ST 3/0
WED Home
1500 Address:
22 Aug 123
01 ELM
MULTI
DIEGO 3/0
State: CALIFORNIA
WED 1600 22 City:
Aug SAN
90 MULTI
Home Phone: 222-2345
* WED 1700 Zip22Code:
Aug 92122
90 MULTI 3/0
=========================================================================
Duty Phone: 222-1234
Work Phone: 222-1234
UseRegistration
<Select> toComment:
select appointment(s) to be booked
Last Registration Date: 21 Jun 2001@1246
Outpatient Record Room:
MCP Enroll Date:
End Enroll Date:
Primary Care Manager:
PCM Phone:
Primary OHI:
Case Mgmt:
==================================================================================
Select (F)ull, (M)ini, (N)ew Patient, (C)ontinue, or (Q)uit DEMO: C// <Return>
BLOCK BOOKING OF
A GROUP OF PATIENTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
BLOCK BOOKING OF A GROUP OF PATIENTS
(continued)
PATIENT APPOINTMENT: SANDERS,ALLAN
WED 1700 22 Aug 01 MULTI
FILE APPOINTMENT
Patient: SANDERS,ALLAN A
Clinic: CARDIOLOGY CLINIC/DIVA
Clinic Phone: 202 427-4181
Provider: CALDWELL,LORRAINE C
Time Range: 0001 to 2400
Dates: 15 Aug 2001 to 22 Aug 2001
FMP/SSN: 20/600-60-6501
Appt. Type:
Service:
Duration:
Days of Week:
==================================================================================
WED 1700 22 Aug 01 MULTI
FILE APPOINTMENT
3/0 ACARDI
No reminder notice will be sent.
Clinic Message:
Clinic/Appt. Type Instructions:
Provider Message:
Provider/Appt. Type Instructions:
Arrival Message: 10 minutes
Registration Comment:
3/0
MEPRS Code: BACA
Requesting Service:
Referred By:
Send Reminder Notice: YES
Appointment Comment:
Reason for Appointment:
================================= Select Slot #1 of 1 =================================
Select (D)elete/Print appointment orders/Wait List requests, (B)ook appt, (S)kip appt, (V)iew,
or (Q)uit File Appointment: B// <Return>
4-41
ASK FOR HELP = HELP
SCREEN EXIT = F10
__________________________________________________________________________
PAS
BLOCK BOOKING OF
A GROUP OF PATIENTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MEPRS Code: <Return>
Requesting Service:
Referred By: <Return>
Send Reminder Notice: <Return>
Appointment Comment: <Return>
Reason for Appointment: <Return>
<Return>
BLOCK BOOKING OF A GROUP OF PATIENTS
(continued)
Remind Patient of other appointments/Wait List request? Yes// N
Appointment booked . . .
FILE APPOINTMENT
Patient:
Clinic: CARDIOLOGY CLINIC/DIVA
Clinic phone: 202 427-4181
Provider: CALDWELL,LORRAINE C
Time Range: 0001 to 2400
Dates: 15 Aug 2001 to 22 Aug 2001
FMP/SSN:
Appt. Type:
Service:
Duration:
Days of Week:
==================================================================================
4-42
WED 1700 22 Aug 01 MULTI
3/1
============================ Select Slot #1 of 1 ============================
Select Patient Name: 20/600-60-6502
20/600-60-6502 19 May 1975 M A02
OK? YES//
DEMOGRAPHICS DISPLAY
Name:
Patient Category:
Patient Type:
MCP Status:
ACV:
Direct Care:
SAWYER,ALLAN A
USA AD OFFICER
CCP/ACTIVE DUTY
ENROLLED
FMP/SSN:
DDS:
Sex:
DOB/Age:
A-ACTIVE DUTY/CCP ENROLLED
DMIS ID:
ELIGIBLE
Medicare:
20/600-60-6502
MALE
19 May 1964/26Y
6015
NOT ELIGIBLE
=================================================================================
Sponsor Name:
Station/Unit:
Home Address:
City:
ZIP Code:
Duty Phone:
Registration Comment:
Last Registration Date:
Outpatient Record Room:
MCP Enroll Date:
Primary Care Manager:
Primary OHI:
SAWYER,ALLAN A
400-ARMY
123 ELM ST.
MAYSVILLE
28555
222-1234
21 Jun 2001
ENRICO,FRANK M
Rank: FIRST LIEUTENANT
DSN:
State: NORTH CAROLI
Home Phone: 919-743-2112
Work Phone: 222-1234
End Enroll Date: 21 Jun 2001
PCM Phone: 202 271-5852
Case Mgmt: NO
=================================================================================
Select (F)ull, (M)ini, (N)ew Patient, (C)ontinue, or (Q)uit DEMO: C// <Return>
BLOCK BOOKING OF
A GROUP OF PATIENTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
BLOCK BOOKING OF A GROUP OF PATIENTS
(continued)
PATIENT APPOINTMENT: SAWYER,ALLAN
WED 1700 22 Aug 01 MULTI
FILE APPOINTMENT
Patient: SAWYER,ALLAN
Clinic: CARDIOLOGY CLINIC/DIVA
Provider: CALDWELL,LORRAINE C
Time Range: 0001 to 2400
Dates: 15 Aug 2001 to 22 Aug 2001
FMP/SSN: 20/600-60-6502
Appt. Type:
Service:
Duration:
Days of Week:
==========================================================
WED 1700 22 Aug 01 MULTI 3/1
FILE APPOINTMENT
3/0 ACARDI
No reminder notice will be sent.
Clinic Message:
Clinic/Appt. Type Instructions:
Provider Message:
Provider/Appt. Type Instructions:
Arrival Message: 10 minutes
Registration Comment:
MEPRS Code: BACA
Requesting Service:
Referred By:
Send Reminder Notice: YES
Appointment Comment:
Reason for Appointment:
4-43
============================ Select Slot #1 of 1=============================
Select (B)ook appt, (S)kip appt, (V)iew, or (Q)uit File Appointment: B
ASK FOR HELP = HELP
SCREEN EXIT = F10
__________________________________________________________________________
Remind Patient of other appointments/Wait List request? Yes// N
Appointment booked . . .
PAS
BLOCK BOOKING OF
A GROUP OF PATIENTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MEPRS Code: <Return>
Requesting Service:
Referred By:
Send Reminder Notice: <Return>
Appointment Comment: REQUIRES A W/C
Reason for Appointment: <Return>
<Return>
BLOCK BOOKING OF A GROUP OF PATIENTS
(continued)
FILE APPOINTMENT
Patient: SAWYER,ALLAN
FMP/SSN: 20/600-60-6502
Clinic: CARDIOLOGY CLINIC/DIVA
Appt. Type:
Clinic phone: 202 427-4181
Provider: CALDWELL,LORRAINE C
Service:
Time Range: 0001 to 2400
Duration:
Dates: 15 Aug 2001 to 22 Aug 2001
Days of Week:
=======================================================================
WED 1700 22 Aug 01 MULTI 3/2
4-44
============================ Select Slot #1 of 1=============================
Select Patient Name: SCHMIDT,ALLAN
20/600-60-6503 1 Oct 1975 M A02
OK? YES//
DEMOGRAPHICS DISPLAY
Name: SCHMIDT,ALLAN
FMP/SSN: 20/600-60-6503
Patient Category: USA AD OFFICER
DDS:
Patient Type: CCP/ACTIVE DUTY
Sex: MALE 1975
MCP Status: ENROLLED
DOB/Age: 01 Oct 1975/25Y
ACV: A-ACTIVE DUTY/CCP ENROLLED DMIS ID: 6015
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
===========================================================
Sponsor Name: SCHMIDT, ALLAN A
Rank: CAPTAIN
Station/Unit: 300-NAVY
DSN:
Home Address: 123 ELM ST.
City: SAN DIEGO
State: CALIFORNIA
ZIP Code: 92122
Home Phone: 222-2345
Duty Phone: 222-1234
Work Phone: 222-1234
Registration Comment:
Last Registration Date:
Outpatient Record Room: MEDICAL RECORDS FILE ROOM
MCP Enroll Date: 21 Jun 2001
End Enroll Date: 21 Jun 2002
Primary Care Manager: EMERALD,FRANK M
PCM Phone: 202 271-5850
Primary OHI:
Case Mgmt: NO
===========================================================
Select (F)ull, (M)ini, (N)ew Patient, (C)ontinue, or (Q)uit DEMO: C// <Return>
FILE APPOINTMENT
============================ Select Slot #1 of 1=============================
Select (B)ook appt, (S)kip appt, (V)iew, or (Q)uit File Appointment: B// <Return>
PAS
BLOCK BOOKING OF
A GROUP OF PATIENTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Patient: SCHMIDT,ALLAN
FMP/SSN: 20/600-60-6503
Clinic: CARDIOLOGY CLINIC/DIVA
Appt. Type:
Clinic phone: 202 427-4181
Provider: CALDWELL,LORRAINE C
Service:
Time Range: 0001 to 2400
Duration:
Dates: 15 Aug 2001 to 22 Aug 2001
Days of Week:
==========================================================
WED 1700 22 Aug 01 MULTI 3/2
BLOCK BOOKING OF A GROUP OF PATIENTS
(continued)
PATIENT APPOINTMENT: SCHMIDT,ALLAN A
WED 1700 22 Aug 01 MULTI
FILE APPOINTMENT
3/2 ACARDI
No reminder notice will be sent.
Clinic Message:
Clinic/Appt. Type Instructions:
Provider Message:
Provider/Appt. Type Instructions:
Arrival Message: 10 minutes
Registration Comment:
4-45
MEPRS Code: BACA
Requesting Service:
Referred By:
Send Reminder Notice: NO
Appointment Comment:
Reason for Appointment:
BOOKING SEARCH CRITERIA
Patient:
Clinic: CARDIOLOGY CLINIC/DIVA
Provider: CALDWELL,LORRAINE C.
Time Range: 0001 to 2400
Dates: 15 Aug 2001 to 22 Aug 2001
FMP/SSN:
Appt. Type:
Service:
Duration:
Days of Week:
=======================================================================
=======================================================================
Select (C)hange Search Criteria, (B)rowse, (S)ingle Patient, (W)ait List Add, (M)ultiple Clinic,
B(1)ock, (F)amily, or (Q)uit: S// Q
Notes:
• Block booking allows you to book several patients into a multiple slot
appointment at the same time or to book a series of patients into selected
single appointment slots.
ASK FOR HELP = HELP
SCREEN EXIT = F10
______________________________________________________________________________________
• New patients can be registered as their appointments are booked.
• Registered patients can have their existing demographic data updated as their
appointments are booked.
Remind Patient of other appointments/Wait List request? Yes// N
Appointment booked . . .
PAS
BLOCK BOOKING OF
A GROUP OF PATIENTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MEPRS Code: <Return>
Requesting Service:
Referred By:
Send Reminder Notice: Y
Appointment Comment: <Return>
Reason for Appointment: <Return>
<Return>
• Both new and registered patients can be booked using this action.
BOOK A PATIENT INTO MULTIPLE CLINICS
This action allows you to book one or more appointments in one or more clinics
on one or more days for one patient.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ BOK
BOOKING SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic:
Appt. Type:
Clinic phone:
Provider:
Service:
Time Range: 0001 to 2400
Duration:
Dates: 21 Jun 01 to 02 Aug 01
Days of Week:
======================================================================
BOOKING SEARCH CRITERIA
4-46
Patient:
FMP/SSN:
Clinic:
Appt. Type:
Clinic phone:
Provider:
Service:
Time Range: 0001 to 2400
Duration:
Dates: 30 Jul 2001 to 6 Aug 2001
Days of Week: TH
=======================================================================
+ Provider
Clinic
* Dates
Patient
Time Range
* Days of Week
Duration
Service
Default Search Criteria
=======================================================================
Use <Select> to select SEARCH CRITERIA to be changed
______________________________________________________________________________________
======================================================================
Select (C)hange Search Criteria, (B)rowse, (S)ingle Patient, (W)ait List Add, (T)el-Consult,
(M)ultiple Clinic, B(l)ock, (F)amily, or (Q)uit: M
Select acceptable days of the week with an "X". Press spacebar to remove an entry. Enter <^>
to accept all entries. Use the Return and/or Backspace keys to position the cursor on a specific
day.
M: X TU: X W: X TH: X F: X SA: SU:
<Return>
PAS
BOOK A PATIENT
INTO MULTIPLE CLINICS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Search Multiple Clinics for same day Match? NO// <Return>
<Return>
Start Date: (Today’s Date)// 12 Oct 2001
Stop Date: (Six weeks from Start Date)// 13 Oct 2001
BOOK A PATIENT INTO MULTIPLE CLINICS
(continued)
MULTIPLE CLINIC DIFFERENT DAY SEARCH CRITERIA
BOOKING SEARCH CRITERIA
4-47
Patient:
FMP/SSN:
Clinic:
Appt. Type:
Clinic phone:
Provider:
Service:
Time Range: 0001 to 2400
Duration:
Dates: 12 Oct 2001 to 13 Oct 2001
Days of Week: M T W TH F
=======================================================================
+* Provider
* Clinic
Dates
Patient
Time Range
Days of Week
Duration
Service
* Default Search Criteria
=======================================================================
=======================================================================
Select (C)hange Search Criteria, (P)lace appointments on Scratchpad, or (Q)uit
Multiple Clinic: P// <Return>
______________________________________________________________________________________
Searching...
157742958
Quick Reference Guides
Do you want the current criteria selections to be saved as your Default Selection Criteria? Yes//
<Return>
PAS
BOOK A PATIENT
INTO MULTIPLE CLINICS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Select Clinic: ACARDI
Select Provider: CALDWELL,LORRAINE C
OK? Yes// <Return>
Patient:
FMP/SSN:
Clinic: CARDIOLOGY CLINIC/DIVA
Appt. Type:
Clinic phone:
Provider: CALDWELL,LORRAINE
Service:
Time Range: 0001 to 2400
Duration:
Dates: 12 Oct 2001 to 13 Oct 2001
Days of Week: M TU W TH F
=======================================================================
BOOK A PATIENT INTO MULTIPLE CLINICS
(continued)
MULTIPLE CLINIC DIFFERENT DAY SEARCH CRITERIA
4-48
Patient:
FMP/SSN:
Clinic: CARDIOLOGY CLINIC/DIV A
Appt. Type:
Clinic phone: 202 427-4181
Provider: CALDWELL,LORRAINE C
Service:
Time Range: 0001 to 2400
Duration:
Dates: 12 Oct 2001 to 13 Oct 2001
Days of Week: M TU W TH F
========================================================================
FRI 0700 12 Oct 01 NEW
1/0 ARCADI
* FRI 0800 12 Oct 01 NEW
1/0 ARCADI
FRI 0830 12 Oct 01 RET
1/0 ARCADI
FRI 0 900 12 Oct 01 RET
1/0 ARCADI
FRI 0930 12 Oct 01 RET
1/0 ARCADI
FRI 1000 12 Oct 01 RET
1/0 ARCADI
FRI 1030 12 Oct 01 RET
1/0 ARCADI
FRI 1100 12 Oct 01 RET
1/0 ARCADI
+ FRI 1200 12 Oct 01 LUNCH 1/0 ARCADI
========================================================================
Use <Select> to select appointment(s) to be booked
_____________________________________________________________________________
Press <Return> to activate selection(s).
MULTIPLE CLINIC DIFFERENT DAY SEARCH CRITERIA
Patient:
Clinic: CARDIOLOGY CLINIC/DIV A
Clinic phone: 202 427-4181
Provider: CALDWELL,LORRAINE
Time Range: 0001 to 2400
Dates: 12 Oct 2001 to 13 Oct 2001
FMP/SSN:
Appt. Type:
Service:
Duration:
Days of Week: M TU W TH F
========================================================================
Appointment Type
* Provider
* Clinic
Dates
Patient
Time Range
Days of Week
Duration
+ Service
========================================================================
Use <Select> to select SEARCH CRITERIA to be changed
_____________________________________________________________________________
<Return>
Select Clinic: ACAST
Select Provider: CALHOUN
===================== Scratchpad contains 1 Appointments ======================
Select (C)hange Search Criteria, (P)lace appointments on Scratchpad,
(F)ile appointments from Scratchpad, or (Q)uit MULTIPLE CLINIC:
C// <Return>
PAS
BOOK A PATIENT
INTO MULTIPLE CLINICS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MULTIPLE CLINIC DIFFERENT DAY SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic: CARDIOLOGY
Appt. Type:
Provider: CALDWELL,LORRAINE
Specialty:
Time Range: 0001 to 2400
Duration:
Dates: 12 Oct 2001 to 13 Oct 2001
Days of Week: M TU W TH F
========================================================================
FRI 0800 12 Oct 01 NEW
1/0 ACARDI
BOOK A PATIENT INTO MULTIPLE CLINICS
(continued)
MULTIPLE CLINIC DIFFERENT DAY SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic: CAST CLINIC/DIV A
Appt. Type:
Clinic phone: 202 427-4181
Provider: CALHOUN
Service:
Time Range: 0001 to 2400
Duration:
Dates: 12 Oct 2001 to 13 Oct 2001
Days of Week: M TU W TH F
========================================================================
FRI 0800 12 Oct 01 NEW
1/0 ACARDI
===================== Scratchpad contains 1 Appointment ======================
Select (C)hange Search Criteria, (P)lace appointments on ‘SCRATCHPAD’,
(F)ile appointments from ‘SCRATCHPAD’, or (Q)uit MULTIPLE CLINIC: C// P
MULTIPLE CLINIC DIFFERENT DAY SEARCH CRITERIA
4-49
Patient:
FMP/SSN:
Clinic: CAST CLINIC/DIV A
Appt. Type:
Clinic Phone: 202 427-4281
Provider: CALHOUN
Service:
Time Range: 0001 to 2400
Duration:
Dates: 12 Oct 2001 to 13 Oct 2001
Days of Week: M TU W TH F
========================================================================
* FRI 0700 12 Oct 01 NEW
1/0 ACAST
FRI 0730 12 Oct 01 NEW
1/0 ACAST
FRI 0800 12 Oct 01 NEW
1/0 ACAST
FRI 090 0 12 Oct 01 NEW
1/0 ACAST
FRI 0930 12 Oct 01 NEW
1/0 ACAST
FRI 1000 12 Oct 01 NEW
1/0 ACAST
FRI 1030 12 Oct 01 NEW
1/0 ACAST
FRI 1100 12 Oct 01 NEW
1/0 ACAST
+ FRI 1130 12 Oct 01 NEW
1/0 ACAST
========================================================================
Use <Select> to select appointment(s) to be booked
_____________________________________________________________________________
<Return>
BOOK A PATIENT
INTO MULTIPLE CLINICS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
BOOK A PATIENT INTO MULTIPLE CLINICS
(continued)
MULTIPLE CLINIC DIFFERENT DAY SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic: CAST CLINIC/DIVA
Appt. Type:
Clinic Phone: 202 427-4281
Provider: CALHOUN
Service:
Time Range: 0001 to 2400
Duration:
Dates: 12 Oct 2001 to 13 Oct 2001
Days of Week: M TU W TH F
========================================================================
FRI 0700 12 Oct 01 NEW
1/0 ACAST
FRI 0800 12 Oct 01 NEW
1/0 ACARDI
===================== Scratchpad contains 2 Appointments ======================
Select (C)hange Search Criteria, (P)lace appointments on Scratchpad, (F)ile
4-50
MULTIPLE CLINIC DIFFERENT DAY PATIENT BOOKING
Name: SANDERS,ALLAN A
Patient Category: USA AD OFFICER
Patient Type:
MCP Status:
ACV:
Direct Care: ELIGIBLE
FMP/SSN:
DDS:
Sex:
DOB/Age:
DMIS ID:
Medicare:
20/600-60-6501
MALE
16 Mar 1975/26Y
NOT ELIGIBLE
------------------------------------------------------------------------------------------------------------------------------------------------
Sponsor Name:
Station/Unit:
Home Address:
City:
ZIP Code:
Duty Phone:
Registration Comment:
Last Registration Date:
Outpatient Record Room:
MCP Enroll Date:
Primary Care Manager:
Primary OHI:
SANDERS,ALLAN A
400-ARMY
123 ELM ST.
SAN DIEGO
92122
222-1234
Rank: CAPTAIN
DSN:
State: CALIFORNIA
Home Phone: 222-2345
Work Phone: 222-1234
21 Jun 2001@1246
End Enroll Date:
PCM Phone:
Case Mgmt:
------------------------------------------------------------------------------------------------------------------------------------------------
Select (F)ull, (M)ini, (N)ew Patient, (C)ontinue, or (Q)uit DEMO: C// <Return>
========================================================================
Use <Select> to select appointment(s) that are to be booked
___________________________________________________________________________
<Return>
PAS
BOOK A PATIENT
INTO MULTIPLE CLINICS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Patient:
FMP/SSN:
Clinic: CAST CLINIC/DIVA
Appt. Type:
Clinic Phone: 202 427-4281
Provider: CALHOUN
Service:
Time Range: 0001 to 2400
Duration:
Dates: 12 Oct 2001 to 13 Oct 2001
Days of Week: M TU W TH F
========================================================================
* FRI 0700 12 Oct 01 NEW
1/0 ACARDI
* FRI 0800 12 Oct 01 NEW
1/0 ACAST
DEMOGRAPHICS DISPLAY
BOOK A PATIENT INTO MULTIPLE CLINICS
(continued)
PATIENT APPOINTMENT: SANDERS,ALLAN
FRI 0700 12 Oct 01 NEW
FILE APPOINTMENT
Patient: SANDERS,ALLAN
FMP/SSN: 20/600-60-6501
Clinic: CAST CLINIC/DIV A
Appt. Type:
Clinic Phone: 202 427-4281
Provider: CALHOUN
Service:
Time Range: 0001 to 2400
Duration:
Dates: 12 Oct 2001 to 13 Oct 2001
Days of Week: M TU W TH F
========================================================================
FRI 0700 12 Oct 01 NEW
1/0 ACAST
FRI 0800 12 Oct 01 NEW
1/0 ACARDI
FILE APPOINTMENT
1/0 ACARDI
No reminder notice will be sent.
Clinic Message:
Clinic/Appt. Type Instructions:
Provider Message:
Provider/Appt. Type Instructions:
Arrival Message: 10 minutes
Registration Comment:
MEPRS Code: BEBA
Requesting Service:
Referred By:
Send Reminder Notice: NO
Appointment Comment:
Reason for Appointment:
============================Select Slot #1 of 2==============================
Select (B)ook appt, (S)kip appt, (V)iew, or (Q)uit file appointment: B
4-51
File/Exit
Abort
Edit
______________________________________________________________________________________
PAS
BOOK A PATIENT
INTO MULTIPLE CLINICS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MEPRS Code: <Return>
Requesting Service:
Referred by: <Return>
Send Reminder Notice: <Return>
Appt. Comment: <Return>
Reason for Appointment: <Return>
File the data.
Appointment Booked
BOOK A PATIENT INTO MULTIPLE CLINICS
(continued)
PATIENT APPOINTMENT: SANDERS,ALLAN
FRI 0800 12 Oct 01 RET
FILE APPOINTMENT
Patient: SANDERS, ALLAN
FMP/SSN: 20/600-60-6501
Clinic: CAST CLINIC/DIV A
Appt. Type:
Clinic Phone: 202 427-4281
Provider: CALHOUN,CRAIG M
Service:
Time Range: 0001 to 2400
Duration:
Dates: 21 Dec 20021 to 01 Feb 2003
Days of Week: M TU W TH F
========================================================================
FRI 0800 12 Oct 01 NEW
1/0 ACARDI
FILE APPOINTMENT
1/0 ACAST
No reminder notice will be sent.
Clinic Message:
Clinic/Appt. Type Instructions:
Provider Message:
Provider/Appt. Type Instructions:
Arrival Message: 10 minutes
Registration Comment:
MEPRS Code: BACA
Requesting Service:
Referred By:
Send Reminder Notice: NO
Appointment Comment:
Reason for Appointment:
4-52
============================ Select Slot #2 of 2 =============================
Select (D)elete/Print appointment orders/Wait List requests,
(B)ook appt, (S)kip appt, (V)iew, or (Q)uit File Appointment: B
ASK FOR HELP = HELP
SCREEN EXIT = F10
___________________________________________________________________________
PAS
BOOK A PATIENT
INTO MULTIPLE CLINICS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MEPRS Code: <Return>
Requesting Service:
Referred by: <Return>
Send Reminder Notice: <Return>
Appt. Comment: <Return>
Reason for Appointment: <Return>
File the data.
Appointment Booked
BOOK A PATIENT INTO MULTIPLE CLINICS
(continued)
BOOKING SEARCH CRITERIA
Patient: SANDERS,ALLAN
FMP/SSN: 20/600-60-6501
Clinic: CAST CLNIC/DIVA
Appt. Type:
Clinic Phone: 202 427-4281
Provider: CALHOUN
Service:
Time Range: 0001 to 2400
Duration:
Dates: 12 Oct 2001 to 13 Oct 2001
Days of Week: M TU W TH F
========================================================================
Notes:
• This example consists of a single patient booked in two different clinics on
the same day.
• Both new and registered patients can be booked using this action.
• New patients can be registered as their appointments are booked.
• Registered patients can have their demographic data updated as their
appointments are booked.
========================================================================
Remind patient of other appointments/Wait List requests? Yes// N
4-53
BOOKING SEARCH CRITERIA
========================================================================
Select (C)hange Search Criteria, (B)rowse, (S)ingle Patient, (W)ait List Add, (T)el-Consult,
PAS
BOOK A PATIENT
INTO MULTIPLE CLINICS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Patient:
FMP/SSN:
Clinic: CAST CLNIC/DIVA
Appt. Type:
Clinic Phone: 202 427-4281
Provider: CALHOUN
Service:
Time Range: 0001 to 2400
Duration:
Dates: 12 Oct 2001 to 13 Oct 2001
Days of Week: M TU W TH F
========================================================================
BOOK APPOINTMENTS FOR A SINGLE PATIENT
This action allows you to book one or more appointments in a single clinic on
one or more days for an individual patient.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ BOK
BOOKING SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic:
Appt. Type:
Clinic Phone:
Provider:
Service:
Time Range: 0001 to 2400
Duration:
Dates:
Days of Week:
========================================================================
4-54
========================================================================
Select (C)hange Search Criteria, (B)rowse, (W)ait List Add, (M)ultiple Clinic, (F)amily, or
(Q)uit: C// <Return>
BOOK APPOINTMENTS
FOR A SINGLE PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
BOOK APPOINTMENTS FOR A SINGLE PATIENT
(continued)
BOOKING SEARCH CRITERIA
4-55
Patient:
FMP/SSN:
Clinic:
Appt. Type:
Clinic Phone:
Provider:
Service:
Time Range: 0001 to 2400
Duration:
Dates:
Days of Week:
========================================================================
Appointment Type
* Provider
* Clinic
* Dates
Patient
Time Range
* Days of Week
Duration
+ Service
========================================================================
Use <Select> to select Search Criteria to be changed
___________________________________________________________________
<Return>
Select Clinic: ACARDI
Select Provider: CALDWELL
Start Date: (Today’s Date)// 30 Jul 2001
Stop Date: (Six weeks from Start Date)// 6 Aug 2001
BOOKING SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic: CARDIOLOGY CLINIC/DIV A
Appt. Type:
Clinic Phone: 202 427-4281
Provider: CALDWELL,LORRAINE
Service:
Time Range: 0001 to 2400
Duration:
Dates: 30 Jul 2001 to 6 Aug 2001
Days of Week:
========================================================================
Appointment Type
* Provider
* Clinic
* Dates
Patient
Time Range
* Days of Week
Duration
+ Service
========================================================================
Select acceptable days of the week with an "X." Press "Space bar" to remove an entry. Enter
"^" to accept all entries. Use the Return and/or Backspace keys to position the cursor on a
specific day.
M: X TU: W: TH: F: SA: SU:
___________________________________________________________________________
<Return>
Quick Reference Guides
PAS
BOOK APPOINTMENTS
FOR A SINGLE PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Select (C)hange Search Criteria, (B)rowse, (S)ingle Patient, (W)ait List Add, (T)el-Consult,
(M)ultiple Clinic, (B)lock, (F)amily, or (Q)uit: S// <Return>.
BOOK APPOINTMENTS FOR A SINGLE PATIENT
(continued)
SINGLE PATIENT BOOKING
SINGLE PATIENT BOOKING
4-56
Patient:
FMP/SSN:
Clinic: CARDIOLOGY CLINIC/DIV A
Appt. Type:
Clinic Phone: 202 427-4281
Provider: CALDWELL,LORRAINE
Service:
Time Range: 0001 to 2400
Duration:
Dates: 30 Jul 2001 to 6 Aug 2001
Days of Week: M
========================================================================
MON 0700 30 Jul 01 NEW1/0
* MON 0800 30 Jul 01 NEW1/0
MON 0 900 30 Jul 01 RET1/0
MON 0930 30 Jul 01 RET1/0
MON 1000 30 Jul 01 FU1/0
MON 1030 30 Jul 01 FU1/0
MON 1100 30 Jul 01 RET1/0
MON 1130 30 Jul 01 RET1/0
+ MON 1200 30 Jul 01 LUNCH 1/0
========================================================================
Use <Select> to select appointment(s) to be booked
___________________________________________________________________________
Patient:
FMP/SSN:
Clinic: CARDIOLOGY CLINIC/DIV A
Appt. Type:
Clinic Phone: 202 427-4281
Provider: CALDWELL,LORRAINE
Service:
Time Range: 0001 to 2400
Duration:
Dates: 30 Jul 2001 to 6 Aug 2001
Days of Week: M
========================================================================
MON 0700 6 Aug 01 NEW1/0
* MON 0800 6 Aug 01 FU1/0
MON 0 900 6 Aug 01 RET1/0
MON 0930 6 Aug 01 RET1/0
MON 1000 6 Aug 01 FU1/0
MON 1030 6 Aug 01 FU1/0
MON 1100 6 Aug 01 RET1/0
MON 1130 6 Aug 01 RET1/0
+ MON 1200 6 Aug 01 LUNCH
========================================================================
Use <Select> to select appointment(s) to be booked
___________________________________________________________________________
Searching . . .
Select Patient Name: 20/600606501
(Note: Use the up- and down-arrow keys to display additional appointment slots
for this provider.)
BOOK APPOINTMENTS
FOR A SINGLE PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
BOOK APPOINTMENTS FOR A SINGLE PATIENT
(continued)
FMP/SSN:
DDS:
Sex:
DOB/Age:
DMIS ID:
Medicare:
20/600-60-6501
MALE
16 Mar 1975/26Y
NOT ELIGIBLE
------------------------------------------------------------------------------------------------------------------------------------------------
4-57
Sponsor Name:
Station/Unit:
Home Address:
City:
ZIP Code:
Duty Phone:
Registration Comment:
Last Registration Date:
Outpatient Record Room:
MCP Enroll Date:
Primary Care Manager:
Primary OHI:
SANDERS, ALLAN A
400-ARMY
123 ELM ST.
SAN DIEGO
92122
222-1234
DOB: 16Mar75
PATCAT: A11
Mini Registration
Sex: M
---------------------------------------------------------------------------------------------------------------------- ------------------------
DEMOGRAPHICS DISPLAY
Name: SANDERS, ALLAN A
Patient Category: USA AD OFFICER
Patient Type:
MCP Status:
ACV:
Direct Care: ELIGIBLE
Patient: SANDERS,ALLAN A
FMP/SSN: 20/600-60-6501
Rank: CAPTAIN
DSN:
State: CALIFORNIA
Home Phone: 222-2345
Work Phone: 222-1234
21 Jun 2001@1246
MEDICAL RECORDS FILE ROOM
End Enroll Date:
PCM Phone:
Case Mgmt:
Patient:
PATCAT:
Home Phone:
Patient Addr:
City:
Sponsor:
FMP:
PATCAT:
Command Sec:
Station/Unit:
Duty Address:
City:
Duty Phone:
SANDERS,ALLAN A
A11 (USA AD OFFICER)
222-2345
W: 222-1234
123 ELM ST.
SAN DIEGO
St/Cntry: CA
SANDERS,ALLAN A
20
A11 (USA AD OFFICER)
DOB: 16 Mar 1975
FMP: 20
Sex: MALE
Zip: 92122
Service:
SSN:
DOB:
Rank:
ARMY
600-60-6501
16 Mar 1975
FIRST LIEUTENANT
400-ARMY
St/Cntry:
222-1234
Zip:
DSN:
O/P Rec Loc: MEDICAL RECORDS FILE ROOM
Rec Loc Comnt:
Primary Phy:
Reg Comment:
Help = HELP
Exit = F10
File/Exit = DO
INSERT OFF
Quick Reference Guides
Select (F)ull, (M)ini, (N)ew Patient, (C)ontinue, or (Q)uit DEMO: C// M
Sponsor name: Sanders, Allan A// <Return>
Does SANDERS,ALLAN A want to be an organ donor? Y
Edit Allergy Information? NO// YES
PAS
BOOK APPOINTMENTS
FOR A SINGLE PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
------------------------------------------------------------------------------------------------------------------------------------------------
BOOK APPOINTMENTS FOR A SINGLE PATIENT
(continued)
Clinical History: SANDERS,ALLAN A
PATIENT ALLERGIES
Select Allergy:
BARBITURATES
ASK FOR HELP = HELP
Allergy: BARBITURATES
Patient: SANDERS,ALLAN
FMP/SSN: 20/600-60-6501
Clinic: CARDIOLOGY CLINIC/DIV A
Appt. Type:
Clinic Phone: 202 427-4281
Provider: CALDWELL,LORRAINE
Service:
Time Range: 0001 to 2400
Duration:
Dates: 30 Jul 01 to 6 Aug 01
Days of Week: M
========================================================================
* MON 0800 30 Jul 01 NEW1/0
MON 0900 06 Aug 01 Ret1/0
SCREEN EXIT = F10
PATIENT ALLERGIES--CONTINUATION
4-58
Allergy: BARBITURATES
Allergy Comment:
MENTAL CONFUSION
ASK FOR HELP = HELP
FILE APPOINTMENT
============================= Select Slot #1 of 2 ============================
Select (D)elete/Print appointment orders/Wait List requests,
Select (B)ook appt, (S)kip appt, (V)iew, or (Q)uit File Appointment: B
SCREEN EXIT = F10
PATIENT ALLERGIES
Quick Reference Guides
Select Allergy:
BARBITURATES
OK to File? Y
Enroll in Managed Care? N
Note: At the demographics, press <Return> to continue.
PAS
BOOK APPOINTMENTS
FOR A SINGLE PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Clinical History: SANDERS,ALLAN A
BOOK APPOINTMENTS FOR A SINGLE PATIENT
(continued)
FILE APPOINTMENT
PATIENT APPOINTMENT: SANDERS,ALLAN
MON 0800 30 Jul 01 NEW
FILE APPOINTMENT
1/0
No reminder notice will be sent. Hand-carry Cardiology/Patient records.
Clinic Message:
Clinic/Appt. Type Instructions:
Provider Message:
Provider/Appt. Type Instructions:
Arrival Message: 10 minutes
Registration Comment:
4-59
MEPRS Code: BACA
Requesting Service:
Referred By:
Send Reminder Notice: YES
Appointment Comment:
Reason for Appointment:
Patient: SANDERS,ALLAN
FMP/SSN: 600-60-6501
Clinic: CARDIOLOGY CLINIC/DIV A
Appt. Type:
Clinic Phone: 202 427-4281
Provider: CALDWELL,LORRAINE
Service:
Time Range: 0001 to 2400
Duration:
Dates: 30 Jul 2001 to 6 Aug 2001
Days of Week: M
========================================================================
+ MON 0900 06 Aug 01 Ret- 1/0
============================= Select Slot #1 of 2 ============================
Select (D)elete/Print appointment orders/Wait List requests
(B)ook appt, (S)kip appt, (V)iew, or (Q)uit File Appointment: B
ASK FOR HELP = HELP
SCREEN EXIT = F10
___________________________________________________________________________
PAS
BOOK APPOINTMENTS
FOR A SINGLE PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MEPRS Code: <Return>
Requesting Service:
Referred By: <Return>
Send Reminder Notice: <Return>
Appointment Comment: <Return>
Reason for Appointment: <Return>
File the data.
Appointment Booked
BOOK APPOINTMENTS FOR A SINGLE PATIENT
(continued)
PATIENT APPOINTMENT: SANDERS,ALLAN
MON 0800 6 Aug 01 FU
FILE APPOINTMENT
1/0
No reminder notice will be sent. Hand-carry Cardiology/Patient records.
Clinic Message:
Clinic/Appt. Type Instructions:
Provider Message:
Provider/Appt. Type Instructions:
Arrival Message: 10 minutes
Registration Comment:
4-60
MEPRS Code: BACA
Requesting Service:
Referred By:
Send Reminder Notice: YES
Appointment Comment:
Reason for Appointment:
SINGLE PATIENT BOOKING
Patient: SANDERS,ALLAN
FMP/SSN: 20/600-60-6501
Clinic: CARDIOLOGY CLINIC/DIV A
Appt. Type:
Clinic Phone: 202 427-4181
Provider: CALDWELL,LORRAINE
Service:
Time Range: 0001 to 2400
Duration:
Dates: 30 Jul 2001 to 6 Aug 2001
Days of Week: M
========================================================================
========================================================================
Remind patient of other appointments/Wait List requests? Yes// N
ASK FOR HELP = HELP
SCREEN EXIT = F10
___________________________________________________________________________
PAS
BOOK APPOINTMENTS
FOR A SINGLE PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MEPRS Code: <Return>
Requesting Service: <Return>
Referred By: <Return>
Send Reminder Notice: <Return>
Appointment Comment: <Return>
Reason for Appointment: <Return>
File the data.
Appointment Booked
BOOK APPOINTMENTS FOR A SINGLE PATIENT
(continued)
SINGLE PATIENT BOOKING
Patient:
FMP/SSN:
Clinic: CARDIOLOGY CLINIC/DIV A
Appt. Type:
Clinic Phone: 202 427-4281
Provider: CALDWELL,LORRAINE
Service:
Time Range: 0001 to 2400
Duration:
Dates: 30 Jul 2001 to 6 Aug 2001
Days of Week: M
========================================================================
• Use the following actions on the File Appointments Action Bar when more
than one schedule time slot is selected and displayed:
(B)ook appointment allows you to book the schedule time slot that is
highlighted.
(S)kip appointment allows you to skip over the currently highlighted
schedule time slot to the next schedule time slot in sequence . . .
(V)iew allows you to directly select a specific schedule time slot when
multiple slots are displayed in the File Appointment middle window.
4-61
========================================================================
Select (C)hange Search Criteria, (B)rowse, (S)ingle Patient, (W)ait List Add, (M)ultiple Clinic,
B(l)ock, (F)amily, or (Q)uit: S// Q
Notes:
• This example is the booking of a single patient in the same clinic for two
appointments; the two appointments are one week apart.
• Both new and registered patients can be booked using this action.
Quick Reference Guides
• Registered patients can have their demographic data updated as their
appointments are booked.
PAS
BOOK APPOINTMENTS
FOR A SINGLE PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• New patients can be registered as their appointments are booked.
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY
This action allows you to book one or more appointments in one or more clinics
on one or more days for several or all members of a family.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ BOK
BOOKING SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic:
Appt. Type:
Clinic Phone:
Provider:
Service:
Time Range: 0001 to 2400
Duration:
Dates: 21 Jun 2001 to 02 Aug 2001
Days of Week:
========================================================================
FAMILY BOOKING SAME DAY SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic:
Providers
Appt. Type:
1.
2.
3.
Dates: 21 Jun 2001 to 02 Aug 2001
Time Range: 0001 to 2400
========================================================================
========================================================================
Select (C)hange Search Criteria, or (Q)uit: C// <Return>
FAMILY BOOKING SAME DAY SEARCH CRITERIA
4-62
========================================================================
Select (C)hange Search Criteria, (B)rowse, (W)ait List Add, (M)ultiple Clinic,
(F)amily, or (Q)uit: C// F
___________________________________________________________________________
Search Multiple Clinics for same day match ? NO// Y
========================================================================
Use <Select> to select Search Criteria to be changed
PAS
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Patient:
FMP/SSN:
Clinics
Providers
Appt. Types
1.
2.
3.
Dates: 21 Jun 2001 to 02 Aug 2001
Time Range: 0001 to 2400
========================================================================
* Clinic, Provider, Appointment Type 1
* Clinic, Provider, Appointment Type 2
Clinic, Provider, Appointment Type 3
* Dates
Time Range
Patient
Default Search Criteria
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY (continued)
FAMILY BOOKING SAME DAY SEARCH CRITERIA
4-63
Patient:
FMP/SSN:
Clinics
Providers
Appt. Types
1.
2.
3.
Dates: 21 Jun 2001 to 02 Aug 2001
Time Range: 0001 to 2400
========================================================================
* Clinic, Provider, Appointment Type 1
* Clinic, Provider, Appointment Type 2
Clinic, Provider, Appointment Type 3
* Dates
Time Range
Patient
Default Search Criteria
========================================================================
<Return>
Select Clinic 1: ACARDI
___________________________________________________________________________
FAMILY BOOKING SAME DAY SEARCH CRITERIA
Patient:
FMP/SSN:
Clinics
Providers
Appt. Types
1. CARDIOLOGY CLINIC/DIVA
CALDWELL,LORRAINE C
NEW PATIENT
2. GENERAL MEDICINE CLINIC/DIVA
ADDAMS,HENRY W
NEW PATIENT
3.
Dates: 21 Jun 2001 to 02 Aug 2001
Time Range: 0001 to 2400
========================================================================
* Clinic, Provider, Appointment Type 1
* Clinic, Provider, Appointment Type 2
Clinic, Provider, Appointment Type 3
* Dates
Time Range
Patient
Default Search Criteria
========================================================================
Select (C)hange Search Criteria, (S)earch for same day appointment date, or
(Q)uit FAMILY BOOKING: S// <Return>
Searching . . .
Quick Reference Guides
Select Clinic 2: AGNMED
Select Provider 2: ADDAMS,HENRY W
Select Appt. Type 2: NEW
Start Date: 27 AUG 2001
Stop Date: 31 AUG 2001
012345555
PAS
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Select Provider 1: CALDWELL,LORRAINE C
157742958
Select Appt. Type 1: NEW
___________________________________________________________________________
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY (continued)
FAMILY BOOKING SAME DAY PATIENT BOOKING
Patient:
FMP/SSN:
Clinics
Providers
Appt. Types
1. CARDIOLOGY CLINIC/DIVA
CALDWELL,LORRAINE C
NEW PATIENT
2. GENERAL MEDICINE CLINIC/DIVA
ADDAMS,HENRY W
NEW PATIENT
3.
Dates: 27 Aug 2001 to 31 Aug 2001
Time Range: 0001 to 2400
========================================================================
* 30 Aug 2001 THURSDAY
========================================================================
Searching . . .
FILE APPOINTMENT
Patient:
Clinics
FMP/SSN:
Providers
Appt. Types
1. CARDIOLOGY CLINIC/DIVA
2. GENERAL MEDICINE CLINIC/DIVA
CALDWELL,LORRAINE C
ADDAMS,HENRY W
NEW PATIENT
NEW PATIENT
3.
Dates: 27 Aug 2001 to 31 Aug 2001
Time Range: 0001 to 2400
========================================================================
THU 1500 30 Aug 01 NEW
1/0 ACARDI
THU 1500 30 Aug 01 NEW
1/0 AGNMED
============================ Select Slot #1 of 2 =============================
Select Patient Name: SANDERS,ANDY
4-64
FAMILY BOOKING SAME DAY PATIENT BOOKING
Patient:
Clinics
FMP/SSN:
Providers
Appt. Types
1. CARDIOLOGY CLINIC/DIVA
2. GENERAL MEDICINE CLINIC/DIVA
CALDWELL,LORRAINE C
ADDAMS,HENRY W
NEW PATIENT
NEW PATIENT
PAS
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
3.
Dates: 27 Aug 2001 to 31 Aug 2001
Time Range: 0001 to 2400
========================================================================
+ THU 1400 30 Aug 01 NEW
1/0 ACARDI
THU 1400 30 Aug 01 NEW
1/0 AGNMED
THU 1430 30 Aug 01 NEW
1/0 ACARDI
THU 1430 30 Aug 01 NEW
1/0 AGNMED
* THU 1500 30 Aug 01 NEW
1/0 ACARDI
* THU 1500 30 Aug 01 NEW
1/0 AGNMED
THU 1530 30 Aug 01 NEW
1/0 ACARDI
+ THU 1530 30 Aug 01 NEW
1/0 AGNMED
========================================================================
Use <Select> to select appointment(s) to be booked
<Return>
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY (continued)
DEMOGRAPHICS DISPLAY
Name: SANDERS, ANDY
FMP/SSN:
Patient Category: USA DEP AD, EXC FORM SPOUSE
DDS:
Patient Type:
Sex:
MCP Status:
DOB/Age:
ACV:
DMIS ID:
Direct Care: ELIGIBLE
Medicare:
01/600-60-6501
MALE
03 May 1987/03Y
FILE APPOINTMENT
Patient: SANDERS,ANDY
FMP/SSN: 01/600-60-6501
Clinic: CARDIOLOGY CLINIC/DIVA
Appt. Type: NEW PATIENT
Provider: CALDWELL,LORRAINE C
Specialty:
Time Range: 0001 to 2400
Duration:
Dates: 27 Aug 2001 to 31 Aug 2001
Days of Week: M TU W TH F
========================================================================
THU 1500 30 Aug 01 NEW
1/0 ACARDI
THU 1500 30 Aug 01 NEW
1/0 AGNMED
NOT ELIGIBLE
------------------------------------------------------------------------------------------------------------------------------------------------
4-65
Sponsor Name:
Station/Unit:
Home Address:
City:
ZIP Code:
Duty Phone:
Registration Comment:
Last Registration Date:
Outpatient Record Room:
MCP Enroll Date:
Primary Care Manager:
Primary OHI:
SANDERS, ALLAN A
400-ARMY
123 ELM ST.
SAN DIEGO
92122
222-1234
Rank: CAPTAIN
DSN:
============================ Select Slot #1 of 2 =============================
Select (B)ook appt, (S)kip appt, (V)iew, or (Q)uit File Appointment: B
State: CALIFORNIA
Home Phone: 222-2345
Work Phone:
End Enroll Date:
PCM Phone:
Case Mgmt:
------------------------------------------------------------------------------------------------------------------------------------------------
Select (F)ull, (M)ini, (N)ew Patient, (C)ontinue, or (Q)uit DEMO: C// <Return>
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY (continued)
PATIENT APPOINTMENT: SANDERS,ANDY
THU 1500 30 Aug 01 NEW
FILE APPOINTMENT
1/0
Clinic Message: ARRIVE 10 MINUTES EARLY
Clinic/Appt. Type. Instructions:
Provider Message:
Provider/Appt. Type. Instructions:
Arrival Message: 10 minutes
Registration Comment:
4-66
MEPRS Code: BACA
Requesting Service:
Referred By:
Send Reminder Notice: YES
Appointment Comment:
Reason for Appointment:
ASK FOR HELP = HELP
SCREEN EXIT = F10
___________________________________________________________________________
Patient: SANDERS,ANDY
FMP/SSN: 01/600-60-6501
========================================================================
01/600-60-6501 SANDERS,ANDY
M 03 May 1987
02/600-60-6501 SANDERS,ALICE
F 14 Feb 1973
20/600-60-6501 SANDERS,ALLAN A
M 16 Mar 1964
* 30/600-60-6501 SANDERS,ANN
F 26 Apr 1966
========================================================================
Select (S)ame patient, (F)amily member, (D)ifferent patient, or (Q)uit FAMILY: F// <Return>
___________________________________________________________________________
Use <Select>key to select a family member.
FILE APPOINTMENT
Patient: SANDERS,ANN
Clinic: GENERAL MEDICINE CLINIC
Provider: ADDAMS,HENRY W
Time Range: 0001 to 2400
Dates: 27 Aug 2001 to 31 Aug 2001
FMP/SSN: 30/600-60-6501
Appt. Type: NEW PATIENT
Service:
Duration:
Days of Week: M TU W TH F
========================================================================
THU 1500 30 Aug 01 NEW
1/0 AGNMED
============================ Select Slot #2 of 2 =============================
Select (B)ook appt, (S)kip appt, (V)iew, or (Q)uit File Appointment: B
PAS
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MEPRS Code: <Return>
Requesting Service:
Referred By: <Return>
Send Reminder Notice: <Return>
Appointment Comment: <Return>
Reason for Appointment: <Return>
File the data.
Appointment Booked
Remind patient of other appointments/Wait List requests? Yes// N
SELECT FAMILY MEMBER
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY (continued)
PATIENT APPOINTMENT: SANDERS,ANN
THU 1500 30 Aug 01 NEW
FILE APPOINTMENT
1/0
Clinic Message:
Clinic/Appt. Type Instructions:
Provider Message:
Provider/Appt. Type Instructions:
Arrival Message: 10 minutes
Registration Comment:
4-67
MEPRS Code: BHAA
Requesting Service:
Referred By:
Send Reminder Notice: YES
Appointment Comment:
Reason for Appointment:
FAMILY BOOKING SAME DAY PATIENT BOOKING
Patient: SANDERS,ANN
FMP/SSN: 30/600-60-6501
Clinics
Providers
Appt. Types
1. CARDIOLOGY CLINIC/DIVA
CALDWELL,LORRAINE C
2. GENERAL MEDICINE CLINIC/DIVA
ADDAMS,HENRY W
3.
Dates: 27 Aug 2001 to 31 Aug 2001
Time Range: 0001 to 2400
=====================================================================
30 Aug 01 THURSDAY
======================================================================
Use <Select> to select a date to search for same day appointments
<Return>
ASK FOR HELP = HELP
SCREEN EXIT = F10
___________________________________________________________________________
PAS
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MEPRS Code: <Return>
Requesting Service: <Return>
Referred By: <Return>
Send Reminder Notice: <Return>
Appointment Comment: <Return>
Reason for Appointment: <Return>
File the data.
Appointment Booked
Remind patient of other appointments/Wait List requests? Yes// N
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY (continued)
FAMILY BOOKING SAME DAY PATIENT BOOKING
Patient: SANDERS,ANN
FMP/SSN: 30/600-60-6501
Clinics
Providers
Appt. Types
1. CARDIOLOGY CLINIC/DIVA
CALDWELL,LORRAINE C
2. GENERAL MEDICINE CLINIC/DIVA
ADDAMS,HENRY W
3.
Dates: 27 Aug 2001 to 31 Aug 2001
Time Range: 0001 to 2400
=====================================================================
Notes:
• Family members are grouped by Sponsor SSN and are distinguished by
differing family member prefixes. This feature allows you to make
appointments for family members without reentering common family data or
restarting the search process.
• Both new and registered family member patients can be booked using this
action.
• New patients can be registered as their appointments are booked.
• Registered patients can have their demographic data updated as their
appointments are booked.
4-68
======================================================================
Select (C)hange Search Criteria, (S)earch for same day appointment date, or
(Q)uit FAMILY BOOKING: C// Q
• You must specify at least two clinics and you may specify as many as three
different clinics, providers, and appointment types for this type of search.
• Although you are prompted for all three parameters, only clinic is mandatory.
• Provider and appointment type are optional.
BOOK FAMILY MEMBERS INTO
DIFFERENT CLINICS ON SAME DAY
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
CANCEL APPOINTMENT BY PATIENT
The Cancel Appointment by Patient option allows you to cancel booked
appointments at the patient’s request.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ CBP
OPTION PATH:
SEARCH for Appointments ➔ SELECT Appointment to
Cancel ➔ RESCHEDULE Appointment (optional) ➔
FILL Cancelled Appointment from Wait List (optional)
4-69
CANCELLATION BY PATIENT SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic:
Appt. Type:
Clinic Phone:
Provider:
Service:
Time Range: 0001 to 2400
Duration:
Dates: 21 Jun 2001 to 20 Jun 2002
Days of Week:
========================================================================
Quick Reference Guides
Enter Patient Name: SUMMERS,ALLAN A
FMP/SSN: 20/600-60-6510
OK ? YES //
PAS
CANCEL APPOINTMENT BY PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
========================================================================
Select (C)hange Search Criteria, (S)earch for Appointments, (Q)uit: S// <Return>
___________________________________________________________________________
CANCEL APPOINTMENT BY PATIENT (continued)
DEMOGRAPHICS DISPLAY
Name: SUMMERS, ALLAN A
Patient Category: USA AD OFFICER
Patient Type:
MCP Status:
ACV:
Direct Care: ELIGIBLE
FMP/SSN:
DDS:
Sex:
DOB/Age:
DMIS ID:
Medicare:
20/600-60-6510
MALE
20 Oct 1964/36Y
NOT ELIGIBLE
-----------------------------------------------------------------------------------------------------------------------------------------------Sponsor Name: SUMMERS, ALLAN A
Rank: FIRST LIEUTENANT
Station/Unit: 400-ARMY
Home Address:
City:
ZIP Code:
Duty Phone:
DSN:
State:
Home Phone:
Work Phone:
Registration Comment:
4-70
Last Registration Date:
Outpatient Record Room: MEDICAL RECORDS FILE ROOM
MCP Enroll Date:
End Enroll Date:
Primary Care Manager:
PCM Phone:
Primary OHI:
Case Mgmt:
------------------------------------------------------------------------------------------------------------------------------------------------
Select (F)ull, (M)ini, (N)ew Patient, (C)ontinue, or (Q)uit DEMO: C// <Return>
CANCEL/RESCHEDULE PATIENT APPOINTMENTS
Patient: SUMMERS,ALLAN
FMP/SSN: 20/600-60-6510
Clinic:
Appt. Type:
Clinic Phone:
Provider:
Service:
Time Range: 0001 To 2400
Duration:
Dates: 21 Jun 2001 to 20 Jun 2002
Days of Week:
========================================================================
WED 0700 21 Jun 01 NEW ACARDI QUIVERN
========================================================================
Use <Select> to select appointments to be cancelled/rescheduled
___________________________________________________________________________
Select the appointment for cancellation
When finished selecting all appointments for cancellation, press <Return>
CANCEL/RESCHEDULE PATIENT APPOINTMENTS
Patient: SUMMERS,ALLAN
FMP/SSN: 20/600-60-6510
Clinic:
Appt. Type:
Clinic Phone:
Provider:
Service:
Time Range: 0001 To 2400
Duration:
Dates: 21 Jun 2001 to 20 Jun 2002
Days of Week:
========================================================================
* WED 0700 21 Jun 01 NEW ACARDI QUIVERN
PAS
CANCEL APPOINTMENT BY PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
====================== Select appointment #1 of 1 =============================
Select (C)ancel, (R)eschedule, or (Q)uit CANCEL/RESCHEDULE: C
___________________________________________________________________________
Canceling Appointment . . .
*Want to book cancelled appointment slot(s) from Wait List requests? No// <Return>
CANCEL APPOINTMENT BY PATIENT (continued)
CANCELLATION BY PATIENT SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic:
Appt. Type:
Clinic Phone:
Provider:
Service:
Time Range: 0001 to 2400
Duration:
Dates: 2 May 2001 to 13 Jun 2001
Days of Week:
========================================================================
• Patient cancellations are compiled into a statistical report, the “Patient
Cancellation Statistical Report.”
• Patient cancellations can only be performed for appointments scheduled for
the current or future time, and cannot be used to cancel appointments in the
past.
• When rescheduling an appointment, the system will not cancel the original
appointment until the new appointment booking transaction is complete.
========================================================================
Select (C)hange Search Criteria, (S)earch for Appointments, (Q)uit: S// Q
Notes:
4-71
• The patient identifier must be entered before the appointment search can be
initiated.
• The system allows you to reschedule the appointment for the patient without
exiting from the Cancellation by Patient option.
• The system then assigns the status of Wait to the cancelled appointment slot,
and makes it available for rebooking from the Wait List.
• After you use <Select> to select Patient as your required field, you have the
option of updating the patient’s registration data.
• A cancelled patient appointment is indicated as a Patient Cancellation with a
status of “CANCEL(P)” when observed in Display Patient Appointment
option.
PAS
CANCEL APPOINTMENT BY PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• System allows you to rebook the cancelled appointment slot from the Wait
List without exiting from the Cancellation by Patient option.
INTERACTIVE DEERS ELIGIBILITY REQUEST
The Defense Enrollment Eligibility Reporting System (DEERS) interface
determines whether the patient is eligible for treatment. CHCS is integrated with
DEERS and runs the eligibility check as part of registration. The patient date of
birth (DOB) and sponsor Social Security number (SSN) access the DEERS
record, which contains the eligibility for all patients registered under that SSN.
If DEERS and CHCS are not connected, the following message displays:
DEERS link is down/DEERS request being batched. Your request is then placed
in a batch file and processed when the link is reestablished.
If the patient DOB and sponsor SSN match in the DEERS database, the Sponsor/
Patient Information screen displays.
4-72
If the sponsor’s SSN matches one in the DEERS database but the DOB does not
match, the Family Member Screen displays and the user is prompted to select the
corresponding family member. If the family member/sponsor is not selected, the
user is returned to the Sponsor Name prompt.
After providing sponsor/patient information, the DEERS Eligibility Data screen
displays.
Quick Reference Guides
MENU PATH: PAS System Menu ➔ MAN ➔ EMCP ➔ IENR
PAD
INTERACIVE DEERS ELIGILITY REQUEST
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
DEERS Eligibility checking is available through several other CHCS
functionalities. In MCP, you may also request eligibility information for a
specific period of time.
INTERACTIVE DEERS ELIBILITY REQUEST
(continued)
If the patient is DEERS eligible, you can proceed with the registration.
If the patient is not DEERS eligible, you can enter an override code that indicates
the override justification and continue with the registration.
DEERS ELIG/REG RESPONSE:
Patient Name:
Date of Birth:
Sponsor SSN:
Family Member Prefix:
Eligibility Start Date:
Eligibility End Date
DEERS INTER REC
DEERS ELIGIBILITY OVERRIDE CODES:
POET,ZANE E
12 Sep 1965
100201601
20
4-73
DEERS ELIGIBILITY DATA
Name:
Patient Category:
DOB/Age:
FMP/SSN:
DDS:
Sex:
___________________________________________________________________
DOB:
SSN:
Care Denied - Not treated.
02
Presented valid DD form 1172 and valid ID card.
03
Patient recently eligible (less than 10 days). Patient not on DEERS.
04
Sponsor recently entered active duty for greater than 30 days.
05
Newborn infant less than one year old.
06
Patient has valid ID issued within 120 days (shown DEERS eligible).
07
Emergency Care - Eligibility and billing determination still required.
08
Sponsor duty station outside the 50 states or within APO/FPO address.
09
Survivor of deceased sponsor - one time exception.
10
DEERS enrollment exception - billing determination required.
99
SSN erroneously keyed. Disregard ineligible response.
PAD
INTERACIVE DEERS ELIGILITY REQUEST
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
NAME:
SEX:
DDS:
ACV:
AVC Start Date:
DMIS ID:
Sponsor Rank:
Sponsor UIC:
Direct Care:
Elig Start Date:
Elig End Date:
Eligibility Comment:
01
DISPLAY PATIENT APPOINTMENTS
The Display Patient Appointments option allows you to display or print a
patient’s future or past appointments as well as those of other family members
registered under the same Social Security number.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ DPA
Select PATIENT NAME: SANDERS,ALLAN
20/600-60-6501 16 Mar 1975 M AO3
OK? YES//
Select (F)uture, (P)ast, (W)ait List, (S)pecific Date, (Q)uit: F// S
4-74
Display from which Date: 15 Jun 2001
Device: <Return>
RIGHT MARGIN: 80// <Return>
DISPLAY PATIENT APPOINTMENTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
DISPLAY PATIENT APPOINTMENTS (continued)
DISPLAY PATIENT APPOINTMENTS
Personal Data - Privacy Act of 1974 (PL 93-579)
History of Appts for SANDERS,ALLAN from: 15 Jun 2001
CLINIC/DIV
PROVIDER
DATE/TIME
TYPE
STATUS
======================================================================
(Appointment data)
WAIT LIST REQUESTS FOR SANDERS,ALLAN (FMP/SSN)
TYPE58
PRI DATE IN
TARGET DATE PROVIDER
======================================================================
(Wait List data)
CLINIC/DIV
• The Display Appointments display is divided into two sections:
– Top section lists past and future appointments for the patient.
– Bottom section lists the Wait List requests for the patient.
• Appointment status of Cancel indicates that the appointment was cancelled.
• Appointment status of Cancel(P) indicates that the appointment was
cancelled by Patient.
• Appointment status of Cancel(F) indicates that the appointment was
cancelled by Facility (Provider).
• Displaying patient appointments in the past will show appointments up to 360
days in the past
4-75
======================================================================
Press <Return> to continue
Display/Print Appointment History of Other Family Member? No// <Return>
Notes:
• DPA printouts may be given to patients to remind them of future
appointments.
• DPA printouts also provide a listing of applicable instructions and
appointment type messages.
PAS
DISPLAY PATIENT APPOINTMENTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• Displaying a patient’s appointment is a quick way to find out which provider
saw a patient on a previous visit so that return visits can be scheduled with the
same provider for continuity of care.
EDIT CLINIC PROFILE
The Clinic Profile Edit option allows you to set up the parameters for pull
product, Wait List, schedule, and booking for each clinic. All valid appointment
types and providers for the clinic are also defined in this option.
MENU PATH: PAS System Menu ➔ Scheduling Supervisor Menu ➔ PROF
➔ CPRO
Select Clinic: ACARDI
Select (A)ctive, (I)nactive appointment types, or (Q)uit: A// <Return>
Hospital Location: CARDIOLOGY CLINIC
SD CLINIC PROFILE
4-76
ASK FOR HELP = HELP
Screen Exit = F10
SD CLINIC PROFILE - - CONTINUATION
Wait List Activated: YES
Maximum Wait List Days:
Wait List Provider Mandatory: NO
Wait List Hold Duration:
Automatic Wait List Processing: NO
Schedule Hold Duration:
Prompt for Requesting Service: YES
Patient Record Pull:
Clinic Type: COUNT
Radiology Record Pull:
Check Holiday File:
Roster Production:
Cost Pool Code:
Prepare Reminder Notice:
Activation Status: ACTIVATED
Available Schedule:
Clinic Appt Instructions: ARRIVE 10 MINUTES EARLY
Hospital Location: CARDIOLOGY CLINIC
200 day(s)
7 day(s)
1 day(s)
1 day(s)
1 day(s)
1 day(s)
4 day(s)
30 day(s)
SD CLINIC PROFILE- -CONTINUATION
Select Appointment Type:
ADMIN*
DAPT
EVAL
FOL
INPT
LUN*
MTG*
MULTI
NEW
PRO60
RET
SCALL
WI
ASK FOR HELP = HELP
SCREEN EXIT = F10
FILE/EXIT = DO
File/Exit=DO
PAS
EDIT CLINIC PROFILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Name: CARDIOLOGY CLINIC
ABBREVIATION: ACARDI
Facility: TRAINING MEDICAL TREATMENT FAC
Division: DIV A - TRAINING HOSPITAL
Building Name:
Building Number:
Street Address:
Zip:
City:
STATE: DISTRICT OF COLUMBIA
Clinic Location:
Clinic Availability:
Telephone:
Enrollee Lockout:
Type of Care:
Service: CARDIOLOGY
Department: MEDICAL CARE
Specialty:
MEPRS Code: BACA
Hospital Location: CARDIOLOGY CLINIC
EDIT CLINIC PROFILE (continued)
Appointment Type: FOL
SD CLINIC PROFILE - - CONTINUATION
Duration: 15
Workload type: COUNT
Pull Patient Record: YES
Produce Encounter Forms: YES
Total # of Overbooks:
Instructions:
Select Booking Authority:
Status: ACTIVE
Referral Required: NO
Pull Radiology Record: YES
Send Reminder Notice: YES
Max # of Overbooks Per Slot:
• Status describes whether an appointment is active or inactive.
• Workload Type describes whether an appointment type is a count or a
noncount.
Select Appt Change Authority:
4-77
Select Overbook Authority:
Notes:
• New clinics can only be created in the Hospital Location file using the Create
a New Clinic (CFIL) option in the File/Table Maintenance Menu.
Quick Reference Guides
• Do not delete the name of an existing clinic.
• If clinic is no longer used, deactivate the clinic by setting the Activation Status
to Not Active.
• You must set Wait List Activated field to Yes for automatic Wait List
processing to occur within the system.
• The Wait List Hold Duration field must have a number of days entered for
automatic Wait List processing to occur within the system.
PAS
EDIT CLINIC PROFILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• Once a new clinic has been created, you can use the Clinic Profile to complete,
modify, or view the profile data and parameters.
EDIT EMERGENCY ROOM PROFILE
Hospital Location: EMERGENCY ROOM
The Emergency Room Clinic Profile Edit option allows you to designate a
hospital location as an emergency room and control the printing of the SF 558
form.
MENU PATH: PAS System Menu ➔ Scheduling Supervisor Menu ➔
PROF ➔ EPRO ➔ 1
Edit Emergency Room Clinic Profile
Select Clinic: EMERGENCY ROOM Clinic(c) Div(A)--Train 1 BIAA
Select (A)ctive, (I)nactive appointment types, or (Q)uit: A// <Return>
SD EROOM CLINIC PROFILE
4-78
Name: EMERGENCY ROOM
Abbreviation: ER
Facility: TRAINING MEDICAL TREATMENT FAC
Division: DIV A - TRAINING HOSPITAL
Building Name:
Building Number:
Street Address: 1610 CONSTITUTION AVE
Zip:
City:
State: DISTRICT OF COLUMBIA
Activation Status: ACTIVATED
Telephone:
Service: EMERGENCY MEDICAL SERVICE
Department: PRIMARY CARE DEPARTMENT
Specialty:
MEPRS Code: BIAA
Cost Pool Code:
Clinic Type: COUNT
Clinic Location:
Clinic Availability:
EDIT EMERGENCY ROOM PROFILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
EDIT EMERGENCY ROOM PROFILE (continued)
Hospital Location: EMERGENCY ROOM SD EROOM CLINIC PROFILE--CONTINUATION
Is This an Emergency Room: YES
Provider Name to Default in CER Option:
Default of Now for Date/Time of Release:
Default Printer:
Print SF 558 Default in NER Option:
Print SF 558 Default in CER Option:
Notes:
• Once a new Emergency Room Clinic has been created, you can use this
option to complete, modify, or view profile data and parameters.
• A default YES can be set in the NER and CER options when printing SF558
forms.
• A default printer identifies the printer where the SF558 is printed; i.e.,
SLAVE might be the name of the printer.
• New emergency room locations can be created using the Create a New Clinic
(CFIL) option in the File/Table Maintenance Menu.
Hospital Location: EMERGENCY ROOM SD EROOM CLINIC PROFILE--CONTINUATION
• The Emergency Room Profile can also be set using the Emergency Room
Profile (EER) Enter/Edit option.
Select Appointment Type:
4-79
• Locations that have YES in the Is this an Emergency Room field cannot edit
Appt/Date and time in End-of-Day processing (per JCAHO requirements).
ERAPT
EROOM
T-CON
WI
Appointment Type: EROOM
SD EROOM CLINIC PROFILE--CONTINUATION
Status: ACTIVE
File the data.
PAS
EDIT EMERGENCY ROOM PROFILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Duration: 30 MINUTES
Workload Type: COUNT
• The appointment type EROOM is required for each emergency room.
END-OF-DAY PROCESSING
This option allows you to edit, modify, or update patient appointment history
data including the status of daily appointments for each clinic and provider.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ EOD
END-OF-DAY PROCESSING
Clinic:
Provider:
Time Range: 0001 t2001 to 21 Jun 2001
Dates: 21 Jun 2001 to 21 Jun 2001
4-80
_________________________Place of Care is REQUIRED____________________________
Select (C)hange Search Criteria, or (Q)uit: C// <Return>
END-OF-DAY PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
END-OF-DAY PROCESSING (continued)
END-OF-DAY PROCESSING
Clinic:
Provider:
Time Range: 0001 to 2400
Dates: 21 Jun 2001 to 21 Jun 2001
Appt. Type:
* Clinic
* Provider
Time Range
Date Range
* Data Elements
Delinquent Appointments Only
Default Search Criteria
Clinic is REQUIRED
END-OF-DAY PROCESSING
Clinic: CAST CLINIC/DIVA
Appt. Type:
Provider: CALHOUN,CRAIG
Time Range: 0001 to 2400
Dates: 21 Jun 2001 to 21 Jun 2001
* Appointment Status
* MEPRS Code
Provider
Secondary Provider
Outpatient Disposition
Provider’s Comment
Clinic
Appointment Type
+ Appointment Date/Time
4-81
Select DATA ELEMENTS to edit
Select (C)hange Search Criteria, (S)earch for Appts, (Q)uit: S// <Return>
SELECT to mark the Search Criteria to be changed
___________________________________________________________________________
Select Clinic: CAST
Select Provider: CALHOUN,CRAIG
END-OF-DAY PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
END-OF-DAY PROCESSING (continued)
END-OF-DAY PROCESSING
Clinic: CAST CLINIC/DIVA
Provider: CALHOUN,CRAIG
Time Range: 0001 to 2400
Dates: 21 Jun 2001 to 21 Jun 2001
=========================================================
0900 SCHMIDT,BARBARA B 20/6603 RET CALHOUN,CR 21 Jun 2001 BEBA Pending
0930 SCOTT,OLIVER O
20/7904 RET CALHOUN,CR 21 Jun 2001 BEBA Pending
1011 SCOTT,OLIVER O
20/7904 RET CALHOUN,CR 21 Jun 2001 BEBA Tel-Con
1030 SCOTT,CHARLES C
20/6704 RET CALHOUN,CR 21 Jun 2001 BEBA Pending
1311 AMHOFF,ALLAN A
20/2345 WI
21 Jun 2001 BEBA Walk-In
=========================================================
Select appointment(s) to process
END-OF-DAY PROCESSING
PATIENT APPT DATA
Personal Data - Privacy Act of 1974
Patient: SHAW,CHARLES C
FMP/SSN: 20/600-60-6705
-----------------------------------------------------------------------------------------------------------------------------Appt Date/Time:
21 Jun 2001@0700
Appt Status:
PENDING
Clinic:
CAST CLINIC
MEPRS:
BEBA
Provider:
CALHOUN,CRAIG M
Appt Type:
NEW
Secondary Provider:
Checked-In:
Referred By:
Request Svc:
Appt Comment:
Reason for Appt:
Cancelled By:
Date/Time Cancelled:
Help = HELP
Exit = F10
File/Exit = DO
INSERT OFF
4-82
========================================================================
Appointment Status: PENDING// 4 (NO-SHOW)
Press <Return> to continue
File the data.
END-OF-DAY PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
END-OF-DAY PROCESSING (continued)
END-OF-DAY PROCESSING
PATIENT APPT DATA
Personal Data - Privacy Act of 1974
Patient: SHAW,CHARLES C
FMP/SSN: 20/600-60-6705
-----------------------------------------------------------------------------------------------------------------------------Outpatient Disposition:
Modified Duty Until:
Referred To:
Admitted To:
Provider’s Comment:
EOD REPORTS
Place of Care: CAST CLINIC/DIVA
Provider: CALHOUN,CRAIG M
Time Range: 0001 to 2400
Dates: 21 Jun 2001 to 21 Jun 2001
--------------------------------------------------------------------------------------------------------------------------------
---------------------There are missing providers and/or pendings appointments-----------------------------Select (D)elinquent EOD Report, (E)nd-of-Day Processing Report, or (Q)uit: D// E
Help = HELP
Exit = F10
File/Exit = DO
INSERT OFF
4-83
END-OF-DAY PROCESSING
Place of Care: CAST CLINIC/DIVA
Provider: CALHOUN,CRAIG M
Time Range: 0001 to 2400
Dates: 21 Jun 2001 to 21 Jun 2001
--------------------------------------------------------------------------------------------------------------------------------
EOD REPORTS
Place of Care: CAST CLINIC/DIVA
Provider: CALHOUN,CRAIG M
Time Range: 0001 to 2400
Dates: 21 Jun 2001 to 21 Jun 2001
--------------------------------------------------------------------------------------------------------------------------------
Quick Reference Guides
-------------------------------------------------------------------------------------------------------------------------------Select: (C)hange Search Criteria, (S)earch for Appointments,
(P)rint EOD Reports, or (Q)uit: P// <Return>
PAS
END-OF-DAY PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
---------------------There are missing providers and/or pendings appointments-----------------------------Enter DEVICE: [device identifier]
RIGHT MARGIN: 80// <Return>
END-OF-DAY PROCESSING (continued)
TRAINING MEDICAL TREATMENT FACILITY
22 Jun 2001@1610 Page 1
Personal Data-Privacy Act of 1974 (PL 93-579)
END-OF-DAY PROCESSING
22 JUN 2001 @ 1610
From: 21 Jun 1990 To: 22 Jun 2001
Division: DIV A - TRAINING HOSPITAL
Clinic: CAST CLINIC
==================================================================================
TIME PATIENT NAME
FMP/SSN TYPE PROVIDER
DATE MEPRS STATUS
==================================================================================
0900
0930
1011
1030
1311
SCHMIDT,BARBARA B
SCOTT,OLIVER O
SCOTT,OLIVER O
SCOTT,CHARLES C
AMHOFF,ALLAN A
20/6603
20/7904
20/7904
20/6704
20/2345
RET
RET
RET
RET
WI
CALHOUN,CR
CALHOUN,CR
CALHOUN,CR
CALHOUN,CR
21 Jun 2001
21 Jun 2001
21 Jun 2001
21 Jun 2001
21 Jun 2001
BEBA
BEBA
BEBA
BEBA
BEBA
No-Show
Pending
Tel-Con
Pending
Walk-In
4-84
**Daily Clinic Appointment Status Summary with COUNT Appt. Types**
==================================================================================
Provider
Kpt
WI
SC
TC Can NS Adm LWOBS O-S
|Total|
• To save yourself time in your search you may elect to only use the editing
criterion ‘Data Elements.’ With this selection you select only those fields you
need to change. For example, you may decide to change appointment status
and Provider.
• There are 14 data elements that you can identify by either a number code or
by name. Double question marks (??) at the prompt allows you to see these
available elements.
• All end-of-day processing must be completed within seven days of the
appointment. After seven days, only supervisory personnel with the SDCL1
or MCPCL1 security key will be able to perform end-of-day processing.
• End-of-Day processing must be fully completed before the Monthly
Statistical Reports can be calculated and printed.
• If an End-of-Day Report (not shown) has been completed, the system will
give you a breakdown of the kinds of patients each provider had for the day.
For example: No. of No-Shows, No. of Walk-ins.
==================================================================================
SEYMOUR,RO
0
0
0
0
0
1
0
0
0
|
0|
------------------------------------------------------------------------------------------------------------------------- -----------------------
Total
0
0
0
0
0
1
0
0
0
|
1|
==================================================================================
Quick Reference Guides
Kpt
WI
SC
TC Can NS Adm LWOBS O-S
|Total|
==================================================================================
SEYMOUR,RO
0
0
0
1
0
0
0
0
0
|
0|
------------------------------------------------------------------------------------------------------------------------- -----------------------
Total
0
0
0
1
0
0
0
0
0
|
1|
• The Delinquent End-of-Day Processing Report should be printed showing
you appointments that need changes in appointment status or have missing
provider names. This report will print out the total of appointments you will
need to edit in the lower-lefthand corner, along with the exact appointment
times to the right of the page.
Notes:
• Place of Care is a required field.
PAS
END-OF-DAY PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• You should select the Criteria, Delinquent appointments only, to display the
appointments with a Pending status and/or missing provider.
**Daily Clinic Appointment Status Summary with NONCOUNT Appt. Types**
Provider
• You should select the End-of-Day Processing Report when there are no
pending appointments or missing providers on the End-of-Day Processing
screen.
GENERATE A PROVIDER ROSTER
The Consolidated or Provider Roster (One Clinic) option allows you to print two
different report types. If the provider is specified, a roster of only that provider’s
appointments is produced. If no provider is specified, a consolidated roster with
all the patients of each provider in the specified clinic is produced.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ ORM ➔
Consolidated OR Provider Roster (one Clinic)
Select Operational Reports Menu Option: 3 Consolidated OR Provider Roster (One Clinic)
Select Date: 21 Jun 2001
Select another Date: <Return>
Select Clinic: ACARDI
4-85
Select Provider: ALL// CALDWELL,LORRAINE
Number of Copies? 1// <Return>
THIS IS A 132 COLUMN REPORT:
Device: <Return>
Right Margin: 80// <Return>
TRAINING MEDICAL TREATMENT FACILITY
21 Jun 2001@1121 Page 11
Personal Data - Privacy Act of 1974 (PL 93-579)
PROVIDER ROSTER (One Clinic)
From: 21 Jun 2001
To: 21 Jun 2001
Division: DIV A - TRAINING HOSPITAL
DEPT: MEDICAL CARE
Clinic: CARDIOLOGY CLINIC
PROVIDER: CALDWELL,LORRAINE
======================================================================
Time Type Name
FMP/SSN Sex Age Cat GR Int CSP Fly
Provider
Out/In Ward Home Phone Work Phone Sponsor Unit
GR/Spon
Reason for Appointment:
Appointment Comment:
Referred by:
Registration Comment:
======================================================================
Appointment data for the day.
Notes:
• You need a printer with 132-column paper that is set at the top of the form.
Note:
Enter <Return> to print ‘Consolidated Roster’ OR
Enter name of Provider to print ‘Provider Roster’
• Users can exit this option either at the START or STOP date prompt by
entering a caret (^).
• Rosters are sorted in priority by:
Clinic, then by
Provider, then by
Appointment time, then by
Patient name
PAS
GENERATE A PROVIDER ROSTER
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
–
–
–
–
INDIVIDUAL PATIENT CHECK-IN
This option allows you to check-in a patient with a booked appointment.
Clinic is REQUIRED
Select (C)hange Search Criteria, (S)earch for Appts, (Q)uit: S// <Return>
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ IPC
INDIVIDUAL PATIENT CHECK-IN
Patient:
FMP/SSN:
Clinic:
Appt. Type:
Provider:
Service:
Time Range: 0001 to 2400
Date: 21 Jun 2001
Days of Week: THURSDAY
=====================================================================
=====================================================================
Clinic is REQUIRED
Select (C)hange Search Criteria, (S)earch for Appts, (Q)uit: C// <Return>
4-86
Use <Select> to choose Patient(s) to check-in
Select Clinic: INTERNAL MEDICINE CLINIC/DIVA
PAS
INDIVIDUAL PATIENT CHECK-IN
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
INDIVIDUAL PATIENT CHECK-IN
Patient:
FMP/SSN:
Clinic:
Appt. Type:
Provider:
Specialty:
Time Range: 0001 to 2400
Date: 21 Jun 2001
Days of Week: THURSDAY
=====================================================================
* Clinic
Patient
Provider
Time Range
=====================================================================
Use <Select> to mark the Search Criteria to be changed
________________________________________________________________________
INDIVIDUAL PATIENT CHECK-IN
Patient:
FMP/SSN:
Clinic: INTERNAL MEDICINE CLINIC/DIVA
Appt. Type:
Provider:
Service:
Time Range: 0001 to 2400
Date: 21 Jun 2001
Days of Week: THURSDAY
=====================================================================
0700 SHAW,H
20/7205 NEW OUT
AINMED CARSON,C
Pending
0700 KEENAN,B 20/6617 INPUT INP
AINMED HARTMAN,C Pending
0700 SUMMERS,H 20/7210 NEW OUT
AINMED QUIST,A
Pending
0710 KEENAN,F 20/7013 INPUT INP
AINMED HARTMAN,C Pending
0720 KEENAN,I
20/7011 INPUT INP
AINMED HARTMAN,C Pending
0740 KAGAN,F
20/7011 INPUT INP
AINMED HARTMAN,C Pending
0750 KEAN,B
20/6612 INPUT INP
AINMED HARTMAN,C Pending
0800 KEAN,F
20/7012 INPUT INP
AINMED HARTMAN,C Pending
+* 0810 KEAN,I
20/7312 INPUT INP
AINMED HARTMAN,C Pending
INDIVIDUAL PATIENT CHECK-IN (continued)
INDIVIDUAL PATIENT CHECK-IN
Patient:
FMP/SSN:
Clinic: INTERNAL MEDICINE CLINIC/DIVA
Appt. Type:
Provider:
Service:
Time Range: 0001 to 2400
Date: 21 Jun 2001
Days of Week: THURSDAY
======================================================================
• The system only displays appointments with an appointment status of
Pending. After patient check-in, the appointment status is changed from
Pending to Kept.
• Individual patient check-ins can only be done on the day of the appointment.
After that, all appointments with a pending status must be individually
changed to a Kept status using the End-of-Day (EOD) Processing option.
• Search criteria are the rules by which the system searches for an appointment
and include defining the Clinic. Any unrequired criteria that is blank will be
interpreted as All or Any.
• The Provider’s name can be changed at the time of check-in instead of waiting
until the end of the day.
4-87
• Patient appointment comments appear on the screen.
• After checking in a patient for a scheduled visit, the appointment status
Pending is replaced by the MEPRS Code, time of check-in, and Ck In.
Quick Reference Guides
• When checking in an inpatient for an unscheduled visit into an outpatient
clinic, the prompt - Is this clinic visit related to inpatient episode of care?
No// - is displayed. A Yes changes the patient’s visit to reflect the inpatient
MEPRS Code that the patient is currently admitted under. This response
categorizes this as a Noncount visit for the outpatient clinic and provider. A
No response categorizes this as a Count visit for the outpatient clinic and
provider.
Clinic is REQUIRED
Select (C)hange Search Criteria, (S)earch for Appts, (Q)uit: C// Q
PAS
INDIVIDUAL PATIENT CHECK-IN
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
0700 SHAW,H
20/7205 NEW OUT AINMED CARSON,C BAAA 0950 Ck in
0700 KEENAN,B
20/6617 INPT INP AINMED HARTMAN,C
Pending
0700 SUMMERS,H 20/7210 NEW OUT AINMED QUIST,A
Pending
0710 KEENAN,F
20/7013 INPT INP AINMED HARTMAN,C
Pending
0720 KEENAN,I
20/7011 INPT INP AINMED HARTMAN,C
Pending
0740 KAGAN,F
20/7011 INPT INP AINMED HARTMAN,C
Pending
0750 KEAN,B
20/6612 INPT INP AINMED HARTMAN,C
Pending
0800 KEAN,F
20/7012 INPT INP AINMED HARTMAN,C
Pending
+ 0810 KEAN,I
20/7312 INPT INP AINMED HARTMAN,C
Pending
======================================================================
OK to file YES// (YES)
Is this Clinic Visit RELATED to the Inpatient Episode of Care? No// <Return>
Select MEPRS CODE: BAAA// <Return>
Select Requesting Service: <Return>
INTERNAL MEDICINE CLINIC
Select Provider: HARTMAN,CHRIS C// <Return>
HARTMAN,CHRIS
123435686
OK? YES// (YES)
Press <Return> to continue
Produce an encounter form NO// <Return>
Press <Return> to continue
_________________________________________________________________________
‘
Notes:
MULTIPLE CHECK-IN BY DEFAULT
The Multiple Check-in by Default option allows you to check-in all patients
scheduled for appointments, and those who showed up and were treated in a
single transaction.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ MCD
MULTIPLE PATIENT CHECK-IN
Clinic:
Appt. Type:
Provider:
Service:
Time Range: 0001 to 2400
Date: 21 Jun 01
Days of Week: THURSDAY
=====================================================================
MULTIPLE PATIENT CHECK-IN
Clinic:
Appt. Type:
Provider:
Service:
Time Range: 0001 to 2400
Date: 21 Jun 01
Days of Week: THURSDAY
=====================================================================
* Clinic
* Provider
Time Range
=====================================================================
4-88
Use the <Select> to mark the SEARCH CRITERIA to be changed
=====================================================================
Clinic is REQUIRED
Select (C)hange Search Criteria, (B)ulk or (S)elective Check-In, (Q)uit: C// <Return>
Select Clinic: ACARDI
Select Provider: CALDWELL,LORRAINE
MULTIPLE CHECK-IN BY DEFAULT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
MULTIPLE CHECK-IN BY DEFAULT (continued)
MULTIPLE PATIENT CHECK-IN
Clinic: CARDIOLOGY
Appt. Type:
Provider: CALDWELL,LORRAINE C
Specialty:
Time Range: 0001 to 2400
Date: 21 Jun 2001
Days of Week: THURSDAY
=====================================================================
* Clinic
* Provider
Time Range
SELECTIVE PATIENT CHECK-IN
Clinic: CARDIOLOGY CLINIC/DIVA
Appt Type:
Provicer: CALDWELL,LORRAINE C
Service:
Time Range: 0001 to 2400
Date: 21 Jun 2001
Day of Week: Thursday
---------------------------------------------------------------------------------------------------------------------------------------------0700 SHAW,ALLAN A
20/6505
NEW OUT
CALDWELL
Pending
0730 SCHMIDT,ALLAN
20/6503
NEW OUT
CALDWELL
Pending
0900 SCHMIDT,ALLAN
20/6503
RET OUT
CALDWELL
Pending
* 0930 SCOTT,PAULA P
20/8004
RET OUT
CALDWELL
Pending
1000 SCOTT,PAULA P
20/8004
RET OUT
CALDWELL
Pending
1030 SCOTT,ALLAN A
20/6504
RET OUT
CALDWELL
Pending
* 1500 SHAW,ALLAN A
20/6505
NEW OUT
CALDWELL
Pending
1530 SCOTT,BARBARA
20/6604
NEW OUT
CALDWELL
Pending
1700 SHAW,ALLAN A
20/6505
DAPT OUT
CALDWELL
Pending
---------------------------------------------------------------------------------------------------------------------------------------------Use the Select key to mark Patient(s) to check-in.
OK TO FILE ?? Yes//
=====================================================================
4-89
Clinic is REQUIRED
Select (C)hange Search Criteria, (B)ulk or (S)elective Check-In, (Q)uit: S// <Return>
Checking for MEPRS Code . . .
SELECTIVE PATIENT CHECK-IN
Select (C)hange Search Criteria, (B)ulk or (S)elective Check-In, (Q)uit: C// <Return>
PAS
MULTIPLE CHECK-IN BY DEFAULT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Clinic: CARDIOLOGY CLINIC/DIVA
Appt. Type:
Provider: CALDWELL,LORRAINE C
Service:
Time Range: 0001 to 2400
Date: 21 Jun 2001
Days of Week: THURSDAY
------------------------------------------------------------------------------------------------------------------------------------------0700 SHAW,ALLAN A
20/6505
NEW OUT
CALDWELL
Pending
0730 SCHMIDT,ALLAN
20/6503
NEW OUT
CALDWELL
Pending
0900 SCHMIDT,ALLAN
20/6503
RET OUT
CALDWELL
Pending
0930 SCOTT,PAULA P
20/8004
RET OUT
CALDWELL
BACA 1512 Cki
1000 SCOTT,PAULA P
20/8004
RET OUT
CALDWELL
Pending
1030 SCOTT,ALLAN A
20/6504
RET OUT
CALDWELL
Pending
1500 SHAW,ALLAN A
20/6505
NEW OUT
CALDWELL
BACA 1512 Ck
1530 SCOTT,BARBARA
20/6604
NEW OUT
CALDWELL
Pending
1700 SHAW,ALLAN A
20/6505
DAPT OUT
CALDWELL
Pending
------------------------------------------------------------------------------------------------------------------------------------------Use the Select key to mark Patient(s) to check-in.
MULTIPLE CHECK-IN BY DEFAULT (continued)
SELECTIVE PATIENT CHECK-IN
Clinic: CARDIOLOGY
Appt. Type:
Provider: CALDWELL,LORRAINE C
Specialty:
Time Range: 0001 to 2400
Date: 21 Jun 2001
Days of Week: Thursday
--------------------------------------------------------------------------------------------------------------------------------------------------0700 SHAW,ALLAN A
20/6505
NEW OUT
CALDWELL
Pending
0730 SCHMIDT,ALLAN
20/6503
NEW OUT
CALDWELL
Pending
0900 SCHMIDT,ALLAN
20/6503
RET OUT
CALDWELL
Pending
0930 SCOTT,PAULA P
20/8004
RET OUT
CALDWELL
BACA 1512 Cki
1000 SCOTT,PAULA P
20/8004
RET OUT
CALDWELL
Pending
1030 SCOTT,ALLAN A
20/6504
RET OUT
CALDWELL
Pending
1500 SHAW,ALLAN A
20/6505
NEW OUT
CALDWELL
BACA 1512 Ck
1530 SCOTT,BARBARA
20/6604
NEW OUT
CALDWELL
Pending
1700 SHAW,ALLAN A
20/6505
DAPT OUT
CALDWELL
Pending
--------------------------------------------------------------------------------------------------------------------------------------------------Clinic is REQUIRED
Select (C)hange Search Criteria, (B)ulk or (S)elective Check-In, (Q)uit: C// B
4-90
BULK PATIENT CHECK-IN
Clinic: CARDIOLOGY
Appt. Type:
Provider: CALDWELL,LORRAINE C
Specialty:
Time Range: 0001 to 2400
Date: 21 Jun 2001
Days of Week: Thursday
--------------------------------------------------------------------------------------------------------------------------------------------------0700 SHAW,ALLAN A
20/6505
NEW OUT
CALDWELL
BACA 1522 Cki
0730 SCHMIDT,ALLAN
20/6503
RET OUT
CALDWELL
BACA 1522 Cki
0900 SCHMIDT,ALLAN
20/6503
RET OUT
CALDWELL
BACA 1522 Cki
1000 SCOTT,PAULA P
20/8004
RET OUT
CALDWELL
BACA 1522 Cki
1030 SCOTT,ALLAN A
20/6504
RET OUT
CALDWELL
BACA 1522 Cki
1530 SCOTT,BARBARA
20/6604
NEW OUT
CALDWELL
BACA 1522 Cki
1700 SHAW,ALLAN A
20/6505
DAPT OUT
CALDWELL
BACA 1522 Cki
--------------------------------------------------------------------------------------------------------------------------------------------------Clinic is REQUIRED
Select (C)hange Search Criteria, (B)ulk or (S)elective Check-In, (Q)uit: C// Q
Notes:
• Multiple Check-in by Default can only be performed on the date of the
appointment. It cannot be done for days in the past. Therefore, it is important
to do End-Of-Day Processing and Multiple Check-in by Default on a daily
basis.
• Using the (B)ulk option, you can check-in all patients on the displayed list
simultaneously. If appointments are wrongly checked in, it is corrected during
EOD processing
• Using the (S)elect option, you can check-in selected patients before or after
End-of-Day processing.
PAS
MULTIPLE CHECK-IN BY DEFAULT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
--------------------------------------------------------------------------------------------------------------------------------------------------* 0700 SHAW,ALLAN A
20/6505
NEW OUT
CALDWELL
Pending
* 0730 SCHMIDT,ALLAN
20/6503
NEW OUT
CALDWELL
Pending
* 0900 SCHMIDT,ALLAN
20/6503
RET OUT
CALDWELL
Pending
* 1000 SCOTT,PAULA P
20/8004
RET OUT
CALDWELL
Pending
* 1030 SCOTT,ALLAN A
20/6504
RET OUT
CALDWELL
Pending
* 1530 SCOTT,BARBARA
20/6604
NEW OUT
CALDWELL
Pending
* 1700 SHAW,ALLAN A
20/6505
DAPT OUT
CALDWELL
Pending
--------------------------------------------------------------------------------------------------------------------------------------------------Use Prev Screen and Next Screen keys to view data OR press <Return> to file.
Ok to file ?? Yes// <Return>
BULK PATIENT CHECK-IN
Clinic: CARDIOLOGY
Appt. Type:
Provider: CALDWELL,LORRAINE C
Specialty:
Time Range: 0001 to 2400
Date: 21 Jun 2001
Days of Week: Thursday
PRINT A CLINIC WORKLOAD REPORT
The Clinic Workload Report is one of the Management Reports accessible
through the Schedule Supervision Menu. It provides displayed or printed clinic
workload data and visit summary reports. This report is an on-demand, single
clinic, and single or multiple provider version of the Monthly Statistical Report.
MENU PATH: PAS System Menu ➔ Scheduling Supervisor Menu ➔
MGRM ➔ SMGR ➔ 4
Clinic Workload Report
*WARNING*
In order for the Clinic Workload report to be accurately produced, End-ofDay Processing/Editing MUST be COMPLETED for ALL providers in the
clinic even when this report is ordered for only one provider. If the selected
clinic has ANY delinquent appointments, then the Delinquent Appointment
Report will follow instead.
4-91
Select Clinic: CARDIOLOGY CLINIC
Select Provider: CALDWELL,LORRAINE C
OK? YES// <Return>
CLINIC (C) DIV A - TRAIN BACA
157-74-2958
Report Month & Year OR ‘^’ to enter specific date range: May 2001// ^
Report Start Date: 1 JUL (01 Jul 2001)
Report Stop Date: T+31 (22 Jul 2001)
Select Device: SLAVE
PRINT A
CLINIC WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
PRINT A CLINIC WORKLOAD REPORT (continued)
Training Medical Treatment Facility
Training Medical Treatment Facility
4 Oct 2001@2200
Division:
======================================================================
Appt MEPRS | COUNT WORKLOAD
|
NONCOUNT WORKLOAD
Type Code
| # In
# Out
Total
|
# In
# Out
Total
======================================================================
INTERNAL MEDICINE CLINIC (T) *** Clinic Totals ***
-------------------------------------------------------------------------NEW AAAA
0
0
0
11
0
11
BAAA
1
54
55
0
0
0
Subtotal:
1
54
55
11
0
11
4-92
BAAA
5
23
28
0
0
0
AAAA
BAAA
Subtotal:
0
0
0
0
0
0
0
0
0
12
4
16
0
17
17
12
21
33
6
77
83
27
17
44
RX
Clinic Total:
Page 2
CLINIC WORKLOAD REPORT
From: 01 Sep 2001
To: 30 Sep 2001
CLINIC WORKLOAD REPORT
From: 01 Sep 2001
To: 30 Sep 2001
RET
4 Oct 2001@2200
Page 1
------------------------------------------------------------------------------------------------------------------------------------------------
Division: DIV A - TRAINING HOSPITAL
======================================================================
Appt MEPRS | COUNT WORKLOAD
|
NONCOUNT WORKLOAD
Type Code
| # In
# Out
Total
|
# In
# Out
Total
======================================================================
INTERNAL MEDICINE CLINIC (T)
----------------------------------------------Provider: JONES,DONALD
NEW AAAA
BAAA
Subtotal:
0
1
1
0
32
32
0
33
33
3
0
3
0
0
0
3
0
3
RET
BAAA
3
11
14
0
0
0
AAAA
BAAA
Subtotal:
0
0
0
0
0
0
0
0
0
5
4
9
0
7
7
5
11
16
4
43
47
12
7
19
RX
Provider Total:
PRINT A
CLINIC WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
PRINT A CLINIC WORKLOAD REPORT (continued)
Training Medical Treatment Facility
4 Oct 2001@2200
4 Oct 2001@2200
Page 3
CLINIC WORKLOAD REPORT
From: 01 Sep 2001
To: 30 Sep 2001
CLINIC WORKLOAD REPORT
From: 01 Sep 2001
To: 30 Sep 2001
Division: DIV A - TRAINING HOSPITAL
==========================================================
Appt Cat
| COUNT WORKLOAD | NONCOUNT WORKLOAD
Type Code DESCRIPTION | # In # Out Total | # In
# Out
Total
==========================================================
INTERNAL MEDICINE CLINIC (T)
---------------------------------------------NEW A11 USA AD ENLISTED
1
A41 USA DEP AD
0
A43 USA DEP RET (EXC FORM 0
Subtotal:
4-93
RET
1
A11 USA AD ENLISTED
2
A41 USA DEP AD
1
A43 USA DEP RET (EXC FORM 2
Subtotal:
5
Page 4
32
22
0
54
33
22
0
55
7
0
4
11
0
0
0
0
7
0
4
11
10
12
1
23
12
13
3
28
0
0
0
0
0
0
0
0
0
0
0
0
Division:
======================================================================
Cat
| COUNT WORKLOAD | NONCOUNT WORKLOAD
Code DESCRIPTION
| # In # Out Total | # In
# Out
Total
======================================================================
INTERNAL MEDICINE CLINIC (T)
---------------------------------------------A11 USA AD ENLISTED
A41 USA DEP AD
A43 USA DEP RET (EXC FORM SP
Clinic Total:
3
1
2
42
34
1
45
35
3
14
5
8
17
0
0
31
5
8
6
77
83
27
17
44
------------------------------------------------------------------------------------------------------------------------------------------------
PRINT A
CLINIC WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
PRINT A CLINIC WORKLOAD REPORT (continued)
4 Oct 2001@2200
4 Oct 2001@2200
CLINIC WORKLOAD REPORT
From: 01 Sep 2001
To: 30 Sep 2001
CLINIC WORKLOAD REPORT
From: 01 Sep 2001
To: 30 Sep 2001
Division:
======================================================================
Appt Cat
| COUNT WORKLOAD | NONCOUNT WORKLOAD
Type Code DESCRIPTION | # In # Out Total | # In
# Out
Total
======================================================================
INTERNAL MEDICINE CLINIC (T)
---------------------------------------------Provider: JONES,DONALD
4-94
NEW A11 USA AD ENLISTED
1
A41 USA DEP AD
0
A43 USA DEP RET (EXC FORM 0
Subtotal:
1
RET A11 USA AD ENLISTED
2
A41 USA DEP AD1 0 1
0
A43 USA DEP RET (EXC FORM 0
Page 6
Page 5
32
0
0
32
33
0
0
33
3
0
0
3
0
0
0
0
3
0
0
3
12
0
1
14
7
0
7
0
7
0
0
0
7
3
Provider Total:
2
34
36
8
10
18
Clinic Total:
6
77
83
27
17
44
AAAA Internal Medicine Ward
BAAA Internal Medicine Clinic
Clinic Total:
0
6
0
77
0
83
23
4
0
17
23
21
6
77
83
27
17
44
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
PAS
PRINT A
CLINIC WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Subtotal:
10
0
1
11
Division:
======================================================================
MEPRS
| COUNT WORKLOAD | NONCOUNT WORKLOAD
Code DESCRIPTION
| # In # Out Total | # In
# Out
Total
======================================================================
INTERNAL MEDICINE CLINIC (T)
----------------------------------------------
PRINT A CLINIC WORKLOAD REPORT (continued)
4 Oct 2001@2200
4 Oct 2001@2200
CLINIC WORKLOAD REPORT
From: 01 Sep 2001
To: 30 Sep 2001
CLINIC WORKLOAD REPORT
From: 01 Sep 2001
To: 30 Sep 2001
Division:
======================================================================
MEPRS Appt | COUNT WORKLOAD
|
NONCOUNT WORKLOAD
Code
Type | # In
# Out
Total
|
# In
# Out
Total
======================================================================
INTERNAL MEDICINE CLINIC (T)
---------------------------------------------Provider: JONES,DONALD
AAAA
Page 8
Page 7
Division:
======================================================================
Requesting
| COUNT WORKLOAD | NONCOUNT WORKLOAD
Service
DESCRIPTION | # In # Out Total | # In
# Out
Total
======================================================================
INTERNAL MEDICINE CLINIC (T)
---------------------------------------------AAAA
ABAA
AEAA
BACA
Internal Medicine Ward
General Surgery Ward
Orthopedic Ward
Cardiology Clinic
0
4
5
6
0
5
7
9
20
0
0
0
0
0
0
0
20
0
0
0
6
15
21
20
0
20
NEW
RX
0
0
0
0
0
0
0
0
0
3
5
8
0
0
0
3
5
8
NEW
RET
RX
Subtotal:
1
3
0
4
32
11
0
43
33
14
0
47
0
0
4
4
0
0
7
7
0
0
11
11
Provider Total:
4
43
47
12
7
19
Notes:
6
77
83
27
17
44
• Page 1 of the Clinic Workload Report provides data on who saw the patient.
It lists the number of inpatient clinic visits (MEPRS Code beginning with A),
the number of outpatient clinic visits MEPRS Code beginning with B), and
the total number of patient clinic visits in the specified clinic by appointment
type and MEPRS Code for the specified date range for both count and
noncount (occasion of service) workloads.
Subtotal:
4-95
0
1
2
3
Clinic Total:
BAAA
Clinic Total:
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
PRINT A
CLINIC WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
PRINT A CLINIC WORKLOAD REPORT (continued)
• Page 2 of this report also provides data on who saw the patient. It lists by
individual providers within the clinic the number of inpatient clinic visits
(MEPRS Code beginning with A), the number of outpatient clinic visits
(MEPRS Code beginning with B), and the total number of patient clinic visits
in the specified clinic by appointment type and MEPRS Code for the specified
date range for both count and noncount (occasion of service) workloads.
• Page 3 provides data on the beneficiary status of the patient. It lists the number
of inpatient clinic visits, the number of outpatient clinic visits, and the total
number of patient clinic visits in the specified clinic by appointment type and
patient category code for the date range specified for both count and noncount
(occasion of service) workloads.
4-96
• Page 4 also provides data on the beneficiary status of the patient. It lists the
number of inpatient clinic visits, the number of outpatient clinic visits, and the
total number of patient clinic visits in the specified clinic by patient category
code for the date range specified for both count and noncount (occasion of
service) workloads.
• Page 7 of the Clinic Workload Report also provides data on the service
charged with the visit. It lists by individual providers within the clinic the
number of inpatient clinic visits, the number of outpatient clinic visits, and the
total number of patient clinic visits in the specified clinic by appointment type
and MEPRS Code for the date range specified for both count and noncount
(occasion of service) workloads.
• Page 8 provides information on who referred the patient. It is based upon the
Requesting Service MEPRS Code entered during booking. This prompt
appears during the Booking options if the PROMPT FOR REQUESTING
SERVICE: field in the Clinic Profile is set to YES. Since the REQUESTING
SERVICE: prompt is an optional field and represents who referred the
patient, the totals in this part of the report may be different from the other
parts of the Clinic Workload Report.
• This report does not print unless all delinquent end-of-day processing is
complete for the reporting interval.
• If end-of-day processing is not complete, the Delinquent End-of-Day Report
is printed instead of the Clinic Workload Report.
• Page 6 provides data on the service charged with the clinic visit. It lists the
number of inpatient clinic visits, the number of outpatient clinic visits, and the
total number of patient clinics visits in the specified clinic by MEPRS Code
for the date range specified for both count and noncount (occasion of service)
workloads.
PAS
PRINT A
CLINIC WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• Page 5 also provides data on the beneficiary status of the patient. It lists by
individual providers within the clinic the number of inpatient clinic visits, the
number of outpatient clinic visits, and the total number of patient clinic visits
in the specified clinic by appointment type and patient category code for the
date range specified for both count and noncount (occasion of service)
workloads.
PRINT AN OUTPATIENT ENCOUNTER FORM (SF600)
The Outpatient Encounter Forms option allows you to print an Encounter Form
for all scheduled appointments. With this option, you can produce an Encounter
Form for appointments scheduled for a specified date.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ ORM ➔
Daily Outpatient Encounter Forms (Clin/Prov/Indv)
Select Operational Reports Menu Option: 4
Forms (Clin/Prov/Indv)
Select (C)linic, (P)rovider, (I)ndividual, or (Q)uit: C
Select CLINIC:CAST CLINIC
CLINIC
Date: 22 Jun 2001//
Daily Outpatient Encounter
DIV A - TRAINI BEBA
CAST CLINIC
REF:
RSN:
BP:
CALHOUN,CRAIG M
CMT:
PULSE:
RESP:
22 Jun 2001
TEMP:
1400
HT:
MULT BEBA
WT:
ADDITIONAL COMMENTS:
20/600-60-6610
(22 Jun 2001)
4-97
This option will produce an Encounter Form for appointments scheduled for the date(s)
specified.
Please make sure that the printer has 80- column paper and is at the top of form.
Device:
TRAINING MEDICAL TREATMENT FACILITY
DIVISION: DIV A - TRAINING
Personal Data - Privacy Act of 1974 (PL 93-579)
Automated Version of SF600
Printed: 21 Jun 2001@1448 Page 1
SF600
SUMMERS,BARBARA B
01 Jun 1974 FEMALE
Spon: SUMMERS,BARBARA B
CS:
Unit: 1100-AIR BASE
F11
W: 202-555-7466
H: 918-555-3431
CIC:
D: 202-555-7466
Rank: 1LT
RR: MEDICAL RECORDS FILE ROOM
Notes:
• You need a printer with 80-column paper that is set at the top of the form.
• You get prompted to produce this form when you are checking in an
individual patient and when using the Unscheduled Visit (USV) option.
• The Additional Comments field information is printed out on SF600 forms.
This allows you to receive Clinical (CLIN) order processing information.
PAS
PRINT AN OUTPATIENT ENCOUNTER
FORM (SF600)
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• You can exit this option either at the Start or Stop date prompt by entering a
caret (^).
PRINT WAIT LIST HOLD/RELEASE SCHEDULES
Use this option when appointment slots in existing schedules need to be reserved
for Wait List processing or released from Wait List reserved status.
MENU PATH: PAS System Menu ➔ Scheduling Supervisor Menu ➔ SCHE
➔ MSCH ➔ WMSC
HOLD/RELEASE WAIT LIST STATUS
PAS 121
Clinic:
Provider:
Dates:
======================================================================
4-98
======================================================================
Clinic, Provider, Start Date & Stop Date are REQUIRED
Select Clinic: ACARDI
Select Provider: CALDWELL
Input Start Date: 21 JUN 01
Input Stop Date: 22 JUN 01
__________________________________________________________________________
Select (O)pen Slots, (W)ait List Slots, or (Q)uit: O// W
HOLD/RELEASE WAIT LIST STATUS
PAS 121
Clinic: CARDIOLOGY CLINIC/DIVA
Provider: CALDWELL, LORRAINE C
Dates: 21 Jun 2001 to 22 Jun 2001
======================================================================
21 Jun 2001 THURSDAY
0800 NEW
OPEN
1
0
* 0830 NEW
OPEN
1
0
1100 RET
OPEN
1
0
* 1130 RET
OPEN
1
0
1200 RET
OPEN
1
0
1300 MULTI
OPEN
4
0
1400 MULTI
OPEN
4
0
+ 1600 NEW
OPEN
1
0
======================================================================
Use <Select> to mark the slot(s) to change status to WAIT
Enter the DATE to AUTOMATICALLY CHANGE the schedule segment of >>>THURSDAY 21
Jun 2001 to FRIDAY 22 Jun 2001 <<<
Input STOP DATE: 21 Jun 2001// <Return> (21 Jun 2001)
[THURSDAY 21 Jun 2001] OK? Y// <Return>
PRINT WAIT LIST
HOLD/RELEASE SCHEDULES
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
PRINT WAIT LIST HOLD/RELEASE SCHEDULES
(continued)
HOLD/RELEASE WAIT LIST STATUS
PAS 121
4-99
Clinic: CARDIOLOGY CLINIC/DIVA
Provider: CALDWELL, LORRAINE C
Dates: 21 Jun 2001 to 22 Jun 2001
==================================================================================
21 Jun 2001 THURSDAY
0830
NEW
WAIT
1
0
1130
WI
WAIT
1
0
1200
LUN*
OPEN
1
0
1300
MULTI
OPEN
4
0
1400
MULTI
OPEN
4
0
1600
NEW
OPEN
1
0
1630
NEW
OPEN
1
0
+ 1800
DAPT
OPEN
1
0
==================================================================================
Select (I)nteractive-Phone OR Mailer, or (Q)uit: I// <Return>
Sort by (P)riority, (E)ntered or (T)arget Date, (N)ame, or (Q)uit sort: P// <Return>
Select Priority FROM: FIRST// <Return>
Select Priority TO: LAST// <Return>
WAIT LIST PROCESSING BY PRIORITY
PAS 520
Clinic: CARDIOLOGY CLINIC/DIVA
Appt Type:
Provider: CALDWELL,LORRAINE C
-------------------------------------------------------------------------------------------------------------------------------------------------Target
Appt
Zip Telephone
Patient
FMP/SSN Prio Date
Type
Provider
Code Attempts
-------------------------------------------------------------------------------------------------------------------------------------------------STANTON,INA
01/0407
2 12Oct01 RET
CALDWELL,LORRA 12204
0
STANTON,ALLEN
01/0407
2 12Oct01 NEW
CALDWELL,LORRA 12204
0
SANDERS,ALLAN A
20/6501
6 20Jun01 RET
CALDWELL,LORRA 22101
0
SANDERS,BARBARA B 20/6601
6 20Jun01 RET
CALDWELL,LORRA 21201
0
SANDERS,CHARLES C 20/6701
6 20Jun01 RET
CALDWELL,LORRA 22040
0
SANDERS,DONNA D
20/6801
6 20Jun01 RET
CALDWELL,LORRA 22030
0
SANDERS,EARL E
20/6901
6 20Jun01 RET
CALDWELL,LORRA 22030
0
SANDERS,FLORENCE F 20/7001
6 20Jun01 RET
CALDWELL,LORRA 22101
0
+ SANDERS,GEORGE G 20/7101
6 20Jun01 RET
CALDWELL,LORRA 21201
0
-------------------------------------------------------------------------------------------------------------------------------------------------Select (A)ll, (I)ndividual patient, (H)ardcopy, or (Q)uit processing: Q
Notes:
• The status of slots can be changed to Wait List reserved for schedules that are
currently open for appointment booking or schedules that are in HOLD status.
PAS
PRINT WAIT LIST
HOLD/RELEASE SCHEDULES
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• Wait List reserved slots not booked within the defined automatic release time
are released for open booking after the user-defined number of days specified
in the Clinic Profile.
PROBLEM AVOIDANCE REPORT
The Problem Avoidance Report (PAR) option allows you to generate eight
integration reports. Each report focuses on different areas of schedule
management. The PAR is sorted by department and clinic and may be ordered for
a specific clinic, a specific division, or the entire facility.
MENU PATH: PAS System Menu ➔ Scheduling Supervisor Menu ➔
MGRM ➔ PMGR ➔ 2 (Problem Avoidance Report (PAR))
• Pending Appointments and Missing Providers Report - Lists all pending
appointments and missing providers that must be updated before the
statistical reports. These include Cancellation Statistics, Clinic Workload,
Command Facility Workload Recap, Monthly Statistical and No Show
Statistical.
• Wait List Mailer No Shows Report - Lists patients who received Wait List
mailers informing them of their scheduled appointments, but were No Shows.
Only clinics that have scheduling deficiencies appear in the PAR.
The Problem Avoidance Report (PAR) contains the following eight reports:
• Appointment Orders for Inpatients Not Processed Report - Lists orders
that were entered through the Order Entry, but have not been acted upon as of
this report date.
4-100
• Cancelled Appointment Slots Report - Lists all appointment slots cancelled
by the facility where the patient has not been notified by phone or mail as of
this report date.
• Frozen Slots Report - Lists all frozen slots that fall within the window
defined by the appointment date and the clinic-defined schedule hold duration
as specified in the clinic profile.
• Schedule Deficiencies Report - Lists clinics and providers that need
additional schedules created.
• Open Schedules Report - Lists schedules that have been created but not yet
opened for booking.
PAS
PROBLEM AVOIDANCE REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• Wait List Status Report - Lists the total number of patients on the Wait List
for each clinic along with the number of restricted status slots (Wait) being
withheld from general booking for Wait List processing.
PROCESS APPOINTMENT ORDERS
The Appointment Order Processing option allows you to transfer orders entered
through the Order Entry functionality interface between the Clinical and PAS
subsystems. This option electronically transfers appointment information to
appropriate patient care plans and sends electronic mail bulletins to the order
location providers notifying them whether requested appointments were booked.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ AOP
Do you want to process all clinics? NO// (NO)
Select Clinic: INTERNAL MEDICINE CLINIC
Start Date: 21 JUNE (21 Jun 2001)
Stop Date: 28 JUNE (28 Jun 2001 )
CLINIC (C) - TR BAAA
4-101
PROCESS APPOINTMENT ORDERS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
PROCESS APPOINTMENT ORDERS (continued)
APPOINTMENT ORDER PROCESSING
Division: DIV A - TRAINING HOSPITAL
Clinic: INTERNAL MEDICINE CLINIC
Date Range: 21 Jun 2001 to 21 Jun 2001
Patient
Req Appt. Date Prio Req Clinic
Requesting Provider
======================================================================
KIMBALL,GEORGE G 21 Jun 2001
1 INTERNAL M HARTMAN,CHRIS
KIMBALL,IAN I
21 Jun 2001
2 INTERNAL M HARTMAN,CHRIS
* KIMBALL,JACKIE J
25 Jun 2001
1 INTERNAL M HARTMAN,CHRIS
APPOINTMENT ORDER PROCESSING
Patient: KIMBALL,JACKIE J
FMP/SSN: 20/300-30-7418
Category: USAF ACTIVE DUTY
ORDER #: 010620-00556
Home Phone:
WORK PHONE:
======================================================================
Requested Appointment Date: 21 Jun 2001
Requested Provider: HARTMAN, CHRIS
Requested Appointment Type: INPT
Reason for Request: TEACHING
Requested Clinic: INTERNAL MEDICINE CL
Requested Clinic MEPRS Code: BAAA
ORDERING PROVIDER: HARTMAN, CHRIS
4-102
======================================================================
Use <Select> to select orders to process or Book.
__________________________________________________________________________
Select (B)ook Request, (D)elete Request, (N)ext Request, (Q)uit: B// <Return>
Want to Schedule Appt. Requests that you have marked ? YES// <Return>
PROCESS APPOINTMENT ORDERS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
PROCESS APPOINTMENT ORDERS (continued)
ORDER BOOKING SEARCH CRITERIA
Patient: KIMBALL,JACKIE J
FMP/SSN: 20/300-30-7418
Clinic: INTERNAL MEDICINE CLINIC/DIVA
Appt. Type: INPATIENT CONSULT
Clinic Phone: 202 427-4781
Provider: ALLEN,ERWIN
Service:
Time Range: 0001 to 2400
Duration:
Dates: 21 Jun 2001 to 28 Jun 2001
Days of Week:
====================================================
Order Number: 900620-00556
Reason for appointment: TEACHING
====================================================
Select (C)hange Search Criteria, (B)rowse, (S)ingle Patient, (W)ait List Add, or (Q)uit: S// S
4-103
SINGLE PATIENT BOOKING
Patient: KIMBALL,JACKIE J
FMP/SSN: 20/300-30-7418
Clinic: INTERNAL MEDICINE CLINIC/DIVA
Appt. Type: INPATIENT CONSULT
Clinic Phone: 202 427-4781
Provider: ALLEN,ERWIN
Service:
Time Range: 0001 to 2400
Duration:
Dates: 21 Jun 2001 to 28 Jun 2001
Days of Week:
====================================================
* MON 0700 25 Jun 01 INPT 1/0
MON 0745 25 Jun 01 INPT 1/0
MON 1700 25 Jun 01 INPT 1/0
MON 1715 25 Jun 01 INPT 1/0
MON 1730 25 Jun 01 INPT 1/0
MON 1745 25 Jun 01 INPT 1/0
MON 1800 25 Jun 01 INPT 1/0
MON 1815 25 Jun 01 INPT 1/0
+ MON 1830 25 Jun 01 INPT 1/0
====================================================
Use <Select> to select appointment(s) to be booked.
PROCESS APPOINTMENT ORDERS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
PROCESS APPOINTMENT ORDERS (continued)
Patient Appointment: KIMBALL,JACKIE J
FILE APPOINTMENT
Patient: KIMBALL,JACKIE J
FMP/SSN: 20/300-30-7418
Clinic: INTERNAL MEDICINE CLINIC/DIVA
Appt. Type: INPATIENT CONSULT
Clinic Phone: 202 427-4781
Provider: ALLEN,ERWIN
Service:
Time Range: 0001 to 2400
Duration:
Dates: 21 Jun 2001 to 28 Jun 2001
Days of Week:
====================================================
MON 0700 25 Jun 01 INPT 1/0
====================================================
Select (B)ook appt, (S)kip appt, or (Q)uit File Appointment: B// <Return>
FILE APPOINTMENT
MON 0700 25 Jun 01 INPT 1/O
No reminder notice will be sent. Hand-carry Radiology/Patient records.
Clinic Message:
Clinic/Appt Type Instructions:
Provider Message:
Provider/Appt Type Instructions:
Arrival Message: minutes
Registration Comment:
4-104
MEPRS Code: BAAA
Requesting Service:
Referred By:
Send Reminder Notice: NO
Appointment comment:
Reason for Appointment: TEACHING
File changes and exit
Order/Entry Request Booked
======================================================================
Want to edit (M)ini, (F)ull, or (N)o Registration: N// <Return>
PROCESS APPOINTMENT ORDERS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
PROCESS APPOINTMENT ORDERS (continued)
Patient Appointment: KIMBALL,JACKIE J
FILE APPOINTMENT
Patient: KIMBALL,JACKIE J
FMP/SSN: 20/300-30-7418
Clinic: INTERNAL MEDICINE CLINIC/DIVA
Appt. Type: INPATIENT CONSULT
Clinic Phone: 202 427-4781
Provider: ALLEN,ERWIN
Service:
Time Range: 0001 to 2400
Duration:
Dates: 21 Jun 2001 to 28 Jun 2001
Days of Week:
====================================================
MON 0700 25 Jun 01 INPT 1/0
====================================================
Select (B)ook appt, (S)kip appt, or (Q)uit File Appointment: B// <Return>
FILE APPOINTMENT
MON 0700 25 Jun 01 INPT 1/O
No reminder notice will be sent. Hand-carry Radiology/Patient records.
Clinic Message:
Clinic/Appt Type Instructions:
Provider Message:
Provider/Appt Type Instructions:
Arrival Message: minutes
Registration Comment:
4-105
MEPRS Code: BAAA
Requesting Service:
Referred By:
Send Reminder Notice: NO
Appointment comment:
Reason for Appointment: TEACHING
File changes and exit
Order/Entry Request Booked
======================================================================
Want to edit (M)ini, (F)ull, or (N)o Registration: N// <Return>
PROCESS APPOINTMENT ORDERS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
PROCESS APPOINTMENT ORDERS (continued)
SINGLE PATIENT BOOKING
Patient: KIMBALL,JACKIE J
FMP/SSN: 20/300-30-7418
Clinic: INTERNAL MEDICINE CLINIC/DIVA
Appt. Type: INPATIENT CONSULT
Clinic Phone: 202 427-4781
Provider: ALLEN,ERWIN
Service:
Time Range: 0001 to 2400
Duration:
Dates: 21 Jun 2001 to 28 Jun 2001
Days of Week:
====================================================
Notes:
• If no appointments are available in the clinic and stop and start dates you
select, you will receive a message back stating no appointments be found for
that particular clinic for those dates.
• If there are no available appointments for your selected patient(s) on a
particular date(s), you may put your patient(s) on the Wait List if that clinic
has a Wait List and the Wait List has been activated in the Clinic Profile.
====================================================
Remind patient of other appointments/Wait List requests? Yes// N
4-106
Order/Request Successfully booked as appt # 1397 on 21 Jun 2001@1710
REMOVING ORDER REQUEST FROM PROCESSING LIST FOR
Patient
Req Appt. Date Prio
Req Clinic
Requesting Provider
================================================
* KIMBALL,JACKIE J 25 Jun 2001 9 INTERNAL M
HARTMAN,CHRIS
================================================
Press <Return> to continue
PROCESS APPOINTMENT ORDERS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
SCHEDULE CREATION FOR WAIT LIST
PROCESSING
The Create Schedules option also allows you to create, open, and print provider
schedules with or without templates specifically for Wait List processing and
general appointment booking.
MENU PATH: PAS System Menu ➔ Scheduling Supervisor Menu ➔
SCHE ➔ CSCH
Select Clinic: CAST CLINIC BEBA
CAST CLINIC
CLINIC
Select Provider Name: CALHOUN,CRAIG M
237821644
OK? YES// <Return>
Schedule Start Date: 22 Oct 2001// <Return>
23 Oct 2001 TUESDAY
Schedule Stop Date: 22 Oct
23 Oct 2001 TUESDAY
Create schedule using templates? YES// <Return>
4-107
Select Template I.D.: TUE CALHOUN STANDARD
Another: <Return>
Week of
22 Oct 2001
MON
TUE
WED
THU
FRI
SAT
SUN
X
… SCHEDULE IS BEING FILED. PLEASE WAIT…
< Schedule created for 22 Oct 2001 to 22 Oct 2001 >
PAS
SCHEDULE CREATION FOR
WAIT LIST PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Is this schedule correct? YES// <Return>
SCHEDULE CREATION FOR WAIT LIST
PROCESSING (continued)
Clinic: CAST CLINIC/DIVA
Provider: CALHOUN,CRAIG M.
Display schedule? NO// <Return>
Select (O)pen Schedules, (H)old for Future Release, (W)ait List Schedules: O// W
Enter the date to AUTOMATICALLY change the schedule segment of
>>> TUESDAY 22 Oct 2001 to TUESDAY 22 Oct 2001 <<<
from WAIT to OPEN: 24 Jun 2001// <Return>
[SUNDAY 24 Jun 2001] OK? Y: <Return>
…SCHEDULE IS BEING WAIT LISTED. PLEASE WAIT…
4-108
< SCHEDULE WAIT LISTED FROM 23 Oct 2001 TO 23 Oct 2001
Display Schedule? YES// N
Select (I)nteractive-Phone OR Mailer, (A)utomatic Wait List, or (Q)uit: I// <Return>
WAIT LIST PROCESSING SEARCH CRITERIA
Clinic: CAST CLINIC/DIVA
Provider: CALHOUN,CRAIG M.
WAIT LIST PROCESSING BY PRIORITY
PAS 520
Appt Type:
------------------------------------------------------------------------------------------------------------------------- -----------------------
Target
Appt
Zip Telephone
Patient
FMP/SSN Prio Date Type
Provider
Code Attempts
======================================================================
ADAMS,ALLAN A
20/6536 2 22Jun 01 NEW CALHOUN,CRAIG
1
SAWYER,ALLAN A
20/6502 2 22Jun 01 NEW CALHOUN,CRAIG 92122
0
SCHMIDT,ALLAN A
20/6503 2 22Jun 01 RET CALHOUN,CRAIG 92122
0
SIMPSON,ALLAN A
20/6506 6 22Jun 01 RET CALHOUN,CRAIG 21013
0
SANDERS,BARBARA B 20/6601 6 20Jun 01 RET CALHOUN,CRAIG 92106
0
SANDERS,CHARLES C 20/6701 6 20Jun 01 RET CALHOUN,CRAIG 92106
0
SANDERS,DONNA D
20/6801 6 20Jun 01 RET CALHOUN,CRAIG 92106
0
SANDERS,EARL E
20/69011 6 20Jun 01 RET CALHOUN,CRAIG 92106
0
SANDERS,FLORENCE F 20/7001 6 20Jul 01 RET CALHOUN,CRAIG 92106
0
========================================================================
Select (A)ll, (I)ndividual patients, (H)ardcopy, or (Q)uit processing: I
PAS 520
Appt Type:
------------------------------------------------------------------------------------------------------------------------------------------------
======================================================================
Sort by (P)riority, (E)ntered or (T)arget Date, (N)ame, or (Q)uit sort: P// <Return>
Select Priority From: FIRST// <Return>
Select Priority To: LAST// <Return>
PAS
SCHEDULE CREATION FOR
WAIT LIST PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Target Appt
Zip Telephone
Patient
FMP/SSN Prio Date Type Provider Code Attempts
======================================================================
SCHEDULE CREATION FOR WAIT LIST
PROCESSING (continued)
WAIT LIST BOOKING SEARCH CRITERIA
NOTIFICATION PROCESSING
DIVISION: DIV A - TRAINING HOSPITAL
PATIENT: SAWYER,ALLAN A
FMP/SSN: 20/600-60-6502
SPONSOR: SAWYER,ALLAN A
DUTY PHONE:
AGE: 26
------------------------------------------------------------------------------------------------------------------------------------------------
HOME PHONE: 222-2345
WAIT LIST REQUEST: 22 Jun 01
TIME RANGE: 0001 TO 2400
WAIT LIST COMMENT:
REASON FOR APPOINTMENT:
WORK PHONE: 222-1234
NEW
LAST
CALHOUN,CRAIG M.
DAYS OF WEEK: M TU W TH F
PRIORITY: 2
ZIP CODE: 92122
CONTACT ATTEMPTS
DATE@TIME
(Yes/No)
========================================================================
4-109
========================================================================
Select (T)elephone/No Mailer, (M)ailer/Appointment-No Contact, (D)elete, or
(Q)uit Processing: T
Was patient contacted: NO// Y
Select Book (R)egular, (M)ore, or (Q)uit telephone: R// <Return>
Patient: SAWYER,ALLAN A
Clinic: CAST CLINIC/DIVA
Clinic Phone: 202 427-4281
Provider: CALHOUN,CRAIG M.
Time Range: 0001 to 2400
Dates: 22 Jun 2001 to 03 Aug 2001
FMP/SSN: 20/600-60-6502
Appt Type: NEW PATIENT
Service:
Duration:
Days of Week: M TU W TH F
------------------------------------------------------------------------------------------------------------------------------------------------
Wait List Comment:
Wait List Priority: 2
Wait List Target Date: 22 Jun 01
Wait List Entry Date: 21 Jun 2001
Reason for Appointment:
======================================================================
Select (C)hange Search Criteria, (B)rowse, (S)ingle Patient, or (Q)uit: S// <Return>
(The system now enters the Single Patient Booking function. When booking is
complete, the Notifications Processing Screen is displayed--See Notes.)
SCHEDULE CREATION FOR
WAIT LIST PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
SCHEDULE CREATION FOR WAIT LIST
PROCESSING (continued)
NOTIFICATION PROCESSING
DIVISION: DIV A - TRAINING HOSPITAL
PATIENT:
FMP/SSN:
SPONSOR:
DUTY PHONE:
• The system automatically books slots from the Wait List and generates the
mailers informing the patient(s) of the scheduled appointment(s). This
normally occurs at 2000 hours nightly.
AGE:
--------------------------------------------------------------------------------------------------------------------------- --------------------
HOME PHONE:
WAIT LIST REQUEST:
TIME RANGE:
TO
WAIT LIST COMMENT:
REASON FOR APPOINTMENT:
WORK PHONE:
DAYS OF WEEK:
PRIORITY:
ZIP CODE:
CONTACT ATTEMPTS
DATE@TIME
(Yes/No)
======================================================================
• The Wait List status is only available when Wait List requests already exist
for the clinic with the newly created schedule.
• In order for a clinic to have a Wait List, the Wait List Activated field in the
Clinic Profile must be set to YES.
• If slots have been designated as Wait, they will not be available for regular
appointment booking.
• The system automatically enters Single Patient Booking so that the patient
can be booked to a newly created schedule slot for Wait List processing. Refer
to QRG: Book Appointments for a Single Patient.
4-110
============== All Wait List requests SELECTED have been processed ==============
Notes:
• The (W)ait List Schedules function designates schedule slots with a status of
Wait. Another action bar appears requesting you to Select (I)nteractive-Phone
OR Mailer, (A)utomatic Wait List, or (Q)uit.
• (A)utomatic Wait List allows the system to book appointments automatically
on the Wait Listed schedule and generate mailers. When automatic processing
is selected, the date range of the schedule must be at least seven days from the
processing date.
PAS
SCHEDULE CREATION FOR
WAIT LIST PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• Selecting (I)nteractive-Phone OR Mailer allows you to book Wait List
requests for this clinic and notify the patient(s) by either telephone or mailer.
SPLIT AN APPOINTMENT SLOT
AND BOOK ONE OF THE MODIFIED SLOTS
This Split Slot action allows you to split one Open schedule slot into two separate
slots with shorter durations.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ BOK
SINGLE PATIENT BROWSE SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic:
Provider:
Date: 21 Jun 2001
======================================================================
BOOKING SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic:
Appt. Type:
Clinic Phone:
Provider:
Specialty:
Time Range: 0001 to 2400
Duration:
Dates: 21 Jun 2001 to 02 Aug 2001
Days of Week:
======================================================================
4-111
======================================================================
Select (C)hange Search Criteria, (B)rowse, (S)ingle Patient, (W)ait List Add, (M)ultiple Clinic,
(F)amily, or (Q)uit: C// B
======================================================================
Select (C)hange Search Criteria, (S)earch Schedule, or (Q)uit: BROWSE: C// <Return>
SINGLE PATIENT BROWSE SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic:
Provider:
Date: 21 Jun 2001
======================================================================
* Clinic
* Provider
* Date
Patient
Default Search Criteria
Select Provider: CALDWELL,LORRAINE C
Date: 27 Jun 2001
PAS
SPLIT AN APPOINTMENT SLOT AND
BOOK ONE OF THE MODIFIED SLOTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
======================================================================
Select Clinic: ACARDI
__________________________________________________________________________
SPLIT AN APPOINTMENT SLOT
AND BOOK ONE OF THE MODIFIED SLOTS
(continued)
SINGLE PATIENT BROWSE SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic: CARDIOLOGY CLINIC/DIVA
Provider: CALDWELL,LORRAINE C.
Date: 27 Jun 2001
======================================================================
* Clinic
* Provider
* Date
Patient
Default Search Criteria
4-112
======================================================================
Select (C)hange Search Criteria, (S)earch Schedule, or (Q)uit: BROWSE: S// <Return>
SINGLE PATIENT BROWSE
Patient:
FMP/SSN:
Clinic: CARDIOLOGY CLINIC/DIVA
Clinic Phone: 202 427-4181
Provider: CALDWELL,LORRAINE C.
Date: 27 Jun 2001
======================================================================
WED 0700 27 Jun 01 NEW
1/0 60 MIN OPEN
WED 0800 27 Jun 01 NEW
1/0 60 MIN OPEN
WED 0 900 27 Jun 01 MULTI 3/1 30 MIN OPEN
WED 0930 27 Jun 01 MULTI 3/0 30 MIN OPEN
WED 1000 27 Jun 01 RET
1/0 30 MIN OPEN
WED 1030 27 Jun 01 FU
1/0 30 MIN OPEN
WED 1100 27 Jun 01 RET
1/0 30 MIN OPEN
WED 1130 27 Jun 01 FU
1/0 30 MIN OPEN
WED 1300 27 Jun 01 NEW
1/0 60 MIN OPEN
WED 1400 27 Jun 01 MULTI 3/0 30 MIN OPEN
+ WED 1430 27 Jun 01 RET
1/0 30 MIN OPEN
======================================================================
Select one slot to Change, Split, Book, or Overbook.
Select multiple consecutive slots to Join.
SPLIT AN APPOINTMENT SLOT AND
BOOK ONE OF THE MODIFIED SLOTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
SPLIT AN APPOINTMENT SLOT
AND BOOK ONE OF THE MODIFIED SLOTS
(continued)
APPOINTMENT SLOTS: 1
SINGLE PATIENT BROWSE - CHANGE
WED 0800 27 Jun 01 NEW
SINGLE PATIENT BROWSE
4-113
Patient:
FMP/SSN:
Clinic:
CARDIOLOGY CLINIC/DIVA
Provider: CALDWELL,LORRAINE C.
Date: 27 Jun 2001
======================================================================
WED 0700 27 Jun 01 NEW
1/0 60 MIN OPEN
* WED 0800 27 Jun 01 NEW
1/0 60 MIN OPEN
WED 0 900 27 Jun 01 MULTI 3/1 30 MIN OPEN
WED 0930 27 Jun 01 MULTI 3/0 30 MIN OPEN
WED 1000 27 Jun 01 RET
1/0 30 MIN OPEN
WED 1030 27 Jun 01 FOL
1/0 30 MIN OPEN
WED 1100 27 Jun 01 RET
1/0 30 MIN OPEN
WED 1130 27 Jun 01 FOL
1/0 30 MIN OPEN
WED 1300 27 Jun 01 NEW
1/0 60 MIN OPEN
WED 1400 27 Jun 01 MULTI 3/0 30 MIN OPEN
+ WED 1430 27 Jun 01 RET
1/0 30 MIN OPEN
======================================================================
Select (C)hange, (S)plit, (B)ook, (V)iew, or (Q)uit: S
Clinic:
Provider:
Division:
Booked appointments:
Maximum overbooks allowed:
Duration:
Day of Week:
Appointment Slot Status:
1/0 30 MIN OPEN
CARDIOLOGY CLINIC/DIVA
CALDWELL,LORRAINE C.
DIVA-TRAINING HOSPITAL
30 minutes
WED
OPEN
Appointment Type: FOL
Number of patients: 1
Appointment Slot Comment: SPLIT SLOT
File changes and exit.
SPLIT AN APPOINTMENT SLOT AND
BOOK ONE OF THE MODIFIED SLOTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
SINGLE PATIENT BROWSE - ADD
SPLIT AN APPOINTMENT SLOT
AND BOOK ONE OF THE MODIFIED SLOTS
(continued)
WED 0830 27 Jun 01
Clinic:
Provider:
Division:
Booked appointments:
Maximum overbooks allowed:
Duration
Day of Week:
Appointment Slot Status:
CARDIOLOGY CLINIC/DIVA
CALDWELL,LORRAINE C.
minutes
WED
OPEN
4-114
Appointment Type: EVAL
Number of patients: 1
Referred By:
Appointment SLOT Comment: SPLIT SLOT
SINGLE PATIENT BROWSE
Patient:
FMP/SSN:
Clinic: CARDIOLOGY CLINIC/DIVA
Provider: CALDWELL,LORRAINE C.
Date: 27 Jun 2001
=====================================================================
WED 0700 27 Jun 01 NEW
1/0 60 MIN OPEN
WED 0730 27 Jun 01 NEW
1/0 60 MIN OPEN
* WED 0800 27 Jun 01 MULTI 3/1 30 MIN OPEN
SPLIT SLOT
* WED 0815 27 Jun 01 MULTI 3/0 30 MIN OPEN
SPLIT SLOT
WED 0900 27 Jun 01 RET
1/0 30 MIN OPEN
WED 0930 27 Jun 01 FOL
1/0 30 MIN OPEN
WED 1000 27 Jun 01 RET
1/0 30 MIN OPEN
WED 1030 27 Jun 01 FOL
1/0 30 MIN OPEN
WED 1100 27 Jun 01 NEW
1/0 60 MIN OPEN
WED 1130 27 Jun 01 MULTI 3/0 30 MIN OPEN
+ WED 1300 27 Jun 01 RET
1/0 30 MIN OPEN
======================================================================
Select (J)oin, (B)ook, (V)iew, or (Q)uit: B
Select Patient Name: SANDERS,ALLAN
File changes and exit.
SPLIT AN APPOINTMENT SLOT AND
BOOK ONE OF THE MODIFIED SLOTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
SPLIT AN APPOINTMENT SLOT
AND BOOK ONE OF THE MODIFIED SLOTS
(continued)
DEMOGRAPHICS DISPLAY
Name: SANDERS, ALLAN A
Patient Category: USA AD OFFICER
Patient Type:
MCP Status:
ACV:
Direct Care: ELIGIBLE
FMP/SSN:
DDS:
Sex:
DOB/Age:
DMIS ID:
Medicare:
20/600-60-6501
MALE
16 Mar 1975/26Y
FILE APPOINTMENT
Patient: SANDERS,ALLAN
FMP/SSN: 20/600-60-6501
Clinic: CARDIOLOGY CLINIC/DIVA
Clinic Phone: 202 427-4181
Provider: CALDWELL,LORRAINE C.
Date: 27 Jun 2001
======================================================================
WED 0800 27 Jun 03 RET
1/0 30 MIN OPEN
SPLIT SLOT
WED 0830 27 Jun 03 RET
1/0 30 MIN OPEN
SPLIT SLOT
NOT ELIGIBLE
--------------------
4-115
Sponsor Name:
Station/Unit:
Home Address:
City:
ZIP Code:
Duty Phone:
Registration Comment:
Last Registration Date:
Outpatient Record Room:
MCP Enroll Date:
Primary Care Manager:
Primary OHI:
SANDERS, ALLAN A
Rank:
Research Mgmt Washington
DSN:
123 ELM ST.
SAN DIEGO
State:
92122
Home Phone:
222-1234
Work Phone:
CAPTAIN
============================ Select Slot #1 of 2 ============================
Select (D)elete/Print appointment orders/Wait List requests,
(B)ook appt, (S)kip appt, (V)iew, or (Q)uit FILE APPOINTMENT: S
CALIFORNIA
222-2345
222-1234
11 Nov 1999@0736
NOT ASSIGNED
End Enroll Date:
PCM Phone:
Case Mgmt:
------------------------------------------------------------------------------------------------------------------------------------------------
Select (F)ull, (M)ini, (N)ew Patient, (C)ontinue, or (Q)uit DEMO: C// <Return>
SPLIT AN APPOINTMENT SLOT AND
BOOK ONE OF THE MODIFIED SLOTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
SPLIT AN APPOINTMENT SLOT
AND BOOK ONE OF THE MODIFIED SLOTS
(continued)
PATIENT APPOINTMENT: SANDERS,ALLAN
WED 0830 27 Jun 01 RET
FILE APPOINTMENT
Patient: SANDERS,ALLAN
FMP/SSN: 20/600-60-6501
Clinic: CARDIOLOGY CLINIC/DIVA
Provider: CALDWELL,LORRAINE C
Date: 27 Jun 2001
======================================================================
+ WED 0830 27 Jun 03 RET
1/0 30 MIN OPEN
SPLIT SLOT
30 MIN OPEN
SPLIT SLOT
Hand-carry Patient records.
Clinic Message:
Clinic/Appt. Type Instructions:
Provider Message:
Provider/Appt. Type Instructions:
Arrival Message: 10 minutes
Registration Comment:
MEPRS Code: BACA
Requesting Service:
Referred By:
Send Reminder Notice: NO
Appointment Comment:
Reason for Appointment:
============================ Select Slot #2 of 2 ============================
Select (D)elete/Print appointment orders/Wait List requests,
(B)ook appt, (S)kip appt, (V)iew, or (Q)uit FILE APPOINTMENT: B
4-116
ASK FOR HELP = HELP
1/0
FILE APPOINTMENT
SCREEN EXIT = F10
File changes and exit.
SPLIT AN APPOINTMENT SLOT AND
BOOK ONE OF THE MODIFIED SLOTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PAS
SPLIT AN APPOINTMENT SLOT
AND BOOK ONE OF THE MODIFIED SLOTS
(continued)
SINGLE PATIENT BROWSE SEARCH CRITERIA
Patient: SANDERS,ALLAN
FMP/SSN: 20/600-60-6501
Clinic: CARDIOLOGY CLINIC/DIVA
Clinic Phone:
Provider: CALDWELL,LORRAINE C.
Date: 27 Jun 2001
======================================================================
Notes:
• When you split a slot, the system allows you to change the appointment type
originally designated for this slot.
• You can specify a different appointment type for each of the two newly
created slots to accommodate your scheduling requirements.
• Before the system allows you to change an appointment type, it verifies that
the appointment type specified for the newly split slot is valid for the
schedule’s provider.
• If the appointment type specified is not currently set up in the provider’s
profile, the system will not allow you to change the appointment type.
4-117
======================================================================
Select (C)hange Search Criteria, (S)earch Schedule, or (Q)uit BROWSE: C// Q
• In addition to changing the appointment type, the system will allow you to
enter a slot comment that will be used for both new slots.
BOOKING SEARCH CRITERIA
Patient: SANDERS,ALLAN
FMP/SSN: 20/600-60-6501
Clinic: CARDIOLOGY CLINIC/DIVA
Provider: CALDWELL,LORRAINE C.
Date: 27 Jun 2001
======================================================================
Device: [device]
Right Margin: 80// <Return>
PAS
SPLIT AN APPOINTMENT SLOT AND
BOOK ONE OF THE MODIFIED SLOTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
======================================================================
Remind patient of other appointments/Wait List requests? Yes// <Return>
__________________________________________________________________________
TELEPHONE CONSULTS
The Telephone Consult option integrates the PAS and Clinical software. It allows
a user to create a new telephone consult for a patient with a specific provider in a
clinic, review and/or update existing telephone consults, redirect an existing
telephone consult that has not yet been read to a different provider in the same
clinic, print the telephone consult for the provider, or delete an existing telephone
consult that has not been read by the provider.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ USV
ALTERNATE
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ BOK
• Select the (T)el-Consult action: T
• Save the default selection criteria.
CLERK ENTRY: 21 Jun 2001@1024TELEPHONE-CONSULTATION
Patient: SANDERS,ALLAN A
FMP/SSN: 20/600-60-6501
Home Phone: 703-555-9001
Duty Phone: 202-555-6802
Work Phone: 202-555-6802
Provider: ADDAMS,HENRY W
Outpatient Volume:
===============================================================
Clinic: GENERAL MEDICINE CLINIC
MEPRS Code:
Clerk’s Note:
Clerk Name: MCP, FMF
Date/Time: 21 Jun 2001@1024
THE NOTE IS ENTERED HERE.
• Select the (C)hange the TEL-CON criteria action: <Return>
4-118
• Select the Clinic criterion: <Select>
• Activate the selection: <Return>
Ask for Help = HELP
Screen Exit = F10
File/Exit = DO
INSERT OFF
• Select the clinic: [clinic name]
• Select the (C)hange the TEL-CON criteria action: <Return>
Quick Reference Guides
• Activate the selections: <Return>
• Select and confirm patient name: [name]
• File the data.
• Confirm the default MEPRS code.
• Pull the patient’s medical record? Yes or No
• Select the (C)ontinue action from the Demographics Display screen.
• Select and confirm the provider: [provider]
PAS
TELEPHONE CONSULTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• Mark all criteria except Clinic.
• Complete the Clerk’s note.
TELEPHONE CONSULTS (continued)
To redirect an existing telephone consult to another provider in the same
clinic:
To add a note to an existing telephone consult:
• Select the (R)edirect action: R
4-119
TELEPHONE-CONSULTATION SEARCH CRITERIA
Patient: SANDERS,ALLAN A
FMP/SSN: 20/600-60-6501
Clinic: GENERAL MEDICINE CLINIC/DIVA
Appt Type: TELEPHONE CONSULT
Clinic Phone: 202-427-7112
Provider: ADDAMS, HENRY W
Service:
Time Range: 2118 to 2118
Duration:
Dates: 21 Jun 2001 to 21 Jun 2001
Days of Week:
-----------------------------------------------------------------------------------------------------------------------------------------------
TELEPHONE-CONSULTATION SEARCH CRITERIA
Patient: SANDERS,ALLAN A
FMP/SSN: 20/600-60-6501
Clinic: GENERAL MEDICINE CLINIC/DIVA
Appt Type: TELEPHONE CONSULT
Provider: ADDAMS, HENRY W
Service:
Time Range: 2220 to 2220
Duration:
Dates: 21 Jun 2001 to 21 Jun 2001
Days of Week:
-----------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------Select (C)hange the TEL-CON criteria, (N)ew Patient, (A)dd, (P)rint, (V)iew,
(R)edirect, (D)elete, or (Q)uit TEL-CON: A
----------------------------------------------------------------------------------------------------------------------------------------------Select (C)hange the TEL-CON criteria, (N)ew Patient, (A)dd, (P)rint, (V)iew,
(R)edirect, (D)elete, or (Q)uit TEL-CON: R
• Select the (A)dd action: A
• Complete the Clerk’s note.
• File the data.
Note: This prompt will not appear if the patient’s medical record had been
requested by the clerk entering the previous note.
• Quit and return to the Clerk Scheduling Menu.
Notes:
• PAS clerks may enter telephone consults, redirect them, or update an existing
telephone consult. When a clerk enters a new telephone consult or redirects
an existing one, the system will display a new telephone consults notification
at provider sign-on and on the provider's Clinical Desktop. When a PAS clerk
creates a new telephone consult, or updates an existing telephone consult, the
PAS clerk may also request that the patient's medical records be sent to the
specified clinic.
PAS
TELEPHONE CONSULTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• Pull the patient’s medical record? Yes or No.
• Select and verify the new provider information: [provider]
TELEPHONE CONSULTS (continued)
• A completed telephone consult is considered a separate appointment and may
count as a clinic visit if the provider, using the Clinical functionality, sets the
workload status to count.
• A PAS-initiated telephone consult will have an appointment status of OCCSVC (a non-count status) until the provider completes it. Upon completion,
the appointment status changes to TEL-CON. The provider determines
whether the TEL-CON will be COUNT or NON-COUNT for workload
statistics.
• When entering many telephone consults for a single clinic, it is recommended
that you follow this time-saving procedure:
4-120
– Set up the clinic first by selecting the Clinic criterion. Enter the clinic
name.
• The system automatically defaults to the division of the patient's outpatient
medical record room. If the patient does not have an outpatient record room
entered, the following message is displayed:
Records can’t be pulled. No Outpatient Record Room entered.
• The Borrower is automatically set to the clinic to which the specified provider
is associated. The Requested Records Division of Requestor is automatically
set to the user's current division.
• If the patient has no records, the system displays the message - Patient has no
records - above the action bar.
• A provider must be in the clinic Provider Profile and also entered as a user of
the system in order to receive a telephone consult.
– Re-select the (C)hange the TEL-CON criteria action from the action bar.
• A receiving provider may forward the telephone consult to a provider outside
of the clinic Provider Profile. When the receiving provider completes the
TEL-CON, the workload is credited to the generic TELCON, PROVIDER.
– Select the Patient, Provider, and Default Search Criteria options. Enter the
appropriate information for the Patient and Provider options.
• Every provider who will be receiving telephone consults requires the TCON* appointment type in the Provider Profile.
– Select to Save the Default Search Criteria.
The Pull Patient’s Medical Record Prompt
• When a user responds YES to the - Do you want the patient's medical record
pulled? - prompt, the system goes directly into the Medical Record Tracking
functionality. From here the user requests the specified patient's medical
record.
PAS
TELEPHONE CONSULTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
This procedure will preset the system to prompt the user for the Patient and
Provider information ONLY each time a new telephone consult search is
initiated.
UNANSWERED TELEPHONE CONSULTS
-
Allows you to view all previously
entered clerk notes for an existing
telephone consult. This action is
helpful when following-up on a
previously entered telephone
consult.
(R)edirect
-
Allows you to redirect an
unanswered telephone consult to
another provider in the same clinic.
The (R)edirect action does not
appear on the “smart action bar” if
the telephone consult has been read
by the specified provider.
(D)elete
-
Allows you to delete a telephone
consult. A consult may be deleted
only if it has not yet been read by the
specified provider. The (D)elete
action does not appear on the “smart
action bar” if the telephone consult
has been read by the specified
provider.
(Q)uit TEL-CON
-
Allows you to quit the Telephone
Consult process and return to the
Unscheduled Visit Search Criteria
screen.
ALTERNATE
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ USV
PAS clerks may generate a list of old unanswered telephone consults by clinic,
provider, or patient for a specific date range by accessing option 8 on the
Operational Reports (ORM) Menu. Refer to Quick Reference Guide:
Unanswered Telephone Consults Report, for more information.
Unanswered telephone consults are those which the provider has not read or
completed. The provider may read a telephone consult without completing it.
The provider may print the message and save it until the patient's medical record
arrives.
4-121
If, after entering the search criteria, the system locates an unanswered telephone
consult, the Telephone Consultation Search Criteria action bar displays with the
following actions:
Quick Reference Guides
(C)hange the TEL-CON criteria
-
Allows you to change the search
criteria.
(N)ew Patient
-
Allows you to enter a telephone
consult for a new patient with the
selected provider and clinic
information.
(A)dd
-
Allows you to update an existing
telephone consult. Each new set of
clerk notes will show on the view
action. Previously entered clerk
notes cannot be edited.
(P)rint
-
Allows you to print the existing
telephone consult to an output device
for the specified provider.
PAS
UNANSWERED TELEPHONE CONSULTS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
(V)iew
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ BOK
THE UNANSWERED TELEPHONE
CONSULTS REPORT
The Unanswered Telephone Consult Report by Patient - This report lists the
clinic, provider, date/time of the initial telephone consult, and the status (i.e.,
updated, new, read) for each unanswered telephone consult for the patient.
The Unanswered Telephone Consults Report (8) option is located on the
Operational Reports Menu.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ ORM ➔ 10
This report is also located on the Problem Avoidance Reports Menu located on
the Management Reports Menu.
ALTERNATE
MENU PATH:
PAS System Menu ➔ Scheduling Supervisor Menu ➔
MGRM ➔ PMGR ➔ 4
4-122
This report is used to generate a list of unanswered telephone consults by clinic,
provider or patient. Individual sites can set the Site Parameters to determine the
number of days before an unanswered telephone consult becomes “old.”
Unanswered Telephone Consult Report by Clinic - This report lists the patient
name, FMP/SSN, date/time of the initial telephone consult, and the status (i.e.,
updated, new, read) for each unanswered telephone consult by individual
provider within the specified clinic.
This report also gives the total number of unanswered Telephone Consults by
provider and by clinic.
This report also gives the number of unanswered Telephone Consults for the
specified provider by clinic and then the total number of unanswered telephone
consults for the specified provider in all the clinics.
PAS
THE UNANSWERED TELEPHONE
CONSULTS REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Unanswered Telephone Consult Report by Provider - This report lists the
patient name, FMP/SSN, date/time of the initial telephone consult, and the status
(i.e., updated, new, read) for each unanswered telephone consult by individual
clinics for the specified provider.
UNSCHEDULED VISITS
The Unscheduled Visit option allows you to check-in a patient for a walk-in visit,
telephone consultation, and/or sick-call. If the patient is unregistered at your
facility, this option allows you to register the patient.
MENU PATH: PAS System Menu ➔ Clerk Scheduling Menu ➔ USV
OPTION PATH:
SELECT (W)alk-in ➔ SELECT Walk-In Criteria ➔
COMPLETE mini registration (optional) ➔ PROCESS
walk-in criteria ➔ PRINT an encounter form (optional)
4-123
UNSCHEDULED VISIT SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic:
Appt. Type:
Clinic Phone:
Provider:
Service:
Time Range: 1529 to 1529
Duration:
Dates: 21 Jun 2001 to 21 Jun 2001
Days of Week:
======================================================================
WALK-IN SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic:
Appt. Type:
Clinic Phone:
Provider:
Service:
Time Range: 1816 to 1816
Duration:
Dates: 21 Jun 2001 to 21 Jun 2001
Days of Week:
======================================================================
Patient
Clinic
Provider
Appointment Type
Default Search Criteria
======================================================================
Use <Select> key to select SEARCH CRITERIA to be changed
Quick Reference Guides
Select (W)alk-In, (S)ick-Call, (T)ele-Consult, (D)EERS-Check, (Q)uit: W// <Return>
Patient, Clinic, and Appointment Type are REQUIRED
Select (C)hange the WALK-IN criteria, or (Q)uit WALK-IN: C// <Return>
PAS
UNSCHEDULED VISITS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
======================================================================
UNSCHEDULED VISITS (continued)
WALK-IN SEARCH CRITERIA
FMP/SSN:
Appt. Type:
Patient:
Clinic:
Clinic Phone:
Provider:
Service:
Time Range: 1816 to 1816
Duration:
Dates: 21 Jun 2001 to 21 Jun 2001
Days of Week:
======================================================================
*
*
*
Patient
Clinic
Provider
Appointment Type
Default Search Criteria
4-124
======================================================================
Select Patient Name: SABATINI,ARTHUR
Are you adding SABATINI,ARTHUR as a new PATIENT? Y (YES)
Sponsor Name: SABATINI,APRIL
Are you adding ‘SABATINI,APRIL’ as a new SPONSOR? Y
Personal Data - Privacy Act of 1974 (PL 93-579)
Sponsor Name: SABATINI,APRIL
Patient - Initial Information
Sponsor SSN: 800-80-0706
======================================================================
Patient Name: SABATINI,ARTHUR
Patient FMP: 01
Patient DOB: 06 Jul 1980
Patient SSN: 563-56-8680
Verify SSN: 563-56-8680
Patient Pat Cat: N41
Note:
At this point, the system presents the Mini Registration displays, so that both the
sponsor and /or patient can be registered into CHCS. Only after registration is
accomplished and a DEERS check is successfully run, will the patient continue
to be checked in as a Walk-in patient. See Quick Reference Guides: Mini
Registration and DEERS Check.
File the changes.
PAS
UNSCHEDULED VISITS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PATIENT: SABATINI,ARTHUR
Sponsor - Initial Information
======================================================================
Sponsor: SABATINI,APRIL
Sponsor FMP: 20
Sponsor DOB: 26 Feb 1957
Sponsor SSN: 563-56-8682
Verify Sponsor SSN: 563-56-8682
Sponsor Pat Cat: N11
UNSCHEDULED VISITS (continued)
WALK-IN SEARCH CRITERIA
FMP/SSN:
Appt. Type:
Patient:
Clinic:
Clinic Phone:
Provider:
Service:
Time Range: 1816 to 1816
Duration:
Dates: 21 Jun 2001 to 21 Jun 2001
Days of Week:
======================================================================
*
*
*
Patient
Clinic
Provider
Appointment Type
Default Search Criteria
4-125
======================================================================
Select Patient Name: SABATINI,ARTHUR
Are you adding SABATINI,ARTHUR as a new PATIENT? Y (YES)
Sponsor Name: SABATINI,APRIL
Are you adding ‘SABATINI,APRIL’ as a new SPONSOR? Y
Personal Data - Privacy Act of 1974 (PL 93-579)
Sponsor Name: SABATINI,APRIL
Patient - Initial Information
Sponsor SSN: 800-80-0706
======================================================================
Patient Name: SABATINI,ARTHUR
Patient FMP: 01
Patient DOB: 06 Jul 1980
Patient SSN: 563-56-8680
Verify SSN: 563-56-8680
Patient Pat Cat: N41
Note:
At this point, the system presents the Mini Registration displays, so that both the
sponsor and /or patient can be registered into CHCS. Only after registration is
accomplished and a DEERS check is successfully run, will the patient continue
to be checked in as a Walk-in patient. See Quick Reference Guides: Mini
Registration and DEERS Check.
File the changes.
PAS
UNSCHEDULED VISITS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
PATIENT: SABATINI,ARTHUR
Sponsor - Initial Information
======================================================================
Sponsor: SABATINI,APRIL
Sponsor FMP: 20
Sponsor DOB: 26 Feb 1957
Sponsor SSN: 563-56-8682
Verify Sponsor SSN: 563-56-8682
Sponsor Pat Cat: N11
UNSCHEDULED VISITS (continued)
WALK-IN CRITERIA
Patient:
FMP/SSN: 20/600-60-6501
Clinic: CARDIOLOGY CLINIC/DIVA
Appt. Type:
Clinic Phone: 202 427-4181
Provider:
Service:
Time Range: 1520 to 1520
Duration:
Dates: 21 Jun 2001 to 21 Jun 2001
Days of Week:
======================================================================
• When checking in an inpatient for an unscheduled visit into an outpatient
clinic, the prompt - Is this clinic visit related to inpatient episode of care?
No// - is displayed. A Yes response categorizes this as a Noncount visit for
the outpatient clinic and provider. A No response categorizes this as a Count
visit for the outpatient clinic and provider.
======================================================================
Patient, Clinic, and Appointment Type are REQUIRED
(C)hange the WALK-IN criteria, (N)ew patient, or (Q)uit WALK-IN: N// Q
4-126
Notes:
• Patient, clinic, and appointment type are still required fields.
• You can select Default Search Criteria when entering this option and setting
up the initial search criteria.
Quick Reference Guides
• After you use the <Select> key to mark Patient as one of your required fields
you will have the option of updating the patient’s registration information.
• Provider is not required when processing walk-in patients. If you do not enter
a provider during walk-in, you must include a provider during End-of-Day
processing.
• Before exiting the option, you may print the patient’s Encounter Form
(SF 600).
PAS
UNSCHEDULED VISITS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• The USV option allows you to add and register a new patient who has never
been to this facility.
ADD AN AGREEMENT EXCEPTION TO A PROVIDER
GROUP PROFILE
The Agreement Exceptions action allows you to modify an existing group
agreement for an individual provider.
Notes:
• The modified data affects only this provider. The original data still applies to
all other participating providers.
The Agreement Exception action bar contains the following actions:
MENU PATH: PAS System Menu ➔ MAN ➔ PMCP ➔ INET
After you access the INET option, take the following steps:
Enter the provider name.
Access the Agreement Maintenance action bar.
Select the Agreement eXception action.
Select the Edit action.
4-127
PROVIDER GROUP AGREEMENT HISTORY
Provider: PRIMROSE,ZELDA C
Provider Group: INDIGO MG
-----------------------------------------------------------------------------------------------------------------------------------------------
• (E)dit - Edits the following agreement data for an individual provider:
Effective Date, Stop Date, Overall Discount, FI Notified.
• (P)articipation Status - Adds or removes a participation exception for a
provider.
• (S)pecialty Exceptions - Enters or edits specialty exceptions on an active
agreement.
• (C)PT-4 Exceptions - Enters or edits procedure exceptions on an active
agreement.
• Enrollment (M)ix - Enters or edits the PCM capacity of the individual
provider on an active agreement.
Agreement
Effective
Overall
FI
Type
Date
Stop Date
Discount
Notified
Except PCM
----------------------------------------------------------------------------------------------------------------------------------------------21 Jun 2001
20 Jun 2002
CA- 10%
21 Jun 2001
* SUP
Modify the data for the selected agreement.
MCP
ADD AN AGREEMENT EXCEPTION TO A
PROVIDER GROUP PROFILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Select the agreement to modify for this provider.
ADD AN AGREEMENT TO A PROVIDER
GROUP PROFILE
Add an agreement.
PROVIDER GROUP AGREEMENT HISTORY
The Group Profile/Agreements option allows you to add a new group agreement.
MENU PATH: PAS System Menu ➔ MAN ➔ PMCP ➔ GNET
After you access this option and enter the MCP Provider Group name, the
following screen displays:
PROVIDER: PRIMROSE,ZELDA C
Agreement
Effective
Overall
FI
Type
Date
Stop Date
Discount
Notified
----------------------------------------------------------------------------------------------------------------------------------------------NET
21 Jun 2001
21 Jun 2002
CA- 18%
21 Jun 2001
SUP
<--- NEW agreement may be added here
IND PROF4
INDIVIDUAL PROVIDER PROFILE
Provider Group: INDIGO MG
===========================================================
4-128
Short Group ID: INDMG
Tax ID#: 3948394
Provider Type: NETWORK PROVIDER GROUP
Enter effective date, overall discount category code, and percentage of discount.
PERIOD OF AGREEMENT: 21 Jun 2001
Provider Group: INDIGO MG
------------------------------------------------------------------------------------------------------------------------------------------------
Agreement
Type
1405 DARBY STREET
20307
WASHINGTON
DISTRICT OF COL
Payment Contact: INEZ,AMY
202 544-0923
INTERNAL MEDCINE CLINIC
Quick Reference Guides
Review the Provider Group Places of Care screen and press <Next Screen>
GRP AGREE2
PROVIDER GROUP OVERALL DISCOUNT
Effective
Date
Stop Date
Overall
Discount
FI
Notified
Except
PCM
=================================================================================
SUP
21 Jun 2001
20 Jun 2002
UC -10%
Notes:
• If the agreement type is the same as a previously entered agreement, the
effective date of the new agreement must be later than the stop date of the
previous agreement.
• The CPZ AGRMOD security key is required to edit existing agreement
effective dates.
MCP
ADD AN AGREEMENT TO A PROVIDER
GROUP PROFILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Payment Address 1:
Payment Address 2:
Payment Zip:
Payment City:
Payment State:
Payment Phone:
Place of Care:
Provider Group: INDIGO MG
-----------------------------------------------------------------------------------------------------------------------------------------------
APPOINTMENT REFERRAL BOOKING
The Appointment Referral Booking option allows you to generate and book
specialized health care appointment referrals for both enrolled and non-enrolled
patients to both MTF and non-MTF health care providers.
MENU PATH: PAS System Menu ➔ MAN ➔ HMCP ➔ AHCF
Patient:
Patient Category:
DOB/Age: unk/
Case Mgmt:
Patient Type:
PCM:
APPOINTMENT REFFERAL BOOKING
FMP/SSN: /
Pat SSN: -DDS:
Sex:
MCP Status:
PCM Phone:
-
Notes:
• DEERS PROCESSING. The system automatically performs a DEERS
Eligibility Query to see if the patient has not received a positive response from
DEERS within the past five days:
– If the patient was DEERS eligible or the override code was used, the
system displays the Current DEERS Eligibility screen. You can either
repeat the inquiry or go on to the patient’s Demographics Display screen.
-
4-129
Referral#
Date/Time
Provider
Specialty
Status
-----------------------------------------------------------------------------------------------------------------------------------------------
– If the patient was DEERS ineligible, the system runs another inquiry and
displays the DEERS Eligibility screen.
* If the patient is eligible, you can print the data and/or go to the
Demographic Display screen.
* If the patient in ineligible, you can override the ineligibility and
continue on to the Demographics Display screen.
Quick Reference Guides
• Select Patient action.
• Enter Patient Name.
• Verify Sponsor Name.
MCP
APPOINTMENT REFERRAL BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
----------------------------------------------------------------------------------------------------------------------------------------------Select PATIENT NAME: PICARD,ZACHARY E
20/379-43-6114 31 May 1955 M AE5
OK? YES// (YES)
SPONSOR NAME: PICARD,ZACHARY E//
APPOINTMENT REFERRAL BOOKING (continued)
4-130
DEMOGRAPHICS DISPLAY
Name: PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
Patient Category: USA AD ENLISTED
DDS:
Patient Type: MCP/ACTIVE DUTY
Sex: MALE
MCP Status: ENROLLED
DOB/Age: 31 May 1955/35Y
ACV: A-ACTIVE DUTY/MCP ENROLLED
DMIS ID: 6015
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
----------------------------------------------------------------------------------------------------------------------------------------------Sponsor Name: PICARD,ZACHARY E
Rank: SERGEANT
Station/Unit: FORT BELVOIR
DSN:
Home Address: 814 CARMINE ST.
City: ARLINGTON
State: VIRGINIA
ZIP Code: 22222
Home Phone: 703-622-5234
Duty Phone:
Work Phone:
Registration Comment:
Last Registration Date:
21 Jun 2001@1311
Outpatient Record Room:
MEDICAL RECORDS FILE ROOM
MCP Enroll Date:
21 Jun 2001
End Enroll Date: 21 Jun 2002
Primary Care Manager:
ESPOSITO,FRANK M
PCM Phone: 202 271-5850
Primary OHI:
Case Mgmt: NO
----------------------------------------------------------------------------------------------------------------------------------------------Select (F)ull, (M)ini, (E)nrollment, (O)HI, (P)CM, Ca(s)e, F(a)mily,
(D)isenroll, (H)istory, (N)ew Patient, (C)ontinue, or (Q)uit DEMO: C//
Notes:
Patient:
Patient Category:
DOB/Age:
Case Mgmt:
Patient Type:
PCM:
APPOINTMENT REFERRAL BOOKING
PICARD,ZACHARY E
FMP/SSN:
USA AD ENLISTED
Pat SSN:
31 May 1955/35Y
DDS:
Sex:
MCP/ACTIVE DUTY
MCP Status:
ESPOSITO,FRANK M
PCM Phone:
20/379-43-6114
379-43-6114
MALE
ENROLLED
202 271-5850
Referral#
Date/Time
Provider Specialty
Status
_____________________________________________________________________________________
------------------------------------------------- No Appointment Referrals found--------------------------------------------------Select (P)atient, (A)dd, or (Q)uit: A//
• Select the Add action.
Note:
• THE APPOINTMENT REFERRAL PROCESSING SCREEN. The
(M)odify action only appears on the action bar if the patient has previous
appointments.
MCP
APPOINTMENT REFERRAL BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• THE DEMOGRAPHIC DISPLAY SCREEN. You need a security key to
access the Ca(s)e action: which are used to enter an exception provider for a
case management and (o)HI patient or other health insurance information.
• Select the Continue action.
APPOINTMENT REFERRAL BOOKING (continued)
• Complete the Interview/Referral screens.
MCP REFERRAL: 200100045
Patient: PICARD,ZACHARY E
Patient Category: USA ACTIVE DUTY OFFICER
DOB/Age: 19 Feb 1966/35Y
FMP/SSN:
Pat SSN:
DDS:
Sex:
City:
ZIP Code:
D Phone:
INTERVIEW/REFERRAL
20/379-43-6114
379-43-6114
4-131
Male
Street: 862 WEST WYLAND DR
FAIRFAX
State: VIRGINIA
22030
H Phone: 918-555-0287
202-555-6802
W Phone: 202-555-6802
PCM: ESPOSITO,FRANK M
PCM Phone: 303 271-5850
Case Mgmt Provider:
Case Mgmt:
==================================================================================
Referral Number: 200100045
Referral Date/Time: 21Jun01@1434
MCP Status: ENROLLED
Patient Type: MCP/ACTIVE DUTY
Specialty: OCCUPATIONAL THERAPY
Location: 20307
Requested Start Time: 0900
Requested Stop Time: 1400
Days of the Week: M TU W TH F
Number of Visits: 1
Treatment Start Date: 21 Jun 2001
Treatment Stop Date: 06 Jul 2001
Priority: ROUTINE
Gender Preference:
Language:
Primary OHI:
Ask for Help = HELP
Screen Exit = F10
File/Exit = DO
MCP REFERRAL: 200100045
INTERVIEW/REFERRAL -- CONTINUED
Patient: PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
Patient Category: USA ACTIVE DUTY OFFICER
Pat SSN:
379-43-6114
DOB/Age: 19 Feb 1966/35Y
DDS:
Patient Type: MCP/ACTIVE DUTY
Sex: MALE
MCP Status: ENROLLED
PCM: ESPOSITO,FRANK M
PCM Phone: 202 271-5850
Case Mgmt Provider:
Case Mgmt:
==================================================================================
Referred By: ESPOSITO,FRANK M
UPIN: ESPOFM
Referral From: BGAZ
Related To:
Reason for Referral:
ACTIVE/PASSIVE ROM EXTREMITIES
Ask for Help = HELP
Screen Exit = F10
File/Exit = DO
INSERT OFF
INSERT OFF
The Location field allows you to enter either the zip code(s), a “wild card” zip
code, or a geographical area as defined in the CHCS Zip Code Combination
MCP
APPOINTMENT REFERRAL BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Note:
APPOINTMENT REFERRAL BOOKING (continued)
MCP REFERRAL: 200100045
INTERVIEW/REFERRAL -- CONTINUED
Patient: PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
Patient Category: USA ACTIVE DUTY OFFICER
Pat SSN:
379-43-6114
DOB/Age: 19 Feb 1966/35Y
DDS:
Patient Type: MCP/ACTIVE DUTY
Sex: MALE
MCP Status: ENROLLED
PCM: ESPOSITO,FRANK M
PCM Phone: 202 271-5850
Case Mgmt Provider:
Case Mgmt:
==================================================================================
Select Provisional Diagnosis:
342.10
SPASTIC HEMIPLEGIA & HEMIPARESIS AFFECTING UNSPECIFIED SIDE
Select Provisional Diagnosis (Free Text):
Patient:
Patient Category:
DOB/AGE:
Patient Type:
MCP Status:
PCM:
Case Mgmt Provider:
ADD APPOINTMENT REFFERAL
PICARD,ZACHARY E
FMP/SSN:
USA ACTIVE DUTY ENLISTED
Pat SSN:
19 Feb 1966/35Y
DDS:
MCP/ACTIVE DUTY
Sex:
ENROLLED
ESPOSITO,FRANK M
PCM Phone:
Case Mgmt:
20/379-43-6114
379-43-6114
MALE
202 271-5850
NO
Referral#
Date/Time
Provider
Specialty
-------------------------------------------------------------------------------------------------------------200100045
OCCUPATIONAL TH
Status
-------------------------------------------------------------------------------------------------------------Select (I)nterview/Referral, (P)rovider, (O)utputs, (D)elete,
or (Q)uit ADD APPOINTMENT REFERRAL: P// <Return>
Select Referral Procedure:
4-132
• Select the Provider action.
--------------------------------------------------------------------------------------------------------------File/exit
Abort
Edit
File changes and exit.
• File the data
Note:
• THE ADD APPOINTMENT REFERRAL SCREEN. A newly created
referral has no appointments linked to it, so the system displays only the
Referral Number and Provider Specialty fields.
Quick Reference Guides
The (N)AS action only appears on the action bar if the specified patient is
CHAMPUS-eligible.
MCP
APPOINTMENT REFERRAL BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
The (E)xception action only appears on the action bar if the specified patient
is a case management patient.
APPOINTMENT REFERRAL BOOKING (continued)
The requested appointment type must match the appointment types that are
defined in the Master Appointment Type file. If you do not enter an
appointment type, the system lists all MTF and non-MTF providers who meet
the other search criteria, and displays “MTF” for MTF appointments or the
discount percentage for non-MTF appointments in the DT/DISC column.
4-133
PROVIDER SEARCH
Patient: PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
Patient Category: USA ACTIVE DUTY OFFICER
Pat SSN:
379-43-6114
DOB/Age: 19 Feb 1966/35Y
DDS:
Patient Type: MCP/ACTIVE DUTY
Sex: MALE
MCP Status: ENROLLED
PCM: ESPOSITO,FRANK M
PCM Phone: 202 271-5850
Case Mgmt Provider:
Case Mgmt: NO
Specialty: OCCUPATIONAL THERAPY
Appt Type:
Location: 20307
Start Date: 21 Jun 2001
Stop Date: 06 Jul 2001
Days of Week:
Number of Visits: 1
Priority: ROUTINE
Gender Preference:
Language:
Primary OHI: NOT ASSIGNED
------------------------------------------------------------------------------------------------------------------------------------------------
Patient:
Patient Category:
DOB/Age:
Patient Type:
MCP Status:
PCM:
Case Mgmt Provider:
Specialty:
Location:
Start Date:
Days of Week:
Priority:
Language:
PROVIDER SEARCH
PICARD,ZACHARY E
FMP/SSN:
USA ACTIVE DUTY OFFICER
Pat SSN:
19 Feb 1966/35Y
DDS:
MCP/ACTIVE DUTY
Sex:
ENROLLED
ESPOSITO,FRANK M
PCM Phone:
Case Mgmt:
OCCUPATIONAL THERAPY
Appt Type:
20307
21 Jun 2001
Stop Date:
Number of Visits:
ROUTINE
Gender Preference:
Primary OHI:
20/379-43-6114
379-43-6114
MALE
202 271-5850
NO
06 Jul 2001
1
NOT ASSIGNED
Provider
CS Cat
Agr Place of Care
Zip
1st Available Appt
------------------------------------------------------------------------------------------------------------------------------* PACHINI,EDWARD
MD
MTF OT MTF
20307
26 Jun 2001@0900
------------------------------------------------------------------------------------------------------------------------------Use the SELECT key to Select the Provider to whom to refer the patient Press F9 to view
Schedule, Discount Summaries, Place of Care, or Watch Codes.
Note:
• THE PROVIDER SEARCH SCREEN. The Provider Search screen
displays all MTF providers first. If you have entered an appointment type,
these MTF provider names are listed by the first available appointments of
that type. Next the system lists all non-MTF providers, who accept the
specified appointment type. The non-MTF providers are listed in order of
highest to lowest discount rate.
MCP
APPOINTMENT REFERRAL BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
-----------------------------------------------------------------------------------------------------------------------------------------------Search for (A)ppt Refusal, (P)rovider Name, (M)TF, (E)xternal, N(o)n-Network,
or (Q)uit Provider Search: P
Select Provider: PACHINI,EDWARD
Select Appt Type: NEW
APPOINTMENT REFERRAL BOOKING (continued)
• Select the Book action.
Network providers are listed on the screen in the following order:
First - MTF providers with appointments available for the appointment
type indicated.
Second - Network individual/group providers.
Third - Only service available providers.
The Date (DT)/Discount rate (Disc) field is variable depending upon whether
the provider is MTF or non-MTF. The date of the first available open
appointment slot of the designated appointment type applies to MTFs only.
The discount rate applies to non-MTFs only.
4-134
• Select the Provider.
Patient:
Patient Category:
DOB/Age:
Patient Type:
MCP Status:
PCM:
Case Mgmt Provider:
Date/Time
Provider
20/379-43-6114
379-43-6114
-----------------------------------------------------------------------------------------------------------------------------Select (C)hange Search Criteria, (B)rowse, (S)ingle Patient, Appt (R)efusal,
(W)ait List Add, (T)el-Consult, or (Q)uit: S// <Return>
MALE
202 271-5850
NO
Specialty
Status
Note:
Quick Reference Guides
-----------------------------------------------------------------------------------------------------------------------------------------------
900000055
OCCUPATIONAL TH
• THE MTF BOOKING SEARCH CRITERIA SCREEN. The system
displays a different booking searching criteria screen depending upon which
type of patient and health care provider you are using:
– Enrolled/MTF - MTF Booking Search Criteria screen.
------------------------------Provider eligibility dates are from 21 Jun 2001 to 06 Jul 2001------------------------------Select (I)nterview/Referral, (P)rovider, (B)ook,(O)utputs, (D)elete,
(A)ppt Refusal, or (Q)uit ADD APPOINTMENT REFERRAL: B// <Return>
MCP
APPOINTMENT REFERRAL BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Referral#
ADD APPOINTMENT REFFERAL
PICARD,ZACHARY E
FMP/SSN:
USA ACTIVE DUTY OFFICER
Pat SSN:
19 Feb 1966/35Y
DDS:
MCP/ACTIVE DUTY
Sex:
ENROLLED
ESPOSITO,FRANK M
PCM Phone:
Case Mgmt:
MTF BOOKING SEARCH CRITERIA
Patient: PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
Patient Type: MCP/ACTIVE DUTY
Appt Type:
Clinic: OT MTF/DIVA
Specialty: OCCUPATIONAL THERAPY
Clinic Phone: 202 456-9876
Provider: PAANGA, ABBAS M
Duration:
Location: 20307
Days of Week:
Dates: 21 Jun 2001 to 06 Jul 2001
Time Range: 0900 to 1400
-----------------------------------------------------------------------------------------------------------------------------Referral Number: 900000055
Referral Date/Time: 21 Jun 2001@1338
Patient Type: MCP/ACTIVE DUTY
CCP Status: ENROLLED
Pt Home Phone: 918-555-0287
Pt Duty Phone: 202 555-6802
PCM: ESPOSITO,FRANK M
PCM Phone: 202-555-5850
Priority: ROUTINE
Number of Visits: 1
Appts Booked:
Wait List Requests:
Reason for Referral:
ACTIVE/PASSIVE ROM EXTREMITIES
APPOINTMENT REFERRAL BOOKING (continued)
– Enrolled/Non-MTF - Non-MTF Booking Search Criteria screen.
– Non-Enrolled /MTF - Non-Enrolled MTF Booking Search Criteria screen.
– Non-Enrolled/Non-MTF - Non-Enrolled Non-MTF Booking Search
Criteria screen.
The (W)ait List Add action only appears if the specified clinic maintains an
active Wait List.
Note:
• THE MTF SINGLE PATIENT BOOKING SCREEN. The booking
process varies at this point. If you have chosen an MTF health care provider,
you then choose a scheduled time slot and book to it. If you have chosen a
non-MTF health care provider, you must create an appointment slot and book
to it.
Refer to Quick Reference Guide: Non-Enrolled Booking, for an example of
creating an appointment slot.
• Confirm the selection(s).
• Select the Single Patient action.
4-135
FILE APPOINTMENT
Patient: PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
Patient Type: MTF/ACTIVE DUTY
Appt Type:
Clinic: OT MTF/DIVA
Specialty: OCCUPATIONAL THERAPY
Clinic Phone: 202 456-9876
Provider: PAANGA, ABBAS M
Duration:
Location: 20307
Days of Week:
Dates: 21 Jun 2001 to 06 Jul 2001
Time Range: 0900 to 1400
----------------------------------------------------------------------------------------------------------------------------------------------TUE 0900 26 Jun 01 NEW 1/0
-----------------------------------------------------------Select Slot #1 of 1-----------------------------------------------------------Select (B)ook appt, or (Q)uit FILE APPOINTMENT: B//
• Select appointment slot(s) to book.
MCP
APPOINTMENT REFERRAL BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MTF SINGLE PATIENT BOOKING
Patient: PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
Patient Type: MTF/ACTIVE DUTY
Appt Type:
Clinic: OT MTF/DIVA
Specialty: OCCUPATIONAL THERAPY
Clinic Phone: 202 456-9876
Provider: PAANGA, ABBAS M
Duration:
Location: 20307
Days of Week:
Dates: 21 Jun 2001 to 06 Jul 2001
Time Range: 0900 to 1400
----------------------------------------------------------------------------------------------------------------------------------------------TUE 0900 26 Jun 01 NEW 1/0
TUE 0930 26 Jun 01 NEW 1/0
TUE 1000 26 Jun 01 NEW 1/0
TUE 1030 26 Jun 01 NEW 1/0
TUE 1100 26 Jun 01 NEW 1/0
TUE 1130 26 Jun 01 NEW 1/0
THU 0900 28 Jun 01 NEW 1/0
THU 0930 28 Jun 01 NEW 1/0
+ THU 1000 28 Jun 01 NEW 1/0
----------------------------------------------------------------------------------------------------------------------------------------------Use SELECT key to select appointment(s) to be booked
APPOINTMENT REFERRAL BOOKING (continued)
Note:
• THE FILE APPOINTMENT SCREEN. This screen contains a “smart”
action bar:
Note:
• CONFLICTING APPOINTMENT SLOTS. The system prompts you if
there are overlapping or direct conflict appointments. The system allows you
to override overlapping or appointments in close proximity, but does not allow
you to override a direct conflict. The amount of time allowed before an
overlap becomes a direct conflict is defined by the site.
If overlapping appointments exist, you receive a message before you are
allowed to continue with booking.
• Select the book action.
PATIENT APPOINTMENT: PICARD,ZACHARY E
FILE APPOINTMENT
4-136
TUE 0900 26 Jun 01 NEW1/0
Clinic Message: Arrive 10 minutes early.
Clinic/Appt Type Instructions:
Provider Message:
Provider/Appt Type Instructions:
Arrival Message: 10 minutes
Registration Comment:
– If you have selected more than one appointment in book, the Skip and
View actions also appear on the action bar.
• File the data.
MTF SINGLE PATIENT BOOKING
Patient: PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
Patient Type: MTF/ACTIVE DUTY
Appt Type:
Clinic: OT MTF/DIVA
Specialty: OCCUPATIONAL THERAPY
Clinic Phone: 202 456-9876
Provider: PAANGA, ABBAS M
Duration:
Location: 20307
Days of Week:
Dates: 21 Jun 2001 to 06 Jul 2001
Time Range: 0900 to 1400
-----------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------Remind patient of other appointments/Wait List requests? Yes//
Select DEVICE: RIGHT MARGIN: 80//
----------------------------------------------------------------------------------------------------------------------------------------------File/exit
Abort
Edit
File changes and exit.
• Remind patient of other appointments/Wait List requests.
MCP
APPOINTMENT REFERRAL BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MEPRS Code: DHBA
Requesting Service:
Referred By:
Send Reminder Notice: YES
Appointment Comment:
Reason for Appointment:
– If you have selected only one appointment to book, only the Book and
Quit File Appointment actions appear on the action bar.
APPOINTMENT REFERRAL BOOKING (continued)
• Press <Return> (to continue).
• Enter Device: <Return>
• Enter Right Margin: <Return>
DISPLAY PATIENT APPOINTMENTS
Personal Data - Privacy Act of 1974 (PL 93-579)
FUTURE APPOINTMENTS FOR PICARD,ZACHARY E 20/379-43-6114
CLINIC/DIV
PROVIDER
DATE/TIME
TYPE STATUS
==================================================================================
OT MTF/DIVA
PACHINI, EDWARD 26 Jun 2001@0900 NEW
PENDING
Arrive 10 min early
4-137
WAIT LIST REQUESTS FOR PICARD,ZACHARY E 20/379-43-6114
CLINIC/DIV
TYPE
PRI
DATE IN
TARGET DATE
PROVIDER
==================================================================================
NO WAIT LIST REQUESTS!
Patient:
Patient Category:
DOB/Age:
Patient Type:
MCP Status:
PCM:
Case Mgmt Provider:
ADD APPOINTMENT REFERRAL
PICARD,ZACHARY E
FMP/SSN:
USA ACTIVE DUTY OFFICER
Pat SSN:
19 Feb 1966/35Y
DDS:
MCP/ACTIVE DUTY
Sex:
ENROLLED
ESPOSITO,FRANK M
PCM Phone:
Case Mgmt:
20/379-43-6114
379-43-6114
MALE
202 271-5850
NO
Referral#
Date/Time
Provider
Specialty
Status
_____________________________________________________________________________________
200100046
26 Jun 2001@0900
PACHINI, EDWARD M OCCUPATIONAL TH PENDING
-----------------------------------------------------------------------------------------------------------------------------------------------Select (I)nterview/Referral, (O)utputs, or (Q)uit ADD APPOINTMENT REFERRAL: O//
• Select the Quit action until you return to the Health Care Finder Menu.
Press <RETURN> to continue
APPOINTMENT REFERRAL BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
ASSIGN AN EXCEPTION PROVIDER TO AN MCP
PATIENT FOR CASE MANAGEMENT
This option allows you to assign an MCP patient to an exception provider for case
management.
MENU PATH: PAS System Menu ➔ MAN ➔ EMCP ➔ EENR
Select PATIENT NAME: PEARL,ZACHARY N
20/569-69-4415 22 Apr 1972 M NE7
OK? YES// (YES)
SPONSOR NAME: PEARL,ZACHARY N//
4-138
Name:
Patient Category:
Patient Type:
MCP Status:
ACV:
Direct Care:
DEMOGRAPHICS DISPLAY
PEARL,ZACHARY N
FMP/SSN:
USN ACTIVE DUTY
DDS:
MCP/ACTIVE DUTY
Sex:
PENDING ENROLLMENT
DOB/AGE:
A-ACTIVE DUTY/MCP ENROLLED DMIS ID:
Medicare:
Select the Case action.
CASE MANAGEMENT
Patient: PEARL,ZACHARY N
FMP/SSN: 20/569-69-4415
Patient Category: USN ACTIVE DUTY
DDS: NOT ENTERED
Patient Type: MCP/ACTIVE DUTY
Sex: MALE
MCP Status: PENDING ENROLLMENT
DOB/AGE: 22 Apr 1962/28Y
PCM: FONTANA,LUISA M
Date: 21 Jun 2001
--------------------------------------------------------------------------------------------------------------------------------- --------------Exception Provider
Specialty Start Date
Stop Date
_____________________________ No Exception Providers Assigned______________________________
20/569-69-4415
-----------------------------------------------------------------------------------------------------------------------------Select (E)nter/edit Exception Provider, or (Q)uit Case: E// <Return>
MALE
22 Apr 1962/28Y
6015
-----------------------------------------------------------------------------------------------------------------------------PEARL,ZACHARY N
FLEET COMBAT TRAINING CENTER
Rank: CHIEF PETTY OFFICE
DSN:
State:
Home Phone:
Work Phone:
21 Jun 2001@1342
MEDICAL RECORDS FILE ROOM
21 Jun 2001
End Enroll Date: 21 Jun 2002
FONTANA,LUISA M
PCM Phone: 202 271-5850
Case Mgmt: NO
-----------------------------------------------------------------------------------------------------------------------------Select (F)ull, (M)ini, (E)nrollment, (O)HI, (P)CM, Ca(s)e, F(a)mily,
(D)isenroll, (H)istory, (N)ew Patient, (C)ontinue, or (Q)uit DEMOGRAPHICS: Q// S
MCP
ASSIGN AN EXCEPTION PROVIDER TO AN
MCP PATIENT FOR CASE MANAGEMENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Sponsor Name:
Station/Unit:
Home Address:
City:
ZIP Code:
Duty Phone:
Registration Comment:
Last Registration Date:
Outpatient Record Room:
MCP Enroll Date:
Primary Care Manager:
Primary OHI:
ASSIGN AN EXCEPTION PROVIDER TO AN MCP
PATIENT FOR CASE MANAGEMENT (continued)
CASE MANAGEMENT - ENTER/EDIT
Patient: PEARL,ZACHARY N
FMP/SSN: 20/569-69-4415
Patient Category: USN ACTIVE DUTY
DDS: NOT ENTERED
Patient Type: MCP/ACTIVE DUTY
Sex: MALE
MCP Status: PENDING ENROLLMENT
DOB/AGE: 22 Apr 1962/28Y
PCM: FONTANA,LUISA M
Date: 21 Jun 2001
--------------------------------------------------------------------------------------------------------------------------------- --------------Exception Provider
Specialty
Start Date
Stop Date
______________________________________________________________________________________
PHARIS,DARNELL C
<--- Enter Exception Provider
EXCEPTION PROVIDER: PHARIS,DARNELL C CP EXCEPTION INFORMATION -- CONTINUATION
Patient: PEARL,ZACHARY N
FMP/SSN: 20/569-69-4415
Patient Category: USN ACTIVE DUTY
DDS: NOT ENTERED
Patient Type: MCP/ACTIVE DUTY
Sex: MALE
MCP Status: PENDING ENROLLMENT
DOB/AGE: 22 Apr 1962/28Y
PCM: FONTANA,LUISA M
Date: 21 Jun 2001
==================================================================================
Exception Provider: PHARIS,DARNELL C
Phone: 301 644-4009
Provider Specialty: NEPHROLOGIST
Start Date: 21 Jun 2001
Stop Date: 19 Sep 2001
Condition:
CRITICAL CARE
------------------------------------------------------------------------------------------------------------------------------
4-139
Enter a new Exception Provider or Press <RETURN> to continue
PHARIS,DARNELL C PHARIS,DARNELL C
626-33-6917
OK? YES// <Return>
Are you adding ‘PHARIS,DARNELL C’ as
a new EXCEPTION PROVIDER (the 1st for this MCP PATIENT)? Y
-----------------------------------------------------------------------------------------------------------------------------File/exit Abort
Edit
File changes and exit.
ASSIGN AN EXCEPTION PROVIDER TO AN
MCP PATIENT FOR CASE MANAGEMENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
ASSIGN AN EXCEPTION PROVIDER TO AN MCP
PATIENT FOR CASE MANAGEMENT (continued)
CASE MANAGEMENT - ENTER/EDIT
Patient: PEARL,ZACHARY N
FMP/SSN: 20/569-69-4415
Patient Category: USN ACTIVE DUTY
DDS: NOT ENTERED
Patient Type: MCP/ACTIVE DUTY
Sex: MALE
MCP Status: PENDING ENROLLMENT
DOB/AGE: 22 Apr 1962/28Y
PCM: FONTANA,LUISA M
Date: 21 Jun 2001
-----------------------------------------------------------------------------------------------------------------------------------------------Exception Provider
Specialty
Start Date
Stop Date
-----------------------------------------------------------------------------------------------------------------------------PHARIS,DARNELL C
NEPHROLOGIST
<--- Enter Exception Provider
21 Jun 01
19 Sep 01
Notes:
• You may only assign a provider who is currently defined as an exception
provider (Provider Type = Non-Network Provider) in the MCP Provider
Group Profile.
• At the Provider Specialty prompt, only specialties that are currently defined
in the Provider file for this provider can be entered.
• To view the patient’s exception provider history, move the cursor to the
desired provider, then press <F9>. The Case Management Condition screen
is displayed.
4-140
-----------------------------------------------------------------------------------------------------------------------------Use SELECT Key to select Exception Provider to edit.
Use F9 Key to View History or Press <RETURN> to continue
Return to the Enrollment Processing Menu.
ASSIGN AN EXCEPTION PROVIDER TO AN
MCP PATIENT FOR CASE MANAGEMENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
ASSIGN A PCM TO AN MCP PATIENT
The Enrollment Enter/Edit option allows you to assign a primary care manager
to an MCP-enrolled patient.
MENU PATH: PAS System Menu ➔ MAN ➔ EMCP ➔ EENR
After you enroll a patient into the MCP, the PCM Search Criteria screen is
displayed. (Or you can select the PCM action from the Demographics Display
screen.)
PCM SEARCH CRITERIA
Patient: PEARL,ZACHARY N
FMP/SSN: 20/569-69-4415
Language:
DDS:
Specialty:
DOB/Age: 20 Jun 1975/26Y
PCM:
PCM Gender:
Location:
Date: 21 Jun 2001
4-141
------------------------------------------------------------------------------------------------------
______________________________________________________________________
Select (C)hange Search Criteria, (D)irect PCM Assignment,
(V)iew Family Assignments, or (Q)uit PCM: C//
ASSIGN A PCM TO AN MCP PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
ASSIGN A PCM TO AN MCP PATIENT (continued)
Select the Change Search Criteria action.
PCM SEARCH CRITERIA
Patient: PEARL,ZACHARY N
FMP/SSN: 20/569-69-4415
Language:
DDS:
Specialty:
DOB/Age: 20 Jun 1975/26Y
PCM:
PCM Gender:
Location:
Date: 21 Jun 2001
______________________________________________________________________
* Specialty
* Location
PCM Gender
Patient Language
Default Search Criteria
4-142
____________________________ Specialty and Location are required_____________________________
Use SELECT key to select SEARCH CRITERIA to be changed
• Default Search Criteria.
PCM ASSIGNMENT
Patient: PEARL,ZACHARY N
FMP/SSN: 20/569-69-4415
Language:
DDS:
Specialty: FAMILY PRACTICE/PRIMARY CARE
DOB/Age: 20 Jun 1975/26Y
PCM:
PCM Gender:
Location: 20307
Date: 21 Jun 2001
-----------------------------------------------------------------------------------------------------------------------------------------------Provider
CS Cat Specialty
Agr
Locat
Sex Disc Avail
_____________________________________________________________________________________
ALVAREZ,GILBERT M
MD
FAMILY PRACTICE MTF
20307
M
MTF 496
BALLARD,SHARON M
MD
FAMILY PRACTICE MTF
20307
F
MTF 496
CHUNG,KYLE M
NPC
PRIMARY CARE NUR MTF
20307
M
MTF 497
DOE,ALICE M
MD
FAMILY PRACTICE MTF
20307
F
MTF 500
ESPOSITO,FRANK M
NPC
PRIMARY CARE NUR MTF
20307
M
MTF 497
*FONTANA,LUISA M
PA
FAMILY PRACTICE/ MTF
20307
F
MTF 500
GREENE,JOHN M
PA
FAMILY PRACTICE/ MTF
20307
M
MTF 497
AUSTIN,GILBERT M
MD
FAMILY PRACTICE MTF
20307
M
MTF 496
BATES,SHARON M
MD
FAMILY PRACTICE MTF
20307
F
MTF 496
_____________________________________________________________________________________
Use SELECT key to select PCM to be assigned.
Press F9 Key to view Assignment Preferences, Place of Care, or Watch codes.
• Select Specialty from list and continue.
• Select Location from list and continue.
• OK to file PCM? Yes// <Return>
• Display/print PCM and place of care? No// Y
Quick Reference Guides
• Select DEVICE: <Return> RIGHT MARGIN: 80// <Return>
MCP
ASSIGN A PCM TO AN MCP PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• Select Search PCM.
AUTO ENROLL A PATIENT INTO THE MCP
The Auto Enroll a Patient Into the MCP option allows you to automatically enroll
an active-duty, never-enrolled patient into the MCP when registering the patient
through the Mini Registration option. The Mini Registration option can be
accessed from several subsystem menus.
Refer to the QRG: Mini Registration, for more information.
After completing a mini registration for an active-duty, never-enrolled patient, if
you hold the CPZ AUTO ENROLL security key, you are automatically prompted
to enroll the patient into the MCP.
ACTIVE DUTY AUTO-ENROLLMENT
Patient Name: PRIDE,ZANE N
FMP/SSN: 20/620-20-4110
MCP Status:
______________________________________________________________________________________
Station/Unit: WALTER REED MED HOLD PP
Enrolling Division: DIV A - TRAINING HOSPITAL
Default PCM: ALVAREZ,GILBERT M
Agreement Type: MTF
Max AD Capacity: 477
# AD Assigned: 10
Enrollment Date: 21 Jun 2001
-----------------------------------------------------------------------------------------------------------------------------------------------Accept default PCM? Yes//
Enrolling in MCP...
4-143
The process for auto-enrollment is determined by several factors: if the patient's
UIC is a valid entry in the Unit Ship ID Codes file (8111), and if the patient's UIC
is currently assigned to a default PCM.
You may accept the default PCM, and the patient will be enrolled in the MCP.
AUTO-ENROLLMENT - MATCHING UIC
If you reject the default PCM and select and assign a different PCM, the PCM
managers are notified by mail.
Menu Path: PAS System ➔ MAN ➔ FMCP ➔ RREG ➔ MRDM
If the patient's UIC is a valid entry in the Unit Ship ID Codes file, you are
prompted to automatically enroll the patient.
Enroll in Managed Care?
Note: If the PCM does not have sufficient capacity, the PCM managers are
notified by mail and you are prompted to select and assign another PCM.
Patient Name: PRIDE,ZANE N
FMP/SSN: 20/620-20-4110
MCP Status:
______________________________________________________________________________________
Station/Unit: WALTER REED MED HOLD PP
Enrolling Division: DIV A - TRAINING HOSPITAL
Default PCM: ALVAREZ,GILBERT M
Agreement Type:
MTF
Max AD Capacity: 477
# AD Assigned: 10
Enrollment Date: 21 Jun 2001
-----------------------------------------------------------------------------------------------------------------------------------------------Accept default PCM? Yes// N
MCP
AUTO ENROLL A PATIENT INTO THE MCP
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
The Active Duty Auto-Enrollment screen is displayed. This example shows
an existing default PCM with sufficient capacity to accept the patient.
ACTIVE DUTY AUTO-ENROLLMENT
AUTO ENROLL A PATIENT INTO THE MCP (continued)
ACTIVE DUTY AUTO-ENROLLMENT
Patient Name: PRIDE,ZANE N
FMP/SSN: 20/620-20-4110
MCP Status:
______________________________________________________________________________________
Station/Unit: WALTER REED MED HOLD PP
Enrolling Division: DIV A - TRAINING HOSPITAL
Default PCM: ALVAREZ,GILBERT M
Agreement Type: MTF
Max AD Capacity: 477
# AD Assigned: 10
Enrollment Date: 21 Jun 2001
-----------------------------------------------------------------------------------------------------------------------------------------------Select PCM: FAM MED MTF FAM MED MTF
OK? YES//
4-144
ACTIVE DUTY AUTO-ENROLLMENT - SELECT PCM
You are prompted to automatically enroll the patient and must select and assign
a PCM to the patient using the same methods as described in the previous
screens.
Need to know:
• The auto-enrollment prompt only displays after mini registration when the
patient is active duty and has never been enrolled in MCP before. The autoenrollment prompt does not display for active-duty patients with an MCP
status of Disenrolled.
• Authorized users must have the CPZ AUTO ENROLL security key. Users
who do not hold this key do not see the prompt for auto-enrollment.
• During automatic enrollment, the default PCM, agreement type, maximum
PCM capacity, and number of enrollees assigned default for user acceptance.
• The enrollment date automatically defaults to today's date.
Patient Name: PRIDE,ZANE N
FMP/SSN: 20/620-20-41
MCP Status:
______________________________________________________________________________________
Provider
Specialty
Agr
Locat Sex
Disc
Avail
-----------------------------------------------------------------------------------------------------------------------------------------------* FAM MED MTF
FAMILY PRACTICE
MTF
20307
MTF
125
AUTO-ENROLLMENT - NONMATCHING UIC
If the patient’s UIC is not a valid entry in the Unit Ship ID Codes file, the PCM
managers are notified by mail:
UIC Code does not match CHCS codes. Notifying PCM Managers...
MCP
AUTO ENROLL A PATIENT INTO THE MCP
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
-----------------------------------------------------------------------------------------------------------------------------------------------Display/print PCM and place of care? No//
BATCH PCM REASSIGNMENT PROCESSING
The Batch PCM Reassignment Menu option allows you to reassign a group of
enrollees to a new PCM without having to do individual reassignments.
METHODS OF REASSIGNMENT
The Batch PCM Reassignment option allows you to reassign patients using the
following methods:
• Reassign All - Reassign all the patients assigned to the current PCM to a new
gaining PCM.
• Reassign by UIC - Reassign all the patients with a specified UIC to a new
gaining PCM.
4-145
• By Patient Type - Reassign a group of enrollees of the same patient type; for
example, all CCA (Enrolled Active Duty) patients, from the current PCM to a
new gaining PCM.
• Provider Assignment Notification (PRPT) - Lists all patients that have been
reassigned to a PCM using the Batch PCM Reassignment option since a
specified date. A cover letter can also be generated to include the payment
address for the PCM and the MCP office that generated the roster. This report
can also be folded and placed in a window envelope.
• PCM Reassignment Report (RRPT) - A three-part report that lists the
results of a Batch PCM Reassignment:
– Part I, Roster of Reassigned Patients, lists the patients who have been
reassigned successfully.
– Part II, Reassignment Discrepancies, lists any patients who were not
successfully reassigned. These patients must be reassigned again.
– Part III, Appointments with a Prior PCM, lists any appointments with
the prior PCM that are scheduled for the patients listed in Part I.
The system automatically names each PCM Reassignment Report generated,
for example:
• Family - Reassign a family or selected members of a family to a new PCM.
CP BATCH 02 Mar 2001-1600 206 03-02- 01 BERGIN,ALAN
• CP BATCH - Indicates a PCM Reassignment Report.
REASSIGNMENT REPORTS
• 02 Mar 2001 - The date of the reassignment.
The following reports are generated as a result of the Batch PCM Reassignment
option, and can be printed during the first five days after a reassignment is
completed:
• 1600 - The time the reassignment process completed.
• 206 - The unique internal entry number of the user who performed the
reassignment.
• Enrollee/Patient Assignment Notification (ERPT) - Generated for each
patient who is reassigned. The report, which can be folded and placed in a
window envelope, informs the patient of the reassignment and includes
directions and other information about the new place of care for the PCM.
MCP
BATCH PCM REASSIGNMENT
PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• Multiple PCMs - Reassign patients assigned to the current PCM to other
PCMs within the same provider group.
BATCH PCM REASSIGNMENT PROCESSING
(continued)
• 03-02- 01 - The date of the reassignment.
• BERGIN,ALAN - The name of the user who performed the reassignment.
The name of the report associated with a particular reassignment is included
in the Mail Bulletin sent after reassignment completes.
Notes:
• For a batch reassignment, the system does not display PCMs with insufficient
capacity to accept the patients to be reassigned.
• If a patient does not appear in Part I, Roster of Reassigned Patients, of the
PCM Reassignment Report, then the patient was not successfully reassigned
to a gaining PCM. Check for discrepancies that resulted in the failure of the
patient to be reassigned.
• Patients who are listed in Part II, Reassignment Discrepancies, of the PCM
Reassignment Report, must be reassigned again.
• A reassignment discrepancy might occur because the reassignment occurs in
the background at a later time than the time of the user request. If a patient
record is being accessed at the time the reassignment occurs, the reassignment
process places the patient on the discrepancy list and proceeds to the next
patient.
4-146
• For a batch reassignment, the reassignment process is sent to TaskMan to be
processed as time permits. After the reassignment process completes, you
receive a bulletin indicating the completed reassignment. The bulletin is also
sent to the mail group BATCH PCM.
• The system does not generate a bulletin indicating the family reassignment, as
is done for the Batch PCM Reassignment process. In addition, family
reassignment information is not included in the PCM Reassignment Report.
• When reassigning the patients from a PCM to multiple PCMs, the gaining
PCMs must be in the same provider group and have the same agreement type
as the current PCM. Family members are reassigned to the same PCM.
• The system automatically deletes the PCM Reassignment Reports for a
reassignment five days after the reassignment is completed.
MCP
BATCH PCM REASSIGNMENT
PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• After a family reassignment completes, the system checks each reassigned
family member for pending appointments with the prior PCM. If pending
appointments exist, the Report Family Appointments action displays. This
report lists any pending appointments with the prior PCM that may need to be
rescheduled with the gaining PCM.
CHANGE THE PARTICIPATION STATUS OF AN
INDIVIDUAL PROVIDER
The Participation Status action is used to change the agreement participation
status of an individual provider.
MENU PATH: PAS System Menu ➔ MAN ➔ PMCP ➔ GNET
To access the Participation Status action on the Provider Group Profile/
Agreement Maintenance screen, select the Providers action (P) on the Group
Profile action bar, then select Agreements eXceptions (X) on the Individual
Provider action bar, then select the individual provider.
MENU PATH: PAS System Menu ➔ MAN ➔ PMCP ➔ INET
4-147
To access the Participation Status action on the Individual Provider Profile/
Agreement Maintenance screen, select the Agreements eXception (X) action.
INDIVIDUAL PROVIDER GROUP AGREEMENT PARTICIPATION
INDIVIDUAL PROVIDER AGREEMENT EXCEPTION HISTORY
Provider: PRIMROSE,ZELDA C
Provider Group: INDIGO MG
----------------------------------------------------------------------------------------------------------------------------------------------Agreement
Effective
Overall
FI
Type
Date
Stop Date
Discount
Notified
Except PCM
----------------------------------------------------------------------------------------------------------------------------------------------21 Jun 2001
20 Jun 2002
CA- 10%
19 Jun 2001
SUP
• Select the agreement type in which the provider does not participate.
Notes:
• Agreement types displayed on the Individual Provider Group Agreement
Participation screen with an asterisk (*) are agreements in which this provider
does not currently participate.
• The provider can be reassigned to participate in an agreement type by
deselecting the agreement type (removing the asterisk).
• The Individual Provider Agreement Exception History screen shows only
those agreements in which the selected provider participates.
Quick Reference Guides
MCP
CHANGE THE PARTICIPATION STATUS OF
AN INDIVIDUAL PROVIDER
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Provider: PRIMROSE,ZELDA C
Provider Group: INDIGO MG
----------------------------------------------------------------------------------------------------------------------------------------------Agreement
Effective
Overall
FI
Type
Date
Stop Date
Discount
Notified
Except PCM
----------------------------------------------------------------------------------------------------------------------------------------------* NET
21 Jun 2001
21 Jun 2002
CA- 18%
21 Jun 2001
S
SUP
21 Jun 2001
20 Jun 2002
CA- 10%
19 Jun 2001
• Select the Participation Status action.
CREATE A NEW SET OF ZIP CODE COMBINATIONS
The Zip Code Combinations option allows you to create a new zip code
combination, or edit information for an existing zip code combination, in the
MCP Zip Code Combination file.
MENU PATH: PAS System Menu ➔ MAN ➔ FMCP ➔ FTAB ➔ ZIPC
Need to know information:
• Press <Return> to accept the identifier (name).
• The cursor bypasses the Programmer Access Required field.
• To enter a code, press <Return> first to position the cursor in the Code field.
Then enter the code. This must be a valid entry from the Zip Code table.
After you access this option, the following prompt displays:
• After you confirm a code, the City and State fields are automatically entered.
ZIP CODE COMBINATIONS Enter/Edit
• Add as many zip codes as desired.
Select ZIP CODE COMBINATION: NORFOLK
Are you adding ‘NORFOLK’ as
a new MCP ZIP CODE COMBINATIONS (the 4th)? Y
4-148
Enter a new MCP zip code 1-35 characters in length.
• Zip code combinations make it easier and quicker for HCFs to perform a
provider search, without making it necessary to know the individual zip
codes.
• All zip code combinations should be entered prior to entering any information
defining provider groups and their associated agreements.
MCP ZIP CODE COMBINATIONS: NORFOLK CP ZIP CODE COMBINATIONS
• To delete a zip code from the combination, move the cursor to the zip code to
be deleted, then press <Return>. When the cursor is on the desired code, press
<Remove>, then confirm the deletion.
Identifier:
NORFOLK
Programmer Access Required:
Code
23501
23502
23503
City
NORFOLK
NORFOLK
NORFOLK
State
VIRGINIA
VIRGINIA
VIRGINIA
______________________________________________________________________
File/exit Abort Edit
File changes and exit.
MCP
CREATE A NEW SET OF ZIP CODE
COMBINATIONS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• A short delay may occur when adding or deleting zip codes from a zip code
combination if provider groups already exist in the system. The system is
updating or creating the connections between the zip code combination and
places of care that use that zip code.
CREATE A PROVIDER GROUP PROFILE
The Group Profile/Agreements Enter/Edit option allows you to create new
provider group profiles and to maintain existing provider group, place of care,
and provider profiles.
MENU PATH: PAS System Menu ➔ MAN ➔ PMCP ➔ GNET
STEPS IN CREATING A NEW PROVIDER NETWORK:
Prior to creating a provider group, you must review the Place of Care file and
Department/Service file to ensure that the data is available to create a group
profile.
The place of care or clinic must be a valid entry in the Hospital Location file
before it can be entered into the provider group profile.
4-149
Provider group profile information is always entered first. It is the basic data used
for each individual provider within a group.
All MTF clinics must be entered in the system as MCP provider groups.
All providers who practice in the MTF clinic must be entered into the MCP
provider file.
Quick Reference Guides
Entering clinics and providers in MCP is required, even if the information has
previously been entered through the PAS Schedule Supervisor Menu.
MCP
CREATE A PROVIDER GROUP PROFILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Clinics and providers that have not been entered in the system are not included
on the MCP displays, screens, searches, or reports.
CREATE A PROVIDER GROUP PROFILE (continued)
HOSPITAL LOCATION: INDIGO MC
The following must be entered for a new provider group profile:
GRP PL1
PROVIDER GROUP PLACES OF CARE
– A minimum of one place of care/clinic must be entered in a provider group
profile or the new profile will be deleted.
– A minimum of one agreement and one provider must be entered into the
provider group profile.
One place of care/clinic, one agreement, and one provider must be in the provider
group profile for the file to remain active in MCP.
MCP PROVIDER GROUP: INDIGO MG
GRP PRO1
Provider Group: INDIGO MG
========================================================================
Name:
Location Abbreviation:
Building Name:
Building Number:
Street Address:
Zip:
City:
State:
Phone:
INDIGO MC
INDIMC
INDGO MEDICAL CENTER
16W
1405 Darby Street
20307
WASHINGTON
DISTRICT OF COL
202 544-0923
PROVIDER GROUP PROFILE
4-150
==========================================================
Short Group ID: INDMG
Tax ID#: 7800249
CHAMPUS Number: 4100438
Provider Type: NETWORK PROVIDER GROUP
Activate Group Provider: NO
1405 DARBY STREET
20307
WASHINGTON
DISTRICT OF COL
202 544-0923
GRP PL2
PROVIDER GROUP PLACES OF CARE
Provider Group: INDIGO MG
========================================================================
Type of Facility: MULTISERVICE CLINIC
Appt Contact Name: NANCY CARTER
DMIS ID: 6015 CMHA, FT. MONMOUTH
Payment Contact: INEZ,AMY
Places of Care:
INDIGO MC
--------------------------------------------------- Hours of Service---------------------------------------------------Day of Week
AM
PM
+ TUESDAY
0700 - 1200
1201 - 1700
WEDNESDAY
0800 - 1200
1201 - 1300
THURSDAY
0700 - 1200
1201 - 1300
FRIDAY
0700 - 1200
1201 - 1700
+ SATURDAY
0800 - 1200
1201 - 1300
Enter a place of care from the Hospital Location file.
MCP
CREATE A PROVIDER GROUP PROFILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Payment Address 1:
Payment Address 2:
Payment Zip:
Payment City:
Payment State:
Payment Phone:
MCP PLACE OF CARE: INDIGO MC
CREATE A PROVIDER GROUP PROFILE (continued)
HOSPITAL LOCATION: INDIGO MC
MCP PLACE OF CARE: INDIGO MC
SD CLINIC PROFILE
GRP PL3
PROVIDER GROUP PLACES OF CARE
Provider Group: INDIGO MG
========================================================================
---------------------------------------------Directions to Place of Care----------------------------------------------
--------------------------------------------Comments on Place of Care---------------------------------------------
Enter PAS Clinic Profile information.
No patients may be booked to a provider unless the PAS information is entered.
4-151
NAME: INDIGO MC
ABBREVIATION: INDIMC
FACILITY: WALTER REED AMC WASHINGTON DC
DIVISION: MCP CIVILIAN NETWORK
BUILDING NAME: INDGO MEDICAL CENTER
BUILDING NUMBER: 16W
STREET ADDRESS: 1405 Darby Street
ZIP: 20307
CITY: WASHINGTON
STATE: DISTRICT OF COLUMBIA
CLINIC LOCATION:
CLINIC AVAILABILITY:
TELEPHONE: 202 544-0923
ENROLLEE LOCKOUT:
TYPE OF CARE:
SERVICE: MCP FAM PRACT SERVICE
DEPARTMENT: MCP DEPARTMENT
SPECIALTY:
MEPRS CODE: BGAA
HOSPITAL LOCATION: INDIGO MC
SD CLINIC PROFILE -- CONTINUATION
MCP
day(s)
day(s)
0 day(s)
0 day(s)
0 day(s)
day(s)
day(s)
day(s)
CREATE A PROVIDER GROUP PROFILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
WAIT LIST ACTIVATED:
MAXIMUM WAIT LIST DAYS:
WAIT LIST PROVIDER MANDATORY:
WAIT LIST HOLD DURATION:
AUTO WAIT LIST PROCESSING:
SCHEDULE HOLD DURATION:
PROMPT FOR REQUESTING SERVICE: YES
PATIENT RECORD PULL:
CLINIC TYPE: NON-COUNT
RADIOLOGY RECORD PULL:
CHECK HOLIDAY FILE: NO
ROSTER PRODUCTION:
COST POOL CODE:
PREPARE REMINDER NOTICE:
ACTIVATION STATUS: ACTIVATED
AVAILABLE SCHEDULE:
CLINIC APPT INSTRUCTIONS: Arrive 10 minutes early.
CREATE A PROVIDER GROUP PROFILE (continued)
Provider: PRIMROSE,ZELDA C
Add appointment types to clinic profile.
IND PROF4
INDIVIDUAL PROVIDER PROFILE
APPOINTMENT TYPE: PRO30
DURATION: 30
WORKLOAD TYPE: COUNT
PULL PATIENT RECORDS: YES
PRODUCE ENCOUNTER FORMS: NO
TOTAL # OF OVERBOOKS:
INSTRUCTIONS:
Select BOOKING AUTHORITY:
SD CLINIC PROFILE -- CONTINUATION
STATUS: ACTIVE
REFERRAL REQUIRED: YES
PULL RADIOLOGY RECORD: NO
SEND REMINDER NOTICE: YES
MAX # OF OVERBOOKS PER SLOT:
Select APPT CHANGE AUTHORITY:
Select OVERBOOK AUTHORITY:
Transfer appointment types to provider profiles.
Provider Group: INDIGO MG
==========================================================
SSN#:
Gender:
Military Status:
Signature Line:
626-34-1323
FEMALE
CIVILIAN
Zelda C. Primrose, M.D.
4-152
Provider Group: INDIGO MG
------------------------------------------------------------------------------------------------------------------------ -----------------------
Provider: PRIMROSE,ZELDA C
Add providers to group profile.
IND PROF4
INDIVIDUAL PROVIDER PROFILE
Provider Group: INDIGO MG
==================================================================================
Tax ID#: 626-34-132
Provider Type: NETWORK INDIVIDUAL PROVIDER
Payment Address 1:
Payment Address 2:
Payment Zip:
Payment City:
Payment State:
Payment Phone:
Payment Contact:
MCP
20307
WASHINGTON
DISTRICT OF COL
202 544-0923
INEZ,AMY
CREATE A PROVIDER GROUP PROFILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Agreement
Effective
Overall
FI
Type
Date
Stop Date
Discount
Notified
Except PCM
------------------------------------------------------------------------------------------------------------------------ ----------------------NET
21 Jun 2001
21 Jun 2002
CA- 18%
21 Jun 2001
<--- NEW agreement may be added here
CIVILIAN
Languages:
SPANISH
Add agreements to group profile.
PROVIDER GROUP AGREEMENT HISTORY
DEA#:
Rank:
CREATE A PROVIDER GROUP PROFILE (continued)
PLACE OF CARE: INDIGO MC
• Confirm agreement participation for the provider: <Return>
IND PL1
PROVIDER GROUP AGREEMENT HISTORY
INDIVIDUAL PROVIDER PROFILE
Provider: PRIMROSE,ZELDA C
Provider Group: INDIGO MG
=================================================================================
Speciality(s):
ALLERGIST
FAMILY PRACTICE PHYSICIAN
Provider Group: INDIGO MG
----------------------------------------------------------------------------------------------------------------------------------------------Agreement
Effective
Overall
FI
Type
Date
Stop Date
Discount
Notified
Except
PCM
----------------------------------------------------------------------------------------------------------------------------------------------NET
21 Jun 2001
21 Jun 2002
CA- 18%
21 Jun 2002
<--- NEW agreement may be added here
Notes:
INDIVIDUAL PROVIDER SERVICES OFFERED PROFILE
4-153
• Refer to QRG: Enter a New Place of Care, for information on creating a new
place of care in the Place of Care file.
Provider: PRIMROSE,ZELDA C
Place of Care: INDIGO MG
Provider Group: INDIGO MG
-----------------------------------------------------------------------------------------------------------------------------------------------
CPT-4
Code
Description
-----------------------------------------------------------------------------------------------------------------------------------------------
864585
SKIN TEST, CANDIDA
<--- NEW CPT-4 Code may be added here
CREATE A PROVIDER GROUP PROFILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
DISENROLL A PATIENT FROM THE MCP
The Disenrollment option allows you to disenroll an MCP-enrolled patient.
MENU PATH: PAS System Menu ➔ MAN ➔ EMCP ➔ DENR
DISENROLLMENT PROCESSING
Select PATIENT NAME: PEARL,ZACHARY N
20/569-69-4415 22 Apr 1962 M NE7
OK? YES// <Return>
4-154
______________________________________________________________________________________
Select (F)ull, (M)ini, (O)HI, (N)ew Patient, (C)ontinue, or (Q)uit DEMOGRAPHICS: C// <Return>
MCP
DISENROLL A PATIENT FROM THE MCP
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
DEMOGRAPHICS DISPLAY
Name: PEARL,ZACHARY N
FMP/SSN: 20/569-69-4415
Patient Category: USN ACTIVE DUTY
DDS:
Patient Type: MCP/ACTIVE DUTY
Sex: MALE
MCP Status: PENDING ENROLLMENT
DOB/Age: 22 Apr 1962/28Y
ACV: A-ACTIVE DUTY/MCP ENROLLED
DMIS ID: 6015
Direct Care:
Medicare:
______________________________________________________________________________________
Sponsor Name: PEARL,ZACHARY N
Rank: CHIEF PETTY OFFICE
Station/Unit: FLEET COMBAT TRAINING CENTER
DSN:
Home Address:
City:
State:
ZIP Code:
Home Phone:
Duty Phone:
Work Phone:
Registration Comment:
Last Registration Date: 21 Jun 2001@1342
Outpatient Record Room: MEDICAL RECORDS FILE ROOM
MCP Enroll Date: 21 Jun 2001
End Enroll Date:
21 Jun 2002
Primary Care Manager: FONTANA,LUISA M
PCM Phone:
202 271-5850
Primary OHI:
Case Mgmt:
NO
DISENROLL A PATIENT FROM THE MCP (continued)
Select the Continue action.
DISENROLLMENT
Patient: PEARL,ZACHARY N
FMP/SSN: 20/569-69-4415
Patient Category: USN ACTIVE DUTY
DDS:
MCP Status: ENROLLED
Date: 21 Jun 2001
______________________________________________________________________________________
FMP/SSN
Family Member
Sex
DOB
ENR Date
Status
______________________________________________________________________________________
* 20/569-69-4415
PEARL,ZACHARY N
M
22 Apr 62
21 Jun 01
E
Notes:
• This example shows how to disenroll one specified individual. You may also
disenroll all family members.
• On the Disenrollment screen, those selectable family members with a current
status of Enrolled, Pending Enrollment, Conditional Enrollment, or Invalid
Disenrollment are highlighted.
• If the patient being disenrolled has pending appointments, you are notified.
• Disenrollment reasons must exist in the Disenrollment Reason file.
• The Reciprocal Disenrollment option prompts you to confirm you wish to
disenroll from another MTF or Region.
4-155
____________________________ There are no other family members______________________________
Select (A)ll Family Members, (I)ndividual Family Members,
or (Q)uit Family Disenroll: A// I
• The Reciprocal Disenrollment option is accessible during Enrollment
(EENR) if you wish to enroll patient into your MTF or Regional program, or
Reciprocal Disenrollment (DENR) if you do not wish to enroll patient into
your MTF or Regional program.
Use SELECT key to select family member
OK TO DISENROLL PEARL,ZACHARY N? Yes// <Return>
Disenrollment Date: 21 Jun 2001// <Return> (21 Jun 2001)
Enter Disenrollment Reason: MNM MOVING (TO NON MCP SITE)
Quick Reference Guides
MCP
DISENROLL A PATIENT FROM THE MCP
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Exit the Disenrollment screen.
DOCUMENT A PATIENT CANCELLATION
This option allows you to document when either an enrolled patient cancels an
appointment with either an MTF or a non-MTF health care provider.
MENU PATH: PAS System Menu ➔ MAN ➔ CMCP
CANCELLATION BY PATIENT SEARCH CRITERIA
Patient:
FMP/SSN:
Clinic:
Appt Type:
Clinic Phone:
Provider:
Service:
Time Range: 0001 to 2400
Duration:
Dates: 21 Jun 2001 to 20 Jun 2002
Days of Week:
-----------------------------------------------------------------------------------------------------------------------------------------------
4-156
----------------------------------------------------------------------------------------------------------------------------------------------Select (C)hange Search Criteria, (S)earch for Appointments (Q)uit: S//
• Select Search for Appointments action.
• Select Patient Name.
DEMOGRAPHICS DISPLAY
Patient: PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
Patient Category: USA ACTIVE DUTY ENLISTED
DDS:
Patient Type: MCP/ACTIVE DUTY
Sex: MALE
MCP Status: ENROLLED
DOB/Age: 31 May 1955/35Y
ACV: A-ACTIVE DUTY/MCP ENROLLED
DMIS ID: 6015
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
----------------------------------------------------------------------------------------------------------------------------------------------Sponsor Name: PICARD,ZACHARY E
Rank: SERGEANT
Station/Unit: FORT BELVOIR
DSN:
Home Address: 814 CARMINE ST.
City: ARLINGTON
State: VIRGINIA
ZIP Code: 22222
Home Phone: 703-622-5234
Duty Phone:
Work Phone:
Registration Comment:
Last Registration Date: 21 Jun 2001@1311
Outpatient Record Room: MEDICAL RECORDS FILE ROOM
MCP Enroll Date: 21 Jun 2001
End Elig Enroll Date:
21 Jun 2002
Primary Care Manager: ESPOSITO,FRANK M
PCM Phone:
202 271-5850
Primary OHI:
Case Mgmt:
NO
----------------------------------------------------------------------------------------------------------------------------------------------Select (F)ull, (M)ini, (O)HI, (N)ew Patient, (C)ontinue, or (Q)uit DEMO: C//
DOCUMENT A PATIENT CANCELLATION (continued)
• Select the Continue action.
MCP
DOCUMENT A PATIENT CANCELLATION
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
CANCEL/RESCHEDULE PATIENT APPOINTMENTS
Patient:
FMP/SSN: 20/379-43-6114
Clinic:
Appt Type:
Clinic Phone:
Provider:
Service:
Time Range: 0001 to 2400
Duration:
Dates: 21 Jun 2001 to 20 Jun 2002
Days of Week:
DOCUMENT A PATIENT CANCELLATION (continued)
• Select the Continue action.
CANCEL/RESCHEDULE PATIENT APPOINTMENTS
Patient:
FMP/SSN: 20/379-43-6114
Clinic:
Appt Type:
Clinic Phone:
Provider:
Service:
Time Range: 0001 to 2400
Duration:
Dates: 21 Jun 2001 to 20 Jun 2002
Days of Week:
• Confirm the selection.
CANCEL/RESCHEDULE PATIENT APPOINTMENTS
Patient: PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
Clinic:
Appt Type:
Clinic Phone:
Provider:
Service:
Time Range: 0001 to 2400
Duration:
Dates: 21 Jun 2001 to 20 Jun 2002
Days of Week:
-----------------------------------------------------------------------------------------------------------------------------FRI
0800
22 Jun 01 NEW FPAM
ESPOSITO, F
----------------------------------------------------------------------------------------------------------------------------------------------FRI
0800
22 Jun 01 NEW FPAM ESPOSITO, F
FRI
1500
22 Jun 01 FU
FPAM ESPOSITO, F
TUE
0 900 26 Jun 01 NEW OTMTF PAANGA, A
4-157
----------------------------------------------------------------------------------------------------------------------------------------------Use SELECT key to select appointments to be cancelled/rescheduled
----------------------------------------------------- Select appointment #1 of 1 -----------------------------------------------------This appointment was booked from PCM Booking
Select (C)ancel, or (Q)uit CANCEL/RESCHEDULE:
• Select the Cancel action.
• Select an appointment to cancel.
• Select the Quit action and return to the Managed Care Program Menu.
DOCUMENT A PATIENT CANCELLATION
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
DOCUMENT A PATIENT CANCELLATION (continued)
Need to know:
– If the appointment to be cancelled is an MTF appointment, the system
displays the message - Canceling appointment... - and immediately
cancels the appointment. The system returns to the Cancellation by Patient
Search Criteria screen.
THE CANCELLATION BY PATIENT SEARCH CRITERIA SCREEN.
• The only required search criteria is the patient's name. Once the patient's name
is entered, the system displays a list of all MTF (pending) and Network
(booked) appointments.
If no appointments have been made for this patient during the specified times,
the system displays a blank Cancellation by Patient Search Criteria screen
with the message - No appointments for this patient after the start date
specified.
4-158
• If this is the case, you can either use the Change Search Criteria action on the
action bar and enter new dates, or you can quit the screen and return to the
Managed Care Program Menu.
• If the date range was not altered by way of the Change Search Criteria action,
the default date range is one year. All appointments are listed chronologically
by date and time.
The (R)eschedule action is used to enter the booking screens and reschedule
the selected appointments.
– If the appointment to be rescheduled is an MTF appointment, the system
displays the MTF Booking Search Criteria screen.
– If the appointment to be rescheduled is a non-MTF appointment, the
system displays the Non-MTF Booking Search Criteria screen.
– If you reschedule an MTF appointment without leaving the Cancellation
by Patient option, the appointment status changes to Open and it becomes
available for rebooking from the Wait List if the specified clinic has an
active Wait List.
• You can verify that the appointment has been cancelled by accessing the
Display Patient Appointments (DMCP) option on the Managed Care Program
Menu.
THE CANCEL/RESCHEDULE PATIENT APPOINTMENTS SCREEN.
Quick Reference Guides
– If the appointment to be cancelled is a non-MTF appointment, the system
queries you to see if the place of care has been notified.
* If you respond yes, the system cancels the appointment and returns to
the Cancellation by Patient Search Criteria screen.
* If you respond no, the system displays the message - This appointment
cannot be cancelled at this time - and returns to the Cancellation by
Patient Search Criteria screen.
MCP
DOCUMENT A PATIENT CANCELLATION
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• Different screens appear depending upon the type of appointment to be
cancelled:
DOCUMENT A PATIENT REFUSAL
This option allows you to document either enrolled or non-enrolled patient
refusals for patients who have refused appointments with either an MTF or nonMTF health care provider.
MENU PATH: PAS System Menu ➔ MAN ➔ HMCP ➔ AHCF
ALTERNATE MENU PATHS:
PAS System Menu ➔ MAN ➔ HMCP ➔ PHCF
PAS System Menu ➔ MAN ➔ HMCP ➔ NHCF
4-159
Patient:
Patient Category:
DOB/Age:
Case Mgmt:
Patient Type:
PCM:
Referral#
900000059
APPOINTMENT REFUSAL
PICARD,ZACHARY E
FMP/SSN:
USA AD ENLIST
Appt Type:
31 May 1966/35Y
DDS:
Sex:
MCP/ACTIVE DUTY
MCP Status:
ESPOSITO,FRANK M
PCM Phone:
Date/Time
Provider
Specialty
• Select the Add Refusal action.
APPOINTMENT REFUSAL
Patient: PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
Patient Category: USA AD ENLISTED
Pat SSN:
379-43-6114
DOB/Age: 31 May 1966/35Y
DDS:
Case Mgmt:
SEX: MALE
Patient Type: MCP/ACTIVE DUTY
MCP STATUS: ENROLLED
PCM: ESPOSITO,FRANK M
PCM Phone: 202 271-5850
==================================================================================
Referral Number: 900000059
Refusal Date/Time: 21 Jun 2001@1720
Specialty: DERMATOLOGY
Location: DISTRICT OF COLUMB
HCF: MCP, HCF
Refusal Status: MTF DECLINED
Refusal Reason: 2 APPOINTMENT DATE/TIME UNACCEPTABLE
Refused Provider:
Refusal Reason: (Free Text)
20/379-43-6114
379-43-6114
MALE
ENROLLED
202 271-5850
HCF Comment:
File/exit
Abort
File changes and exit.
Edit
Status
DERMATOLOGY
• Complete the Appointment Refusal screens.
Quick Reference Guides
DOCUMENT A PATIENT REFUSAL (continued)
-----------------------------------------------------------------------------------------------------------------------------------------------Select (A)dd Refusal, or (Q)uit APPT REFUSAL: A//
• Select the View History action: V
APPOINTMENT REFUSAL
MCP
DOCUMENT A PATIENT REFUSAL
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• File the data.
DOCUMENT A PATIENT REFUSAL (continued)
• Select the View History action: V
Patient:
Patient Category:
DOB/Age:
Patient Type:
MCP Status:
PCM:
Case Mgmt Provider:
APPOINTMENT REFUSAL
PICARD,ZACHARY E
FMP/SSN:
USA ACTIVE DUTY OFFICER
Pat SSN:
19 Feb 1966/35Y
DDS:
MCP/ACTIVE DUTY
Sex:
ENROLLED
ESPOSITO,FRANK M
PCM Phone:
Case Mgmt:
20/379-43-6114
379-43-6114
MALE
202 271-5850
NO
Date/Time
HCF
Reason for Refusal
Status
-----------------------------------------------------------------------------------------------------------------------------------------------21 Jun 01@1720
MCP, HCF
APPOINTMENT DATE/TIME UNACCE MTF DECLINED
The Appointment Refusal action appears on the Non-Enrolled Booking
Search Criteria and Non-Enrolled Non-MTF Booking Search Criteria screens
for non-enrolled patients. These are accessed through the Non-Enrolled
Booking (NMCP) option on the Managed Care Program Menu.
An appointment refusal must be documented before the appointment is
booked.
• THE APPOINTMENT REFUSAL SCREEN. Only the Add Refusal and
Quit actions appear on the action bar if no previous patient refusals are linked
to this appointment.
The View History action appears on the action bar when you enter a patient
refusal.
4-160
-----------------------------------------------------------------------------------------------------------------------------------------------Use the SELECT key to select individual Appointment Refusals to view
• Press <Return> to continue.
• Select the Quit action until you return to the Health Care Finder Menu.
• PATIENT APPOINTMENT REFUSALS. The Appointment Refusal
action appears on the MTF Booking Search Criteria and Non-MTF Booking
Search Criteria screens for enrolled patients. These are accessed through the
Appointment Referral Processing (AHCF) option on the Health Care Finder
Menu.
MCP
DOCUMENT A PATIENT REFUSAL
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Notes:
EDIT AN INDIVIDUAL PROVIDER PROFILE
The Individual Provider Profile/Agreements Enter/Edit option allows you to
enter or modify an individual provider’s profile and agreement information.
MENU PATH: PAS System Menu ➔ MAN ➔ PMCP ➔ INET
After you access this option, enter the provider name. Then select the Edit Profile
action on the Individual Provider Profile/Agreement Maintenance action bar.
The following PAS Provider Profile screens are displayed:
• CP NET HCP PROFILE -- CONTINUATION screen - Clinic Hours,
Location, Max # of Patient Appts Per Day, Appt Arrival Advance Time,
Provider Instructions, Print Roster with open Appts, Inactivation Date.
• CP NET HCP PROFILE -- CONTINUATION screen - Appointment Type
(add/edit appointment types).
Notes:
The following screens are displayed:
• Individual Provider Profile screen (IND PROF 1) - SSN, DEA#, Gender,
Rank, Military Status, Signature Line, Languages.
• Individual Provider Profile screen (IND PROF 3) - UPIN#, CHAMPUS NBR,
Professional Category.
4-161
• Individual Provider Profile screen (IND PROF 4) - Tax ID#, Provider Type,
Payment information.
• Individual Provider Profile screen (IND PROF 5) - Places of Care.
• The INET option is not used to create a new provider profile. The provider’s
specialties and languages, gender, military rank, military status, and
professional category should be entered using the Provider Enter/Edit option
on the Provider Network File/Table Maintenance Menu.
• The Agreement Exceptions action is used to enter exceptions to group
agreements for an individual provider.
• The Inactivate/Reactivate action is used to enter an inactivation or
reactivation date and a reason for inactivation.
• Individual Provider Profile screen (IND PL1) - Specialities.
• Individual Provider Profile screen (IND PL2) - Hours of Service.
MCP
EDIT AN INDIVIDUAL PROVIDER PROFILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• Individual Provider Services Offered Profile screen - Add single or block CPT
codes of services offered.
EDIT TEXT FOR AN MCP FORM
The MCP Forms Text Enter/Exit option allows you to edit text for Form and the
Enrollment Form.
MENU PATH: PAS System Menu ➔ MAN ➔ FMCP ➔ ETAB ➔ FORM
MCP Forms Text Enter/Edit
Select TYPE OF FORM: CAF
The existing Care Authorization Form is displayed:
• Select TYPE OF FORM: CAF
4-162
• Choose 1, CAF-ACTIVE DUTY.
MCP
EDIT TEXT FOR AN MCP FORM
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Choose from:
CAF-ACTIVE DUTY
CAF-CHAMPUS ELIGIBLE
CAF-DIRECT CARE
CAF-MCP/ACTIVE DUTY
CAF-MEDICARE
CAF-NON-ENROLLED/CHAMPUS ELIGI
CAF-OTHER
CAF-SUPPLEMENTAL CARE DIAGNOSI
DISENROLLMENT NOTIFICATION
ENROLLMENT FORM
RENEWAL NOTIFICATION
EDIT TEXT FOR AN MCP FORM (continued)
MCP FORM TEXT: CAF-ACTIVE DUTY
CP FORMS TEXT
Maximum Text Lines: 7
This Care Authorization covers necessary specialty care directed and authorized by the referring
provider. the care covered may be provided either within the MTF or, if authorized, through the
Supplemental Care Program.
As the patient is an active duty participant, the government is responsible for all authorized cost
shares accrued during this episode of care. Active Duty.
Need to Know:
• This example demonstrates only the option to edit the Care Authorization
Form. The Enrollment Form can also be edited.
• The maximum number of lines for each form is specified in the Maximum
Text Lines field. This setting is based on the actual number of lines available
on the printed form and cannot be changed by the user.
• Refer to QRG: Screen Editor Options, for more information on editing.
Ask for Help = HELP
Screen Exit = F10
File/Exit = DO
INSERT OFF
Edit the text.
4-163
For this example, lines 3, 4, and 5 are deleted and replaced with the text as shown
in the following screen.
MCP FORM TEXT: CAF-ACTIVE DUTY
CP FORMS TEXT
Quick Reference Guides
Ask for Help = HELP
Screen Exit = F10
File/Exit = DO
INSERT OFF
MCP
EDIT TEXT FOR AN MCP FORM
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Maximum Text Lines: 7
This Care Authorization covers necessary specialty care directed and authorized by the referring
provider.
As the patient is an active duty participant, the government is responsible for all authorized cost
shares accrued during this episode of care. Active Duty.
ENROLL A PATIENT INTO THE MCP
The Enrollment Enter/Edit option allows you to verify the DEERS eligibility of
a patient, then enroll the patient into MCP.
Note: This example is for a patient already registered in CHCS.
MENU PATH:PAS System Menu ➔ MAN ➔ EMCP ➔ EENR
FAMILY MEMBER SCREEN
Patient Name: PEARL,ZACHARY N
FMP/SSN: 20/596-69-4415
DOB: 12 Jun 1975
Sponsor Name: PEARL,ZACHARY N
Sponsor SSN: 569-69-7715
Elig Start Date: 25 Sep 1998
Elig End Date: 1999
-----------------------------------------------------------------------------------------------------------------------------------------------Name
Sex
DOB
DDS
ACV Dir Med DMIS ID
PEARL,ZACHARY N
PEARL,ZELDA N
M
F
12 Jun 1975
02 Jan 1976
20
30
N
C
E
E
N
N
Select PATIENT NAME: Pearl,Zachary N
569-69-4415 12 Jun 1975 MNE7 PRP
OK? YES// <Return>
SPONSOR NAME: Pearl,Zachary N// <Return>
4-164
CURRENT DEERS ELIGIBILITY
Name: Pearl,Zachary N
FMP/SSN: 20/569-69-4415
Patient Category: USN ACTIVE DUTY
DDS: 20
DOB/Age: 12 Jun 1975/26Y
Sex: MALE
-----------------------------------------------------------------------------------------------------------------------------------------------Sponsor Rank: CHIF PETTY OFFICER
Sponsor UIC: W2DH05-WALTER REED MED HOLD PP
DMIS ID:
ACV: N-NOT ENROLLER/CHAMPUS INELIGIBLE
ACV Start Date:
Region Code:
Care Authorization PH#:
PCM Location
Dir Care Elig Start Date:
Medicare: NOT ELIGIBLE
Dir Care Elig End Date:
CHAMPUS:
Eligibility End Reason:
-----------------------------------------------------------------------------------------------------------------------------------------------Use SELECT key to select Other Family Member(s) to process, or use F9 key
to view family members currently registered in CHCS
Press <Return>
• Select the Continue action.
MCP
ENROLL A PATIENT INTO THE MCP
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
BRAC Pharmacy Eligibility:
Override Code:
Date of Request: 21 Jun 2001@1155
-----------------------------------------------------------------------------------------------------------------------------------------------Select to (V)iew more DEERS data, (P)rint, (R)epeat DEERS check, (C)ontinue,
or (Q)uit: C//
ENROLL A PATIENT INTO THE MCP (continued)
ENROLLMENT HISTORY: 08 Nov 2002
MCP Enrollment -- CONTINUATION
DEMOGRAPHICS DISPLAY
Name:
Patient Category:
Patient Type:
MCP Status:
ACV:
Direct Care:
PEARL,Z
USN ACTIVE DUTY
FMP/SSN:
DDS:
Sex:
DOB/Age:
N-NOT ENROLLED/CHAMPUS INELI DMIS ID:
ELIGIBLE
Medicare:
4-165
Sponsor Name: PEARL,Z
Rank:
Station/Unit: WALTER REED MED HOLD PP
DSN:
City: HAMPTON
State:
ZIP Code: 23665
Home Phone:
Duty Phone: (301) 555-4993
Work Phone:
Registration Comment: New Patient
Last Registration Date: 21 Jun 2001@101002
Outpatient Record Room: MEDICAL RECORDS FILE ROOM
MCP Enroll Date:
End Enroll Date:
Primary Care Manager:
PCM Phone:
Primary OHI: NOT ASSIGNED
Case Mgmt:
20/569-69-4415
20
MALE
12 Jun 1975/26Y
NOT ELIGIBLE
CHIEF PETTY OFFICE
331
VIRGINIA
8329742333
(301) 555-4993
Name: Pearl,Z
FMP/SSN: 20/569-69-4415
Patient Category: USA ACTIVE DUTY
DDS: 20
Patient Type: MCP/ACTIVE DUTY
Sex: MALE
MCP Status:
DOB/Age: 22 Jun 1975/26Y
Primary Care Manager:
PCM Phone:
Primary OHI: NOT ASSIGNED
Case Mgmt: NO
ACV:
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
----------------------------------------------------------------------------------------------------------------------------------------------Enrolling Division: DIV A - TRAINING HOSPITAL
Patient Type: MCP/ACTIVE DUTY
MCP Enroll Date: 21 Jun 2001
End Enroll Date: 30 Jun 2002
Enrollment Comment:
Select (F)ull, (M)ini, (E)nrollment, (N)ew Patient, or (Q)uit DEMOGRAPHICS: E//
Ask for Help = HELP
• Select the Enrollment action.
Screen Exit = F10
File/exit = DO
INSERT OFF
Complete the Enrollment Continuation Screen.
ENROLL A PATIENT INTO THE MCP
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
ENROLL A PATIENT INTO THE MCP (continued)
PATIENT: JAVENS,CHRISTOPHER L
Name:
Patient Category:
Patient Type:
MCP Status:
Primary Care Manager:
Primary OHI:
ACV:
Direct Care:
PEARL,Z
USA ACTIVE DUTY
MCP/ACTIVE DUTY
NOT ASSIGNED
A-ACTIVE DUTY/MCP ENROLLED
ELIGIBLE
MCP ENROLLMENT
• If a patient is not currently registered in CHCS, you can register the patient as
you enroll the patient in MCP.
FMP/SSN:
DDS:
Sex:
DOB/Age:
PCM Phone:
Case Mgmt:
• If enrollment is restricted by residential address and the patient you are
enrolling is not within the catchment area, the following message is displayed
to holders of the CPZ ZIP security key - Invalid patient zip code, location is
not within Catchment Area. Do you want to override? No//. You may select
to override the restriction and continue with the enrollment.
20/569-69-4415
20
MALE
12 Jun 1975/26Y
NO
Medicare: NOT ELIGIBLE
=======================================================================
Patient SSN: 569-69-4415
• The patient type is derived by the system based on the patient's PATCAT,
ACV code, and age, if no DEERS response is received.
• The patient type cannot be edited for an active-duty patient; only the patient
type for a nonactive-duty patient can be changed.
Language:
4-166
ID Card Number: 19944
Effective Date: 17 Nov 2000
Need to know information:
Date Issued: 17 Nov 2000
Expiration Date: INDEFINITE
______________________________________________________________________________________
File/exit
Abort
Edit
File changes and exit.
• You are allowed to edit the Patient Type field to enter MCP/Non-CHAMPUS
Eligible; the system then inserts a D in the ACV field.
• The ACV is derived by DEERS and sent to CHCS. It defines the type of
eligibility for the patient and cannot be edited directly.
• Refer to QRG: Assign a Primary Care Manager to an MCP Patient.
• Complete the second Enrollment Continuation screen.
• You must assign a PCM to the patient, or the enrollment will be deleted.
MCP
ENROLL A PATIENT INTO THE MCP
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Note: To complete the enrollment, you must assign a PCM to the patient. Refer
to QRG: Assign a PCM to an MCP Patient. This example ends when the PCM
Search Criteria screen is displayed.
ENROLL FAMILY MEMBERS INTO THE MCP
The Enrollment Enter/Edit option allows you to enroll family members into the
MCP.
MENU PATH: PAS System Menu ➔ MAN ➔ EMCP ➔ EENR
Select PATIENT NAME: PATRICK,ZELDA E
30/637-24-9618 07 May 1960 F
OK? YES// <Return>
SPONSOR NAME: PATRICK,ZIGGY E// <Return>
Because a DEERS check was processed for this patient within the last five days,
the Current DEERS Eligibility screen is displayed.
Bypass the DEERS transaction: <Return>
The Demographics Display screen is displayed:
4-167
DEMOGRAPHICS DISPLAY
Name: PATRICK,ZELDA E
FMP/SSN: 30/637-24-9618
Patient Category: USN FAM MBR AD
DDS:
Patient Type: MCP/CHAMPUS ELIGIBLE
Sex: FEMALE
MCP Status: ENROLLED
DOB/Age: 07 May 1960/30Y
ACV: E-MCP ENROLLED/DIR. CARE CHA
DMIS ID: 0037
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
_____________________________________________________________________________________
Sponsor Name: PATRICK,ZIGGY E
Rank: ENSIGN
Station/Unit: WASHINGTON NAVAL YARD
DSN:
Home Address: 8650 EAGLEPOINT RD.
City: SILVER SPRING
State: MARYLAND
ZIP Code: 20904
Home Phone: (301) 589-2929
Duty Phone:
Work Phone:
Registration Comment:
Last Registration Date: 21 Jun 2001@1207
Outpatient Record Room: MEDICAL RECORDS FILE ROOM
MCP Enroll Date: 21 Jun 2001
End Enroll Date: 21 Jun 2002
Primary Care Manager: PEKNY,JAMES M
PCM Phone: 202 456-9878
Primary OHI: BLUE CROSS BLUE SHIELD, NC Case Mgmt: NO
_____________________________________________________________________________________
Select (F)ull, (M)ini, (E)nrollment, (O)HI, (P)CM, Ca(s)e, F(a)mily,
(D)isenroll, (H)istory, (N)ew Patient, or (Q)uit DEMOGRAPHICS: E// A
Quick Reference Guides
Select the Family action.
Patient:
Patient Category:
PCM:
Pi
OHI
MCP
FAMILY ENROLLMENT
PATRICK,ZELDA E
FMP/SSN: 30/637-24-9618
USN FAM MBR AD
DDS:
PEKNY,JAMES M
PCM Phone: 202 456-9878
BLUE CROSS/BLUE SHIELD NC
D t
21 J 2001
ENROLL FAMILY MEMBERS INTO THE MCP
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
ENROLL FAMILY MEMBERS INTO THE MCP
(continued)
ENROLL FAMILY MEMBERS INTO THE MCP
(continued)
ENROLLMENT HISTORY: 21 Jun 2001
MCP Enrollment -- CONTINUATION
Select the Family action.
FAMILY ENROLLMENT
Patient: PATRICK,ZELDA E
FMP/SSN: 30/637-24-9618
Patient Category: USN FAM MBR AD
DDS:
PCM: PEKNY,JAMES M
PCM Phone: 202 456-9878
Primary OHI: BLUE CROSS/BLUE SHIELD, NC
Date: 21 Jun 2001
----------------------------------------------------------------------------------------------------------------------------------------------FMP/SSN
Family Member
Sex
DOB
Status
______________________________________________________________________________________
* 01/637-24-9618
PATRICK,ZACH N
M
09 Jan 1984
20/637-24-9618
PATRICK,ZIGGY E
M
07 Oct 1958
E
30/637-24-9618
PATRICK,ZELDA E
F
07 May 1960
E
Name: PATRICK,ZACH N
FMP/SSN: 01/637-24-9618
Patient Category: USN FAM MBR AD
DDS:
Patient Type: MCP/CHAMPUS ELIGIBLE
Sex: MALE
MCP Status:
DOB/Age: 09 Jan 1984/06Y
Primary Care Manager:
PCM Phone:
Primary OHI: NOT ASSIGNED
Case Mgmt: NO
ACV: E-MCP ENROLLED/DIR. CARE CHA
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
==================================================================================
Enrolling Division: DIV A - TRAINING HOSPITAL
Patient Type: MCP/CHAMPUS ELIGIBLE
4-168
MCP Enroll Date: 21 Jun 2001
End Enroll Date: 21 Jun 2002
______________________________________________________________________________________
Select (A)ll Family Members, (I)ndividual Members, or (Q)uit FAMILY: A// I
Use SELECT key to select family member
Do you want to copy OHI to PATRICK,ZACH N? No// YES
Relationship to Insured: CHILD
Do you want to copy PCM to PATRICK,ZACH N? No// YES
Enrollment Comment:
Ask for Help = HELP
File/Exit = DO
INSERT OFF
ENROLL FAMILY MEMBERS INTO THE MCP
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
Screen Exit = F10
ENROLL FAMILY MEMBERS INTO THE MCP
(continued)
PATIENT: PATRICK,ZACH N
MCP ENROLLMENT
Name: PATRICK,ZACH N
FMP/SSN: 01/637-24-9618
Patient Category: USN FAM MBR AD
DDS:
Patient Type: MCP/CHAMPUS ELIGIBLE
Sex: MALE
MCP Status:
DOB/Age: 09 Jan 1984/06Y
Primary Care Manager:
PCM Phone:
Primary OHI: NOT ASSIGNED
Case Mgmt: NO
ACV: E-MCP ENROLLED/DIR. CARE CHA
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
==================================================================================
Patient SSN:
• If no additional family members exist for the patient, the message - There are
no other family members - displays at the bottom of the Family Enrollment
screen.
• You can copy the PCM from a patient to the specified family member if the
patient is not active duty.
• You can copy OHI information from a patient to a Family member.
• The Enroll/End Date fields can be edited. The Enroll date is today for active
duty and the first day of the next month for non-active duty.The system enters
an End Enroll date if received from DEERS for active duty. If no date is
received from DEERS, the system automatically inserts a date that is years in
the future from the enrollment date. For non-active duty, the system defaults
the End Enroll date to one year from the enroll date.
Language:
4-169
ID Card Number: 20111
Effective Date: 19 Jun 2001
Date Issued: 13 Oct 2000
Expiration Date: 24 Mar 2002
______________________________________________________________________________________
File/exit
Abort
Edit
File changes and exit.
Quick Reference Guides
• Return to the Enrollment Processing Menu.
Notes:
• This example shows how to enroll one specified individual. You may also
enroll all family members.
MCP
ENROLL FAMILY MEMBERS INTO THE MCP
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
The Family Enrollment screen displays.
ENTER A NEW MCP OFFICE
The MCP Office Enter/Edit option allows you to enter or edit MCP office
information in the MCP Office file.
MENU PATH: PAS System Menu ➔ MAN ➔ FMCP ➔ FTAB ➔ OFFI
After you access this option, the following prompt displays:
Select MCP OFFICE: CENTRAL MCP OFFICE
Are you adding ‘CENTRAL MCP OFFICE’ as a new MCP OFFICE (the 2nd)? Y
Enter a unique office name 3-45 characters in length.
MCP OFFICE: CENTRAL MCP OFFICE
Need to know information:
For the office supervisor, enter a user number, name, initials, nick name, or mail
name.
After you enter the zip code, the city and state fields are automatically entered.
• A new MCP office must be added to the MCP Office file before the staff at
the new office can be added to the MCP Health Care Finder file.
• MCP office information is displayed on the Care Authorization Form and
other forms sent to the patient.
• An office supervisor must be an existing valid user in the CHCS User List.
CP OFFICE PROFILE
4-170
MCP OFFICE: CENTRAL MCP OFFICE
MCP OFFICE SUPERVISOR: PARCEL,ZINA N
STREET ADDRESS: 846 CENTRAL AVE
ZIP: 92111
CITY: SAN DIEGO
STATE: CALIFORNIA
OFFICE PHONE: (619) 555-4738
OFFICE LOCATION: 2ND FLOOR, SUITE 2300
OFFICE HOURS: 8AM TO 4PM
MCP
ENTER A NEW MCP OFFICE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
-----------------------------------------------------------------------------------------------------------------------------File/exit Abort Edit
File changes and exit.
ENTER A NEW MILITARY STATUS IN THE MILITARY
STATUS FILE
The Military Status Enter/Edit option allows you to enter a new military status,
or edit information for an existing military status, in the Provider file.
MENU PATH: PAS System Menu ➔ MAN ➔ FMCP ➔ PTAB ➔ MILI
Need to know information:
• The associated description field displays automatically after the professional
category code is entered.
• The professional categories assigned to MCP are audiologist, dental, surgeon,
and licensed practical nurses.
After you access this option, enter the Military Status.
The following screen displays:
MILITARY STATUS: IRR
MILITARY STATUS
MILITARY STATUS ENTER/EDIT
==================================================================================
4-171
Code: IRR
Description: INACTIVE READY RESERVE
MCP
ENTER A NEW MILITARY STATUS IN THE
MILITARY STATUS FILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
-----------------------------------------------------------------------------------------------------File/exit Abort Edit
File changes and exit.
ENTER A NEW PROFESSIONAL CATEGORY IN THE
PROFESSIONAL CATEGORY FILE
The Professional Category Enter/Edit option allows you to enter a new MCP
provider, or edit information for an existing Provider Profile, in the Provider file.
MENU PATH: PAS System Menu ➔ MAN ➔ FMCP ➔ PTAB ➔ PROF
After you access this option, enter the Professional Category.
The following screen displays.
PROFESSIONAL CATEGORY: MFCC
Professional Category Code:
Description:
CP PROFESSIONAL CATEGORY
MFCC
MARRIAGE AND FAMILY COUNSELOR
4-172
MCP
ENTER A NEW PROFESSIONAL CATEGORY
IN THE PROFESSIONAL CATEGORY FILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
-----------------------------------------------------------------------------------------------------File/exit Abort Edit
File changes and exit.
ENTER AND EDIT A NEW MCP PROVIDER IN THE
PROVIDER FILE
The Provider Enter/Edit option allows you to enter a new civilian provider, or edit
information for an existing provider profile, in the Provider file. This new
provider is then included in the MCP network.
MENU PATH: PAS System Menu ➔ MAN ➔ FMCP ➔ PTAB ➔ PROV
After you access this option, enter the Provider name.
IND PROF1a
INDIVIDUAL PROVIDER PROFILE
==========================================================
SSN#:
Gender:
Military Status:
Signature Line:
671-87-5521
MALE
CIVILIAN
PAUL R. ADAIR MD
DEA#:
Rank: CIVILIAN
Speciality(s):
FAMILY PRACTICE PHYSICIAN
The following screen is displayed:
PROVIDER: ADAIR,PAUL R
PROVIDER: ADAIR,PAUL R
DOD ADD PROVIDER
4-173
Provider Flag: PROVIDER
Provider Speciality(s):
001
HCP SIDR-ID: 001192 Provider Location: CHAMPUS SUPPORT
Provider Class: OUTSIDE PROVIDER
Languages:
FRENCH
Ask for Help = HELP
HCP SIDR-ID: 001192
Screen Exit = F10
File/Exit = D0
Provider ID: ADAIPR Provider DOB: 25 Aug 1963
Provider SSN: 671-87-5521
Quick Reference Guides
-----------------------------------------------------------------------------------------------------File/exit Abort Edit
File changes and exit.
MCP
ENTER AND EDIT A NEW MCP PROVIDER
IN THE PROVIDER FILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Provider DEA#:
Provider HCP#: 67-8777
Provider Clinic: Id
Provider Department Id Code:
ENTER AND EDIT A NEW MCP PROVIDER IN THE
PROVIDER FILE (continued)
MCP PROVIDER: ADAIR,PAUL R
IND PROF3a
Notes:
• Do not enter C in the Provider Flag field. This entry should be made only by
the system.
==========================================================
• In the Provider Specialty field, enter one or more provider specialties from the
Provider Specialty file. Enter either the entry number for the specialty or the
first three characters of the name.
UPIN#: 2309
CHAMPUS NBR: 19666
Professional Category: PHYSICIAN (OTHER THAN SURGEON)
• The only appropriate entry in the Provider Location field for a civilian
provider is CHAMPUS Support.
INDIVIDUAL PROVIDER PROFILE
• In the Provider Class field, you may enter a provider class already existing in
the Provider Class table, or you may enter a new provider class.
• Leave the Provider Clinic ID and Provider ID Department Code fields blank
for a civilian provider.
4-174
-----------------------------------------------------------------------------------------------------------------------------File/exit Abort Edit
File changes and exit.
• In the Rank field, enter the provider's military grade and rank. For a civilian
provider, enter XCIV (Civilian). The Military Status field is then
automatically entered.
• The HCP SIDR-ID field is automatically entered with the provider's SIDR
identification for one of the provider's specialties.
ENTER AND EDIT A NEW MCP PROVIDER
IN THE PROVIDER FILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
ENTER AND EDIT A NEW NAS ISSUING OFFICER IN
THE NAS ISSUING OFFICER FILE
The NAS Issuing Officer Enter/Edit option allows you to enter and edit NAS
issuing officer information in the NAS Issuing Officer file.
MENU PATH:PAS System Menu ➔ MAN ➔ FMCP ➔ FTAB ➔ ISSO
After you access the option, the following prompt displays.
Select NAS ISSUING OFFICER: FRANKLIN,ROBERT E
Are you adding ‘FRANKLIN,ROBERT E’ as
a new NAS ISSUING OFFICER (the 2nd)? Y
NAS ISSUING OFFICER RANK: AO6
Need to know information:
• If you enter a new title for the NAS Issuing Officer, the title must be 3-30
characters in length.
• Enter a Military Rank or a Civilian Rank, but not both.
• The NAS Issuing Officer is a required field for the NAS Issuance option,.
Only valid entries from the NAS Issuing Officer file can be used.
• The name, title, and rank of the NAS Issuing Officer are sent to DEERS with
each new NAS issued, and are printed on the DD Form 1251 (NAS).
• An Issuing Officer can only have either a Military Rank or a Civilian Rank,
but not both. A Civilian Rank must be a valid entry in the Federal Civil
Service Paygrade file.
4-175
After you enter the Officer Rank, the following screen displays:
NAS ISSUING OFFICER: FRANKLIN,ROBERT E
MCP NAS ISSUING OFFICER
NAS ISSUING OFFICER ENTER/EDIT
==========================================================
FRANKLIN,ROBERT E
Title:
NAS ISSUING OFFICER
Military Rank:
COLONEL
Civilian Rank:
Quick Reference Guides
-----------------------------------------------------------------------------------------------------File/exit Abort Edit
File changes and exit.
MCP
ENTER AND EDIT A NEW NAS ISSUING
OFFICER IN THE NAS ISSUING OFFICER FILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Name:
ENTER AND EDIT A NEW PLACE OF CARE
The Place of Care Enter/Edit option allows you to enter a new MCP non-MTF
place of care, or edit information for an existing place of care, in the Hospital
Location file.
MENU PATH: PAS System Menu ➔ MAN ➔ FMCP ➔ PTAB ➔ PLAC
After you access this option, enter the following information:
• Place of Care Name - Check with your site POC to determine naming
conventions to use.
• Hospital Location Abbreviation
• Hospital Location Description
4-176
• Hospital Location Type - If this type is MCP Non-MTF, only the MCP
division can be assigned in the Hospital Location Division field.
• Hospital Location Division
• Hospital Location MEPRS Code
ENTER AND EDIT A NEW PLACE OF CARE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
ENTER AND EDIT A NEW PLACE OF CARE
(continued)
The DOD Hospital Location Edit screen is displayed:
HOSPITAL LOCATION: IMMUN CLINIC MCP
DOD HOSP LOCATION EDIT
HOSPITAL LOCATION: IMMUN CLINIC MCP
DOD HOSP LOCATION EDIT -- CONTINUATION
SPECIALITY: IMM ASSOC SVC
MEPRS CODE: FCCA
PROMPT FOR REQUESTING SERVICE:
COST POOL CODE:
ENROLLEE LOCKOUT:
NAME: IMMUN CLINIC MCP
ABBREV: IMCL
TYPE OF CARE:
DESCRIPTION:
LOCATION TYPE: MCP NON-MTF
Select KEY PERSON:
FACILITY: TRAINING MEDICAL TREATMENT FACILITY
SERVICE: IMM ASSOC SVC
Select DUPLICATE CHECKING ORDER TYPE:
DIVISION: MCP CIVILIAN NETWORK
BLDG NAME: EMPIRE PROFESSIONAL BUILDING
BLDG NUMBER: A100
INACTIVE FLAG:
4-177
TELEPHONE:
STREET ADDRESS: 84 LINCOLN AVENUE SW
ZIP: 20307
CITY: WASHINGTON
-----------------------------------------------------------------------------------------------------File/exit
Abort
File changes and exit.
Edit
STATE: DISTRICT OF COLUMBIA
DEFAULT DEVICE:
FIELD INFORMATION:
Quick Reference Guides
• SPECIALTY: Enter a service or department associated with this Hospital
Location. The entry must exist in the Department and Service file.
• FACILITY: The entry must exist in the Medical Treatment Facility file.
• SERVICE: Enter the name of the service associated with this Hospital
Location. The entry must exist in the Department and Service file.
• PROMPT FOR REQUESTING SERVICE: Press <Return>. Entering
YES in this field causes the system to prompt for the requesting service every
time an appointment is booked at this clinic. Set this clinic to YES if this is a
clinic that does a majority of referral work.
MCP
ENTER AND EDIT A NEW PLACE OF CARE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
FIELD INFORMATION:
ENTER AND EDIT A NEW PLACE OF CARE
(continued)
Confirm the information.
• COST POOL CODE: Press <Return>. This is a pointer to the MEPRS
Master Table. Cost pool codes must have an X in the third position from the
left. This field is normally left blank because cost pool codes are not used for
non-MTF places of care.
• INACTIVE FLAG: To inactivate a place of care, enter 1 in this field. MCP
non-MTF locations must first be inactivated via MCP software.
HOSPITAL LOCATION: IMMUN CLINIC MCP
GRP PL1a
PLACE OF CARE
==========================================================
4-178
Name:
Location Abbrev:
Building Name:
Building Number:
Street Address:
Zip:
City:
State:
Phone:
Screen Exit = F10 File/Exit = DO
GRP PL2a
PLACE OF CARE
==========================================================
Type of Facility: PHYSICIAN OFFICE
Appt Contact: MARY ROBINSON
DMIS ID#: 6015
CMHA, FT. MONMOUTH
--------------------------------------------------- Hours of Service --------------------------------------------------Day of Week
AM
PM
MONDAY
0800 - 1130
1330 - 1630
TUESDAY
0800 - 1130
1330 - 1630
THURSDAY
0800 - 1130
1330 - 1630
FRIDAY
1300 - 1800
FIELD INFORMATION:
• DMIS ID#: This is automatically entered by the system and cannot be edited.
INSERT OFF
MCP
ENTER AND EDIT A NEW PLACE OF CARE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Ask for Help = HELP
IMMUN CLINIC MCP
IMCL
EMPIRE PROFESSIONAL BUILDING
A100
84 LINCOLN AVENUE SW
20307
WASHINGTON
DISTRICT OF COL
(202) 555-4039
MCP PLACE OF CARE: IMMUN CLINIC MCP
ENTER AND EDIT A NEW PLACE OF CARE
(continued)
MCP PLACE OF CARE: IMMUN CLINIC MCP
3.
GRP PL3a
PLACE OF CARE
Enter the PAS-oriented information about the place of care through the
Place of Care PAS Clinic Profile.
• Refer to QRG: Create a Provider Group Profile, for more information.
• Entries to this file must be made from within the MCP division to ensure MCP
MEPRS codes are available.
==================================================================================
----------------------------------------------------- Directions to Place of Care---------------------------------------------------
From the Main Hospital, proceed South on 16th Street. Turn right onto
Lincoln. The office is located 3 blocks down across from the Mobile
station.
---------------------------------------------------- Comments to Place of Care--------------------------------------------------
• Do not change the information for MTF clinics that are already in the Hospital
Location file using the Place of Care PAS Clinic Profile.
• Adding a new location in the Hospital Location file impacts the entire system.
• Refer to MCP: Provider Network Management Functions.
Check in with the receptionist.
4-179
-----------------------------------------------------------------------------------------------------------------------------------------------
File/exit Abort
Edit
File changes and exit.
Quick Reference Guides
Notes:
• There are three parts to defining a place of care. All three parts can be defined
through the MCP Group and Individual Provider options:
1.
Enter the place of care into the Hospital Location file using the Place of
Care Enter/Edit option.
2.
Enter the MCP-specific information in the Place of Care file.
MCP
ENTER AND EDIT A NEW PLACE OF CARE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
This example presents only the option to enter the place of care into the Hospital
Location file. It does not present updating PAS clinic profile information. See
Notes.
ENTER AND EDIT A NEW SERVICE/DEPARTMENT IN
THE DEPARTMENT AND SERVICE FILE
The Department and Service File Enter/Edit option allows you to enter a new
department or service, or edit information for an existing department or service,
in the MCP Department and Service file. This file defines organizational
relationships within the MTF and is important for obtaining PAS workload
reports that reflect the number of referral visits made to each MCP provider group
and its associated place of care.
MENU PATH: PAS System Menu ➔ MAN ➔ FMCP ➔ PTAB ➔ DEPT
Select DEPARTMENT AND SERVICE NAME: IMM ASSOC SVC
Are you adding ‘IMM ASSOC SVC’ as
a new DEPARTMENT AND SERVICE? Y
4-180
After you confirm the new Department/Service name, the following screen
displays.
NAME: IMM ASSOC SVC
DOD DEPT AND SVC EDIT
CODE: (DEPARTMENT)
DEPT NAME: IMMUNOLOGY ASSOC DEPT
Note:
• This example demonstrates only the option to enter a new department. Follow
the same procedures to enter a new service.
• Enter the department in the file first because the department is a higher
organizational level than the service, and defines the grouping of services.
• Civilian places of care have one department and one service created for each
place of care.
• The entries in this file are used in the Clinic and Place of Care profiles when
you create or maintain provider groups.
• In the Department Code field, valid entries are S (Service) D (Department)
and DIV (Division).
• When entering a new department, leave the Department Name field blank.
However, when entering a new service, enter the name of the department to
which the service is associated.
• Leave the Inactive Flag field blank unless you want to inactivate the entry and
flag it as obsolete.
• To inactivate a department or service, enter 1 in the Inactive Flag field.
ABBREVIATION: IMMAC
INACTIVE FLAG:
______________________________________________________________________
File/exit Abort Edit
File changes and exit.
MCP
ENTER AND EDIT A NEW SERVICE/DEPARTMENT
IN THE DEPARTMENT AND SERVICE FILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
SELECT DIVISION
ENTER AND EDIT AN MCP HEALTH CARE FINDER IN
THE MCP HEALTH CARE FINDER FILE
The MCP Health Care Finder Profile Enter/Edit option allows you to enter a new
health care finder, or edit information for an existing health care finder in the
MCP Health Care Finder file.
MENU PATH: PAS System Menu ➔ MAN ➔ FMCP ➔ FTAB ➔ HEAL
After you access this option, the following prompt displays:
MCP HCF Profile Enter/Edit
Select HEALTH CARE FINDER: PARCEL,ZINA N
ZNPA
Are you adding ‘PARCEL,ZINA N’ as a new MCP HCF (the 12th)? Y
Need to know information:
• A staff member must be an existing valid user in the CHCS User List before
being entered into the Health Care Finder file.
• Each Health Care Finder is a member of an MCP office.
• A new MCP office must be added to the MCP Office file before the staff at
the new office can be added to the MCP Health Care Finder file.
• Health Care Finder information is displayed on the Care Authorization Form
and other forms sent to the patient.
• The Health Care Finder can be entered using User name, name, initial, or
Nickname, or Mail name.
4-181
After you confirm the Health Care Finder name, the following screen displays:
MCP HCF: PARCEL,ZINA N
CP HCF PROFILE
HCF: PARCEL,ZINA N
HCF PHONE: (202) 555-4039
MCP OFFICE: CENTRAL MCP OFFICE
MCP
ENTER & EDIT AN MCP HEALTH CARE FINDER
IN THE MCP HEALTH CARE FINDER FILE
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
______________________________________________________________________
File/exit Abort Edit
File changes and exit.
ENTER AND UPDATE INSURANCE COMPANY DATA
The Insurance Company Enter/Edit option allows you to enter or edit insurance
company data in the Insurance Company file.
MENU PATH: PAS System Menu ➔ MAN ➔ FMCP ➔ ETAB ➔ INSU
After you access this option, the following prompt displays.
Select INSURANCE COMPANY: VIRGINIA ALL HEALTH COMPANY
Are you adding ‘VIRGINIA ALL HEALTH COMPANY’ as
a new INSURANCE CO FILE (the 9th)? Y (YES)
INSURANCE CO FILE SHORT NAME: VAH
• Enter a short name or abbreviation for the insurance company using from 3 to
14 characters.
INSURANCE CO FILE: VAH
INSURANCE COMPANY - ENTER/EDIT
Insurance Company Name:
Qualifier:
Short Name (Standard Code):
TPOCS Print Type:
VIRGINIA ALL HEALTH COMPANY
VAH
Attorney?
Unknown Ins Company?
Blue Cross/Blue Shield Code:
Electronic Data interface Code:
Claims Address:
City:
Date Last Updated:
Inactive Date:
FAIRFAX
4-182
Claims Contact Person:
Phone Number 1:
Phone Number 2:
FAX Number:
State: VIRGINIA: Zip: 22031
ext:
ext:
Standard Comment:
Local Comment:
Help = HELP
Exit = F10
File/Exit = DO
INSERT OFF
Need to know to information:
MCP
ENTER AND UPDATE INSURANCE
COMPANY DATA
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• You must have the FileMan access code A in order to add new insurance
companies to the Insurance Company file.
ENTER OHI INFORMATION FOR AN MCP PATIENT
This option allows you to enter other health insurance information for an MCPenrolled patient.
MENU PATH: PAS System Menu ➔ MAN ➔ EMCP ➔ EENR
Select the OHI action at the Demographics Display screen.
Select the Add OHI action at the Other Health Insurance screen.
POLICY:
OTHER HEALTH INSURANCE - ENTER/EDIT
4-183
Name: PEARL,MARIEL N
FMP/SSN: 30/569-69-4415
Patient Category: USN DEP AD, EXC FORM SPOUSE
DDS: NOT ENTERED
Patient Type: MCP/CHAMPUS ELIGIBLE
Sex: FEMALE
MCP Status: PENDING ENROLLMENT
DOB/AGE: 02 Mar 1962/28Y
PCM: PEPPINO,VICTOR M
Date: 21 Jun 2001
=================================================================================
Policy number: 3377
Insurance Company Name: AETNA LIFE AND CASUALTY
Phone: 8133451123
Effective Date: 01 JAN 2001
Expiration Date: 01 Mar 2004
Group Name: AMERICAN OFF SUPP
Group Number: 12399
Precertification/UR:
PREADMISSION APPROVAL IS REQUIRED
Ask for Help = HELP
YES, PRIMARY POLICY
CHAMPUS SUPPLEMENT
PEARL,MARIEL N
569-69-4400
SELF
Screen Exit = F10
File/Exit = DO
OTHER HEALTH INSURANCE - ENTER/EDIT
Name: PEARL,MARIEL N
FMP/SSN: 30/569-69-4415
Patient Category: USN DEP AD, EXC FORM
DDS: NOT ENTERED
Patient Type: MCP/CHAMPUS ELIGIBLE
Sex: FEMALE
MCP Status: PENDING ENROLLMENT
DOB/AGE: 02 Mar 1962/28Y
PCM: PEPPINO,VICTOR M
Date: 21 Jun 2001
==================================================================================
Insured Employer Name: AMERICAN OFFICE SUPPLY
Phone: 555-2812
Street Address: 123 FROST BLVD
City: CLOVERDALE
State: OR
Zip: 97112
______________________________________________________________________________________
File/exit
Abort
Edit
File changes and exit.
Billing Status: BILLABLE
INSERT OFF
MCP
ENTER OHI INFORMATION FOR AN MCP
PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Primary Policy:
Policy Type:
Policy Holder Name:
Policy Holder SSN:
Relationship to Insured:
POLICY: 3377
ENTER OHI INFORMATION FOR AN MCP PATIENT
(continued)
Notes:
This example begins at the Demographics Display screen.
OTHER HEALTH INSURANCE
Patient: PEARL,MARIEL N
FMP/SSN: 30/569-69-4415
Patient Category: USN DEP AD, EXC FORM SPOUSE
DDS: NOT ENTERED
Patient Type: MCP/CHAMPUS ELIGIBLE
Sex: FEMALE
MCP Status: PENDING ENROLLMENT
DOB/AGE: 02 Mar 1962/28Y
PCM: PEPPINO,VICTOR M
Date: 21 Jun 2001
==================================================================================
Insurance Company (P=Primary) Policy Number
Effective
Expiration B/N
______________________________________________________________________________________
P) AETNA LIFE AND CASUALTY
3377
01 Jan 2001 01 Mar 2004 B
• You may enter up to three insurance policies for each patient.
• The insurance company name must exist in the Insurance Company file or
you may enter ZUNK if company name is unknown, or ZNEW if company
name does not exist on.
• For this demonstration, the policy is not a group policy. To enter a group
policy under which the patient is insured, make an entry at the Group Name
Field.
• If the entry in the Primary Policy field is YES, then the entry in the Billing
Status field must be Billable.
4-184
______________________________________________________________________________________
Select (A)dd OHI, (E)dit OHI, (C)ase, or (Q)uit OHI: Q//
ENTER OHI INFORMATION FOR AN MCP
PATIENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
FILE MAINTENANCE CONCEPTS AND DEFINITIONS
Table
A file which contains a list of items (i.e.,
Disenrollment Reasons is a list of acceptable
disenrollment reasons and their related fields).
Following is a discussion of file terminology and definitions.
Refer to the Maintenance Manual for File and Table Data, SAIC/CHCS
Doc. TC-3-0052A, for further information regarding files.
FILE CLASSIFICATIONS
FILE TERMINOLOGY
Term
Definition
Standard files
These files contain Department of Defense/
military department (DOD/MILDEP) data
supplied by the government (DOD standard
files) or medical/hospital data (e.g., the Current
Procedural Terminology file). They are
installed with all entries complete and may not
be modified by the site.
Site-specific files
The site may enter or customize entries in these
files to meet their own needs. Some sitespecific files are installed with entries, while
some have no entries. (Site personnel are
responsible for all entries.) These entries may
or may not be modifiable, depending on the
specific type of file.
Patient-specific files
These files are installed at the site with no
entries. Entries are generated by the system or
are interactively generated by users as a direct
result of patient visits, diagnoses, and
treatments. These files are historical and
patient-specific.
Administrative/System files
These files contain entries that facilitate
reporting, as well as administrative and
technical software and hardware functions.
Definition
Internal Entry Number (IEN)
A unique value assigned to each entry in a file.
This number is used internally by the software
to identify specific records in a file.
Field
A piece of information contained within a
record is stored in a field. Each field usually
appears in every record within that file. For
example, Social Security number (SSN) is a
field in each record in the Patient file.
4-185
Term
A unique value assigned to each field. This
number is used internally by the software to
identify the field.
File
A grouping of items with a single functional
purpose. In the system, patient information is
stored in the Patient files; data about wards and
clinics is in the Hospital Location file, and so
on.
File Number
A unique identifier assigned to each file.
Record
An entry or record is a single occurrence of all
data items in a file. For example, the set of
information in the Patient file for a single
patient is considered a record.
MCP
FILE MAINTENANCE CONCEPTS AND
DEFINITIONS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Field Number
Files are classified into several different groups based on specific characteristics:
GENERATE A CARE AUTHORIZATION FORM
This option allows you to generate a Care Authorization Form for an enrolled
patient.
MENU PATH: PAS System Menu ➔ MAN ➔ HMCP ➔ OHCF
GENERATE APPOINTMENT REFERRAL PRODUCTS
Patient:
FMP/SSN:
DOB/Age: unk/
Pat SSN:
Patient Type:
DDS:
MCP Status:
PCM:
PCM Phone:
Case Mgmt Provider:
Case Mgmt: NO
Referral#
Date/Time
Provider
Specialty
Status
-----------------------------------------------------------------------------------------------------------------------------------------------
4-186
----------------------------------------------------------------------------------------------------------------------------------------------Select (P)atient, or (Q)uit: P//
Select the Patient action.
GENERATE A CARE
AUTHORIZATION FORM
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
GENERATE A CARE AUTHORIZATION FORM
(continued)
• Enter Patient Name.
Name:
Patient Category:
Patient Type:
MCP Status:
ACV:
Direct Care:
DEMOGRAPHICS DISPLAY
PICARD,ZACHARY E
USA ACTIVE DUTY ENLISTED
MCP/ACTIVE DUTY
ENROLLED
A-ACTIVE DUTY/MCP ENROLLED
ELIGIBLE
FMP/SSN:
DDS:
Sex:
DOB/Age:
DMIS ID:
Medicare:
20/379-43-6114
MALE
31 May 1966/35Y
6015
NOT ELIGIBLE
4-187
Sponsor Name: PICARD,ZACHARY E
Rank: CAPTAIN
Station/Unit: RESOURCE MGMT WASHINGTON
DSN:
Home Address: 862 WEST WYLAND DR
City: FAIRFAX
State: VIRGINIA
ZIP Code: 22030
Home Phone: 918-555-0287
Duty Phone:
Work Phone: 202-555-6802
Registration Comment:
Last Registration Date:
02 May 1999@1032
Outpatient Record Room:
MEDICAL RECORDS FILE ROOM
MCP Enroll Date:
21 Jun 2001
End Enroll Date:
10 Feb 2003
Primary Care Manager:
ESPOSITO,FRANK M
PCM Phone:
202 271-5850
Primary OHI:
NOT ASSIGNED
Case Mgmt:
NO
• Select the Continue action.
Patient:
Patient Category:
DOB/Age:
Case Mgmt:
Patient Type:
PCM:
GENERATE APPOINTMENT REFERRAL PRODUCTS
PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
USA ACTIVE DUTY ENLISTED
Pat SSN:
379-43-6114
31 May 1955/35Y
DDS:
Sex: MALE
MCP/ACTIVE DUTY
MCP Status: ENROLLED
ESPOSITO,FRANK M
PCM Phone: 202 271-5850
Referral#
Date/Time
Provider
Specialty
Status
----------------------------------------------------------------------------------------------------------------------------------------------200100045
OCCUPATIONAL TH
200100046
22 Jun 2001@1000
PEARY,ZACHARY C
INTERNAL MEDICI
BOOKED
----------------------------------------------------------------------------------------------------------------------------------------------Select (N)ew Patient, (E)nrollment Form, (M)embership ID, (C)are Authorization,
(P)atient Label, Provider (L)abel, or (Q)uit: C//
Select (F)ull, (M)ini, (E)nrollment, (P)CM, Ca(s)e, F(a)mily,
(D)isenroll, (H)istory, (N)ew Patient, (C)ontinue, or (Q)uit DEMO: C//
GENERATE A CARE
AUTHORIZATION FORM
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
GENERATE A CARE AUTHORIZATION FORM
(continued)
• Select the (C)are Authorization action.
Patient:
Patient Category:
DOB/Age:
Case Mgmt:
Patient Type:
PCM:
GENERATE APPOINTMENT REFERRAL PRODUCTS
PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
USA ACTIVE DUTY ENLISTED
Pat SSN:
379-43-6114
19 Feb 1966/35Y
DDS:
Sex: MALE
MCP/ACTIVE DUTY
MCP Status: ENROLLED
ESPOSITO,FRANK M
PCM Phone: 202 271-5850
Need to know information:
• The system does not allow you to print the Care Authorization Form to the
terminal screen.
• The (C)are Authorization action appears on the action bar only if the current
referral has at least one appointment linked to it.
• The Provider (L)abel action appears on the action bar only if the current
referral has at least one appointment linked to it.
Referral#
Date/Time
Provider
Specialty
Status
----------------------------------------------------------------------------------------------------------------------------------------------200100045
OCCUPATIONAL TH
200100046
22 Jun 2001@1000
PEARY,ZACHARY C INTERNAL MEDICI BOOKED
4-188
----------------------------------------------------------------------------------------------------------------------------------------------Use the SELECT key to select the Care Authorization to print
Send Patient Records? YES// (NO)
Send Radiology Records? YES// (NO)
Send Lab Results? YES// (NO)
• Send Patient’s medical and radiology records and lab results, if applicable.
• Select Printer Device.
• Select the Quit action until you return to the Health Care Finder Menu.
MCP
GENERATE A CARE
AUTHORIZATION FORM
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• Select the Appointment Referral for this Care Authorization Form.
GENERATE A NON-AVAILABILITY STATEMENT
The Interactive NAS Processing option allows you to generate Non-Availability
Statements for CHAMPUS-eligible patients.
MENU PATH: PAS System Menu ➔ MAN ➔ IMCP ➔ NNAS
• Select the Patient action: <Return>
• Enter Patient Name: PARROT,WENDY
• Confirm the sponsor.
4-189
CURRENT DEERS ELIGIBILITY
Name: PARROT,WENDY
FMP/SSN: 30/101-10-0035
Patient Category: USA FAM MBR AD
DDS: 30
DOB/Age: 02 Feb 1962/28Y
Sex: FEMALE
Sponsor Rank:
Sponsor UIC:
DMIS ID:
ACV:
ACV Start Date:
Care Authorization PH#:
Dir Care Elig Start Date:
Dir Care Elig End Date:
Eligibility End Reason:
LIEUTENANT COLONEL
S31LFJSQ-0459 OPERATIONS GP
0037-WALTER REED AMC
C-CHAMPUS/DIRECT CARE ELIGIBLE
Region Code:
PCM Location:
12 Mar 2001
Medicare: NOT ELIGIBLE
10 Feb 2003
Select to (V)iew more DEERS data, (P)rint, (R)epeat DEERS check, (C)ontinue,
or (Q)uit: C// <Return>
• Select the Continue action.
CHCS - DEERS
Processing DEERS Request
Waiting to Process...
Processing Request....
Transaction Complete....
Press 'Q' to quit and not process the DEERS request.
• Select the Continued action.
MCP
GENERATE A NON-AVAILABILITY
STATEMENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
BRAC Pharmacy Eligibility:
Override Code:
Date of Request: 17 Jun 2001
DEMOGRAPHICS DISPLAY
Name: PARROT,WENDY
FMP/SSN: 30/101-10-0035
Patient Category: USA FAM MBR AD
DDS: 30
Patient Type:
Sex: FEMALE
MCP Status:
DOB/Age: 02 FEB 1953/48Y
ACV: C-CHAMPUS/DIRECT
DMIS ID:
CARE ELIGIBLE
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
=================================================================================
Sponsor Name: PARROT,VINCENT
Rank: LIEUTENANT COLONEL
Station/Unit: 0459 OPERATIONS
DSN:
Home Address: 867 GIBSON BLVD
City: FAIRFAX
State: VIRGINIA
Zip Code: 22030
Home Phone: 918-55-2227
Duty Phone: 202-555-1117
Work Phone:
Registration Comment:
Last Registration Date: 20 Feb 2001@1030
Outpatient Record Room: MEDICAL RECORDS FILE ROOM
MCP Enroll Date:
End Enroll Date:
Primary Care Mgr:
PCM Phone:
Primary OHI: NOT ASSIGNED
Case Mgmt:
=================================================================================
Select (F)ull, (M)ini, (O)HI, (N)ew Patient, (R)epeat DEERS, (C)ontinue,
or (Q)uit DEMOGRAPHICS: C// <Return>
GENERATE A NON-AVAILABILITY STATEMENT
(continued)
Complete the NAS Issue screen.
NAS DATA: PARROT,WENDY
NAS HISTORY
Patient: PARROT,WENDY
FMP/SSN: 30/101-10-0035
Patient Category: A41
DDS: 30
DOB/Age: 02 Feb 1953/48Y
Sex: FEMALE
ACV: CHAMPUS/DIRECT CARE ELIGIBLE
---------------------------------------------------------------------------------------------------------------NAS Number
Status
MDC
Reason for Issue
00373221700
00373221701
Uncond
Uncond
13
13
Facility temporarily not available
Professional capability temporarily not available
Select (I)ssue, (C)ancel, (P)rint, or (Q)uit: I// <Return>
NAS ISSUE
Patient: PARROT,WENDY
FMP/SSN: 30/101-10-0035
Patient Category: USA DEP AD
DDS: 30
Sex: FEMALE
DOB/Age: 02 Feb 1953/48Y
ACV: CHAMPUS/DIRECT CARE
=================================================================================
NAS Number:
Issue Date: 21 Jun 2001
Issue Type:
Status: UNCONDITIONAL
Issue Reason:
DMIS ID:
MDC:
Admitting Facility:
Admission Date:
Other Insurance: No Insurance
Insurance Company:
Policy Number:
4-190
Issuing Officer:
Remarks 1:
2:
3:
• Select the Issue action.
Personal Data - Privacy Act of 1974 (PL 93-579)
GENERATE A NON-AVAILABILITY
STATEMENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
GENERATE A NON-AVAILABILITY STATEMENT
(continued)
NAS DATA: PARROT,WENDY
NAS ISSUE
Patient: PARROT,WENDY
FMP/SSN: 30/101-10-0035
Patient Category: USA DEP AD
DDS: 30
Sex: FEMALE
DOB/Age: 02 Feb 1962/28
ACV: CHAMPUS/DIRECT CARE
=================================================================================
Medically Inappropriate Code:
Treatment Facility:
ZIP Code:
City:
State:
Mileage:
------------------------------------------------------------------------------------------------------------------------------------------------
4-191
File/exit Abort Edit
File changes and exit.
File the data.
CHCS - DEERS
NAS DISPLAY
Patient: PARROT,WENDY
FMP/SSN: 30/101-10-0035
Patient Category: A41
DDS: 30
DOB/Age: 02 Feb 1953/48Y
Sex: FEMALE
ACV: CHAMPUS/DIRECT CARE ELIGIBLE
=================================================================================
NAS Number: 00373207001
Issue Date: 21 Jun 2001
Status: UNCONDITIONAL
Issue Reason: 5 - Professional capability temporarily
not available.
MDC: 14 PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
Facility:
Admission Date:
Other Insurance: N
Policy Number:
Insurance Company:
Issuing Officer: SMITH,JAMES A
Remarks 1:
2:
3:
Medically Inapp Code:
Mileage:
Facility:
City:
State:
Zip:
=================================================================================
OK TO PRINT? Yes// <Return>
Need to know information:
Processing DEERS Request
• DEERS PROCESSING. The system automatically performs a DEERS
Eligibility Query to see if the patient has received a positive response from
DEERS within the past five days:
Press 'Q' to quit and not process the DEERS request.
– If the patient was DEERS eligible or the Override Code was used, the system
displays the Current DEERS Eligibility screen. You can either repeat the
inquiry or go on to the patient’s Demographics Display screen.
MCP
GENERATE A NON-AVAILABILITY
STATEMENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Waiting to Process...
Processing Request....
Transaction Complete....
• PREVIOUS NON-AVAILABILITY STATEMENTS. Previous NASs can
be accessed by NAS number.
GENERATE A NON-AVAILABILITY STATEMENT
(continued)
• The name of the Issuing Officer is required for NAS issue.
• When the Issue Reason is a 7, 8, or 9, you should enter the following remarks:
4-192
– If the patient was DEERS ineligible, the system runs another inquiry and
displays the DEERS Eligibility screen.
– Remarks Line 1: Referred By: (Name of referring provider or PCM).
• PATIENT CATEGORY SCREENING. The patient must be CHAMPUSeligible.
– Remarks Line 2: Referred To: (Name of the provider to whom the patient is
referred).
• THE NAS HISTORY SCREEN. The NAS History screen action bar only
contains the cancel or print actions if the patient has any previously issued
NASs. These previously issued NASs are listed on the screen.
• DEERS NAS ISSUE RESPONSES. After you have completed the NAS
Issue screen and filed the NAS issue data, you could receive any of several
different NAS response screens:
• The system automatically queries the DEERS for a history of any NASs
issued for the patient, and must find a positive match of the patient’s date of
birth (DOB), DEERS dependent suffix (DDS), and sponsor’s Social Security
number (SSN):
– If all data is compatible between DEERS and your entry on the local system,
the system displays the completed NAS Display screen.
– If there is any discrepancy exists between your data and the data on DEERS,
you receive the All Other NAS Responses screen.
– If a match is found, the system displays NAS History screen for the patient.
• THE NAS ISSUE SCREEN. If the Issue Reason is Number 3 - Medically
Inappropriate - the NAS Issue Secondary screen must be completed.
• The NAS Issue Status defaults based upon the DEERS eligibility response:
– If the NAS issuance requires a two-part transaction, you get the Successful
Transmission message after you successfully transmit Part 1.
• THE NAS DISPLAY SCREEN. The newly generated NAS does not appear
on the screen until you leave the NAS issuing process and reaccess DEERS
history for that patient.
Quick Reference Guides
– Conditional - The sponsor is on the DEERS, but the patient is not (i.e., new
spouse or newborn child).
• PRINTING. You cannot print to the terminal screen, but you can print to a
slave printer.
– If the sponsor is not resident on the DEERS, the NAS cannot be issued.The
name of the Admitting Facility is required for retroactive issue types.
MCP
GENERATE A NON-AVAILABILITY
STATEMENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
– Unconditional - The patient is on the DEERS.
GENERATE AN MCP MEMBERSHIP ID CARD
This option allows you to generate and customize an MCP Membership Card for
an enrolled patient.
MENU PATH: PAS System Menu ➔ MAN ➔ HMCP ➔ OHCF
ALTERNATE MENU PATH:
PAS System Menu ➔ MAN ➔ HMCP ➔
AHCF
4-193
GENERATE APPOINTMENT REFERRAL PRODUCTS
Patient:
FMP/SSN: / - Patient Category:
Pat SSN:
- DOB/Age: unk/
DDS:
Patient Type:
Sex:
MCP Status:
PCM:
PCM Phone:
Case Mgmt Provider:
Case Mgmt: NO
Referral#
Date/Time
Provider
Specialty
Status
-----------------------------------------------------------------------------------------------------------------------------------------------
Quick Reference Guides
• Select the Patient action.
MCP
GENERATE AN MCP MEMBERSHIP ID
CARD
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
----------------------------------------------------------------------------------------------------------------------------------------------Select (P)atient, or (Q)uit: P//
GENERATE AN MCP MEMBERSHIP ID CARD
(continued)
• Enter the Patient Name.
4-194
DEMOGRAPHICS DISPLAY
Name: PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
Patient Category: USA ACTIVE DUTY OFFICER
DDS:
Patient Type: MCP/ACTIVE DUTY
Sex: MALE
MCP Status: ENROLLED
DOB/Age: 19 Feb 1966/35Y
ACV: E-MCP ENROLLED/DIR. CARE CHA
DMIS ID: 0037
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
----------------------------------------------------------------------------------------------------------------------------------------------Sponsor Name: PICARD,ZACHARY E
Rank: CAPTAIN
Station/Unit: RESOURCE MGMT WASHINGTON
DSN:
Home Address: 862 WEST WYLAND DR.
City: FAIRFAX
State: VIRGINIA
ZIP Code: 22030
Home Phone: 918-555-0287
Duty Phone: 202-555-6802
Work Phone: 202-555-6802
Registration Comment:
Last Registration Date:
02 May 1999@1032
Outpatient Record Room:
MEDICAL RECORDS FILE ROOM
MCP Enroll Date:
21 Jun 2001
End Enroll Date:
10 Feb 2003
Primary Care Manager:
ESPOSITO,FRANK M
PCM Phone:
202 271-5850
Primary OHI:
NOT ASSIGNED
Case Mgmt:
NO
----------------------------------------------------------------------------------------------------------------------------------------------Select (F)ull, (M)ini, (E)nrollment, (P)CM, Ca(s)e, F(a)mily, (D)isenroll,
(H)istory, (N)ew Patient, (C)ontinue, or (Q)uit DEMOMOGRAPHICS: C//
Patient:
Patient Category:
DOB/Age:
Case Mgmt:
Patient Type:
PCM:
GENERATE APPOINTMENT REFERRAL PRODUCTS
PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
USA ACTIVE DUTY ENLISTED
Pat SSN:
379-43-6114
19 FEB 1966/35Y
DDS:
Sex: MALE
MCP/ACTIVE DUTY
MCP Status: ENROLLED
ESPOSITO,FRANK M
PCM Phone: 202 271-5850
Referral#
Date/Time
Provider
Specialty
Status
200100045
200100045
22 Jun 2001@1000
PEARY,ZACHARY C
OCCUPATIONAL TH
INTERNAL MEDICI
BOOKED
----------------------------------------------------------------------------------------------------------------------------------------------Select (N)ew Patient, (E)nrollment Form, (M)embership ID, (C)are Authorization,
(P)atient Label, Provider (L)abel, or (Q)uit: C// M
• Select the (M)embership ID action.
• Enter Embosser Format Name.
MCP
GENERATE AN MCP
MEMBERSHIP ID CARD
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• Select the Continue action.
GENERATE AN MCP MEMBERSHIP ID CARD
(continued)
Display the card for the selected patient.
<<<<<<----------------------------------------------Column No.------------------------------------------->>>>>>
0 - - - - - - 1- - - - - - - - 2- - - - - - - - 3- - - - - - - - 4- - - - - - - - 5- - - - - - - - 6- - - - - - - 7 - - - - - - - 8
0
0
0
0
0
0
0
0
0
20
379-43-6114
N
4-195
PICARD,ZACHARY E
19FEB66
M CPT ARMY
ALL
788 GRANT ST
WASHINGTON
DC 20310
8888
TRAINING MEDICAL T
The (C)are Authorization action appears on the action bar only if the current
referral has at least one appointment linked to it.
The Provider (L)abel action appears on the action bar only if the current
referral has at least one appointment linked to it.
CUSTOMIZING THE MEMBERSHIP ID CARD.
• The system allows you to customize the membership card using the Edit
Embosser Cards (EEC) option on the System Definitions Menu (SDM) option
located on the PAD System Menu.
• At your site, you can customize the MCP membership ID cards by:
– Adding or deleting the number of rows of print, including blanks, on each
card.
– Editing the number of cards to be printed for each patient.
– Adding or deleting fields to be included on the card, and repositioning the
location of the individual fields.
Print Embosser Card? YES//
– Displaying some of the fields (e.g., Patient Name and FMP/SSN) in
“double height” so that they stand out on the card.
Quick Reference Guides
• Select the Quit action until you return to the Health Care Finder Menu.
Need to know information:
THE GENERATE APPOINTMENT REFERRAL PRODUCTS SCREEN.
• The system does not allow you to print the membership ID card to the terminal
screen or to a standard printer.
MCP
GENERATE AN MCP
MEMBERSHIP ID CARD
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• Print the embosser card only if you have the special embosser machine needed
to print these cards.
INACTIVATE/REACTIVATE AN MCP PROVIDER
The Inactivate/Reactivate Provider action allows you to change the status of a
provider currently participating as a member of a provider group or a specified
place of care.
MENU PATH: PAS System Menu ➔ MAN ➔ PMCP ➔ INET
• If the provider was previously inactivated, the inactivation date is displayed.
• The Provider inactivation causes the provider to be inactivated for all
agreements for the provider group.
• The Place of Care inactivation only inactivates the provider in the selected
places of care. The provider is still active in the provider group agreements.
• Past or future inactivation dates can be entered. The system automatically
inactivates the provider on the date entered in the Inactivation Date field.
Select a Provider.
Access the Agreement Maintenance action bar.
• Future Activation dates may be entered. The provider is automatically
reactivated on that date.
Select the Inactivate/Reactivate Provider action.
PROVIDER: PIERGROSSI,ZACHARY C
IND PROF5
4-196
REASON FOR INACTIVATION
Provider Group: INDIGO MG
=======================================================================
Inactivation Date:
Reactivation Date:
Reason for Inactivation:
• A provider cannot be inactivated from a group if the following conditions
exist:
– Appointments are booked for the provider with the group.
– Wait list requests exist.
– Patients are assigned to this provider as PCM.
The Discrepancy Avoidance Report lists the discrepancies which must be
resolved before a provider or place of care can be inactivated.
Quick Reference Guides
Enter a Reason for Inactivation.
Notes:
• Providers cannot be deleted from a provider group profile. When a provider
ceases to be an active member of a provider group, that provider must be
inactivated.
MCP
INACTIVATE/REACTIVATE AN MCP
PROVIDER
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Enter the Inactivation Date.
INTERACTIVE NAS PROCESSING
The Non-Availability Statement Processing (NNAS) option is used to generate
Non-Availability Statements (NASs) for CHAMPUS-eligible patients.
MENU PATH: PAS System Menu ➔ MAN ➔ IMCP ➔ NNAS
After you access this option, the following prompts display:
Select (N)AS Number, (P)atient Name, (Q)uit: P//
Select the Patient action: <Return>
Enter Patient Name: PARROT,WENDY
Verify the Sponsor Name: <Return>
4-197
Quick Reference Guides
------------------------------------------------------------------------------------------select to (V)iew more DEERS data, (P)rint, (R)epeat DEERS check, (C)ontinue,
or (Q)uit: C//
Note:
DEMOGRAPHICS DISPLAY
Name: PARROT,WENDY
FMP/SSN: 30/101-10-0035
Patient Category: USA FAM MBR AD
DDS: 30
Patient Type:
Sex: FEMALE
MCP Status:
DOB/Age: 02 FEB 1973/28Y
ACV: C-CHAMPUS/DIRECT
DMIS ID:
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
===================================================================
Sponsor Name: PARROT,VINCENT
Rank: CAPTAIN
Station/Unit: FORT EUSTIS, VA
DSN:
Home Address: 9673 CLEAR VIEW LANE
City: ARLINGTON
State: VIRGINIA
ZIP Code: 22209
Home Phone: (703) 696-3744
Duty Phone:
Work Phone:
Registration Comment:
Last Registration Date: 21 JUN 2001@1037
Outpatient Record Room: MEDICAL RECORDS FILE ROOM
MCP Enroll Date:
End Enroll Date:
Primary Care Mgr:
PCM Phone:
Primary OHI:
Case Mgmt:
===================================================================
Select (F)ull, (M)ini, (O)HI, (N)ew Patient, (R)epeat DEERS,
(C)ontinue, or (Q)uit DEMOGRAPHICS: C//
Select the Continue action: C
CHCS - DEERS
Processing DEERS Request
Waiting to Process...
Processing Request....
Transaction Complete....
Press 'Q' to quit and not process the DEERS request.
• PREVIOUS NON-AVAILABILITY STATEMENTS. Previous NASs can
be accessed by NAS number.
MCP
INTERACTIVE NAS PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
CURRENT DEERS ELIGIBILITY
Name: PARROT,WENDY
FMP/SSN: 30/101-10-0035
Patient Category: USA FAM MBR AD
DDS: 30
DOB/Age: 02 Feb 1953/48Y
Sex: FEMALE
------------------------------------------------------------------------------------------Sponsor Rank: LIEUTENANT COLONEL
Sponsor UIC: 831LFJSQ-0459 OPERATIONS GP
DMIS ID: 0037-WALTER REED AMC
ACV: C-CHAMPUS/DIRECT CARE ELIGIBLE
ACV Start Date:
Region Code:
Care Authorization PH#:
PCM Location:
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
Dir Care elig Start Date: 12 Mar 2001
CHAMPUS:
Dir Care Elig End Date: 10 Feb 2003
Eligibility End Reason:
BRAC Pharmacy Eligibility:
Override Code:
Date of Request: 17 Jun 2001
Do not repeat the DEERS transaction.
INTERACTIVE NAS PROCESSING (continued)
NAS HISTORY
Patient: PARROT,WENDY
FMP/SSN: 30/101-10-0035
Patient Category: A41
DDS: 30
DOB/AGE: 02 Feb 1973/28Y
Sex: FEMALE
ACV: CHAMPUS/DIRECT CARE ELIGIBLE
---------------------------------------------------------------------------------------------------------------------NAS Number
Status MDC Reason for Issue
===================================================================
• THE NAS HISTORY SCREEN. The NAS History screen action bar only
contains the cancel or print actions if the patient has any previously issued
NASs. These previously issued NASs will be listed on the screen.
The system automatically queries the DEERS for a history of any NASs
issued for the patient. It must find a positive match of the patient’s date of
birth (DOB), DEERS dependent suffix (DDS), and sponsor’s Social Security
number (SSN):
– If a match is found, the system displays the patient’s NAS History screen.
– If a match is not found, the system displays the DEERS Family Member
Verification screen. When you select the correct patient, the system
displays the patient’s NAS History screen.
4-198
================= No previously issued NAS for this patient ==================
Select (I)ssue, or (Q)uit: I//
Select the Issue action: <Return>
Notes:
• DEERS PROCESSING. The system automatically performs a DEERS
eligibility query to see if the patient has received a positive response from
DEERS within the past 5 days.
– If the patient was DEERS ineligible, the system runs another inquiry and
displays the DEERS Eligibility screen.
• PATIENT CATEGORY SCREENING. The patient must be CHAMPUSeligible.
MCP
INTERACTIVE NAS PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
– If the patient was DEERS eligible or the override code was used, the
system displays the Current DEERS Eligibility screen. You can either
repeat the inquiry or go on to the patient’s Demographic Display screen.
INTERACTIVE NAS PROCESSING (continued)
NAS DATA:
Complete the NAS Issue screen.
NAS DATA: PARROT,WENDY
NAS ISSUE
4-199
Patient: PARROT,WENDY FMP/SSN: 30/101-10-0035
Patient Category: USA FAM MBR AD
DDS: 30
Sex: FEMALE
DOB/Age: 02 Feb 1973/28
ACV: CHAMPUS/DIRECT CARE
==========================================================
NAS Number:
Issue Date: 21 Jun 2001
Issue Type:
Status: UNCONDITIONAL
Issue Reason:
DMIS ID: 0037
MDC:
Admitting Facility:
Admission Date:
PARROT,WENDY
NAS ISSUE
Patient: PARROT,WENDY
FMP/SSN: 30/101-10-0035
Patient Category: USA FAM MBR AD
DDS: 30
Sex: FEMALE
DOB/Age: 02 Feb 1973/28
ACV: CHAMPUS/DIRECT CARE
===================================================================
Medically Inappropriate Code:
Treatment Facility:
ZIP Code:
City:
State:
Mileage:
---------------------------------------------------------------------------------------------------------------------File/exit
Abort
Edit
File changes and exit.
File the data.
Other Insurance: No Insurance
Insurance Company:
Policy Number:
Processing DEERS Request
Waiting to Process...
Processing Request....
Transaction Complete....
Press 'Q' to quit and not process the DEERS request.
Ask for Help = HELP Screen Exit = F10 File/Exit = DO INSERT OFF
Personal Data - Privacy Act of 1974 (PL 93-579)
MCP
INTERACTIVE NAS PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Issuing Officer:
Remarks 1:
2:
3:
CHCS - DEERS
INTERACTIVE NAS PROCESSING (continued)
The name of the Issuing Officer is required for NAS issue.
When the Issue Reason is a 7, 8, or 9, you should enter the following remarks:
4-200
NAS DISPLAY
Patient: PARROT,WENDY
FMP/SSN: 30/101-10-0035
Patient Category: A41
DDS: 30
DOB/Age: 02 Feb 1973/28Y
Sex: FEMALE
ACV: CHAMPUS/DIRECT CARE ELIGIBLE
===================================================================
NAS Number: XXXXXXXXXXX
Issue Date: 21 Jun 2001
Status: UNCONDITIONAL
Issue Reason: 5 - Professional capability temporarily
not available.
MDC: 14 PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
Facility:
Admission Date:
Other Insurance: N
Policy Number:
Insurance Company: N
Issuing Officer: SMITH,JAMES A
Remarks 1:
2:
3:
Medically Inapp Code:
Mileage:
Facility:
City:
State: ZIP:
===================================================================
OK TO PRINT? Yes//
• THE NAS ISSUE SCREEN. If the Issue Reason is Number 3 - Medically
Inappropriate - the NAS Issue secondary screen must be completed.
Quick Reference Guides
-
Unconditional - The patient is resident on the DEERS
-
Conditional - The sponsor is resident on the DEERS, but the patient is not
(i.e., new spouse or newborn child).
-
If the sponsor is not resident on the DEERS, the NAS cannot be issued.
Remarks Line 1: Referred By: [Name of referring provider or PCM]
-
Remarks Line 2: Referred To: [Name of the provider to whom the
patient is referred]
• DEERS NAS ISSUE RESPONSES. After you have completed the NAS
Issue screen and filed the NAS issue data, you could receive any of several
different NAS response screens:
-
If all data is compatible between DEERS and what you have entered for
the patient on the local system, the system displays the completed NAS
Display screen.
-
If any discrepancy exists between your data and the data on DEERS, you
receive the All Other NAS Responses screen.
-
If the NAS insurance requires a two-part transaction, you get the
Successful Transmission message after you successfully transmit Part 1.
• THE NAS HISTORY SCREEN. The newly generated NAS does not
appear on the screen until you leave the NAS issuing process and reaccess a
DEERS history for that patient.
• PRINTING. You cannot print to the terminal screen, but you can print to a
slave printer.
The name of the Admitting Facility is required for Retroactive issue types.
MCP
INTERACTIVE NAS PROCESSING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
The NAS Issue Status defaults based upon the DEERS eligibility response:
-
NON-ENROLLED BOOKING
The Non-Enrolled Booking option allows you to generate referrals for nonenrolled patients and book them to either an MTF or a non-MTF health care
provider.
MENU PATH: PAS System Menu ➔ MAN ➔ NMCP
ALTERNATE MENU PATH:
PAS System Menu ➔ MAN ➔ HMCP ➔
NHCF
4-201
NON-ENROLLED BOOKING SEARCH CRITERIA
Patient:
FMP/SSN:
Patient Type:
Appt Type:
Clinic:
Specialty:
Clinic Phone:
Provider:
Duration:
Location:
Days of Week:
Dates: 21 Jun 2001 to 06 Jul 2001
Time Range: 0001 to 2400
-----------------------------------------------------------------------------------------------------------------------------------------------
Quick Reference Guides
MCP
NON-ENROLLED BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
---------------------------- Patient, Patient Type, Speciality, Location, Provider are required-------------------------Select (C)hange Search Criteria, or (Q)uit: C//
NON-ENROLLED BOOKING (continued)
• Select the Change Search Criteria action.
4-202
NON-ENROLLED BOOKING SEARCH CRITERIA
Patient:
FMP/SSN:
Patient Type:
Appt Type:
Clinic:
Specialty:
Clinic Phone:
Provider:
Duration:
Location:
Days of Week:
Dates: 21 Jun 2001 to 02 Aug 2001
Time Range: 0001 to 2400
-----------------------------------------------------------------------------------------------------------------------------------------------Appointment Type
Specialty
Location
Patient
Patient Type
Dates
Time Range
+ Days of Week
----------------------------- Patient, Patient Type, Speciality, Location, Provider are required-------------------------Select PATIENT NAME: PHOTON,ZACHARY N
20/353-30-4614 25 Sep 1932 M NO7
OK? YES// (YES)
SPONSOR NAME: PHOTON,ZACHARY N//
DEMOGRAPHICS DISPLAY
Name: PHOTON,ZACHARY N
FMP/SSN: 20/353-30-4614
Patient Category: USN RET LOS OFFICER
DDS:
Patient Type:
Sex: MALE
MCP Status:
DOB/Age: 25 Sep 1932/57Y
ACV: N-NOT ENROLLED/CHAMPUS INELI
DMIS ID: 6015
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
-----------------------------------------------------------------------------------------------------------------------------------------------Sponsor Name: PHOTON,ZACHARY N
Rank: COMMODORE
Station/Unit:
DSN:
Home Address: 154o CLEAR WATER CIR.
City: ARLINGTON
State: VIRGINIA
ZIP Code: 22222
Home Phone: 703-622-5234
Duty Phone:
Work Phone:
Registration Comment:
Last Registration Date: 21 Jun 2001@1103
Outpatient Record Room: MEDICAL RECORDS FILE ROOM
MCP Enroll Date:
End Enroll Date:
Primary Care Manager:
PCM Phone:
Primary OHI:
Case Mgmt:
-----------------------------------------------------------------------------------------------------------------------------------------------Select (F)ull, (M)ini, (N)ew Patient, (C)ontinue, or (Q)uit DEMO: C
• Select Patient, Patient Type, Location, Specialty.
• Verify Sponsor Name.
• Select the Continue action at the DEERS Eligibility Screen.
MCP
NON-ENROLLED BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
• Select Patient Name.
NON-ENROLLED BOOKING (continued)
• Select the Continue action.
NON-ENROLLED BOOKING SEARCH CRITERIA
Patient: PHOTON, ZACHARY N
FMP/SSN: 20/353-30-4614
Patient Type: CHAMPUS
Appt Type: OCCUPATIONAL THERAPY
Clinic:
Specialty:
Clinic Phone:
Provider:
Duration:
Location: DISTRICT OF COLUMBIA
Days of Week:
Dates: 21 Jun 2001 to 02 Aug 2001
Time Range: 0001 to 2400
------------------------------------------------------------------------------------------------------------------------------------------------
• Complete the Non-Enrolled Booking Search Criteria screen.
NON-ENROLLED BOOKING SEARCH CRITERIA
Patient: PHOTON, ZACHARY N
FMP/SSN: 20/353-30-4614
Patient Type: CHAMPUS
Appt Type:
Clinic:
Specialty: OCCUPATIONAL THERAPY
Clinic Phone:
Provider:
Duration:
Location: DISTRICT OF COLUMBIA
Days of Week:
Dates: 21 Jun 2001 to 02 Aug 2001
Time Range: 0001 to 2400
------------------------------------------------------------------------------------------------------------------------------------------------Patient Home Phone: 410-555-0602 Patient Duty Phone:
------------------------------------------------------------------------------------------------------------------------------------------------Search for (P)rovider Name, (M)TF, (E)xternal, N(o)n-Network,
or (Q)uit Provider Search:
4-203
-----------------------------------------------------------------------------------------------------------------------------------------------Select PATIENT TYPE: CHA
Select SPECIALTY: OCCUPATIONAL THERAPY
Select LOCATION: DISTRICT OF COLUMBIA
• Select the MTF Provider Search.
• Select Appointment Type: <Return>.
• Select the Provider Search action.
NON-ENROLLED BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
NON-ENROLLED BOOKING (continued)
• Select the Provider.
NON-ENROLLED BOOKING SEARCH CRITERIA
Patient: PHOTON, ZACHARY N
FMP/SSN: 20/353-30-4614
Patient Type: CHAMPUS
Appt Type:
Clinic:
Specialty: OCCUPATIONAL THERAPY
Clinic Phone:
Provider:
Duration:
Location: DISTRICT OF COLUMBIA
Days of Week:
Dates: 21 Jun 2001 to 02 Aug 2001
Time Range: 0001 to 2400
4-204
Provider
CS Cat Agr Place of Care
Zip
1st Available Appt
----------------------------------------------------------------------------------------------------------------------------------------------PAANGA,ABBAS M
MD MTF OT MTF
20307
26 Jun 2001@0800
PEACEMAKER,BARB
MD MTF OT MTF
20307
26 Jun 2001@0800
PACHA,CLIFTON M
MD MTF OT MTF
20307
26 Jun 2001@0800
PACHOULI,DIANE
MD MTF OT MTF
20307
26 Jun 2001@0800
PACHINI,EDWARD
MD MTF OT MTF
20307
26 Jun 2001@0800
PALESTRA,FRANCE
MD MTF OT MTF
20307
26 Jun 2001@0800
PADUKA,GEORGE M
MD MTF OT MTF
20307
26 Jun 2001@0800
PACKER,HELEN M
MD MTF OT MT
20307
26 Jun 2001@0800
PADDY,ISSAC M
MD MTF OT MT
20307
26 Jun 2001@0800
+ PADRONE,JULIE M
MD MTF OT MT
20307
26 Jun 2001@0800
----------------------------------------------------------------------------------------------------------------------------------------------Use the SELECT key to Select the Provider to whom to refer the patient
Press F9 to view Schedule, Discount Summaries, Place of Care, or Watch Codes
ADD AN APPOINTMENT SLOT
Patient: PHOTON, ZACHARY N
FMP/SSN: 20/353-30-4614
Patient Type: CHAMPUS
Appt Type:
Clinic: OT MTF/DIVA
Specialty: OCCUPATIONAL THERAPY
Clinic Phone: 202 456-9876
Provider: PAANGA,ABBAS M
Duration:
Location: DISTRICT OF COLUMBIA
Days of Week:
Dates: 21 Jun 2001 to 02 Aug 2001
Time Range: 0001 to 2400
-----------------------------------------------------------------------------------------------------------------------------------------------TUE 0800 26 Jun 01 NEW
1/0
* TUE 0830 26 Jun 01 NEW
1/0
TUE 0900 26 Jun 01 NEW
1/0
TUE 0930 26 Jun 01 NEW
1/0
TUE 1000 26 Jun 01 NEW
1/0
TUE 1030 26 Jun 01 NEW
1/0
TUE 1100 26 Jun 01 NEW
1/0
+ TUE 1130 26 Jun 01 NEW
1/0
-----------------------------------------------------------------------------------------------------------------------------------------------Use SELECT an appointment
• Select an appointment.
NON-ENROLLED BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
NON-ENROLLED BOOKING (continued)
ADD AN APPOINTMENT SLOT
FMP/SSN: 20/353-30-4614
Appt Type:
Specialty: OCCUPATIONAL THERAPY
PATIENT APPOINTMENT: PHOTON,ZACHARY N
TUE 0830 26 Jun 01 NEW
1/0
Patient: PHOTON, ZACHARY N
Patient Type: CHAMPUS
Clinic: OT MTF/DIVA
Clinic Phone: 202 456-9876
Provider: PAANGA,ABBAS M
Duration:
Location: DISTRICT OF COLUMBIA
Days of Week:
Dates: 21 Jun 2001 to 02 Aug 2001
Time Range: 0001 to 2400
----------------------------------------------------------------------------------------------------------------------------------------------TUE 0830 26 Jun 01 New
1/0
4-205
----------------------------------------------------------------------------------------------------------------------------------------------Select (B)ook appt, or (Q)uit FILE APPOINTMENT: B//
• Book the appointment: <Return>
FILE APPOINTMENT
Clinic Message: Arrive 10 minutes early.
Clinic/Appt Type Instructions:
Provider Message:
Provider/Appt Type Instructions:
Arrival Message: 10 minutes
Registration Comment:
MEPRS Code: DHBA
Requesting Service:
Referred By:
Send Reminder Notice: YES
Appointment Comment:
Reason for Appointment:
----------------------------------------------------------------------------------------------------------------------------------------------Ask for Help = HELP
Screen Exit = F10
File/Exit = DO
INSERT OFF
• File the data.
• Complete the File Appointment Secondary screen.
• File the data.
Quick Reference Guides
MCP
NON-ENROLLED BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• Select the Quit action until you return to the Managed Care Program Menu.
NON-ENROLLED BOOKING (continued)
Need to Know:
THE NON-ENROLLED BOOKING SEARCH CRITERIA SCREEN.
• The Patient, Patient Type, Specialty, Location, and Provider fields are
required search criteria fields. You need not select all of them from the list. If
you select Provider Search, the system automatically prompts you for the
Patient Name, Patient Type, Specialty Location, and Appointment Type
fields.
You need to enter the correct patient type when generating a referral, because
the system matches your entry with compatible provider agreement types
when searching for a health care provider.
4-206
The Location field allows you to enter either the zip code(s), a “wild card” zip
code, or a geographical area as defined in the CHCS Zip Code Combination
file.
THE NON-ENROLLED NON-MTF BOOKING SEARCH CRITERIA
SCREEN.
The (W)ait List Add action only appears if the specified clinic maintains an
active Wait List.
THE ADD AN APPOINTMENT SLOT SCREEN.
• The booking process varies at this point. If you have chosen an MTF health
care provider, you then choose a scheduled time slot and book to it. If you
have chosen a non-MTF health care provider, you must create an appointment
slot and book to it.
Refer to Quick Reference Guide: Appointment Referral Booking, for an
THE FILE APPOINTMENT SCREEN.
• This screen contains a “smart” action bar:
– If you have selected only one appointment to book, only the Book and
Quit File appointment actions appear on the action bar.
– If you have selected more than one appointment to book, the Skip and
View actions also appear on the action bar.
• The system displays a different booking search criteria screen depending upon
which type of patient and health care provider you are using:
– Enrolled/Non-MTF - Non-MTF Booking Search Criteria screen.
– Non-Enrolled/MTF - Non-Enrolled MTF Booking Search Criteria screen.
– Non-Enrolled/Non-MTF - Non-Enrolled Non-MTF Booking Search
Criteria screen.
MCP
NON-ENROLLED BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
– Enrolled/MTF - MTF Booking Search Criteria screen.
PCM BOOKING
The PCM Booking option allows you to book appointments for enrolled patients
to assigned primary care manager.
MENU PATH: PAS System Menu ➔ MAN ➔ HMCP ➔ PHCF
PCM BOOKING SEARCH CRITERIA
Patient:
FMP/SSN:
Patient Type:
Appt Type:
Clinic:
Specialty:
Provider:
Duration:
Location:
Days of Week:
Dates: 21 Jun 2001 to 02 Aug 2001
Time Range: 0001 to 2400
-----------------------------------------------------------------------------------------------------------------------------------------------
4-207
----------------------------------------------------------------------------------------------------------------------------------------------Select PATIENT NAME: PICARD, ZACHARY E
20/379-43-6114 31 May 1955 M AE5
OK? YES// (YES)
SPONSOR NAME: PICARD, ZACHARY E//
• Verify Sponsor Name.
• Select the Continue action at the Current DEERS Eligibility screen
DEMOGRAPHICS DISPLAY
Name: PICARD,ZACHARY E
FMP/SSN: 20/379-43-6114
Patient Category: USA ACTIVE DUTY ENLISTED
DDS:
Patient Type: MCP/ACTIVE DUTY
Sex: MALE
MCP Status: ENROLLED
DOB/Age: 31 May 1966/35Y
ACV: A-ACTIVE DUTY/MCP ENROLLED
DMIS ID: 6015
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
----------------------------------------------------------------------------------------------------------------------------------------------Sponsor Name: PICARD,ZACHARY E
Rank: CAPTAIN
Station/Unit: RESOURCE MGMT WASHINGTON
DSN:
Home Address: 862 West Wyland Dr
City: FAIRFAX
State: VIRGINIA
ZIP Code: 22030
Home Phone: 918-55-0287
Duty Phone: 202-555-6802
Work Phone: 202-555-6802
Registration Comment:
Last Registration Date: 21 Jun 1999@1032
Outpatient Record Room: MEDICAL RECORDS FILE ROOM
MCP Enroll Date: 21 Jun 2001
End Enroll Date: 10 Feb 2003
Primary Care Manager: ESPOSITO,FRANK M
PCM Phone: 202 271-5850
Primary OHI: NOT ASSIGNED
Case Mgmt: NO
----------------------------------------------------------------------------------------------------------------------------------------------Select (F)ull, (M)ini, (E)nrollment, (P)CM, Ca(s)e, F(a)mily,
(D)isenroll, (H)istory, (N)ew Patient, (C)ontinue, or (Q)uit DEMOGRAPHICS: C//
Quick Reference Guides
• Enter Patient Name.
MCP
PCM BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• Select Patient action.
PCM BOOKING (continued)
• Select the Continue action.
PCM MTF BOOKING SEARCH CRITERIA
Patient: PICARD, ZACHARY E
FMP/SSN: 20/379-43-6114
Patient Type: MCP/ACTIVE DUTY
Appt Type:
Clinic: FAM PRAC MTF/DIVA
Specialty: NURSING
Clinic Phone: 202 271-5850
Provider: ESPOSITO, FRANK M
Duration:
Location: 20307
Days of Week:
Dates: 21 Jun 2001 to 02 Aug 2001
Time Range: 0001 to 2400
----------------------------------------------------------------------------------------------------------------------------------------------Patient Home Phone: 703-622-5234
Patient Duty Phone:
4-208
----------------------------------------------------------------------------------------------------------------------------------------------Select (C)hange Search Criteria, (B)rowse, (S)ingle Patient, Appt (R)efusal, (W)ait List Add,
(T)el-Consult, or (Q)uit: S//
• Select the Single Patient action.
PCM MTF SINGLE PATIENT BOOKING
Patient: PICARD, ZACHARY E
FMP/SSN: 20/379-43-6114
Patient Type: MCP/ACTIVE DUTY
Appt Type:
Clinic: FAM PRAC MTF/DIVA
Specialty: NURSING
Clinic Phone: 202 271-5850
Provider: ESPOSITO, FRANK M
Duration:
Location: 20307
Days of Week:
Dates: 21 Jun 2001 to 02 Aug 2001
Time Range: 0001 to 2400
----------------------------------------------------------------------------------------------------------------------------------------------FRI
0800
22 Jun 01
NEW
1/0
FRI
0830
22 Jun 01
NEW
1/0
FRi
0900
22 Jun 01
NEW
1/0
FRI
0930
22 Jun 01
NEW
1/0
FRI
1000
22 Jun 01
NEW
1/0
FRI
1030
22 Jun 01
NEW
1/0
FRI
1100
22 Jun 01
NEW
1/0
FRI
1130
22 Jun 01
NEW
1/0
----------------------------------------------------------------------------------------------------------------------------------------------Use SELECT key to select appointment(s) to be booked
• Select an appointment slot to book.
PCM BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
MCP
PCM BOOKING (continued)
• Select the book action.
PATIENT APPOINTMENT: PICARD,ZACHARY E
FILE APPOINTMENT
FMP/SSN: 20/379-43-6114
Appt Type:
Specialty: NURSING
Patient: PICARD, ZACHARY E
Patient Type: MCP/ACTIVE DUTY
Clinic: FAM PRAC MTF/DIVA
Clinic Phone: 202 271-5850
Provider: ESPOSITO, FRANK M
Duration:
Location: 20307
Days of Week:
Dates: 21 Jun 2001 to 02 Aug 2001
Time Range: 0001 to 2400
----------------------------------------------------------------------------------------------------------------------------------------------FRI 0800 22 Jun 01 NEW 1/0
FILE APPOINTMENT
FRI 0800 26 Jun 01 NEW 1/0
No reminder notice will be sent. Hand-carry Radiology/Patient records.
Clinic Message: Arrive 10 minutes early.
Clinic/Appt Type Instructions:
Provider Message:
Provider/Appt Type Instructions:
Arrival Message: 10 minutes
Registration Comment:
MEPRS Code: BGAZ
Requesting Service:
Referred By:
Send Reminder Notice: NO
Appointment Comment:
Reason for Appointment:
4-209
-----------------------------------------------------------Select Slot #1 of 1-----------------------------------------------------------Select (B)ook appt, or (Q)uit FILE APPOINTMENT: B//
----------------------------------------------------------------------------------------------------------------------------------------------File/exit
Abort
Edit
File changes and exit.
• Complete the File Appointment Secondary screen.
Quick Reference Guides
• Do not remind patient of other appointments/Wait List requests.
• Select the Quit action until you return to the Health Care Finder Menu.
MCP
PCM BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
• File the data.
PCM BOOKING (continued)
Need to know information:
– If the assigned PCM is a non-MTF place of care (e.g., Family Practice
Associates), the system displays the PCM Non-MTF Booking Search
Criteria screen and defaults the place of care as the PCM.
ENROLLMENT STATUS FOR PCM APPOINTMENTS.
THE PCM MTF BOOKING SEARCH CRITERIA SCREEN.
• If the patient is not enrolled in MCP, you must enroll the patient and assign a
PCM before the system allows you to book an appointment to a PCM.
• The (W)ait List Add action only appears if the specified clinic maintains an
active Wait List.
Only network providers can be designated as PCMs.
THE FILE APPOINTMENT SCREEN.
The system could display three different screens, depending upon the type of
PCM assigned to the patient.
• This screen contains a “smart” action bar:
– If the assigned PCM is an MTF provider, the system displays the PCM
MTF Booking Search Criteria screen.
4-210
– If the assigned PCM is an MTF group provider/clinic (e.g., Family
Practice), the system displays the PCM MTF Appointment Search screen,
where:
– If you have selected only one appointment to book, only the Book and
Quit File Appointment actions appear on the action bar.
– If you have selected more than one appointment to book, the Skip and
View action also appear on the action bar.
* If the clinic has schedules, the system displays open appointment slots
for the clinic, and you can book the appointment directly to the clinic.
Quick Reference Guides
* If the clinic does not have schedules, but some of the providers in the
clinic are designated as individual PCMs, the system displays open
appointment slots only for those individual providers who are
designated as PCMs.
– If the assigned PCM is a non-MTF provider, the system displays the PCM
Non-MTF Booking Search Criteria screen, where the system prompts you
to add an appointment to the provider’s schedule, and book that
appointment for the patient.
MCP
PCM BOOKING
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
* If the clinic does not have schedules, and no provider is designated as
an individual PCM, the system displays open appointment slots for all
providers as PCMs.
TERMINATE AN MCP PROVIDER AGREEMENT
MENU PATH: PAS System Menu ➔ MAN ➔ PMCP ➔ GNET
Enter the provider group name.
Press <Next Screen> to access the Provider Group Profile/Agreement
Maintenance screen.
Select the Agreements action.
Select the Terminate action.
Select the agreement to be terminated.
4-211
PROVIDER GROUP AGREEMENT HISTORY
----------------------------------------------------------------------------------------------------------------------------------------------Agreement
Effective
Overall
FI
Type
Date
Stop Date
Discount
Notified
Except PCM
----------------------------------------------------------------------------------------------------------------------------------------------NET
21 Jun 2001
20 Jun 2002
CA- 18%
21 Jun 2001
S
* SUP
21 Jun 2001
20 Jun 2002
CA- 10%
19 Jun 2001
Enter the stop date and the date that the FI is notified.
Enter the reason for terminating the agreement early.
• The new stop date cannot be earlier than the start date.
MCP
END
TERMINATE AN MCP PROVIDER
AGREEMENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Quick Reference Guides
Notes:
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PATIENT APPOINTMENT AND
SCHEDULING
REFERENCE MANUAL
Section 5
Subsystem Glossary
5-1
Subsystem Glossary
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PATIENT APPOINTMENT AND SCHEDULING REFERENCE MANUAL
Section 5. Subsystem Glossary
Term
Definition
Access
The process of requesting an entry in a
particular file or in certain fields in a given file.
Also refers to data security functions for files or
certain fields in a file.
Access Code
See User Security.
Access/Verify Codes
The Access and Verify codes are used in the
logon process to identify a legitimate user and to
gain access to CHCS. Both codes are
site-specific and established by the CHCS
System Manager. Only the verify code may be
changed by the individual user. The codes do not
show on the screen when entered.
Action Bar
A horizontal bar that provides two or more
functions to choose from by typing the
character(s) within the parentheses and
pressing <Return>. The selected function is
performed and control is then returned to this
action bar. (See also Smart Action Bar.)
Active Parameter
A specific value for a search criterion that the
system will use to search for open schedule
slots. Active parameters are displayed in the
Display Window of a Search Criteria screen.
Ad Hoc Reports
Reports that consist of variable data and that
are generated for a particular purpose or need.
Admission
The process of bringing a patient into the
medical treatment facility (MTF) as an
inpatient.
Alternate Care Value
(ACV)
Information used by DEERS to define a
patient's eligibility. This information is then
sent to CHCS. A value of U indicates that the
patient is enrolled in a United States Treatment
5-2
Subsystem Glossary
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Subsystem Glossary (continued)
Term
Definition
Facility (USTF) and is not eligible for care in a
medical treatment facility (MTF).
Ancillary
Any work area that supports the care of patients
on the ward or in the clinics. “Ancillary to” the
ward or clinic.
Ancillary Workcenter
Those supporting workcenters targeted for
automation (e.g., LAB, RAD, PAD, PHR, PAS,
and DTS).
ANSI MUMPS
American National Standards Institute
accepted standard for the Massachusetts
General Hospital Utility Multi-Programming
System (MUMPS) programming language.
Application Software
Software that runs CHCS and performs
functions necessary to control or make the
system work.
Appointing
Synonymous with “appointment booking” or
just “booking.”
Appointment, Patient
A specific time reservation for a patient to see a
specified care provider. Patients are said to have
appointments; clinics and care providers are
said to have schedules.
Appointment Booking
The process of searching for, selecting, and
reserving an appropriate schedule slot for a
specified patient booking.
Appointment Referral
A patient appointment request for specialized
care generated by the primary care manager
(PCM).
Appointment Search
Criteria
See Search Criteria.
Appointment Slot
A single time opening in a provider's template or
schedule for a certain type of appointment. The
5-3
Subsystem Glossary
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Subsystem Glossary (continued)
Term
Definition
slot has a begin and end time, and the maximum
number of patients that can be seen during that
period. This is also referred to as a schedule
time slot.
Appointment Type
A broad generic designation of the type of care to
be provided during an appointment or
encounter.
Appointment Type,
Alternate
A secondary appointment type for a schedule
slot that is not filled within a specified time
(e.g., 48 hours before the appointment). Used for
changing unused appointment slots into
different usable slots shortly before the
appointment day.
Archive/Purge
The process of storing historical patient data in
the archive database (archive) while removing
nonhistorical patient data from the production
database (purge).
Arrival Time
(Appointment)
The time patients are told to arrive for their
appointments. This may or may not be different
from the beginning time or booking time, which
is the time at which they are actually scheduled
to be seen.
At Sign (@)
1) An edit response meaning delete the current
value and leave the field empty of data.
2) Used to show appointment times (e.g.,
13Jun@1000).
Attribute
Information describing a file or data element.
Types of attributes include data types, ranges,
descriptions, and checks performed upon entry
of a data element.
Authority
Having all required security keys needed to
perform specified functions using CHCS.
5-4
Subsystem Glossary
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Subsystem Glossary (continued)
Term
Authorization Level
(Order Entry and RAD)
Definition
In order entry and Radiology, there are five
authorization levels: Clerk, Nurse, and three
kinds of health care provider (HCP):
Clerk Authorization: The system prompts
clerks to provide the ordering/authorizing HCP.
Clerks may only transcribe written orders.
Although clerks may enter new orders, these
orders do not become active until they are
signed by a nurse or physician.
Nurse Authorization: The system prompts
nurses to provide the ordering/authorizing HCP
and the order origin (verbal, telephone, or
handwritten). The orders that nurses enter
become active, but they must be signed by a
physician.
HCP Authorization: This is the standard
physician authority and the highest level
needed for all orders except those special
procedures requiring a countersignature.
Physicians are not prompted for ordering or
authorizing HCP or order origin.
HCP Requiring Countersignature: This
authorization level is similar to the nurse in
that countersignature is always required. This
level of authorization is usually assigned to
interns, physician assistants, and medical
students. The orders that they enter may be
signed by anyone with HCP authorization.
These do not require the Countersigning HCP
authorization level.
Countersigning HCP: This level of authority
allows the physician to countersign orders for
special procedures. For example, this
authorization level would be assigned to
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Term
Definition
radiologists who need to approve certain tests
and procedures.
Backspace/Delete Key
See Computer Control Keys.
Batch PCM Reassignment
Allows the reassignment of a group of enrollees
in the Managed Care Program (MCP) from one
primary care manager (PCM) to another
without having to do individual reassignments.
Beneficiary Type
Synonymous with “patient category” (i.e.,
patient type).
Block Booking
A processing function of the Book Appointments
option, Block Booking allows the user to book
one or more patients for appointments within
one schedule time slot.
Booking Authority
A restriction on an appointment slot that allows
booking only by specified classes of appointers.
For example, certain slots may be designated as
being bookable only by persons with greater
medical knowledge who would be assigned a
higher booking authority. This is independent
of, and distinct from, any other booking
restrictions based on, for example, clinic
(perhaps one clinic may not be allowed to book
into another), or function (some users may be
allowed to register patients, but not book them
or may be allowed to book appointments but not
to maintain schedules).
Borrower
In Record Tracking, a borrower is defined as a
location, entity, or individual to whom records
are loaned. This may be a physician, a hospital
employee, a clinic, a ward, a hospital location, or
a patient.
Browse Action
(PAS)
The Browse options are used to display a
provider's schedule, overbook scheduled
appointment slots, or modify slots for a specific
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Definition
booking need. Slots can be modified by changing
appointment type, splitting one slot into two
slots, or joining several slots into one slot.
Browse is accessed by selecting the Browse
Action from either the Search Action Bar or the
Appointments Action Bar when booking
appointments.
Bulletin
A MailMan message sent to a mailgroup by the
Postmaster or automatically by the system
based on a CHCS event.
Cancellation
The process of voiding a pending appointment.
There are two modes of cancellation:
1) Patient-initiated cancellation, in which the
patient calls in to cancel an appointment. In
this case, the canceled slot becomes free for
another appointment.
2) Clinic-initiated cancellation, in which the
health care provider (HCP) and/or clinic
cancels an entire block of appointments (or
schedule slots).
In this case, a list of patients with booked
appointments in the schedule block is
printed so that they can be contacted and
informed of the cancellation. (In some
systems, cancellation notices are mailed to
the patients.) When a clinic cancellation
occurs, the slots become frozen, in “hold”
status, and cannot be used for appointments
at that time.
Catchment Area
A catchment area is the geographical area
within a 40-mile radius of a medical treatment
facility (MTF).
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Term
Definition
Cathode Ray Tube (CRT)
A TV-like type of video display terminal for
interacting with an online computer system. See
Keyboard Video Display Terminal.
Check-In
The data entry function, whereby the facts of a
completed appointment are entered into the
system to “close the loop.” Check-in data include
primarily the indication of whether the patient
did or did not keep the appointment (Show or
No-Show), and which provider treated this
patient.
Class Critique Form
Form used by the students to evaluate a CHCS
class.
Class Evaluation Report
Form used by CHCS presenters to document
their perception of how effective the class was
and what measures could be taken to make the
class presentation better.
Clinic
1) An outpatient department or a hospital
location.
2) A search criterion in which the parameter
identifies a clinic schedule.
Clinical Service
A clinical specialty within a medical treatment
facility (MTF).
Clinical Subsystem
(CLN)
The Clinical Subsystem includes order-entry
capabilities, automated due lists related to
patient care activities, and results-entry
capabilities. Special management activities
include patient acuity, nursing care hours,
nursing-specific bed management procedures,
and Nursing quality assurance.
See Facility Quality Assurance.
The clinical subsystem's primary users include
nurses, and allied health personnel.
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Term
Definition
Clinic Scheduling
The process of entering and maintaining clinic
schedules. Refers also to the entire area of
scheduling and entry/maintenance of clinic,
care provider, facility, and profile data.
Command Security
Command security refers to Personnel
Reliability Program, Presidential Support
Program, and sensitive compartmented
information.
Composite Health Care
System (CHCS)
A fully automatic, integrated medical
information system. CHCS facilitates the
coordination of health care activities and
patient information among all departments
within a medical treatment facility (MTF) and
its medically integrated outlying clinics.
Computer
An electronic device used to perform high-speed
data processing operations and that can store
the data for retrieval.
Computer-Based
A system that makes use of computer-related
hardware (physical components of a computer)
and software (programs that control computer
operations). CHCS is computer-based.
Computer Control Keys
The following is a list of the basic computer
control keys used in CHCS, and their specific
location and function.
Backspace/Delete Key: Located in the upperright corner of the keyboard's main keypad, this
key is used to delete (erase) the character to the
left of the cursor. It is identified on the keyboard
by a large left-arrow symbol containing an X.
Caret (^) Key: Entered using <Shift>, <6> on
the keyboard's main keypad, this key is used to
exit the current activity. This key is not the
same as an “up-arrow” key.
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Term
Definition
Cursor Control Keys: Located to the right of
the keyboard's main keypad. These keys allow
the user to move between fields in Screen Mode.
(These keys are also referred to as the up-arrow,
down-arrow, left-arrow and right-arrow keys.)
Help: Help text is available throughout CHCS
to assist users:
1) Press ? or <Help> at menu prompts for
online help.
2) Press ?? for a list of secondary menu options.
3) Press ??? for a brief description of options.
4) Press ? [option] for the OLUM text on an
option.
When accessing help from a field (in a prompt
series on a screen):
1) Press ? or <Help> for a quick one-line help
message.
2) Press ?? for extended help.
3) Press ??? to access the OLUM.
Note: Refer to the glossary entry for the Online
User Manual (OLUM).
<Hold Screen> Key: Located on the far upperleft corner of the keyboard, in line with the
function keys, this key is used to stop data from
scrolling off the screen. Press it again to resume
data scrolling.
<Lock> Key: This key locks the alphabetical
characters of the keypad into uppercase. It is
located on the left side of the keyboard above the
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Term
Definition
<Shift> key. A light indicates when the
keyboard is “locked.” A locked keyboard does not
affect symbol/numeric keys. Most data should
be entered in uppercase. To unlock the
keyboard, just press <Lock> again.
Question Mark (?) Key: Located on the lower
right side of the keyboard's main keypad, it can
be used to access CHCS Help Menu at most
prompts. There are three levels of help
available:
– Enter ? to access the first level.
– Enter ?? to access the second level.
– Enter ??? to access the third level.
Note: Refer to the glossary entry for Online
User Manual.
<Return> Key: Located on the right side of the
keyboard's main keypad, it is used to tell the
computer to process data just entered.
<Select> Key: Located on the editing keypad,
it is used to choose an item for editing or review.
Once <Select> is pressed, an asterisk (*)
appears next to the chosen item. Some
selections are activated automatically, for
others you must press <Return>.
To deselect an item, press <Select> again.
<Shift> Key: Located on the left and right
sides of the keyboard's main keypad, these keys
are used to enter individual uppercase
alphabetic characters, or to enter symbols above
the numeric keys.
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Term
Definition
Spacebar: A space is entered by pressing the
spacebar at the bottom of the keyboard's main
keypad.
Spacebar, <Return>: Entered by pressing the
spacebar, then <Return> on the keyboard's
main keypad. This sequence of keys is used to
recall the most recent value entered at any
Select prompt.
The <Return> key must be pressed after data is
entered; otherwise, the computer does not know
that the response to a prompt has been given.
Cost Pool Code
These are codes used to account for expenses
that cannot be directly assigned to specific
services or summary accounts but are known to
be associated with a selected group of services.
The cost pool is a valid entry in the Medical
Expense and Performance Reporting System
(MEPRS) Code Table. The third character in a
cost pool is always X (e.g., BCXA).
Current Appointment
An appointment that has been booked, but not
yet kept. The status of such an appointment is
marked by the system as “pending.”
Also sometimes called a "future" appointment or
a pending appointment, although these terms
also have other meanings. A current
appointment is not on a waiting list.
Current Procedural
Terminology (CPT)
A system developed by the American Medical
Association, for standardizing the terminology
and coding used to describe medical services
and procedures. The number affixed to the
acronym represents the current version.
In the Managed Care Program (MCP), these
procedure and medical service codes are used to
define services offered and exceptions to the
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Term
Definition
overall discount schedule for Civilian Health
and Medical Program of the Uniformed Services
(CHAMPUS) allowable (CA) and Usual and
Customary (UC) fees.
Cursor
The flashing rectangle or underscore on the
screen showing where the character is entered
as the user types in responses or data.
Data
A specific value in a field for a given record. All
the data for a file is stored in a data global.
Database
A collection of data organized into files
fundamental to an application.
Database Management
System (DBMS)
This software serves as the interface between
the application programs and the database.
FileMan is the CHCS database management
system.
Data Element
A field within a specified file defined by specific
attributes.
Also, the field characteristics and the data
entered in accordance with those
characteristics.
Data Type
A specification associated with each field that
indicates the kind of information to be entered,
the format for entering information, and the
way in which data is stored and retrieved. See
Field.
Valid data types are as follows:
Computed: A field whose value is computed
from other data. No data is actually stored in a
field possessing this data type.
Date/Time: A field that allows time data,
including year, month, day, and time of day.
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Term
Definition
Entries to this field are based on the system's
built-in “clock”; the user may enter a partial
date/time and the system will enter the
remaining data.
Free Text: A field containing any combination
of alphabetic characters, numbers, and
punctuation marks. The user may enter any
text in the field. The characters may be limited
to a minimum and/or a maximum, and the exact
form can be specified, such as the Social
Security number (SSN).
Numeric: A field that allows only data
containing numbers.
Pointer to a File: A field that provides a
reference to data in a different file to preclude
the reentering of redundant data.
The possible entries for this field type “point” to
another file that provides choices available for
response. For example, this field type may point
to the states in the United States, or procedures
in the Radiology Procedures file.
Data entry from different prompts in different
options into the pointed-to file may or may not
be controlled.
– Controlled Entry: At the prompt, the user
must select from existing entries in the
pointed to file.
– LAYGO (Learn As You Go) Entry: At the
prompt, the user may select from existing
entries in the pointed-to file, or add to the list
of entries.
Set of Codes: A field that provides for the
creation of a simple set of codes (alphabetic,
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Term
Definition
numeric, or symbols) in order to input standard
data choices.
The possible responses to this field type are
limited to a list of available entries or their
abbreviations.
Word Processing: A field that allows
multiline text to be treated as a single unit, even
though its data can be edited one line at time.
This field type provides for word processing
input, such as is required for Radiology Exam
Result. The system software provides a variety
of word processing editing options.
Days of Week
A search criterion where the parameter
identifies specific day(s) from Monday through
Sunday.
DEA Number
This is a unique number defined by the Drug
Enforcement Administration (DEA) and
associated with the provider. The DEA numbers
have the following format: A or B followed by
the first letter of the provider's last name,
followed by seven digits (e.g., AZ7654321).
This number, if assigned, should be inserted in
the DEA number field of the provider profile.
Default
This is the text provided by the system in
response to a field or prompt. A default allows
entry of the most commonly used answer or the
most recently inserted field value, with only one
keystroke; that is, you press <Return> to accept
the default.
Default Division
The division accessed by the user at logon.
Default Response
An expected response of the most common
answer to a prompt. The default response may
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Subsystem Glossary (continued)
Term
Definition
be provided by FileMan or defined by the user to
save keystrokes and is followed by two slashes
(//).
Default Search Criteria
The search criteria identified by a user as that
user's default criteria selections, that is, the
criteria for which the user wishes to change
parameters continually. Default Search Criteria
retain their select marks so the user does not
have to reselect them.
Default View Basket
This option allows you to choose the MailMan
basket into which the View Text messages are
sent. If you do not indicate a basket, the View
Text messages are sent to your IN basket. It is
suggested that you create a mail basket (called
View Text or some similar name) and specify it
as your default view basket. This will keep your
IN basket from being cluttered with view text.
Defense Enrollment
Eligibility Reporting
System (DEERS)
A Department of Defense (DOD) program for
determining and ensuring the eligibility of
potential patients for military health care.
Defense Medical
Information System
Identification
(DMIS-ID)
The Expense Assignment System (EAS)
uses the DMIS-ID to define which
divisions roll their workload together. Each
division has a unique DMIS-ID and a parent
DMIS-ID. The parent DMIS-ID defines
divisions that combine their workload.
A group DMIS-ID is assigned to the parent
DMIS-ID for upward reporting.
Dietetics Subsystem
(DTS)
The DTS Subsystem provides dietetics
personnel with access to patient demographic
and clinical information, and provides other
system users with a mechanism for
communicating diet orders and diet consults to
the Dietetics Department.
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Term
Definition
Directory Setup Screen
The screen that displays the various setups for
the VT320. It is used to access all other setup
screens.
Display
In CHCS documentation, this heading refers to
the display of a menu or a screen of information,
as opposed to a prompt or a message.
Display Window
In Patient Appointment and Scheduling (PAS),
the top section of the Search Criteria screen.
Active search parameters are displayed in this
window.
Disposition
The end point of a patient's hospitalization
(inpatient episode). There are numerous
disposition types, i.e., discharge, death, or the
patient's leaving against medical advice.
Divided Workcenter
(DWC)
A CHCS-supported workcenter with two or
more elements that provide similar services.
Duplicate Patient
Two patient data records that actually belong to
the same patient, or a patient registered twice
in the system.
Emergency Contact
Person to contact in case of patient emergency.
Emergency Encounter
Form
See SF558.
Encounter
There are two types of encounters:
1) A visit by a patient to an outpatient clinic.
2) All data related to an outpatient visit.
End-of-Day Processing
The update of patient appointment data for an
outpatient clinic on a specified day. Patient
appointment data includes, but is not limited to,
appointment status and type, provider, clinic,
and checked-in (date and time).
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Term
Definition
Entry
A data value within a field, record, or file.
Environment
The place in the computer in which the user is
working, and its characteristics.
Episode
All data related to an inpatient visit, starting
with admission and continuing through
disposition.
EVE Menu
Also called the Systems Manager Menu, this is
the very first menu that will appear after logon.
This menu is the parent of all other CHCS
menus.
External Provider
A non-network provider who is a member of a
provider network; who has the CON,NET,PEX,
or SUP agreement types; and who has a location
type of Other.
Facility
See Medical Treatment Facility.
Family Booking
Appointments in multiple clinics for multiple
related or unrelated patients.
Family Member Prefix
(FMP)
A two-digit code that identifies a patient's
relationship to the sponsor (e.g., son, daughter,
spouse, dependent parent, etc.).
FMPs are as follows:
01-19 = 1st through 19th child;
20 = sponsor;
30 = spouse;
40 = mother of sponsor;
45 = father of sponsor;
50 = mother-in-law;
55 = father-in-law;
60 = 1st other eligible dependent;
61 = 2nd other eligible dependent;
98 = civilian emergency;
99 = other.
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Term
Field
Definition
1) The space in a record used to define a data
element. A field has attributes, such as a
data type, storage location, and label. Data
element and field are often used
interchangeably.
2) A labeled area within a screen in which the
user may enter and edit text.
File
1) A grouping of items with a single functional
purpose. Patient information is stored in the
Patient file. Ward locations, clinics, and all
other hospital locations are stored in the
Hospital Location file.
2) As in “to file,” used in Screen Mode when
data is stored.
File Manager
(FileMan)
The database management system (DBMS)
used in CHCS. A general-purpose DBMS based
on the Massachusetts General Hospital Utility
Multi-Programming (MUMPS) programming
language used to create and maintain files.
Free Text
See Data Type.
Frequency
1) This term is used to refer to how often a
medication is given (e.g., Q6H, or given with
a frequency of every 6 hours).
2) The estimated hours, listed on the particular
intravenous (IV) bottle, that the IV will run.
Frozen Schedule Slot
A schedule slot on hold. Frozen slots will not
display during appointment booking. These
slots are temporarily frozen and are either
released manually by the user, or automatically
by the system on a user-specified date.
General Set-Up Screen
The screen used to set up the general user
preference features of the VT320 terminal.
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Term
Definition
Health Care Finder
(HCF)
A clerk who uses the Managed Care Program
(MCP) to book appointments for enrolled
patients with their primary care providers
(PCPs), add/modify appointment referrals for
enrolled and non-enrolled patients, book
appointments with network providers for nonenrolled patients, cancel and reschedule
appointments, and generate membership
identification cards, care authorization forms,
and patient/provider mailing labels.
Health Care Provider
(HCP)
The specific member of the health care team
providing health services to the patient.
Usually, this is a physician; however, the HCP
may be a nurse practitioner, dentist, physical
therapist, clinical dietitian, etc. HCP is not used
in reference to nurses, who represent a special
category in themselves. An HCP is someone who
has the authority to construct patient orders for
entry into the system. See Provider Class.
Health Record
Outpatient medical record.
Historical Data
Information that is considered to be relevant for
direct patient care and is removed from the
production database and stored in the archive
database.
<Hold Screen> Key
See Computer Control Keys.
Home
The device name used to specify output to the
screen.
Home Location
In Record Tracking, the place of residence for a
medical record or film jacket (X-ray file) when it
is not being borrowed. This home location is
usually a file room.
Identifier
The fields that are displayed when selecting an
entry in order to aid in the unique identification
of the record to be selected.
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Term
Definition
Inactive
See Order Status.
Initialization (INIT)
The act of starting up a system.
Insert Mode
As text is entered where text exists, the entered
characters are inserted at the cursor position,
pushing existing text to the right.
Interact Window
In Patient Appointment and Scheduling (PAS),
the bottom section of the Search Criteria screen.
Messages, prompts, and action bars appear in
this window.
Internal Entry Number
(IEN)
A unique number assigned to each file. It is used
internally in the software to identify specific
records within a file.
John (Jane) Doe
A male (female) patient whose identity is
unknown.
Keyboard
A typewriter-like instrument used to enter
information to be sent to the computer.
Keyboard Set-Up Screen
The screen used to set up the keyboard
characteristics, such as keyclick and bells.
Keyboard Video Display
Terminal (KVDT)
A terminal complex that includes a keyboard
and a video display. See CRT.
Laboratory Subsystem
of CHCS (LAB)
The software programs that process orders for
lab tests; specifically, the programs that allow
the user to log in specimens, to track order
status, to enter and certify results, to maintain
lab files, and to generate lab reports.
Learn As You Go
(LAYGO)
The process of adding records to a file through
data entry into other file(s). When a field is
defined as a pointer, the creator indicates
whether the user is allowed to enter new data
into the pointed-to file. Without LAYGO, the
user must select from existing entries in the
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Subsystem Glossary (continued)
Term
Definition
pointed-to file. With LAYGO, the user may
enter new records into the pointed-to file. See
Field.
Local Empanelment
Process used to conduct managed care activities
on a local level, without changing the Alternate
Care Value (ACV) of the non-active duty
beneficiaries on the DEERS database.
Login
A process that records that a sample was
received in the lab for testing.
Logoff
The user process to end a CHCS session. Three
logoff choices are available:
Halt: Allows the user to log off from any menu
prompt.
Restart: Allows the user to return directly to
the Access Code prompt.
Continue: Allows the user to end the session
with the system remembering the user's
location in the system. Allows the user to
directly return to that system location when
logging on again.
Logon
The user process to gain access to the CHCS
system and begin a CHCS session.
Lookup
The process of selecting one particular entry or
record from a file.
Mail Basket
Electronic file folder where the user can save
MailMan mail messages. All MailMan messages
are received in the IN mail basket.
Mail Box
The user file to which MailMan messages are
addressed.
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Term
Definition
Mailers
Mailed notices of canceled or missed
appointments. There are five different types of
mailers available: Cancel Notifications, NoShow Notices, Strong No-Show Notice, Wait
List, and Reminder Notices.
Mailgroup
A group of MailMan users, set up by the
Postmaster, to which the user can address
messages.
Mail Manager
(MailMan)
The online electronic mail system of CHCS.
Managed Care Program
(MCP)
A software program designed to assist military
treatment facilities in the local management of
Civilian Health and Medical Program of the
Uniformed Services (CHAMPUS) funds. MCP
provides the capability to profile both military
and civilian providers in terms of the type of
medical care offered and the costs associated
with the care. The software also provides the
ability to enroll beneficiaries and assign a
primary care manager (PCM). Referral and
booking options provide the capability to record
patient care needs, search for providers, book
appointments, and issue care authorizations.
MCP Agreement
A provider's agreement with the government,
stating the medical care to be provided to
eligible beneficiaries at a negotiated rate.
MCP Enrollment
The act of enrolling a beneficiary into the
Managed Care Program.
MCP Patient Type
Classifications are MCP/Active Duty, MCP/Non
CHAMPUS Eligible, MCP CHAMPUS.
MCP Status
Used to determine a patient's status within the
Managed Care Program (MCP). Statuses are as
follows:
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Term
Definition
Enrolled: A patient is currently enrolled in the
MCP.
Invalid Enrollment: A discrepancy response
is received from Defense Enrollment Eligibility
Reporting System (DEERS) as a result of filing
a patient's enrollment into the MCP.
Conditional Enrollment: An ineligible
response is received form DEERS when
enrolling a dependent patient who is not
registered on DEERS; however, if the patient's
sponsor is DEERS-registered and the
ineligibility is overridden, the MCP status is
displayed as Conditional Enrollment.
Pending Enrollment: A response from
DEERS was delayed (for example, if the DEERS
line is busy and the inquiry must be batched)
during patient enrollment, or the MCP
enrollment date is a future date.
Disenrolled: A patient formerly enrolled in the
MCP is no longer enrolled.
Invalid Disenrollment: A discrepancy
response is received from DEERS after sending
a Disenrollment transaction.
Blank: A patient has no enrollment history in
the MCP.
Medical Expense and
Performance Reporting
System (MEPRS)
The Medical Expense and Performance
Reporting System for fixed military medical and
dental treatment facilities. MEPRS provides
consistent principles, standards, policies,
definitions, and requirements for accounting
and reporting of expense, manpower, and
performance by Department of Defense (DOD)
fixed medical facilities.
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Subsystem Glossary (continued)
Term
Definition
Medical Record
The physical record of a patient's care
containing printed (paper) copies of the
documents detailing the patient's treatment in
either inpatient or outpatient settings.
Medical Treatment
Facility (MTF)
A military hospital and its outlying
affiliated workcenters. Also called Facility.
Menu
A list of options (choices) presented by the
software that represents a decision point in the
running of the program. The menus available to
individual users are determined when the
CHCS system manager sets up the User Record.
Secondary Menu: A list of system options
available when you enter ??.
CHCS Orientation Menu: A special menu
designed to support Orientation classes.
Menu Management: A CHCS tool that is used
to maintain menus, options, security keys, and
help text.
MEPRS Code
A four-character alpha code used to identify cost
centers at the medical treatment facility (MTF).
The MEPRS code is used for workload
accounting purposes. These codes are assigned
to each transaction to track who ordered the
transaction and to calculate workloads.
MEPRS codes at the 4th level are unique at the
CHCS Group/Division Level and consist of three
Department of Defense (DOD) standard
characters to identify the service provided and a
unique fourth character assigned by the MTF.
Message
1) Short for system message. It means
information supplied by the system in
response to user input, for example, ** END
OF REPORT **.
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Subsystem Glossary (continued)
Term
Definition
2) When used with MailMan, message means
an electronic note that has been transmitted.
Mini Registration
An abbreviated patient registration function. A
series of screens used to create or update a basic
patient record.
Mnemonic
A device designed to aid recall; for example, the
menu synonyms used in the CHCS menu
selection, such as ORE for Order Entry or BOK
for Book Appointments.
Monitor
The part of the terminal containing the screen.
Also called a visual display terminal (VDT) or
visual display unit (VDU). (See Screen.)
MTF-Specified/Defined
A parameter specified at the division level in a
multidivisional medical treatment facility
(MTF) or at the MTF level if there is only a
single division. This neither requires nor
precludes that there be a specification at both
the medical treatment facility (MTF) and
division level.
MTF-Specified Time
Period
A period of time determined by each medical
treatment facility (MTF) that may be modified
periodically.
Multiple Clinic Booking
Several appointments in multiple clinics for one
patient.
Multiple Field
Often simply called a multiple, it is a field that
can have more than one unique value. In effect,
a multiple is a minirecord within a record. An
indicator of a multiple is the Select prompt.
NAS Issuing Officer
The military medical commander or designee
who is authorized to issue non-availability
statements (NASs).
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Subsystem Glossary (continued)
Term
Definition
Network Provider
These are individual providers, organized as
part of provider groups or institutions, that
have an agreement with the medical treatment
facility (MTF) to provide services at a discount
rate to Managed Care Program (MCP) enrolled
beneficiaries or to non-enrolled beneficiaries as
part of a Preferred Provider Organization
(PPO). The PPO may benefit non-enrolled
patients, since non-enrolled patients may be
booked to an MCP provider who charges less
than Civilian Health and Medical Program of
the Uniformed Services (CHAMPUS).
Nonhistorical Data
Information that is no longer vital to patientspecific medical care and is purged or erased
from the production database.
Non-Network Provider
Only Service Available or Exception providers
with an agreement type of NON and a location
type of Other.
Individual providers (which may be organized
as provider groups or institutions) with whom
the medical treatment facility (MTF) does not
have an agreement to provide services to eligible
beneficiaries at a discounted rate.
Nonsearchable Schedule
Slot
A schedule slot into which patients Schedule
Slot cannot be booked. The system
automatically appends a nonsearchable
appointment type with an asterisk (*), and these
slots become place holders only in a provider's
schedule. Examples of nonsearchable slots are
lunch, meeting, TDY, rounds, etc.
Online Users Manual
(OLUM)
The OLUM consists of the user instructions for
the CHCS basic system, MailMan, ad hoc
reporting options of FileMan, and each
subsystem. Each subsystem volume provides
the menu hierarchy, functional description for
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Subsystem Glossary (continued)
Term
Definition
each option, step-by-step user instructions, and
samples of screens and reports.
1) Enter OLUM at the Secondary Menu or any
menu/option selection prompt to get to the
OLUM Menu.
2) Enter ?OPTION NAME at menu/option
selection prompt (only where the menu/
option is displayed) to go directly to the
option description in the OLUM.
3) Enter ??? after enter/edit prompt within any
option to go directly to the option description
in the OLUM.
Option
One of a list of processes on a menu that allows
the user to access data in a file or to access
another menu.
Order
A request for procedure, service or item to be
performed or delivered.
Order Status
Indicates an order's current level of execution:
Active: An order that is current and available
for workcenter and/or ancillary processing.
Countersignature Due: A previously signed
order to which a countersignature must be
added to confirm and activate the order.
Expiring: An order that will soon be no longer
active, contingent upon the duration of the
order.
HCP Signature Due: An order that requires a
physician's verification or signature.
Inactive: An order that is not being executed at
the present time.
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Subsystem Glossary (continued)
Term
Definition
Modified: An order partially activated at
patient arrival.
Nurse Signature Due: An order that requires
a nurse's verification or signature.
On Hold: An order suspended until
reactivation (e.g., preadmission orders remain
on hold until altered).
Pending: An active order awaiting further
action (e.g., pending appointments).
Pending Appointment: An order awaiting
appointment scheduling from another
subsystem.
Preactive: An order that has not been
activated; user is still entering orders for his
batch.
Outpatient Encounter
Form
See SF600I.
Overbook
To book more patients in a schedule slot than
was allocated when the schedule was created.
An overbooked schedule slot has more booked
patients than the maximum number of patients
per slot set for the slot when the schedule was
created.
Panel
1) In the Laboratory Subsystem, a group of
related tests with the same collection
sample, which may be ordered as a group. In
most cases such as “Chem 7,” the tests on the
panel can also be ordered individually.
2) Also, a group of health care providers (HCPs)
to which a family is assigned in a family
practice clinic.
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Subsystem Glossary (continued)
Term
Definition
Parameters
Fixed limits or boundaries that establish by
what restrictions the system will perform a
function.
Patient Administration
(PAD) Subsystem
and Medical Services
Accounting (MSA)
The PAD Subsystem facilitates the collection
recording of patient information regarding
the admission, disposition, and transfer of
patients. This subsystem also manages
ward and bed status within the
medical treatment facility (MTF).
A component of the PAD Subsystem, MSA
focuses on the initiation and monitoring of
patient billing.
The United States Military Services provide
health care for millions of patients each year.
The goal of Defense Medical Information
Management (DMIM) is to enable military
MTFs and clinics to use CHCS to enhance the
quality of health care delivery provided.
With an increase in the number and diversity of
tasks performed by medical personnel, as well
as an expansion of health-related technology, an
improved approach to the management of
medical information was needed. CHCS meets
this need.
As an integrated, computer-based system,
CHCS provides an automated online alternative
to many manually implemented tasks (i.e.,
writing patient care orders, documenting
medication administration, generating reports,
etc.), thus significantly reduces potentially
massive amounts of paperwork.
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Subsystem Glossary (continued)
Term
Definition
Patient Appointment and
Scheduling Subsystem
(PAS) of CHCS
This subsystem enables individual clinics or
providers to control their own scheduling,
booking, and appointments, and alerts other
system users to potentially conflicting
schedules.
Patient Category Code
Patient Category codes indicate patient type
(i.e., Active Duty Enlisted Air Force, Civilian
Employee, Naval Officer's Dependent).
Patient Identifying Data
Patient name, family member prefix/Social
Security number (FMP/SSN), date of birth
(DOB), and sex.
Patient Inquiry
The act of retrieving CHCS-stored data
regarding a selected patient.
Patient Record
A collection of data relative to a patient (e.g.,
patient name, Social Security number, date of
birth, etc.).
PCM Beneficiary
Patients are designated as case management
when they require an exception provider for
specialty care.
PCM Beneficiary Category
The beneficiary categories for the PCM
enrollment mix are: Active Duty, Active Duty
Family Member, Retiree, Retiree Family
Member, Other. For the PCM enrollment mix,
these beneficiary categories replace the MCP
Patient Types.
Pending Appointment
See Order Status.
Pharmacy Subsystem of
CHCS (PHR)
The PHR Subsystem provides a versatile drug
reference library. It allows flexibility in ordering
medications (i.e., by trade or generic name, by
drug component, route of administration, etc.)
and provides online information regarding
drug-to-drug interactions.
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Subsystem Glossary (continued)
Term
Definition
Place of Care
A medical treatment facility (MTF) or non-MTF
clinic in the Managed Care Program (MCP).
Postmaster
The user responsible for managing mail groups,
users, bulletins, and mail system protocol. The
postmaster job is an assigned MailMan position.
The position is often, but not necessarily, filled
by the system manager.
Power Switch
Located on the left side of the terminal, this
switch is used to turn on the terminal.
Preadmission
The process of entering admission data into
CHCS for a potential patient.
Preadmission Order
An order written in anticipation of a future
admission date and time.
Preop
See Priority.
Prefix
The two-to-four-character namespace assigned
to routines and globals, distinguishing
applications.
Prescription
Used to refer to a drug, administration
schedule, and instructions ordered for an
outpatient.
Primary Care Manager
(PCM)
A Managed Care Program (MCP) health care
provider (HCP) who is assigned as a primary
physician for a patient. The PCM may be either
an individual provider or a group provider.
Primary Menu
A user's initial or starting menu.
Printer
May be referred to as a printer device or output
device:
Shared Printer: A printer that is available to
two or more terminals or output devices.
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Subsystem Glossary (continued)
Term
Definition
Line Printer: A printer that prints a line or
more at a time. (Line printer speeds are
expressed in lines per second [lps] and may be
over 100 lines per second.)
Slave Printer: A printer attached directly to a
terminal and used to print from that terminal
only.
Print Template
A set of field specifications that allow exact
print formats and specified data records to be
used when printing reports. This allows the use
of the same print logic again and again.
Privilege(s)
The capabilities allowed within the database
management system (DBMS) based on the level
of protection specified for any process, file, or
user.
Profile
A collection of administrative, scheduling, and
appointment information applicable to a specific
facility, division, clinic, and provider. Patient
Appointment and Scheduling (PAS) profiles
define the basic rules and instructions by which
the facility, division, clinic, and provider provide
care; and they provide the parameters that
control the way the system processes data.
Prompt
1) A system-generated request for response.
2) A word or statement on the screen that tells
the user what action needs to be taken or
what information must be entered (i.e.,
Select Patient Name).
Provider
See Health Care Provider.
Provider Class
Description of provider groups such as nurse,
social worker, or physician. Each provider class
is linked to a signature class. Provider classes
are medical treatment facility (MTF)-definable.
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Subsystem Glossary (continued)
Term
Definition
Provider Group
A provider group is one or more providers who
have jointly negotiated an agreement to provide
services to eligible beneficiaries. A provider
group can have multiple individual providers,
multiple places of care, and/or multiple
agreements.
Pseudo SSN
A false system-generated Social Security
number used in a patient data record when the
real number is unknown.
Pull List
A list of all patients whose medical records must
be pulled for a specified date.
Question Mark (?) Key
See Computer Control Keys.
Quick Reference Guide
(QRG)
A quick reference guide contains information
about an option: screen displays, entry path to
access the option, and pertinent information for
using the option. Quick reference guides are
located in Section 4 of each subsystem reference
manual.
Radiology Subsystem of
CHCS (RAD)
The RAD Subsystem is designed to meet the
functional requirements of the Radiology
Department and Nuclear Medicine, including
patient processing and room scheduling,
defining and implementing site-specific
radiology procedure requirements, work load
statistics, and management reports.
Record Number
Also known as the record identifier number This
is a unique sequential number assigned to each
record within the Record Tracking functionality
upon its creation. The record may be accessed by
entering this number at any Select Record
prompt.
Record Room
Location of patient records.
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Subsystem Glossary (continued)
Term
Definition
Record Tracking
The procedure for determining where records
are physically located.
Registration
A registration must be completed on all
patients, whether inpatient or outpatient,
before CHCS can support any care or services
rendered.
Reminder Notices
A form mailed to patients to remind them of
upcoming appointments.
Requesting Location
A specific location within the medical treatment
facility (MTF) from which the patient services
are requested, i.e., a ward, clinic or other
location, and receiving credit for the orders
placed, and to which test results and orders will
be sent.
Response
An action to be taken in response to a specific
prompt generated by the CHCS System. (For
instance, Enter Provider Name: [variable
data].) In CHCS documentation, a required
response is identified by FULL CAP BOLD
text.
Retrieve
1) The ability to review a patient's past medical
history.
2) Process of retrieving historical patient data
that has been archived.
<Return> Key
See Computer Control Keys.
Routing Card
A card attached to the medical record itself that
is sent around with the record. This card
indicates where the record is to go, based on the
clinics in which that patient has appointments.
Schedules
An array of available time slots for a certain
provider in a certain clinic for a certain date.
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Subsystem Glossary (continued)
Term
Definition
Schedule Time Slot
A single time opening in a provider's template or
schedule for a certain type of appointment.The
slot has a beginning and an end time, and a
maximum number of patients that can be seen
during that period. This is also referred to as an
appointment slot.
Screen
1) The part of the visual display terminal
(VDT) that presents information sent from
the computer or information typed on the
keyboard.
2) This term is also used to describe a single
display of information that takes up the
whole screen.
Screen Mode
See Prompt Series.
Scroll Mode
The system's request for information, presented
one prompt at a time. The bottom line on the
screen is replaced with new information. The
user moves between prompts using <Return>,
or the up-arrow or down-arrow keys. See Screen
Mode.
Search
The process of locating an unknown number of
records, in one file, based on one or more
user-specified criteria.
Search Conditions
Criteria specified as part of a search that are
used to test each data record in a file.
Contains: Used to locate data with specific
strings embedded. This is abbreviated with left
square bracket ([) or the letter C.
Equals: Used to locate data that equals the
exact value of the specified condition. This is
abbreviated with an equal sign (=) or the letter
E.
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Subsystem Glossary (continued)
Term
Definition
Greater Than: Used to locate data greater
than the value of the specified condition. This is
abbreviated with the greater than sign (>) or the
letter G.
Less Than: Used to locate data less than the
value of the specified condition. This is
abbreviated with the less-than sign (<) or the
letter L.
Matches: Used on Numeric, Free-text, Pointer,
and Set of Codes fields to locate patterns in
strings of data. This is abbreviated with the
letter M.
Null: Used to determine fields that contain no
entries. No value can be placed on the NULL
condition. This is abbreviated with the letter N.
Search Criteria
The rules by which the system searches for
information.
In Patient Appointment and Scheduling (PAS),
the items that the system uses to search for
open schedule slots. Search criteria in Booking
can be Dates, Provider, Time Range, Days of
Week, Appointment Type, Clinic, Duration, or
Specialty. A user must identify the specific
value or parameter for each selected search
criterion. The system tries to find open schedule
slots that match the parameters for all selected
search criteria.
Search Logic
Expressions that define the parameters of the
search. Valid logic parameters are:
AND: The system extracts a data record when
all stated search conditions have been met.
NOT: The system extracts a data record when
none of the specified search conditions are met.
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Subsystem Glossary (continued)
Term
Definition
OR: The system extracts a data record when
any of the combined search conditions are met.
Search Parameter
In Patient Appointment and Scheduling (PAS),
the specific value for a search criteria that the
system uses to search for open schedule slots.
Secondary Menu
See Menu.
Security Checks
The system checks accessibility to CHCS as the
user enters a series of codes (Username and
Access/Verify codes).
Security Key
A code that relates to the ability to use a certain
process. Some security keys are already defined
in the system. Other security keys are defined
by the system manager. The naming
conventions and strategy for the use of these
keys is determined at each facility. The system
manager assigns security keys to users as
appropriate for their use of CHCS.
Select
Function that defines how to decide what the
value will be by selecting one from among two or
more possible values. Select is used if the actual
value that will exist when the data element is
used cannot be precisely predicted.
<Select> Key
See Computer Control Keys.
Select Mark
A tilde (~) or asterisk (*) that appears when the
<Select> key is pressed. This mark identifies a
selected item on a list.
Select Window
In Patient Appointment and Scheduling (PAS),
the middle section of the Search Criteria screen.
The window lists items for user selection.
Service
A clinical specialty within a medical treatment
facility (MTF).
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Term
Definition
SF558
Record of emergency room encounter
information from arrival to disposition. This
form contains patient demographics, specifics
about the arrival, medical status, disposition
information, and discharge instructions to the
patient.
SF600
Record of an outpatient clinic visit. This form
contains patient demographics, appointment
information: date, time, location, appointment
type, and sections for recording comments and
patient vital signs.
<Shift> and <Lock> Keys
See Computer Control Keys.
Single Patient Booking
One or several appointments for one patient in
one clinic.
Slot
See Appointment Slot.
Spacebar
See Computer Control Keys.
Spacebar, <Return>
See Computer Control Keys.
Space Character
A special character that does not have an
associated graphic representation. It is
displayed as the absence of any character,
where one might otherwise appear.
Specialty
In Patient Appointment and Scheduling (PAS),
a search criterion in Booking for which the
parameter is a clinic service. The clinic specialty
is identified in the clinic profile (for example,
dental care, family practice, pediatrics).
Sponsor
Person who qualifies the patient for health care
(e.g., active-duty father is the sponsor of the
dependent patient daughter).
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Term
Definition
Sponsorship
The organization that entitles the patient to
health care (e.g., Army, Navy, Dept. of
Education, Veterans Administration, etc.).
Switch Divisions
The user process to switch to an alternate
division from the default division, or back to the
default division from an alternate. See Menu.
System Manager
(SYSMAN)
Used generically to describe functions that must
be accomplished to support CHCS initialization
and operation at each site where CHCS is
installed. Functions include database
administration, system security management,
installation management, and
telecommunications management.
Table
A list of available choices. A table displays when
?? is entered at a field that has a table connected
to it. A table cannot be appended from the field,
but must be set up through the appropriate
menu options or through FileMan.
Target Audience
The audience for which the training is designed.
Template
1) A predefined structure that controls a data
entry dialogue, a printed report format, a
sort sequence of an output, or a series of
search conditions. Templates may be used
repeatedly by entering the assigned name in
brackets [ ] at the appropriate prompt.
2) In Patient Appointment and Scheduling
(PAS), an array of schedule slots governed by
the rules entered in the profiles. Templates
are linked to specific providers, but not to
any particular date range.
Template ID
In Patient Appointment and Scheduling (PAS),
a unique identifier for a particular template. It
is recommended that the template ID include
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Subsystem Glossary (continued)
Term
Definition
the following information: day, clinic, provider,
and template type (master, temporary, etc.).
Terminal
A device used to enter and send information to
the computer. The keyboard and screen are
terminal components.
Terminal Digit
This is the last two digits of the sponsor's Social
Security number (SSN), starting at 00 and
ending with 99.
Time Range
A search criterion for which parameters
indicate a begin and end time.
Training Aid
In training documentation, training aids are
supplemental information used during
instruction to enhance lesson content.
Training Materials
All materials used in a training class. This
includes manuals, training aids, various forms
for presenter and students to complete, and
performance tests.
Training Software
The software that enables the user to become
proficient in the use of the CHCS system or
subsystems.
Troop Medical Clinic
(TMC)
The Army term for an outpatient clinic
designated for active-duty walk-in or sick-call
patients.
Type-ahead
A setting in the User file that allows the user to
type ahead of what the computer is actually
reading. The computer stores the keystrokes
and reads them at its own pace.
Unique Patient Identifier
A set of data elements that uniquely identifies a
patient in the central patient database,
composed of sponsor Social Security number
and patient family member prefix.
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Term
Definition
Update
The addition, deletion or modification of
existing data.
User
A person authorized by the medical treatment
facility (MTF) to initiate a process in CHCS via
a terminal. User authorization will be
determined through the virtual memory system
(VMS) and CHCS system security functions.
User Attributes
Characteristics or settings. User attributes, for
example, include the settings for use of the
system (e.g., type-ahead allowed, time-out
setting, access authorization, etc.).
Username
See User Security.
Username/Password
User security checking at the virtual memory
system (VMS) level. Codes provide user access
to VMS files.
User Security
A series of codes that serves to protect the
system from unauthorized users. These codes
are checked when a user is accessing the
system. Username and Access/Verify codes are
the two levels of security checking.
Access Code: This code, together with the
verify code, is used in the logon process to
identify a legitimate user and gain access to
CHCS. The code is site-specific and established
by the CHCS system manager. It usually cannot
be changed by the individual user.
Username: The first level of security checking
and the first code entered into CHCS at logon.
Verify Code: This code, together with the
access code, is used in the logon process to
identify a legitimate user and gain access to
CHCS. The code is established by the CHCS
system manager at the medical treatment
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Subsystem Glossary (continued)
Term
Definition
facility (MTF) and may be changed by the
individual user from the Edit User
Characteristics option of the Secondary Menu.
The code does not show on the screen when
entered.
Users Manual
The Users Manual volumes for each subsystem
provide information addressed primarily to the
users of a particular subsystem. This user
manual is also available online (OLUM). The
OLUM can be accessed by entering "???" at any
action prompt. Some sites may not load OLUM
due to disk space limitations; the CHCS
Training Database contains the MailMan
volume only.
Volume 1: Basic System
Volume 2: General PAD
Volume 3: PAD MSA
Volume 4: PAS
Volume 5: MCP
Volume 6: LAB
Volume 7: RAD
Volume 8: PHR
Volume 9: CLN
Volume 10: CLN DTS
Volume 11: CLN FQA
Volume 12: RT
There are three unnumbered OLUM volumes:
– Release Notes
– MailMan Users Guide
– FileMan Ad Hoc Users Guide
User-Specified
Parameters input by the user at the time the
function is being called/executed.
Validity Check
CHCS utility that determines data
inconsistencies gathered during the registration
process (e.g., entry of an Air Force patient
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Subsystem Glossary (continued)
Term
Definition
category for a Navy patient, fields left blank
with no entry, etc.).
Viewgraphs
Viewgraphs, also called transparencies, are
diagrams or text reproduced on transparent
material used for projecting information on a
screen.
Virtual Memory System
(VMS)
The operating system that runs the VAX
computer. It manages the memory of the
computer in such a way that the memory
appears to be virtually unlimited to the average
user.
Wait List
All Wait List requests for a particular clinic.
The clinic Wait List identifies those patients
waiting for open schedules slots for that clinic.
The clinic profile indicates whether a specific
clinic has a Wait List. This allows the entry of
Wait List requests for that clinic.
Wait List Request
A patient request for an appointment in a
specific clinic when no open slots or overbooks
are available in a certain clinic.
Ward
A defined hospital area that contains a
designated number of patient beds. It often
corresponds to a medical specialty area such as
Orthopedics (e.g., Orthopedics Ward).
Word Processing Data
Type
See Data Type.
Workcenter
A functional or organizational subdivision of a
medical treatment facility (MTF) for which
provision is made to accumulate and measure
expenses and to determine workload
performance. Designation of a workcenter
varies from facility to facility depending upon
the MTF organizational structure. CHCS
workcenters include clinics used in Patient
5-44
Subsystem Glossary
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Subsystem Glossary (continued)
Term
Definition
Appointment and Scheduling (PAS),
pharmacies, laboratories, and radiology
imaging locations.
Workload/MEPRS Reports
Quality control reports containing statistics and
management data generated by the system to
monitor specific military and medical treatment
facility (MTF) workload statistical reporting
requirements.
Zip Code Combination
A name that represents a range of zip codes.
This site-definable name can be used during
Managed Care Program (MCP) provider
searches.
5-45
Subsystem Glossary
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Subsystem Glossary (continued)
Acronyms and Abbreviations
ACV
Alternate Care Value
ADT
Admission, Disposition, and Transfer
AHP
Allied Health Professional
AQCESS
Automated Quality of Care Evaluation Support
System
ASAP
As Soon As Possible
ASMRO
Armed Services Medical Regulatory Office
AWOL
Absent Without Leave
BC/BS
Blue Cross/Blue Shield
CAS
Central Appointments Service
CHAMPUS
Civilian Health and Medical Program of the
Uniformed Services
CHCS
Composite Health Care System
CSU/DSU
Channel Service Unit/Data Service Unit
DEA
Drug Enforcement Administration
DEERS
Defense Enrollment Eligibility Reporting
System
DOB
Date of Birth
DOD
Department of Defense
DRT
Delinquent Record Tracking
DTS
Dietetics Subsystem of CHCS
DWC
Divided Workcenter
5-46
Subsystem Glossary
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Subsystem Glossary (continued)
Acronyms and Abbreviations
EAS
Expense Assignment System
ER
Emergency Room
ERD
Emergency Room Death
FI
Fiscal Intermediary
FileMan
File Manager
FMP
Family Member Prefix
FQA
Facility Quality Assurance of CHCS
HCF
Health Care Finder
HCP
Health Care Provider
HCP-ID
Health Care Provider Identification
HMO
Health Maintenance Organization
Ht
Height
ID
Identification
IEN
Internal Entry Number
INIT
Initialization
IP
1) Inpatient
2) Internet Protocol
JCAHO
Joint Commission on Accreditation of Health
Care Organizations
KVDT
Keyboard Video Display Terminal
LAB
Laboratory Subsystem of CHCS
5-47
Subsystem Glossary
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Subsystem Glossary (continued)
Acronyms and Abbreviations
LAYGO
Learn As You Go
MailMan
Mail Manager
MAR
Medication Administration Record
MCP
Managed Care Program
MEPRS
Medical Expense and Performance Reporting
System
MSA
Medical Services Accounting
MSAO
Medical Services Accounting Office
MTF
Medical Treatment Facility
MTRC
Medical Treatment Record Card
MUMPS
Massachusetts General Hospital Utility
Multi-Programming System
MVVR
Master Version Validation Report
N
1) No
2) Variable number
NAS
Non-Availability Statement
NEC
Not Elsewhere Classified
OCONUS
Outside the Continental United States
OCR
Optical Character Reader recognition
OHI
Other Health Insurance
OHMIS
Occupational Health Management Information
System
5-48
Subsystem Glossary
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Subsystem Glossary (continued)
Acronyms and Abbreviations
OLUM
Online Users Manual
OP
Outpatient
OSA
Only Service Available
PAD
Patient Administration Subsystem of CHCS
PAD MSA
PAD Medical Services Accounting Subsystem of
CHCS
PAS
1) Patient Appointment and Scheduling
Subsystem of CHCS
2) PAS Order
PATCAT
Patient Category
PCM
Primary Care Manager
PCS
Permanent Change of Station
PEB
Physical Evaluation Board
PHR
Pharmacy Subsystem of CHCS
PNT,PT
Patient
PRP
Personal Reliability Program
PTF
Patient Treatment File in DHCP
PTID
Patient Identifier Number (FMP/SSN)
QA
Quality Assurance
RAD
1) Radiology Subsystem of CHCS
2) RAD Order
RX
1) Outpatient medication
5-49
Subsystem Glossary
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Subsystem Glossary (continued)
Acronyms and Abbreviations
2) Receive
SAIC
Science Applications International Corporation
SASS
Stand-Alone Appointing and Scheduling
System
SDSMGR
PAS Scheduling Manager
SSN
Social Security Number
STD
Standard
SW
Software
SYSMAN
System Manager
T
1) In the context of a data value that is expected
to refer to a date, FileMan interprets the
letter “T” to mean the date of the current day
(i.e., Today).
2) Temperature
TBD
To Be Determined
TDB
Training Database
TMC
Troop Medical Clinic
UCI
User Class Identifier
UPIN
Unique Physician Identification Number
UR
Utilization Review
VAX
Virtual Address Extension
VT320 Terminal
The CHCS terminal used in most workstation
configurations
5-50
Subsystem Glossary
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Subsystem Glossary (continued)
Acronyms and Abbreviations
WCS
Workcenter Support
Y
Yes
Y/N
END
Yes/No
5-51
Subsystem Glossary
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PATIENT APPOINTMENT AND
SCHEDULING
REFERENCE MANUAL
Section 6
Sample Output Reports
END
6-1
Sample Output Reports
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
---------------------------------------------------------------------------------------------------------------------------------TABLE OF CONTENTS
---------------------------------------------------------------------------------------------------------------------------------FIGURE
REPORT NAME
4.4.1.1
Book Appointments (Appointment Reminder Notice & Telephone Consult
4.4.1.2
Unscheduled Visit
4.4.1.4
Display Patient Appointments
4.4.1.7
End-of-Day Processing/Editing
4.4.1.9
Wait List Processing (Mail/Phone)
4.4.1.10
Cancellation Processing (Mail/Phone)
4.4.1.11
No-Show Processing (Mail/Phone)
4.4.1.12
Repeat No-Show & Strong Notice Processing
4.4.3.1
Daily Outpatient Encounter Forms (Clin/Prov/Indv)
4.4.3.2
Daily Outpatient Encounter Forms (Division/All)
4.4.3.3
JCAHO Control Register Print
4.4.3.4
SF 558 Print
4.4.4.1
Appointment Order Processing
4.4.5.2
Facility Profile List
4.4.5.4
Division Profile List
4.4.5.6
Clinic Profile List
4.4.5.9
Provider Profile List
4.4.5.11
Appointment Type List
4.4.5.13
Emergency Room Clinic Profile List
4.4.5.16
Emergency Room Provider Profile List
4.4.6.4
Print Daily/Weekly Template
4.4.7.1
Create Schedules
6-2
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
4.4.7.3
Replicate Schedules
4.4.7.4
Print Clinic/Provider Schedules
4.4.8.1
Consolidated OR Provider Roster (One Clinic)
4.4.8.2
Consolidated Roster (ALL Clinics)
4.4.8.3
Provider Roster (ALL Clinics)
4.4.8.4
Print/Display Provider Roster
4.4.8.5
Inpatient Ward Roster for Today
4.4.8.6
Clinic Schedule Summary
4.4.8.7
Provider Schedule Summary
4.4.8.8
Wait List - Automatic Booking Roster
4.4.8.9
Outpatient Disposition Roster
4.4.9.1
Appointment Utilization Report
4.4.9.2
Aviation Medicine Report
4.4.9.3
Call No-Show Report
4.4.9.4
Facility Cancellation Statistical Report
4.4.9.5
Clerk Workload Recap Report
4.4.9.6
Clerk Workload Report
4.4.9.7
Clinic Workload Report
4.4.9.8
Command Facility Workload Recap Report
4.4.9.9
Command Security Program Report
4.4.9.10
Delinquent End-of-Day Processing Report
4.4.9.11
PAS DEERS Ineligibility Report
4.4.9.13
Military No-Show Report
4.4.9.14
Monthly Statistical Report
4.4.9.15
Next Available Appointment Report
4.4.9.16
No-Show Statistical Report
6-3
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
4.4.9.17
Patient Registration Report
4.4.9.18
Primary Provider Report
4.4.9.19
Schedule Deficiency Monitor Report
4.4.9.20
Trackable Entity Report
4.4.9.21
Wait List Management Report
4.4.9.22
Problem Avoidance Report
4.4.9.24
Patient Cancellation Statistical Report
4.4.9.25
Initial and Follow-up Clinic Visit Report
4.4.9.26
Unanswered Telephone Consults Report
4.4.9.27
Top Ambulatory Diagnoses Report
4.4.9.28
Top Ambulatory Procedures Report
4.4.9.29
Top Ambulatory Diagnoses and/or Procedures Report by
Patient Category
4.4.9.30
Patient Visit Summary Report
4.4.10.2
Available Schedule Monitor Bulletin
4.4.10.5
List PAS Users
4.4.10.11
Print PAS User
4.4.10.19
View PAS Mailers
4.4.10.20
Print PAS Mailers
6-4
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
NAME: DAVIS,SHARON
STREET ADDRESS: 1932 MAPLE LANE
CITY: FT KNOX
STATE: KENTUCKY
ZIP CODE: 21903
According to our records, you have an appointment at the CLINIC, DATE,
and TIME listed below. Please arrive on time, with your medical records if you
have them at home. If you cannot make this appointment, please call Hospital
Cancellations at 565-4949 or the clinic at least 48 hours in advance to make
this time available for another patient.
WED
1500
13 SEP 1989
STORER,T
FIGURE 4.4.1.1.
GEN SURG
RET
SAMPLE OUTPUT REPORT: BOOK APPOINTMENTS (REMINDER NOTICE)
(Sheet 1 of 3)
6-5
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
NAME: DAVIS,SHARON
STREET ADDRESS: 1932 MAPLE LANE
CITY: FT KNOX
STATE: KENTUCKY
ZIP CODE: 21903
According to our records, you have an appointment at the CLINIC, DATE,
and TIME listed below. Please arrive on time, with your medical records if you
have them at home. If you cannot make this appointment, please call Hospital
Cancellations at 565-4949 or the clinic at least 48 hours in advance to make
this time available for another patient.
WED
1500
13 SEP 1989
STORER,T
FIGURE 4.4.1.1.
GEN SURG
RET
SAMPLE OUTPUT REPORT: BOOK APPOINTMENTS (TELEPHONE CONSULTS)
(Sheet 2 of 3)
6-6
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Personal Data - Privacy Act of 1974 (PL-93-579)
Page 1
Automated Version of DA5008/USAF & USN SF600 Overprint
Telephone Consultation
---------------------Printed Date: 24 Jun 91 @ 1302
Division: BALBOA NAVY MEDICAL CENTER
Clinic: ALLERGY (T)/TRIP
Allergies:
Clerk's Note:
Clerk: GOTOVAC,JAKE
24 Jun 91 @ 1301
The patient is suffering from severe arthritis, yet her arthritis medication
is irritating to the stomach. She requests that you recommend a different
medication.
Clerk: GOTOVAC,JAKE
24 Jun 91 @ 1302
Infectious mononucleosis also needs to be taken into consideration.
Problem List:
Provider's Note:
*** END OF REPORT ***
______________________________________________________________________________
QUACKENBUSH,BARBARA
30/569-44-9789 USN FAM MBR RET
DOB: 10 Mar 1929
H: 619-263-1608
W:
Spon: QUACKENBUSH,STEPHEN
Rank: MASTER CHIEF PETTY OFFICER
Unit:
RR: MAIN FILE ROOM (P)
FIGURE 4.4.1.1.
SAMPLE OUTPUT REPORT: BOOK APPOINTMENTS (TELEPHONE CONSULTS)
(Sheet 3 of 3)
6-7
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
DIVISION: TRIPLER ARMY MEDI
Personal Data - Privacy Act of 1974 (PL 93-579)
Automated Version of SF600
Printed: 20 Feb 1992@1455
CARDIOLOGY CLINIC
REF:
RSN:
LEBOW,LESTER
20 Feb 1992
1445
NEW
BACA
CMT:
BP:
PULSE:
RESP:
TEMP:
HT:
WT:
================================================================================
ADDITIONAL COMMENTS:
================================================================================
20/140-22-1705 ANDERSON,BETTY
A11
10 Mar 1951 FEMALE
W:502-447-4030
H:502-223-9054
Spon: ANDERSON,BETTY
CIC:
CS:
Rank: COLONEL
D:502-447-4030
SF600 Unit: FT KNOX
RR: MAIN FILE ROOM (P)
FIGURE 4.4.1.2.
SAMPLE OUTPUT REPORT: UNSCHEDULED VISIT (ENCOUNTER FORM)
(Sheet 1 of 3)
6-8
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Personal Data - Privacy Act of 1974 (PL 93-579)
DEERS ELIGIBILITY
DATA RETURNED FROM DEERS
20 Feb 1992@1459
NAME: ANDERSON, BETTY
SEX: FEMALE
DOB: 10 Mar 1951
SSN: 140-22-1705
DEERS ELIGIBILITY: ELIGIBLE
FIGURE 4.4.1.2.
SAMPLE OUTPUT REPORT: UNSCHEDULED VISIT (DEERS-CHECK REQUEST)
(Sheet 2 of 3)
6-9
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Personal Data - Privacy Act of 1974 (PL-93-579)
Page 1
Automated Version of DA5008/USAF & USN SF600 Overprint
Telephone Consultation
---------------------Printed Date: 20 Feb 92 @ 1502
Division: BALBOA NAVY MEDICAL CENTER
Clinic: GASTROENTEROLOGY
Allergies:
Clerk's Note:
Clerk: GOTOVAC,JAKE
20 Feb 92 @ 1501
The patient is suffering from severe arthritis, yet her arthritis medication
is irritating to the stomach. She requests that you recommend a different
medication.
Clerk: GOTOVAC,JAKE
20 Feb 92 @ 1502
Infectious mononucleosis also needs to be taken into consideration.
Problem List:
Provider's Note:
*** END OF REPORT ***
______________________________________________________________________________
QUACKENBUSH,BARBARA
30/569-44-9789 USN FAM MBR RET
DOB: 10 Mar 1929
H: 619-263-1608
W:
Spon: QUACKENBUSH,STEPHEN
Rank: MASTER CHIEF PETTY OFFICER
Unit:
RR: MAIN FILE ROOM (P)
FIGURE 4.4.1.2.
SAMPLE OUTPUT REPORT: UNSCHEDULED VISIT (TELPHONE CONSULT REPORT)
(Sheet 3 of 3)
6-10
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
DISPLAY PATIENT APPOINTMENTS
Personal Data - Privacy Act of 1974 (PL 93-579)
FUTURE APPOINTMENTS FOR ANDERSON,BETTY 20/140-22-1705
CLINIC/DIV
PROVIDER
DATE/TIME
TYPE
STATUS
================================================================================
ALLERGY/TRIP
BARRON-BERMA 04 Dec 1991@0800
FU
CANCEL(F)
ALLERGY/TRIP
BARRON-BERMA 05 Dec 1991@0900
FU
CANCEL(P)
ALLERGY/TRIP
SEYMOUR,ROGE 13 Dec 1991@1030
NEW
WALK-IN
Arrive 10 min early
Call 987-6543 to CANCEL/RESCHEDULE Appt!
THESE ARE THE CLINICAL INSTRUCTIONS
WAIT LIST REQUESTS FOR ANDERSON,BETTY 20/140-22-1705
CLINIC/DIV
TYPE
PRI
DATE IN
TARGET DATE
PROVIDER
================================================================================
CARDIOLOGY CLINIC/IACH
NEW
2
23 Oct 1989 24 Oct 1989
SEAY,ROBERT
CARDIOLOGY CLINIC/IACH
RET
2
30 Oct 1989 31 Oct 1989
TANNER,DON
Press <RETURN> to continue
Display/Print Appointment History of Other Family Members? NO//
Personal Data - Privacy Act 1974 (PL 93-579)
FIGURE 4.4.1.4.
SAMPLE OUTPUT REPORT: DISPLAY PATIENT APPOINTMENTS (FUTURE)
(Sheet 1 of 3)
6-11
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
DISPLAY PATIENT APPOINTMENTS
Personal Data - Privacy Act of 1974 (PL 93-579)
PAST APPOINTMENTS FOR ANDERSON,BETTY 20/140-22-1705
CLINIC/DIV
PROVIDER
DATE/TIME
TYPE
STATUS
================================================================================
GENERAL SURGERY CLIN/PEARL
HERBERT,JEF 18 Sep 1989@1300
RET
KEPT APPT
**** AUTO-BOOKED from Wait List ****
PEDIATRICS/PEARL
SEAY,ROBERT 05 Oct 1989@0815
FU
KEPT APPT
DERMATOLOGY CLINIC/PEARL
LEVINE,DAN
17 Oct 1989@0915
RET
ADMIN
Press <RETURN> to continue
Display/Print Appointment History of Other Family Members? NO//
Personal Data - Privacy Act 1974 (PL 93-579)
FIGURE 4.4.1.4.
SAMPLE OUTPUT REPORT: DISPLAY PATIENT APPOINTMENTS (PAST)
(Sheet 2 of 3)
6-12
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
DISPLAY PATIENT APPOINTMENTS
Personal Data - Privacy Act of 1974 (PL 93-579)
History of Appts for ANDERSON,BETTY from: 31 Oct 1991
CLINIC/DIV
PROVIDER
DATE/TIME
TYPE
STATUS
================================================================================
CARDIOLOGY CLINIC/IACH
SANTOS,MERVY 06 Dec 1991@0700
NEW
NO-SHOW
**** AUTO-BOOKED from Wait List ****
CARDIOLOGY CLINIC/IACH
SANTOS,MERVY 06 Dec 1991@1000
NEW
NO-SHOW
WAIT LIST REQUESTS FOR ANDERSON,BETTY 20/095675431
CLINIC/DIV
TYPE
PRI DATE IN
TARGET DATE PROVIDER
================================================================================
DERMATOLOGY CLINIC/PEARL
NEW
6
26 Jul 1989 27 Jul 1989 LEVINE,DAN
Press <RETURN> to continue
Display/Print Appointment History of Other Family Members? NO//
Personal Data - Privacy Act 1974 (PL 93-579)
FIGURE 4.4.1.4.
SAMPLE OUTPUT REPORT: DISPLAY PATIENT APPOINTMENTS (SPECIFIC DATE)
(Sheet 3 of 3)
6-13
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER AMC HONOLULU HI
06 Nov 1994@2206 Page 1
Personal Data - Privacy Act 1974 (PL 93-579)
END-OF-DAY PROCESSING REPORT
From: 06 Nov 1994
To: 06 Nov 1994
Division: TRIPLER ARMY MEDICAL CENTER
Clinic: ALLERGY (T)
================================================================================
TIME PATIENT NAME
FMP/SSN TYPE PROVIDER
DATE
MEPRS STATUS
================================================================================
0830 BARRON,DAPHNE
30/3434 RET
BARRON-BERM 06 Nov 94 BABA Kept
0900 THOMAS,MARY
01/3042 NEW
THACKER,DA
06 Nov 94 BABA Kept
0930 TALWIN,AMANDA
20/1543 FU
THACKER,DA
06 Nov 94 BABA Kept
1030 MARSHALL,PENNY
30/2266 RET
THACKER,DA
06 Nov 94 BABA Kept
1100 DYLAN,ROBERT
01/6868 NEW
THACKER,DA
06 Nov 94 BABA Kept
1300 DYLAN,THOMAS
20/6868 RET
THACKER,DA
06 Nov 94 BABA Cancel-F
1330 ANDERSON,HARRY
04/3910 NEW
THACKER,DA
06 Nov 94 BABA Kept
1400 DAVIS,LIZ
05/2387 RET
THACKER,DA
06 Nov 94 BABA Kept
1500 CALE,JOHN J
20/1990 RET
THACKER,DA
06 Nov 94 BABB Kept
================================================================================
**Daily Clinic Appointment Status Summary with COUNT Appt Types**
================================================================================
Provider
Kpt
WI
SC
TC |Total| Can
NS
Adm LWOBS
O-S |Total|
================================================================================
BARRON-BERM
1
0
0
0 |
1|
0
0
0
0
0 |
0|
THACKER,DA
7
0
0
0 |
7|
1
0
0
0
0 |
1|
-------------------------------------------------------------------------------Total
8
0
0
O |
8|
1
0
0
0
0 |
1|
FIGURE 4.4.1.7.
SAMPLE OUTPUT REPORT: END-OF-DAY PROCESSING/EDITING
(Sheet 1 of 2)
6-14
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER AMC HONOLULU HI
06 Nov 1994@2206 Page 2
Personal Data - Privacy Act 1974 (PL 93-579)
END-OF-DAY PROCESSING REPORT
From: 06 Nov 1994
To: 06 Nov 1994
Division: TRIPLER ARMY MEDICAL CENTER
Clinic: ALLERGY (T)
**Daily Clinic Appointment Status Summary with NON-COUNT Appt Types**
================================================================================
Provider
Kpt
WI
SC
TC |Total| Can
NS
Adm LWOBS
O-S |Total|
================================================================================
HERTZ,PA
0
0
0
2 |
2|
0
0
0
0
0 |
0|
SEAGER,PE
0
0
0
1 |
1|
0
0
0
0
0 |
0|
-------------------------------------------------------------------------------Total
0
0
0
3 |
3|
0
0
0
0
0 |
3|
FIGURE 4.4.1.7.
SAMPLE OUTPUT REPORT: END-OF-DAY PROCESSING/EDITING
(Sheet 2 of 2)
6-15
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
CDR, IACH
Attn: Patient Appointments
3511 POST AVE.
Fort Knox, Ky 20912
Penalty for Private Use $300
14 Jul 1992
To better manage the access and availability of care to our facility,
several of our clinics maintain computerized Wait Lists. The
following appointment has been AUTOMATICALLY booked by the computer
based upon your previous request. Please call Patient Appointments
at 123-4567 or the Clinic Phone Number listed below if you need to
cancel/reschedule the appointment.
PAS Testing Clinic with Pearce,Benjamin F
at 1509 on 12 Nov 1992 Thursday
Appointment Service Supervisor
Clinic Phone: (212) 123-4567
John Q Patient
1234 West Woodlawn St
San Diego, CA 92122
FIGURE 4.4.1.9.
SAMPLE OUTPUT REPORT: WAIT LIST PROCESSING (MAIL/PHONE)
(Sheet 1 of 2)
6-16
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
14 Jul 1992@0902 Page 1
Personal Data - Privacy Act 1974 (PL 93-579)
WAIT LIST MANAGEMENT REPORT BY CLINIC BY PRIORITY
From: FIRST Thru: LAST
Division: IRELAND
Department: NEUROPSYCHIATRIC CARE
================================================================================
Patient
FMP/SSN
Prio Type Date-In Target
Wait List#
Home Phone
Work Phone
================================================================================
Clinic: NEUROLOGY
Provider: *Provider Not Entered*
NASH,GERALD
30/800400101
H:405-455-5678
4
RET
13Jul92 14Jul92
W:405-234-1121
139.00002504
03/800510708
H:405-787-9909
3
FU
13Jul92 20Jul92
W:405-383-2996
139.00002508
02/786939748
H:405-754-8484
01/455633988
H:405-455-2189
5
NEW
W:
RET
W:
13Jul92
16Jul92
139.00002509
09Jul92
15Jul92
139.00002349
20/455566879
H:
30/988234654
H:
4
RET
W:
FU
W:
13Jul92
20Jul92
139.00002503
10Jul92
11Jul92
139.00002457
Provider: FINK,ED
MAE,DAVID
Provider: FUNKMEYER,ED
HAGAR,ANN
FOX,PENNY
2
Provider: HOBOLD,ERIC
JACOBSEN,JANET
FEINSTEIN,LINDA
CLINIC TOTALS
=============
FU
NEW
OR*
RET
Total:
0
2
4
6
8
=
=
=
=
=
4
2
1
0
3
6
BY DIRECTION OF COMMANDER
ACTIVE DUTY
MTF DEFINED
NON-ACTIVE DUTY
NON MILITARY
1
3
5
7
9
=
=
=
=
=
PROVIDERS ORDERS
MFT DEFINED
MTF DEFINED
MTF DEFINED
LONG LEAD TIME
FIGURE 4.4.1.9.
SAMPLE OUTPUT REPORT: WAIT LIST PROCESSING (MAIL/PHONE)
(Sheet 2 of 2)
6-17
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
CANCELLATION NOTICES 30 Aug 1990
STASKO,THOMAS
CAST
PAS 511
TIME TYPE
PATIENT
FMP/SSN
REASON
COMMENTS
===================================================================================
0815 FU
GERE,RICHARD
20/234-12-5645 MEETINGS
: Notified by Mail
0900 FU
HARBOLD,GARY
20/336-22-6654 MEETING
: Atmpt,14 Aug 90
0815 FU
STRONG,SAMUEL
20/222-45-6332 MEETING
: Atmpt,14 Aug 90
FIGURE 4.4.1.10.
SAMPLE OUTPUT REPORT: CANCELLATION PROCESSING (MAIL/PHONE)
(Sheet 1 of 2)
6-18
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
NAME: JOHNSON,ROGER
STREET ADDRESS: 509 REDROCK PLACE
CITY: FT KNOX
STATE: KENTUCKY
ZIP CODE: 20451
It is necessary for us to cancel the appointment listed below. We regret
any inconvenience this may cause you. If your medical condition requires ongoing
care, please contact the Central Appointment Service at 555-2232 or the clinic
to reschedule this appointment.
MON
0900
03 SEP 1990
STASKO,T
FIGURE 4.4.1.10.
DERM
FU
SAMPLE OUTPUT REPORT: CANCELLATION PROCESSING (MAIL/PHONE)
(Sheet 2 of 2)
6-19
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
NO-SHOW NOTICES 23 Jan 1990
THACKER,DAVID
T-ALGY
PAS 521
TIME TYPE
PATIENT
FMP/SSN
REASON
COMMENTS
================================================================================
0800 NEW
SIMPSON,HOMER
20/362-77-6534 NO-SHOW
:
1350 RET
TAYLOR,ROGER
20/454-16-7789 NO-SHOW
:
Use SELECT Key to identify Patients to MAIL No-Show Notices to OR
Press <RETURN> to Telephone, Reschedule or Delete Patient from notify list.
Personal Data - Privacy Act 1974 (PL 93-579)
FIGURE 4.4.1.11.
SAMPLE OUTPUT REPORT: NO-SHOW PROCESSING (MAIL/PHONE)
(Sheet 1 of 2)
6-20
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
NAME: DAVIS,SHARON
STREET ADDRESS: 1932 MAPLE LANE
CITY: FT KNOX
STATE: KENTUCKY
ZIP CODE: 21903
According to our records, you did not keep the appointment listed below.
Since you require medical care, we encourage you to reschedule. In the future,
if you are unable to keep a scheduled appointment, please call 555-2232 to
cancel, so that another member of our community may have the appointment.
WED
0830
22 JAN 1989
STORER,T
FIGURE 4.4.1.11.
GEN SURG
RET
SAMPLE OUTPUT REPORT: NO-SHOW PROCESSING (MAIL/PHONE)
(Sheet 2 of 2)
6-21
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
NAME: ALLEN,JOSEPH
STREET ADDRESS: 3511 POST AVE.
CITY: FT KNOX
STATE: KENTUCKY
ZIP CODE: 20912
According to our records, you did not keep the appointment listed below
and you missed others recently. We are concerned about the health of all our
patients. If you can not keep an appointment, please call Central Appointments
at 555-2232 or the clinic at least 24 hours in advance to reschedule your
appointment.
MON
WED
MON
FRI
TUES
1100
1500
0900
1430
0700
11
13
22
16
20
JAN
JAN
JAN
FEB
FEB
1989
1989
1989
1989
1989
STORER T
STORER,T
STASKO,T
LEBOW,L
HERSHEY,T
FIGURE 4.4.1.12.
GEN SURG
GEN SURG
DERM
DERM
CARD
RET
RET
NEW
FU
MULT
SAMPLE OUTPUT REPORT:
REPEAT NO-SHOW & STRONG NOTICE PROCESSING
6-22
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
DIVISION: TRIPLER ARMY MEDI
Personal Data - Privacy Act of 1974 (PL 93-579)
Automated Version of SF600
Printed: 18 Jun 1992@1248
GENERAL SU
REF:
RSN: TESTING
HERBERT,JEFF
18 Jun 1992
1247
NEW
BBAA
CMT:
BP:
PULSE:
RESP:
TEMP:
HT:
WT:
================================================================================
ADDITIONAL COMMENTS:
================================================================================
20/433-20-0322 HAMILTON,ANDREW
A11
03 Mar 1950 MALE
W:546-4564
H:342-2342
Spon: HAMILTON,ANDREW
CIC:
CS: PRP
Rank: CAPTAIN
D:349-1122
SF600
Unit: 1116 USA SIGNAL BN
RR: OUTPATIENT RECORD ROOM (I)
FIGURE 4.4.3.1.
SAMPLE OUTPUT SCREEN:
DAILY OUTPATIENT ENCOUNTER FORMS (CLIN/PROV/INDV)
6-23
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
DIVISION: TRIPLER ARMY MEDI
Personal Data - Privacy Act of 1974 (PL 93-579)
Automated Version of SF600
Printed: 18 Jun 1992@1248
GENERAL SU
REF:
RSN: TESTING
HERBERT,JEFF
18 Jun 1992
1247
NEW
BBAA
BP:
PULSE:
RESP:
TEMP:
HT:
WT:
================================================================================
ADDITIONAL COMMENTS:
================================================================================
20/433-20-0322 HAMILTON,ANDREW
A11
03 Mar 1950 MALE
W:546-4564
H:342-2342
Spon: HAMILTON,ANDREW
CIC:
CS: PRP
Rank: CAPTAIN
D:349-1122
SF600
Unit: 1116 USA SIGNAL BN
RR: OUTPATIENT RECORD ROOM (I)
FIGURE 4.4.3.2.
SAMPLE OUTPUT SCREEN:
DAILY OUTPATIENT ENCOUNTER FORMS (DIVISION/ALL)
6-24
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
08 Oct 1991@1611 Page 1
Personal Data - Privacy Act 1974 (PL 93-579)
ER JCAHO CONTROL REGISTER by All Divisions
From: 08 Oct 1991@0001 To: 08 Oct 1991@1609
Division: PEARL HARBOR
Dept: PRIMARY CARE/COMMUNITY MEDICINE
Clinic: EMERGENCY ROOM (P)
** = Patient with no DISPOSITION
==================================================================================================================================
Patient Name
FMP/SSN
Sex
Age
Cat
Rank
Sponsor Name
ER Log #
Arrival Date/time
Departure Date/time Disp
Dur
Provider
Method of Transit
Chief Complaint
Home Phone
Record Location
ER Comment
Work Phone
==================================================================================================================================
BABBIS,CHARLES E
20/140-24-1708
MALE
44
N11
CAPT
BABBIS,CHARLES E
890113-00002
08 Oct 1991@0736
08 Oct 1991@0905
Q48
45 min
MURPHY,TOM
POV
BROKEN ARM
H: 223-9056
USS PERMIT
Cmnt: This patient fell onboard ship in port.
W: 447-4032
---------------------------------------------------------------------------------------------------------------------------------**LUDWIG,LAUREN M
03/212-67-3373
FEMALE
2
N41
PO1
LUDWIG,JOHN M
920910-00065
08 Oct 1991@0910
WI
SHORTNESS OF BREATH
H: 499-2588
PH DEPENDENT OUTPT REC
Cmnt:
W: 474-0266
FIGURE 4.4.3.3.
SAMPLE OUTPUT REPORT: JCAHO CONTROL REGISTER PRINT
(Sheet 1 of 2)
6-25
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
08 Oct 1991@1611 Page 2
Personal Data - Privacy Act 1974 (PL 93-579)
ER JCAHO CONTROL REGISTER by All Divisions
From: 08 Oct 1991@0001 To: 08 Oct 1991@1609
Division: TRIPLER ARMY MEDICAL CENTER
Dept: PRIMARY CARE/COMMUNITY MEDICINE
Clinic: EMERGENCY ROOM (P)
** = Patient with no DISPOSITION
==================================================================================================================================
Patient Name
FMP/SSN
Sex
Age
Cat
Rank
Sponsor Name
ER Log #
Arrival Date/time
Departure Date/time Disp
Dur
Provider
Method of Transit
Chief Complaint
Home Phone
Record Location
ER Comment
Work Phone
==================================================================================================================================
DALMER,NEWTON
20/140-22-1603
MALE
23
M11
PVT
DALMER,NEWTON
890113-00002
08 Oct 1991@0815
08 Oct 1991@0915
Q72
30 min
MAYHEW,EDWIN
POV
SLAMMED FINGER IN RIFLE LOCK
H: (212) 277-0152
OUTPATIENT RECORD ROOM
Cmnt: Return in two weeks
W: (303) 491-1098
---------------------------------------------------------------------------------------------------------------------------------**GAYNOR,MARY DAWN
30/558-64-7500
FEMALE
31
K69
GAYNOR,ROBERT
910604-00003
08 Oct 1991@0933
08 Oct 1991@1000
AMB
STRUCK BY BICYCLE
H: (415) 744-9292
Cmnt:
FIGURE 4.4.3.3.
SAMPLE OUTPUT REPORT: JCAHO CONTROL REGISTER PRINT
(Sheet 2 of 2)
6-26
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Personal Data - Privacy Act of 1974 (PL 93-579) Automated Version SF558
-------------------------------------------------------------------------------EMERGENCY CARE & TREATMENT - TRIPLER ARMY MEDICAL CEN | LOG NUMBER: 940624-00001
-------------------------------------------------------------------------------Arrival Date/Time: 24 Jun 1994@0115
| 3rd Party Payer: NO
Trans to Hospital: AMBULANCE/MTF
| Time Seen:
History Obtained From: PATIENT
| Category: EMERGENCY
-------------------------------------------------------------------------------Addr: 114 Lilac Lane
PORTSMOUTH,
VA
23665 | Phone: 3015907790
Chief Complaint: CHEST PAINS, NUMBNESS IN RT ARM
| Sex: MALE
Age: 33
-------------------------------------------------------------------------------VITAL SIGNS
|
Medications
| Tetanus:
Time ______ _____ _____|
| Allergies:
BP-SY ______ _____ _____|
| MORPHINE, CODEINE,
BP DI ______ _____ _____|
| TETRACYCLINE
Pulse ______ _____ _____|
| VALPROATE SODIUM
Resp ______ _____ _____|-----------------------------|------------------------Temp ______ _____ _____|
WT-Ped _____ _____ _____|
Orders
Inits Time |
____________ _____ _____|
____________ _____ _____|
____________ _____ _____|
____________ _____ _____|
____________ _____ _____|
____________ _____ _____|
____________ _____ _____|
ASSESSMENT/DIAGNOSIS
|
________________________|
________________________|
________________________|
====== DISPOSITION =====|
__Home
__Full Duty
|
__Quarters
|
__24hrs __48hrs __72hrs|
|
Modified Duty Until:
|
Day:____ Mon:____ Yr:___|
|
Referred to:
|
|
__Emergency __Today
|
__72 hours
__Routine |
|
FIGURE 4.4.3.4.
SAMPLE OUTPUT REPORT:
(Sheet 1 of 2)
6-27
SF 558 PRINT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Admitted to:
|
|
Others:
|
|
Condition Upon Release: |
__Improved __Unchanged |
__Deteriorated
| Signature of Provider/Stamp:
Release Time:
|
________________________________________________________________________________
Instructions to Patient:
I HAVE RECEIVED AND UNDERSTAND MY DISCHARGE INSTRUCTIONS _______________________
-------------------------------------------------------------------------------20/335-33-5335 BRISTOL,HARRY
N11
01 Jan 1960 MALE
W:301-589-7790
H:301-590-7788
Loc: EMERGENCY ROOM (A)
Spon: BRISTOL,HARRY
Rank: CDR
D:301-589-7790
SF558
Unit: USS GUAM
RR: OUTPATIENT RECORD ROOM (A)
FIGURE 4.4.3.4.
SAMPLE OUTPUT REPORT:
(Sheet 2 of 2)
6-28
SF 558 PRINT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
DISPLAY PATIENT APPOINTMENTS
Personal Data - Privacy Act of 1974 (PL 93-579)
FUTURE APPOINTMENTS FOR MCCURDY,KEVIN 20/223-51-0903
CLINIC/DIV
PROVIDER
DATE/TIME
TYPE
STATUS
================================================================================
ALLERGY (T)/TRIP
LEE,JUDY
17 Jan 1992@1400
FU
PENDING
Arrive 10 min early
ALLERGY (T)/TRIP
LEE,JUDY
17 Jan 1992@1430
FU
PENDING
Arrive 10 min early
WAIT LIST REQUESTS FOR MCCURDY,KEVIN
20/800-51-0903
CLINIC/DIV
TYPE
PRI DATE IN
TARGET DATE
PROVIDER
================================================================================
NO WAIT LIST REQUESTS!
FIGURE 4.4.4.1.
SAMPLE OUTPUT REPORT: APPOINTMENT ORDER PROCESSING
(Sheet 1 of 2)
6-29
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Order/Request Successfully booked as appt # 4151 on 17 Jan 1992@1400
REMOVING ORDER REQUEST FROM PROCESSING LIST FOR
Patient
Req Appt Date
Prio
Req Clinic
Requesting Provider
================================================================================
MCCURDY,KEVIN
15 Jan 1992
9
PEDIATRICS
ROBERTSON,MARY
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=Press <RETURN> to continue
Personal Data - Privacy Act 1974 (PL 93-579)
FIGURE 4.4.4.1.
SAMPLE OUTPUT REPORT: APPOINTMENT ORDER PROCESSING
(Sheet 2 of 2)
6-30
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
FACILITY PROFILE LIST
14 Oct 1991@1052
PAGE 1
================================================================================
Name:
Building Name:
Building Number:
Street Address:
City:
State:
ZIP:
Postal Permit Number:
Schedule Deletion:
Patient Record Pull:
Radiology Record Pull:
Schedule Hold Duration:
DEERS Batch Pull:
Appointment Overlap Interval:
Inactivity Period:
Print Encounter Data Report:
OUTPATIENT ENCODER/GROUPER ENABLED
IRELAND ACH
IRELAND ARMY HOSPITAL
100
1 IRELAND AVENUE
FT KNOX
KENTUCKY
40121-5520
231456
30 DAY(S)
1 DAY(S)
1 DAY(S)
2 DAY(S)
1 DAY(S)
10 MINUTES
60 DAY(S)
YES
Press <RETURN> to continue
FIGURE 4.4.5.2.
SAMPLE OUTPUT REPORT:
6-31
FACILITY PROFILE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
DIVISION PROFILE LIST
10 Jun 1992@1218
PAGE 1
================================================================================
Name:
Abbreviation:
Facility:
Building Name:
Building Number:
Street Address:
City:
State:
ZIP:
Patient Record Pull:
Radiology Record Pull:
Schedule Hold Duration:
PAS Mail Group:
Group ID Code:
DMIS ID Code:
Default to Remind Patient of Other
Enable DX/PX Coding for Outpatient
Cross Division Record Pulling:
TRIPLER ARMY MEDICAL CENTER
TRIP
TRIPLER AMC, HI
TRIPLER BUILDING
A12346
2312 JAMES STREET
HONOLULU
HAWAII
96859
1 DAY(S)
1 DAY(S)
7 DAY(S)
BULLETIN CONTROL
0052
0052
Appts/Wait List Requests: YES
Encounters in this Division: YES
PEARL HARBOR
TRIPLER ARMY MEDICAL CENTER
Press <RETURN> to continue
FIGURE 4.4.5.4.
SAMPLE OUTPUT REPORT:
6-32
DIVISION PROFILE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
CLINIC PROFILE LIST
11 Sep 1994@0733
PAGE 1
================================================================================
Name:
Abbreviation:
Facility:
Division:
Building Name:
Building Number:
Street Address:
ZIP:
City:
State:
Clinic Location:
Clinic Availability:
Telephone:
Enrollee Lockout:
Type of Care:
Service:
Department:
Specialty:
MEPRS Code:
Wait List Activated:
ALLERGY
ALG
IRELAND ACH, KY
IRELAND ACH
IRELAND ACH
851
851 IRELAND AVE
40121
FT KNOX
KENTUCKY
XIK-28 1ST FL
M-F 0730-1630, SA 0800-1400
502-624-9160
YES
SPECIALTY CARE
MEDICAL SERVICE
MEDICINE
ALLERGY
BABA
YES
Press <RETURN> to continue
FIGURE 4.4.5.6.
SAMPLE OUTPUT REPORT:
(Sheet 1 of 7)
6-33
CLINIC PROFILE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
CLINIC PROFILE LIST
11 Sep 1994@0733
PAGE 2
================================================================================
Maximum Wait List Days:
Wait List Provider Mandatory:
Wait List Hold Duration:
Automatic Wait List Processing:
Schedule Hold Duration:
Prompt for Requesting Service:
Patient Record Pull:
Clinic Type:
Radiology Record Pull:
Check Holiday File:
Roster Production:
Activation Status:
Prepare Reminder Notices:
Cost Pool Code:
Available Schedule:
Clinic Appt Instructions:
30 DAY(S)
YES
2 DAY(S)
YES
7 DAY(S)
YES
3 DAY(S)
COUNT
1 DAY(S)
YES
4 DAY(S)
ACTIVATED
4 DAY(S)
BAXA
60 DAY(S)
PLEASE BRING ALLERGY TEST RESULTS
---Appointment Types--Press <RETURN> to continue
FIGURE 4.4.5.6.
SAMPLE OUTPUT REPORT:
(Sheet 2 of 7)
6-34
CLINIC PROFILE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
CLINIC PROFILE LIST
11 Sep 1994@0733
PAGE 3
================================================================================
Appointment Type:
Duration:
Status:
Workload Type:
Referral Required:
Pull Patient Record:
Pull Radiology Record:
Produce Encounter Form:
Send Reminder Notice:
Total # of Overbooks:
Max # of Overbooks per Slot:
Instructions:
Booking Authority:
Appointment Change Authority:
Overbook Authority:
NEW
60 MINUTES
ACTIVE
COUNT
YES
YES
NO
YES
NO
4
1
SDCL1
SDCL2
SDCL3
Press <RETURN> to continue
FIGURE 4.4.5.6.
SAMPLE OUTPUT REPORT:
(Sheet 3 of 7)
6-35
CLINIC PROFILE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
CLINIC PROFILE LIST
11 Sep 1994@0733
PAGE 4
================================================================================
Appointment Type:
Duration:
Status:
Workload Type:
Referral Required:
Pull Patient Record:
Pull Radiology Record:
Produce Encounter Form:
Send Reminder Notice:
Total # of Overbooks:
Max # of Overbooks per Slot:
Instructions:
Booking Authority:
Appointment Change Authority:
Overbook Authority:
RET
30 MINUTES
ACTIVE
COUNT
NO
YES
NO
YES
NO
4
1
SDCL1
SDCL2
SDCL3
Press <RETURN> to continue
FIGURE 4.4.5.6.
SAMPLE OUTPUT REPORT:
(Sheet 4 of 7)
6-36
CLINIC PROFILE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
CLINIC PROFILE LIST
11 Sep 1994@0733
PAGE 5
================================================================================
Appointment Type:
Duration:
Status:
Workload Type:
Referral Required:
Pull Patient Record:
Pull Radiology Record:
Produce Encounter Form:
Send Reminder Notice:
Total # of Overbooks:
Max # of Overbooks per Slot:
Instructions:
Booking Authority:
Appointment Change Authority:
Overbook Authority:
FU
30 MINUTES
INACTIVE
NON-COUNT
YES
YES
YES
NO
NO
3
1
SDCL1
SDCL2
SDCL3
---Diagnosis/Procedure Coding---
Press <RETURN> to continue
FIGURE 4.4.5.6.
SAMPLE OUTPUT REPORT:
(Sheet 5 of 7)
6-37
CLINIC PROFILE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
CLINIC PROFILE LIST
11 Sep 1994@0733
PAGE 6
================================================================================
DX/PX Coding Enabled:
Report DX/PX on SIDR Tape:
Max # DX on Clinic Pick List:
Top Ambulatory DX Report Default:
Max # PX on Clinic Pick List:
Top Ambulatory PX Report Default:
YES
YES
10
5
10
5
---Diagnoses Pick List--Diagnosis:
381.05
ACUTE ALLERGIC MUCOID OTITIS MEDIA
Diagnosis:
381.04
ACUTE ALLERGIC SEROUS OTITIS MEDIA
Diagnosis:
477.8
ALLERGIC RHINITIS DUE TO OTHER ALLERGEN
Diagnosis:
995.3
ALLERGY, UNSPECIFIED, NOT ELSEWHERE
CLASSIFIED
Diagnosis:
373.32
CONTACT AND ALLERGIC DERMATITIS OF EYELID
Diagnosis:
V70
GENERAL MEDICAL EXAMINATION
Diagnosis:
V07.1
NEED FOR DESENSITIZATION TO ALLERGENS
Diagnosis:
372.14
OTHER CHRONIC ALLERGIC CONJUNCTIVITIS
Diagnosis:
495.8
OTHER SPECIFIC ALLERGIC ALVEOLITIS AND
PNEUMONITIS
Diagnosis:
473.9
UNSPECIFIED SINUSITIS (CHRONIC)
Press <RETURN> to continue
FIGURE 4.4.5.6.
SAMPLE OUTPUT REPORT:
(Sheet 6 of 7)
6-38
CLINIC PROFILE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
CLINIC PROFILE LIST
11 Sep 1994@0733
PAGE 7
================================================================================
---Procedure Pick List--Procedure:
86003
ALLERGEN SPECIFIC IGE;QUANTITATIVE, EACH PANEL
OF UP TO 12 ALLERGENS
Procedure:
86315
IMMUNOASSAY FOR INFECTIOUS AGENT ANTIGEN,
QUALITATIVE OR SEMIQUANTITATIVE; SINGLE STEP
METHOD (EG, REAGENT STRIP)
Procedure:
95065
DIRECT NASAL MUCOUS MEMBRANE TEST
Procedure:
95070
INHALATION BRONCHIAL CHALLENGE TESTING (NOT
INCLUDING NECESSARY PULMONARY FUNCTION
TESTS); WITH HISTAMINE, METHACHOLINE, OR
SIMILAR COMPOUNDS
Procedure:
95071
INHALATION BRONCHIAL CHALLENGE TESTING (NOT
INCLUDING PULMONARY FUNCTION TEST); WITH
ANTIGENS OR GASES, SPECIFY
Procedure:
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE
COST OF DRUG
Procedure:
J0220
INJECTION, ALLERGY DESENSITIZATION, AQUEOUS
PREPARATION
Procedure:
J0240
INJECTION, ALLERGY DESENSITIZATION, EMULSION
NOT SPECIFIED
Procedure:
J7010
VIAL OF ALLERGY VACCINE, SINGLE DOSE
Procedure:
J7020
VIAL OF ALLERGY VACCINE, MULTIPLE DOSE, COST
PER DOSE
Press <RETURN> to continue
FIGURE 4.4.5.6.
SAMPLE OUTPUT REPORT:
(Sheet 7 of 7)
6-39
CLINIC PROFILE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
PROVIDER PROFILE LIST
12 Sep 1991@1129
PAGE 1
Personal Data - Privacy Act of 1974 (PL 93-579)
================================================================================
Provider:
Clinic:
Title:
Provider-MEPRS/Subclinic:
Duty Phone:
Home Phone:
Clinic Hours:
Clinic Location:
Max # of Patient Appts per Day:
Appt Arrival Advance Time:
Provider Instructions:
Print Roster with Open Aptts
Inactivation Date:
BROWN,CAROLYN
CARDIOLOGY
STAFF PHYSICIAN
BAAA
437-8319
234-4564
0900 - 1600
RM 204
30
15 MINUTES
YES
---Appointment Types--Appointment Type:
NEW
Press <RETURN> to continue
FIGURE 4.4.5.9.
SAMPLE OUTPUT REPORT:
(Sheet 1 of 5)
6-40
PROVIDER PROFILE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
PROVIDER PROFILE LIST
12 Sep 1991@1129
PAGE 2
Personal Data - Privacy Act of 1974 (PL 93-579)
================================================================================
Duration:
Status:
Workload Type:
Referral Required:
Pull Patient Record:
Pull Radiology Record:
Produce Encounter Forms:
Send Reminder Notice:
Total # of Overbooks:
Max # of Overbooks per Slot:
Instructions:
Booking Authority:
30 MINUTES
ACTIVE
NON-COUNT
YES
YES
YES
YES
YES
6
1
Appointment Change Authority:
SDCL2
Overbook Authority:
SDCL1
SDCL3
Press <RETURN> to continue
FIGURE 4.4.5.9.
SAMPLE OUTPUT REPORT:
(Sheet 2 of 5)
6-41
PROVIDER PROFILE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
PROVIDER PROFILE LIST
12 Sep 1991@1129
PAGE 3
Personal Data - Privacy Act of 1974 (PL 93-579)
================================================================================
Appointment Type:
Duration:
Status:
Workload Type:
Referral Required:
Pull Patient Record:
Pull Radiology Record:
Produce Encounter Forms:
Send Reminder Notice:
Total # of Overbooks:
Max # of Overbooks per Slot:
Instructions:
Booking Authority:
RET
30 MINUTES
ACTIVE
COUNT
NO
YES
YES
NO
NO
3
1
Appointment Change Authority:
SDCL2
Overbook Authority:
SDCL1
Appointment Type:
Duration
FU
30 MINUTES
SDCL3
Press <RETURN> to continue
FIGURE 4.4.5.9.
SAMPLE OUTPUT REPORT:
(Sheet 3 of 5)
6-42
PROVIDER PROFILE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
PROVIDER PROFILE LIST
12 Sep 1991@1129
PAGE 4
Personal Data - Privacy Act of 1974 (PL 93-579)
================================================================================
Status:
Workload Type:
Referral Required:
Pull Patient Record:
Pull Radiology Record:
Produce Encounter Forms:
Send Reminder Notice:
Total # of Overbooks:
Max # of Overbooks per Slot:
Instructions:
Booking Authority:
Appointment Change Authority:
Overbook Authority:
INACTIVE
NON-COUNT
YES
YES
YES
NO
NO
3
1
Appointment Type:
Duration:
CAST
30 MINUTES
Press <RETURN> to continue
FIGURE 4.4.5.9.
SAMPLE OUTPUT REPORT:
(Sheet 4 of 5)
6-43
PROVIDER PROFILE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
PROVIDER PROFILE LIST
12 Sep 1991@1129
PAGE 5
Personal Data - Privacy Act of 1974 (PL 93-579)
================================================================================
Status:
Workload Type:
Referral Required:
Pull Patient Record:
Pull Radiology Record:
Produce Encounter Forms:
Send Reminder Notice:
Total # of Overbooks:
Max # of Overbooks per Slot:
Instructions:
Booking Authority:
Appointment Change Authority:
Overbook Authority:
ACTIVE
COUNT
NO
NO
NO
NO
NO
0
Press <RETURN> to continue
FIGURE 4.4.5.9.
SAMPLE OUTPUT SCREEN:
(Sheet 5 of 5)
6-44
PROVIDER PROFILE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
APPOINTMENT TYPE PROFILE LIST
16 Oct 1991@1101
PAGE 1
ARE
APPT
SLOTS
NAME
DESCRIPTION
SEARCHABLE?
STATUS
CATEGORY
===============================================================================
DAPT
ERAPT
FU
INPT
LUN*
MTG*
MULTI
NEW
PATCH
RET
ROU
SCALL
TECON
WALK
DOCTOR-APPOINTED
EMERGENCY ROOM APPT
FOLLOW UP
INPATIENT VISIT
LUNCH
MEETING
MASS APPOINTMENT
NEW PATIENTS ONLY
SKIN TEST
RETURN APPOINTMENTS
ROUTINE CHECKUP
SICK CALL
TELEPHONE CONSULT
WALK-IN
YES
YES
YES
YES
NO
NO
YES
YES
YES
YES
YES
YES
YES
YES
FIGURE 4.4.5.11.
ACTIVE
ACTIVE
ACTIVE
ACTIVE
ACTIVE
ACTIVE
ACTIVE
ACTIVE
INACTIVE
ACTIVE
ACTIVE
INACTIVE
INACTIVE
ACTIVE
FOLLOW-UP
FOLLOW-UP
FOLLOW-UP
FOLLOW-UP
FOLLOW-UP
FOLLOW-UP
FOLLOW-UP
INITIAL
FOLLOW-UP
FOLLOW-UP
FOLLOW-UP
FOLLOW-UP
FOLLOW-UP
INITIAL
SAMPLE OUTPUT SCREEN:
6-45
APPOINTMENT TYPE LIST
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
EMERGENCY ROOM CLINIC PROFILE LIST
07 Oct 1994@0909
PAGE 1
================================================================================
Name:
Abbreviation:
Facility:
Division:
Building Name:
Building Number:
Street Address:
ZIP:
City:
State:
Clinic Location:
Clinic Availability:
Activation Status:
Telephone:
Enrollee Lockout:
Type of Care:
Service:
Department:
Specialty:
MEPRS Code:
EMERGENCY ROOM (A)
ER-A
TRIPLER AMC, HI
TRIPLER ARMY MEDICAL CENTER
MAIN MEDICAL BUILDING
101
2312 JAMES STREET
96859
HONOLULU
HAWAII
EAST WING RM STE 234
M-F 0730-1800
ACTIVATED
808-624-5831
NO
EMERGENCY MEDICAL
PRIMARY CARE & COMM MEDICINE
EMERGENCY MEDICAL
BIAA
Press <RETURN> to continue
FIGURE 4.4.5.13.
SAMPLE OUTPUT REPORT: EMERGENCY ROOM CLINIC PROFILE LIST
(Sheet 1 of 5)
6-46
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
EMERGENCY ROOM CLINIC PROFILE LIST
07 Oct 1994@0909
PAGE 2
================================================================================
Cost Pool Code:
Clinic Type
Is this an Emergency Room:
CER Provider Default:
Default Date/Time of Release:
Default Printer:
NER SF 558 Default:
CER SF 558 Default:
COUNT
YES
HOBOLD,ERIC
NOW
SLAVE
YES
NO
---Clinic Appointment Types--Appointment Type:
Duration:
Status:
Workload Type:
EROOM
30 MINUTES
ACTIVE
COUNT
Appointment Type:
Duration:
Status:
Workload Type:
FU
30 MINUTES
ACTIVE
COUNT
Appointment Type:
Duration:
NEW
60 MINUTES
Press <RETURN> to continue
FIGURE 4.4.5.13.
SAMPLE OUTPUT REPORT: EMERGENCY ROOM CLINIC PROFILE LIST
(Sheet 2 of 5)
6-47
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
EMERGENCY ROOM CLINIC PROFILE LIST
07 Oct 1994@0909
PAGE 3
================================================================================
Status:
Workload Type:
ACTIVE
COUNT
Appointment Type:
Duration:
Status:
Workload Type:
RET
30 MINUTES
ACTIVE
COUNT
---Diagnosis/Procedure Coding---
Press <RETURN> to continue
FIGURE 4.4.5.13.
SAMPLE OUTPUT REPORT: EMERGENCY ROOM CLINIC PROFILE LIST
(Sheet 3 of 5)
6-48
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
EMERGENCY ROOM CLINIC PROFILE LIST
07 Oct 1994@0909
PAGE 4
================================================================================
DX/PX Coding Enabled:
Report DX/PX on SIDR Tape:
Max # DX on Clinic Pick List:
Top Ambulatory DX Report Default:
Max # PX on Clinic Pick List:
Top Ambulatory PX Report Default:
YES
YES
10
5
10
5
---Diagnosis Pick List--Diagnosis:
919.0
ABRASION/FRICTION BURN OF OTHER MULTIPLE/
UNSPECIFIED SITES
Diagnosis:
466.0
ACUTE BRONCHITIS
Diagnosis:
305.01
ALCOHOL ABUSE, CONTINUOUS DRINKING BEHAVIOR
Diagnosis:
427.5
CARDIAC ARREST
Diagnosis:
863.89
GASTROINTESTINAL TRACT INJ,SITE NOS,WO OPEN
WOUND TO CAVITY, OTHER
Diagnosis:
487.0
INFLUENZA WITH PNEUMONIA
Diagnosis:
804.82
OP FX,SKULL,FACE,OTH BONE,OTH INTRACRAN
HEMORRAGE,BRIEF UNCONSCIOUSNESS
Diagnosis:
829.1
OPEN FRACTURE OF UNSPECIFIED BONE
Diagnosis:
305.91
OTHER OR UNSPECIFIED DRUG ABUSE, CONTINUOUS
USE
Diagnosis:
308.2
REACTION TO STRESS, PSYCHOMOTOR DISTURBANCE
PREDOMINANT
Press <RETURN> to continue
FIGURE 4.4.5.13.
SAMPLE OUTPUT REPORT: EMERGENCY ROOM CLINIC PROFILE LIST
(Sheet 4 of 5)
6-49
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
EMERGENCY ROOM CLINIC PROFILE LIST
07 Oct 1994@0909
PAGE 5
================================================================================
---Procedure Pick List--Procedure:
86710
ANTIBODY; INFLUENZA VIRUS
Procedure:
92950
CARDIOPULMONARY RESUSCITATION (EG, IN CARDIAC
ARREST)
Procedure:
80100
DRUG, SCREEN; MULTIPLE DRUG CLASSES, EACH
PROCEDURE
Procedure:
44500
INTRODUCTION OF LONG GASTROINTESTINAL TUBE
(EG, MILLER-ABBOTT) (SEPARATE PROCEDURE)
Procedure:
24566
PERCUTANEOUS SKELETAL FIXATION OF HUMERAL
EPICONDYLAR FRACTURE, MEDIAL OR LATERAL, WITH
MANIPULATION
Procedure:
A0223
AMBULANCE SERVICE, ADVANCED LIFE SUPPORT
(ALS) BASE RATE, WHERE NONREUSABLE ALS
SUPPLIES ARE BILLED SEPARATELY, EMERGENCY
TRANSPORT, ONE WASY
Procedure:
A4210
NEEDLE-FREE INJECTION DEVICE
Procedure:
A0070
AMBULANCE SERVICE, OXYGEN, ADMINISTRATION AND
SUPPLIES, LIFE SUSTAINING SITUATION
Procedure:
L3980
UPPER EXTREMITY FRACTURE ORTHOSIS, HUMERAL
Procedure:
A4670
AUTOMATIC BLOOD PRESSURE MONITOR
Press <RETURN> to continue
FIGURE 4.4.5.13.
SAMPLE OUTPUT REPORT: EMERGENCY ROOM CLINIC PROFILE LIST
(Sheet 5 of 5)
6-50
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
EMERGENCY ROOM PROVIDER PROFILE LIST
07 Oct 1991@0909
PAGE 1
Personal Data - Privacy Act of 1974 (PL 93-579)
================================================================================
Clinic:
ALLERGY (T)
Provider:
Title:
Provider-MEPRS/Subclinic:
Duty Phone:
Home Phone:
Clinic Hours:
Clinic Location:
Inactivation Date:
SONGER,EDWARD
DENTIST (SURGEON)
BAAA
455-5540
0700-1700
---Provider Appointment Types--Appointment Type:
Duration:
Status:
NEW
60 MINUTES
ACTIVE
Press <RETURN> to continue
FIGURE 4.4.5.16.
SAMPLE OUTPUT REPORT: EMERGENCY ROOM PROVIDER PROFILE LIST
(Sheet 1 of 3)
6-51
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
EMERGENCY ROOM PROVIDER PROFILE LIST
07 Oct 1991@0909
PAGE 2
Personal Data - Privacy Act of 1974 (PL 93-579)
================================================================================
Workload Type:
COUNT
Appointment Type:
Duration:
Status:
Workload Type:
RET
30 MINUTES
ACTIVE
COUNT
Appointment Type:
Duration:
Status:
Workload Type:
FU
30 MINUTES
ACTIVE
COUNT
Provider:
Title:
Provider-MEPRS/Subclinic:
SEYMOUR,ROGER
DENTIST (SURGEON
BAAA
Press <RETURN> to continue
FIGURE 4.4.5.16.
SAMPLE OUTPUT REPORT: EMERGENCY ROOM PROVIDER PROFILE LIST
(Sheet 2 of 3)
6-52
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
EMERGENCY ROOM PROVIDER PROFILE LIST
07 Oct 1991@0909
PAGE 3
Personal Data - Privacy Act of 1974 (PL 93-579)
================================================================================
Duty Phone:
Home Phone
Clinic Hours:
Clinic Location:
Inactivation Date:
259-1257
0700-1800
---Provider Appointment Types--Appointment Type:
Duration:
Status:
Workload Type:
NEW
60 MINUTES
ACTIVE
COUNT
Appointment Type:
Duration:
Status:
Workload Type:
FU
30 MINUTES
ACTIVE
COUNT
Press <RETURN> to continue
FIGURE 4.4.5.16.
SAMPLE OUTPUT REPORT: EMERGENCY ROOM PROVIDER PROFILE LIST
(Sheet 3 of 3)
6-53
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Template I.D.: MONDAY TS
Clinic: GENERAL SURGERY CLINIC
Provider: STORER,THOMAS
Day: MONDAY
Start
Time
Appt
Type
Patients
Per Slot
Slot Comment
0800
RET
1
0830
RET
1
0900
MULTI
1
1000
MULTI
1
1100
RET
1
1130
RET
1
1200
DAPT
1
LUNCH
1230
DAPT
1
1300
NEW
1
1400
NEW
1
-------------------------------------------------------------------------------Press <RETURN> to continue
FIGURE 4.4.6.4.
SAMPLE OUTPUT REPORT:
6-54
PRINT DAILY/WEEKLY TEMPLATE
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital (Test)
05 May 1990@1054 Page 3
CLINIC/PROVIDER SCHEDULE
From: 08 May 1990
To: 08 May 1990
Division: IRELAND
Dept: SURGERY
Clinic: ALLERGY MAIN CLINIC
Provider: SIMMONS,THOMAS
==================================================================================
Date
Day Time Type #/Slot #Book Status Comment
==================================================================================
08 May 1990 TUE 0800 RET
1
0
---0830 RET
1
0
---0900 RET
1
0
---1000 RET
1
0
---1030 RET
1
0
---1100 RET
1
0
---1130 RET
1
0
---1300 RET
1
0
---1400 NEW
1
0
---1500 NEW
1
0
---1600 NEW
1
0
---Press <RETURN> to continue
FIGURE 4.4.7.1.
SAMPLE OUTPUT REPORT:
6-55
CREATE SCHEDULES
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ARMY COMMUNITY HOSPITAL
19 Apr 1990@0917 Page 1
CLINIC/PROVIDER SCHEDULE
From: 24 May 1990
TO: 25 May 1990
Division: IRELAND
Dept: MEDICINE
Clinic: ALLERGY MAIN CLINIC
Provider: MEYER,CHERYL
================================================================================
Date
Day Time
Type #/Slot #Book Status Comment
================================================================================
24 May 1990 THU 0800
NEW
1
0
WAIT
0900
NEW
1
0
WAIT
1000
NEW
1
0
WAIT
1100
NEW
1
0
WAIT
1200
NEW
1
0
WAIT
1300
NEW
1
0
WAIT
1400
NEW
1
0
WAIT
1500
NEW
1
0
WAIT
1600
NEW
1
0
WAIT
Press <RETURN> to continue
FIGURE 4.4.7.3.
SAMPLE OUTPUT REPORT:
6-56
REPLICATE SCHEDULES
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ARMY COMMUNITY HOSPITAL
18 Apr 1990@1036 Page 1
CLINIC/PROVIDER SCHEDULE
From: 08 May 1990
To: 14 May 1990
Division: IRELAND
Dept: MEDICINE
Clinic: ALLERGY MAIN CLINIC
Provider: JOHNSON,DARRELL
=============================================================================
Date
Day Time
Type #/Slot #Book Status
Comment
=============================================================================
23 Apr 1990 MON
0700
0730
0800
0830
0900
0930
1000
1030
1100
1300
1330
1400
1430
1500
1530
1600
NEW
NEW
NEW
NEW
NEW
NEW
NEW
NEW
NEW
RET
RET
RET
RET
RET
RET
RET
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
OPEN
OPEN
WAIT
OPEN
OPEN
OPEN
OPEN
OPEN
OPEN
OPEN
OPEN
OPEN
FROZ
FROZ
OPEN
OPEN
LUNCH AT 1200
REL BY 19 APR
REL BY 19 APR
Press <RETURN> to continue, "^" to exit
FIGURE 4.4.7.4.
SAMPLE OUTPUT REPORT:
6-57
PRINT CLINIC/PROVIDER SCHEDULES
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital (Test)
12 Dec 1991@1345 Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
PROVIDER ROSTER (One Clinic)
From: 10 Dec 1991
To: 10 Dec 1991
Division: IRELAND
DEPT: MEDICINE
Clinic: CARDIOLOGY CLINIC
==================================================================================================================================
Time Type
Name
FMP/SSN
Sex Age Cat GR
CMD Int
CSP Fly
Provider
Out/In Ward Home Phone
Work Phone
Sponsor Unit
GR/Spon
Reason for Appointment:
Appointment Comment:
Referred by:
Registration Comment:
==================================================================================================================================
0800 NEW
HAMMER,MARK
SANTOS,MERVYN
OUT:
RSN:
REF:
0830
NEW
1
OPEN SLOT
0830
NEW
1
OPEN SLOT
0900
NEW
1
OPEN SLOT
0930
NEW
1
OPEN SLOT
1000 NEW
HAMMER,MARK
1030
NEW
1
OPEN SLOT
1100
NEW
1
OPEN SLOT
1130 RET
SEAY,ROBERT
20/234-12-9876
W:619-535-7641
M
25
CON
CMT:
REG:
K82
GAINES,THERESA
OUT:
H:
RSN:
REF:
01/753-98-3844
W:
F
11
PENTAGON
CMT:
REG:
A43
FIELD,RONALD E.
OUT:
H:703-338-3916
RSN:
REF:
20/224-72-4297
W:301-295-2340
M
29
F11 F03
BETHESDA
CMT:
REG: PT. NEED PHYSICAL EXAM
FIGURE 4.4.8.1.
H:619-277-7209
VIP
SAMPLE OUTPUT REPORT: CONSOLIDATED OR PROVIDER ROSTER (ONE CLINIC)
(Sheet 1 of 2)
6-58
ELG
A31
PRP
F03
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital (Test)
12 Dec 1991@1401 Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
CONSOLIDATED ROSTER (One Clinic)
From: 10 Dec 1991
To: 10 Dec 1991
Division: IRELAND
DEPT: MEDICINE
Clinic: CARDIOLOGY CLINIC
==================================================================================================================================
Time Type
Name
FMP/SSN
Sex Age Cat GR
CMD Int
CSP Fly
Provider
Out/In Ward Home Phone
Work Phone
Sponsor Unit
GR/Spon
Reason for Appointment:
Appointment Comment:
Referred by:
Registration Comment:
==================================================================================================================================
0930
NEW
2 OPEN SLOTS
GUAJARDO,ROBERT
1000
NEW
1 OPEN SLOT
SMITH,DOUG
1000
NEW
1 OPEN SLOT
SANTOS,MERVYN
1000 RET
MCDONALD,BECKY
ANDERSON,JOHN
OUT
RSN:
REF:
H:
NEW
2 OPEN SLOTS
GUAJARDO,ROBERT
1030
NEW
1 OPEN SLOT
SMITH,DOUG
1030
NEW
1 OPEN SLOT
SANTOS,MERVYN
1030
NEW
SMITH,AMY
OUT
RSN:
REF:
2 OPEN SLOTS
M
35
A11
AE7
H:
20/576-82-7222
W:
F
41
A31
CMT:
REG:
GUAJARDO,ROBERT
FIGURE 4.4.8.1.
SAMPLE OUTPUT REPORT: CONSOLIDATED OR PROVIDER ROSTER (ONE CLINIC)
(Sheet 2 of 2)
6-59
PRP
AE7
CMT:
REG:
1000
1030 RET
MCDONALD,BECKY
20/557-88-9874
W:
Y
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
12 Dec 1991@0952 Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
CONSOLIDATED ROSTER (All Clinics) by Division
From: 13 Dec 1991
To: 13 Dec 1991
Division: TRIPLER ARMY MEDICAL CENTER
DEPT: CLINICAL SUPPORT
Clinic: ALLERGY (T)
==================================================================================================================================
Time Type
Name
FMP/SSN
Sex Age Cat GR
CMD Int
CSP Fly
Provider
Out/In Ward Home Phone
Work Phone
Sponsor Unit
GR/Spon
Reason for Appointment:
Appointment Comment:
Referred by:
Registration Comment:
==================================================================================================================================
0830 ICON
BLACK,FREDERICK
HEPBURN,FRANK
OUT:
RSN:
REF:
0900 FU
BROOKE,THOMAS
0915 FU
BROOKE,THOMAS
20/444-21-7610
W:731-6754
M
26
A11 AO6
SCI
PENTAGON
AO6
CMT:
REG: PLEASE VERIFY PHONE NBR AND ADDRESS
HEBERT,MICHAEL
OUT:
H:233-6565
RSN:
REF:
20/218-46-7019
W:
M
HENSLEY,MARY
OUT:
RSN:
REF:
20/245-76-8412
W:898-7676
H:234-5678
H:322-1121
A11
AO5
AO5
CMT:
REG:
F
37
A11
AE7
AE7
CMT:
REG:
0800
NEW
1 OPEN SLOT
BARRON-BERMANT,JANE
0900
FU
3 OPEN SLOTS
SONGER,EDWARD
FIGURE 4.4.8.2.
38
SAMPLE OUTPUT REPORT:
6-60
CONSOLIDATED ROSTER (ALL CLINICS)
Y
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
12 Dec 1991@0952 Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
CONSOLIDATED ROSTER (All Clinics) by Division
From: 13 Dec 1991
To: 13 Dec 1991
Division: TRIPLER ARMY MEDICAL CENTER
DEPT: CLINICAL SUPPORT
Clinic: CARDIOLOGY (A)
Provider: HOWLAND,WILLIAM
==================================================================================================================================
Time Type
Name
FMP/SSN
Sex Age Cat GR
CMD Int
CSP Fly
Provider
Out/In Ward Home Phone
Work Phone
Sponsor Unit
GR/Spon
Reason for Appointment:
Appointment Comment:
Referred by:
Registration Comment:
==================================================================================================================================
0900 RET
HOWLAND,WILLIAM
TANGER,FREDERICK
OUT
H:233-3232
PRB:
REF:
20/213-43-6253
W:233-5454
0930 RET
HOWLAND,WILLIAM
HEPBURN,FRANK
OUT
PRB:
REF:
H:234-5678
20/444-21-7610
W:731-6754
M
26
A11 NO6
PRP
COMNAVCONBTLN A
NO6
SCI
CMT:
REG: PLEASE VERIFY PHONE NBR AND ADDRESS
1000 RET
HOWLAND,WILLIAM
HAGEL,STEVE
OUT
PRB:
REF:
20/431-87-4126
W:234-4531
M
H:
0800
NEW
1 OPEN SLOT
0900
FU
3 OPEN SLOTS
FIGURE 4.4.8.3.
M
67
A31
CMT:
REG:
35
N11
NO4
NO4
CMT:
REG:
SAMPLE OUTPUT REPORT:
6-61
PROVIDER ROSTER (ALL CLINICS)
Y
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
12 Dec 1991@0718 Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
PROVIDER ROSTER (One Clinic)
From: 10 Dec 1991
To: 10 Dec 1991
Division: IRELAND
DEPT: MEDICINE
Clinic: CARDIOLOGY CLINIC
Provider: DE BLASIO,MICHAEL
===============================================================================
Time Type Name
FMP/SSN
Out/In Ward
Home Phone
Work Phone
===============================================================================
'*' next to patient name indicates a FROZEN-BOOKED slot
'#' next to patient name indicates the schedule slot has been deleted
0800
NEW
BENSON,JACK
OUT
RSN:
0800
NEW
TAYLOR,ALVIN
OUT
RSN:
0900
NEW
1 OPEN SLOT
0930
NEW
1 OPEN SLOT
H:818-233-7878
CMT:
H:818-234-2311
CMT:
FIGURE 4.4.8.4.
20/262-31-7633
W:
30/100-00-1006
W:818-235-3312
SAMPLE OUTPUT REPORT:
6-62
PRINT/DISPLAY PROVIDER ROSTER
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital (Test)
12 Dec 1991@1641 Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
WARD ROSTER by Clinic
From: 12 Dec 1991
To: 12 Dec 1991
Ward: ORTHOPEDICS WARD
==================================================================================================================================
Time
Type
Duration
Name
FMP/SSN
Sex DOB
Room-Bed
Clinic
HCP
Reason:
Comment:
Referred by:
Registration Comment:
==================================================================================================================================
0900
RET
15
MAE,CAROLE
701-A
RSN:
REF:
FIGURE 4.4.8.5.
01/003-59-9999
DERMATOLOGY CLINIC
SAMPLE OUTPUT REPORT:
6-63
F
08 Jul 1951
LEVINE,DAN
CMT:
REG:
INPATIENT WARD ROSTER FOR TODAY
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
18 Dec 1991@1049 Page 1
CLINIC SCHEDULE SUMMARY
From: 01 Dec 1991
To: 18 Dec 1991
Division: IRELAND
Clinic: CARDIOLOGY CLINIC
Dept: MEDICINE
================================================================================
Slot
Max
Current
DAY
Date@Time
Provider
AT
Status Booking
Booking
================================================================================
TUE
12 Dec 1991@0800
LEBOW,LESTER
NEW OPEN
1
0
THU
14 Dec 1991@0800
STASKO,THOMAS
NEW
BOOK
1
1
THU
14 Dec 1991@0830
LEBOW,LESTER
NEW
CANC
1
0
THU
14 Dec 1991@0900
STASKO,THOMAS
NEW
OPEN
1
0
THU
14 Dec 1991@0930
LEBOW,LESTER
NEW
CANC
1
0
THU
14 Dec 1991@1000
STASKO,THOMAS
NEW
BOOK
1
1
THU
14 Dec 1991@1030
STASKO,THOMAS
NEW
OPEN
1
0
THU
14 Dec 1991@1100
STASKO,THOMAS
NEW
OPEN
1
0
THU
14 Dec 1991@1130
LEBOW,LESTER
NEW
BOOK
1
0
FRI
15 Dec 1991@0800
LEBOW,LESTER
RET
BOOK
1
1
FRI
15 Dec 1991@0830
LEBOW,LESTER
NEW
BOOK
1
1
FRI
15 Dec 1991@0900
LEBOW,LESTER
NEW
OPEN
1
0
FRI
15 Dec 1991@0930
LEBOW,LESTER
NEW
BOOK
1
1
FRI
15 Dec 1991@1000
LEBOW,LESTER
NEW
OPEN
1
0
FRI
15 Dec 1991@1030
LEBOW,LESTER
NEW
OPEN
1
0
FRI
15 Dec 1991@1100
End of Clinic Schedule
LEBOW,LESTER
NEW
BOOK
1
1
FIGURE 4.4.8.6.
SAMPLE OUTPUT REPORT:
6-64
CLINIC SCHEDULE SUMMARY
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
09 Dec 1991@1243 Page 1
PROVIDER SCHEDULE SUMMARY
From: 01 Dec 1991
To: 09 Dec 1991
Provider: HERMANN,PAUL
================================================================================
Appt
Slot
Max #
#
DAY Date@Time
Clinic
Type
Status
Slot
Booked
================================================================================
MON 01 Dec 1991@0700 DERMATOLOGY CLINIC
NEW
BOOK
1
1
MON
01 Dec 1991@0730
DERMATOLOGY CLINIC
NEW
OPEN
2
0
MON
01 Dec 1991@0800
DERMATOLOGY CLINIC
NEW
BOOK
1
1
MON
01 Dec 1991@0830
DERMATOLOGY CLINIC
RET
CANC
1
0
MON 01 Dec 1991@0900 DERMATOLOGY CLINIC
End of Provider Schedule
NEW
OPEN
1
0
FIGURE 4.4.8.7.
SAMPLE OUTPUT REPORT:
6-65
PROVIDER SCHEDULE SUMMARY
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
17 Jun 1991@1128
Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
WAIT LIST - AUTOMATIC BOOKING ROSTER by DIVISION
From: 18 May 1991
To: 17 Jun 1991
Division: IRELAND
Department: MEDICINE
==================================================================================================================================
Clinic/Patient
FMP/SSN
Appt Date/Day/Time Appt Type Home Phone
Duty Phone
Work Phone
Wait List #
Provider
Street Address
City
State
ZIP CODE
==================================================================================================================================
ALLERGY (I)
----------BAHRAMI,KIMBERLY
20/259-19-9876
20 Jun 91 THU 0800 NEW
15.00019758
BARRON-BERMANT,J 100 GA. AVENUE
WASHINGTON
DC
20307
DABNEY,NOEL
15.00019762
09/123-09-8712
HARMON,TRACEY
20 Jun 91 THU 0800
1111 NEWPORT DR
NEW
HAAN,PAUL
15.00019764
20/555-66-4432
HARMON,TRACEY
21 Jun 91 FRI 0800
123 C ST
RET
FIGURE 4.4.8.8.
567-3983
342-3432
SAMPLE OUTPUT REPORT:
SAN DIEGO
CA
234-5678
SAN DIEGO
234-5678
CA
92121
WAIT LIST - AUTOMATIC BOOKING ROSTER
6-66
92111
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Mar 1995@1635
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
OUTPATIENT DISPOSITION ROSTER By PROVIDER
From: 03 Feb 1995 To: 03 Mar 1995
Provider: GIBFRIED,KATHERINE J
Clinic: FAMILY PRACTICE
==================================================================================================================================
PATCAT/Outpatient Disposition
Patient
FMP/SSN
Sponsor UIC
H Phone
D Phone
W Phone
Appt Date/Time
Appt Type
Appt Status
==================================================================================================================================
ACTIVE DUTY
----------ADMT - ADMITTED TO:
===================
SMITH, ROBERT T
20/800-45-1220
CO A 1ST BN 1ST MAR
808-223-4567
808-223-4567
25 Feb 1995@1340
NEW
S-CALL
Admitted To: 2B
HOME - HOME
===========
WALTERS,MARY T
Q24 - QUARTERS FOR 24 HOURS
===========================
WAGNER,TIMOTHY R
Q48 - QUARTERS FOR 48 HOURS
===========================
JACKSON,ESTHER P
FAM MBR OF ACTIVE DUTY
---------------------HOME - HOME
===========
HAMILTON,MARGIE F
20/689-22-0987
23 Feb 1995@0955
BARBERS POINT
FU
808-362-6489
KEPT
808-434-8865
808-434-7123
20/129-54-2001
23 Feb 1995@1035
1912 COMPUTER SQUAD
NEW
808-363-6543
WALK-IN
808-336-2256
808-336-2256
20/755-09-3659
24 Feb 1995@0732
SCHOLFIELD BKS
NEW
808-434-1780
S-CALL
808-435-9087
808-435-9123
30/756-45-6468
23 Feb 1995@1118
FORD ISLAND NAS
FU
808-644-9852
KEPT
FIGURE 4.4.8.9.
SAMPLE OUTPUT REPORT: OUTPATIENT DISPOSITION ROSTER (BY PROVIDER)
(Sheet 1 of 4)
6-67
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Mar 1995@1637
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
OUTPATIENT DISPOSITION ROSTER By CLINIC
From: 03 Feb 1995 To: 03 Mar 1995
Clinic: FAMILY PRACTICE
==================================================================================================================================
PATCAT/Outpatient Disposition
Patient
FMP/SSN
Sponsor UIC
H Phone
D Phone
W Phone
Appt Date/Time
Appt Type
Appt Status
Provider
==================================================================================================================================
ACTIVE DUTY
----------HOME - HOME
===========
SMITH, ROBERT T
20/800-45-1220
CO A 1ST BN 1ST MAR
808-223-4567
808-223-4567
22 Feb 1995@1340
NEW
S-CALL
GIBFRIED,KATHERINE
MDU - MODIFIED DUTY UNTIL:
==========================
WALTERS,MARY T
Q24 - QUARTERS FOR 24 HOURS
===========================
WAGNER,TIMOTHY R
Q48 - QUARTERS FOR 48 HOURS
===========================
JACKSON,ESTHER P
FAM MBR OF ACTIVE DUTY
---------------------HOME - HOME
===========
HAMILTON,MARGIE F
20/689-22-0987
BARBERS POINT
25 Feb 1995@0955
FU
Modified Duty Until: 3 Mar 1995
808-362-6489
KEPT
808-434-8865
808-434-7123
GIBFRIED,KATHERINE
20/129-54-2001
23 Feb 1995@1035
1912 COMPUTER SQUAD
NEW
808-363-6543
WALK-IN
808-336-2256
808-336-2256
GIBFRIED,KATHERINE
20/755-09-3659
24 Feb 1995@0732
SCHOLFIELD BKS
NEW
808-434-1780
S-CALL
808-435-9087
808-435-9123
GIBFRIED,KATHERINE
30/756-45-6468
23 Feb 1995@1118
FORD ISLAND NAS
FU
808-644-9852
KEPT
GIBRIED,KATHERINE
FIGURE 4.4.8.9.
SAMPLE OUTPUT REPORT: OUTPATIENT DISPOSITION ROSTER (BY CLINIC)
(Sheet 2 of 4)
6-68
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Mar 1995@1639
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
OUTPATIENT DISPOSITION ROSTER By DIVISION
From: 03 Feb 1995 To: 03 Mar 1995
Division: A DIVISION
Clinic: FAMILY PRACTICE
==================================================================================================================================
PATCAT/Outpatient Disposition
Patient
FMP/SSN
Sponsor UIC
H Phone
D Phone
W Phone
Appt Date/Time
Appt Type
Appt Status
Provider
==================================================================================================================================
ACTIVE DUTY
----------HOME - HOME
===========
SMITH, ROBERT T
20/800-45-1220
CO A 1ST BN 1ST MAR
808-223-4567
808-223-4567
22 Feb 1995@1340
NEW
S-CALL
GIBFRIED,KATHERINE
WALTERS,MARY T
Q24 - QUARTERS FOR 24 HOURS
===========================
WAGNER,TIMOTHY R
REF - REFERRED TO:
==================
JACKSON,ESTHER P
FAM MBR OF ACTIVE DUTY
---------------------HOME - HOME
===========
HAMILTON,MARGIE F
20/689-22-0987
23 Feb 1995@0955
BARBERS POINT
FU
808-362-6489
KEPT
808-434-8865
808-434-7123
GIBFRIED,KATHERINE
20/129-54-2001
23 Feb 1995@1035
1912 COMPUTER SQUAD
NEW
808-363-6543
WALK-IN
808-336-2256
808-336-2256
GIBFRIED,KATHERINE
20/755-09-3659
SCHOLFIELD BKS
27 Feb 1995@0732
NEW
Referred to: Primary Care (A)
808-434-1780
S-CALL
808-435-9087
808-435-9123
GIBFRIED,KATHERINE
30/756-45-6468
23 Feb 1995@1118
808-644-9852
KEPT
GIBRIED,KATHERINE
FIGURE 4.4.8.9.
FORD ISLAND NAS
FU
SAMPLE OUTPUT REPORT: OUTPATIENT DISPOSITION ROSTER (BY DIVISION)
(Sheet 3 of 4)
6-69
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Mar 1995@1641
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
OUTPATIENT DISPOSITION ROSTER By GROUP
From: 03 Feb 1995 To: 03 Mar 1995
Group: TRIPLER AMC
Division: A DIVISION
==================================================================================================================================
PATCAT/Outpatient Disposition
Patient
FMP/SSN
Sponsor UIC
H Phone
D Phone
W Phone
Appt Date/Time
Appt Type
Appt Status
Provider
==================================================================================================================================
FAMILY PRACTICE
===============
ACTIVE DUTY
----------HOME - HOME
===========
SMITH, ROBERT T
20/800-45-1220
CO A 1ST BN 1ST MAR
808-223-4567
808-223-4567
22 Feb 1995@1340
NEW
S-CALL
GIBFRIED,KATHERINE
WALTERS,MARY T
Q24 - QUARTERS FOR 24 HOURS
===========================
WAGNER,TIMOTHY R
Q48 - QUARTERS FOR 48 HOURS
===========================
JACKSON,ESTHER P
FAM MBR OF ACTIVE DUTY
---------------------HOME - HOME
===========
HAMILTON,MARGIE F
20/689-22-0987
23 Feb 1995@0955
BARBERS POINT
FU
808-362-6489
KEPT
808-434-8865
808-434-7123
GIBFRIED,KATHERINE
20/129-54-2001
23 Feb 1995@1035
1912 COMPUTER SQUAD
NEW
808-363-6543
WALK-IN
808-336-2256
808-336-2256
GIBFRIED,KATHERINE
20/755-09-3659
24 Feb 1995@0732
SCHOLFIELD BKS
NEW
808-434-1780
S-CALL
808-435-9087
808-435-9123
GIBFRIED,KATHERINE
30/756-45-6468
23 Feb 1995@1118
FORD ISLAND NAS
FU
808-644-9852
KEPT
GIBRIED,KATHERINE
FIGURE 4.4.8.9.
SAMPLE OUTPUT REPORT: OUTPATIENT DISPOSITION ROSTER (BY GROUP)
(Sheet 4 of 4)
6-70
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Jul 1992@1522
Page 1
APPOINTMENT UTILIZATION REPORT by ALL FACILITY
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
Clinic: DERMATOLOGY CLINIC
Department: MEDICINE
==================================================================================================================================
|
|
*INFO ONLY* |
|
APPOINTMENTS AVAILABLE TO PATIENTS |
|
|
|
Facility
|
Booked
|
Unbooked Appts
|
Total
|
%
Provider
| Appt Type |
Cancel
|
Appts
| Frozen | Open | Wait |
Total
|
Appts
| Unbooked
==================================================================================================================================
BLACK,MARGARET
F/UP
NEW
RET
Subtotal:
0
11
0
11
0
0
7
7
3
7
62
72
3
6
107
116
0
12
0
12
6
25
169
200
6
25
176
200
100.0
100.0
96.0
97.6
STONER,SUSAN
ASHOT
NEW
RET
Subtotal:
3
3
0
6
9
12
0
21
2
2
0
4
14
19
3
36
0
0
0
0
16
21
3
40
25
33
3
61
64.0
63.6
100.0
65.6
Clinic Summary:
ASHOT
F/UP
NEW
RET
3
0
14
0
9
0
12
7
2
3
9
62
14
3
25
110
0
0
12
0
16
6
46
172
25
6
58
179
64.0
100.0
79.3
96.1
FIGURE 4.4.9.1.
SAMPLE OUTPUT REPORT: APPOINTMENT UTILIZATION REPORT
(Sheet 1 of 3)
6-71
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Jul 1992@1522
Page 2
APPOINTMENT UTILIZATION REPORT by ALL FACILITY
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
Clinic: UROLOGY
Department: MEDICINE (continued)
==================================================================================================================================
|
|
*INFO ONLY* |
|
APPOINTMENTS AVAILABLE TO PATIENTS |
|
|
|
Facility
|
Booked
|
Unbooked Appts
|
Total
|
%
Provider
| Appt Type |
Cancel
|
Appts
| Frozen | Open | Wait |
Total
|
Appts
| Unbooked
==================================================================================================================================
HECTOR,JAMES
NEW
RET
Subtotal:
2
0
2
6
8
14
0
0
0
18
31
49
0
0
0
18
31
49
24
39
63
75.0
79.5
78.0
Clinic Summary
NEW
RET
2
0
6
8
0
0
18
31
0
0
18
31
24
39
75.0
79.5
FIGURE 4.4.9.1.
SAMPLE OUTPUT REPORT: APPOINTMENT UTILIZATION REPORT
(Sheet 2 of 3)
6-72
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Jul 1992@1522
Page 3
APPOINTMENT UTILIZATION REPORT by ALL FACILITY
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
***DIVISION SUMMARY***
Department: MEDICINE
==================================================================================================================================
|
*INFO ONLY* |
|
APPOINTMENTS AVAILABLE TO PATIENTS |
|
|
Facility
|
Booked
|
Unbooked Appts
|
Total
|
%
Clinic
|
Cancel
|
Appts
| Frozen | Open | Wait |
Total
|
Appts
| Unbooked
==================================================================================================================================
DERMATOLOGY
17
28
76
152
12
240
268
98.8
UROLOGY
2
14
0
49
0
49
63
78.0
--------------------------------------------------------------------------------------------------------------------------------Division Total:
19
FIGURE 4.4.9.1.
42
76
201
12
SAMPLE OUTPUT REPORT: APPOINTMENT UTILIZATION REPORT
(Sheet 3 of 3)
6-73
289
331
87.3
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
12 Sep 1992@0600
Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
AVIATION MEDICINE REPORT
From: 11 Sep 1992
To: 11 Sep 1992
Unit: CAMP SMITH
==================================================================================================================================
FMP/SSN
Name
Program
DOB
Sex
GR
Category Code
Provider
Clinic
Type
Time
Status
Clinic Phone #
==================================================================================================================================
20/520-44-1144 CARSON,JOHN W
FLY
29 Dec 1971
M
AO2
A11
IKEI,D
ORTHOPEDIC CLINIC
WOUND 1330
KEPT
433-4133/6655
Drug
Fill Date
Status
QTY
Ref Left
----------------------------------------------------------------------------------------TYLOX--PO CAP
04 Sep 1992
ACTIVE
30
NR
TYLOX--PO CAP
08 Sep 1992
ACTIVE
20
NR
TYLENOL #3--PO TAB
26 Aug 1992
R
12
NR
TYLENOL #3--PO TAB
01 Sep 1992
ACTIVE
25
NR
IBUPROFEN--PO 400MG TAB
07 Apr 1992
R
60
NR
CYCLOBENZAPRINE HCL--PO 10MG TAB
07 Apr 1992
R
15
NR
SIMETHICONE--PO 40MG/.6ML DROPS
10 Aug 1992
R
1
NR
BISACODYL--PO 5MG TBEC
10 Aug 1992
R
3
NR
COLYTE--PO SOLR
10 Aug 1992
R
1
NR
ANUSOL--RECT SUPP
21 Aug 1992
ACTIVE
12
2 of 2
DIBUCAINE--TOP 1% OINT
21 Aug 1992
ACTIVE
1
NR
DOCUSATE SODIUM--PO 100MG CAP
04 Sep 1992
R
60
NR
TYLENOL (ACETAMINOPHEN)--PO 325MG TAB
04 Sep 1992
R
50
NR
FIGURE 4.4.9.2.
SAMPLE OUTPUT REPORT: AVIATION MEDICINE REPORT
(Sheet 1 of 3)
6-74
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
12 Sep 1992@0600
Page 2
Personal Data - Privacy Act of 1974 (PL 93-579)
AVIATION MEDICINE REPORT
From: 11 Sep 1992
To: 11 Sep 1992
Unit: HEADQUARTERS CINC PAC J07 STAF
==================================================================================================================================
FMP/SSN
Name
Program
DOB
Sex
GR
Category Code
Provider
Clinic
Type
Time
Status
Clinic Phone #
==================================================================================================================================
20/247-72-2259 HUNTER,SCOTTIE T
FLY
04 Sep 1970
M
AO2
F11
NURSE,ALLERGY
IMMUNOTHERAPY
IT
0848
WALK-IN
433-6332
Drug
Fill Date
Status
QTY
Ref Left
----------------------------------------------------------------------------------------FIORINAL--PO TAB
29 Jul 1991
R
30
NR
BACTRIM DS (EQ)--PO TAB ($1.20/F10)
28 Jan 1991
R
28
NR
NORGESIC FORTE--PO TAB
11 Jul 1991
R
90
NR
DIAZEPAM--PO 5MG TAB
15 Jul 1991
R
28
NR
TYLOX--PO CAP
05 Nov 1991
R
30
NR
TYLOX--PO CAP
07 Jan 1992
R
30
NR
TYLENOL W/COD ELIXIR--PO ELIX
22 Jul 1991
R
120
NR
TYLENOL W/COD ELIXIR--PO ELIX
17 Aug 1991
R
3
1 of 1
TYLENOL #3--PO TAB
25 Nov 1991
R
12
NR
TYLENOL #3--PO TAB
28 Jan 1992
R
24
NR
TYLENOL #3--PO TAB
23 Jul 1992
R
30
NR
ACTIFED--PO ($.01/TAB)
06 Jun 1991
R
30
5 of 5
ACTIFED--PO ($.01/TAB)
19 Sep 1991
R
30
NR
BISACODYL--RECT 10MG SUPP
22 Jul 1991
R
30
NR
PROCHLORPERAZINE--RECT 25MG SUPP
23 Jul 1991
R
12
2 of 2
PIROXICAM--PO 20MG ($1.04/CAP) 12/12
02 Oct 1991
R
30
NR
PROCHLORPERAZINE--RECT 25MG SUPP
17 Aug 1991
R
12
NR
DOCUSATE SODIUM--PO 100MG CAP
17 Aug 1991
R
60
NR
IBUPROFEN--PO 400MG TAB
25 Nov 1991
R
20
NR
MAXITROL--OPT OINT
07 Jan 1992
R
1
NR
DEXAMETHASONE--PO 4MG TAB
15 Jan 1992
R
28
NR
RANITIDINE--PO 150MG TAB
15 Jan 1992
R
14
NR
ASTEMIZOLE--PO 10MG ($.79/TAB)
23 Jan 1992
R
30
2 of 2
FIGURE 4.4.9.2.
SAMPLE OUTPUT REPORT: AVIATION MEDICINE REPORT
(Sheet 2 of 3)
6-75
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
12 Sep 1992@0600
Page 3
Personal Data - Privacy Act of 1974 (PL 93-579)
AVIATION MEDICINE REPORT
From: 11 Sep 1992
To: 11 Sep 1992
Unit: USS ASPRO, SSN 648
==================================================================================================================================
FMP/SSN
Name
Program
DOB
Sex
GR
Category Code
Provider
Clinic
Type
Time
Status
Clinic Phone #
==================================================================================================================================
20/514-82-3344 BALLARD,CHARLES LEON
FLY
26 May 1964
M
NE7
N11
BENTON,CINDY J
PHYSICAL THERAPY CLINIC
BKSCH 0702
WALK-IN
433-6958
Drug
Fill Date
Status
QTY
Ref Left
----------------------------------------------------------------------------------------ERYTHROMYCIN BASE--PO 250MG TAB
07 Feb 1991
R
40
NR
CLOTRIMAZOLE--TOP 1% CREAM
07 Feb 1991
R
1
5 of 5
IBUPROFEN--PO 800MG TAB
07 Feb 1991
R
30
NR
CYCLOBENZAPRINE HCL--PO 10MG TAB
03 Sep 1992
R
21
NR
IBUPROFEN--PO 800MG TAB
03 Sep 1992
R
21
NR
CLOTRIMAZOLE--TOP 1% CREAM
21 Aug 1992
ACTIVE
1
5 of 5
END NOTE: This report prints appointments with appointment statuses of KEPT, WALK-IN, S-CALL AND TEL-CON
for Active Duty Patients.
FIGURE 4.4.9.2.
SAMPLE OUTPUT REPORT: AVIATION MEDICINE REPORT
(Sheet 3 of 3)
6-76
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
28 Jun 1992@1821 Page 1
CALL NO-SHOW REPORT by Clinic
From: 27 Jun 1992
To: 27 Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
DEPT: MEDICINE
================================================================================
Name
FMP/SSN
Sex Age Provider
Time Type
Work/Duty Phone
Home Phone
================================================================================
CARDIOLOGY CLINIC
ANDERSON,SCOTT
W:
BEERMAN,CYNTHIA
W:988-1710
HAGLUND,BARBARA
W:
HAGLUND,CHESTER
W:453-0949
HAMILTON,ANDRES
W:564-4564
HAMILTON,BARBARA
W:
HAMILTON,CLAIRE
W:
HAMILTON,THOMAS
W:
01/140-22-1705
H:234-3367
20/544-09-4788
H:
30/000-00-9901
H:453-4532
20/000-00-9901
H:453-4532
20/000-00-1050
H:342-2342
30/000-00-1050
H:342-2342
01/000-00-1050
H:342-2342
01/000-00-1050
H:342-2342
M
27
STASKO
0930
NEW
F
36
STASKO
1000
NEW
F
32
HAMMER
1130
NEW
M
34
HAMMER
1130
RET
M
33
HAMMER
1300
NEW
F
33
HAMMER
1300
NEW
F
9
HAMMER
1330
RET
M
7
HAMMER
1330
NEW
CLINIC Total No-Shows for 27 Jun 1992 = 8
FIGURE 4.4.9.3.
SAMPLE OUTPUT SCREEN:
6-77
CALL NO-SHOW REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
20 Sep 1991@0850
Page 1
FACILITY CANCELLATION STATISTICAL REPORT by GROUP
From: 01 Aug 1991
To: 31 Aug 1991
Division: TRIPLER ARMY MEDICAL CENTER
Department: MEDICINE
==================================================================================================================================
Clinic/
# Facility Cancellations Per Reason
Total Total
%
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Provider
1
2
3
4
5
6
7
8
9 10 11 12 #Appt Canc
Canc | #Visits #Canc %Canc | #Trans #Canc %Canc
==================================================================================================================================
ALLERGY CLINIC
-------------JONES,DONALD
0
0
0
0
0
0
0
0
3
2
6
0
66
11
14.2
47
6
11.3
19
5
20.8
SMITH,JOHN
0
0
0
0
0
0
0
0
0
0
9
0
61
9
12.8
36
4
10.0
25
5
16.6
Clinic Total:
0
0
0
0
0
0
0
0
3
2 15
0
127
20
13.6
83
10
10.7
44
10
18.5
DERMATOLOGY CLINIC
-----------------JONES,FRED
0
SMITH,JILL
0
Clinic Total:
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
3
2
0
2
6
9
15
0
0
0
66
61
127
11
9
20
14.2
12.8
13.6
47
36
83
6
4
10
11.3
10.0
10.7
19
25
44
5
5
10
20.8
16.6
18.5
Dept Total:
0
0
0
0
0
0
0
6
4
30
0
254
40
13.6
166
20
10.7
88
20
18.5
0
NOTE: Appointment statuses changed to CANCEL during EOD Processing are counted in the "EOD CANCELLATIONS" column, while free text
reasons for cancellations are counted in the "Other" column. The Total #Appt = the number of count clinic visits (Kept Appts and
Unscheduled Visits) plus the number of non-count transactions (Kept Appts, Unscheduled Visits, and Occasions of Service). The
%Canc = the number of cancellations divided by the #Visits (or #Trans) plus the number of cancellations.
Cancellation Reasons
==================================================================================================================================
1
PROV CANCELLED
2
SCHEDULE HELD
3
HOLIDAY
4
MASS CASUALTY
5
TDY
6
LEAVE
7
MEETING
8
CONFERENCE
9
NOT DEFINED
10
NOT DEFINED
11
EOD CANCELLATION
12
OTHER
FIGURE 4.4.9.4.
SAMPLE OUTPUT REPORT: FACILITY CANCELLATION STATISTICAL REPORT
(Sheet 1 of 4)
6-78
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
20 Sep 1991@0850
Page 2
FACILITY CANCELLATION STATISTICAL REPORT by GROUP
From: Aug 1991
To: Aug 1991
Division: TRIPLER ARMY MEDICAL CENTER
Department: SURGERY
==================================================================================================================================
Clinic/
# Facility Cancellations Per Reason
Total Total
%
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Provider
1
2
3
4
5
6
7
8
9 10 11 12 #Appt Canc
Canc | #Visits #Canc %Canc | #Trans #Canc %Canc
==================================================================================================================================
GENERAL SURGERY CLINIC
---------------------ALBERTSON,SAM
0
0
0
0
0
0
0
0
3
2
6
0
66
11 14.2
47
6
11.3
19
5
20.8
SAMSON,DAN
0
0
0
0
0
0
0
0
0
0
9
0
61
9 12.8
36
4
10.0
25
5
16.6
Clinic Total:
0
0
0
0
0
0
0
0
3
2 15
0
127
20 13.6
83
10
10.7
44
10
18.5
UROLOGY CLINIC
-------------JONES,SAM
SMITH,DAN
Clinic Total:
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
3
2
0
2
6
9
15
0
0
0
66
61
127
11
9
20
14.2
12.8
13.6
47
36
83
6
4
10
11.3
10.0
10.7
19
25
44
5
5
10
20.8
16.6
18.5
Dept Total:
0
0
0
0
0
0
0
0
6
4
30
0
254
40
13.6
166
20
10.7
88
20
18.5
Division Total:
0
0
0
0
0
0
0
0
12
8
60
0
508
80
13.6
332
40
10.7
176
40
18.5
NOTE: Appointment statuses changed to CANCEL during EOD Processing are counted in the "EOD CANCELLATIONS" column, while free text
reasons for cancellations are counted in the "Other" column. The Total #Appt = the number of count clinic visits (Kept Appts and
Unscheduled Visits) plus the number of non-count transactions (Kept Appts, Unscheduled Visits, and Occasions of Service). The
%Canc = the number of cancellations divided by the #Visits (or #Trans) plus the number of cancellations.
Cancellation Reasons
==================================================================================================================================
1
PROV CANCELLED
2
SCHEDULE HELD
3
HOLIDAY
4
MASS CASUALTY
5
TDY
6
LEAVE
7
MEETING
8
CONFERENCE
9
NOT DEFINED
10
NOT DEFINED
11
EOD CANCELLATION
12
OTHER
FIGURE 4.4.9.4.
SAMPLE OUTPUT REPORT: FACILITY CANCELLATION STATISTICAL REPORT
(Sheet 2 of 4)
6-79
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
20 Sep 1991@0850
Page 3
FACILITY CANCELLATION STATISTICAL REPORT by GROUP
From: Aug 1991
To: Aug 1991
Division: TRIPLER ARMY MEDICAL CENTER
Department: SURGERY
==================================================================================================================================
Department/
# Facility Cancellations Per Reason
Total Total
%
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Clinic
1
2
3
4
5
6
7
8
9 10 11 12 #Appt Canc
Canc | #Visits #Canc %Canc | #Trans #Canc %Canc
==================================================================================================================================
***Division Summary***
MEDICINE
-------Allergy
Dermatology
Dept Total:
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
3
6
2
2
4
15
15
30
0
0
0
127
127
254
20
20
40
13.6
13.6
13.6
83
83
166
10
10
20
10.7
10.7
10.7
44
44
88
10
10
20
18.5
18.5
18.5
SURGERY
------General Surgery 0
Urology
0
Dept Total:
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
3
6
2
2
4
15
15
30
0
0
0
127
127
254
20
20
40
13.6
13.6
13.6
83
83
166
10
10
20
10.7
10.7
10.7
44
44
88
10
10
20
18.5
18.5
18.5
Division Total:
0
0
0
0
0
0
0
12
8
60
0
508
80
13.6
332
40
10.7
176
40
18.5
0
NOTE: Appointment statuses changed to CANCEL during EOD Processing are counted in the "EOD CANCELLATIONS" column, while free text
reasons for cancellations are counted in the "Other" column. The Total #Appt = the number of count clinic visits (Kept Appts and
Unscheduled Visits) plus the number of non-count transactions (Kept Appts, Unscheduled Visits, and Occasions of Service). The
%Canc = the number of cancellations divided by the #Visits (or #Trans) plus the number of cancellations.
Cancellation Reasons
==================================================================================================================================
1
PROV CANCELLED
2
SCHEDULE HELD
3
HOLIDAY
4
MASS CASUALTY
5
TDY
6
LEAVE
7
MEETING
8
CONFERENCE
9
NOT DEFINED
10
NOT DEFINED
11
EOD CANCELLATION
12
OTHER
FIGURE 4.4.9.4.
SAMPLE OUTPUT REPORT: FACILITY CANCELLATION STATISTICAL REPORT
(Sheet 3 of 4)
6-80
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
20 Sep 1991@0850
Page 4
FACILITY CANCELLATION STATISTICAL REPORT by GROUP
From: Aug 1991
To: Aug 1991
Group: TRIPLER AMC
==================================================================================================================================
Division /
# Facility Cancellations Per Reason
Total Total
%
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Department
1
2
3
4
5
6
7
8
9 10 11 12 #Appt Canc
Canc | #Visits #Canc %Canc | #Trans #Canc %Canc
==================================================================================================================================
***Group Summary***
TRIPLER
------Medicine
Surgery
Division Total:
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
6
12
4
4
8
30
30
60
0
0
0
254
254
508
40
40
80
13.6
13.6
13.6
166
166
332
20
20
40
10.7
10.7
10.7
88
88
176
20
20
40
18.5
18.5
18.5
SCHOFIELD
--------Medicine
Surgery
Division Total:
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
6
12
4
4
8
30
30
60
0
0
0
254
254
508
40
40
80
13.6
13.6
13.6
166
166
332
20
20
40
10.7
10.7
10.7
88
88
176
20
20
40
18.5
18.5
18.5
Group Total:
0
0
0
0
0
0
0
0
24
16 120
0
1016
160
13.6
664
80
10.7
352
80
18.5
NOTE: Appointment statuses changed to CANCEL during EOD Processing are counted in the "EOD CANCELLATIONS" column, while free text
reasons for cancellations are counted in the "Other" column. The Total #Appt = the number of count clinic visits (Kept Appts and
Unscheduled Visits) plus the number of non-count transactions (Kept Appts, Unscheduled Visits, and Occasions of Service). The
%Canc = the number of cancellations divided by the #Visits (or #Trans) plus the number of cancellations.
Cancellation Reasons
==================================================================================================================================
1
PROV CANCELLED
2
SCHEDULE HELD
3
HOLIDAY
4
MASS CASUALTY
5
TDY
6
LEAVE
7
MEETING
8
CONFERENCE
9
NOT DEFINED
10
NOT DEFINED
11
EOD CANCELLATION
12
OTHER
FIGURE 4.4.9.4.
SAMPLE OUTPUT REPORT: FACILITY CANCELLATION STATISTICAL REPORT
(Sheet 4 of 4)
6-81
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Jul 1992@1649
Page 1
CLERK WORKLOAD RECAP REPORT by GROUP
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
Department: MEDICINE
==================================================================================================================================
Clinic/
Appts
#Fac
#Pat
#No
| Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Clerk
Made
Canc
Canc
Show | In
Call
Cons
Total
| ADMIN
LWOBS
OCC-SVC
==================================================================================================================================
ALLERGY CLINIC
-------------CLARK,JAMES S
Clerk Total:
469
20
24
10
469
0
0
469
10
60
59
# of Days = 20
Daily Average:
23.5
1.0
1.2
0.5
23.5
0.0
0.0
23.5
0.5
3.0
2.9
Clinic Total:
# of Days = 20
Daily Average:
469
20
24
10
469
0
0
469
10
60
59
23.5
1.0
1.2
0.5
23.5
0.0
0.0
23.5
0.5
3.0
2.9
FIGURE 4.4.9.5.
SAMPLE OUTPUT REPORT: CLERK WORKLOAD RECAP REPORT
(Sheet 1 of 6)
6-82
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Jul 1992@1649
Page 2
CLERK WORKLOAD RECAP REPORT by GROUP
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER (continued)
Department: MEDICINE
==================================================================================================================================
Clinic/
Appts
#Fac
#Pat
#No
| Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Clerk
Made
Canc
Canc
Show | In
Call
Cons
Total
| ADMIN
LWOBS
OCC-SVC
==================================================================================================================================
DERMATOLOGY CLINIC
-----------------WILLIAMS,TED
Clerk Total:
469
20
24
10
469
0
0
469
10
60
59
# of Days = 18
Daily Average:
26.1
1.1
1.3
0.6
26.1
0.0
0.0
26.1
0.6
3.3
3.3
WILLS,TOM
Clerk Total:
# of Days = 18
Daily Average:
Clinic Total:
# of Days = 20
Daily Average:
Department Total:
# of Days = 20
Daily Average:
469
20
24
10
469
0
0
469
10
60
59
26.1
1.1
1.3
0.6
26.1
0.0
0.0
26.1
0.6
3.3
3.3
938
40
48
20
938
0
0
938
20
120
118
47.0
2.0
2.4
1.0
47.0
0.0
0.0
47.0
1.0
6.0
5.9
1407
60
74
30
1407
0
0
1407
30
180
177
70.35
3.0
1.4
3.7
70.35
0.0
0.0
70.35
1.5
9.0
8.9
FIGURE 4.4.9.5.
SAMPLE OUTPUT REPORT: CLERK WORKLOAD RECAP REPORT
(Sheet 2 of 6)
6-83
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Jul 1992@1649
Page 3
CLERK WORKLOAD RECAP REPORT by GROUP
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
Department: SURGERY
==================================================================================================================================
Clinic/
Appts
#Fac
#Pat
#No
| Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Clerk
Made
Canc
Canc
Show | In
Call
Cons
Total
| ADMIN
LWOBS
OCC-SVC
==================================================================================================================================
GENERAL SURGERY CLINIC
---------------------COOK,JANE
Clerk Total:
469
20
24
10
469
0
0
469
10
60
59
# of Days = 20
Daily Average:
23.5
1.0
1.2
0.5
23.5
0.0
0.0
23.5
0.5
3.0
2.9
Clinic Total:
# of Days = 20
Daily Average:
469
20
24
10
469
0
0
469
10
60
59
23.5
1.0
1.2
0.5
23.5
0.0
0.0
23.5
0.5
3.0
2.9
FIGURE 4.4.9.5.
SAMPLE OUTPUT REPORT: CLERK WORKLOAD RECAP REPORT
(Sheet 3 of 6)
6-84
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Jul 1992@1649
Page 4
CLERK WORKLOAD RECAP REPORT by GROUP
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER (continued)
Department: SURGERY
==================================================================================================================================
Clinic/
Appts
#Fac
#Pat
#No
| Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Clerk
Made
Canc
Canc
Show | In
Call
Cons
Total
| ADMIN
LWOBS
OCC-SVC
==================================================================================================================================
UROLOGY CLINIC
-------------WILLIAMS,ED
Clerk Total:
469
20
24
10
469
0
0
469
10
60
59
# of Days = 18
Daily Average:
26.1
1.1
1.3
0.6
26.1
0.0
0.0
26.1
0.6
3.3
3.3
YEATS,WILLIAM
Clerk Total:
# of Days = 18
Daily Average:
Clinic Total:
# of Days = 20
Daily Average:
Department Total:
# of Days = 20
Daily Average:
Division Total:
# of Days = 20
Daily Average:
469
20
24
10
469
0
0
469
10
60
59
26.1
1.1
1.3
0.6
26.1
0.0
0.0
26.1
0.6
3.3
3.3
938
40
48
20
938
0
0
938
20
120
118
47.0
2.0
2.4
1.0
47.0
0.0
0.0
47.0
1.0
6.0
5.9
1407
60
74
30
1407
0
0
1407
30
180
177
70.35
3.0
1.4
3.7
70.35
0.0
0.0
70.35
1.5
9.0
8.9
2814
120
148
60
2814
0
0
2814
60
360
354
140.7
6.0
7.4
3.0
140.7
0.0
0.0
140.7
3.0
18.0
17.5
FIGURE 4.4.9.5.
SAMPLE OUTPUT REPORT: CLERK WORKLOAD RECAP REPORT
(Sheet 4 of 6)
6-85
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Jul 1992@1649
Page 5
CLERK WORKLOAD RECAP REPORT by GROUP
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
==================================================================================================================================
Department/
Appts
#Fac
#Pat
#No
| Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Clinic
Made
Canc
Canc
Show | In
Call
Cons
Total
| ADMIN
LWOBS
OCC-SVC
==================================================================================================================================
***Division Summary***
MEDICINE
-------ALLERGY CLINIC
Clinic Total:
# of Days = 20
Daily Average:
DERMATOLOGY CLINIC
Clinic Total:
# of Days = 20
Daily Average:
Department Total:
# of Days = 20
Daily Average:
SURGERY
------GENERAL SURGERY CLINIC
Clinic Total:
# of Days = 20
Daily Average:
UROLOGY CLINIC
Clinic Total:
# of Days = 20
Daily Average:
Department Total:
# of Days = 20
Daily Average:
Division Total:
# of Days = 20
Daily Average:
469
20
24
10
469
0
0
469
10
60
59
23.5
1.0
1.2
0.5
23.5
0.0
0.0
23.5
0.5
3.0
2.9
938
40
48
20
938
0
0
938
20
120
118
47.0
2.0
2.4
1.0
47.0
0.0
0.0
70.35
1.5
9.0
8.9
1407
60
74
30
1407
0
0
1407
30
180
177
70.35
3.0
1.4
3.7
70.35
0.0
0.0
140.7
3.0
18.0
17.5
469
20
24
10
469
0
0
469
10
60
59
23.5
1.0
1.2
0.5
23.5
0.0
0.0
23.5
0.5
3.0
2.9
938
40
48
20
938
0
0
938
20
120
118
47.0
2.0
2.4
1.0
47.0
0.0
0.0
47.0
1.0
6.0
5.9
1407
60
74
30
1407
0
0
1407
30
180
177
70.35
3.0
1.4
3.7
70.35
0.0
0.0
70.35
1.5
9.0
8.9
2814
120
148
60
2814
0
0
2814
60
360
354
140.7
6.0
7.4
3.0
140.7
0.0
0.0
140.7
3.0
18.0
17.5
FIGURE 4.4.9.5.
SAMPLE OUTPUT REPORT: CLERK WORKLOAD RECAP REPORT
(Sheet 5 of 6)
6-86
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Tripler Army Medical Center
15 Nov 1991@1649
Page 6
CLERK WORKLOAD RECAP REPORT by DIVISION
From: 30 Oct 1991
To: 15 Nov 1991
Group: TRIPLER AMC
==================================================================================================================================
Division/
Appts
#Fac
#Pat
#No
| Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Department
Made
Canc
Canc
Show | In
Call
Cons
Total
| ADMIN
LWOBS
OCC-SVC
==================================================================================================================================
***Group Summary***
TRIPLER
------MEDICINE:
# of Days = 20
Daily Average:
SURGERY:
# of Days = 20
Daily Average:
Division Total:
# of Days = 20
Daily Average:
SCHOFIELD
--------MEDICINE:
# of Days = 20
Daily Average:
SURGERY:
# of Days = 20
Daily Average:
Division Total:
# of Days = 20
Daily Average:
GROUP TOTAL:
# of Days = 20
Daily Average:
1407
60
74
30
1407
0
0
1407
30
180
177
70.35
3.0
1.4
3.7
70.35
0.0
0.0
70.35
1.5
9.0
8.9
1407
60
74
30
1407
0
0
1407
30
180
177
70.35
3.0
1.4
3.7
70.35
0.0
0.0
70.35
1.5
9.0
8.9
2814
120
148
60
2814
0
0
2814
60
360
354
140.7
6.0
7.4
3.0
140.7
0.0
0.0
140.7
3.0
18.0
17.5
1407
60
74
30
1407
0
0
1407
30
180
177
70.35
3.0
1.4
3.7
70.35
0.0
0.0
70.35
1.5
9.0
8.9
1407
60
74
30
1407
0
0
1407
30
180
177
70.35
3.0
1.4
3.7
70.35
0.0
0.0
70.35
1.5
9.0
8.9
2814
120
148
60
2814
0
0
2814
60
360
354
140.7
6.0
7.4
3.0
140.7
0.0
0.0
140.7
3.0
18.0
17.5
5628
340
296
120
5628
0
0
5628
120
720
708
281.4
17.0
14.8
6.0
281.4
0.0
0.0
281.4
6.0
36.0
35.4
***NOTE***
'Appts Made' is based upon the number of appointments 'MADE' by the clerks in the specified clinic during the date range
specified not the number of appointments made for that date range.
'Appts Made' will thus be different for Clerk Workload Reports and Monthly Statistical Reports, since different data
is being reported.
FIGURE 4.4.9.5.
SAMPLE OUTPUT REPORT: CLERK WORKLOAD RECAP REPORT
(Sheet 6 of 6)
6-87
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Oct 1991@1649
Page 1
CLERK WORKLOAD REPORT by GROUP
From: Sep 1991
To: Sep 1991
Division: TRIPLER ARMY MEDICAL CENTER
Department: MEDICINE
==================================================================================================================================
Clinic/
Appts
#Fac
#Pat
#No
| Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Clerk Date
Made
Canc
Canc
Show | In
Call
Cons
Total
| ADMIN
LWOBS
OCC-SVC
==================================================================================================================================
ALLERGY CLINIC
-------------CLARK,JAMES S
01Sep91
31
1
3
0
26
0
0
26
1
13
6
02Sep91
27
1
2
2
10
0
0
10
0
5
0
05Sep91
29
2
0
0
15
0
0
15
0
3
15
~
~
~
~
26Sep91
30
3
5
2
12
0
0
12
1
1
2
27Sep91
19
1
1
3
17
0
0
17
0
6
3
28Sep91
23
4
1
1
19
0
0
19
1
1
17
Clerk Total:
469
20
24
10
469
0
0
469
10
60
59
# of Days = 20
Daily Average:
23.5
1.0
1.2
0.5
23.5
0.0
0.0
23.5
0.5
3.0
2.9
Clinic Total:
# of Days = 20
Daily Average:
DERMATOLOGY CLINIC
-----------------WILLIAMS,TED
01Sep91
02Sep91
05Sep91
~
~
~
~
26Sep91
27Sep91
28Sep91
Clerk Total:
# of Days = 18
Daily Average:
469
20
24
10
469
0
0
469
10
60
59
23.5
1.0
1.2
0.5
23.5
0.0
0.0
23.5
0.5
3.0
2.9
31
27
29
1
1
2
3
2
0
0
2
0
26
10
15
0
0
0
0
0
0
26
10
15
1
0
0
13
5
3
6
0
15
30
19
23
469
3
1
4
20
5
1
1
24
2
3
1
10
12
17
19
469
0
0
0
0
0
0
0
0
12
17
19
469
1
0
1
10
1
6
1
60
2
3
17
59
26.1
1.1
1.3
0.6
26.1
0.0
0.0
26.1
0.6
3.3
3.3
FIGURE 4.4.9.6.
SAMPLE OUTPUT REPORT:
(Sheet 1 of 8)
6-88
CLERK WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Oct 1991@1649
Page 2
CLERK WORKLOAD REPORT by GROUP
From: Sep 1991
To: Sep 1991
Division: TRIPLER ARMY MEDICAL CENTER (continued)
Department: MEDICINE
==================================================================================================================================
Clinic/
Appts
#Fac
#Pat
#No
| Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Clerk Date
Made
Canc
Canc
Show | In
Call
Cons
Total
| ADMIN
LWOBS
OCC-SVC
==================================================================================================================================
WILLS,TOM
01Sep91
02Sep91
05Sep91
~
~
~
~
26Sep91
27Sep91
28Sep91
Clerk Total:
# of Days = 18
Daily Average:
Clinic Total:
# of Days = 20
Daily Average:
Department Total:
# of Days = 20
Daily Average:
31
27
29
1
1
2
3
2
0
0
2
0
26
10
15
0
0
0
0
0
0
26
10
15
1
0
0
13
5
3
6
0
15
30
19
23
469
3
1
4
20
5
1
1
24
2
3
1
10
12
17
19
469
0
0
0
0
0
0
0
0
12
17
19
469
1
0
1
10
1
6
1
60
2
3
17
59
26.1
1.1
1.3
0.6
26.1
0.0
0.0
26.1
0.6
3.3
3.3
938
40
48
20
938
0
0
938
20
120
118
47.0
2.0
2.4
1.0
47.0
0.0
0.0
47.0
1.0
6.0
5.9
1407
60
74
30
1407
0
0
1407
30
180
177
70.35
3.0
1.4
3.7
70.35
0.0
0.0
70.35
1.5
9.0
8.9
FIGURE 4.4.9.6.
SAMPLE OUTPUT REPORT:
(Sheet 2 of 8)
6-89
CLERK WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Oct 1991@1649
Page 3
CLERK WORKLOAD REPORT by GROUP
From: Sep 1991
To: Sep 1991
Division: TRIPLER ARMY MEDICAL CENTER (continued)
Department: SURGERY
==================================================================================================================================
Clinic/
Appts
#Fac
#Pat
#No
| Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Clerk Date
Made
Canc
Canc
Show | In
Call
Cons
Total
| ADMIN
LWOBS
OCC-SVC
==================================================================================================================================
GENERAL SURGERY CLINIC
---------------------COOK,JANE
01Sep91
31
1
3
0
26
0
0
26
1
13
6
02Sep91
27
1
2
2
10
0
0
10
0
5
0
05Sep91
29
2
0
0
15
0
0
15
0
3
15
~
~
~
~
26Sep91
30
3
5
2
12
0
0
12
1
1
2
27Sep91
19
1
1
3
17
0
0
17
0
6
3
28Sep91
23
4
1
1
19
0
0
19
1
1
17
Clerk Total:
469
20
24
10
469
0
0
469
10
60
59
# of Days = 20
Daily Average:
23.5
1.0
1.2
0.5
23.5
0.0
0.0
23.5
0.5
3.0
2.9
Clinic Total:
# of Days = 20
Daily Average:
UROLOGY CLINIC
-------------WILLIAMS,ED
01Sep91
02Sep91
05Sep91
~
~
~
~
26Sep91
27Sep91
28Sep91
Clerk Total:
# of Days = 18
Daily Average:
469
20
24
10
469
0
0
469
10
60
59
23.5
1.0
1.2
0.5
23.5
0.0
0.0
23.5
0.5
3.0
2.9
31
27
29
1
1
2
3
2
0
0
2
0
26
10
15
0
0
0
0
0
0
26
10
15
1
0
0
13
5
3
6
0
15
30
19
23
469
3
1
4
20
5
1
1
24
2
3
1
10
12
17
19
469
0
0
0
0
0
0
0
0
12
17
19
469
1
0
1
10
1
6
1
60
2
3
17
59
26.1
1.1
1.3
0.6
26.1
0.0
0.0
26.1
0.6
3.3
3.3
FIGURE 4.4.9.6.
SAMPLE OUTPUT REPORT:
(Sheet 3 of 8)
6-90
CLERK WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Oct 1991@1649
Page 4
CLERK WORKLOAD REPORT by GROUP
From: Sep 1991
To: Sep 1991
Division: TRIPLER ARMY MEDICAL CENTER (continued)
Department: SURGERY
==================================================================================================================================
Clinic/
Appts
#Fac
#Pat
#No
| Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Clerk Date
Made
Canc
Canc
Show | In
Call
Cons
Total
| ADMIN
LWOBS
OCC-SVC
==================================================================================================================================
YEATS,WILLIAM
01Sep91
02Sep91
05Sep91
~
~
~
~
26Sep91
27Sep91
28Sep91
Clerk Total:
# of Days = 18
Daily Average:
Clinic Total:
# of Days = 20
Daily Average:
Department Total:
# of Days = 20
Daily Average:
Division Total:
# of Days = 20
Daily Average:
Group Total:
# of Days = 20
Daily Average:
31
27
29
1
1
2
3
2
0
0
2
0
26
10
15
0
0
0
0
0
0
26
10
15
1
0
0
13
5
3
6
0
15
30
19
23
469
3
1
4
20
5
1
1
24
2
3
1
10
12
17
19
469
0
0
0
0
0
0
0
0
12
17
19
469
1
0
1
10
1
6
1
60
2
3
17
59
26.1
1.1
1.3
0.6
26.1
0.0
0.0
26.1
0.6
3.3
3.3
938
40
48
20
938
0
0
938
20
120
118
47.0
2.0
2.4
1.0
47.0
0.0
0.0
47.0
1.0
6.0
5.9
1407
60
74
30
1407
0
0
1407
30
180
177
70.35
3.0
1.4
3.7
70.35
0.0
0.0
70.35
1.5
9.0
8.9
2814
120
148
60
2814
0
0
2814
60
360
354
140.7
6.0
7.4
3.0
140.7
0.0
0.0
140.7
3.0
18.0
17.5
2814
120
148
60
2814
0
0
2814
60
360
354
140.7
6.0
7.4
3.0
140.7
0.0
0.0
140.7
3.0
18.0
17.5
FIGURE 4.4.9.6.
SAMPLE OUTPUT REPORT:
(Sheet 4 of 8)
6-91
CLERK WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Oct 1991@1649
Page 5
CLERK WORKLOAD REPORT by GROUP
From: Sep 1991
To: Sep 1991
Division: TRIPLER ARMY MEDICAL CENTER
==================================================================================================================================
Department/
Appts
#Fac
#Pat
#No
| Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Clinic/Date
Made
Canc
Canc
Show | In
Call
Cons
Total
| ADMIN
LWOBS
OCC-SVC
==================================================================================================================================
***Division Summary***
MEDICINE
-------ALLERGY CLINIC
01Sep91
02Sep91
05Sep91
~ ~
~ ~
26Sep91
27Sep91
28Sep91
Clinic Total:
# of Days = 20
Daily Average:
DERMATOLOGY CLINIC
01Sep91
02Sep91
05Sep91
~ ~
~ ~
26Sep91
27Sep91
28Sep91
Clinic Total:
# of Days = 20
Daily Average:
Department Total:
# of Days = 20
Daily Average:
31
27
29
1
1
2
3
2
0
0
2
0
26
10
15
0
0
0
0
0
0
26
10
15
1
0
0
13
5
3
6
0
15
30
19
23
469
3
1
4
20
5
1
1
24
2
3
1
10
12
17
19
469
0
0
0
0
0
0
0
0
12
17
19
469
1
0
1
10
1
6
1
60
2
3
17
59
23.5
1.0
1.2
0.5
23.5
0.0
0.0
23.5
0.5
3.0
2.9
62
54
58
2
2
4
6
4
0
0
4
0
52
20
30
0
0
0
0
0
0
52
20
30
2
0
0
26
10
6
12
0
30
60
38
46
938
6
2
8
40
10
2
2
48
4
6
2
20
24
34
38
938
0
0
0
0
0
0
0
0
24
34
38
938
2
0
2
20
2
12
2
120
4
6
34
118
47.0
2.0
2.4
1.0
47.0
0.0
0.0
47.0
1.0
6.0
5.9
1407
60
74
30
1407
0
0
1407
30
180
177
70.35
3.0
1.4
3.7
70.35
0.0
0.0
70.35
1.5
9.0
8.9
FIGURE 4.4.9.6.
SAMPLE OUTPUT REPORT:
(Sheet 5 of 8)
6-92
CLERK WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Oct 1991@1649
Page 6
CLERK WORKLOAD REPORT by GROUP
From: Sep 1991
To: Sep 1991
Division: TRIPLER ARMY MEDICAL CENTER (continued)
==================================================================================================================================
Department/
Appts
#Fac
#Pat
#No
| Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Clinic/Date
Made
Canc
Canc
Show | In
Call
Cons
Total
| ADMIN
LWOBS
OCC-SVC
==================================================================================================================================
***Division Summary*** (continued)
SURGERY
-------GENERAL SURGERY CLINIC
01Sep91
02Sep91
05Sep91
~ ~
~ ~
26Sep91
27Sep91
28Sep91
Clinic Total:
# of Days = 20
Daily Average:
UROLOGY CLINIC
01Sep91
02Sep91
05Sep91
~ ~
~ ~
26Sep91
27Sep91
28Sep91
Clinic Total:
# of Days = 20
Daily Average:
Department Total:
# of Days = 20
Daily Average:
Division Total:
# of Days = 20
Daily Average:
Group Total:
# of Days = 20
Daily Average:
31
27
29
1
1
2
3
2
0
0
2
0
26
10
15
0
0
0
0
0
0
26
10
15
1
0
0
13
5
3
6
0
15
30
19
23
469
3
1
4
20
5
1
1
24
2
3
1
10
12
17
19
469
0
0
0
0
0
0
0
0
12
17
19
469
1
0
1
10
1
6
1
60
2
3
17
59
23.5
1.0
1.2
0.5
23.5
0.0
0.0
23.5
0.5
3.0
2.9
62
54
58
2
2
4
6
4
0
0
4
0
52
20
30
0
0
0
0
0
0
52
20
30
2
0
0
26
10
6
12
0
30
60
38
46
938
6
2
8
40
10
2
2
48
4
6
2
20
24
34
38
938
0
0
0
0
0
0
0
0
24
34
38
938
2
0
2
20
2
12
2
120
4
6
34
118
47.0
2.0
2.4
1.0
47.0
0.0
0.0
47.0
1.0
6.0
5.9
1407
60
74
30
1407
0
0
1407
30
180
177
70.35
3.0
1.4
3.7
70.35
0.0
0.0
70.35
1.5
9.0
8.9
2814
120
148
60
2814
0
0
2814
60
360
354
140.7
6.0
7.4
3.0
140.7
0.0
0.0
140.7
3.0
18.0
17.5
2814
120
148
60
2814
0
0
2814
60
360
354
140.7
6.0
7.4
3.0
140.7
0.0
0.0
140.7
3.0
18.0
17.5
FIGURE 4.4.9.6.
SAMPLE OUTPUT REPORT:
(Sheet 6 of 8)
6-93
CLERK WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Oct 1991@1649
Page 7
CLERK WORKLOAD REPORT by GROUP
From: Sep 1991
To: Sep 1991
Group: TRIPLER AMC
==================================================================================================================================
Department/
Appts
#Fac
#Pat
#No
| Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Clinic/Date
Made
Canc
Canc
Show | In
Call
Cons
Total
| ADMIN
LWOBS
OCC-SVC
==================================================================================================================================
***Group Summary***
TRIPLER ARMY MEDICAL CENTER
--------------------------MEDICINE
01Sep91
02Sep91
05Sep91
~
~
~
~
26Sep91
27Sep91
28Sep91
Department Total:
# of Days = 20
Daily Average:
1407
93
81
87
60
3
3
6
74
9
6
0
30
0
6
0
1407
78
30
45
0
0
0
0
0
0
0
0
1407
78
30
45
30
3
0
0
180
39
15
9
177
18
0
45
90
57
69
1407
9
3
12
60
15
3
3
74
6
9
3
30
36
51
57
1407
0
0
0
0
0
0
0
0
36
51
57
1407
3
0
3
30
3
18
3
180
6
9
51
177
70.35
3.0
1.4
3.7
70.35
0
0
70.35
1.5
9.0
8.9
93
81
87
3
3
6
9
6
0
0
6
0
78
30
45
0
0
0
0
0
0
78
30
45
3
0
0
39
15
9
18
0
45
90
57
69
1407
9
3
12
60
15
3
3
74
6
9
3
30
36
51
57
1407
0
0
0
0
0
0
0
0
36
51
57
1407
3
0
3
30
3
18
3
180
6
9
51
177
70.35
3.0
1.4
3.7
70.35
0
0
70.35
1.5
9.0
8.9
2814
120
148
60
2814
0
0
2814
60
360
354
140.7
6.0
7.4
3.0
140.7
0.0
0.0
140.7
3.0
18.0
17.5
2814
120
148
60
2814
0
0
2814
60
360
354
140.7
6.0
7.4
3.0
140.7
0.0
0.0
140.7
3.0
18.0
17.5
SURGERY
01Sep91
02Sep91
05Sep91
~
~
~
~
26Sep91
27Sep91
28Sep91
Department Total:
# of Days = 20
Daily Average:
Division Total:
# of Days = 20
Daily Average:
Group Total:
# of Days = 20
Daily Average:
FIGURE 4.4.9.6.
SAMPLE OUTPUT REPORT:
(Sheet 7 of 8)
6-94
CLERK WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Oct 1991@1649
Page 8
CLERK WORKLOAD REPORT by GROUP
From: Sep 1991
To: Sep 1991
Group: TRIPLER AMC
==================================================================================================================================
Department/
Appts
#Fac
#Pat
#No
| Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Clinic/Date
Made
Canc
Canc
Show | In
Call
Cons
Total
| ADMIN
LWOBS
OCC-SVC
==================================================================================================================================
***Group Summary*** (continued)
***NOTE***
'Appts Made' is based upon the number of appointments 'MADE' by the clerk on that date, not the number of appointments
made for that date.
'Appts Made' will thus be different for Clerk Workload Reports and Monthly Statistical Reports, since different data
is being reported.
FIGURE 4.4.9.6.
SAMPLE OUTPUT REPORT:
(Sheet 8 of 8)
6-95
CLERK WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Jul 1991@1634
Page 1
CLINIC WORKLOAD REPORT
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
================================================================================
Appt
MEPRS
|
COUNT WORKLOAD
|
NON-COUNT WORKLOAD
Type
Code
| # In
# Out
Total
|
# In
# Out
Total
================================================================================
NUTRITION CLINIC
*** Clinic Totals ***
---------------------------------------------FU
BAAB
1
0
1
0
0
0
BAAC
2
0
2
0
0
0
BCCA
1
0
1
0
0
0
NEW
AAAA
AABS
AAEA
BAAC
0
0
0
0
0
0
0
1
0
0
0
1
2
2
2
0
0
0
0
0
2
2
2
0
PRO30
BAAB
BAAC
0
0
3
1
3
1
0
0
0
0
0
0
PRO60
BAAB
BAAC
1
0
7
1
8
1
0
0
0
0
0
0
RET
AAAA
BAAB
0
0
0
0
0
0
1
1
0
4
1
5
Clinic Total:
5
13
18
8
4
12
FIGURE 4.4.9.7.
SAMPLE OUTPUT REPORT:
(Sheet 1 of 8)
6-96
CLINIC WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Jul 1991@1634
Page 2
CLINIC WORKLOAD REPORT
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
================================================================================
Appt
MEPRS |
COUNT WORKLOAD
|
NON-COUNT WORKLOAD
Type
Code | # In
# Out
Total
|
# In
# Out
Total
================================================================================
NUTRITION CLINIC
---------------Provider: MILLER,JIM
FU
BAAC
1
0
1
0
0
O
NEW
AAAA
AABS
AAEA
0
0
0
0
0
0
0
0
0
1
1
2
0
0
0
1
1
2
PRO30
BAAB
0
1
1
0
0
0
PRO60
BAAB
BAAC
1
0
5
0
6
0
0
1
0
0
0
1
Provider: THOMAS,SCOTT
FU
BAAB
BAAC
BCCA
1
1
1
0
0
0
1
1
1
0
0
0
0
0
0
0
0
0
NEW
AAAA
AABS
BAAC
0
0
0
0
0
1
0
0
1
1
1
0
0
0
0
1
1
0
PRO30
BAAB
BAAC
0
0
2
1
2
1
0
0
0
0
0
0
PRO60
BAAB
0
2
2
0
0
0
RET
AAAA
BAAB
0
0
0
0
0
0
1
0
0
4
1
4
5
12
17
8
4
12
Clinic Total:
FIGURE 4.4.9.7.
SAMPLE OUTPUT REPORT:
(Sheet 2 of 8)
6-97
CLINIC WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Jul 1991@1634
Page 3
CLINIC WORKLOAD REPORT
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
================================================================================
Appt
Cat
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Type
Code Description
| # In # Out Total | # In # Out Total
================================================================================
NUTRITION CLINIC
---------------FU
A11
USA ACTIVE DUTY OFFICER
4
0
4
0
0
0
NEW
A11
A41
USA ACTIVE DUTY OFFICER
USA FAM MBR AD
0
0
0
1
0
1
4
2
0
0
4
2
PRO30
A11
USA ACTIVE DUTY ENLISTED
0
4
4
0
0
0
PRO60
A11
A41
USA AD ENLISTED
USA FAM MBR AD
1
0
7
1
8
1
0
0
0
0
0
0
RET
A11
A41
USA ACTIVE DUTY OFFICER
USA FAM MBR AD
0
0
0
0
0
0
0
2
2
2
2
4
5
13
18
8
4
12
Clinic Total:
FIGURE 4.4.9.7.
SAMPLE OUTPUT REPORT:
(Sheet 3 of 8)
6-98
CLINIC WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Jul 1991@1634
Page 4
CLINIC WORKLOAD REPORT
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
================================================================================
Cat
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Code
Description
| # In # Out Total | # In # Out Total
================================================================================
NUTRITION CLINIC
---------------A11
USA ACTIVE DUTY ENLISTED
5
11
16
4
2
6
A41
USA FAM MBR AD
0
2
2
4
2
6
Clinic Total:
5
13
FIGURE 4.4.9.7.
18
8
4
SAMPLE OUTPUT REPORT:
(Sheet 4 of 8)
6-99
12
CLINIC WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Jul 1991@1634
Page 5
CLINIC WORKLOAD REPORT
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
================================================================================
Appt
Cat
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Type
Code Description
| # In # Out Total | # In # Out Total
================================================================================
NUTRITION CLINIC
---------------Provider: MILLER,JIM
FU
A11
USA ACTIVE DUTY OFFICER
1
0
1
0
0
0
NEW
A11
A41
USA ACTIVE DUTY ENLISTED
USA FAM MBR AD
0
0
0
0
0
0
3
1
0
0
3
1
PRO30
A11
USA ACTIVE DUTY OFFICER
0
1
1
0
0
0
PRO60
A11
A41
USA ACTIVE DUTY OFFICER
USA FAM MBR AD
1
0
5
1
6
1
0
0
0
0
0
0
RET
A41
USA FAM MBR AD
0
0
0
1
0
1
Provider: THOMAS,SCOTT
FU
A11
USA ACTIVE DUTY OFFICER
3
0
3
0
0
0
NEW
A11
A41
USA ACTIVE DUTY OFFICER
USA FAM MBR AD
0
0
0
1
0
1
1
1
0
0
1
1
PRO30
A11
USA ACTIVE DUTY ENLISTED
0
3
3
0
0
0
PRO60
A11
USA ACTIVE DUTY ENLISTED
0
2
2
0
0
0
RET
A11
A41
USA ACTIVE DUTY OFFICER
USA FAM MBR AD
0
0
0
0
0
0
0
1
2
2
2
3
5
13
18
8
4
12
Clinic Total:
FIGURE 4.4.9.7.
SAMPLE OUTPUT REPORT:
(Sheet 5 of 8)
6-100
CLINIC WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Jul 1991@1634
Page 6
CLINIC WORKLOAD REPORT
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
================================================================================
MEPRS
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Code
Description
| # In # Out Total | # In # Out Total
================================================================================
NUTRITION CLINIC
---------------AAAA
NUTRITION
0
0
0
3
0
3
AABS
CARDIOLOGY - CRI/RESOURCE SH
0
0
0
2
0
2
AAEA
ENDOCRINOLOGY
0
0
0
2
0
2
BAAB
NUTRITION CLINIC
2
10
12
1
4
5
BAAC
NUTRITION CLINIC
2
3
5
0
0
0
BCCA
OBSTETRICS CLINIC
1
0
1
0
0
0
Clinic Total:
5
13
FIGURE 4.4.9.7.
18
8
4
SAMPLE OUTPUT REPORT:
(Sheet 6 of 8)
6-101
12
CLINIC WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Jul 1991@1634
Page 7
CLINIC WORKLOAD REPORT
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
================================================================================
MEPRS Appt
|
COUNT WORKLOAD
|
NON-COUNT WORKLOAD
Code Type
| # In
# Out
Total
|
# In
# Out
Total
================================================================================
NUTRITION CLINIC
---------------Provider: MILLER,JIM
AAAA
PRO30
0
0
0
1
0
1
AABS
PRO30
0
0
0
1
0
1
AAEA
PRO30
0
0
0
2
0
2
BAAB
FU
NEW
RET
0
1
0
1
5
0
1
6
0
0
0
1
0
0
0
0
0
1
BAAC
PRO60
NEW
1
0
0
1
1
1
0
0
0
0
0
0
Provider: THOMAS,SCOTT
AAAA
PRO30
RET
0
0
0
0
0
0
1
1
0
0
1
1
AABS
PRO30
0
0
0
1
0
1
BAAB
PRO60
FU
NEW
RET
1
0
0
0
0
2
2
0
1
2
2
0
0
0
0
0
0
0
0
4
0
0
0
4
BAAC
PRO60
PRO30
FU
1
0
0
0
1
1
1
1
1
0
0
0
0
0
0
0
0
0
BCCA
PRO60
1
0
1
0
0
0
5
13
18
8
4
12
Clinic Total:
FIGURE 4.4.9.7.
SAMPLE OUTPUT REPORT:
(Sheet 7 of 8)
6-102
CLINIC WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Jul 1991@1634
Page 8
CLINIC WORKLOAD REPORT
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
================================================================================
Requesting
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Service
Description
| # In # Out Total | # In # Out Total
================================================================================
NUTRITION CLINIC
---------------????
*No Requesting Service*
0
1
1
0
0
0
BAJA
NEPHROLOGY CLINIC
0
1
1
2
4
6
BCCA
OBSTETRICS CLINIC
2
2
4
2
0
2
BEAA
ORTHOPEDICS CLINIC
0
2
2
0
0
0
BIAA
EMERGENCY ROOM - TRIPLER
3
7
10
4
0
4
Clinic Total:
5
13
FIGURE 4.4.9.7.
18
8
4
SAMPLE OUTPUT REPORT:
(Sheet 8 of 8)
6-103
12
CLINIC WORKLOAD REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER AMC, HI
25 Jul 1992@1619
Page 1
COMMAND FACILITY WORKLOAD RECAP REPORT by GROUP
From: Jun 1992
To: Jun 1992
***Appointment Statistics Summary***
Division: TRIPLER ARMY MEDICAL CENTER
==================================================================================================================================
Department/
|
COUNT WORKLOAD
| #No
%No | #Fac
%Fac | #Pat
%Pat | Non-Count Appt Statuses | Total
Clinic
| #In
#Out
Total | Show
Show | Canc
Canc | Canc
Canc | ADMIN LWOBS OCC-SVC | Interactions
==================================================================================================================================
MEDICINE DEPARTMENT
------------------Allergy Clinic
6
77
83
10
10.7
10
10.7
13
13.5
3
2
2
123
Dermatology Clinic
6
77
83
7
7.7
10
10.7
13
13.5
2
0
0
115
Department Total:
12
154
166
17
9.2
20
10.7
26
13.5
5
2
2
238
SURGERY
------General Surgery
Urology Clinic
Department Total:
6
6
12
77
77
154
83
83
166
10
7
17
10.7
7.7
9.2
10
10
20
10.7
10.7
10.7
13
13
26
13.5
13.5
13.5
3
2
5
2
0
2
2
0
2
123
115
238
Division Total:
24
308
332
34
9.2
40
10.7
52
13.5
10
4
4
476
==================================================================================================================================
NOTE: The %NoShow = the number of no-shows divided by the number of count clinic visits (Kept Appts and Unscheduled Visits) plus
the number of no-shows. The %Fac Canc = the number of facility cancellations divided by the number of count clinic visits (Kept
Appts and Unscheduled Visits) plus the number of facility cancellations. The %Pat Canc = the number of patient cancellations
divided by the number of count clinic visits (Kept Appts and Unscheduled Visits) plus the number of patient cancellations.
FIGURE 4.4.9.8.
SAMPLE OUTPUT REPORT: COMMAND FACILITY WORKLOAD RECAP REPORT
(Sheet 1 of 5)
6-104
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER AMC, HI
25 Jul 1992@1619
Page 2
COMMAND FACILITY WORKLOAD RECAP REPORT by GROUP
From: Jun 1992
To: Jun 1992
***Appointment Statistics Summary***
Division: TRIPLER ARMY MEDICAL CENTER
==================================================================================================================================
Division/
|
COUNT WORKLOAD
| #No
%No | #Fac
%Fac | #Pat
%Pat | Non-Count Appt Statuses | Total
Department
| #In
#Out
Total | Show
Show | Canc
Canc | Canc
Canc | ADMIN LWOBS OCC-SVC | Interactions
==================================================================================================================================
***Group Summary***
TRIPLER
------Medicine
Surgery
Division Total:
12
12
24
154
154
308
166
166
332
17
17
34
9.2
9.2
9.2
20
20
40
10.7
10.7
10.7
26
26
52
13.5
13.5
13.5
5
5
10
2
2
4
2
2
4
238
238
476
SCHOFIELD
--------Medicine
Surgery
Division Total:
12
12
24
154
154
308
166
166
332
17
17
34
9.2
9.2
9.2
20
20
40
10.7
10.7
10.7
26
26
52
13.5
13.5
13.5
5
5
10
2
2
4
2
2
4
238
238
476
Group Total:
48
616
664
68
9.2
80
10.7
104
13.5
20
8
8
952
==================================================================================================================================
NOTE: The %NoShow = the number of no-shows divided by the number of count clinic visits (Kept Appts and Unscheduled Visits) plus
the number of no-shows. The %Fac Canc = the number of facility cancellations divided by the number of count clinic visits (Kept
Appts and Unscheduled Visits) plus the number of facility cancellations. The %Pat Canc = the number of patient cancellations
divided by the number of count clinic visits (Kept Appts and Unscheduled Visits) plus the number of patient cancellations.
FIGURE 4.4.9.8.
SAMPLE OUTPUT REPORT: COMMAND FACILITY WORKLOAD RECAP REPORT
(Sheet 2 of 5)
6-105
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER AMC, HI
25 Jul 1992@1619
Page 3
COMMAND FACILITY WORKLOAD RECAP REPORT by GROUP
From: Jun 1992
To: Jun 1992
***Next Available Appointment Summary***
Division: TRIPLER ARMY MEDICAL CENTER
==================================================================================================================================
Clinic
Appt Type
Next Available Date
==================================================================================================================================
ALLERGY CLINIC
F/UP
23 Jul 1992@1400
GT
26 Jul 1992@1500
IN
30 Jul 1992@1000
MSE
29 Jul 1992@0800
DERMATOLOGY CLINIC
SC
29 Jul 1992@1300
WARTS
29 Jul 1992@0700
GENERAL SURGERY CLINIC
F/UP
05 Aug 1992@1100
MSUR
28 Jul 1992@0900
NEW
28 Jul 1992@0700
ROUT
23 Jul 1992@1400
VASC
03 Aug 1992@0900
~
~
~ ~
~
~
~
~
~
~ ~
~
~
~
UROLOGY CLINIC
F/UP
28 Jul 1992@1000
NEW
27 Jul 1992@1300
FIGURE 4.4.9.8.
SAMPLE OUTPUT REPORT: COMMAND FACILITY WORKLOAD RECAP REPORT
(Sheet 3 of 5)
6-106
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER AMC, HI
25 Jul 1992@1619
Page 4
COMMAND FACILITY WORKLOAD RECAP REPORT by GROUP
From: Jun 1992
To: Jun 1992
***Clerk Workload Summary***
Division: TRIPLER ARMY MEDICAL CENTER
==================================================================================================================================
Department/
Appts
#Fac
#Pat
#No
|
Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Clinic
Made
Canc
Canc
Show
|
In
Call
Cons
Total
|
ADMIN LWOBS OCC-SVC
==================================================================================================================================
MEDICINE
-------ALLERGY CLINIC
469
20
24
10
469
0
0
469
10
60
59
DERMATOLOGY CLINIC
469
20
24
10
469
0
0
469
10
60
59
Department Total:
938
40
48
20
938
0
0
938
20
120
118
SURGERY
------GENERAL SURGERY
UROLOGY CLINIC
Department Total:
Division Total:
469
469
938
20
20
40
24
24
48
10
10
20
469
469
938
0
0
0
0
0
0
469
469
938
10
10
20
60
60
120
59
59
118
1876
80
56
40
1876
0
0
1876
40
240
236
FIGURE 4.4.9.8.
SAMPLE OUTPUT REPORT: COMMAND FACILITY WORKLOAD RECAP REPORT
(Sheet 4 of 5)
6-107
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER AMC, HI
25 Jul 1992@1619
Page 5
COMMAND FACILITY WORKLOAD RECAP REPORT by GROUP
From: Jun 1992
To: Jun 1992
***Clerk Workload Summary***
Division: TRIPLER ARMY MEDICAL CENTER
==================================================================================================================================
Division /
Appts
#Fac
#Pat
#No
|
Walk
Sick
Tel
Unsch
|
Non-Count Appt Statuses
Department
Made
Canc
Canc
Show
|
In
Call
Cons
Total
|
ADMIN LWOBS OCC-SVC
==================================================================================================================================
***Group Summary***
TRIPLER
------MEDICINE
SURGERY
Division Total:
938
938
1876
40
40
80
48
48
96
20
20
40
938
938
1876
0
0
0
0
0
0
938
938
1876
20
20
40
120
120
240
118
118
236
SCHOFIELD
--------GENERAL SURGERY
UROLOGY
Division Total:
938
938
1876
40
40
80
48
48
96
20
20
40
938
938
1876
0
0
0
0
0
0
938
938
1876
20
20
40
120
120
240
118
118
236
Group Total:
3752
160
192
80
3752
0
0
3752
80
480
472
FIGURE 4.4.9.8.
SAMPLE OUTPUT REPORT: COMMAND FACILITY WORKLOAD RECAP REPORT
(Sheet 5 of 5)
6-108
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
12 Sep 1992@0600
Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
COMMAND SECURITY PROGRAM
From: 11 Sep 1992
To: 11 Sep 1992
Unit: CAMP SMITH
==================================================================================================================================
FMP/SSN
Name
Program
DOB
Sex
GR
Category Code
Provider
Clinic
Type
Time
Status
Clinic Phone #
==================================================================================================================================
20/520-44-1144 CARSON,JOHN W
PRP
29 Dec 1971
M
AO2
A11
IKEI,D
ORTHOPEDIC CLINIC
WOUND 1330
KEPT
433-4133/6655
Drug
Fill Date
Status
QTY
Ref Left
----------------------------------------------------------------------------------------TYLOX--PO CAP
04 Sep 1992
ACTIVE
30
NR
TYLOX--PO CAP
08 Sep 1992
ACTIVE
20
NR
TYLENOL #3--PO TAB
26 Aug 1992
R
12
NR
TYLENOL #3--PO TAB
01 Sep 1992
ACTIVE
25
NR
IBUPROFEN--PO 400MG TAB
07 Apr 1992
R
60
NR
CYCLOBENZAPRINE HCL--PO 10MG TAB
07 Apr 1992
R
15
NR
SIMETHICONE--PO 40MG/.6ML DROPS
10 Aug 1992
R
1
NR
BISACODYL--PO 5MG TBEC
10 Aug 1992
R
3
NR
COLYTE--PO SOLR
10 Aug 1992
R
1
NR
ANUSOL--RECT SUPP
21 Aug 1992
ACTIVE
12
2 of 2
DIBUCAINE--TOP 1% OINT
21 Aug 1992
ACTIVE
1
NR
DOCUSATE SODIUM--PO 100MG CAP
04 Sep 1992
R
60
NR
TYLENOL (ACETAMINOPHEN)--PO 325MG TAB
04 Sep 1992
R
50
NR
FIGURE 4.4.9.9.
SAMPLE OUTPUT REPORT: COMMAND SECURITY PROGRAM REPORT
(Sheet 1 of 3)
6-109
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
12 Sep 1992@0600
Page 2
Personal Data - Privacy Act of 1974 (PL 93-579)
COMMAND SECURITY PROGRAM
From: 11 Sep 1992
To: 11 Sep 1992
Unit: HEADQUARTERS CINC PAC J07 STAF
==================================================================================================================================
FMP/SSN
Name
Program
DOB
Sex
GR
Category Code
Provider
Clinic
Type
Time
Status
Clinic Phone #
==================================================================================================================================
20/247-72-2259 HUNTER,SCOTTIE T
SCI
04 Sep 1970
M
AO2
A11
NURSE,ALLERGY
IMMUNOTHERAPY
IT
0848
WALK-IN
433-6332
Drug
Fill Date
Status
QTY
Ref Left
----------------------------------------------------------------------------------------FIORINAL--PO TAB
29 Jul 1991
R
30
NR
BACTRIM DS (EQ)--PO TAB ($1.20/F10)
28 Jan 1991
R
28
NR
NORGESIC FORTE--PO TAB
11 Jul 1991
R
90
NR
DIAZEPAM--PO 5MG TAB
15 Jul 1991
R
28
NR
TYLOX--PO CAP
05 Nov 1991
R
30
NR
TYLOX--PO CAP
07 Jan 1992
R
30
NR
TYLENOL W/COD ELIXIR--PO ELIX
22 Jul 1991
R
120
NR
TYLENOL W/COD ELIXIR--PO ELIX
17 Aug 1991
R
3
1 of 1
TYLENOL #3--PO TAB
25 Nov 1991
R
12
NR
TYLENOL #3--PO TAB
28 Jan 1992
R
24
NR
TYLENOL #3--PO TAB
23 Jul 1992
R
30
NR
ACTIFED--PO ($.01/TAB)
06 Jun 1991
R
30
5 of 5
ACTIFED--PO ($.01/TAB)
19 Sep 1991
R
30
NR
BISACODYL--RECT 10MG SUPP
22 Jul 1991
R
30
NR
PROCHLORPERAZINE--RECT 25MG SUPP
23 Jul 1991
R
12
2 of 2
PIROXICAM--PO 20MG ($1.04/CAP) 12/12
02 Oct 1991
R
30
NR
PROCHLORPERAZINE--RECT 25MG SUPP
17 Aug 1991
R
12
NR
DOCUSATE SODIUM--PO 100MG CAP
17 Aug 1991
R
60
NR
IBUPROFEN--PO 400MG TAB
25 Nov 1991
R
20
NR
MAXITROL--OPT OINT
07 Jan 1992
R
1
NR
DEXAMETHASONE--PO 4MG TAB
15 Jan 1992
R
28
NR
RANITIDINE--PO 150MG TAB
15 Jan 1992
R
14
NR
ASTEMIZOLE--PO 10MG ($.79/TAB)
23 Jan 1992
R
30
2 of 2
FIGURE 4.4.9.9.
SAMPLE OUTPUT REPORT: COMMAND SECURITY PROGRAM REPORT
(Sheet 2 of 3)
6-110
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
12 Sep 1992@0600
Page 3
Personal Data - Privacy Act of 1974 (PL 93-579)
COMMAND SECURITY PROGRAM
From: 11 Sep 1992
To: 11 Sep 1992
Unit: USS ASPRO, SSN 648
==================================================================================================================================
FMP/SSN
Name
Program
DOB
Sex
GR
Category Code
Provider
Clinic
Type
Time
Status
Clinic Phone #
==================================================================================================================================
20/514-82-3344 BALLARD,CHARLES LEON
PRP
26 May 1964
M
NE7
N11
BENTON,CINDY J
PHYSICAL THERAPY CLINIC
BKSCH 0702
WALK-IN
433-6958
Drug
Fill Date
Status
QTY
Ref Left
----------------------------------------------------------------------------------------ERYTHROMYCIN BASE--PO 250MG TAB
07 Feb 1991
R
40
NR
CLOTRIMAZOLE--TOP 1% CREAM
07 Feb 1991
R
1
5 of 5
IBUPROFEN--PO 800MG TAB
07 Feb 1991
R
30
NR
CYCLOBENZAPRINE HCL--PO 10MG TAB
03 Sep 1992
R
21
NR
IBUPROFEN--PO 800MG TAB
03 Sep 1992
R
21
NR
CLOTRIMAZOLE--TOP 1% CREAM
21 Aug 1992
ACTIVE
1
5 of 5
END NOTE: This report prints appointments with appointment statuses of KEPT, WALK-IN, S-CALL AND TEL-CON
for Active Duty Patients.
FIGURE 4.4.9.9.
SAMPLE OUTPUT REPORT: COMMAND SECURITY PROGRAM REPORT
(Sheet 3 of 3)
6-111
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ARMY COMMUNITY HOSPITAL
23 Oct 1994@1622
Page 1
DELINQUENT END-OF-DAY PROCESSING REPORT By DIVISION
From: 24 Aug 1994
To: 23 Oct 1994
Division: IRELAND
Department: MEDICINE
================================================================================
Clinic/
Appt
Appt
Date
Provider
Time
Type
================================================================================
ALLERGY CLINIC
-------------23 Oct 1994
TALBOT,ARNOLD
0800
NEW
0900
NEW
1000
NEW
1100
NEW
HARMON,TRACEY
Clinic Total
0900
1330
1400
1430
1500
RET
RET
RET
RET
F/U
9
FIGURE 4.4.9.10.
SAMPLE OUTPUT REPORT: DELINQUENT END-OF-DAY PROCESSING REPORT
(Sheet 1 of 7)
6-112
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ARMY COMMUNITY HOSPITAL
25 Nov 1994@1622
Page 2
DELINQUENT END-OF-DAY PROCESSING REPORT By DIVISION
From: 26 Sep 1994
To: 25 Nov 1994
Division: IRELAND (continued)
Department: MEDICINE (continued)
================================================================================
Clinic/
Appt
Appt
Date
Provider
Time
Type
================================================================================
CARDIOLOGY (I)
-------------23 Oct 1994
THACKER,DAVID
0800
RET
Clinic Total:
1
FIGURE 4.4.9.10.
SAMPLE OUTPUT REPORT: DELINQUENT END-OF-DAY PROCESSING REPORT
(Sheet 2 of 7)
6-113
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ARMY COMMUNITY HOSPITAL
25 Nov 1994@1622
Page 3
DELINQUENT END-OF-DAY PROCESSING REPORT By DIVISION
From: 26 Sep 1994
To: 25 Nov 1994
Division: IRELAND (continued)
Department: MEDICINE (continued)
================================================================================
Clinic/
Appt
Appt
Date
Provider
Time
Type
================================================================================
INTERNAL MEDICINE (I)
--------------------30 Oct 1994
MILLER,JIM
0800
NEW
1000
FU
1300
RX1400
A-I-N
THOMAS,SCOTT
31 Oct 1994
MILLER,JIM
THOMAS,SCOTT
Clinic Total:
0800
0900
1000
1300
1330
NEW
NEW
FU
RXRX-
1404
1406
1408
1416
1417
1418
1440
NEW
NEW
NEW
A-I-R
A-I-R
A-I-R
NEW
1409
1412
1413
1414
1419
1420
FU
FU
RXRXA-I-N
A-I-N
23
FIGURE 4.4.9.10.
SAMPLE OUTPUT REPORT: DELINQUENT END-OF-DAY PROCESSING REPORT
(Sheet 3 of 7)
6-114
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ARMY COMMUNITY HOSPITAL
25 Nov 1994@1622
Page 4
DELINQUENT END-OF-DAY PROCESSING REPORT By DIVISION
From: 26 Sep 1994
To: 25 Nov 1994
Division: IRELAND (continued)
Department: MEDICINE (continued)
================================================================================
Clinic/
Appt
Appt
Date
Provider
Time
Type
================================================================================
KJS CLINIC
---------23 Oct 1994
**PROVIDER NOT ENTERED**
1528
NEW
28 Oct 1994
**PROVIDER NOT ENTERED**
SMITH,KATHERINE JEAN
Clinic Total:
Dept Total:
1509
NEW
1430
1445
NEW
NEW
4
37
FIGURE 4.4.9.10.
SAMPLE OUTPUT REPORT: DELINQUENT END-OF-DAY PROCESSING REPORT
(Sheet 4 of 7)
6-115
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ARMY COMMUNITY HOSPITAL
25 Nov 1994@1622
Page 5
DELINQUENT END-OF-DAY PROCESSING REPORT By DIVISION
From: 26 Sep 1994
To: 25 Nov 1994
Division: IRELAND (continued)
Department: PRIMARY CARE & COMM MEDICINE
================================================================================
Clinic/
Appt
Appt
Date
Provider
Time
Type
================================================================================
EMERGENCY ROOM (I)
-----------------24 Oct 1994
**PROVIDER NOT ENTERED**
1449
EROOM
28 Oct 1994
**PROVIDER NOT ENTERED**
Clinic Total:
0856
1644
EROOM
EROOM
3
FIGURE 4.4.9.10.
SAMPLE OUTPUT REPORT: DELINQUENT END-OF-DAY PROCESSING REPORT
(Sheet 5 of 7)
6-116
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ARMY COMMUNITY HOSPITAL
25 Nov 1994@1622
Page 6
DELINQUENT END-OF-DAY PROCESSING REPORT By DIVISION
From: 26 Sep 1994
To: 25 Nov 1994
Division: IRELAND
(continued)
Department: PRIMARY CARE & COMM MEDICINE
(continued)
================================================================================
Clinic/
Appt
Appt
Date
Provider
Time
Type
================================================================================
KS EMERGENCY ROOM
----------------29 Oct 1994
**PROVIDER NOT ENTERED**
1500
EROOM
Clinic Total:
1
FIGURE 4.4.9.10.
SAMPLE OUTPUT REPORT: DELINQUENT END-OF-DAY PROCESSING REPORT
(Sheet 6 of 7)
6-117
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ARMY COMMUNITY HOSPITAL
25 Nov 1994@1622
Page 7
DELINQUENT END-OF-DAY PROCESSING REPORT By DIVISION
From: 26 Sep 1994
To: 25 Nov 1994
Division: IRELAND
(continued)
Department: PRIMARY CARE & COMM MEDICINE
(continued)
================================================================================
Clinic/
Appt
Appt
Date
Provider
Time
Type
================================================================================
PROCEDURE CLINIC
---------------30 Oct 1994
HENDERSON,KAREN
1300
NEW
1500
FU
31 Oct 1994
HENDERSON,KAREN
TAYLOR,JOHN
Clinic Total:
Dept Total:
1400
1422
1423
NEW
NEW
NEW
1400
1430
NEW
FU
9
13
Division Total:
50
FIGURE 4.4.9.10.
SAMPLE OUTPUT REPORT: DELINQUENT END-OF-DAY PROCESSING REPORT
(Sheet 7 of 7)
6-118
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
18 Aug 1995@1254
Page 1
PAS DEERS INELIGIBILITY REPORT by DIVISION
Personal Data - Privacy Act 1974 (PL 93-579)
Appointments for 02 Aug 1995
Part 1 of 2
Division: A DIVISION
==================================================================================================================================
Clinic/
Patient Name
FMP/SSN
DOB
Last DEERS Check Next Appt.
Home Phone/
Work Phone
DEERS Status
Clerk
==================================================================================================================================
ALLERGY (T)
---------ABERCROMBE,DOUGLAS
99/800-44-0407 07 Apr 1944 18 Aug 1995@0939 06 Aug 1995@1100
NOT ELIGIBLE
THACKER,DAVID
SIMPSON,BETTY
NOT ELIGIBLE
01-362-77-6576
07 Sep 1973
30 Sep 1995@1531
10 Oct 1995@0900
446-6644
DE BLASIO,MICHAEL
CARDIOLOGY (A)
------------SMITH,DANIEL
20/457-65-2398 25 Aug 1960 30 Sep 1995@0802
No Response on Latest DEERS Check. Previous check: ELIGIBLE
TUCKER,ELIZABETH
20/161-61-6161 16 AUG 1968 29 Sep 1995@1147
No Response on Latest DEERS Check. Previous check: NOT ELIGIBLE
02 Oct 1995@1000
678-0987
THACKER,DAVID
01 Oct 1995@1300
555-2121
977-3450
METCALF,DAVID
==================================================================================================================================
NOTE: Patients, whose names appear on this report, should be reminded to bring proof of their eligibility at the time of their
appointment.
FIGURE 4.4.9.11.
SAMPLE OUTPUT REPORT: PAS DEERS INELIGIBILITY REPORT
(Sheet 1 of 2)
6-119
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
18 Aug 1995@1254
Page 2
PAS DEERS INELIGIBILITY REPORT by DIVISION
Personal Data - Privacy Act 1974 (PL 93-579)
Appointments for 02 Aug 1995
Part 2 of 2
Division: A DIVISION
==================================================================================================================================
Clinic/
Patient Name
FMP/SSN
DOB
Last DEERS Check Next Appt.
Home Phone/
Work Phone
Alternate Care Value
DEERS Direct Care Eligibility
Clerk
==================================================================================================================================
ALLERGY (T)
---------ABERCROMBE,DOUGLAS
99/800-44-0407 07 Apr 1944 18 Aug 1995@0939 06 Aug 1995@1100
U/ENROLLED IN USTF MANAGED CARE
NOT ELIGIBLE
THACKER,DAVID
SIMPSON,BETTY
01-362-77-6576
U/ENROLLED IN USTF MANAGED CARE
07 Sep 1973 30 Sep 1995@1531
NOT ELIGIBLE
10 Oct 1995@0900
446-6644
DE BLASIO,MICHAEL
(NOTE: The system shall generate Part 2 only if there are DEERS ineligible patients who are enrolled in a USTF
Managed Care plan to be included in this report.
==================================================================================================================================
NOTE: Patients, whose names appear on this report section are currently enrolled in a Uniformed Services Treatment Facilities
(USTF) Managed Care Plan. This facility will not be reimbursed for non-emergency care provided to these patients unless
their USTF agrees to pay this facility prior to rendering services to the patient.
FIGURE 4.4.9.11.
SAMPLE OUTPUT REPORT: PAS DEERS INELIGIBILITY REPORT
(Sheet 2 of 2)
6-120
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER AMC, HI
24 Sep 1991
Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
MILITARY NO-SHOW REPORT
From: 17 Sep 1991
To: 23 Sep 1991
Unit: 16TH ENGR DET TERRAIN
================================================================================
FMP/SSN
Name
DOB
Sex GR
Cat
Clinic
HCP
Type Date/Time
================================================================================
20/000-00-1237
SANTOS,M
05 Apr 1965
M
A04
A11
CARDIOLO LEE,JUDY
RX20 Sep 1991@1100
20/000-00-1237
SANTOS,M
CARDIOLO LEE,JUDY
05 Apr 1965
M
CBOOK 20 Sep 1991@1500
FIGURE 4.4.9.13.
A04
SAMPLE OUTPUT REPORT:
6-121
A11
MILITARY NO-SHOW REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 1
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
Division: IRELAND ACH
Department: MEDICINE
================================================================================
Appt
MEPRS |
COUNT WORKLOAD
|
NON-COUNT WORKLOAD
Type
Code |
# In
# Out
Total
|
# In
# Out
Total
================================================================================
INTERNAL MEDICINE (T)
--------------------FU
BAAB
1
0
1
0
0
0
BAAC
2
0
2
0
0
0
BCCA
1
0
1
0
0
0
Subtotal:
4
0
4
0
0
0
NEW
AAAA
AABS
AAEA
BAAC
0
0
0
0
0
0
0
0
1
1
0
0
0
1
1
2
2
2
0
6
0
0
0
0
0
2
2
2
0
6
BAAB
BAAC
0
0
0
2
1
3
2
1
3
0
0
0
0
0
0
0
0
0
BAAB
BAAC
1
0
1
5
1
6
6
1
7
0
0
0
0
0
0
0
0
0
AAAA
BAAB
Subtotal:
0
0
0
0
0
0
0
0
0
1
1
2
0
4
4
1
5
6
Clinic Total:
5
10
15
8
4
12
Subtotal:
PRO30
Subtotal:
PRO60
Subtotal:
RET
FIGURE 4.4.9.14.
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 1 of 15)
6-122
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 2
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
Division: IRELAND ACH
Department: MEDICINE
================================================================================
Appt
MEPRS |
COUNT WORKLOAD
|
NON-COUNT WORKLOAD
Type
Code |
# In
# Out
Total
|
# In
# Out
Total
================================================================================
KJS CLINIC
---------NEW
ABA
0
0
0
1
0
1
AEAA
0
0
0
1
0
1
BAAB
0
2
2
0
0
0
BAAC
0
3
3
0
0
0
Subtotal:
0
5
5
2
0
2
Clinic Total:
0
5
5
FIGURE 4.4.9.14.
2
0
2
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 2 of 15)
6-123
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 3
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
Division: IRELAND ACH
Department: MEDICINE
================================================================================
Appt
MEPRS |
COUNT WORKLOAD
|
NON-COUNT WORKLOAD
Type
Code |
# In
# Out
Total
|
# In
# Out
Total
================================================================================
INTERNAL MEDICINE (T)
--------------------Provider: MILLER,JIM
NEW
BAAC
1
0
1
0
0
0
PRO30
AAAA
AABS
AAEA
Subtotal:
0
0
0
0
0
0
0
0
0
0
0
0
1
1
2
4
0
0
0
0
1
1
2
4
PRO60
BAAB
BAAC
Subtotal:
1
0
1
4
1
5
5
1
6
0
0
0
0
0
0
0
0
0
RET
0
0
0
1
0
1
2
5
7
5
0
5
FU
BAAB
BAAC
BCCA
Subtotal:
1
1
1
3
0
0
0
0
1
1
1
3
0
0
0
0
0
0
0
0
0
0
0
0
NEW
AAAA
AABS
BAAC
Subtotal:
0
0
0
0
0
0
1
1
0
0
1
1
1
1
0
2
0
0
0
0
1
1
0
2
PRO30
BAAB
BAAC
Subtotal:
0
0
0
2
1
3
2
1
3
0
0
0
0
0
0
0
0
0
PRO60
BAAB
0
1
1
0
0
0
AAAA
BAAB
Subtotal:
0
0
0
0
0
0
0
0
0
1
0
1
0
4
4
1
4
5
Provider Total:
3
5
8
3
4
7
5
10
15
8
4
12
BAAB
Provider Total:
Provider: THOMAS,SCOTT
RET
Clinic Total:
FIGURE 4.4.9.14.
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 3 of 15)
6-124
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 4
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
Division: IRELAND ACH
Department: MEDICINE
================================================================================
Appt
MEPRS |
COUNT WORKLOAD
|
NON-COUNT WORKLOAD
Type
Code |
# In
# Out
Total
|
# In
# Out
Total
================================================================================
KJS CLINIC
---------Provider: SMITH,KATHERINE JEAN
NEW
ABA
AEAA
BAAB
BAAC
Subtotal:
0
0
0
0
0
0
0
2
3
5
0
0
2
3
5
1
1
0
0
2
0
0
0
0
0
1
1
0
0
2
Clinic Total:
0
5
5
2
0
2
Department Total:
5
15
20
10
4
14
FIGURE 4.4.9.14.
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 4 of 15)
6-125
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 5
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
Division: IRELAND ACH
Department: PRIMARY CARE & COMM MEDICINE
================================================================================
Appt
MEPRS |
COUNT WORKLOAD
|
NON-COUNT WORKLOAD
Type
Code |
# In
# Out
Total
|
# In
# Out
Total
================================================================================
PROCEDURE CLINIC
---------------FU
BHAA
0
0
0
2
0
2
NEW
AAAA
AABS
AAEA
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
3
0
0
0
0
1
1
1
3
PRO30
BHAA
0
0
0
0
3
3
PRO60
BHAA
0
0
0
0
4
4
RET
AAAA
BHAA
Subtotal:
0
0
0
0
0
0
0
0
0
1
1
2
0
4
4
1
5
6
Clinic Total:
0
0
0
7
11
18
Subtotal:
FIGURE 4.4.9.14.
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 5 of 15)
6-126
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 6
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
Division: IRELAND ACH
Department: PRIMARY CARE & COMM MEDICINE
================================================================================
Appt
MEPRS |
COUNT WORKLOAD
|
NON-COUNT WORKLOAD
Type
Code |
# In
# Out
Total
|
# In
# Out
Total
================================================================================
PROCEDURE CLINIC
---------------Provider: HENDERSON,KAREN
FU
BHAA
0
0
0
0
1
1
NEW
BHAA
0
0
0
0
4
4
RET
BHAA
0
0
0
0
2
2
0
0
0
0
7
7
BHAA
0
0
0
2
0
2
AAAA
AABS
AAEA
Subtotal:
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
3
0
0
0
0
1
1
1
3
PRO60
BHAA
0
0
0
0
2
2
AAAA
BHAA
Subtotal:
0
0
0
0
0
0
0
0
0
1
1
2
0
2
2
1
3
4
Provider Total:
0
0
0
7
4
11
Clinic Total:
0
0
0
7
11
18
Department Total:
0
0
0
7
11
18
Division Total:
5
15
20
17
15
32
Group Total:
5
15
20
17
15
32
Provider Total:
Provider: TAYLOR,JOHN
FU
PRO30
RET
FIGURE 4.4.9.14.
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 6 of 15)
6-127
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 7
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
Division: IRELAND ACH
Department: MEDICINE
================================================================================
Cat
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Code
Description
| # In # Out Total | # In # Out Total
================================================================================
INTERNAL MEDICINE (T)
--------------------A11
USA ACTIVE DUTY ENLISTED
5
8
13
4
2
6
A41
USA FAM MBR AD
0
2
2
4
2
6
Clinic Total:
5
10
15
8
4
12
FIGURE 4.4.9.14.
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 7 of 15)
6-128
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 8
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
Division: IRELAND ACH
Department: MEDICINE
================================================================================
Cat
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Code
Description
| # In # Out Total | # In # Out Total
================================================================================
KJS CLINIC
---------A11
USA ACTIVE DUTY OFFICER
0
3
3
0
0
0
A31
USA RET LOS OFFICER
0
1
1
0
0
0
A49
USA FAM MBR UNREMAR FRM SPOUSE 0
0
0
1
0
1
F11
USAF ACTIVE DUTY
0
1
1
1
0
1
Clinic Total:
0
5
5
2
0
2
Department Total:
5
15
FIGURE 4.4.9.14.
20
10
4
14
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 8 of 15)
6-129
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 9
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
Division: IRELAND ACH
Department: PRIMARY CARE & COMM MEDICINE
================================================================================
Cat
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Code
Description
| # In # Out Total | # In # Out Total
================================================================================
PROCEDURE CLINIC
---------------A11
USA ACTIVE DUTY ENLISTED
0
0
0
4
9
13
A41
USA FAM MBR AD
0
0
0
3
2
5
Clinic Total:
0
0
0
7
11
18
Department Total:
0
0
0
7
11
18
Division Total:
5
15
20
17
15
32
Group Total:
5
15
20
17
15
32
FIGURE 4.4.9.14.
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 9 of 15)
6-130
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 10
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
Division: IRELAND ACH
Department: MEDICINE
================================================================================
MEPRS
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Code
Description
| # In # Out Total | # In # Out Total
================================================================================
INTERNAL MEDICINE (T)
--------------------AAAA
INTERNAL MEDICINE
0
0
0
3
0
3
AABS
CARDIOLOGY - CRI/RESOURCE
0
0
0
2
0
2
AAEA
ENDOCRINOLOGY
0
0
0
2
0
2
BAAB
INTERNAL MEDICINE CLINIC
2
7
9
1
4
5
BAAC
INTERNAL MEDICINE CLINIC
2
3
5
0
0
0
BCCA
OBSTETRICS CLINIC
1
0
1
0
0
0
Clinic Total:
5
10
15
8
4
12
KJS CLINIC
---------ABA
GENERAL SURGERY
AEAA
ORTHOPEDICS
BAAB
INTERNAL MEDICINE CLINIC
BAAC
INTERNAL MEDICINE CLINIC
Clinic Total:
0
0
0
0
0
0
0
2
3
5
0
0
2
3
5
1
1
0
0
2
0
0
0
0
0
1
1
0
0
2
Department Total:
5
15
20
10
4
14
FIGURE 4.4.9.14.
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 10 of 15)
6-131
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 11
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
Division: IRELAND ACH
Department: PRIMARY CARE & COMM MEDICINE
================================================================================
MEPRS
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Code
Description
| # In # Out Total | # In # Out Total
================================================================================
PROCEDURE CLINIC
---------------AAAA
INTERNAL MEDICINE
0
0
0
2
0
2
AABS
CARDIOLOGY - CRI/RESOURCE
0
0
0
1
0
1
AAEA
ENDOCRINOLOGY
0
0
0
1
0
1
BHAA
PRIMARY CARE GENERAL MED
0
0
0
3
11
14
Clinic Total:
0
0
0
7
11
18
Department Total:
0
0
0
7
11
18
Division Total:
5
15
20
17
15
32
Group Total:
5
15
20
17
15
32
FIGURE 4.4.9.14.
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 11 of 15)
6-132
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 12
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
================================================================================
Department/
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Clinic
| # In # Out Total | # In # Out Total
================================================================================
***DIVISION SUMMARY***
IRELAND ACH
Department: MEDICINE
-------------------INTERNAL MEDICINE (T)
KJS CLINIC
Department Total:
5
0
5
10
5
15
15
5
20
8
2
10
4
0
4
12
2
14
Department: PRIMARY CARE & COMM MEDICINE
---------------------------------------PROCEDURE CLINIC
0
0
0
7
11
18
Group Total:
5
15
20
17
15
32
FIGURE 4.4.9.14.
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 12 of 15)
6-133
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 13
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
================================================================================
Cat
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Code
Description
| # In # Out Total | # In # Out Total
================================================================================
***DIVISION SUMMARY***
Division: IRELAND ACH
--------------------A11
USA ACTIVE DUTY ENLISTED
A31
USA RET LOS OFFICER
A41
USA FAM MBR AD
A49
USA FAM MBR UNREMAR FRM SPOUSE
F11
USAF ACTIVE DUTY
Division Total:
5
0
0
0
0
5
11
1
2
0
1
15
16
1
2
0
1
20
8
0
7
1
1
17
11
0
4
0
0
15
19
0
11
1
1
32
Group Total:
5
15
20
17
15
32
FIGURE 4.4.9.14.
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 13 of 15)
6-134
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 14
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
================================================================================
MEPRS
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
Code
Description
| # In # Out Total | # In # Out Total
================================================================================
***DIVISION SUMMARY***
Division: IRELAND ACH
--------------------AAAA
INTERNAL MEDICINE
AABS
CARDIOLOGY - CRI/RESOURCE
AAEA
ENDOCRINOLOGY
ABA
GENERAL SURGERY
AEAA
ORTHOPEDICS
BAAB
INTERNAL MEDICINE CLINIC
BAAC
INTERNAL MEDICINE CLINIC
BCCA
OBSTETRICS CLINIC
BHAA
PRIMARY CARE GENERAL MED
Division Total:
0
0
0
0
0
2
2
1
0
5
0
0
0
0
0
9
6
0
0
15
0
0
0
0
0
11
8
1
0
20
5
3
3
1
1
1
0
0
3
17
0
0
0
0
0
4
0
0
11
15
5
3
3
1
1
5
0
0
14
32
Group Total:
5
15
20
17
15
32
FIGURE 4.4.9.14.
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 14 of 15)
6-135
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Nov 1991@2153
Page 15
MONTHLY STATISTICAL REPORT by GROUP
From: Oct 1991
To: Oct 1991
================================================================================
|
COUNT WORKLOAD
| NON-COUNT WORKLOAD
TOTALS
| # In # Out Total | # In # Out Total
================================================================================
***DIVISION SUMMARY***
Division: IRELAND ACH
--------------------MEDICINE
PRIMARY CARE & COMM MEDICINE
Division Total:
5
0
5
15
0
15
20
0
20
10
7
17
4
11
15
14
18
32
Group Total:
5
15
20
17
15
32
FIGURE 4.4.9.14.
SAMPLE OUTPUT REPORT: MONTHLY STATISTICAL REPORT
(Sheet 15 of 15)
6-136
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
22 Mar 1992@1618 Page 1
NEXT AVAILABLE APPOINTMENT by All Facility
Division: IRELAND ACH
DEPT: MEDICINE
Clinic by Provider
=========================================================================================
Clinic
Provider
Appt Type
Date
=========================================================================================
DERMATOLOGY CLINIC
BLACK,MARGARET
SC
WARTS
29 Mar 1992
29 Mar 1992
ECHO
HOLT
23 Mar 1992
26 Mar 1992
F/UP
NEW
30 Mar 1992
28 Mar 1992
CELL
CHOL
DAPT
F/UP
NEW
26
02
30
23
28
Apr
Apr
Mar
Mar
Mar
1992
1992
1992
1992
1992
DAPT
ESTT
F/UP
FLEX
THAL
30
29
30
16
25
Mar
Mar
Mar
Apr
Apr
1992
1992
1992
1992
1992
BROADHURST,AVERY M
ROUT
SIG
04 Apr 1992
26 Mar 1992
JONES,MICHAEL K
DAPT
ESTT
F/UP
THAL
27
26
06
24
SOUTHERLAND,WILLIAM
ESTT
ROUT
23 Mar 1992
26 Mar 1992
ELECTROCARDIOGRAPH
ROBINSON,ROY
HEALTH MAINTENANCE CLINIC
DUGAN,JAMES B
NAPIER,GEORGE
INTERNAL MEDICINE
BILLINGS,JOSEPH C
FIGURE 4.4.9.15.
Mar
Mar
Apr
Apr
1992
1992
1992
1992
SAMPLE OUTPUT REPORT: NEXT AVAILABLE APPOINTMENT REPORT
(Sheet 1 of 2)
6-137
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
22 Mar 1992@1618 Page 15
NEXT AVAILABLE APPOINTMENT by All Facility
Division: IRELAND ACH
DEPT: MEDICINE
***DIVISION SUMMARY***
=========================================================================================
Clinic
Appt Type
Date
=========================================================================================
DERMATOLOGY CLINIC
SC
WARTS
29 Mar 1992
29 Mar 1992
ECHO
HOLT
23 Mar 1992
26 Mar 1992
CELL
CHOL
DAPT
F/UP
NEW
26
02
30
23
28
Apr
Apr
Mar
Mar
Mar
1992
1992
1992
1992
1992
DAPT
ESTT
F/UP
FLEX
ROUT
SIG
THAL
27
23
30
10
26
26
28
Mar
Mar
Mar
Apr
Mar
Mar
Mar
1992
1992
1992
1992
1992
1992
1992
ELECTROCARDIOGRAPH
HEALTH MAINTENANCE CLINIC
INTERNAL MEDICINE
FIGURE 4.4.9.15.
SAMPLE OUTPUT REPORT: NEXT AVAILABLE APPOINTMENT REPORT
(Sheet 2 of 2)
6-138
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Jul 1992@0108
Page 1
NO-SHOW STATISTICAL REPORT by GROUP
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
Department: MEDICINE
================================================================================
Clinic/
COUNT WORKLOAD
NON-COUNT WORKLOAD
Provider
#Visits #NoShow %NoShow
#Trans #NoShow %NoShow
================================================================================
ALLERGY CLINIC
-------------JONES,DONALD
47
6
11.3
19
5
20.8
SMITH,JOHN
36
4
10.0
25
5
16.6
Clinic Total:
83
10
10.7
44
10
18.5
DERMATOLOGY CLINIC
-----------------JONES,FRED
SMITH,JILL
Clinic Total:
Department Total:
47
36
83
3
4
7
6.0
10.0
7.7
19
25
44
2
3
5
9.5
10.7
10.2
166
17
9.2
88
15
14.5
NOTE: The #Visits = the number of count clinic visits (Kept Appts and
Unscheduled Visits). The #Trans = the number of non-count transactions (Kept
Appts, Unscheduled Visits, and Occasions of Service). The %NoShow = the number
of no-shows divided by the #Visits (or #Trans) plus the number of no-shows.
FIGURE 4.4.9.16.
SAMPLE OUTPUT REPORT: NO-SHOW STATISTICAL REPORT
(Sheet 1 of 5)
6-139
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Jul 1992@0108
Page 2
NO-SHOW STATISTICAL REPORT by GROUP
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER (continued)
Department: SURGICAL
================================================================================
Clinic/
COUNT WORKLOAD
NON-COUNT WORKLOAD
Provider
#Visits #NoShow %NoShow
#Trans #NoShow %NoShow
================================================================================
GENERAL SURGERY CLINIC
---------------------ALBERTSON,SAM
47
6
11.3
19
5
20.8
SAMSON,JOHN
36
4
10.0
25
5
16.6
Clinic Total:
83
10
10.7
44
10
18.5
UROLOGY CLINIC
-------------JONES,SAM
TANNER,DAN
Clinic Total:
47
36
83
3
4
7
6.0
10.0
7.7
19
25
44
2
3
5
9.5
10.7
10.2
Department Total:
166
17
9.2
88
15
14.5
Division Total:
332
34
9.2
176
30
14.5
NOTE: The #Visits = the number of count clinic visits (Kept Appts and
Unscheduled Visits). The #Trans = the number of non-count transactions (Kept
Appts, Unscheduled Visits, and Occasions of Service). The %NoShow = the number
of no-shows divided by the #Visits (or #Trans) plus the number of no-shows.
FIGURE 4.4.9.16.
SAMPLE OUTPUT REPORT: NO-SHOW STATISTICAL REPORT
(Sheet 2 of 5)
6-140
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Jul 1992@0108
Page 3
NO-SHOW STATISTICAL REPORT by GROUP
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
================================================================================
Department/
COUNT WORKLOAD
NON-COUNT WORKLOAD
Clinic
#Visits #NoShow %NoShow
#Trans #NoShow %NoShow
================================================================================
***Division Summary***
MEDICINE
-------ALLERGY CLINIC
DERMATOLOGY CLINIC
Department Total:
83
83
166
10
7
17
10.7
7.7
9.2
44
44
88
10
5
15
18.5
10.2
14.5
SURGERY
------GENERAL SURGERY CLINIC
UROLOGY CLINIC
Department Total:
83
83
166
10
7
17
10.7
7.7
9.2
44
44
88
10
5
15
18.5
10.2
14.5
Division Total:
332
34
9.2
176
30
14.5
NOTE: The #Visits = the number of count clinic visits (Kept Appts and
Unscheduled Visits). The #Trans = the number of non-count transactions (Kept
Appts, Unscheduled Visits, and Occasions of Service). The %NoShow = the number
of no-shows divided by the #Visits (or #Trans) plus the number of no-shows.
FIGURE 4.4.9.16.
SAMPLE OUTPUT REPORT: NO-SHOW STATISTICAL REPORT
(Sheet 3 of 5)
6-141
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Jul 1992@0108
Page 4
NO-SHOW STATISTICAL REPORT by GROUP
From: Jun 1992
To: Jun 1992
Division: TRIPLER AMC
================================================================================
Division/
COUNT WORKLOAD
NON-COUNT WORKLOAD
Department
#Visits #NoShow %NoShow
#Trans #NoShow %NoShow
================================================================================
***Group Summary***
TRIPLER ARMY MEDICAL CENTER
--------------------------MEDICINE
SURGERY
Division Total:
166
166
332
17
17
34
9.2
9.2
9.2
88
88
176
15
15
30
14.5
14.5
14.5
Group Total:
332
34
9.2
176
30
14.5
NOTE: The #Visits = the number of count clinic visits (Kept Appts and
Unscheduled Visits). The #Trans = the number of non-count transactions (Kept
Appts, Unscheduled Visits, and Occasions of Service). The %NoShow = the number
of no-shows divided by the #Visits (or #Trans) plus the number of no-shows.
FIGURE 4.4.9.16.
SAMPLE OUTPUT REPORT: NO-SHOW STATISTICAL REPORT
(Sheet 4 of 5)
6-142
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
14 Jul 1992@0108
Page 5
Personal Data - Privacy Act of 1974 (PL 93-579)
NO-SHOW STATISTICAL REPORT by GROUP
From: Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
================================================================================
COUNT WORKLOAD
NON-COUNT WORKLOAD
FMP/SSN
NAME
#Visits #NoShow
#Trans #NoShow
================================================================================
***Patient Summary***
02/002-56-5521
20/003-54-6815
30/003-54-6815
20/004-70-3756
20/006-52-8659
01/006-64-2483
20/007-74-8525
20/008-62-1836
30/016-54-9359
20/019-58-1490
30/020-48-0153
02/024-50-3206
20/026-58-3613
30/026-58-3613
20/030-64-0834
~
~
~
~
30/593-09-4034
20/601-16-9162
BARNABE,SARAH-ROSE A.
DELAVAN,HARRY EDWARD
DELAVAN,CATHIE S
LUJAN,GENEVIEVE S
SCHLOSSBACH,DONALD R
LUNA,AARON J JR
HOMAN,KEVAN
OLSON,WILLIAM F JR
STOREY,LISA D
DELPY,JOHN
GRAY,ANNETTE
MATKIN,ALISE M
JOHNSON,ROBERT D
JOHNSON,ELAINE R
TRAVIS,SCOTT
~
~
~
~
WENDELL,RANDY
YATES,JAMES B
2
3
6
2
1
3
11
4
5
2
4
5
14
8
5
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
3
1
2
0
1
4
5
4
0
1
5
0
6
3
2
0
1
1
0
0
2
0
2
0
0
4
0
1
1
2
1
1
1
1
2
0
1
0
Division Total:
154
34
90
30
Group Total:
154
34
90
30
No-Show Patient Count:
Total Number of Different Patients Seen:
Total Clinic Visits:
Total Transactions:
23
169
332
176
FIGURE 4.4.9.16.
SAMPLE OUTPUT REPORT: NO-SHOW STATISTICAL REPORT
(Sheet 5 of 5)
6-143
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
11
Patient Registration Count
Wednesday 06 Jun 1992
Page 1
================================================================================
Patient Category
Code Name
Count
================================================================================
000
A11
A11
A13
A31
A41
F11
K51
K53
K64
K65
K67
K68
K69
K72
K82
K84
K91
K92
K99
M11
N11
N41
N49
P49
USA DECEASED SPONSOR
USA ACTIVE DUTY ENLISTED
USA ACTIVE DUTY OFFICER
USA AD RECRUIT
USA RET LOS ENLISTED
USA FAM MBR AD
USAF ACTIVE DUTY
STATE DEPT EMPLOYEE - OUTSIDE US
HHS DEPT EMPLOYEE
OTHER FEDERAL AGENCY/DEPT
US CIV EMPL OF CONTRCTR - PHYS EXAM
AMERICAN INDIAN, ALEUT, ESKIMO
AMERICAN SAMOAN CITIZEN
FAM MBR US CIV RTN POW-FMR SVC MBR
NATO MILITARY
ARMY SECT DESIGNEE (FMR PAY)
AIR FORCE SECT DESIGNEE (FRR PAY)
CIVILIAN - HUMANITARIAN
EMERGENCY CARE
PATIENT NOT OTHERWISE CLASSIFIED
USMC ACTIVE DUTY
USN ACTIVE DUTY
USN FAM MBR AD
USN FAM MBR UNREMAR FRM SPOUSE
USPHS FAM MBR UNREMAR FRM SPOUSE
3
11
11
2
1
4
7
1
1
1
1
4
1
9
3
2
5
2
1
5
3
5
5
1
2
FACILITY Total
91
FIGURE 4.4.9.17.
SAMPLE OUTPUT REPORT:
6-144
PATIENT REGISTRATION REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
11
Personal Data - Privacy Act of 1974 (PL 93-579)
PRIMARY PROVIDER REPORT
10 Jul 1992
==================================================================================================================================
Primary Provider
FMP/SSN
Name
Age Sex Cat GR Home Phone
Work/Duty Phone
Duty Code
==================================================================================================================================
Clinic: BURN CLINIC
AXELROD,ELLIOT
20/222-44-4454
20/507-69-6969
Provider Total= 2
DEPARTMENT: INTERNAL MEDICINE
AABEL,JOHN
BREWER,STEVE
39
24
M
M
A11
K69
A03
H:302-653-5689
H:212-212-4155
DIVISION: TRIPLER ARMY MEDICAL
W:302-555-1212
W:818-919-2000
Clinic Total= 2
FIGURE 4.4.9.18.
SAMPLE OUTPUT REPORT:
6-145
PRIMARY PROVIDER REPORT
124TH TC BN
1200 PSI MI
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
10 Jul 1992@1604
Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
SCHEDULE DEFICIENCY MONITOR by ALL FACILITY
10 Jul 1992@1604
DIVISION: BARBERS POINT
Department: MEDICINE
================================================================================
Clinic/
Required
Days
Schedule
Provider
Days
Deficient
Status
================================================================================
ALLERGY
BENSON,JACK
30
0
Open thru 25 Sep 1992
NUTRITION
BARRON-BERMANT,JANE
30
30
**CREATE SCHEDULES**
WELL BABY CLINIC
BENSON,JACK
SEAY,ROBERT
MCDONALD,BECKY
45
45
45
45
45
12
**CREATE SCHEDULES**
**CREATE SCHEDULES
Open thru 25 Sep 1992
FIGURE 4.4.9.19.
SAMPLE OUTPUT REPORT: SCHEDULE DEFICIENCY MONITOR REPORT
(Sheet 1 of 6)
6-146
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
10 Jul 1992@1604
Page 2
Personal Data - Privacy Act of 1974 (PL 93-579)
SCHEDULE DEFICIENCY MONITOR by ALL FACILITY
10 Jul 1992@1604
DIVISION: HICKAM
Department: SURGERY
================================================================================
Clinic/
Required
Days
Schedule
Provider
Days
Deficient
Status
================================================================================
PLASTIC SURGERY
PETERSON,FRANK
PHILLIPS,JOE
PORTER,RANDY
POTTS,GERALD
PINCER,FRED
10
10
10
10
10
0
10
30
30
3
Open thru 13 Sep 1992
NO OPEN SCHEDULES
**CREATE SCHEDULES**
**CREATE SCHEDULES**
Open thru 30 Aug 1992
GENERAL SURGERY
SEAY,ROBERT
SALEHI,DARIUSH
BARRON-BERMANT,JANE
30
30
30
30
0
30
NO OPEN SCHEDULES
Open thru 10 Oct 1992
NO OPEN SCHEDULES
FIGURE 4.4.9.19.
SAMPLE OUTPUT REPORT: SCHEDULE DEFICIENCY MONITOR REPORT
(Sheet 2 of 6)
6-147
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
10 Jul 1992@1604
Page 3
Personal Data - Privacy Act of 1974 (PL 93-579)
SCHEDULE DEFICIENCY MONITOR by ALL FACILITY
10 Jul 1992@1604
DIVISION: HICKAM (continued)
Department: PRIMARY CARE & COMM MEDICINE
================================================================================
Clinic/
Required
Days
Schedule
Provider
Days
Deficient
Status
================================================================================
CARDIOLOGY CLINIC
BENSON,CONNIE
BENSON,JACK
SEAY,ROBERT
HERBERT,SAM
HAMMER,MARK
DUEBBERT,CAROL
SANTOS,MERVYN
MCDONALD,BECKY
BARRON-BERMANT,JANE
14
14
14
14
14
14
14
14
14
FIGURE 4.4.9.19.
30
14
0
14
14
30
14
0
14
**CREATE SCHEDULES**
NO OPEN SCHEDULES
Open thru 08 Nov 1992
NO OPEN SCHEDULES
NO OPEN SCHEDULES
**CREATE SCHEDULES**
NO OPEN SCHEDULES
Open thru 07 Sep 1992
NO OPEN SCHEDULES
SAMPLE OUTPUT REPORT: SCHEDULE DEFICIENCY MONITOR REPORT
(Sheet 3 of 6)
6-148
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
10 Jul 1992@1604
Page 4
Personal Data - Privacy Act of 1974 (PL 93-579)
SCHEDULE DEFICIENCY MONITOR by ALL FACILITY
10 Jul 1992@1604
DIVISION: SCHOFIELD BARRACKS
Department: MEDICINE
================================================================================
Clinic/
Required
Days
Schedule
Provider
Days
Deficient
Status
================================================================================
INTERNAL MEDICINE
ANDREWS,CAROL
BROWN,MARK
WHITEMAN,JOHN R
NEWSOME,ROBERT
MCDONALD,BECKY
5
5
5
5
5
30
5
30
30
5
**CREATE SCHEDULES**
NO OPEN SCHEDULES
**CREATE SCHEDULES**
**CREATE SCHEDULES**
NO OPEN SCHEDULES
NEUROLOGY CLINIC
WHITEMAN,JOHN R
BENSON,JACK
ROY,IMA
1
1
1
30
1
30
**CREATE SCHEDULES**
NO OPEN SCHEDULES
**CREATE SCHEDULES**
OPHTHALMOLOGY CLINIC
OLSON,SCOTT
OAKS,TERRY
42
42
30
30
**CREATE SCHEDULES**
**CREATE SCHEDULES**
PRIMARY CARE
BENSON,JACK
1
1
NO OPEN SCHEDULES
FIGURE 4.4.9.19.
SAMPLE OUTPUT REPORT: SCHEDULE DEFICIENCY MONITOR REPORT
(Sheet 4 of 6)
6-149
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
10 Jul 1992@1604
Page 5
Personal Data - Privacy Act of 1974 (PL 93-579)
SCHEDULE DEFICIENCY MONITOR by ALL FACILITY
10 Jul 1992@1604
DIVISION: TRIPLER ARMY MEDICAL CENTER
Department: NUTRITION CARE
================================================================================
Clinic/
Required
Days
Schedule
Provider
Days
Deficient
Status
================================================================================
NUTRITION CLINIC
BLEVINS,VICKIE
BLALOCK,THEODORE
BLOUNT,MATTHEW
BLAZON,MARK
HSU,DONNA
MILLER,JIM
WONG,DOREEN
30
30
30
30
30
30
30
FIGURE 4.4.9.19.
30
30
30
30
30
30
30
**CREATE SCHEDULES**
**CREATE SCHEDULES**
**CREATE SCHEDULES**
**CREATE SCHEDULES**
**CREATE SCHEDULES**
**CREATE SCHEDULES**
NO OPEN SCHEDULES
SAMPLE OUTPUT REPORT: SCHEDULE DEFICIENCY MONITOR REPORT
(Sheet 5 of 6)
6-150
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
10 Jul 1992@1604
Page 6
Personal Data - Privacy Act of 1974 (PL 93-579)
SCHEDULE DEFICIENCY MONITOR by ALL FACILITY
10 Jul 1992@1604
DIVISION: TRIPLER ARMY MEDICAL CENTER
(continued)
Department: RADIOLOGY
================================================================================
Clinic/
Required
Days
Schedule
Provider
Days
Deficient
Status
================================================================================
CANCER CLINIC
BENSON,JACK
MCDONALD,PAM
30
30
30
0
NO OPEN SCHEDULES
Open thru 09 Oct 1991
Mailman reminder notice sent to SDSMGR Mail Group!
FIGURE 4.4.9.19.
SAMPLE OUTPUT REPORT: SCHEDULE DEFICIENCY MONITOR REPORT
(Sheet 6 of 6)
6-151
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, NY
23 Aug 1989@1505 Page 1
Personal Data - Privacy Act 1974 (PL 93-579)
TRACKABLE ENTITY REPORT
Thru: 23 Aug 1989
Division: IRELAND
Dept: MEDICINE
-------------------------------------------------------------------------------DATE
ER LOG #
PATIENT NAME
FMP/SSN
HOME PHONE
WORK PHONE
-------------------------------------------------------------------------------TRACKABLE ENTITY: WHEELCHAIR BORROWED
CLINIC: WELL BABY CLINIC
19 Jun 1989@0800
ABLE,BOB
475-8675
FIGURE 4.4.9.20.
20/500-55-5555
SAMPLE OUTPUT REPORT:
(Sheet 1 of 5)
6-152
TRACKABLE ENTITY REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, NY
23 Aug 1989@1505 Page 2
Personal Data - Privacy Act 1974 (PL 93-579)
TRACKABLE ENTITY REPORT
Thru: 23 Aug 1989
Division: IRELAND
Dept: PRIMARY CARE & COMM MEDICINE
-------------------------------------------------------------------------------DATE
ER LOG #
PATIENT NAME
FMP/SSN
HOME PHONE
WORK PHONE
-------------------------------------------------------------------------------TRACKABLE ENTITY: WHEELCHAIR BORROWED
CLINIC: CARDIOLOGY CLINIC
22 Jul 1989@1105
890722-00002
TOLEDO,SUE
FIGURE 4.4.9.20.
39/381-55-9491
SAMPLE OUTPUT REPORT:
(Sheet 2 of 5)
6-153
TRACKABLE ENTITY REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, NY
23 Aug 1989@1505 Page 3
Personal Data - Privacy Act 1974 (PL 93-579)
TRACKABLE ENTITY REPORT
Thru: 23 Aug 1989
Division: IRELAND
Dept: PRIMARY CARE & COMM MEDICINE
-------------------------------------------------------------------------------DATE
ER LOG #
PATIENT NAME
FMP/SSN
HOME PHONE
WORK PHONE
-------------------------------------------------------------------------------TRACKABLE ENTITY: CANE BORROWED FROM ER
CLINIC: CARDIOLOGY CLINIC
27 Jun 1989@1704
890627-00002
SANTOS,MERVYN
619-277-7209
13 Jul 1989@1119
890713-00001
MAE,CAROLE
20/234-12-9876
619-535-7641
01/003-58-9999
22 Jul 1989@0900
890722-00004
ANDERSON,BETTY
20/003-25-9999
27 Jul 1989@0800
890727-00001
02/140-22-1805
03 Aug 1989@0838
890803-00003
SMITH,DALE
619-323-9054
ANDERSON,BETTY
FIGURE 4.4.9.20.
20/003-25-9999
SAMPLE OUTPUT REPORT:
(Sheet 3 of 5)
6-154
TRACKABLE ENTITY REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, NY
23 Aug 1989@1505 Page 4
Personal Data - Privacy Act 1974 (PL 93-579)
TRACKABLE ENTITY REPORT
Thru: 23 Aug 1989
Division: IRELAND
Dept: PRIMARY CARE & COMM MEDICINE
-------------------------------------------------------------------------------DATE
ER LOG #
PATIENT NAME
FMP/SSN
HOME PHONE
WORK PHONE
-------------------------------------------------------------------------------TRACKABLE ENTITY: CRUTCHES BORROWED FROM ER
CLINIC: CARDIOLOGY CLINIC
27 Jun 1989@1704
890627-00002
SANTOS,MERVYN
619-277-7209
03 Aug 1989@0838
890803-00003
ANDERSON,BETTY
20/234-12-9876
619-535-7641
20/003-25-9999
08 Aug 1989@0801
890808-00001
CARRERA,SUSANNA
04/381-55-9491
09 Aug 1989@1126
890809-00001
SANCHEZ,JULIO
20/098-98-9876
FIGURE 4.4.9.20.
SAMPLE OUTPUT REPORT:
(Sheet 4 of 5)
6-155
TRACKABLE ENTITY REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, NY
23 Aug 1989@1505 Page 5
Personal Data - Privacy Act 1974 (PL 93-579)
TRACKABLE ENTITY REPORT
Thru: 23 Aug 1989
Division: IRELAND
Dept: PRIMARY CARE & COMM MEDICINE
-------------------------------------------------------------------------------DATE
ER LOG #
PATIENT NAME
FMP/SSN
HOME PHONE
WORK PHONE
-------------------------------------------------------------------------------TRACKABLE ENTITY: WHEELCHAIR BORROWED
CLINIC: CARDIOLOGY CLINIC
27 Jun 1989@1704
890627-00002
SANTOS,MERVYN
619-277-7209
22 Jul 1989@0900
890722-00004
ANDERSON,BETTY
20/234-12-9876
619-535-7641
20/003-25-9999
03 Aug 1989@0838
20/003-25-9999
890803-00003
ANDERSON,BETTY
FIGURE 4.4.9.20.
SAMPLE OUTPUT REPORT:
(Sheet 5 of 5)
6-156
TRACKABLE ENTITY REPORT
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Aug 1990@1421 Page 1
Personal Data - Privacy Act 1974 (PL 93-579)
WAIT LIST MANAGEMENT REPORT BY ALL BY PRIORITY
From: FIRST Thru: LAST
Division: IRELAND
Department: MEDICINE
===================================================================================
Patient
FMP/SSN
Prio Type Date-In Target
Wait List#
Provider
Home Phone
Work Phone
===================================================================================
Clinic: ALLERGY (I)
Provider: *Provider Not Entered*
MCDONALD,ROBERT
TEST,BOB
LABERGE,CHUCK
LABERGE,CHUCK
NEWBERN,JOHN
20/502900909
H:218-281-5671
20/444556767
H:
10/003558047
H:
10/003558047
H:
20/492443008
6
6
6
6
6
NEW
18May90
W:218-773-2198
RET
21Jul90
W:
NEW
02Aug90
W:
NEW
03Aug90
W:
NEW
14Aug90
16Jun90
15.00000079
22Jul90
15.00001506
03Aug90
15.00002236
04Aug90
15.00002250
15Aug90
15.00002550
NEW
W:
NEW
W:
RET
W:
NEW
W:
NEW
W:
NEW
W:
NEW
W:
NEW
W:
NEW
W:
NEW
W:
24May90
12Sep90
15.00000249
16Aug90
17Aug90
15.00002624
21Jul90
22Jul90
15.00001508
02Aug90
03Aug90
15.00002233
02Aug90
03Aug90
15.00002238
03Aug90
04Aug90
15.00002240
03Aug90
04Aug90
15.00002241
03Aug90
04Aug90
15.00002244
03Aug90
04Aug90
15.00002245
03Aug90
04Aug90
15.00002246
Provider: BARRON-BERMANT,JANE
DE BLASIO,MICHAEL
KANE,JEROME WILLIAM
LONG,JOSHUA
SMITH,JUDY
SNOW,JAMES
THOMAS,JAMES
THOMPSON,RALPH
THOMPSON,RUBY
WALKER,TOM
WILLIAMS,GARY
0
2
4
6
8
=
=
=
=
=
20/800520130
H:
20/432234590
H:
01/444443334
H:
20/223440011
H:213-338-1700
20/543446678
H:
20/322516855
H:
20/226994457
H:
20/443556789
H:
20/255443278
H:
20/114332467
H:
BY DIRECTION OF COMMANDER
ACTIVE DUTY
MTF DEFINED
NON-ACTIVE DUTY
NON MILITARY
1
3
5
7
9
2
2
6
6
6
6
6
6
6
6
=
=
=
=
=
PROVIDERS ORDERS
MFT DEFINED
MTF DEFINED
MTF DEFINED
LONG LEAD TIME
FIGURE 4.4.9.21.
SAMPLE OUTPUT REPORT: WAIT LIST MANAGEMENT REPORT
(Sheet 1 of 5)
6-157
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Aug 1990@1421 Page 2
Personal Data - Privacy Act 1974 (PL 93-579)
WAIT LIST MANAGEMENT REPORT BY ALL BY PRIORITY
From: FIRST Thru: LAST
Division: IRELAND (continued)
Department: MEDICINE (continued)
===================================================================================
Patient
FMP/SSN
Prio Type Date-In Target
Wait List#
Provider
Home Phone
Work Phone
===================================================================================
Clinic: ALLERGY (I) (continued)
Provider: BARRON-BERMANT,JANE (continued)
ZUCKER,THADDEUS
20/223440878
H:
6
NEW
W:
03Aug90
20/433556777
H:
20/000001001
H:303-342-3432
20/502900909
H:218-281-5671
20/502900909
H:218-281-5671
11/000001001
H:
30/800010101
H:
2
NEW
21Jul90
W:
RET
17Aug90
W:303-555-6754
RET
18May90
W:218-773-2198
NEW
21Jul90
W:
NEW
17Aug90
W:
NEW
17Aug90
W:
04Aug90
15.00002249
22Jul90
15.00001505
18Aug90
15.00002680
27Jul90
15.00000078
22Jul90
15.00001511
18Aug90
15.00002678
18Aug90
15.00002679
Provider: HARMON,TRACEY
DAGLAND,CHESTER
HAGLUND,CHESTER
MCDONALD,ROBERT
MCDONALD,ROBERTA
HAGLUND,AMY
THOMAS,MARY
CLINIC TOTALS
=============
NEW
RET
Total:
0
2
4
6
8
=
=
=
=
=
2
5
6
6
6
20
4
25
BY DIRECTION OF COMMANDER
ACTIVE DUTY
MTF DEFINED
NON-ACTIVE DUTY
NON MILITARY
1
3
5
7
9
=
=
=
=
=
PROVIDERS ORDERS
MFT DEFINED
MTF DEFINED
MTF DEFINED
LONG LEAD TIME
FIGURE 4.4.9.21.
SAMPLE OUTPUT REPORT: WAIT LIST MANAGEMENT REPORT
(Sheet 2 of 5)
6-158
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Aug 1990@1421 Page 3
Personal Data - Privacy Act 1974 (PL 93-579)
WAIT LIST MANAGEMENT REPORT BY ALL BY PRIORITY
From: FIRST Thru: LAST
Division: IRELAND (continued)
Department: MEDICINE (continued)
===================================================================================
Patient
FMP/SSN
Prio Type Date-In Target
Wait List#
Provider
Home Phone
Work Phone
===================================================================================
Clinic: BURN CLINIC
Provider: *Provider Not Entered*
TEST,BOB
DE BLASIO,MICHAEL
DE BLASIO,MICHAEL
SANTOS,MERVYN
20/444556767
1
H:
20/800520130
2
H:
20/800520130
2
H:
20/800630922
6
H:(619) 277-7209
NEW
18Jul90 21Jul90
W:
NEW
12Jul90 22Jul90
W:
NEW
12Jul90 15Jul90
W:
NEW
20Jun90 21Jun90
W:(619) 535-7640
20/666885578
H:
NEW
W:
60.00001389
60.00000992
60.00001004
60.00000751
Provider: BENSON,CONNIE
BASSINGER,KIM
CLINIC TOTALS
=============
NEW
Total:
0
2
4
6
8
=
=
=
=
=
6
10Jul90
11Jul90
60.00000918
5
5
BY DIRECTION OF COMMANDER
ACTIVE DUTY
MTF DEFINED
NON-ACTIVE DUTY
NON MILITARY
1
3
5
7
9
=
=
=
=
=
PROVIDERS ORDERS
MFT DEFINED
MTF DEFINED
MTF DEFINED
LONG LEAD TIME
FIGURE 4.4.9.21.
SAMPLE OUTPUT REPORT: WAIT LIST MANAGEMENT REPORT
(Sheet 3 of 5)
6-159
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Aug 1990@1421 Page 4
Personal Data - Privacy Act 1974 (PL 93-579)
WAIT LIST MANAGEMENT REPORT BY ALL BY PRIORITY
From: FIRST Thru: LAST
Division: IRELAND (continued)
Department: MEDICINE (continued)
===================================================================================
Patient
FMP/SSN
Prio Type Date-In Target
Wait List#
Provider
Home Phone
Work Phone
===================================================================================
DEPARTMENT TOTALS
=================
NEW
26
RET
4
Total:
31
0
2
4
6
8
=
=
=
=
=
BY DIRECTION OF COMMANDER
ACTIVE DUTY
MTF DEFINED
NON-ACTIVE DUTY
NON MILITARY
1
3
5
7
9
=
=
=
=
=
PROVIDERS ORDERS
MFT DEFINED
MTF DEFINED
MTF DEFINED
LONG LEAD TIME
FIGURE 4.4.9.21.
SAMPLE OUTPUT REPORT: WAIT LIST MANAGEMENT REPORT
(Sheet 4 of 5)
6-160
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
20 Aug 1990@1421 Page 5
Personal Data - Privacy Act 1974 (PL 93-579)
WAIT LIST MANAGEMENT REPORT BY ALL BY PRIORITY
From: FIRST Thru: LAST
Division: IRELAND (continued)
===================================================================================
Patient
FMP/SSN
Prio Type Date-In Target
Wait List#
Provider
Home Phone
Work Phone
===================================================================================
DIVISION TOTALS
===============
NEW
26
RET
4
Total:
31
0
2
4
6
8
=
=
=
=
=
BY DIRECTION OF COMMANDER
ACTIVE DUTY
MTF DEFINED
NON-ACTIVE DUTY
NON MILITARY
1
3
5
7
9
=
=
=
=
=
PROVIDERS ORDERS
MFT DEFINED
MTF DEFINED
MTF DEFINED
LONG LEAD TIME
FIGURE 4.4.9.21.
SAMPLE OUTPUT REPORT: WAIT LIST MANAGEMENT REPORT
(Sheet 5 of 5)
6-161
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, KY
05 May 1990@1345 Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
PROBLEM AVOIDANCE REPORT
From 01 May 1990 To 12 May 1990
**** APPOINTMENT ORDERS NOT PROCESSED ****
DIVISION: IRELAND
DEPARTMENT: MEDICINE
==================================================================================================================================
Date
Appt
Appt
Order
Clinic/Provider
Entered/Order #
Date
Type
FMP/SSN
Patient
Ward/Outpatient
Type
==================================================================================================================================
ALLERGY CLINIC
SEAY,ROBERT
03May90-00073
05May90
NEW
20/004-40-6345 FISHER,LARRY
WARD: 4A
CLN
03May90-00076
05May90
RET
20/004-44-4725 SMITH,SAM
WARD: 3B
CLN
04May90-00048
07May90
RET
20/434-22-3214 BROWN,JIM
WARD: 3B
CLN
THOMAS,EDWARD
03May90-00135
06May90
FU
30/003-45-9217 BARRON,DAPHNE
OUTPATIENT
CLN
CARDIOLOGY CLINIC
LEBOW,LESTER
DIVISION TOTALS
===============
03 May 1990
04 May 1990
03May90-00034
08May90
RET
20/444-21-7610
ALLERGY CLINIC
CARDIOLOGY CLINIC
Total:
3
1
4
Request(s) not processed
ALLERGY CLINIC
Total:
1
1
Request(s) not processed
DIVISION TOTAL FOR SPECIFIED DATE RANGE:
FIGURE 4.4.9.22.
SAMPLE OUTPUT REPORT:
HEPBURN,FRANK
WARD:
5A
5
PROBLEM AVOIDANCE REPORT (APPOINTMENT ORDERS NOT PROCESSED)
(Sheet 1 of 10)
6-162
ANC
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, KY
05 May 1990@1345 Page 2
Personal Data - Privacy Act of 1974 (PL 93-579)
PROBLEM AVOIDANCE REPORT
From 05 May 1990 To 19 May 1990
**** CANCELLED APPOINTMENT SLOTS ****
DIVISION: IRELAND
DEPARTMENT: MEDICINE
==================================================================================================================================
Clinic/Provider
Appt Date
Time
Type
Patient
FMP/SSN
Reason For Cancellation
==================================================================================================================================
ALLERGY CLINIC
SEAY,BOB
SANTOS,MERVYN
WELL BABY CLINIC
BARRON,BROOKE
ALLERGY CLINIC
SEAY,BOB
BRACE SHOP
JONES,SAM
DIVISION TOTALS
===============
07 May 1990
08 May 1990
07May90
07May90
07May90
1300
1330
1400
RET
RET
NEW
FISHER,LAURA
LEE,SARA
BENSON,FRED
30/444-67-8967
01/234-56-9876
20/123-45-6789
PROV CANCELLED
PROV CANCELLED
PROV CANCELLED
07May90
0800
NEW
BARRON,JON
03/004-44-4725
MEETING
07May90
07May90
07May90
1100
1300
1430
NEW
RET
RET
BISSONNET,DON
SHEMS,SANDY
ALLEN,JULIE
20/323-33-2321
02/001-21-1992
01/344-69-5108
TDY
TDY
TDY
08May90
08May90
1300
1330
RET
RET
FINE,DAVE
SANDOVER,GREG
20/343-43-4343
20/424-01-7830
MEETING
MEETING
08May90
0900
RET
PARKER,CHARLES
20/198-20-3498
PROVIDER CANCELLED
ALLERGY CLINIC
WELL BABY CLINIC
Subtotal:
4
3
7
ALLERGY CLINIC
BRACE SHOP
Subtotal:
2
1
3
DIVISION TOTAL FOR SPECIFIED DATE RANGE:
FIGURE 4.4.9.22.
SAMPLE OUTPUT REPORT:
10
PROBLEM AVOIDANCE REPORT (CANCELLED APPOINTMENT SLOTS)
(Sheet 2 of 10)
6-163
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, KY
05 May 1990@1345 Page 3
Personal Data - Privacy Act of 1974 (PL 93-579)
PROBLEM AVOIDANCE REPORT
05 May 1990
**** FROZEN SLOTS ****
DIVISION: IRELAND
DEPARTMENT: MEDICINE
==================================================================================================================================
Clinic/Provider
Appt Date
Time
Appt Type
Reason For Freeze
Release Type
==================================================================================================================================
'*' next to the appointment type indicates this frozen slot is booked.
ALLERGY CLINIC
SEAY,BOB
(Schedule Hold Duration: 4 Days)
06May90
06May90
06May90
11May90
11May90
1300
1400
1430
1000
1100
*NEW
RET
*RET
*RET
*NEW
TDY
TDY
TDY
MEETING
MEETING
AUTO
MANUAL
AUTO
MANUAL
MANUAL
SANTOS,MERVYN
08May90
08May90
08May90
08May90
1300
1330
1400
1430
RET
RET
RET
RET
MEETING
MEETING
MEETING
MEETING
MANUAL
MANUAL
MANUAL
MANUAL
MCDONALD,BECKY
11May90
12May90
1300
1300
NEW
NEW
MEETING
MEETING
MANUAL
MANUAL
0900
1000
1030
1100
NEW
RET
RET
RET
MEETING
TDY
TDY
TDY
MANUAL
MANUAL
MANUAL
MANUAL
CARDIOLOGY CLINIC
(Schedule Hold Duration: 5 Days)
BARRON-BERMANDT,JANE
11May90
12May90
12May90
12May90
PEDIATRICS CLINIC
CARARRA,SUSAN
WELL BABY CLINIC
BARRON,BROOKE
(Schedule Hold Duration: 5 Days)
08May90
11May90
(Schedule Hold Duration: 4 Days)
08May90
0900
1300
*MULTI
RET
COMPUTER CLASSES
MEETING
MANUAL
MANUAL
1100
*MULTI
LEAVE
MANUAL
NOTE: Schedule Hold Duration = the maximum number of days a schedule or slots may remain frozen before being released for
appointment booking.
FIGURE 4.4.9.22.
SAMPLE OUTPUT REPORT: PROBLEM AVOIDANCE REPORT (FROZEN SLOTS)
(Sheet 3 of 10)
6-164
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, KY
05 May 1990@1345 Page 4
Personal Data - Privacy Act of 1974 (PL 93-579)
PROBLEM AVOIDANCE REPORT
05 May 1990
**** FROZEN SLOTS ****
DIVISION: IRELAND
DEPARTMENT: MEDICINE
==================================================================================================================================
Clinic/Provider
Appt Date
Time
Appt Type
Reason For Freeze
Release Type
==================================================================================================================================
DIVISION TOTALS
===============
06 May 1990
ALLERGY CLINIC
Subtotal:
4
4
08 May 1990
ALLERGY CLINIC
PEDIATRICS CLINIC
WELL BABY CLINIC
Subtotal:
4
1
1
6
11 May 1990
ALLERGY CLINIC
CARDIOLOGY CLINIC
PEDIATRICS CLINIC
Subtotal:
3
1
1
5
12 May 1990
ALLERGY CLINIC
CARDIOLOGY CLINIC
Subtotal:
1
3
4
DIVISION TOTAL FOR SPECIFIED DATE RANGE:
FIGURE 4.4.9.22.
19
SAMPLE OUTPUT REPORT: PROBLEM AVOIDANCE REPORT (FROZEN SLOTS)
(Sheet 4 of 10)
6-165
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, KY
05 May 1990@1345 Page 5
Personal Data - Privacy Act of 1974 (PL 93-579)
PROBLEM AVOIDANCE REPORT
05 May 1990
**** WAIT LIST STATUS ****
DIVISION: IRELAND
DEPARTMENT: MEDICINE
=================================================================================================================================
Clinic/
# Patients On
# Wait List
# Of Patients On Wait List With Wait List Priority Of
Provider
Wait List
Slots Held
0
1
2
3
4
5
6
7
8
9
=================================================================================================================================
ALLERGY CLINIC
SEAY,BOB
SANTOS,MERVYN
MCDONALD,SAM
Subtotal:
36
13
45
94
14
7
10
31
20
10
33
63
WELL BABY CLINIC
BARRON,BROOKE
BERMANT,JUNE
ZIMMERMAN,ROBERT
Subtotal:
86
43
24
153
35
20
10
40
78
43
24
145
DIVISION TOTALS
================
ALLERGY CLINIC
WELL BABY CLINIC
Total:
94
153
247
206
137
343
63
145
208
0 = BY DIRECTION OF COMANDER
4 = MTF DEFINED
8 = MTF DEFINED
1 = PROVIDERS ORDERS
5 = MTF DEFINED
9 = LONG LEAD TIME
FIGURE 4.4.9.22.
2 = ACTIVE DUTY
6 = NON-ACTIVE DUTY
16
3
10
29
2
2
6
33
2
6
33
2
12
12
29
33
62
2
2
4
3 = MTF DEFINED
7 = MTF DEFINED
SAMPLE OUTPUT REPORT: PROBLEM AVOIDANCE REPORT (WAIT LIST STATUS)
(Sheet 5 of 10)
6-166
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, KY
05 May 1990@1345 Page 6
Personal Data - Privacy Act of 1974 (PL 93-579)
PROBLEM AVOIDANCE REPORT
01 May 1990
**** SCHEDULE DEFICIENCIES ****
DIVISION: IRELAND
DEPARTMENT: MEDICINE
==================================================================================================================================
Clinic
Provider
# of Days Deficient
==================================================================================================================================
ALLERGY CLINIC
CARDIOLOGY
(Available Schedule: 14 Days)
MCDONALD,BECKY
SANTOS,MERVYN
SEAY,BOB
SMITH,FRED
CLINIC
WELL BABY CLINIC
(Available Schedule: 15 Days)
JONES,RON
KANE,SHEILA
SMITH,DALE
SMITH,SAM
11
30
4
30
(Available Schedule: 15 Days)
BARRON,BROOKE
CLAPTON,ERIN
DIVISION TOTALS
===============
ALLERGY CLINIC
CARDIOLOGY CLINIC
WELL BABY CLINIC
DIVISION TOTAL:
NOTE:
8
10
3
30
1
23
4
4
2
10
Provider(s) Deficient
Available Schedule = the minimum number of days schedules are required to be available for Booking Appointments.
FIGURE 4.4.9.22.
SAMPLE OUTPUT REPORT: PROBLEM AVOIDANCE REPORT (SCHEDULE DEFICIENCIES)
(Sheet 6 of 10)
6-167
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, KY
05 May 1990@1345 Page 7
Personal Data - Privacy Act of 1974 (PL 93-579)
PROBLEM AVOIDANCE REPORT
From 05 Apr 1990 To 05 May 1990
**** OPEN SCHEDULES ****
DIVISION: IRELAND
DEPARTMENT: MEDICINE
==================================================================================================================================
Clinic
Provider
Schedule Date
# of Schedule Slots Not Open
==================================================================================================================================
ALLERGY CLINIC
MCDONALD,BECKY
SANTOS,MERVYN
SEAY,BOB
SMITH,FRED
05Apr90
06Apr90
07Apr90
01May90
29Apr90
07Apr90
16
20
16
8
16
16
JONES,RON
KANE,SHEILA
SMITH,DALE
SMITH,SAM
05Apr90
03May90
07Apr90
23Apr90
40
10
16
20
CARDIOLOGY CLINIC
DIVISION TOTALS
===============
05 Apr 1990
ALLERGY CLINIC
CARDIOLOGY CLINIC
Subtotal:
16
40
56
06 Apr 1990
ALLERGY CLINIC
Subtotal:
20
20
07 Apr 1990
ALLERGY CLINIC
CARDIOLOGY CLINIC
Subtotal:
32
16
48
23 Apr 1990
CARDIOLOGY CLINIC
Subtotal:
20
20
29 Apr 1990
ALLERGY CLINIC
Subtotal:
16
16
01 May 1990
ALLERGY CLINIC
Subtotal:
8
8
03 May 1990
CARDIOLOGY CLINIC
Subtotal:
10
10
DIVISION TOTAL FOR SPECIFIED DATE RANGE:
FIGURE 4.4.9.22.
178
SAMPLE OUTPUT REPORT: PROBLEM AVOIDANCE REPORT (OPEN SCHEDULES)
(Sheet 7 of 10)
6-168
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, KY
05 May 1990@1345 Page 8
Personal Data - Privacy Act of 1974 (PL 93-579)
PROBLEM AVOIDANCE REPORT
From 05 Apr 1990 To 05 May 1990
**** Pending Appointments and Missing Providers Status ****
DIVISION: IRELAND
DEPARTMENT: MEDICINE
==================================================================================================================================
Clinic/Provider
Appointment Date
# of Pending Appointments
# of Missing Providers
==================================================================================================================================
ALLERGY CLINIC
*PROVIDER NOT ENTERED*
22Apr90
2
SEAY,BOB
08Apr90
22Apr90
03May90
4
3
6
SANTOS,MERVYN
06Apr90
03May90
04May90
2
6
4
06Apr90
15Apr90
03May90
4
1
1
22Apr90
27Apr90
03May90
7
6
2
15Apr90
1
03May90
5
CARDIOLOGY CLINIC
BARRON-BERMANT,JANE
PEDIATRICS CLINIC
CARARRA,SUSAN
WELL BABY CLINIC
*PROVIDER NOT ENTERED*
BARRON,BROOKE
DIVISION TOTALS
===============
06 Apr 1990
ALLERGY CLINIC
CARDIOLOGY CLINIC
Subtotal:
2
4
6
08 Apr 1990
ALLERGY CLINIC
Subtotal:
4
4
15 Apr 1990
CARDIOLOGY CLINIC
WELL BABY CLINIC
Subtotal:
1
1
2
FIGURE 4.4.9.22.
2
1
1
SAMPLE OUTPUT REPORT: PROBLEM AVOIDANCE REPORT (PENDING APPOINTMENT STATUS)
(Sheet 8 of 10)
6-169
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, KY
05 May 1990@1345 Page 9
Personal Data - Privacy Act of 1974 (PL 93-579)
PROBLEM AVOIDANCE REPORT
From 05 Apr 1990 To 05 May 1990
**** Pending Appointments and Missing Providers Status ****
DIVISION: IRELAND
DEPARTMENT: MEDICINE
==================================================================================================================================
Clinic/Provider
Appointment Date
# of Pending Appointments
# of Missing Providers
==================================================================================================================================
DIVISION TOTALS
===============
22 Apr 1990
ALLERGY CLINIC
PEDIATRICS CLINIC
Subtotal:
5
7
12
27 Apr 1990
PEDIATRICS CLINIC
Subtotal:
6
6
03 May 1990
ALLERGY CLINIC
CARDIOLOGY CLINIC
PEDIATRICS CLINIC
WELL BABY CLINIC
Subtotal:
12
1
2
5
20
04 May 1990
ALLERGY CLINIC
Subtotal:
4
4
DIVISION TOTAL FOR SPECIFIED DATE RANGE:
FIGURE 4.4.9.22.
SAMPLE OUTPUT REPORT:
54
PROBLEM AVOIDANCE REPORT (PENDING APPOINTMENT STATUS)
(Sheet 9 of 10)
6-170
2
3
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
IRELAND ACH, KY
05 May 1990@1345 Page 10
Personal Data - Privacy Act of 1974 (PL 93-579)
PROBLEM AVOIDANCE REPORT
05 May 1990
**** WAIT LIST MAILER NO-SHOWS****
DIVISION: IRELAND
DEPARTMENT: MEDICINE
==================================================================================================================================
Clinic/Provider
Appt Date
Time
Type
Patient
FMP/SSN
Wait List Comment
==================================================================================================================================
DERMATOLOGY
BARRON-BERMANT,JANE
05May90
0800
RET
SAMPLEY,MARY
20/234-12-2345
TDY
05May90
0830
RET
ALBERT,JILL
20/554-89-9870
REFERRAL
05May90
1000
RET
TANDY,LANCE
20/347-13-3478
CHRONIC NO-SHOW
ALLERGY
LARSON,ROBERT
BURN CLINIC
GUAJADARO,ROBERT
DIVISION TOTALS
===============
05 May 1990
05May90
05May90
0900
1030
RET
RET
RAMSEY,BURT
MCDONALD,DEBBIE
03/789-93-1241
01/765-10-2352
LEAVING FOR GERMANY
05May90
0730
FU
HARDWAY,PHILLIP
20/455-74-6202
TDY
DERMATOLOGY
Subtotal:
3
3
05 May 1990
ALLERGY
Subtotal:
2
2
05 May 1990
BURN CLINIC
Subtotal:
1
1
DIVISON TOTAL FOR SPECIFIED DATE RANGE:
FIGURE 4.4.9.22.
6
SAMPLE OUTPUT REPORT: PROBLEM AVOIDANCE REPORT (WAIT LIST MAILER NO-SHOWS)
(Sheet 10 of 10)
6-171
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
20 Jul 1992@0200
Page 1
PATIENT CANCELLATION STATISTICAL REPORT by GROUP
From Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
Department: MEDICINE
==================================================================================================================================
Clinic/
# Patient Cancellations
Total
Total
%
|
COUNT WORKLOAD
|
NON-COUNT WORKLOAD
Provider
1
2
#Appt
Canc
Canc
| #Visits
#Canc
%Canc | #Trans
#Canc
%Canc
==================================================================================================================================
ALLERGY
------JONES,DONALD
10
5
66
15
18.5
47
6
11.3
19
9
32.1
SMITH,JOHN
5
4
61
9
12.8
36
7
16.2
25
2
7.4
Clinic Total:
15
9
127
24
15.8
83
13
13.5
44
11
20.0
DERMATOLOGY CLINIC
-----------------JONES,FRED
SMITH,JILL
Clinic Total:
10
5
15
5
4
9
66
61
127
15
9
24
18.5
12.8
15.8
47
36
83
6
7
13
11.3
16.2
13.5
19
25
44
9
2
11
32.1
7.4
20.0
Department Total:
30
18
254
48
15.8
166
26
13.5
88
22
20.0
NOTE: The Total #Appt = the number of count clinic visits (Kept Appts and Unscheduled Visits) plus the number of non-count
transactions (Kept Appts, Unscheduled Visits, and Occasions of Service). The %Canc = the number of cancellations divided by
the #Visits (or #Trans) plus the number of cancellations.
Cancellation Types
==================================================================================================================================
1
PATIENT CANCELLED
2
PATIENT CANCELLED & RESCHEDULED
FIGURE 4.4.9.24.
SAMPLE OUTPUT REPORT: PATIENT CANCELLATION STATISTICAL REPORT
(Sheet 1 of 4)
6-172
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
20 Jul 1992@0200
Page 2
PATIENT CANCELLATION STATISTICAL REPORT by GROUP
From Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER (continued)
Department: SURGERY
==================================================================================================================================
Clinic/
# Patient Cancellations
Total
Total
%
|
COUNT WORKLOAD
|
NON-COUNT WORKLOAD
Provider
1
2
#Appt
Canc
Canc
| #Visits
#Canc
%Canc | #Trans
#Canc
%Canc
==================================================================================================================================
GENERAL SURGERY CLINIC
---------------------ALBERTSON,SAM
10
5
66
15
18.5
47
6
11.3
19
9
32.1
SAMSON,DAN
5
4
61
9
12.8
36
7
16.2
25
2
7.4
Clinic Total:
15
9
127
24
15.8
83
13
13.5
44
11
20.0
UROLOGY CLINIC
-------------JONES,SAM
SMITH,DAN
Clinic Total:
10
5
15
5
4
9
66
61
127
15
9
24
18.5
12.8
15.8
47
36
83
6
7
13
11.3
16.2
13.5
19
25
44
9
2
11
32.1
7.4
20.0
Department Total:
30
18
254
48
15.8
166
26
13.5
88
22
20.0
Division Total:
60
36
508
96
15.8
332
52
13.5
176
44
20.0
Group Total:
60
36
508
96
15.8
332
52
13.5
176
44
20.0
NOTE: The Total #Appt = the number of count clinic visits (Kept Appts and Unscheduled Visits) plus the number of non-count
transactions (Kept Appts, Unscheduled Visits, and Occasions of Service). The %Canc = the number of cancellations divided by
the #Visits (or #Trans) plus the number of cancellations.
Cancellation Types
==================================================================================================================================
1
PATIENT CANCELLED
2
PATIENT CANCELLED & RESCHEDULED
FIGURE 4.4.9.24.
SAMPLE OUTPUT REPORT: PATIENT CANCELLATION STATISTICAL REPORT
(Sheet 2 of 4)
6-173
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
20 Jul 1992@0200
Page 3
PATIENT CANCELLATION STATISTICAL REPORT by GROUP
From Jun 1992
To: Jun 1992
Division: TRIPLER ARMY MEDICAL CENTER
==================================================================================================================================
Department/
# Patient Cancellations
Total
Total
%
|
COUNT WORKLOAD
|
NON-COUNT WORKLOAD
Clinic
1
2
#Appt
Canc
Canc
| #Visits
#Canc
%Canc | #Trans
#Canc
%Canc
==================================================================================================================================
***Division Summary***
MEDICINE
-------Allergy
Dermatology
Department Total:
15
15
30
9
9
18
127
127
254
24
24
48
15.8
15.8
15.8
83
83
166
13
13
26
13.5
13.5
13.5
44
44
88
11
11
22
20.0
20.0
20.0
SURGERY
------General Survery
Urology
Department Total:
15
15
30
9
9
18
127
127
254
24
24
48
15.8
15.8
15.8
83
83
166
13
13
26
13.5
13.5
13.5
44
44
88
11
11
22
20.0
20.0
20.0
Division Total:
60
36
508
96
15.8
332
52
13.5
176
44
20.0
Group Total:
60
36
508
96
15.8
332
52
13.5
176
44
20.0
NOTE: The Total #Appt = the number of count clinic visits (Kept Appts and Unscheduled Visits) plus the number of non-count
transactions (Kept Appts, Unscheduled Visits, and Occasions of Service). The %Canc = the number of cancellations divided by
the #Visits (or #Trans) plus the number of cancellations.
Cancellation Types
==================================================================================================================================
1
PATIENT CANCELLED
2
PATIENT CANCELLED & RESCHEDULED
FIGURE 4.4.9.24.
SAMPLE OUTPUT REPORT: PATIENT CANCELLATION STATISTICAL REPORT
(Sheet 3 of 4)
6-174
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
20 Jul 1992@0200
Page 4
PATIENT CANCELLATION STATISTICAL REPORT by GROUP
From Jun 1992
To: Jun 1992
Division: TRIPLER AMC
==================================================================================================================================
Division
# Patient Cancellations
Total
Total
%
|
COUNT WORKLOAD
|
NON-COUNT WORKLOAD
Department
1
2
#Appt
Canc
Canc
| #Visits
#Canc
%Canc | #Trans
#Canc
%Canc
==================================================================================================================================
***Group Summary***
Division: TRIPLER ARMY MEDICAL CENTER
-------------------------------------MEDICINE
30
SURGERY
30
Division Total:
60
18
18
36
254
254
508
48
48
96
15.8
15.8
15.8
166
166
332
26
26
52
13.5
13.5
13.5
88
88
176
22
22
44
20.0
20.0
20.0
Division: SCHOFIELD
------------------MEDICINE
SURGERY
Division Total:
30
30
60
18
18
36
254
254
508
48
48
96
15.8
15.8
15.8
166
166
332
26
26
52
13.5
13.5
13.5
88
88
176
22
22
44
20.0
20.0
20.0
120
72
1016
192
15.8
664
104
13.5
352
88
20.0
Group Total:
NOTE: The Total #Appt = the number of count clinic visits (Kept Appts and Unscheduled Visits) plus the number of non-count
transactions (Kept Appts, Unscheduled Visits, and Occasions of Service). The %Canc = the number of cancellations divided by
the #Visits (or #Trans) plus the number of cancellations.
Cancellation Types
==================================================================================================================================
1
PATIENT CANCELLED
2
PATIENT CANCELLED & RESCHEDULED
FIGURE 4.4.9.24.
SAMPLE OUTPUT REPORT: PATIENT CANCELLATION STATISTICAL REPORT
(Sheet 4 of 4)
6-175
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER AMC, HI
03 Jul 1992@1019
Page 1
INITIAL & FOLLOW-UP CLINIC VISIT REPORT by GROUP
From: Jun 1992
To: Jun 1992
Division: SCHOFIELD BARRACKS
================================================================================
Department/
Inpatient
|
Outpatient
| Total Clinic Visits
Clinic
Init
F/U Total| Init
F/U Total| Init
F/U
Total
================================================================================
***Division Summary***
MEDICINE DEPARTMENT
------------------ALLERGY
CARDIOLOGY
DERMATOLOGY
Department Total:
20
7
12
39
1
9
2
12
21
16
14
51
26
1
23
50
1
3
5
9
27
4
28
59
46
8
35
89
2
12
7
21
48
20
42
110
PRIMARY CARE & COMM MEDICINE
---------------------------CARDIOLOGY
0
FAMILY PRACTICE (A
0
Department Total:
0
0
0
0
0
0
0
2
2
4
2
0
2
4
2
6
2
2
4
2
0
2
4
2
6
SURGERY
------OBSTETRICS CLINIC
Department Total:
12
12
2
2
14
14
32
32
8
8
40
40
44
44
10
10
54
54
Division Total:
51
14
65
86
19
105
137
33
170
Group Total:
51
14
65
86
19
105
137
33
170
FIGURE 4.4.9.25.
SAMPLE OUTPUT REPORT: INITIAL AND FOLLOW-UP CLINIC VISIT REPORT
(Sheet 1 of 2)
6-176
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER AMC, HI
03 Jul 1992@1019
Page 2
INITIAL & FOLLOW-UP CLINIC VISIT REPORT by GROUP
From: Jun 1992
To: Jun 1992
Division: SCHOFIELD BARRACKS
================================================================================
Division /
Inpatient
|
Outpatient
| Total Clinic Visits
Department
Init
F/U Total| Init
F/U Total| Init
F/U
Total
================================================================================
***Group Summary***
Division: SCHOFIELD BARRACKS
---------------------------MEDICINE DEPARTMEN
39
PRIMARY CARE & COM
0
SURGERY
12
Division Total:
51
12
0
2
14
51
0
14
65
50
4
32
86
9
2
8
19
59
6
40
105
89
4
44
137
21
2
10
33
110
6
54
170
Group Total:
14
65
86
19
105
137
33
170
51
FIGURE 4.4.9.25.
SAMPLE OUTPUT REPORT: INITIAL AND FOLLOW-UP CLINIC VISIT REPORT
(Sheet 2 of 2)
6-177
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
GENERAL HOSPITAL
12 Aug 1993@1006
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
UNANSWERED TELEPHONE CONSULTS REPORT by CLINIC
From: 28 Jun 1993
To: 22 Aug 1993
Division: AIR FORCE MTF DIVISION
Department: MEDICINE DEPT
================================================================================
Patient
FMP/SSN
Date/Time
Status
================================================================================
Clinic: FAMILY PRACTICE (ATC)
----------------------------Provider: CRAWFORD,WILLIAM
JONES,JEROME
20/800-67-0405
10 Aug 1993@1407 NEW/NO NOTIFY
LINDSAY,JAMES
20/551-23-1234
10 Aug 1993@1410 NEW
PATTON,JUDY
01/800-34-0408
10 Aug 1993@1423 NEW
Provider Total: 3
Provider: DALTON,JAMES
NABB,ERIC
VATINELLE,CAROL
ZUMWALT,ZACHERY
Provider Total: 3
20/444-65-3014
20/264-44-4109
20/801-65-1212
10 Aug 1993@1512
10 Aug 1993@1437
10 Aug 1993@1536
READ
READ
UPDATED
Provider: HOLBERT,SUSAN
BARRON,EARL
CRAWFORD,KAREN
THOMPSON,JOHN
Provider Total: 3
20/004-44-4720
20/442-27-7242
20/264-44-4109
05 Aug 1993@1447
10 Aug 1993@0835
10 Aug 1993@1356
NEW
NEW
SAVED
Clinic Total:
9
FIGURE 4.4.9.26.
SAMPLE OUTPUT REPORT: UNANSWERED TELEPHONE CONSULTS REPORT
(Sheet 1 of 3)
6-178
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
GENERAL HOSPITAL
12 Aug 1993@1006
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
UNANSWERED TELEPHONE CONSULTS REPORT by PROVIDER
From: 28 Jun 1993
To: 22 Aug 1993
================================================================================
Patient
FMP/SSN
Date/Time
Status
================================================================================
Provider: CRAWFORD,BUD
---------------------Clinic: FAMILY PRACTICE (ATC)
BACKER,DAVID
20/446-08-6654
10 Aug 1993@1407 NEW/NO NOTIFY
CRAWFORD,JACQUI
01/551-23-1234
10 Aug 1993@1410 NEW
THOMAS,JAMES
01/800-34-0408
10 Aug 1993@1423 NEW
Clinic Total: 3
Provider Total:
3
FIGURE 4.4.9.26.
SAMPLE OUTPUT REPORT: UNANSWERED TELEPHONE CONSULTS REPORT
(Sheet 2 of 3)
6-179
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
GENERAL HOSPITAL
12 Aug 1993@1006
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
UNANSWERED TELEPHONE CONSULTS REPORT by PATIENT
From: 28 Jun 1993
To: 22 Aug 1993
================================================================================
Clinic
Provider
Date/Time
Status
================================================================================
Patient: NABB,ERIC
-----------------FAMILY PRACTICE (ATC)
CRAWFORD,JACQUI
10 Aug 1993@1512 READ
FIGURE 4.4.9.26.
SAMPLE OUTPUT REPORT: UNANSWERED TELEPHONE CONSULTS REPORT
(Sheet 3 of 3)
6-180
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1634
Page 1
TOP 5 AMBULATORY DIAGNOSES REPORT By CLINIC
From: 01 Feb 1995 To: 01 Mar 1995
Clinic: FAMILY PRACTICE
===============================================================================
#Occur
Code
Description
================================================================================
234
V04.7
COMMON COLD
72
789.0
ABDOMINAL PAIN
55
466.0
ACUTE BRONCHITIS
45
487.0
INFLUENZA WITH PNEUMONIA
35
34
MEDICAL BACK PROBLEMS
FIGURE 4.4.9.27.
SAMPLE OUTPUT REPORT: TOP AMBULATORY DIAGNOSES REPORT (BY CLINIC)
(Sheet 1 of 6)
6-181
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1634
Page 2
TOP 5 AMBULATORY DIAGNOSES REPORT By CLINIC
From: 01 Feb 1995 To: 01 Mar 1995
Clinic: ALLERGY (A)
===============================================================================
#Occur
Code
Description
================================================================================
362
V07.1
NEED FOR DESENSITIZATION TO ALLERGENS
53
372.14
OTHER CHRONIC ALLERGIC CONJUNCTIVITIS
27
381.05
ACUTE ALLERGIC MUCOID OTITIS MEDIA
12
373.32
CONTACT AND ALLERGIC DERMATITIS OF EYELID
7
381.04
ACUTE ALLERGIC SEROUS OTITIS MEDIA
FIGURE 4.4.9.27.
SAMPLE OUTPUT REPORT: TOP AMBULATORY DIAGNOSES REPORT (BY CLINIC)
(Sheet 2 of 6)
6-182
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1634
TOP 5 AMBULATORY DIAGNOSES REPORT By DIVISION
From: 01 Feb 1995 To: 01 Mar 1995
Page 1
Division: PEARL HARBOR
Clinic: ALLERGY (A)
================================================================================
#Occur
Code
Description
================================================================================
362
V07.1
NEED FOR DESENSITIZATION TO ALLERGENS
53
372.14
OTHER CHRONIC ALLERGIC CONJUNCTIVITIS
27
381.05
ACUTE ALLERGIC MUCOID OTITIS MEDIA
12
373.32
CONTACT AND ALLERGIC DERMATITIS OF EYELID
7
381.04
ACUTE ALLERGIC SEROUS OTITIS MEDIA
FIGURE 4.4.9.27.
SAMPLE OUTPUT REPORT: TOP AMBULATORY DIAGNOSES REPORT (BY DIVISION)
(Sheet 3 of 6)
6-183
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1634
Page 1
TOP 5 AMBULATORY DIAGNOSES REPORT By DIVISION
From: 01 Feb 1995 To: 01 Mar 1995
*** Division Level Summary ***
Division: PEARL HARBOR
================================================================================
#Occur
Code
Description
================================================================================
55
466.0
ACUTE BRONCHITIS
49
506.0
BRONCHITIS AND PNEUMONITIS DUE TO FUMES AND
VAPORS
17
484.3
PNEUMONIA IN WHOOPING COUGH
7
164.1
MALIGNANT NEOPLASM OF HEART
5
100.0
LEPTOSPIROSIS ICTEROHEMORRHAGICA
FIGURE 4.4.9.27.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES REPORT (DIVISION LEVEL SUMMARY)
(Sheet 4 of 6)
6-184
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1634
Page 1
TOP 5 AMBULATORY DIAGNOSES REPORT By GROUP
From: 01 Feb 1995 To: 01 Mar 1995
Group: TRIPLER
Division: PEARL HARBOR
================================================================================
Clinic/
# Occur
Code
Description
================================================================================
ALLERGY
_______
362
V07.1
NEED FOR DESENSITIZATION TO ALLERGENS
53
372.14
OTHER CHRONIC ALLERGIC CONJUNCTIVITIS
27
381.05
ACUTE ALLERGIC MUCOID OTITIS MEDIA
12
373.32
CONTACT AND ALLERGIC DERMATITIS OF EYELID
7
381.04
ACUTE ALLERGIC SEROUS OTITIS MEDIA
DERMATOLOGY
___________
40
684
IMPETIGO
38
1106
DEEP DERMATOPHYTOSIS
20
0540
ECZEMA HERPETICUM
12
0549
HERPES SIMPLEX NOS
5
2148
LIPOMA NEC
FIGURE 4.4.9.27.
SAMPLE OUTPUT REPORT: TOP AMBULATORY DIAGNOSES REPORT (BY GROUP)
(Sheet 5 of 6)
6-185
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1634
Page 1
TOP 5 AMBULATORY DIAGNOSES REPORT By GROUP
From: 01 Feb 1995 To: 01 Mar 1995
*** Group Level Summary ***
Group: TRIPLER
================================================================================
#Occur
Code
Description
================================================================================
36
466.0
ACUTE BRONCHITIS
11
120.1
SCHISTOSOMIASIS DUE TO SCHISTOSOMA MANSONI
5
484.3
PNEUMONIA IN WHOOPING COUGH
4
123.4
DIPHYLLOBOTHRIASIS, INTESTINAL
1
255.2
ADRENOGENITAL DISORDERS
FIGURE 4.4.9.27.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES REPORT (GROUP LEVEL SUMMARY)
(Sheet 6 of 6)
6-186
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1635
Page 1
TOP 5 AMBULATORY PROCEDURES REPORT By CLINIC
From: 01 Feb 1995 To: 01 Mar 1995
Applicable FARS/DFARS Restrictions Apply to Government Use
Any five digit numeric Physician's Current Procedural Terminology,
(CPT-1995) codes, service descriptions, instructions and/or guidelines
only are copyright 1994 (or such date of publication of CPT as defined
in the federal copyright laws) American Medical Association.
All Rights Reserved.
No fee schedules, basic unit values, relative value guides, or related
listings are included in CPT. The AMA assumes no responsibility for the
consequences attributable to or related to any use or interpretation of
information contained in or not contained in this product. The AMA shall
not be deemed to be engaged in the practice of medicine or dispensing
medical services.
FIGURE 4.4.9.28.
SAMPLE OUTPUT REPORT: TOP AMBULATORY PROCEDURES REPORT (BY CLINIC)
(Sheet 1 of 12)
6-187
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1635
Page 2
TOP 5 AMBULATORY PROCEDURES REPORT By CLINIC
From: 01 Feb 1995 To: 01 Mar 1995
Clinic: FAMILY PRACTICE
================================================================================
#Occur
Code
Description
================================================================================
263
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
174
97799
PHYSICAL MEDICAL PROCEDURE
122
A4210
NEEDLE-FREE INJECTION DEVICE
53
93000
ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12
LEADS; WITH INTERPRETATION AND REPORT
34
81000
URINALYSIS; ROUTINE (PH, SPECIFIC GRAVITY, PROTEIN,
TESTS FOR REDUCING SUBSTANCES SUCH AS GLUCOSE), WITH
MICROSCOPY
FIGURE 4.4.9.28.
SAMPLE OUTPUT REPORT: TOP AMBULATORY PROCEDURES REPORT (BY CLINIC)
(Sheet 2 of 12)
6-188
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1635
Page 3
TOP 5 AMBULATORY PROCEDURES REPORT By CLINIC
From: 01 Feb 1995 To: 01 Mar 1995
Clinic: ALLERGY (A)
================================================================================
#Occur
Code
Description
================================================================================
303
86003
ALLERGEN SPECIFIC IGE;QUANTITATIVE, EACH PANEL OF UP
TO 12 ALLERGENS
295
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
276
J0240
INJECTION, ALLERGY DESENSITIZATION, EMULSION NOT
SPECIFIED
47
95070
INHALATION BRONCHIAL CHALLENGE TESTING (NOT
INCLUDING NECESSARY PULMONARY FUNCTION TESTS); WITH
HISTAMINE, METHACHOLINE, OR SIMILAR COMPOUNDS
14
86315
IMMUNOASSAY FOR INFECTIOUS AGENT ANTIGEN,
QUALITATIVE OR SEMIQUANTITATIVE; SINGLE STEP METHOD
(EG, REAGENT STRIP)
FIGURE 4.4.9.28.
SAMPLE OUTPUT REPORT: TOP AMBULATORY PROCEDURES REPORT (BY CLINIC)
(Sheet 3 of 12)
6-189
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1635
Page 1
TOP 5 AMBULATORY PROCEDURES REPORT By DIVISION
From: 01 Feb 1995 To: 01 Mar 1995
Applicable FARS/DFARS Restrictions Apply to Government Use
Any five digit numeric Physician's Current Procedural Terminology,
(CPT-1995) codes, service descriptions, instructions and/or guidelines
only are copyright 1994 (or such date of publication of CPT as defined
in the federal copyright laws) American Medical Association.
All Rights Reserved.
No fee schedules, basic unit values, relative value guides, or related
listings are included in CPT. The AMA assumes no responsibility for the
consequences attributable to or related to any use or interpretation of
information contained in or not contained in this product. The AMA shall
not be deemed to be engaged in the practice of medicine or dispensing
medical services.
FIGURE 4.4.9.28.
SAMPLE OUTPUT REPORT: TOP AMBULATORY PROCEDURES REPORT (BY DIVISION)
(Sheet 4 of 12)
6-190
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1635
Page 2
TOP 5 AMBULATORY PROCEDURES REPORT By DIVISION
From: 01 Feb 1995 To: 01 Mar 1995
Division: PEARL HARBOR
Clinic: ALLERGY (A)
================================================================================
#Occur
Code
Description
================================================================================
393
86003
ALLERGEN SPECIFIC IGE;QUANTITATIVE, EACH PANEL OF UP
TO 12 ALLERGENS
303
J0240
INJECTION, ALLERGY DESENSITIZATION, EMULSION NOT
SPECIFIED
297
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
223
97799
PHYSICAL MEDICAL PROCEDURE
154
A4210
NEEDLE-FREE INJECTION DEVICE
FIGURE 4.4.9.28.
SAMPLE OUTPUT REPORT: TOP AMBULATORY PROCEDURES REPORT (BY DIVISION)
(Sheet 5 of 12)
6-191
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1635
Page 1
TOP 5 AMBULATORY PROCEDURES REPORT By DIVISION
From: 01 Feb 1995
To: 01 Mar 1995
*** Division Level Summary ***
Applicable FARS/DFARS Restrictions Apply to Government Use
Any five digit numeric Physician's Current Procedural Terminology,
(CPT-1995) codes, service descriptions, instructions and/or guidelines
only are copyright 1994 (or such date of publication of CPT as defined
in the federal copyright laws) American Medical Association.
All Rights Reserved.
No fee schedules, basic unit values, relative value guides, or related
listings are included in CPT. The AMA assumes no responsibilty for the
consequences attributable to or related to any use or interpretation of
information contained in or not contained in this product. The AMA shall
not be deemed to be engaged in the practice of medicine or dispensing
medical services.
FIGURE -4.4.9.28.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY PROCEDURES REPORT (DIVISION LEVEL SUMMARY)
(Sheet 6 of 12)
6-192
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1635
Page 2
TOP 5 AMBULATORY PROCEDURES REPORT By DIVISION
From: 01 Feb 1995 To: 01 Mar 1995
*** Division Level Summary ***
Division: PEARL HARBOR
================================================================================
#Occur
Code
Description
================================================================================
393
86003
ALLERGEN SPECIFIC IGE;QUANTITATIVE, EACH PANEL OF UP
TO 12 ALLERGENS
303
J0240
INJECTION, ALLERGY DESENSITIZATION, EMULSION NOT
SPECIFIED
297
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
223
97799
PHYSICAL MEDICAL PROCEDURE
154
A4210
NEEDLE-FREE INJECTION DEVICE
FIGURE 4.4.9.28.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY PROCEDURES REPORT (DIVISION LEVEL SUMMARY)
(Sheet 7 of 12)
6-193
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1635
Page 1
TOP 5 AMBULATORY PROCEDURES REPORT By GROUP
From: 01 Feb 1995 To: 01 Mar 1995
Applicable FARS/DFARS Restrictions Apply to Government Use
Any five digit numeric Physician's Current Procedural Terminology,
(CPT-1995) codes, service descriptions, instructions and/or guidelines
only are copyright 1994 (or such date of publication of CPT as defined
in the federal copyright laws) American Medical Association.
All Rights Reserved.
No fee schedules, basic unit values, relative value guides, or related
listings are included in CPT. The AMA assumes no responsibility for the
consequences attributable to or related to any use or interpretation of
information contained in or not contained in this product. The AMA shall
not be deemed to be engaged in the practice of medicine or dispensing
medical services.
FIGURE 4.4.9.28.
SAMPLE OUTPUT REPORT: TOP AMBULATORY PROCEDURES REPORT (BY GROUP)
(Sheet 8 of 12)
6-194
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1635
Page 2
TOP 5 AMBULATORY PROCEDURES REPORT By GROUP
From: 01 Feb 1995 To: 01 Mar 1995
Group: TRIPLER
Division: PEARL HARBOR
================================================================================
Clinic/
# Occur
Code
Description
================================================================================
ALLERGY
------393
86003
ALLERGEN SPECIFIC IGE;QUANTITATIVE, EACH PANEL OF UP
TO 12 ALLERGENS
303
J0240
INJECTION, ALLERGY DESENSITIZATION, EMULSION NOT
SPECIFIED
297
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
223
97799
PHYSICAL MEDICAL PROCEDURE
154
A4210
NEEDLE-FREE INJECTION DEVICE
FIGURE 4.4.9.28.
SAMPLE OUTPUT REPORT: TOP AMBULATORY PROCEDURES REPORT (BY GROUP)
(Sheet 9 of 12)
6-195
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1635
Page 3
TOP 5 AMBULATORY PROCEDURES REPORT By GROUP
From: 01 Feb 1995 To: 01 Mar 1995
Group: TRIPLER (continued)
Division: PEARL HARBOR
================================================================================
Clinic/
# Occur
Code
Description
================================================================================
FAMILY PRACTICE
--------------263
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
174
97799
PHYSICAL MEDICAL PROCEDURE
122
A4210
NEEDLE-FREE INJECTION DEVICE
53
93000
ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12
LEADS; WITH INTERPRETATION AND REPORT
34
81000
URINALYSIS; ROUTINE (PH, SPECIFIC GRAVITY, PROTEIN,
TESTS FOR REDUCING SUBSTANCES SUCH AS GLUCOSE), WITH
MICROSCOPY
FIGURE 4.4.9.28.
SAMPLE OUTPUT REPORT: TOP AMBULATORY PROCEDURES REPORT (BY GROUP)
(Sheet 10 of 12)
6-196
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1635
Page 1
TOP 5 AMBULATORY PROCEDURES REPORT By GROUP
From: 01 Feb 1995
To: 01 Mar 1995
*** Group Level Summary ***
Applicable FARS/DFARS Restrictions Apply to Government Use
Any five digit numeric Physician's Current Procedural Terminology,
(CPT-1995) codes, service descriptions, instructions and/or guidelines
only are copyright 1994 (or such date of publication of CPT as defined
in the federal copyright laws) American Medical Association.
All Rights Reserved.
No fee schedules, basic unit values, relative value guides, or related
listings are included in CPT. The AMA assumes no responsibilty for the
consequences attributable to or related to any use or interpretation of
information contained in or not contained in this product. The AMA shall
not be deemed to be engaged in the practice of medicine or dispensing
medical services.
FIGURE 4.4.9.28.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY PROCEDURES REPORT (GROUP LEVEL SUMMARY)
(Sheet 11 of 12)
6-197
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1635
Page 1
TOP 5 AMBULATORY PROCEDURES REPORT By GROUP
From: 01 Feb 1995
To: 01 Mar 1995
*** Group Level Summary ***
Group: TRIPLER
================================================================================
#Occur
Code
Description
================================================================================
573
86003
ALLERGEN SPECIFIC IGE;QUANTITATIVE, EACH PANEL OF UP
TO 12 ALLERGENS
452
97799
PHYSICAL MEDICAL PROCEDURE
407
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
313
J0240
INJECTION, ALLERGY DESENSITIZATION, EMULSION NOT
SPECIFIED
210
A4210
NEEDLE-FREE INJECTION DEVICE
FIGURE 4.4.9.28.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY PROCEDURES REPORT (GROUP LEVEL SUMMARY)
(Sheet 12 of 12)
6-198
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1634
Page 1
TOP 5 AMBULATORY DIAGNOSES REPORT By PATIENT CATEGORY
From: 01 Feb 1995 To: 01 Mar 1995
Clinic: FAMILY PRACTICE
================================================================================
PATCAT/#Occur
Code
Description
================================================================================
ACTIVE DUTY
----------238
V04.7
COMMON COLD
75
766.0
ABDOMIAL PAIN
45
466.0
ACUTE BRONCHITIS
45
487.0
INFLUENZA WITH PNEUMONIA
35
34
MEDICAL BACK PROBLEMS
20
V70
GENERAL MEDICAL EXAMINATION
55
34
MEDICAL BACK PROBLEMS
54
V04.7
COMMON COLD
45
466.0
INFLUENZA WITH PNEUMONIA
22
789.0
ABDOMINAL PAIN
20
V70
GENERAL MEDICAL EXAMINATION
RETIRED
-------
FIGURE 4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (DX REPORT BY CLINIC)
(Sheet 1 of 18)
6-199
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1634
Page 2
TOP 5 AMBULATORY DIAGNOSES REPORT By PATIENT CATEGORY
From: 01 Feb 1995 To: 01 Mar 1995
Clinic: ALLERGY
===================================================================================
PATCAT/#Occur
Code
Description
===================================================================================
ACTIVE DUTY
----------47
372.14
OTHER CHRONIC ALLERGIC CONJUNCTIVITIS
45
V07.1
NEED FOR DESENSITIZATION TO ALLERGENS
14
381.05
ACUTE ALLERGIC MUCOID OTITIS MEDIA
3
381.04
ACUTE ALLERGIC SEROUS OTITIS MEDIA
1
373.32
CONTACT AND ALLERGIC DERMATITIS OF EYELID
V07.1
NEED FOR DESENSITIZATION TO ALLERGENS
13
381.05
ACUTE ALLERGIC MUCOID OTITIS MEDIA
11
373.32
CONTACT AND ALLERGIC DERMATITIS OF EYELID
6
372.14
OTHER CHRONIC ALLERGIC CONJUNCTIVITIS
4
381.04
ACUTE ALLERGIC SEROUS OTITIS MEDIA
RETIRED
------317
FIGURE 4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (DX REPORT BY CLINIC)
(Sheet 2 of 18)
6-200
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1634
Page 1
TOP 5 AMBULATORY DIAGNOSES REPORT By PATIENT CATEGORY
From: 01 Feb 1995 To: 01 Mar 1995
Division: PEARL HARBOR
Clinic: FAMILY PRACTICE
================================================================================
PATCAT/#Occur
Code
Description
================================================================================
ACTIVE DUTY
----------238
V04.7
COMMON COLD
75
766.0
ABDOMIAL PAIN
45
466.0
ACUTE BRONCHITIS
45
487.0
INFLUENZA WITH PNEUMONIA
35
34
MEDICAL BACK PROBLEMS
20
V70
GENERAL MEDICAL EXAMINATION
55
34
MEDICAL BACK PROBLEMS
54
V04.7
COMMON COLD
45
466.0
INFLUENZA WITH PNEUMONIA
22
789.0
ABDOMINAL PAIN
20
V70
GENERAL MEDICAL EXAMINATION
RETIRED
-------
FIGURE 4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (DX REPORT BY DIVISION)
(Sheet 3 of 18)
6-201
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1634
Page 1
TOP 5 AMBULATORY DIAGNOSES REPORT By PATIENT CATEGORY
From: 01 Feb 1995 To: 01 Mar 1995
Group: TRIPLER
Division: PEARL HARBOR
===================================================================================
Clinic
PATCAT/#Occur
Code
Description
================================================================================
FAMILY PRACTICE
--------------ACTIVE DUTY
----------238
V04.7
COMMON COLD
75
766.0
ABDOMIAL PAIN
45
466.0
ACUTE BRONCHITIS
45
487.0
INFLUENZA WITH PNEUMONIA
35
34
MEDICAL BACK PROBLEMS
20
V70
GENERAL MEDICAL EXAMINATION
55
34
MEDICAL BACK PROBLEMS
54
V04.7
COMMON COLD
45
466.0
INFLUENZA WITH PNEUMONIA
22
789.0
ABDOMINAL PAIN
20
V70
GENERAL MEDICAL EXAMINATION
RETIRED
-------
FIGURE 4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (DX REPORT BY GROUP)
(Sheet 4 of 18)
6-202
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1640
Page 1
TOP 5 AMBULATORY PROCEDURES REPORT By PATIENT CATEGORY
From: 01 Feb 1995 To: 01 Mar 1995
Applicable FARS/DFARS Restrictions Apply to Government Use
Any five digit numeric Physician's Current Procedural Terminology,
(CPT-1995) codes, service descriptions, instructions and/or guidelines
only are copyright 1994 (or such date of publication of CPT as defined
in the federal copyright laws) American Medical Association.
All Rights Reserved.
No fee schedules, basic unit values, relative value guides, or related
listings are included in CPT. The AMA assumes no responsibility for the
consequences attributable to or related to any use or interpretation of
information contained in or not contained in this product. The AMA shall
not be deemed to be engaged in the practice of medicine or dispensing
medical services.
4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (PX REPORT BY CLINIC)
(Sheet 5 of 18)
6-203
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1640
Page 2
TOP 5 AMBULATORY PROCEDURES REPORT By PATIENT CATEGORY
From: 01 Feb 1995 To: 01 Mar 1995
Clinic: FAMILY PRACTICE
================================================================================
PATCAT/#Occur
Code
Description
================================================================================
FAM MBR OF ACTIVE DUTY
-----------------------101
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
49
97799
PHYSICAL MEDICAL PROCEDURE
46
A4202
GAUZE, ELASTIC, ALL TYPES, PER ROLL
32
97039
PHYSICAL MEDICAL TREATMENT TO ONE AREA; INITIAL
30 MINUTES, EACH VISIT; ULTRASOUND
28
15850
REMOVAL OF SUTURES
125
97799
PHYSICAL MEDICAL PROCEDURE
96
A4210
NEEDLE-FREE INJECTION DEVICE
89
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
37
93000
ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12
LEADS; WITH INTERPRETATION AND REPORT
27
A4202
GAUZE, ELASTIC, ALL TYPES, PER ROLL
OTHER
-----
F4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (PX REPORT BY CLINIC)
(Sheet 6 of 18)
6-204
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1640
Page 3
TOP 5 AMBULATORY PROCEDURES REPORT By PATIENT CATEGORY
From: 01 Feb 1995 To: 01 Mar 1995
Clinic: ALLERGY
================================================================================
PATCAT/#Occur
Code
Description
================================================================================
FAM MBR OF ACTIVE DUTY
-----------------------250
A4770
BLOOD TESTING SUPPLIES (E.G. VACUTAINERS AND
TUBES)
200
J0240
INJECTION, ALLERGY DESENSITIZATION, EMULSION
NOT SPECIFIED
116
86003
ALLERGEN SPECIFIC IGE;QUANTITATIVE, EACH
PANEL OF UP TO 12 ALLERGENS
75
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
17
95070
INHALATION BRONCHIAL CHALLENGE TESTING
(NOT INCLUDING NECESSARY PULMONARY
FUNCTION TESTS); WITH HISTAMINE, METHACHOLINE,
OR SIMILAR COMPOUNDS
FAM MBR OF RETIRED
-------------------187
86003
ALLERGEN SPECIFIC IGE;QUANTITATIVE, EACH
PANEL OF UP TO 12 ALLERGENS
87
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
30
95070
INHALATION BRONCHIAL CHALLENGE TESTING
(NOT INCLUDING NECESSARY PULMONARY
FUNCTION TESTS); WITH HISTAMINE, METHACHOLINE,
OR SIMILAR COMPOUNDS
22
95071
INHALATION BRONCHIAL CHALLENGE TESTING (NOT
INCLUDING PULMONARY FUNCTION TEST); WITH
ANTIGENS OR GASES, SPECIFY
13
A4770
BLOOD TESTING SUPPLIES (E.G. VACUTAINERS AND
TUBES)
4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (PX REPORT BY CLINIC)
(Sheet 7 of 18)
6-205
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1640
Page 1
TOP 5 AMBULATORY PROCEDURES REPORT By PATIENT CATEGORY
From: 01 Feb 1995 To: 01 Mar 1995
Applicable FARS/DFARS Restrictions Apply to Government Use
Any five digit numeric Physician's Current Procedural Terminology,
(CPT-1995) codes, service descriptions, instructions and/or guidelines
only are copyright 1994 (or such date of publication of CPT as defined
in the federal copyright laws) American Medical Association.
All Rights Reserved.
No fee schedules, basic unit values, relative value guides, or related
listings are included in CPT. The AMA assumes no responsibility for the
consequences attributable to or related to any use or interpretation of
information contained in or not contained in this product. The AMA shall
not be deemed to be engaged in the practice of medicine or dispensing
medical services.
FIGURE 4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (PX REPORT BY DIVISION)
(Sheet 8 of 18)
6-206
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1640
Page 2
TOP 5 AMBULATORY PROCEDURES REPORT By PATIENT CATEGORY
From: 01 Feb 1995 To: 01 Mar 1995
Division: PEARL HARBOR
Clinic: FAMILY PRACTICE
================================================================================
PATCAT/#Occur
Code
Description
================================================================================
FAM MBR OF ACTIVE DUTY
-----------------------101
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
49
97799
PHYSICAL MEDICAL PROCEDURE
46
A4202
GAUZE, ELASTIC, ALL TYPES, PER ROLL
32
97039
PHYSICAL MEDICAL TREATMENT TO ONE AREA; INITIAL
30 MINUTES, EACH VISIT; ULTRASOUND
28
15850
REMOVAL OF SUTURES
125
97799
PHYSICAL MEDICAL PROCEDURE
96
A4210
NEEDLE-FREE INJECTION DEVICE
89
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
37
93000
ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12
LEADS; WITH INTERPRETATION AND REPORT
27
A4202
GAUZE, ELASTIC, ALL TYPES, PER ROLL
OTHER
-----
FIGURE 4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (PX REPORT BY DIVISION)
(Sheet 9 of 18)
6-207
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1640
Page 1
TOP 5 AMBULATORY PROCEDURES REPORT By PATIENT CATEGORY
From: 01 Feb 1995
To: 01 Mar 1995
*** Division Level Summary ***
Applicable FARS/DFARS Restrictions Apply to Government Use
Any five digit numeric Physician's Current Procedural Terminology,
(CPT-1995) codes, service descriptions, instructions and/or guidelines
only are copyright 1994 (or such date of publication of CPT as defined
in the federal copyright laws) American Medical Association.
All Rights Reserved.
No fee schedules, basic unit values, relative value guides, or related
listings are included in CPT. The AMA assumes no responsibilty for the
consequences attributable to or related to any use or interpretation of
information contained in or not contained in this product. The AMA shall
not be deemed to be engaged in the practice of medicine or dispensing
medical services.
FIGURE 4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (DIVISION LVL SUM)
(Sheet 10 of 18)
6-208
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1640
Page 2
TOP 5 AMBULATORY PROCEDURES REPORT By PATIENT CATEGORY
From: 01 Feb 1995
To: 01 Mar 1995
*** Division Level Summary ***
Division: PEARL HARBOR
================================================================================
PATCAT/#Occur
Code
Description
================================================================================
FAM MBR OF ACTIVE DUTY
-----------------------201
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
104
97799
PHYSICAL MEDICAL PROCEDURE
87
A4202
GAUZE, ELASTIC, ALL TYPES, PER ROLL
61
97039
PHYSICAL MEDICAL TREATMENT TO ONE AREA; INITIAL
30 MINUTES, EACH VISIT; ULTRASOUND
59
15850
REMOVAL OF SUTURES
249
97799
PHYSICAL MEDICAL PROCEDURE
177
A4210
NEEDLE-FREE INJECTION DEVICE
172
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
52
93000
ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12
LEADS; WITH INTERPRETATION AND REPORT
51
A4202
GAUZE, ELASTIC, ALL TYPES, PER ROLL
OTHER
-----
FIGURE 4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (DIVISION LVL SUM)
(Sheet 11 of 18)
6-209
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1640
Page 1
TOP 5 AMBULATORY PROCEDURES REPORT By PATIENT CATEGORY REPORT
From: 01 Feb 1995 To: 01 Mar 1995
Applicable FARS/DFARS Restrictions Apply to Government Use
Any five digit numeric Physician's Current Procedural Terminology,
(CPT-1995) codes, service descriptions, instructions and/or guidelines
only are copyright 1994 (or such date of publication of CPT as defined
in the federal copyright laws) American Medical Association.
All Rights Reserved.
No fee schedules, basic unit values, relative value guides, or related
listings are included in CPT. The AMA assumes no responsibility for the
consequences attributable to or related to any use or interpretation of
information contained in or not contained in this product. The AMA shall
not be deemed to be engaged in the practice of medicine or dispensing
medical services.
FIGURE 4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (PX REPORT BY GROUP)
(Sheet 12 of 18)
6-210
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1640
Page 2
TOP 5 AMBULATORY PROCEDURES REPORT By PATIENT CATEGORY
From: 01 Feb 1995 To: 01 Mar 1995
Group: TRIPLER
Division: PEARL HARBOR
================================================================================
Clinic
PATCAT/#Occur
Code
Description
================================================================================
FAMILY PRACTICE
--------------FAM MBR OF ACTIVE DUTY
-----------------------101
J0110
49
97799
ADMINISTRATION OF INJECTION, INCLUDING THE
COST OF DRUG
PHYSICAL MEDICAL PROCEDURE
46
A4202
GAUZE, ELASTIC, ALL TYPES, PER ROLL
32
97039
PHYSICAL MEDICAL TREATMENT TO ONE AREA; INITIAL
30 MINUTES, EACH VISIT; ULTRASOUND
28
15850
REMOVAL OF SUTURES
OTHER
----125
97799
PHYSICAL MEDICAL PROCEDURE
96
A4210
NEEDLE-FREE INJECTION DEVICE
89
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
37
93000
ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12
LEADS; WITH INTERPRETATION AND REPORT
27
A4202
GAUZE, ELASTIC, ALL TYPES, PER ROLL
FIGURE 4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (PX REPORT BY GROUP)
(Sheet 13 of 18)
6-211
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1640
Page 1
TOP 5 AMBULATORY PROCEDURES REPORT By PATIENT CATEGORY
From: 01 Feb 1995
To: 01 Mar 1995
*** Group Level Summary ***
Applicable FARS/DFARS Restrictions Apply to Government Use
Any five digit numeric Physician's Current Procedural Terminology,
(CPT-1995) codes, service descriptions, instructions and/or guidelines
only are copyright 1994 (or such date of publication of CPT as defined
in the federal copyright laws) American Medical Association.
All Rights Reserved.
No fee schedules, basic unit values, relative value guides, or related
listings are included in CPT. The AMA assumes no responsibilty for the
consequences attributable to or related to any use or interpretation of
information contained in or not contained in this product. The AMA shall
not be deemed to be engaged in the practice of medicine or dispensing
medical services.
FIGURE 4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (GROUP LVL SUM)
(Sheet 14 of 18)
6-212
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1640
Page 2
TOP 5 AMBULATORY PROCEDURES REPORT By PATIENT CATEGORY
From: 01 Feb 1995
To: 01 Mar 1996
*** Group Level Summary ***
Group: TRIPLER
================================================================================
PATCAT/#Occur
Code
Description
================================================================================
FAM MBR OF ACTIVE DUTY
---------------------412
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST OF
DRUG
189
97799
PHYSICAL MEDICAL PROCEDURE
178
A4202
GAUZE, ELASTIC, ALL TYPES, PER ROLL
161
97039
PHYSICAL MEDICAL TREATMENT TO ONE AREA; INITIAL 30
MINUTES, EACH VISIT; ULTRASOUND
101
15850
REMOVAL OF SUTURES
OTHER
----298
97799
PHYSICAL MEDICAL PROCEDURE
288
A4210
NEEDLE-FREE INJECTION DEVICE
284
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST OF
DRUG
135
A4202
GAUZE, ELASTIC, ALL TYPES, PER ROLL
77
93000
ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12
LEADS; WITH INTERPRETATION AND REPORT
FIGURE 4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (GROUP LVL SUM)
(Sheet 15 of 18)
6-213
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1645
Page 1
TOP 5 AMBULATORY DIAGNOSES REPORT By PATIENT CATEGORY
From: 01 Feb 1995 To: 01 Mar 1995
Applicable FARS/DFARS Restrictions Apply to Government Use
Any five digit numeric Physician's Current Procedural Terminology,
(CPT-1995) codes, service descriptions, instructions and/or guidelines
only are copyright 1994 (or such date of publication of CPT as defined
in the federal copyright laws) American Medical Association.
All Rights Reserved.
No fee schedules, basic unit values, relative value guides, or related
listings are included in CPT. The AMA assumes no responsibility for the
consequences attributable to or related to any use or interpretation of
information contained in or not contained in this product. The AMA shall
not be deemed to be engaged in the practice of medicine or dispensing
medical services.
FIGURE 4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (DX/PX REPORT BY CLINIC)
(Sheet 16 of 18)
6-214
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1645
Page 2
TOP 5 AMBULATORY DIAGNOSES REPORT By PATIENT CATEGORY
From: 01 Feb 1995 To: 01 Mar 1995
Clinic: FAMILY PRACTICE
================================================================================
PATCAT/#Occur
Code
Description
================================================================================
ACTIVE DUTY
----------238
V04.7
COMMON COLD
75
766.0
ABDOMIAL PAIN
45
466.0
ACUTE BRONCHITIS
45
487.0
INFLUENZA WITH PNEUMONIA
35
34
MEDICAL BACK PROBLEMS
20
V70
GENERAL MEDICAL EXAMINATION
55
34
MEDICAL BACK PROBLEMS
54
V04.7
COMMON COLD
45
466.0
INFLUENZA WITH PNEUMONIA
22
789.0
ABDOMINAL PAIN
20
V70
GENERAL MEDICAL EXAMINATION
RETIRED
-------
FIGURE 4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (DX/PX REPORT BY CLINIC)
(Sheet 17 of 18)
6-215
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
01 Mar 1995@1645
Page 3
TOP 5 AMBULATORY PROCEDURES REPORT By PATIENT CATEGORY
From: 01 Feb 1995 To: 01 Mar 1995
Clinic: FAMILY PRACTICE
================================================================================
PATCAT/#Occur
Code
Description
================================================================================
ACTIVE DUTY
----------177
A4210
NEEDLE-FREE INJECTION DEVICE
49
A4202
GAUZE, ELASTIC, ALL TYPES, PER ROLL
49
97799
PHYSICAL MEDICAL PROCEDURE
32
97039
PHYSICAL MEDICAL TREATMENT TO ONE AREA; INITIAL
30 MINUTES, EACH VISIT; ULTRASOUND
28
15850
REMOVAL OF SUTURES
RETIRED
------125
97799
PHYSICAL MEDICAL PROCEDURE
98
J0110
ADMINISTRATION OF INJECTION, INCLUDING THE COST
OF DRUG
74
A4202
GAUZE, ELASTIC, ALL TYPES, PER ROLL
37
93000
ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12
LEADS; WITH INTERPRETATION AND REPORT
14
A0080
NON-EMERGENCY TRANSPORTATION: PER MILE VOLUNTEER, WITH NO VESTED OR PERSONAL INTEREST
4.4.9.29.
SAMPLE OUTPUT REPORT:
TOP AMBULATORY DIAGNOSES OR PROCEDURES REPORT BY PATCAT (DX/PX REPORT BY CLINIC)
(Sheet 18 of 18)
6-216
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Mar 1995@0822
Personal Data - Privacy Act 1974 (PL-93-579)
Page 1
PATIENT VISIT SUMMARY By PATIENT
From: 03 Feb 1995 To: 07 Mar 1995
Applicable FARS/DFARS Restrictions Apply to Government Use
Any five digit numeric Physician's Current Procedural Terminology,
(CPT-1995) codes, service descriptions, instructions and/or guidelines
only are copyright 1994 (or such date of publication of CPT as defined
in the federal copyright laws) American Medical Association.
All Rights Reserved.
No fee schedules, basic unit values, relative value guides, or related
listings are included in CPT. The AMA assumes no responsibility for the
consequences attributable to or related to any use or interpretation of
information contained in or not contained in this product. The AMA shall
not be deemed to be engaged in the practice of medicine or dispensing
medical services.
FIGURE 4.4.9.30.
SAMPLE OUTPUT REPORT: PATIENT VISIT SUMMARY REPORT (BY PATIENT)
(Sheet 1 of 7)
6-217
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Mar 1995@0822
Personal Data - Privacy Act 1974 (PL-93-579)
Page 2
PATIENT VISIT SUMMARY By PATIENT
From: 03 Feb 1995 To: 07 Mar 1995
Clinic: FAMILY PRACTICE
Provider: GIBFRIED,KATHERINE J
================================================================================
Patient
FMP/SSN
Sex
DOB/Age
Appt Date/Time
Appt Type
Appt Status
================================================================================
BARRON,DAPHNE
30/004-04-3434 FEMALE
08 Jan 1965/30Y
------------06 Mar 1995@0830
RET
WALK-IN
DX1
506.0
FUM/VAPOR BRONC/PNEUMON
DX2
506.2
FUM/VAPOR UP RESP INFLAM
PX1
31622
DIAGNOSTIC BRONCHOSCOPY
PX2
99331
REST HOME VISIT, ESTAB PAT
PX3
E0967
WHEELCH. HAND RIMS W/8 VERT. RUBBER TIPPED PROJECTIONS, PAIR
FIGURE 4.4.9.30.
SAMPLE OUTPUT REPORT: PATIENT VISIT SUMMARY REPORT (BY PATIENT)
(Sheet 2 of 7)
6-218
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Mar 1995@0824
Personal Data - Privacy Act 1974 (PL-93-579)
Page 1
PATIENT VISIT SUMMARY By PROVIDER
From: 03 Feb 1995 To: 07 Mar 1995
Applicable FARS/DFARS Restrictions Apply to Government Use
Any five digit numeric Physician's Current Procedural Terminology,
(CPT-1995) codes, service descriptions, instructions and/or guidelines
only are copyright 1994 (or such date of publication of CPT as defined
in the federal copyright laws) American Medical Association.
All Rights Reserved.
No fee schedules, basic unit values, relative value guides, or related
listings are included in CPT. The AMA assumes no responsibility for the
consequences attributable to or related to any use or interpretation of
information contained in or not contained in this product. The AMA shall
not be deemed to be engaged in the practice of medicine or dispensing
medical services.
FIGURE 4.4.9.30.
SAMPLE OUTPUT REPORT: PATIENT VISIT SUMMARY REPORT (BY PROVIDER)
(Sheet 3 of 7)
6-219
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Mar 1995@0824
Personal Data - Privacy Act 1974 (PL-93-579)
Page 2
PATIENT VISIT SUMMARY By PROVIDER
From: 03 Feb 1995 To: 07 Mar 1995
Clinic: FAMILY PRACTICE
Provider: GIBFRIED,KATHERINE J
================================================================================
Patient
FMP/SSN
Sex
DOB/Age
Appt Date/Time
Appt Type
Appt Status
================================================================================
BARRON,DAPHNE
30/004-04-3434 FEMALE
08 Jan 1965/30Y
------------06 Mar 1995@0830
RET
WALK-IN
DX1
506.0
FUM/VAPOR BRONC/PNEUMON
DX2
506.2
FUM/VAPOR UP RESP INFLAM
PX1
31622
DIAGNOSTIC BRONCHOSCOPY
PX2
99331
REST HOME VISIT, ESTAB PAT
PX3
A4210
NEEDLE-FREE INJECTION DEVICE
PX4
E0967
WHEELCH. HAND RIMS W/8 VERT. RUBBER TIPPED PROJECTIONS, PAIR
FIGURE 4.4.9.30.
SAMPLE OUTPUT REPORT: PATIENT VISIT SUMMARY REPORT (BY PROVIDER)
(Sheet 4 of 7)
6-220
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Mar 1995@0824
Personal Data - Privacy Act 1974 (PL-93-579)
Page 3
PATIENT VISIT SUMMARY By PROVIDER
From: 03 Feb 1995 To: 07 Mar 1995
Clinic: FAMILY PRACTICE
Provider: GIBFRIED,KATHERINE J
================================================================================
Patient
FMP/SSN
Sex
DOB/Age
Appt Date/Time
Appt Type
Appt Status
================================================================================
MCDOUGALL,WILLIAM O
01/566-57-9823 MALE
17 Aug 1985/10Y
------------------06 Mar 1995@1000
NEW
KEPT
DX1
V04.2
NEED PROPHYLACTIC VACCINATION
PX1
90705
MEASLES IMMUNIZATION
PX2
A4210
NEEDLE-FREE INJECTION DEVICE
FIGURE 4.4.9.30.
SAMPLE OUTPUT REPORT: PATIENT VISIT SUMMARY REPORT (BY PROVIDER)
(Sheet 5 of 7)
6-221
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Mar 1995@0826
Personal Data - Privacy Act 1974 (PL-93-579)
Page 1
PATIENT VISIT SUMMARY By CLINIC
From: 03 Feb 1995 To: 07 Mar 1995
Applicable FARS/DFARS Restrictions Apply to Government Use
Any five digit numeric Physician's Current Procedural Terminology,
(CPT-1995) codes, service descriptions, instructions and/or guidelines
only are copyright 1994 (or such date of publication of CPT as defined
in the federal copyright laws) American Medical Association.
All Rights Reserved.
No fee schedules, basic unit values, relative value guides, or related
listings are included in CPT. The AMA assumes no responsibility for the
consequences attributable to or related to any use or interpretation of
information contained in or not contained in this product. The AMA shall
not be deemed to be engaged in the practice of medicine or dispensing
medical services.
FIGURE 4.4.9.30.
SAMPLE OUTPUT REPORT: PATIENT VISIT SUMMARY REPORT (BY CLINIC)
(Sheet 6 of 7)
6-222
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
TRIPLER ARMY MEDICAL CENTER
03 Mar 1995@0826
Personal Data - Privacy Act 1974 (PL-93-579)
Page 2
PATIENT VISIT SUMMARY By CLINIC
From: 03 Feb 1995 To: 07 Mar 1995
Clinic: FAMILY PRACTICE
Provider: GIBFRIED,KATHERINE J
================================================================================
Patient
FMP/SSN
Sex
DOB/Age
Appt Date/Time
Appt Type
Appt Status
================================================================================
BARRON,DAPHNE
30/004-04-3434 FEMALE
08 Jan 1965/30Y
------------06 Mar 1995@0830
RET
WALK-IN
DX1
506.0
FUM/VAPOR BRONC/PNEUMON
DX2
506.2
FUM/VAPOR UP RESP INFLAM
PX1
31622
DIAGNOSTIC BRONCHOSCOPY
PX2
99331
REST HOME VISIT, ESTAB PAT
PX3
E0967
WHEELCH. HAND RIMS W/8 VERT. RUBBER TIPPED PROJECTIONS, PAIR
FIGURE 4.4.9.30.
SAMPLE OUTPUT REPORT: PATIENT VISIT SUMMARY REPORT (BY CLINIC)
(Sheet 7 of 7)
6-223
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
DIVISION: TRIPLER ARMY MEDICAL CENTER
There is at least one Provider that has a deficiency in the number of
schedules that are open or created. Please see the PAS SCHEDULES
MONITOR report that was printed as a background job by the TaskManager or
run the DEFICIENCY MONITOR option under the PAS Supervisor Menu to reprint
a new report.
FIGURE 4.4.10.2.
SAMPLE OUTPUT REPORT:
6-224
AVAILABLE SCHEDULE MONITOR BULLETIN
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Ireland Army Community Hospital
05 Jul 1991@1050
Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
PAS Users Report
================================================================================
Division: IRELAND
================================================================================
Clinic
User Name
ID #
Sec Lev
Primary Menu
================================================================================
ALLERGY CLINIC
CORY,DAVID
1011
#DSLORPN
EVE
CARDIOLOGY CLIN BENSON,JACK
24
#PRLNODS
EVE
CARDIOLOGY CLIN HOWLAND,BILL
34
SsDdRrFf
EVE
CARDIOLOGY CLIN SMITH,BETH
1035
#QSLORPN
OR-CORE-MENU
PLASTIC SURGERY PASKE,CINDY
1072
#LlPpSsDd
EVE
UROLOGY CLINIC
TOMPKINS,MICHELLE
1204
#&PpSsKkNnOoDd
EVE
FIGURE 4.4.10.5.
SAMPLE OUTPUT REPORT:
6-225
LIST PAS USERS
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
SANTOS,MERVYN (#169)
--------------------Default Division: TRIPLER ARMY MEDICAL CENT
Last Sign-on: 26 Jun 1991@1407
ATTRIBUTES
---------Creator .......
Primary Menu ..
Time-out ......
Title .........
Primary Loc ...
BRINTON,JAY
EVE
99999
PROGRAMMER/ANALYST
UROLOGY CLINIC
Date Entered ...... 18 Jul 1988
FileMan Access .... @SsDd
Type-ahead ........ Y
Termination Date ..
SECONDARY MENU OPTIONS
---------------------1) SD PAS MAIN MENU
SECURITY KEYS HELD
------------------1) XUPROG
2) XUMGR
3) XUPROGMODE
4) SD ARCHIVE
FIGURE 4.4.10.11.
SAMPLE OUTPUT REPORT:
6-226
PRINT PAS USER
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Appointment Cancellation Clerk
Tripler Army Medical Center
Tripler Building
2313 James Street
Honolulu, HI 99999
*******************************************
08 Oct 1991
C-DIV-1-1234
********** Cancellation Mailer **********
Because of unforeseen circumstances, our facility has had to cancel
your appointment for the date and time listed below.
Please call the number shown to reschedule your appointment for the
next available appointment slot. Thank you.
Allergy Clinic with Burns,Richard F
at 1130 on 16 Oct 1991 Wednesday
Appointment Service Supervisor
Clinic Phone: (555) 555-1212
Wilbur B. Smith
1234 W. Woodlawn St.
Honolulu, HI 99999
Press <RETURN> to continue
FIGURE 4.4.10.19.
SAMPLE OUTPUT REPORT:
6-227
VIEW PAS MAILERS
SAIC/CHCS Doc. TC-4.5-706
29 Jul 1996
Appointment Cancellation Clerk
Tripler Army Medical Center
Tripler Building
2313 James Street
Honolulu, HI 99999
*******************************************
08 Oct 1991
C-DIV-1-1234
********** Cancellation Mailer **********
Because of unforeseen circumstances, our facility has had to cancel
your appointment for the date and time listed below.
Please call the number shown to reschedule your appointment for the
next available appointment slot. Thank you.
Allergy Clinic with Burns,Richard F
at 1130 on 16 Oct 1991 Wednesday
Appointment Service Supervisor
Clinic Phone: (555) 555-1212
Wilbur B. Smith
1234 W. Woodlawn St.
Honolulu, HI 99999
FIGURE 4.4.10.20.
SAMPLE OUTPUT REPORT:
6-228
PRINT PAS MAILERS
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Sample Output Reports
MCP
END
6-229
Sample Output Reports
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
---------------------------------------------------------------------------------------------------------------------------------TABLE OF CONTENTS
---------------------------------------------------------------------------------------------------------------------------------FIGURE
REPORT NAME
4.4.1.3
Modify Group Agreement Effective Date
4.4.1.5
Agreement Data Changes
4.4.1.6
Place of Care Data Changes
4.4.1.7
Group Data Changes
4.4.1.8
Provider Data Changes
4.4.2.1
Provider Alphabetic Agreement Roster
4.4.2.2
Specialty Provider Agreement Roster
4.4.2.3
Specialty Provider Agreement Summary
4.4.2.4
Discount Provider Agreement Roster
4.4.2.5
Expiration Date Provider Agreement Roster
4.4.2.6
ZIP Code Agreement Roster
4.4.2.7
Provider Batch Address Labels - Print Utility
4.4.2.8
Discrepancy Avoidance Report
4.4.2.9
Group Member Roster
4.4.2.10
Provider Group Report
4.4.2.11
Provider List by Specialty
4.4.2.12
MCP Place of Care Report
4.4.2.13
Incomplete Provider Address Report
4.4.2.14
Provider Agreement Detail Report
4.4.3.1
Enrollment Enter/Edit
4.4.3.1.3
Current DEERS Eligibility Display
4.4.3.2
Disenrollment
4.4.3.4
Interactive DEERS Eligibility Request
6-230
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4.4.3.6
Batch PCM Reassignment
4.4.3.10
Update/Print/Enroll Potential AD Candidates
4.4.3.11
Print Batch Enrollment Report
4.4.3.13
Identify Candidates for Renewal Letter
4.4.3.14
Batch Renewal & Disenrollment Processing
4.4.4.1
Print/Display Enrollment History
4.4.4.2
MCP Enrollment Form
4.4.4.4
MCP Conditional Enrollment Roster
4.4.4.5
Enrollment/Disenrollment Discrepancy Report
4.4.4.6
MCP DEERS Ineligibility Report
4.4.4.7
Family Batch Enrollment Labels Print Utility
4.4.4.8
Incomplete Patient Address Report
4.4.4.9
AD Family Members by Unit Enrollment Roster
4.4.4.10
Alphabetic Enrollment Roster by Service
4.4.4.11
Case Management Program Enrollment Roster
4.4.4.12
Change in Eligibility Enrollment Roster
4.4.4.13
Disenrollees for Period by Reason Code
4.4.4.14
Enrollment Roster Exception Conditions
4.4.4.15
Disenrollment Summary by Reason
4.4.4.16
OHI Enrollment Summary
4.4.4.17
Patient Category Enrollment Summary
4.4.4.18
Enrollment Summary Report
4.4.4.19
Reciprocal Disenrollment by Reason Roster
4.4.4.20
Reciprocal Disenrollment Discrepancy Report
4.4.4.21
Track User Report
4.4.4.22
Enrollee Entitlement Discrepancy Report
4.4.4.23
Batch Renew & Disenroll Letters
6-231
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4.4.4.24
Batch Renew & Disenroll Labels
4.4.4.25
Batch Renew & Disenroll Roster
4.4.4.26
Generate Individual Notification Letter & Label
4.4.5.1
Available PCM Capacity by Provider Group
4.4.5.2
Enrollment Roster by PCM
4.4.5.3
PCM Activity Report
4.4.5.4
PCM Assignment Change Roster by Reason
4.4.5.5
PCM Assignment Change Summary
4.4.5.6
Enrollee/Patient Assignment Notification
4.4.5.7
Provider Assignment Notification
4.4.5.8
PCM Reassignment Report
4.4.5.9
UIC Maintenance Report
4.4.5.10
Default PCM/UIC Report
4.4.5.11
PCM Enrollment Mix Discrepancy Statistical Summary
4.4.5.12
PCM Enrollment Mix Discrepancy Report
4.4.6.1
Appointment Referral Booking
4.4.6.1.4
AHCF-Provider Search Action Bar
4.4.6.2
Non-Enrolled Booking
4.4.6.4
PCM Booking
4.4.6.4.1
DEERS Check (Non-Enrollment)
4.4.6.5
Enter Appointment Refusals
4.4.7.1
Output Products
4.4.7.2
Print Patient Address Label
4.4.7.3
Agreement Type Referral Summary
4.4.7.4
Specialty Type Referral Summary
4.4.7.5
Refused Appointments Report
4.4.7.6
Provider Network List
6-232
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29 Jul 1996
4.4.7.7
Provider Patient Workload Report
4.4.8.1
Non-Availability Statement Processing
4.4.8.2
Branch of Service Summary Report
4.4.8.3
NAS Statistical Report
4.4.8.4
Reason for Issue by Patient Category Report
4.4.8.5
Reason for Issue Summary Report
4.4.9.12
MCP Parameters Profile Enter/Edit
6-233
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MailMan message for WEBER,CHRIS
Printed at MCP.SAIC.COM Wed, 14 Apr 1993 09:02:37 (#5)
Subj: AGREEMENT MODIFICATION NOTICE Tue, 13 Apr 1993 15:59:03 17 Lines
From: POSTMASTER (Sender: WEBER,CHRIS) in 'IN' basket. **NEW**
-----------------------------------------------------------------------------The PEX Agreement Effective Date has been changed
FROM: 15 Feb 1993 TO: 14 Feb 1993 for the following group:
BLUE CROSS/BLUE.
USER: WEBER, CHRIS
DATE/TIME of CHANGE: 13 Apr 1993@15:58
The FI needs to be notified of this change and the date
of notification entered for the specified agreement.
The old agreement information is stored in the
MCP AGREEMENT MODIFICATIONS FILE under record 42.
------------ Discrepancies --------------No discrepancies found.
FIGURE 4.4.1.3.
SAMPLE OUTPUT REPORT:
MODIFY GROUP AGREEMENT EFFECTIVE DATE
6-234
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AGREEMENT DATA CHANGES AUDIT TRAIL
ONE AGREEMENT/ONE GROUP/NO PROVIDERS
Data Changes from 09 Jun 1993 to 01 Jul 1994
Provider Group: TORRES HEALTH CARE GROUP
Agreement: MTF
10 Jun 1993 - 10 Jun 1994
Data Elements: 8 Selected
================================================================================
Data Element
------------------------------------------------------------------------------AGREEMENT STOP DATE
Change Date/Time: 14 Oct 1993 @ 1116
User ID: TJERNAGEL,STEVEN
Old: 09 Jun 1994
New: 10 Jun 1994
FIGURE 4.4.1.5. SAMPLE OUTPUT REPORT: AGREEMENT DATA CHANGES
ONE AGREEMENT/ONE GROUP/NO PROVIDERS
(Sheet 1 of 5)
6-235
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Personal Data - Privacy Act 1974 (PL-93-579)
AGREEMENT DATA CHANGES AUDIT TRAIL
ONE AGREEMENT/ONE GROUP/NO PROVIDERS
Data Changes from 09 Jun 1993 to 01 Jul 1994
Provider Group: TORRES HEALTH CARE GROUP
Agreement: MTF
10 Jun 1993 - 10 Jun 1994
Data Elements: 8 Selected
================================================================================
CPT-4 Code
Effective Dates
Data Element
-------------------------------------------------------------------------------11000 - SURGICAL CLEANSING OF SKIN
11 Jun 1993 - 09 Jun 1994
CPT-4 STOP DATE
Change Date/Time: 14 Oct 1993 @ 1120
User ID: TJERNAGEL,STEVEN
Old:
New: 09 Jun 1994
CPT-4 PERCENT
Change Date/Time: 14 Oct 1993 @ 1120
Old: 20
New: 25
EXCEPT CPT-4 EFFECTIVE DATE
Change Date/Time: 14 Oct 1993 @ 1120
Old:
New: 11 Jun 1993
11040 - SURGICAL CLEANSING, ABRASION
CPT-4 STOP DATE
Change Date/Time: 14 Oct 1993 @ 1120
Old: 09 Jun 1994
New: 08 Jun 1994
CPT-4 FEE
Change Date/Time: 14 Oct 1993 @ 1120
Old: 789789
New: 888888
EXCEPT CPT-4
Change
Old:
New:
EFFECTIVE DATE
Date/Time: 14 Oct 1993 @ 1120
10 Jun 1993
12 Jun 1993
User ID: TJERNAGEL,STEVEN
User ID: TJERNAGEL,STEVEN
12 Jun 1993 - 08 Jun 1994
User ID: TJERNAGEL,STEVEN
User ID: TJERNAGEL,STEVEN
User ID: TJERNAGEL,STEVEN
FIGURE 4.4.1.5. SAMPLE OUTPUT REPORT: AGREEMENT DATA CHANGES
ONE AGREEMENT/ONE GROUP/NO PROVIDERS
(Sheet 2 of 5)
6-236
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Personal Data - Privacy Act 1974 (PL-93-579)
AGREEMENT DATA CHANGES AUDIT TRAIL
MULTIPLE AGREEMENTS/MULTIPLE GROUPS/ALL PROVIDERS
Data Changes from 01 Jan 1992 to 01 Jan 1998
Group: 2 Selected
Agreements: 7 Selected
Provider: ALL
Data Elements: 8 Selected
================================================================================
Provider Group
Provider
Agreement Type
Effective Dates
Data Element
-------------------------------------------------------------------------------TORRES HEALTH CARE GROUP
DICE,DONALD
CON-CONTRACT
31 Aug 1993 - 30 Aug 1994
IND STOP DATE
Change Date/Time: 14 Oct 1993 @ 1122
User ID: TJERNAGEL,STEVEN
Old:
New: 29 Aug 1994
IND OVERALL DISCOUNT PERCENT
Change Date/Time: 14 Oct 1993 @ 1122
Old:
New: 10
IND START DATE
Change Date/Time: 14 Oct 1993 @ 1122
Old:
New: 30 Aug 1993
NET-CIVILIAN NETWORK PROVIDER
IND STOP DATE
Change Date/Time: 14 Oct 1993 @ 1122
Old:
New: 01 Jun 1994
IND OVERALL DISCOUNT PERCENT
Change Date/Time: 14 Oct 1993 @ 1122
Old:
New: 99
IND START DATE
Change Date/Time: 14 Oct 1993 @ 1122
Old:
New: 13 Jun 1993
User ID: TJERNAGEL,STEVEN
User ID: TJERNAGEL,STEVEN
10 Jun 1993 - 10 Jun 1994
User ID: TJERNAGEL,STEVEN
User ID: TJERNAGEL,STEVEN
User ID: TJERNAGEL,STEVEN
FIGURE 4.4.1.5. SAMPLE OUTPUT REPORT: AGREEMENT DATA CHANGES
MULTIPLE AGREEMENTS/MULTIPLE GROUPS/ALL PROVIDERS
(Sheet 3 of 5)
6-237
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14 Oct 1993@1350 Page 2
Personal Data - Privacy Act 1974 (PL-93-579)
AGREEMENT DATA CHANGES AUDIT TRAIL
MULTIPLE AGREEMENTS/MULTIPLE GROUPS/ALL PROVIDERS
Data Changes from 01 Jan 1992 to 01 Jan 1998
Group: 2 Selected
Agreements: 7 Selected
Provider: ALL
Data Elements: 8 Selected
================================================================================
Provider Group
Provider
Agreement Type
Effective Dates
CPT-4 Code/Desc
Effective Dates
Data Element
-------------------------------------------------------------------------------GROUP C MEDICAL ASSOCIATION
AVERY,MICHAEL C
CON-CONTRACT
01 Jul 1993 - 31 Dec 1996
10040 - ACNE SURGERY
01 Jul 1993 - 28 Feb 1996
PERCENT
Change Date/Time: 12 Oct 1993 @ 1236
User ID: WEBER,CHRIS
Old:
New: 13
TOMAYO,LAWRENCE C
NET-CIVILIAN NETWORK PROVIDER
10040 - ACNE SURGERY
PERCENT
Change Date/Time: 12 Oct 1993 @ 0933
Old:
New: 13
TORRES HEALTH CARE GROUP
SMITH,JAMES
NET-CIVILIAN NETWORK PROVIDER
10040 - ACNE SURGERY
STOP DATE
Change Date/Time: 14 Oct 1993 @ 1131
Old:
New: 07 Jun 1994
FEE
Change Date/Time: 14 Oct 1993 @ 1131
Old: 30
New: 35
EXCEPT START DATE
Change Date/Time: 14 Oct 1993 @ 1131
Old:
New: 13 Jun 1993
01 Jul 1993 - 31 Dec 1996
01 Jul 1993 - 31 Mar 1995
User ID: WEBER,CHRIS
10 Jun 1993 - 10 Jun 1994
13 Jun 1993 - 07 Jun 1994
User ID: TJERNAGEL,STEVEN
User ID: TJERNAGEL,STEVEN
User ID: TJERNAGEL,STEVEN
FIGURE 4.4.1.5. SAMPLE OUTPUT REPORT: AGREEMENT DATA CHANGES
MULTIPLE AGREEMENTS/MULTIPLE GROUPS/ALL PROVIDERS
(Sheet 4 of 5)
6-238
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29 Jul 1996
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Personal Data - Privacy Act 1974 (PL-93-579)
AGREEMENT DATA CHANGES AUDIT TRAIL
MULTIPLE AGREEMENTS/MULTIPLE GROUPS/ALL PROVIDERS
Data Changes from 01 Jan 1992 to 01 Jan 1998
Group: 2 Selected
Agreements: 7 Selected
Provider: ALL
Data Elements: 8 Selected
================================================================================
Provider Group
Provider
Agreement Type
Effective Dates
CPT-4 Code/Desc
Effective Dates
Data Element
-------------------------------------------------------------------------------TORRES HEALTH CARE GROUP
SMITH,JAMES
NET-CIVILIAN NETWORK PROVIDER
10 Jun 1993 - 10 Jun 1994
10080 - DRAINAGE OF PILONIDAL CYST
13 Jun 1993 - 07 Jun 1994
STOP DATE
Change Date/Time: 14 Oct 1993 @ 1131
User ID: TJERNAGEL,STEVEN
Old:
New: 07 Jun 1994
PERCENT
Change Date/Time: 14 Oct 1993 @ 1131
Old: 40
New: 45
EXCEPT START DATE
Change Date/Time: 14 Oct 1993 @ 1131
Old:
New: 13 Jun 1993
PERCENT
Change Date/Time: 14 Oct 1993 @ 1127
Old:
New: 40
User ID: TJERNAGEL,STEVEN
User ID: TJERNAGEL,STEVEN
User ID: TJERNAGEL,STEVEN
FIGURE 4.4.1.5. SAMPLE OUTPUT REPORT: AGREEMENT DATA CHANGES
MULTIPLE AGREEMENTS/MULTIPLE GROUPS/ALL PROVIDERS
(Sheet 5 of 5)
6-239
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29 Jul 1996
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18 Oct 1993@0957
Personal Data - Privacy Act 1974 (PL-93-579)
PLACE OF CARE DATA CHANGES AUDIT TRAIL
Data Changes from 01 Jan 1992 to 01 Jan 1998
Page 1
Place of Care: All Places of Care selected
Data Elements: 12
================================================================================
Place of Care
Data Element
-------------------------------------------------------------------------------DE ANZA NORTH COUNTY MEDICAL C
PLACE OF CARE NAME
Change Date/Time: 13 Oct 1993@0715
User ID: SAGE,FREDI
Old: DE ANZA MEDICAL CENTER
New: DE ANZA NORTH COUNTY MEDICAL C
FIGURE 4.4.1.6.
SAMPLE OUTPUT REPORT:
6-240
PLACE OF CARE DATA CHANGES
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29 Jul 1996
TIDEWATER
18 Oct 1993@1353 Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
PROVIDER GROUP NAME CHANGES AUDIT TRAIL
Data Changes from 01 Jan 1992 to 01 Jan 1998
Provider Group: INACTIVATE PROVIDER GROUP 1
================================================================================
Change Date/Time: 18 Oct 1993 @ 1310
User ID: SAGE,FREDI
Old Name:
New Name: INACTIVATE PROVIDER GROUP 1
FIGURE 4.4.1.7.
SAMPLE OUTPUT REPORT:
6-241
GROUP DATA CHANGES
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
18 Oct 1993@1429
Personal Data - Privacy Act 1974 (PL-93-579)
Page 1
PROVIDER DATA CHANGES AUDIT TRAIL
Data Changes from 01 Jan 1992 to 01 Jan 1998
Provider: 333 Selected
Data Elements: 4 Selected
================================================================================
Provider
Group
Data Element
-------------------------------------------------------------------------------DE BLASIO,MICHAEL
CARDIOLOGY PNH
INACTIVATION DATE
Change Date/Time: 18 Oct 1993@1414
User ID: SAGE,FREDI
Old: 19 Oct 1993
New: 18 Oct 1993
INACTIVATION DATE
Change Date/Time: 18 Oct 1993@1410
Old:
New: 19 Oct 1993
ESPINOZA,RUBEN
SHARP MAIN GROUP
INACTIVATION DATE
Change Date/Time: 14 Oct 1993@1359
Old: 12 Oct 1993
New: <Data Deleted>
INACTIVATION DATE
Change Date/Time: 13 Oct 1993@1522
Old:
New: 12 Oct 1993
SMITH,TIMOTHY J.
SHARP MAIN GROUP
INACTIVATION DATE
Change Date/Time: 13 Oct 1993@1523
Old: 06 Oct 1993
New: <Data Deleted>
User ID: SAGE,FREDI
User ID: WOLLIN,MAGDALENA
User ID: WOLLIN,MAGDALENA
User ID: WOLLIN,MAGDALENA
FIGURE 4.4.1.8.
SAMPLE OUTPUT REPORT:
6-242
PROVIDER DATA CHANGES
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
12 Oct 1993@1204
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
PROVIDER ALPHABETIC AGREEMENT ROSTER
Provider Type: NETWORK INSTITUTION/SERVICE
==================================================================================================================================
Group Name
Specialty
Agreement Type
Effective Date
Stop Date
Disc %
Except
==================================================================================================================================
CENTER FOR HEALTH CARE MEDICAL
GENERAL MEDICAL OFFICER
NET - CIVILIAN NETWORK PROVIDER
01 Jun 1993
31 May 1994
CA- 8%
E
DERMATOLOGY LAFB
MTF - MTF STAFF
DERMATOLOGIST
ENT LAFB
OTORHINOLARYNGOLOGIST
06 May 1993
06 May 1994
MTF
06 May 1993
06 May 1994
MTF
OBSTETRICIAN & GYNECOLOGIST (OB/GYN)
PEDIATRICIAN
PLASTIC SURGEON
01 Jul 1993
01 Jul 1993
31 Dec 1996
31 Dec 1996
CA-20%
CA-20%
06 May 1993
06 May 1993
06 May 1994
06 May 1994
MTF
CA-25%
03 Jun 1993
15 Aug 1993
03 Jul 1993
02 Jun 1994
14 Aug 1994
02 Jul 1994
CA-18%
MTF
CA-12%
06 May 1993
06 May 1994
MTF
06 May 1993
06 May 1994
MTF
06 May 1993
06 May 1993
06 May 1994
06 May 1994
MTF
CA-35%
MTF - MTF STAFF
GROUP C MEDICAL ASSOCIATION
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
INT MED LAFB
ALLERGIST
CARDIOLOGIST
INTERNIST
MTF - MTF STAFF
PIC - PARTNER INTERNAL
KAREN'S GROUP
FAMILY PRACTICE PHYSICIAN
SURGERY CONSULTANT
CON - CONTRACT
MTF - MTF STAFF
NET - CIVILIAN NETWORK PROVIDER
NUTRITION LAFB
MTF - MTF STAFF
DIETICIAN-NUTRITIONIST
OPHTHALMOLOGY LAFB
MTF - MTF STAFF
OPHTHALMOLOGIST
PEDIATRICS LAFB
MTF - MTF STAFF
PIC - PARTNER INTERNAL
PEDIATRICIAN
FIGURE 4.4.2.1.
SAMPLE OUTPUT REPORT: PROVIDER ALPHABETIC AGREEMENT ROSTER
(Sheet 1 of 2)
6-243
E
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
12 Oct 1993@1204
Page 2
Personal Data - Privacy Act 1974 (PL-93-579)
PROVIDER ALPHABETIC AGREEMENT ROSTER
Provider Type: NETWORK INSTITUTION/SERVICE (continued)
==================================================================================================================================
Group Name
Specialty
Agreement Type
Effective Date
Stop Date
Disc %
Except
==================================================================================================================================
SAIC GENERAL MEDICINE MTF
ALLERGIST, PEDIATRIC
CERTIFIED NURSE MIDWIFE
FAMILY PRACTICE PHYSICIAN
INTERNAL MEDICINE CONSULTANT
INTERNIST
OB/GYN CONSULTANT
OBSTETRICIAN & GYNECOLOGIST (OB/GYN)
PEDIATRIC SURGEON
PEDIATRICIAN
PRIMARY CARE NURSE PRACTITIONER QUALIFIED
MTF - MTF STAFF
12 Jul 1993
11 Jul 1994
MTF
PIC - PARTNER INTERNAL
17 Jul 1993
16 Jul 1994
CA-10%
SAIC INTERNAL MEDICINE GROUP
CON
NET
PEX
SUP
-
FAMILY PRACTICE PHYSICIAN
INTERNAL MEDICINE CONSULTANT
INTERNAL MEDICINE RESIDENT
INTERNIST
OBSTETRICIAN & GYNECOLOGIST (OB/GYN)
OPHTHALMOLOGIST
PRIMARY CARE NURSE PRACTITIONER QUALIFIED
SURGERY CONSULTANT
CONTRACT
23 Jul 1993
CIVILIAN NETWORK PROVIDER
01 Oct 1993
PARTNER EXTERNAL
02 Jul 1993
SUPPLEMENTAL CARE/DIAGNOSTIC SERVICES
22 Jul 1993
SURGERY LAFB
MTF - MTF STAFF
28
30
18
21
May
Sep
May
Jul
1994
1994
1994
1994
CA-18%
CA-11%
CA-10%
CA-12%
E
E
E
GENERAL SURGEON
06 May 1993
06 May 1994
MTF
Total agreements NETWORK INSTITUTION/SERVICE Type: 21
FIGURE 4.4.2.1.
SAMPLE OUTPUT REPORT: PROVIDER ALPHABETIC AGREEMENT ROSTER
(Sheet 2 of 2)
6-244
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Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
PROVIDER AGREEMENT ROSTER BY SPECIALTY
Provider Type: NETWORK INDIVIDUAL PROVIDER
==================================================================================================================================
Specialty
Agreement Provider
Group
Effective Date
Stop Date
Disc %
Except
==================================================================================================================================
CARDIOLOGIST
CON - CONTRACT
CRAWFORD,JACQUI
CRAWFORD CARDIOLOGY
28 Jul 1993
27 Jul 1994
CA-3%
E
DEL CARMEN & HARRIS
12 Jul 1993
11 Jul 1994
CA-15%
CRAWFORD,JOSEPH
CRAWFORD CARDIOLOGY
28 Jul 1993
27 Jul 1994
CA-3%
EDDY,JEANNINE
CRAWFORD CARDIOLOGY CIV
03 Jun 1993
20 Dec 1993
CA-15%
FAITH,GROVER
RFD PRIM CARE
02 Jun 1993
01 Jun 1994
CA-9%
JACKMAN,BYRON N
SENTARA
03 May 1993
03 May 1995
CA-17%
JANSSEN,CHRISTA
SENTARA
03 May 1993
03 May 1995
CA-17%
MARTIN.GLENN
NDC MED GROUP (FRANK)
12 Jul 1993
11 Jul 1994
CA-22%
E
SANDERS,CARL A
GROUP A MEDICAL ASSOCIATION
01 Jul 1993
31 Jul 1996
CA-20%
E
WEBSTER,BEULAH
RIVERSIDE MEDICAL
03 May 1993
03 May 1994
CA-12%
WILSON,LARRY
RIVERSIDE MEDICAL
03 May 1993
03 May 1994
CA-12%
MTF - MTF STAFF
CRAWFORD,JACQUI
CRAWFORD CARDIOLOGY
14 Jul 1993
13 Jul 1994
MTF
CRAWFORD,JOSEPH
CRAWFORD CARDIOLOGY
14 Jul 1993
13 Jul 1994
MTF
SANDERS,CARL A
GROUP A MEDICAL ASSOCIATION
01 Jul 1993
31 Jul 1995
MTF
E
NET - CIVILIAN NETWORK PROVIDER
CRAWFORD,JACQUI
DEL CARMEN & HARRIS
05 May 1993
05 May 1994
CA-20%
HEALEY,WARREN
RFD PRIM CARE
02 Jun 1993
01 Jun 1994
CA-5%
JACKMAN,BYRON N
SENTARA
03 May 1993
03 May 1994
CA-17%
JANSSEN,CHRISTA
SENTARA
03 May 1993
03 May 1994
CA-17%
SANDERS,CARL A
GROUP A MEDICAL ASSOCIATION
01 Jul 1993
31 Jul 1995
CA-15%
E
WEBSTER,BEULAH
RIVERSIDE MEDICAL
01 Oct 1992
01 Oct 1993
CA-12%
WILSON,LARRY
FIGURE 4.4.2.2.
SAMPLE OUTPUT REPORT: SPECIALTY PROVIDER AGREEMENT ROSTER
(Sheet 1 of 4)
6-245
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29 Jul 1996
RIVERSIDE MEDICAL
01 Oct 1992
01 Oct 1993
TIDEWATER
CA-12%
24 Sep 1993@1450
Page 2
Personal Data - Privacy Act 1974 (PL-93-579)
PROVIDER AGREEMENT ROSTER BY SPECIALTY
Provider Type: NETWORK INDIVIDUAL PROVIDER (continued)
==================================================================================================================================
Specialty
Agreement Provider
Group
Effective Date
Stop Date
Disc %
Except
==================================================================================================================================
CARDIOLOGIST (continued)
NON - NON-NETWORK/EXCEPTION
CRAWFORD,JACQUI
CRAWFORD CARDIOLOGY
02 Jun 1993
01 Jun 1994
CA-0%
CRAWFORD,JOSEPH
CRAWFORD CARDIOLOGY
02 Jun 1993
01 Jun 1994
CA-0%
PIC - PARTNER INTERNAL
CRAWFORD,JACQUI
CRAWFORD CARDIOLOGY
12 Jun 1993
11 Jun 1994
CA-25%
DEL CARMEN & HARRIS
17 Aug 1993
16 Aug 1994
CA-22%
CRAWFORD,JOSEPH
CRAWFORD CARDIOLOGY
12 Jun 1993
11 Jun 1994
CA-25%
PURCELL,OTIS
INT MED LAFB
06 May 1993
06 May 1994
CA-25%
ROBINSON,RENAE
INT MED LAFB
06 May 1993
06 May 1994
CA-25%
SUP - SUPPLEMENTAL CARE/DIAGNOSTIC SERVICES
EDDY,JEANNINE
CRAWFORD CARDIOLOGY CIV
03 Jun 1993
02 Jun 1994
CA-10%
E
CARDIOLOGIST Provider Totals:
Total providers all specialties:
FIGURE 4.4.2.2.
SAMPLE OUTPUT REPORT: SPECIALTY PROVIDER AGREEMENT ROSTER
(Sheet 2 of 4)
6-246
13
13
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Page 3
Personal Data - Privacy Act 1974 (PL-93-579)
PROVIDER AGREEMENT ROSTER BY SPECIALTY
Provider Type: NETWORK INSTITUTION/SERVICE
==================================================================================================================================
Specialty
Agreement
Group
Effective Date
Stop Date
Disc %
Except
==================================================================================================================================
CARDIOLOGIST
MTF - MTF STAFF
INT MED LAFB
06 May 1993
06 May 1994
MTF
PIC - PARTNER INTERNAL
INT MED LAFB
06 May 1993
06 May 1994
CA-25%
CARDIOLOGIST Group Totals:
Total groups all specialties:
FIGURE 4.4.2.2.
SAMPLE OUTPUT REPORT: SPECIALTY PROVIDER AGREEMENT ROSTER
(Sheet 3 of 4)
6-247
2
2
SAIC/CHCS Doc. TC-4.5-0706
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Page 4
Personal Data - Privacy Act 1974 (PL-93-579)
PROVIDER AGREEMENT ROSTER BY SPECIALTY
Provider Type: NETWORK PROVIDER GROUP
==================================================================================================================================
Specialty
Agreement
Group
Effective Date
Stop Date
Disc %
Except
==================================================================================================================================
CARDIOLOGIST
CON - CONTRACT
CRAWFORD CARDIOLOGY
28 Jul 1993
27 Jul 1994
CA-3%
CRAWFORD CARDIOLOGY CIV
03 Jun 1993
20 Dec 1993
CA-15%
DEL CARMEN & HARRIS
12 Jul 1993
11 Jul 1994
CA-15%
GROUP A MEDICAL ASSOCIATION
01 Jul 1993
31 Dec 1996
CA-20%
NDC MED GROUP (FRANK)
12 Jul 1993
11 Jul 1994
CA-10%
E
RFD PRIM CARE
02 Jun 1993
01 Jun 1994
CA-9%
RIVERSIDE MEDICAL
03 May 1993
03 May 1994
CA-12%
SENTARA
03 May 1993
03 May 1995
CA-17%
MTF - MTF STAFF
CARDIOLOGY PNH
07 May 1993
07 May 1996
MTF
E
CRAWFORD CARDIOLOGY
14 Jul 1993
13 Jul 1994
MTF
GROUP A MEDICAL ASSOCIATION
01 Jul 1993
31 Dec 1996
MTF
NET - CIVILIAN NETWORK PROVIDER
DEL CARMEN & HARRIS
05 May 1993
05 May 1994
CA-20%
E
GROUP A MEDICAL ASSOCIATION
01 Jul 1993
31 Dec 1996
CA-20%
RFD PRIM CARE
02 Jun 1993
01 Jun 1994
CA-5%
RIVERSIDE MEDICAL
01 Oct 1992
01 Oct 1993
CA-12%
SENTARA
03 May 1993
03 May 1994
CA-17%
NON - NON-NETWORK/EXCEPTION
CRAWFORD CARDIOLOGY
02 Jun 1993
01 Jun 1994
CA-0%
PIC - PARTNER INTERNAL
CRAWFORD CARDIOLOGY
12 Jun 1993
11 Jun 1994
CA-25%
DEL CARMEN & HARRIS
17 Aug 1993
16 Aug 1994
CA-22%
E
GROUP A MEDICAL ASSOCIATION
01 Jul 1993
31 Dec 1996
CA-20%
SUP - SUPPLEMENTAL CARE/DIAGNOSTIC SERVICES
CRAWFORD CARDIOLOGY CIV
03 Jun 1993
02 Jun 1994
10%
CARDIOLOGIST Group Totals:
Total groups all specialties:
FIGURE 4.4.2.2.
SAMPLE OUTPUT REPORT: SPECIALTY PROVIDER AGREEMENT ROSTER
(Sheet 4 of 4)
6-248
21
21
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
FLAG FOR DEERS PROGRAM OFFICE
05 Jan 1994@1111
Personal Data - Privacy Act 1994 (PL-93-579)
PROVIDER AGREEMENT ROSTER BY SPECIALTY
Page 1
Provider Type: NETWORK INDIVIDUAL PROVIDER
=================================================================================
Specialty
Agreement
Number Agreements
=================================================================================
CARDIOLOGIST
----------CON - CONTRACT
11
MTF - MTF STAFF
5
NET - CIVILIAN NETWORK PROVIDER
7
NON - NON-NETWORK/EXCEPTION
5
PEX - PARTNER EXTERNAL
1
PIC - PARTNER INTERNAL
6
SUP - SUPPLEMENTAL CARE/DIAGNOSTIC SERVICES
2
TOTAL AGREEMENTS FOR SPECIALTY CARDIOLOGIST:
FAMILY PRACTICE PHYSICIAN
-----------------------CON - CONTRACT
MTF - MTF STAFF
NET - CIVILIAN NETWORK PROVIDER
NON - NON-NETWORK/EXCEPTION
PEX - PARTNER EXTERNAL
PIC - PARTNER INTERNAL
SUP - SUPPLEMENTAL CARE/DIAGNOSTIC SERVICES
37
21
23
35
10
10
8
6
TOTAL AGREEMENTS FOR SPECIALTY FAMILY PRACTICE PHYSICIAN:
GASTROENTEROLOGIST
----------------CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
113
4
2
TOTAL AGREEMENTS FOR SPECIALTY GASTROENTEROLOGIST:
6
TOTAL AGREEMENTS PROVIDER TYPE NETWORK INDIVIDUAL PROVIDER:
156
FIGURE 4.4.2.3.
SAMPLE OUTPUT REPORTS: SPECIALTY PROVIDER AGREEMENT SUMMARY
(Sheet 1 of 2)
6-249
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
FLAG FOR DEERS PROGRAM OFFICE
05 Jan 1994@1111
Personal Data - Privacy Act 1994 (PL-93-579)
PROVIDER AGREEMENT ROSTER BY SPECIALTY
Page 2
Provider Type: NETWORK PROVIDER GROUP
=================================================================================
Specialty
Agreement
Number Agreements
=================================================================================
CARDIOLOGIST
----------CON - CONTRACT
9
MTF - MTF STAFF
5
NET - CIVILIAN NETWORK PROVIDER
7
NON - NON-NETWORK/EXCEPTION
3
PEX - PARTNER EXTERNAL
1
PIC - PARTNER INTERNAL
4
SUP - SUPPLEMENTAL CARE/DIAGNOSTIC SERVICES
2
TOTAL AGREEMENTS FOR SPECIALTY CARDIOLOGIST:
FAMILY PRACTICE PHYSICIAN
-----------------------CON - CONTRACT
MTF - MTF STAFF
NET - CIVILIAN NETWORK PROVIDER
NON - NON-NETWORK/EXCEPTION
PEX - PARTNER EXTERNAL
PIC - PARTNER INTERNAL
SUP - SUPPLEMENTAL CARE/DIAGNOSTIC SERVICES
31
8
13
18
5
4
4
2
TOTAL AGREEMENTS FOR SPECIALTY FAMILY PRACTICE PHYSICIAN:
GASTROENTEROLOGIST
----------------CON - CONTRACT
MTF - MTF STAFF
NET - CIVILIAN NETWORK PROVIDER
54
2
1
1
TOTAL AGREEMENTS FOR SPECIALTY GASTROENTEROLOGIST:
4
TOTAL AGREEMENTS PROVIDER TYPE NETWORK PROVIDER GROUP:
89
FIGURE 4.4.2.3.
SAMPLE OUTPUT REPORTS: SPECIALTY PROVIDER AGREEMENT SUMMARY
(Sheet 2 of 2)
6-250
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
24 Sep 1993@1554
Personal Data - Privacy Act 1974 (PL-93-579)
Page 1
PROVIDER AGREEMENT ROSTER by DISCOUNT
Agreement Type: CONTRACT
================================================================================
Provider Type: NETWORK INDIVIDUAL PROVIDER
================================================================================
Specialty: AEROSPACE MED FLIGHT SURGEON/FAMILY PRACTICE PHYSICIAN
Discount: CA-34%
MATT,COREY
PROV MERGE TEST GROUP (MATT)
Specialty: ALLERGIST
Discount: CA-17%
KANE,KERRY L
SENTARA
KANZIUS,CHRIS
SENTARA
TOTAL PROVIDERS AT CA-17%: 2
Discount: CA-12%
YACABUCCI,JOHN E
RIVERSIDE MEDICAL
YAMATE,JAMES M
RIVERSIDE MEDICAL
TOTAL PROVIDERS AT CA-12%: 2
Specialty: ALLERGY
Discount: CA- 9%
HEALEY,WARREN
RFD PRIM CARE
Specialty: BURN THERAPIST
Discount:
50%
PIERCE,HANK
MATT'S PROVIDER GROUP
Specialty: CARDIAC SURGEON
Discount: CA-30%
WILSON,THOMAS
GROUP A MEDICAL GROUP
Discount: CA- 3%
CRAWFORD,MICHELLE
CRAWFORD CARDIOLOGY
Discount: CA- 1%
DANNY,JAY
DANNY CARDIOLOGY GROUP
FIGURE 4.4.2.4.
SAMPLE OUTPUT REPORT: DISCOUNT PROVIDER AGREEMENT ROSTER
(Sheet 1 of 2)
6-251
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
24 Sep 1993@1554
Personal Data - Privacy Act 1974 (PL-93-579)
Page 2
PROVIDER AGREEMENT ROSTER by DISCOUNT
Agreement Type: CONTRACT (continued)
================================================================================
Provider Type: NETWORK INDIVIDUAL PROVIDER (continued)
================================================================================
Specialty: CARDIOLOGIST
Discount: CA-22%
NEWMAN,MARCUS
NDC MED GROUP (FRANK)
Discount: CA-20%
SANDERS,CARL A
GROUP A MEDICAL ASSOCIATION
Discount: CA-17%
JACKMAN,BYRON N
SENTARA
JANSSEN,CHRISTA
SENTARA
TOTAL PROVIDERS AT CA-17%: 2
Discount: CA-15%
CRAWFORD,JACQUI
DEL CARMEN & HARRIS
EDDY,JEANNINE
CRAWFORD CARDIOLOGY CIV
TOTAL PROVIDERS AT CA-15%: 2
Discount: CA-12%
WEBSTER,BEULAH
RIVERSIDE MEDICAL
WILSON,LARRY
RIVERSIDE MEDICAL
TOTAL PROVIDERS AT CA-12%: 2
Discount: CA- 9%
HAVEN,SAUL
RFD PRIM CARE
Specialty: CARDIOLOGY
Discount: CA- 9%
SHAW,HERB
RFD PRIM CARE
Specialty: COLON & RECTAL SURGEON
Discount:
50%
PIERCE,HANK
FIGURE 4.4.2.4.
SAMPLE OUTPUT REPORT: DISCOUNT PROVIDER AGREEMENT ROSTER
(Sheet 2 of 2)
6-252
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
01 Oct 1993@1242
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
Provider Agreement Roster By Expiration Date
Period from 16 Sep 1993 to 01 Dec 1993
========================================================================================================================
Provider
Specialty
Provider Group
Payment Address
Zip Code
Phone Number
Agreement Type
Effective Dates
Disc %
Except
========================================================================================================================
ABBOTT,JAMES
GENERAL SURGEON
INTERNAL MEDICINE
INTERNAL MEDICINE CONSULTANT
SALISBURY TRAINING GROUP
6275 RANCHO MISSION ROAD
PORTSMOUTH, VA
23667
(804) 780-0520
SUP - SUPPLEMENTAL CARE/DIAGNOSTIC SERVICES
18Oct92-17Oct93
CA-10%
E
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
ACEVES,ALICIA
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
PEX - PARTNER EXTERNAL
BALLANTINE,ELAINE G
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
BOOKER,DONALD T
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
CALLENDER,OTHELLO
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
FIGURE 4.4.2.5.
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
GENERAL SURGEON
HAMPTON, VA
23669
05Sep92-05Sep93
01Oct92-01Oct93
(804) 890-5432
CA-17%
CA-12%
OPHTHALMOLOGIST
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
OPHTHALMOLOGIST
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
PODIATRIST
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
SAMPLE OUTPUT REPORT: EXPIRATION DATE PROVIDER AGREEMENT ROSTER
(Sheet 1 of 7)
6-253
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
01 Oct 1993@1242
Page 2
Personal Data - Privacy Act 1974 (PL-93-579)
Provider Agreement Roster By Expiration Date
Period from 16 Sep 1993 to 01 Dec 1993
========================================================================================================================
Provider
Specialty
Provider Group
Payment Address
Zip Code
Phone Number
Agreement Type
Effective Dates
Disc %
Except
========================================================================================================================
DAMON,THOMAS R
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
PIC - PARTNER INTERNAL
DANIELS,DEANNA
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
ESPINOZA,EDNA
SAIC INTERNAL MEDICINE GROUP
SUITE A
10 NETWORK LANE
NET - CIVILIAN NETWORK PROVIDER
HOOD,DORIS A
CHILDRENS HOSPITAL & CLINIC
1778 COLONIAL PARKWAY
NET - CIVILIAN NETWORK PROVIDER
HOPKINS,CHARLES R
CHILDRENS HOSPITAL & CLINIC
1778 COLONIAL PARKWAY
NON - NON-NETWORK/EXCEPTION
QUINN,FRED
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
FIGURE 4.4.2.5.
DERMATOLOGIST
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
DERMATOLOGIST
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
INTERNAL MEDICINE RESIDENT
SAN DIEGO, CA
92120
25Sep92-25Sep93
(619) 555-0100
CA-12%
PEDIATRICIAN
YORKTOWN, VA
23690
(804) 890-7654
CA-16%
23690
(804) 890-7654
CA-16%
23669
(804) 890-5432
01Oct92-30Sep93
PEDIATRICIAN
YORKTOWN, VA
01Oct92-30Sep93
INTERNIST
HAMPTON, VA
01Oct92-01Oct93
CA-12%
SAMPLE OUTPUT REPORT: EXPIRATION DATE PROVIDER AGREEMENT ROSTER
(Sheet 2 of 7)
6-254
PCM
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
01 Oct 1993@1242
Page 3
Personal Data - Privacy Act 1974 (PL-93-579)
Provider Agreement Roster By Expiration Date
Period from 16 Sep 1993 to 01 Dec 1993
========================================================================================================================
Provider
Specialty
Provider Group
Payment Address
Zip Code
Phone Number
Agreement Type
Effective Dates
Disc %
Except
========================================================================================================================
RANGER,GLORIA
GASTROENTEROLOGIST
RIVERSIDE MEDICAL
P O BOX 5436
HAMPTON, VA
23669
(804) 890-5432
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
01Oct92-01Oct93
CA-12%
READ,MELISSA
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
RIVERSIDE MEDICAL
GASTROENTEROLOGIST
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
ALLERGIST
CARDIOLOGIST
DERMATOLOGIST
GASTROENTEROLOGIST
GENERAL SURGEON
INTERNIST
NEUROLOGICAL SURGEON
NEUROLOGIST
OBSTETRICIAN & GYNECOLOGIST (OB/GYN)
OPHTHALMOLOGIST
ORTHOPEDIC SURGEON
OTORHINOLARYNGOLOGIST
PEDIATRICIAN
PODIATRIST
RIVERSIDE MEDICAL
822 OLD HAMPTON PARKWAY
P O BOX 5436
NET - CIVILIAN NETWORK PROVIDER
SALISBURY TRAINING GROUP
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
FAMILY PRACTICE PHYSICIAN
INTERNAL MEDICINE CONSULTANT
INTERNAL MEDICINE RESIDENT
INTERNIST
OBSTETRICIAN & GYNECOLOGIST (OB/GYN)
OPHTHALMOLOGIST
PRIMARY CARE NURSE PRACTITIONER QUALIFIED
SURGERY CONSULTANT
FIGURE 4.4.2.5.
SAMPLE OUTPUT REPORT: EXPIRATION DATE PROVIDER AGREEMENT ROSTER
(Sheet 3 of 7)
6-255
PCM
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
01 Oct 1993@1242
Page 4
Personal Data - Privacy Act 1974 (PL-93-579)
Provider Agreement Roster By Expiration Date
Period from 16 Sep 1993 to 01 Dec 1993
========================================================================================================================
Provider
Specialty
Provider Group
Payment Address
Zip Code
Phone Number
Agreement Type
Effective Dates
Disc %
Except
========================================================================================================================
SALISBURY TRAINING GROUP
6275 RANCHO MISSION ROAD
PORTSMOUTH, VA
23667
(804) 780-0520
SUP - SUPPLEMENTAL CARE/DIAGNOSTIC SERVICES
18Oct92-17Oct93
CA-10%
E
SHANNON,BERNICE V
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
SMITH,DENISE
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
TAIT,WILLIAM A
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
CON - CONTRACT
THACKER,DAVID
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
THORPE,FRANCES
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
VALDEZ,JUAN M
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
FIGURE 4.4.2.5.
OBSTETRICIAN & GYNECOLOGIST (OB/GYN)
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
OBSTETRICIAN & GYNECOLOGIST (OB/GYN)
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
OBSTETRICIAN & GYNECOLOGIST (OB/GYN)
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
PEDIATRICIAN
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
OBSTETRICIAN & GYNECOLOGIST (OB/GYN)
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
OTORHINOLARYNGOLOGIST
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
SAMPLE OUTPUT REPORT: EXPIRATION DATE PROVIDER AGREEMENT ROSTER
(Sheet 4 of 7)
6-256
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
01 Oct 1993@1242
Page 5
Personal Data - Privacy Act 1974 (PL-93-579)
Provider Agreement Roster By Expiration Date
Period from 16 Sep 1993 to 01 Dec 1993
========================================================================================================================
Provider
Specialty
Provider Group
Payment Address
Zip Code
Phone Number
Agreement Type
Effective Dates
Disc %
Except
========================================================================================================================
WATERHOUSE,ROBERT G
ORTHOPEDIC SURGEON
RIVERSIDE MEDICAL
P O BOX 5436
HAMPTON, VA
23669
(804) 890-5432
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
01Oct92-01Oct93
CA-12%
WATERS,ANDREW T
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
WEBER,CHRISTOPHER G
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
WILSON,BEULAH
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
YAMAMOTO,JOHN E
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
NET - CIVILIAN NETWORK PROVIDER
YORK,JAMES H
RIVERSIDE MEDICAL
P O BOX 5436
822 OLD HAMPTON PARKWAY
MTF - MTF STAFF
FIGURE 4.4.2.5.
ORTHOPEDIC SURGEON
EDELSTEIN, IL
61526
01Oct92-01Oct93
(804) 890-5432
CA-12%
CARDIOLOGIST
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
CARDIOLOGIST
EDELSTEIN, IL
61526
01Oct92-01Oct93
(804) 890-5432
CA-12%
ALLERGIST
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
CA-12%
ALLERGIST
HAMPTON, VA
23669
01Oct92-01Oct93
(804) 890-5432
MTF
SAMPLE OUTPUT REPORT: EXPIRATION DATE PROVIDER AGREEMENT ROSTER
(Sheet 5 of 7)
6-257
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
01 Oct 1993@1242
Page 6
Personal Data - Privacy Act 1974 (PL-93-579)
Provider Agreement Roster By Expiration Date
Period from 16 Sep 1993 to 01 Dec 1993
========================================================================================================================
Provider
Specialty
Provider Group
Payment Address
Zip Code
Phone Number
Agreement Type
Effective Dates
Disc %
Except
========================================================================================================================
ZELENOVIC,CHRISTINA
NEUROLOGICAL SURGEON
NEUROLOGIST
RIVERSIDE MEDICAL
P O BOX 5436
HAMPTON, VA
23669
(804) 890-5432
822 OLD HAMPTON PARKWAY
NON - NON-NETWORK/EXCEPTION
01Oct92-01Oct93
CA-12%
FIGURE 4.4.2.5.
SAMPLE OUTPUT REPORT: EXPIRATION DATE PROVIDER AGREEMENT ROSTER
(Sheet 6 of 7)
6-258
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
01 Oct 1993@1242
Page 7
Personal Data - Privacy Act 1974 (PL-93-579)
Provider Agreement Roster By Expiration Date
Period from 16 Sep 1993 to 01 Dec 1993
========================================================================================================================
Agreement Type
Total
========================================================================================================================
CON - CONTRACT
1
MTF - MTF STAFF
2
NET - CIVILIAN NETWORK PROVIDER
21
NON - NON-NETWORK/EXCEPTION
2
PEX - PARTNER EXTERNAL
1
PIC - PARTNER INTERNAL
1
SUP - SUPPLEMENTAL CARE/DIAGNOSTIC SERVICES
1
-----------------------------------------------------------Total Agreements
29
FIGURE 4.4.2.5.
SAMPLE OUTPUT REPORT: EXPIRATION DATE PROVIDER AGREEMENT ROSTER
(Sheet 7 of 7)
6-259
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
28 Sep 1993@1051
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
Provider Agreement Roster By ZIP Code
ZIP Code: 23601
**PCM only**
========================================================================================================================
Specialty
Provider
Provider Group
Agreement Type
Effective Dates
Disc %
Except
========================================================================================================================
FAMILY PRACTICE PHYSICIAN
------------------------DEL CARMEN,GLEN R
DEL CARMEN & HARRIS
NET - CIVILIAN NETWORK PROVIDER
05May93-05May94
CA-20%
EAKLE,THOMAS K
FAMILY PRACTICE ASSOCIATES
NET - CIVILIAN NETWORK PROVIDER
01Oct92-18May95
CA-10%
EATON,GARY M
FAMILY PRACTICE ASSOCIATES
NET - CIVILIAN NETWORK PROVIDER
01Oct92-18May95
CA-10%
ELLIS,BARBARA M
FAMILY PRACTICE ASSOCIATES
NET - CIVILIAN NETWORK PROVIDER
01Oct92-18May95
CA-10%
EVANS,RICK
FAMILY PRACTICE ASSOCIATES
NET - CIVILIAN NETWORK PROVIDER
01Oct92-18May95
CA-10%
HARRIS,SCOTT D
DEL CARMEN & HARRIS
NET - CIVILIAN NETWORK PROVIDER
05May93-05May94
CA-20%
Total providers for FAMILY PRACTICE PHYSICIAN:
Total providers for ZIP Code 23601:
FIGURE 4.4.2.6.
SAMPLE OUTPUT REPORT: ZIP CODE AGREEMENT ROSTER
(Sheet 1 of 3)
6-260
E
6
6
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
28 Sep 1993@1051
Page 2
Personal Data - Privacy Act 1974 (PL-93-579)
Provider Agreement Roster By ZIP Code
ZIP Code: 23665
**PCM only**
========================================================================================================================
Specialty
Provider
Provider Group
Agreement Type
Effective Dates
Disc %
Except
========================================================================================================================
CARDIOLOGIST
-----------CARDIOLOGY PNH
CARDIOLOGY PNH
MTF - MTF STAFF
07May93-07May96
MTF
CRAWFORD CARDIOLOGY
CRAWFORD CARDIOLOGY
CON - CONTRACT
MTF - MTF STAFF
28Jul93-27Jul94
14Jul93-13Jul94
CA- 3%
MTF
CRAWFORD,JACQUI
CRAWFORD CARDIOLOGY
CON - CONTRACT
MTF - MTF STAFF
28Jul93-27Jul94
14Jul93-13Jul94
CA- 3%
MTF
Total providers for CARDIOLOGIST:
EMERGENCY PHYSICIAN
------------------ROY,IMA
ROY FAMILY PRACTICE
NET - CIVILIAN NETWORK PROVIDER
31Mar93-31Mar94
CA-75%
FAMILY PRACTICE PHYSICIAN
------------------------CORBIN,ANTHONY
FAMILY PRACTICE LAFB
MTF - MTF STAFF
06May93-06May94
MTF
CRAWFORD CARDIOLOGY
CRAWFORD CARDIOLOGY
CON - CONTRACT
MTF - MTF STAFF
PIC - PARTNER INTERNAL
28Jul93-27Jul94
14Jul93-13Jul94
12Jun93-11Jun94
CA- 3%
MTF
CA-25%
CRAWFORD,JACQUI
CRAWFORD CARDIOLOGY
CON - CONTRACT
MTF - MTF STAFF
28Jul93-27Jul94
14Jul93-13Jul94
CA- 3%
MTF
FIGURE 4.4.2.6.
SAMPLE OUTPUT REPORT: ZIP CODE AGREEMENT ROSTER
(Sheet 2 of 3)
6-261
E
3
E
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
28 Sep 1993@1051
Page 3
Personal Data - Privacy Act 1974 (PL-93-579)
Provider Agreement Roster By ZIP Code
ZIP Code: 23665
**PCM only**
========================================================================================================================
Specialty
Provider
Provider Group
Agreement Type
Effective Dates
Disc %
Except
========================================================================================================================
FAMILY PRACTICE PHYSICIAN (continued)
-------------------------------------FLETCHER,THOMAS
FAMILY PRACTICE LAFB
MTF - MTF STAFF
06May93-06May94
MTF
KIRBY,SANDRA
FAMILY PRACTICE LAFB
MTF - MTF STAFF
06May93-06May94
MTF
MADISON,MICHAEL
FAMILY PRACTICE LAFB
MTF - MTF STAFF
06May93-06May94
MTF
MERCER,SARA
FAMILY PRACTICE LAFB
MTF - MTF STAFF
06May93-06May94
MTF
OLIVER,SAMUEL
FAMILY PRACTICE LAFB
MTF - MTF STAFF
06May93-06May94
MTF
ROY,IMA
ROY FAMILY PRACTICE
NET - CIVILIAN NETWORK PROVIDER
31Mar93-31Mar94
CA-75%
Total providers for FAMILY PRACTICE PHYSICIAN:
Total providers for ZIP Code 23665:
FIGURE 4.4.2.6.
SAMPLE OUTPUT REPORT: ZIP CODE AGREEMENT ROSTER
(Sheet 3 of 3)
6-262
9
13
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
User: THACKER,DAVID
Provider: 4 Selected
TO:
R E ALBAGHDADI
CARDIOLOGY ASSOCIATES
14557 J. CLYDE MORRIS AVE.
GLOUCESTER VA
23061
TO:
CPT THERESA BARRETT
CASHIER'S OFC
5 EFFINGHAM ST
HAMPTON VA
23665
TO:
COL MICHAEL DE BLASIO
PERSHING CLINIC
3222 JAMES ST
PORTSMOUTH VA
23708
TO:
COL MARK HAMILTON
EISENHOWER CLINIC
2365 KING ST
HAMPTON VA
23668
FIGURE 4.4.2.7.
SAMPLE OUTPUT REPORT:
PROVIDER BATCH ADDRESS LABELS - PRINT UTILITY
6-263
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
NH PORTSMOUTH, VA
28 Apr 1993@1531
DISCREPANCY AVOIDANCE REPORT
Personal Data - Privacy Act 1974 (PL-93-579)
*** Patients Assigned to Primary Care Manager ***
Page 1
Place of Care: RIVER RUN FAMILY PLANNING
===============================================================================
Provider Group
Provider
Patient
FMP/SSN
===============================================================================
CAMPUS POINT FAMILY PLANNING, INC.
BOLTON,DAVID
ALLAN,MICHAEL
ASHTON,TERRY
DANIELSON,BRUCE
DANIELSON,DAVID
DANIELSON,MARY JO
20/456-09-3434
20/309-09-0923
30/609-12-3434
01/609-12-3434
20/609-12-3434
HAMMOND,PATRICIA
SMITH,DAVID
SMITH,SUSAN L
20/561-35-3540
30/561-35-3540
LUCAS,JONATHAN K
FOSTER,JACOB
20/756-54-4545
RIVER RUN FAMILY PRACTICE GROUP
APPLETON,MARGARET
MARSHALL,JANE
20/891-34-3434
OZANICH,SANDRA
MARIGOLD,RONALD
NEILSON,KENNETH
20/564-01-1029
02/710-23-3233
ROTHSCHILD,ANDREW
BEUFORD,KATLYNN
BEUFORD,NATHAN
30/654-66-6666
20/654-66-6666
===============================================================================
Use the Batch PCM Reassignment Option (BMCP) to transfer assigned patients.
FIGURE 4.4.2.8.
SAMPLE OUTPUT REPORT: DISCREPANCY AVOIDANCE REPORT (Place of Care)
(Sheet 1 of 8)
6-264
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
NH PORTSMOUTH, VA
28 Apr 1993@1531
DISCREPANCY AVOIDANCE REPORT
Personal Data - Privacy Act 1974 (PL-93-579)
*** Booked Appointment & Referrals ***
Page 2
Place of Care: RIVER RUN FAMILY PLANNING
===============================================================================
Provider Group
Provider
Patient
Home Phone
Appt Date/Time
- Referral
FMP/SSN
Work Phone
Appt Type
Appt Status
===============================================================================
CAMPUS POINT FAMILY PLANNING, INC.
BOLTON,DAVID
ALLAN,MICHAEL
20/456-09-3434
ASHTON,TERRY
20/309-09-0923
FOSTER,JACOB
20/765-56-6577
HATTERS,KAITLIN
02/689-34-2344
LUCAS,JONATHAN K
30/534-05-5455
PETRA,ANGELICA
20/544-09-4519
H:
W:
H:
W:
H:
W:
H:
W:
H:
W:
565-9080
543-0000
432-0434
543-1234
654-6556
543-5435
790-3444
01 May 1993@0930 - 930000237
NEW
17 Jun 1993@0900 - 930000495
FU
16 Jun 1993@0830
CON
930000589
606-0565
543-0545
14 May 1993@0900
NEW
01 Jun 1993@0830
NEW
H: 765-5435
W: 601-4324
930000610
CON
RIVER RUN FAMILY PRACTICE GROUP
APPLETON,MARGARET
LINDHOLT,HERBERT
20/891-34-3434
H: 645-6546
W: 543-5454
23 May 1993@1645
RET
ROTHSCHILD,ANDREW
BEUFORD,KATLYNN
30/654-66-6666
H: 654-6666
W:
19 Jun 1993@1630 - 930000719
RET
===============================================================================
Referrals should be reassigned using the Appointment Referral Processing option.
Appointments should be canceled/rescheduled.
FIGURE 4.4.2.8.
SAMPLE OUTPUT REPORT: DISCREPANCY AVOIDANCE REPORT (Place of Care)
(Sheet 2 of 8)
6-265
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
NH PORTSMOUTH, VA
28 Apr 1993@1531
DISCREPANCY AVOIDANCE REPORT
Personal Data - Privacy Act 1974 (PL-93-579)
*** Wait List Requests ***
Page 3
Place of Care: RIVER RUN FAMILY PLANNING
===============================================================================
Provider Group
Provider
Patient
Home Phone
Target Date
- Referral
FMP/SSN
Work Phone
Appt Type
Appt Status
===============================================================================
CAMPUS POINT FAMILY PLANNING, INC.
BOLTON,DAVID
MELCHIOR,CASPAR
20/543-00-3784
DALLMAN,JERALD
20/309-09-0923
WILSON,JUSTINE
20/765-56-6577
H:
W:
H:
W:
H:
W:
565-9080
543-7384
784-3044
543-0987
432-6556
786-5435
23 May 1993
NEW
17 Jun 1993
FU
16 Jun 1993
CON
- 930000101
WAITREQ
- 930000495
WAITREQ
- 930000781
WAITREQ
RIVER RUN FAMILY PRACTICE GROUP
APPLETON,MARGARET
SMITH,HERBERT
05/432-04-3434
H: 431-6546
W:
01 Jul 1993
RET
ROTHSCHILD,ANDREW
BEUFORD,KATLYNN
30/654-66-6666
H: 654-6666
W:
19 Jun 1993
RET
- 930000719
WAITREQ
===============================================================================
Wait List Requests should be reassigned using Wait List Request option in PAS
FIGURE 4.4.2.8.
SAMPLE OUTPUT REPORT: DISCREPANCY AVOIDANCE REPORT (Place of Care)
(Sheet 3 of 8)
6-266
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
NH PORTSMOUTH, VA
28 Apr 1993@1531
DISCREPANCY AVOIDANCE REPORT
Personal Data - Privacy Act 1974 (PL-93-579)
*** Provider List ***
Page 4
Place of Care: RIVER RUN FAMILY PLANNING
===============================================================================
Provider Group
Provider
===============================================================================
CAMPUS POINT FAMILY PLANNING, INC.
BOLTON,DAVID
HAMMOND,PATRICIA
LUCAS,JONATHAN K
****** Only PLACE OF CARE ******
RIVER RUN FAMILY PRACTICE GROUP
APPLETON,MARGARET
OZANICH,SANDRA
ROTHSCHILD,ANDREW
****** Only PLACE OF CARE ******
================================================================================
Those providers that have the designation 'Only Place of Care' will not appear
on any pick list once the Place of Care is inactivated.
FIGURE 4.4.2.8.
SAMPLE OUTPUT REPORT: DISCREPANCY AVOIDANCE REPORT (Place of Care)
(Sheet 4 of 8)
6-267
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
NH PORTSMOUTH, VA
28 Apr 1993@1531
DISCREPANCY AVOIDANCE REPORT
Personal Data - Privacy Act 1974 (PL-93-579)
*** Patients Assigned to Provider as Primary Care Manager ***
Page 1
Provider: SMITH,KATHERINE
===============================================================================
Provider Group
Place of Care
Patient
FMP/SSN
===============================================================================
MT WHITNEY MEDICAL GROUP
MT WHITNEY CLINIC
ALLAN,MICHAEL
ASHTON,TERRY
DANIELSON,BRUCE
DANIELSON,DAVID
20/456-09-3434
20/309-09-0923
30/609-12-3434
01/609-12-3434
MT WHITNEY MEDICAL CENTER
SMITH,DAVID
SMITH,LOWELL
SMITH,NANCY
SMITH,SUSAN L
20/561-35-3540
30/561-25-3540
30/561-85-3540
30/561-35-3540
===============================================================================
Use the Batch PCM Reassignment Option (BMCP) to transfer assigned patients.
FIGURE 4.4.2.8.
SAMPLE OUTPUT REPORT: DISCREPANCY AVOIDANCE REPORT (Provider)
(Sheet 5 of 8)
6-268
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
NH PORTSMOUTH, VA
28 Apr 1993@1531
DISCREPANCY AVOIDANCE REPORT
Personal Data - Privacy Act 1974 (PL-93-579)
*** Booked Appointment & Referrals ***
Page 2
Provider: SMITH,KATHERINE
================================================================================
Provider Group
Place of Care
Patient
Home Phone
Appt Date/Time
- Referral
FMP/SSN
Work Phone
Appt Type
Appt Status
================================================================================
MT WHITNEY MEDICAL CENTER
MT WHITNEY CLINIC
ALLAN,MICHAEL
20/456-09-3434
ASHTON,TERRY
20/309-09-0923
DANIELSON,BRUCE
20/765-56-6577
DANIELSON,DAVID
02/689-34-2344
H:
W:
H:
W:
H:
W:
H:
W:
565-9080
543-0000
432-0434
543-1234
654-6556
543-5435
790-3444
MT WHITNEY MEDICAL CENTER
SMITH,DAVID
H: 645-6546
20/561-35-3540
W:
SMITH,LOWELL
H: 645-6546
30/561-25-3540
W:
01 May 1993@0930
NEW
17 Jun 1993@0900 - 930000495
FU
16 Jun 1993@0830
CON
930000589
23 May 1993@1645
RET
23 May 1993@1645
RET
===============================================================================
Referrals should be reassigned using the Appointment Referral Processing option.
Appointments should be canceled/rescheduled.
FIGURE 4.4.2.8.
SAMPLE OUTPUT REPORT: DISCREPANCY AVOIDANCE REPORT (Provider)
(Sheet 6 of 8)
6-269
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
NH PORTSMOUTH, VA
28 Apr 1993@1531
Page 3
DISCREPANCY AVOIDANCE REPORT
Personal Data - Privacy Act 1974 (PL-93-579)
*** Wait List Requests ***
Provider: SMITH,KATHERINE
===============================================================================
Provider Group
Place of Care
Patient
Home Phone
Target Date
- Referral
FMP/SSN
Work Phone
Appt Type
Appt Status
===============================================================================
MT WHITNEY MEDICAL GROUP
MT WHITNEY CLINIC
ALLAN,MICHAEL
20/456-09-3434
DANIELSON,BRUCE
20/765-56-6577
DANIELSON,DAVID
02/689-34-2344
SMITH,DAVID
20/561-35-3540
H:
W:
H:
W:
H:
W:
H:
W:
565-9080
543-0000
654-6556
543-5435
790-3444
645-6546
11 Apr
NEW
16 Jun
CON
18 Jun
FU
27 May
RET
1993
1993
1993
1993
- 930000103
WAITREQ
- 930000207
WAITREQ
- 930000589
WAITREQ
- 930000344
WAITREQ
===============================================================================
Wait List Requests should be reassigned using Wait List Request option in PAS
FIGURE 4.4.2.8.
SAMPLE OUTPUT REPORT: DISCREPANCY AVOIDANCE REPORT (Provider)
(Sheet 7 of 8)
6-270
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
NH PORTSMOUTH, VA
28 Apr 1993@1531
DISCREPANCY AVOIDANCE REPORT
Personal Data - Privacy Act 1974 (PL-93-579)
*** Provider Hospital Locations ***
Page 4
Provider: SMITH,KATHERINE
===============================================================================
Provider Group
Place of Care
===============================================================================
MT WHITNEY MEDICAL GROUP
MT WHITNEY CLINIC
MT WHITNEY MEDICAL CENTER
DE ANZA MEDICAL GROUP
DE ANZA MEDICAL CENTER
===============================================================================
Other Locations
Division
===============================================================================
MT WHITNEY CLINIC
AIR FORCE DIVISION
WELL BABY CLINIC
NAVY DIVISION
================================================================================
FIGURE 4.4.2.8.
SAMPLE OUTPUT REPORT: DISCREPANCY AVOIDANCE REPORT (Provider)
(Sheet 8 of 8)
6-271
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
23 Sep 1993@1105
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
GROUP MEMBER ROSTER
ALVIN WILLARD, MD
GROUP DMIS ID(S): 8888
GROUP TAX ID:
================================================================================
Provider Name
UPIN
Tax ID
DMIS ID
Specialty
Agreement Type
Effective Dates
Disc %
================================================================================
WILLARD,ALVIN
8888
INTERNIST
NON - NON-NETWORK/EXCEPTION
05May93-05May94
0%
FIGURE 4.4.2.9.
SAMPLE OUTPUT REPORT:
(Sheet 1 of 3)
6-272
GROUP MEMBER ROSTER
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
23 Sep 1993@1105
Page 2
Personal Data - Privacy Act 1974 (PL-93-579)
GROUP MEMBER ROSTER
CHILDRENS HOSPITAL & CLINIC
GROUP DMIS ID(S): 6501
GROUP TAX ID: KIS
================================================================================
Provider Name
UPIN
Tax ID
DMIS ID
Specialty
Agreement Type
Effective Dates
Disc %
================================================================================
HOOD,DORIS A
6501
PEDIATRICIAN
NET - CIVILIAN NETWORK PROVIDER
01Oct92-30Sep93
CA-16%
HOPKINS,CHARLES R
PEDIATRICIAN
NET - CIVILIAN NETWORK PROVIDER
6501
01Oct92-30Sep93
FIGURE 4.4.2.9.
CA-16%
SAMPLE OUTPUT REPORT:
(Sheet 2 of 3)
6-273
GROUP MEMBER ROSTER
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
23 Sep 1993@1105
Page 3
Personal Data - Privacy Act 1974 (PL-93-579)
GROUP MEMBER ROSTER
CRAWFORD CARDIOLOGY
GROUP DMIS ID(S): 8888
GROUP TAX ID: 567
================================================================================
Provider Name
UPIN
Tax ID
DMIS ID
Specialty
Agreement Type
Effective Dates
Disc %
================================================================================
CRAWFORD,JACQUI
568392
8888
CARDIOLOGIST
FAMILY PRACTICE PHYSICIAN
CON - CONTRACT
28Jul93-27Jul94
CA- 3%
MTF - MTF STAFF
14Jul93-13Jul94
MTF
NON - NON-NETWORK/EXCEPTION
02Jun93-01Jun94
CA
PIC - PARTNER INTERNAL
12Jun93-11Jun94
CA-25%
CRAWFORD,JOSEPH
46Y907
CARDIOLOGIST
CON - CONTRACT
MTF - MTF STAFF
NON - NON-NETWORK/EXCEPTION
PIC - PARTNER INTERNAL
8888
28Jul93-27Jul94
14Jul93-13Jul94
02Jun93-01Jun94
12Jun93-11Jun94
CRAWFORD,MICHELLE
754289
CARDIAC SURGEON
FAMILY PRACTICE PHYSICIAN
NEUROLOGIST
CON - CONTRACT
MTF - MTF STAFF
NON - NON-NETWORK/EXCEPTION
PIC - PARTNER INTERNAL
7261389
CRAWFORD,PHYLLIS
764328
CARDIOLOGY
CON - CONTRACT
MTF - MTF STAFF
NON - NON-NETWORK/EXCEPTION
PIC - PARTNER INTERNAL
6781904680
8888
28Jul93-27Jul94
14Jul93-13Jul94
02Jun93-01Jun94
12Jun93-11Jun94
CA- 3%
MTF
CA
CA-25%
8888
28Jul93-27Jul94
14Jul93-13Jul94
02Jun93-01Jun94
12Jun93-11Jun94
FIGURE 4.4.2.9.
CA- 3%
MTF
CA
CA-25%
CA- 3%
MTF
CA
CA-25%
SAMPLE OUTPUT REPORT:
(Sheet 3 of 3)
6-274
GROUP MEMBER ROSTER
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PORTSMOUTH NAVAL HOSPITAL
21 Jan 1993@1133
Personal Data - Privacy Act of 1974 (PL 93-579)
PROVIDER GROUP REPORT
*** Group Information ***
PAGE 1
GROUP: CAMPUS POINT MEDICAL CENTER
================================================================================
Short Group ID: CAMPPT
Tax ID#: 7584930201
CHAMPUS Nbr:
MCP Provider Type: NETWORK PROVIDER GROUP
Payment Address 1:
Payment Address 2:
Payment City:
Payment State:
Payment Zip Code:
Payment Phone:
Payment Contact:
45 DODD AVENUE
Room 322
HAMPTON
VA
23665
804-535-7927
JEANNINE ABRAMS
FIGURE 4.4.2.10.
SAMPLE OUTPUT REPORT:
(Sheet 1 of 7)
6-275
PROVIDER GROUP REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PORTSMOUTH NAVAL HOSPITAL
21 Jan 1993@1133
Personal Data - Privacy Act of 1974 (PL 93-579)
PROVIDER GROUP REPORT
*** Places of Care ***
PAGE 2
GROUP: CAMPUS POINT MEDICAL CENTER (continued)
================================================================================
Place of Care: CAMPUS POINT MEDICAL CENTER
Building Name:
Building Number:
Street Address: 45 DODD AVENUE
City: HAMPTON
State: VA
Zip Code: 23665
Appt Phone: 804-535-7927
Type of Facility: MULTISERVICE CLINIC
Division: LANGLEY AF HOSPITAL
Department: MEDICINE LAFB
Service: PEDIATRICS LAFB
MEPRS Code: BDAA
Cost Pool Code:
Clinic Type: COUNT
Location Type: CLINIC
Clinic Appt Instructions:
Appt Type/
Workload
Referral
Pull Patient
Send
Instructions
Type
Required
Record
Reminder
================================================================================
NEW
COUNT
N
N
N
FU
COUNT
N
N
N
CON
COUNT
N
N
N
FIGURE 4.4.2.10.
SAMPLE OUTPUT REPORT:
(Sheet 2 of 7)
6-276
PROVIDER GROUP REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PORTSMOUTH NAVAL HOSPITAL
21 Jan 1993@1133
Personal Data - Privacy Act of 1974 (PL 93-579)
PROVIDER GROUP REPORT
*** Places of Care ***
PAGE 3
GROUP: CAMPUS POINT MEDICAL CENTER (continued)
================================================================================
Place of Care: WELL BABY CLINIC (F)
Building Name: CHILDRENS CLINIC
Building Number:
Street Address: 45 DODD AVENUE
City: HAMPTON
State: VA
Zip Code: 23665
Appt Phone: 804-535-7938
Type of Facility: SINGLE SERVICE CLINIC
Division: LANGLEY AF HOSPITAL
Department: MEDICINE LAFB
Service: PEDIATRICS LAFB
MEPRS Code: BDCA
Cost Pool Code:
Clinic Type: COUNT
Location Type: CLINIC
Clinic Appt Instructions:
Appt Type/
Workload
Referral
Pull Patient
Send
Instructions
Type
Required
Record
Reminder
================================================================================
NEW
COUNT
N
N
N
FU
COUNT
N
N
N
CON
COUNT
N
N
N
FIGURE 4.4.2.10.
SAMPLE OUTPUT REPORT:
(Sheet 3 of 7)
6-277
PROVIDER GROUP REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PORTSMOUTH NAVAL HOSPITAL
21 Jan 1993@1133
Personal Data - Privacy Act of 1974 (PL 93-579)
PROVIDER GROUP REPORT
*** Agreements and Providers ***
PAGE 4
GROUP: CAMPUS POINT MEDICAL CENTER (continued)
================================================================================
Effective
Stop
Overall
Agreement
Agreement Name
Date
Date
Discount
_________
______________
_________
____
________
PIC
PARTNER INTERNAL
24 Nov 92 24 Nov 93 CA- 35%
MTF
MTF STAFF
24 Nov 92 24 Nov 93 MTF
GROUP INDIVIDUAL PROVIDERS
_____ __________ _________
Provider
Place of Care
* Denotes Inactive Provider.
CAMPUS POINT MEDICAL CENTER
CAMPUS POINT MEDICAL CENTER
TORREY PINES CLINIC
Specialty
GENERAL MEDICAL OFFICER
INTERNIST
INTERNIST
TAYLOR,WILLIAM L
CAMPUS POINT MEDICAL CENTER
TORREY PINES CLINIC
PEDIATRICIAN
PEDIATRICIAN
CORNWELL,EDWARD
CAMPUS POINT MEDICAL CENTER
PEDIATRIC SURGEON
UNDERWOOD,IRENE
CAMPUS POINT MEDICAL CENTER
PEDIATRICIAN
FIGURE 4.4.2.10.
SAMPLE OUTPUT REPORT:
(Sheet 4 of 7)
6-278
PROVIDER GROUP REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PORTSMOUTH NAVAL HOSPITAL
21 Jan 1993@1133
Personal Data - Privacy Act of 1974 (PL 93-579)
PROVIDER GROUP REPORT
*** Primary Care Managers ***
PAGE 5
GROUP: CAMPUS POINT MEDICAL CENTER (continued)
================================================================================
Provider
Total
Total
Patient Type
Agreement Capacity
Assigned
CAMPUS POINT MEDICAL CENTER
MCP/CHAMPUS ELIGIBLE
MCP
500
TAYLOR,WILLIAM L
PIC
500
UNDERWOOD,IRENE
MCP/CHAMPUS ELIGIBLE
MCP
500
200
FIGURE 4.4.2.10.
1
1
SAMPLE OUTPUT REPORT:
(Sheet 5 of 7)
6-279
PROVIDER GROUP REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PORTSMOUTH NAVAL HOSPITAL
21 Jan 1993@1133
Personal Data - Privacy Act of 1974 (PL 93-579)
PROVIDER GROUP REPORT
*** Group Level Exceptions ***
PAGE 6
GROUP: CAMPUS POINT MEDICAL CENTER (continued)
================================================================================
Exceptions to Agreement Type:
PIC
PARTNER INTERNAL (CHAMPUS/MCP)
NON-PARTICIPATING PROVIDERS
_________________ _________
TAYLOR,WILLIAM L
UNDERWOOD,IRENE
CODE
____
142
00104
00140
Specialty/Procedure
___________________
ORTHOPEDIC RESIDENT
ANESTH FOR ELECTROSHOCK
ANESTH, PROCEDURES ON EYE
Discount
Fee
Percent
___
_______
$
95%
$
15%
$
15%
FIGURE 4.4.2.10.
Eff
Date
____
21 Aug 93
21 Aug 93
21 Aug 93
Stop
Date
____
21 Aug 94
21 Aug 94
21 Aug 94
SAMPLE OUTPUT REPORT:
(Sheet 6 of 7)
6-280
PROVIDER GROUP REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PORTSMOUTH NAVAL HOSPITAL
21 Jan 1993@1133
Personal Data - Privacy Act of 1974 (PL 93-579)
PROVIDER GROUP REPORT
*** Individual Provider Exception Data ***
PAGE 7
GROUP: CAMPUS POINT MEDICAL CENTER (continued)
================================================================================
Agreement Type
Discount
Eff
Stop
Specialty/Procedure Description
Fee
Percent
Date
Date
-------------------------------------------------------------------------------Provider: TAYLOR,WILLIAM L
__________________________
PIC
PARTNER INTERNAL (CHAMPUS/MCP)
$
25%
08 Jun 93 08 Jun 94
140
ORTHOPEDIC SURGEON
$
25%
08 Jun 93 08 Jun 94
141
HAND SURGEON
$
25%
08 Jun 93 08 Jun 94
01400 ANESTH, KNEE JOINT SURGERY
$
0%
08 Jun 93 08 Jun 94
01402 ANESTH, REPLACEMENT OF KNEE
$
0%
08 Jun 93 08 Jun 94
01404 ANESTH, AMPUTATION AT KNEE
$
0%
08 Jun 93 08 Jun 94
01420 ANESTH, KNEE JOINT CASTING
$
0%
08 Jun 93 08 Jun 94
01430 ANESTH, KNEE VEINS SURGERY
$
0%
08 Jun 93 08 Jun 94
01432 ANESTH, KNEE VESSEL SURG
$
0%
08 Jun 93 08 Jun 94
Provider: UNDERWOOD,IRENE
_________________________
CON
CONTRACT
142
ORTHOPEDIC RESIDENT
$
$
FIGURE 4.4.2.10.
25%
5%
01 Jun 93
01 Jun 93
01 Jun 94
01 Jun 94
SAMPLE OUTPUT REPORT:
(Sheet 7 of 7)
6-281
PROVIDER GROUP REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
23 Sep 1993@1431
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
Provider List By Specialty
Provider Type: NETWORK INDIVIDUAL PROVIDER
==================================================================================================================================
Specialty
Provider
Sex Languages
Place of Care
POC Phone
POC ZIP Code
Provider Group
Agreement Type
Effective Date
Stop Date
Disc % Except
==================================================================================================================================
ALLERGIST
--------DE BLASIO,MICHAEL
M
CINDY
904-0989
92126
TOM
NET - CIVILIAN NETWORK PROVIDER
01 May 93
12 Dec 93
CA-10%
KANE,KERRY L
M
SENTARA
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
SENTARA MEDICAL CENTER
KANZIUS,CHRIS
F
SENTARA
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
SENTARA MEDICAL CENTER
STEWART,GARY
INT MED LAFB
MTF - MTF STAFF
M
ALLERGY (F)
SULLIVAN,MITCHELL
INT MED LAFB
MTF - MTF STAFF
M
QB
YACABUCCI,JOHN E
M
RIVERSIDE MEDICAL
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
ALLERGY (F)
RIVERSIDE HOSP & CLINICS
(804) 865-0937
23667
03 May 93
03 May 93
03 May 95
03 May 94
(804) 865-0937
23667
03 May 93
03 May 93
03 May 95
03 May 94
764-6574
23665
06 May 93
06 May 94
764-6574
23665
06 May 93
06 May 94
(804) 560-9876
23669
03 May 93
01 Oct 92
03 May 94
01 Oct 93
CA-17%
CA-17%
CA-17%
CA-17%
MTF
MTF
CA-12%
CA-12%
Total providers for ALLERGIST:
CARDIOLOGIST
-----------CRAWFORD,JACQUI
F
CARDIOLOGY (F)
CARDIOLOGY PARTNER (F)
DEL CARMEN & HARRIS CLINIC
ER TST CLINIC
CRAWFORD CARDIOLOGY
CON - CONTRACT
MTF - MTF STAFF
FIGURE 4.4.2.11.
223-9876
764-9574
(804) 265-3452
222-4455
23665
23665
23601
23665
28 Jul 93
14 Jul 93
27 Jul 94
13 Jul 94
SAMPLE OUTPUT REPORT: PROVIDER LIST BY SPECIALTY
(Sheet 1 of 7)
6-282
CA- 3%
MTF
6
E
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
23 Sep 1993@1431
Page 2
Personal Data - Privacy Act 1974 (PL-93-579)
Provider List By Specialty
Provider Type: NETWORK INDIVIDUAL PROVIDER (continued)
==================================================================================================================================
Specialty
Provider
Sex Languages
Place of Care
POC Phone
POC ZIP Code
Provider Group
Agreement Type
Effective Date
Stop Date
Disc % Except
==================================================================================================================================
CARDIOLOGIST (continued)
------------------------CRAWFORD,JACQUI (continued)
F
CRAWFORD CARDIOLOGY (continued)
NON - NON-NETWORK/EXCEPTION
02 Jun 93
01 Jun 94
CA
PIC - PARTNER INTERNAL
12 Jun 93
11 Jun 94
CA-25%
DEL CARMEN & HARRIS
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
PIC - PARTNER INTERNAL
CRAWFORD,JOSEPH
M
CARDIOLOGY (F)
CARDIOLOGY PARTNER (F)
ER TST CLINIC
CRAWFORD CARDIOLOGY
CON - CONTRACT
MTF - MTF STAFF
NON - NON-NETWORK/EXCEPTION
PIC - PARTNER INTERNAL
11 Jul 94
05 May 94
16 Aug 94
223-9876
764-9574
222-4455
23665
23665
23665
28
14
02
12
EDDY,JEANNINE
F
SENTARA MEDICAL CENTER
CRAWFORD CARDIOLOGY CIV
CON - CONTRACT
SUP - SUPPLEMENTAL CARE/DIAGNOSTIC SERVICES
HEALEY,WARREN
M
RFD PRIM CARD
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
ROYAL CLINIC
JACKMAN,BYRON N
M
SENTARA
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
SENTARA MEDICAL CENTER
JANSSEN,CHRISTA
F
SENTARA
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
SENTARA MEDICAL CENTER
FIGURE 4.4.2.11.
12 Jul 93
05 May 93
17 Aug 93
Jul
Jul
Jun
Jun
93
93
93
93
Jul
Jul
Jun
Jun
94
94
94
94
(804) 865-0937
23667
03 Jun 93
03 Jun 93
20 Dec 93
02 Jun 94
444-9090
23667
02 Jun 93
02 Jun 93
01 Jun 94
01 Jun 94
(804) 865-0937
23667
03 May 93
03 May 93
03 May 95
03 May 94
(804) 865-0937
23667
03 May 93
03 May 93
03 May 95
03 May 94
SAMPLE OUTPUT REPORT: PROVIDER LIST BY SPECIALTY
(Sheet 2 of 7)
6-283
27
13
01
11
CA-15%
CA-20%
CA-22%
CA- 3%
MTF
CA
CA-25%
CA-15%
CA-10%
CA- 9%
CA- 5%
CA-17%
CA-17%
CA-17%
CA-17%
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
23 Sep 1993@1431
Page 3
Personal Data - Privacy Act 1974 (PL-93-579)
Provider List By Specialty
Provider Type: NETWORK INDIVIDUAL PROVIDER (continued)
==================================================================================================================================
Specialty
Provider
Sex Languages
Place of Care
POC Phone
POC ZIP Code
Provider Group
Agreement Type
Effective Date
Stop Date
Disc % Except
==================================================================================================================================
CARDIOLOGIST (continued)
------------------------PURCELL,OTIS
M
SI
CARDIOLOGY PARTNER (F)
764-9574
23665
INT MED LAFB
PIC - PARTNER INTERNAL
06 May 93
06 May 94
CA-25%
ROBINSON,RENAE
INT MED LAFB
PIC - PARTNER INTERNAL
F
CARDIOLOGY PARTNER (F)
SANDERS,CARL A
M
GROUP A MEDICAL ASSOCIATION
CON - CONTRACT
MTF - MTF STAFF
NET - CIVILIAN NETWORK PROVIDER
MONTGOMERY HEALTH CENTER
WEBSTER,BEULAH
F
RIVERSIDE MEDICAL
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
RIVERSIDE HOSP & CLINICS
WILSON,LARRY
M
RIVERSIDE MEDICAL
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
RIVERSIDE HOSP & CLINICS
FIGURE 4.4.2.11.
764-9574
23665
06 May 93
06 May 94
(301) 963-4800
20850
01 Jul 93
01 Jul 93
01 Jul 93
31 Jul 96
31 Jul 95
31 Jul 95
(804) 560-9876
23669
03 May 93
01 Oct 92
03 May 94
01 Oct 93
(804) 560-9876
23669
03 May 93
01 Oct 92
03 May 94
01 Oct 93
CA-20%
MTF
CA-15%
E
CA-12%
CA-12%
CA-12%
CA-12%
Total providers for CARDIOLOGIST:
11
Total providers for NETWORK INDIVIDUAL PROVIDER:
17
SAMPLE OUTPUT REPORT: PROVIDER LIST BY SPECIALTY
(Sheet 3 of 7)
6-284
CA-25%
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
23 Sep 1993@1431
Page 4
Personal Data - Privacy Act 1974 (PL-93-579)
Provider List By Specialty
Provider Type: NETWORK INSTITUTION/SERVICE
==================================================================================================================================
Specialty
Provider
Sex Languages
Place of Care
POC Phone
POC ZIP Code
Provider Group
Agreement Type
Effective Date
Stop Date
Disc % Except
==================================================================================================================================
ALLERGIST
--------DRAKE,WILLIAM
M
ALLERGY (N)
303-0495
23708
INTERNAL MEDICINE PNH
MTF - MTF STAFF
07 May 93
07 May 96
MTF
PIC - PARTNER INTERNAL
07 May 93
07 May 94
CA-25%
POLESTER,ROGER
INTERNAL MEDICINE PNH
MTF - MTF STAFF
PIC - PARTNER INTERNAL
M
ALLERGY (N)
303-0495
23708
07 May 93
07 May 93
07 May 96
07 May 94
MTF
CA-25%
Total providers for ALLERGIST:
CARDIOLOGIST
-----------BLONDELL,AMY
F
CARDIOLOGY (N)
CARDIOLOGY ASSOCIATES
JANE'S EROOM
CARDIOLOGY PNH
MTF - MTF STAFF
DAVIS,RICHARD
M
CARDIOLOGY (N)
CARDIOLOGY ASSOCIATES
JANE'S EROOM
CARDIOLOGY PNH
MTF - MTF STAFF
FIGURE 4.4.2.11.
234-5678
234-5678
321-6543
23708
23708
23665
07 May 93
07 May 96
234-5678
234-5678
321-6543
23708
23708
23665
07 May 93
07 May 96
MTF
MTF
Total providers for CARDIOLOGIST:
2
Total providers for NETWORK INSTITUTION/SERVICE:
4
SAMPLE OUTPUT REPORT: PROVIDER LIST BY SPECIALTY
(Sheet 4 of 7)
6-285
2
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
23 Sep 1993@1431
Page 5
Personal Data - Privacy Act 1974 (PL-93-579)
Provider List By Specialty
Provider Type: NETWORK INSTITUTION/SERVICE
==================================================================================================================================
Specialty
Provider Group
Place of Care
POC Phone
POC ZIP Code
Agreement Type
Effective Date
Stop Date
Disc % Except
==================================================================================================================================
ALLERGIST
--------INT MED LAFB
ALLERGY (F)
764-6574
23665
MTF - MTF STAFF
CARDIOLOGIST
-----------INT MED LAFB
CARDIOLOGY PARTNER (F)
PIC - PARTNER INTERNAL
FIGURE 4.4.2.11.
06 May 93
06 May 94
764-9574
23665
06 May 93
06 May 94
SAMPLE OUTPUT REPORT: PROVIDER LIST BY SPECIALTY
(Sheet 5 of 7)
6-286
MTF
CA-25%
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
23 Sep 1993@1431
Page 6
Personal Data - Privacy Act 1974 (PL-93-579)
Provider List By Specialty
Provider Type: NETWORK PROVIDER GROUP
==================================================================================================================================
Specialty
Provider Group
Place of Care
POC Phone
POC ZIP Code
Agreement Type
Effective Date
Stop Date
Disc % Except
==================================================================================================================================
ALLERGIST
--------INTERNAL MEDICINE PNH
ALLERGY (N)
303-0495
23708
MTF - MTF STAFF
PIC - PARTNER INTERNAL
RIVERSIDE MEDICAL
RIVERSIDE HOSP & CLINICS
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
SENTARA
SENTARA MEDICAL CENTER
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
TOM
CINDY
NET - CIVILIAN NETWORK PROVIDER
07 May 93
07 May 93
07 May 96
07 May 94
(804) 560-9876
23669
03 May 93
01 Oct 92
03 May 94
01 Oct 93
(804) 865-0937
23667
03 May 93
03 May 93
03 May 95
03 May 94
904-0989
92126
01 May 93
12 Dec 93
MTF
CA-25%
CA-12%
CA-12%
CA-17%
CA-17%
CA-10%
Total groups for ALLERGIST:
CARDIOLOGIST
-----------CARDIOLOGY PNH
CARDIOLOGY (N)
CARDIOLOGY ASSOCIATES
JANE'S EROOM
MTF - MTF STAFF
CRAWFORD CARDIOLOGY
CON
MTF
NON
PIC
-
CARDIOLOGY (F)
CARDIOLOGY PARTNER (F)
CONTRACT
MTF STAFF
NON-NETWORK/EXCEPTION
PARTNER INTERNAL
CRAWFORD CARDIOLOGY CIV
234-5678
234-5678
321-6543
23708
23708
23665
07 May 93
07 May 96
223-9876
764-9574
23665
23665
28
14
02
12
SENTARA MEDICAL CENTER
CON - CONTRACT
FIGURE 4.4.2.11.
Jul
Jul
Jun
Jun
93
93
93
93
27
13
01
11
94
94
94
94
(804) 865-0937
23667
03 Jun 93
20 Dec 93
SAMPLE OUTPUT REPORT: PROVIDER LIST BY SPECIALTY
(Sheet 6 of 7)
6-287
Jul
Jul
Jun
Jun
MTF
CA- 3%
MTF
CA
CA-25%
CA-15%
4
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
SUP - SUPPLEMENTAL CARE/DIAGNOSTIC SERVICES
03 Jun 93
02 Jun 94
-10%
E
TIDEWATER
23 Sep 1993@1431
Page 7
Personal Data - Privacy Act 1974 (PL-93-579)
Provider List By Specialty
Provider Type: NETWORK PROVIDER GROUP (continued)
==================================================================================================================================
Specialty
Provider Group
Place of Care
POC Phone
POC ZIP Code
Agreement Type
Effective Date
Stop Date
Disc % Except
==================================================================================================================================
CARDIOLOGIST (continued)
------------------------DEL CARMEN & HARRIS
DEL CARMEN & HARRIS CLINIC
(804) 265-3452
23601
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
PIC - PARTNER INTERNAL
GROUP A MEDICAL ASSOCIATION
MONTGOMERY HEALTH CENTER
CON - CONTRACT
MTF - MTF STAFF
NET - CIVILIAN NETWORK PROVIDER
NDC MED GROUP (FRANK)
NDC POC1
CON - CONTRACT
RFD PRIM CARE
ROYAL CLINIC
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
RIVERSIDE MEDICAL
RIVERSIDE HOSP & CLINICS
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
SENTARA
SENTARA MEDICAL CENTER
CON - CONTRACT
NET - CIVILIAN NETWORK PROVIDER
FIGURE 4.4.2.11.
12 Jul 93
05 May 93
17 Aug 93
11 Jul 94
05 May 94
16 Aug 94
(301) 963-4800
20850
01 Jul 93
01 Jul 93
01 Jul 93
31 Jul 96
31 Jul 95
31 Jul 95
301963-4644
20877
12 Jul 93
11 Jul 94
444-9090
23667
02 Jun 93
02 Jun 93
01 Jun 94
01 Jun 94
(804) 560-9876
23669
03 May 93
01 Oct 92
03 May 94
01 Oct 93
(804) 865-0937
23667
03 May 93
03 May 93
03 May 95
03 May 94
CA-20%
MTF
CA-15%
E
CA-22%
E
CA- 9%
CA- 5%
CA-12%
CA-12%
CA-17%
CA-17%
Total groups for CARDIOLOGIST:
8
Total groups for NETWORK PROVIDER GROUP:
10
SAMPLE OUTPUT REPORT: PROVIDER LIST BY SPECIALTY
(Sheet 7 of 7)
6-288
CA-15%
CA-20%
CA-22%
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PLACE OF CARE DIRECTIONS/COMMENTS
Place of Care: GENERAL SURGERY CLINIC (F)
================================================================================
Street Address: 45 DODD AVENUE
City, State: HAMPTON, VA
Zip: 23665
Appt Contact Name: JEANNINE ABRAMS
Telephone: 804-535-7927
Place of Care Hours:
Monday
Tuesday
Wednesday
Thursday
Friday
From
0700
0700
0700
0700
0700
To
1200
1200
1200
1200
1200
From
1300
1300
1300
1300
1300
To
1630
1630
1630
1630
1630
Directions:
Enter Langley Air Force Base from the North Entrance. Turn right at the 3rd
stop light and continue for 5 blocks. Turn left on Dodd Avenue. Follow the
signs for the Outpatient Clinics.
Comments:
There is handicap parking and an elevator.
before signing in at the clinic desk.
Pick up your medical records
FIGURE 4.4.2.12.
SAMPLE OUTPUT REPORT:
6-289
MCP PLACE OF CARE REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER MCP
21 Dec 1993@1417
Personal Data - Privacy Act 1974 (PL-93-579)
INCOMPLETE PROVIDER ADDRESS REPORT
Page 1
Provider: 7 Selected
================================================================================
Group
Provider/Address
Contact Name
Phone Number
================================================================================
DE ANZA MEDICAL GROUP
JAMES,JOHN
TORCHIA,JOYCE
(804) 535-0923
PORTSMOUTH, VA
WEBER,BOGDAN
TERRY THOMPSON
(804) 442-7334
PORTSMOUTH, VA 23711
Group Total:
SENTARA
BLONDELL,AMY
232 DROGHEDA ST
PORTSMOUTH, VA
DE BLASIO,MICHAEL
SMITH,GARY
AMBROSE,SANDY
(804) 336-7112
AMBROSE,SANDY
(804) 336-7112
FROST,LARRY
287-7705
2
PORTSMOUTH, VA 23708
Group Total:
3
Total Incomplete Provider Addresses:
5
FIGURE 4.4.2.13.
SAMPLE OUTPUT REPORT: INCOMPLETE PROVIDER ADDRESS REPORT (Report)
(Sheet 1 of 2)
6-290
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
User: WEBER,CHRIS
Provider: 5 Selected
TO:
CAPT AMY BLONDELL
232 DROGHEDA ST
PORTSMOUTH VA
23706
TO:
1LT MICHAEL DE BLASIO
477 NORTH MAIN ST
PORTSMOUTH VA
23706
TO:
1LT JOHN JAMES
14557 J. CLYDE MORRIS AVE.
PORTSMOUTH VA
23706
TO:
2LT GARY SMITH
700 EAST ENGEBRETSEN AVE
PORTSMOUTH VA
23708
TO:
COL BOGDAN WEBER
3222 JAMES ST
PORTSMOUTH VA
23711
FIGURE 4.4.2.13.
SAMPLE OUTPUT REPORT:
INCOMPLETE PROVIDER ADDRESS REPORT (Generate Corrected Labels)
(Sheet 2 of 2)
6-291
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PORTSMOUTH/HAMPTON
20 Jul 1994@1045
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
PROVIDER AGREEMENT DETAIL REPORT
Provider Group: MIDWAY MEDICAL CENTER
================================================================================
Provider/
Place of Care
Specialty at Place of Care
Placement/Billing Information
================================================================================
HELLER,JOHN
MIDWAY MEDICAL
ORTHOPEDIC SURGEON
2345 GENESSEE AVE
PO BOX 2345
SAN DIEGO, CA 92121
(619)555-4455
Contact: JOAN MORRIS
MIDWAY SOUTH
ORTHOPEDIC SURGEON
2345 GENESSEE AVE
PO BOX 6789
SAN DIEGO,CA 92121
(619)555-6677
Contact: ANN BROWN
Agr
Discount
Eff
Stop
Type
Description
Fee
Percent
Date
Date
___________________________________________________________________________
CON
CONTRACT
CA- 50% 28 Apr 94 27 Apr 95
Fee Exceptions to CON:
NONE
Agr
Discount
Eff
Stop
Type
Description
Fee
Percent
Date
Date
___________________________________________________________________________
MTF
MTF STAFF
CA-100% 14 Nov 93 13 Nov 94
Fee Exceptions to MTF:
NONE
FIGURE 4.4.2.14.
SAMPLE OUTPUT REPORT: PROVIDER AGREEMENT DETAIL REPORT
(Sheet 1 of 2)
6-292
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
PORTSMOUTH/HAMPTON
20 Jul 1994@1045
Page 2
Personal Data - Privacy Act 1974 (PL-93-579)
PROVIDER AGREEMENT DETAIL REPORT
Provider Group: MIDWAY MEDICAL CENTER
================================================================================
Provider/
Place of Care
Specialty at Place of Care
Placement/Billing Information
================================================================================
HELLER,JOHN
(continued)
Agr
Discount
Eff
Stop
Type
Description
Fee
Percent
Date
Date
___________________________________________________________________________
NET
CIVILIAN NETWORK PROVIDER
35% 02 Feb 94 01 Feb 95
Fee Exceptions to NET:
CODE
____
01400
01402
01401
Specialty/Procedure
___________________
ANESTH, KNEE JOINT SURGERY
ANESTH, REPLACEMENT OF KNEE
ANESTH, AMPUTATION AT KNEE
Discount
Fee
Percent
___
_______
$ 75
$ 75
$ 75
FIGURE 4.4.2.14.
Eff
Date
____
02 Feb 94
02 Feb 94
02 Feb 94
Stop
Date
____
01 Feb 95
01 Feb 95
01 Feb 95
SAMPLE OUTPUT REPORT: PROVIDER AGREEMENT DETAIL REPORT
(Sheet 2 of 2)
6-293
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Personal Data - Privacy Act 1974 (PL-93-579)
MCP CHCS/DEERS DISCREPANCY DATA
Name: MOREHOUSE,MARYANNE
FMP/SSN: 30/577-23-3789
Patient Category: USA FAM MBR AD
DDS: 30
Patient Type:
Sex: FEMALE
MCP Status:
DOB/Age: 01 Apr 1961/31Y
ACV: C-CHAMPUS/DIRECT CARE ELIGIB
DMIS ID:
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
-------------------------------------------------------------------------------CHCS DATA
DEERS DATA
================================================================================
Name
: MOREHOUSE,MARYANNE
MOREHOUSE,MARYANNE
DOB
: 01 Apr 1961
01 Apr 1961
Sex
: FEMALE
FEMALE
Patient SSN
: 578-57-5577
577-57-5577
Sponsor Rank
: COLONEL
Station/Unit
: CAMP MICHAEL
ID Issue Date : 08 Dec 1992
08 Dec 1992
ID Expire Date : 07 Dec 1995
08 Dec 1995
ID Card Number :
================================================================================
FIGURE 4.4.3.1
SAMPLE OUTPUT REPORT:
ENROLLMENT ENTER/EDIT (CHCS/DEERS Discrepancy Data)
(Sheet 1 of 5)
6-294
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
08 Dec 1992@0832
Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
DISPLAY PRIMARY CARE MANAGER
Patient: MOREHOUSE,MARYANNE
FMP/SSN: 30/577-23-3789
================================================================================
PCM: HIGGINBOTHAM,JERRY
Phone Number: (619) 452-6454
Place of Care: WILSON FAMILY PRACTICE CLINIC
Street Address: 425 WASHINGTON STREET
City: EL CAJON
State: CA
Zip Code: 92020
Directions:
ONE BLOCK WEST OF INTERSECTION OF JAMACHA AND WASHINGTON STREET. BRICK
BUILDING ON LEFT (SOUTH) SIDE OF WASHINGTON. NEXT TO SCHOOL.
-------------------------------Hours of Service--------------------------------MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
From
0800
0800
0800
0800
0800
---
To
1200
1200
1200
1200
1200
---
From
1300
1300
1300
1300
1300
---
To
1700
1700
1700
1700
1700
---
---------------------------Comments on Place of Care---------------------------DO NOT PARK IN SCHOOL PARKING LOT
FIGURE 4.4.3.1
SAMPLE OUTPUT REPORT: ENROLLMENT ENTER/EDIT (PCM and Place of Care)
(Sheet 2 of 5)
6-295
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
BALBOA NAVY MEDICAL CENTER
08 Dec 1992@0848
Personal Data - Privacy Act 1974 (PL 93-579)
MANAGED CARE PROGRAM ENROLLMENT FORM
___________________________________________________________________________
ENROLLMENT DATE: 08 Dec 1992
END ELIG/ENROLL DATE: 08 Dec 1997
___________________________________________________________________________
PATIENT NAME: MOREHOUSE,MARYANNE
FMP/SSN: 30/577-23-3789
Patient Category: USA FAM MBR AD
DDS: 30 Sex: FEMALE
Address: 500 NORTH NEWTON WAY
DOB/Age: 01 Apr 1961/31Y
City: EL CAJON
Patient SSN: 577-57-5577
State: CA
Home Phone: 444-5555
Zip Code: 92020
Work Phone: 555-6666
--------------------------------------------------------------------------SPONSOR NAME: MOREHOUSE,WILLIAM
FMP/SSN: 20/577-23-3789
Patient Category: USA ACTIVE DUTY
DOB/Age: 01 Apr 1960/32Y
Service: ARMY
Rank: COL
Station Unit: CAMP MICHAEL
Duty Phone: 555-6666
Duty Address: 500 NORTH NEWTON WAY
City: EL CAJON
State: CA
Zip Code: 92020
___________________________________________________________________________
PRIMARY CARE MANAGER: HIGGINBOTHAM,JERRY
PCM PHONE: 320-0989
Place of Care: GENERAL SURGERY (A)
Address: 11234 WASHINGTON STREET
City: EL CAJON
State: CA
Zip Code: 92020
___________________________________________________________________________
INSURANCE COMPANY: ACACIA MUTUAL LIFE INSURANCE C PHONE: (202) 628-4506
POLICY NUMBER: 2311232
Address: 600 E. JEFFERSON ST.
City: HOUSTON
State: TX
Zip Code: 77002
Policy Holder: MOREHOUSE,MARYANNE
SSN: 577-57-5577
Effective Date: 01 Aug 1992
Expiration Date: 30 Apr 1995
___________________________________________________________________________
CASE MANAGEMENT: YES
___________________________________________________________________________
I understand that my enrollment in the Managed Care Program is
contingent upon my continuing eligibility for health care under the MHSS.
I understand the benefits and patient responsibilities of enrollment
in the Managed Care Program and that enrollment remains in effect
until I disenroll.
I understand that enrollment is dependent on CHAMPUS eligibility as
shown in DEERS and that CHAMPUS eligibility ceases upon eligibility
for MEDICARE Part A.
I further understand that my failure to follow the rules of this program
may result in either increased cost share or complete non-reimbursement.
--------------------------------------------------------------------------SIGNATURE:
DATE:
___________________________________________________________________________
MOREHOUSE,MARYANNE
30/577-23-3789 RCD Rm: MAIN FILE ROOM (A)
FIGURE 4.4.3.1
SAMPLE OUTPUT REPORT: ENROLLMENT ENTER/EDIT (Enrollment Form)
(Sheet 3 of 5)
6-296
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
MARYANNE WILLIAMS
500 NORTH NEWTON WAY
EL CAJON, CA 92020
FIGURE 4.4.3.1
SAMPLE OUTPUT REPORT: ENROLLMENT ENTER/EDIT (Address Label)
(Sheet 4 of 5)
6-297
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
28 Jul 1995@1255 Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
DISPLAY ENROLLMENT HISTORY
Patient: MCDOUGALL,WILLIAM O
FMP/SSN: 01/566-57-9823
Patient Category: USMC FAM MBR AD
DDS: 1
Patient Type: MCP/CHAMPUS ELIGIBLE
Sex: MALE
MCP Status: ENROLLED
DOB/Age: 17 Aug 1985/10Y
================================================================================
Enrolling Division: A DIVISION
Patient Type: MCP/CHAMPUS ELIGIBLE
Patient SSN: 566-57-9823
MCP Enroll Date: 01 Mar 1995
End Elig/Enroll Date: 29 Feb 1996
Enrollment Comment:
ACV: MCP ENROLLED/DIR. CARE CHA
DMIS ID: BALBOA NAVY MEDICAL CENTER
Language:
ID Card Number: 192837465
Date Issued: 01 Nov 1992
Effective Date:
Expiration Date:
Primary Care Manager:
Case Mgmt:
Primary OHI:
Disenrollment Reason:
HIGGINBOTHAM,JERRY
PCM Phone: 619-377-7551
NO
ACACIA MUTUAL LIFE INSURANCE CO.
GRIEV/COMPLAINT - OTHER
Enrolled Date: 02 Jun 1995
Enrolled By: TAYLOR,DUANE
Last Modified Date: 02 Jul 1995
Last Modified By: NGUYEN,TRUONG
PCM Date of Change:
20 Jun 1995
19 Jun 1995
PCM Name:
THACKER,DAVID
HIGGINBOTHAM,JERRY
FIGURE 4.4.3.1
PCM Changed By:
ARNETT,WILLIAM R
NGUYEN,TRUONG
SAMPLE OUTPUT REPORT: ENROLLMENT ENTER/EDIT (History)
(Sheet 5 of 5)
6-298
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
CURRENT DEERS ELIGIBILITY
Personal Data - Privacy Act 1974 (PL-93-579)
Name: MOREHOUSE,KATHRYN
FMP/SSN: 30/577-23-3789
Patient Category: USA FAM MBR AD
DDS: 30
DOB/Age: 09 Apr 1959/36Y
Sex: FEMALE
________________________________________________________________________________
Sponsor Rank: CAPTAIN
Sponsor UIC: 31127-NAVCRUSERVDET HONOLULU
DMIS ID: 6501-TRICARE
ACV: E-MCP ENROLLED/DIR. CARE CHAMPUS ELIGIBLE
ACV Start Date: 01 Jul 1995
Region Code: 02
Care Authorization PH#: 619-555-7526
PCM Location: CONTRACT
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
Dir Care Elig Start Date: 01 Jul 1980
CHAMPUS: ELIGIBLE
Dir Care Elig End Date: 01 Jul 2001
Eligibility End Reason:
BRAC Pharmacy Eligibility:
Override Code:
CHAMPUS Dental Flag: 0-NO COVERAGE
Dental Start Date:
NAS Flag: YES
Reportable Disease
Database (RDDB) Date:
Date of Request: 28 Sep 1995@1307
FIGURE 4.4.3.1.3
Dental End Date:
Panograph Date:
DNA: YES
SAMPLE OUTPUT REPORT:
6-299
CURRENT DEERS ELIGIBILITY DISPLAY
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
DISPLAY PATIENT APPOINTMENTS
Personal Data - Privacy Act of 1974 (PL 93-579)
FUTURE APPOINTMENTS FOR SMITHSON,GEORGE 30/543-34-9112
CLINIC/DIV
PROVIDER
DATE/TIME
TYPE
STATUS
================================================================================
CLAIREMONT CLINIC
LEE,JUDY
09 Dec 1992@1000
FU
BOOKED
Arrive 10 min early
OTORHINOLARYNGOLOGY
BLONDELL,AMY 09 Dec 1992@1400
CON
CANCEL(P)
WAIT LIST REQUESTS FOR SMITHSON,GEORGE 30/543-34-9112
CLINIC/DIV
TYPE
PRI DATE IN
TARGET DATE PROVIDER
================================================================================
GASTROLOGY
NEW
6
07 Dec 1992 08 Dec 1992 DOBLES,WILLI
FIGURE 4.4.3.2.
SAMPLE OUTPUT REPORT:
6-300
DISENROLLMENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
DEERS ELIGIBILITY DATA
Name: MITCHELL,ANDREA
FMP/SSN: 30/567-56-5678
Patient Category: USA FAM MBR AD
DDS: 30
DOB/Age: 09 Aug 1961/31Y
Sex: FEMALE
================================================================================
NAME: MITCHELL,ANDREA
SEX: FEMALE
DOB: 09 Aug 1961
DDS: 30
SSN: 567-56-5678
ACV: E-MCP ENROLLED/DIR. CARE CHAMPUS ELIGIBLE
ACV Start Date: 01 Jun 1993
DMIS ID: 0052-TRIPLER ARMY MEDICAL CENTER
Sponsor Rank: COLONEL
Sponsor UIC: FF414-9991 MEDICAL
GP
Direct Care: ELIGIBLE
Medicare: NOT ELIGIBLE
Elig Start Date: 09 Oct 1992
Elig End Date: 15 Jul 2000
Eligibility Comment: Patient is Eligible
================================================================================
FIGURE 4.4.3.4.
SAMPLE OUTPUT REPORT:
INTERACTIVE DEERS ELIGIBILITY REQUEST
6-301
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
MailMan message for WEBER,CHRIS
Printed at MCP.SAIC.COM Tue, 13 Apr 1993 09:01:37 (#1)
Subj: BATCH PCM REASSIGNMENT COMPLETE Mon, 12 Apr 1993 15:59:03 17 Lines
From: POSTMASTER (Sender: WEBER,CHRIS) in 'IN' basket. **NEW**
-----------------------------------------------------------------------------The following Batch PCM Reassignment action has been completed:
Prior PCM: HOWLAND,WILLIAM
Provider Group: WILSON FAMILY PRACTICE
Agreement: NET
Gaining PCM: SWAZEY,PAUL
Provider Group: STEVENS GROUP
Agreement: MTF
Assignment Date: 12 Apr 1993
Report Name: CP BATCH 12 Apr 1993-1558 205
REMINDER: Bring the Reassignment Report for complete details on the above
Batch PCM Reassignment Process.
*** This Report Must be Printed Within 5 Days Before Auto-Deletion ***
FIGURE 4.4.3.6.
SAMPLE OUTPUT REPORT:
(Sheet 1 of 2)
6-302
BATCH PCM REASSIGNMENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
MailMan message for WEBER,CHRIS
Printed at MCP.SAIC.COM Wed, 14 Apr 1993 09:01:37 (#3)
Subj: MULTIPLE BATCH PCM REASSIGNMENT COMPLETE
Tue, 13 Apr 1993 15:59:03 11 Lines
From: POSTMASTER (Sender: WEBER,CHRIS) in 'IN' basket. **NEW**
-----------------------------------------------------------------------------The following Multiple PCM Reassignment action has been completed:
Prior PCM: JOHNSON,JOAN
Provider Group: WILSON FAMILY PRACTICE
Agreement: NET
Gaining PCM(s): ARMSTRONG,CATHERINE
SWAZEY,PAUL
Assignment Date: 13 Apr 1993
Report Name: CP BATCH 13 Apr 1993-1558 205
FIGURE 4.4.3.6.
SAMPLE OUTPUT REPORT:
(Sheet 2 of 2)
6-303
BATCH PCM REASSIGNMENT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TRIPLER AMC HONOLULU HI
07 Mar 1995@1405
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
POTENTIAL ACTIVE DUTY CANDIDATE REPORT
*** Part 1: Candidates Eligible for Enrollment ***
UIC: 1912 COMPUTER SYSTEMS
GP
Prov Grp:
Alpha: AAA to MMM
Default Enrolling Division:
Default PCM:
Current Avail AD Cap:
Agr:
==================================================================================================================================
SSN
Rank Name
SEX DOB
Pat Cat DMIS ACV
DEERS Spon Status
CHCS UIC/Code
DEERS UIC/Code
DEERS Elig Code
Elig Date
End Elig Date
PCM
Group
Agr
Agr St Date
Enrolling Division
---------------------------------------------------------------------------------------------------------------------------------000-00-2006
CPT
AGNEW,CHRISTOPHER
M
05 May 1955 M11
ACTIVE DUTY
LE1CF602/1912 COMPUTER SYS
ELIGIBLE
06 Mar 1995
BARRETT,THERESA
FAMILY PRACTICE C
MTF
11 Feb 1994
C DIVISION
000-00-2014
CPT
ALDEN,BLAKE
LE1CF602/1912 COMPUTER SYS
BARRETT,THERESA
FAMILY PRACTICE C
M
05 May 1955
ELIGIBLE
MTF
F11
444-22-3333
MAJ
AMSTUTZ,LIZA
LE1CF602/1912 COMPUTER SYS
F
06 Apr 1932
ELIGIBLE
A11
112-33-4545
MAJ
AMSTUTZ,SHIRLEY
LE1CF602/1912 COMPUTER SYS
F
05 May 1923
ELIGIBLE
A11
234-87-6234
MAJ
ANDERSON,CAMERON
LE1CF602/1912 COMPUTER SYS
SONGER,EDWARD
CARDIOLOGY A
M
05 Mar 1960
ELIGIBLE
MTF
A11
526-11-3333
PO1
APCOTS,DARRELL
LE1CF602/1912 COMPUTER SYS
M
03 Dec 1945
ELIGIBLE
N11
069-40-1375
AMN
CLAPP,GILBERT A
LE1CF602/1912 COMPUTER SYS
M
24 Mar 1948
ELIGIBLE
F11
118-55-5555
SSG
COSTNER,CHARLES
LE1CF602/1912 COMPUTER SYS
M
10 Oct 1954
ELIGIBLE
F11
543-34-5678
CPT
AMHURST,AL
LE1CF602/1912 COMPUTER SYS
FAMILY PRACTICE A
FAMILY PRACTICE A
M
05 May 1955
ELIGIBLE
MTF
A13
06 Mar 1995
11 Feb 1994
C DIVISION
06 Mar 1995
06 Mar 1995
06 Mar 1995
09 Feb 1994
A DIVISION
06 Mar 1995
Civilian
06 Mar 1995
06 Mar 1995
27 Feb 1995
08 Feb 1994
A DIVISION
Total Potential Candidates for Alpha Range:
FIGURE 4.4.3.10.
SAMPLE OUTPUT REPORT: UPDATE/PRINT/ENROLL POTENTIAL AD CANDIDATES
(Sheet 1 of 2)
6-304
9
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TRIPLER AMC HONOLULU HI
07 Mar 1995@1405
Page 2
Personal Data - Privacy Act 1974 (PL-93-579)
POTENTIAL ACTIVE DUTY CANDIDATE REPORT
*** Part 2: Candidates not Eligible for Enrollment ***
UIC: 1912 COMPUTER SYSTEMS
GP
Prov Grp:
Alpha: AAA to MMM
Default Enrolling Division:
Default PCM:
Current Avail AD Cap:
Agr:
==================================================================================================================================
SSN
Rank Name
SEX DOB
Pat Cat DMIS ACV
DEERS Spon Status
CHCS UIC/Code
DEERS UIC/Code
DEERS Elig Code
Elig Date
End Elig Date
PCM
Group
Agr
Agr St Date
Enrolling Division
---------------------------------------------------------------------------------------------------------------------------------123-55-4321
CPT
AGNEW,CHRISTOPHER
M
05 May 1955 M11
55555/UNKNOWN
01-INELIGIBLE - SSN not foun 28 Feb 1995
176-32-8050
TSG
55555/UNKNOWN
MCBRIDE,BENJAMIN L
307-74-3606
SSG
55555/UNKNOWN
ORTEGA,TONY L
FIGURE 4.4.3.10.
M
22 Jan 1962 F11
01-INELIGIBLE - SSN not foun
27 Feb 1995
M
04 Sep 1959 F11
01-INELIGIBLE - SSN not foun
27 Feb 1995
Total Non-Eligible Candidates for NOT A VALID UIC:
Total Non-Eligible Candidates for All Enrollment Block Reasons:
3
3
Total Potential Candidates for Alpha Range:
417
SAMPLE OUTPUT REPORT: UPDATE/PRINT/ENROLL POTENTIAL AD CANDIDATES
(Sheet 2 of 2)
6-305
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TRIPLER AMC HONOLULU HI
02 Dec 1994@0944
Personal Data - Privacy Act 1974 (PL-93-579)
ACTIVE DUTY BATCH ENROLLMENT
*** Part 1: Successful Enrollments ***
Page 1
Enrollment Date: 03 Dec 1994
--------------------------------------------------------------------------------SSN
DOB
Name
Enrolling Division
UIC Code
UIC Description
PCM
Prov Group
Agr
Agr St Date
=================================================================================
354-77-4567
01 Jan 57
ABBOTT,CHARLES A
1ST MEDICAL GROUP
LE1CF602
1912 COMMUNICATIONS GROUP
LOESCHEN,STEVEN A
FAM PRACT LAFB
MTF
01 Feb 1994
243-66-0972
13 May 60
ADAMSON,JULIA T
LE1CF602
1912 COMMUNICATIONS GROUP
LOESCHEN,STEVEN A
FAM PRACT LAFB
643-77-1232
22 Feb 58
BARNETT,GEORGE
LE1CF602
1912 COMMUNICATIONS GROUP
SEWELLS MNC
SEWELLS MNC
1ST MEDICAL GROUP
MTF
01 Feb 1994
1ST MEDICAL GROUP
MTF
15 Jun 1994
Total Successful Enrollments:
FIGURE 4.4.3.11.
3
SAMPLE OUTPUT REPORT: PRINT BATCH ENROLLMENT REPORT
(Sheet 1 of 2)
6-306
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TRIPLER AMC HONOLULU HI
02 Dec 1994@0944
Personal Data - Privacy Act 1974 (PL-93-579)
ACTIVE DUTY BATCH ENROLLMENT
*** Part 2: Candidates Unable to be enrolled ***
Page 2
Enrollment Date: 03 Dec 1994
--------------------------------------------------------------------------------SSN
DOB
Name
UIC
PCM
Prov Group
Agr
Agr St Date
=================================================================================
PCM Agreement Not Active
-----------------------444-56-2017
15 May 1975
AMOS,FRED
92007
BARRETT,THERESA
FAMILY PRACTICE C
MTF
11 Feb 1994
123-44-5555
03 Mar 1945
BARRETT,THERESA
BOSTWICK,BARRY
FAMILY PRACTICE C
FORT ORD
MTF
11 Feb 1994
Total Non-Enrollees for AGR:
2
Patient Ineligible on DEERS
--------------------------455-55-0001
10 Oct 1954
FAMILY PRACTICE A
ALABAMA,ALISTAIR A
FAMILY PRACTICE A
LE1CF602
MTF
08 Feb 1994
239-21-3113
02 Jul 1962
SONGER,EDWARD
ALLEN,GARY D
CARDIOLOGY A
LE1CF602
MTF
09 Feb 1994
114-28-6130
15 Dec 1956
FAMILY PRACTICE A
ASHBY,LEVEN
FAMILY PRACTICE A
LE1CF602
MTF
08 Feb 1994
Total Non-Enrollees for INEL:
3
Total Candidates Unable to be Enrolled:
5
FIGURE 4.4.3.11.
SAMPLE OUTPUT REPORT: PRINT BATCH ENROLLMENT REPORT
(Sheet 2 of 2)
6-307
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Subj: Identify Candidates for Renewal Completed (task #197664)
Thu, 11 Jan 1996 21:00:48 11 Lines
From: POSTMASTER (Sender: BENNETT,JANE) in 'IN' basket. **NEW**
_____________________________Expires: 15 Jan 1996______________________________
The Identify Candidates for Renewal process (task #197664) has completed.
Renewal Notification Letters and Labels may be printed using the
Print Batch Renewal & Disenrollment Products option. Use the Incomplete
Address Report contained within the Notification Letters spool document
to identify candidates with incomplete addresses.
Notification Letters: CP RENEWAL LTR-11Jan96-1704
Mailing Labels Task#: 197664
Mailing Labels User: BENNETT,JANE
FIGURE 4.4.3.13.
SAMPLE OUTPUT REPORT:
IDENTIFY CANDIDATES FOR RENEWAL LETTER
6-308
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
Subj: Batch Disenroll Process Completed Thu, 11 Jan 1996 21:00:51 11 Lines
From: POSTMASTER (Sender: BENNETT,JANE) in 'IN' basket.
_____________________________Expires: 15 Jan 1996______________________________
The Batch Disenrollment (task #194045) has completed.
You may use the PRINT BATCH RENEWAL & DISENROLLMENT PRODUCTS option to
print Disenrollment Notification Letters and Labels as well as the
Disenrollment Roster.
Roster Name:
Notification Letters:
Mailing Labels Task#:
Mailing Labels User:
CP DISENROLL BATCH-11Jan96-1314
CP DISENROLL LTR-11Jan96-2100
197700
BENNETT,JANE
FIGURE 4.4.3.14.
SAMPLE OUTPUT REPORT:
Batch Renewal & Disenrollment Processing
6-309
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
28 Jul 1995@0855 Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
DISPLAY ENROLLMENT HISTORY
Patient: BENSON,KATE
FMP/SSN: 30/478-56-5145
Patient Category: USA FAM MBR AD
DDS: 30
Patient Type: MCP/CHAMPUS ELIGIBLE
Sex: FEMALE
MCP Status: ENROLLED
DOB/Age: 12 Oct 1971/21Y
================================================================================
Enrolling Division: BALBOA NAVY MEDICAL CENTER
Patient Type: MCP/CHAMPUS ELIGIBLE
Patient SSN: 588-54-0148
MCP Enroll Date: 31 May 1995
End Elig/Enroll Date: INDEFINITE
Enrollment Comment:
ACV: MCP ENROLLED/DIR. CARE CHAMPUS
DMIS ID: BALBOA NAVY MEDICAL CENTER
Language:
ID Card Number: 3778095
Date Issued: 01 Jun 1994
Effective Date: 01 Jun 1994
Expiration Date: INDEFINITE
Primary Care Manager: SMITH,EARNEST
Case Mgmt: NO
Primary OHI:
Disenrollment Reason:
PCM Phone: (619)377-7551
Enrolled Date: 04 Apr 1995
Enrolled By: SMITH,JANE
Last Modified Date: 10 Jul 1995
Last Modified By: NGUYEN,TRUONG
PCM Date of Change:
20 Jun 1995
19 Jun 1995
PCM Name:
CHAN,EDMOND E
SMITH,EARNEST
FIGURE 4.4.4.1.
PCM Changed By:
ARNOLD,LOREEN
NGUYEN,TRUONG
SAMPLE OUTPUT REPORT:
6-310
PRINT/DISPLAY ENROLLMENT HISTORY
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
BALBOA NAVY MEDICAL CENTER
20 Jan 1993@0901
Personal Data - Privacy Act 1974 (PL 93-579)
MANAGED CARE PROGRAM ENROLLMENT FORM
___________________________________________________________________________
ENROLLMENT DATE: 08 Dec 1992
END ELIG/ENROLL DATE: 08 Dec 1997
___________________________________________________________________________
PATIENT NAME: ADLER,KATHLEEN
FMP/SSN: 30/577-72-2843
Patient Category: USA FAM MBR AD
DDS: 30 Sex: FEMALE
Address: 500 NORTH NEWTON WAY
DOB/Age: 13 Jun 1961/31Y
City: SAN DIEGO
Patient SSN: 572-23-7399
State: CA
Home Phone: 542-7661
Zip Code: 92121
Work Phone: 670-1038
--------------------------------------------------------------------------SPONSOR NAME: ADLER,ROBERT
FMP/SSN: 20/577-72-2843
Patient Category: USA ACTIVE DUTY
DOB/Age: 01 Apr 1960/32Y
Service: ARMY
Rank: COL
Station Unit: CAMP MICHAEL
Duty Phone: 670-1038
Duty Address: 500 NORTH NEWTON WAY
City: SAN DIEGO
State: CA
Zip Code: 92121
___________________________________________________________________________
PRIMARY CARE MANAGER: SMITH,EARNEST
IAM
PCM PHONE: 377-7551
Place of Care: BALBOA NAVY MEDICAL CENTER
Address: 11234 WASHINGTON STREET
City: SAN DIEGO
State: CA
Zip Code: 92121
___________________________________________________________________________
INSURANCE COMPANY: ASPEN MUTUAL
PHONE: (202) 628-4506
POLICY NUMBER: 780932
Address: 732 E. PIKE ST.
City: DENVER
State: CO
Zip Code: 57882
Policy Holder: ADLER,KATHLEEN
SSN: 572-23-7399
Effective Date: 01 Aug 1992
Expiration Date: 30 Apr 1995
___________________________________________________________________________
CASE MANAGEMENT: YES
___________________________________________________________________________
I understand that my enrollment in the Managed Care Program is
contingent upon my continuing eligibility for health care under the MHSS.
I understand the benefits and patient responsibilities of enrollment
in the Managed Care Program and that enrollment remains in effect
until I disenroll.
I understand that enrollment is dependent on CHAMPUS eligibility as
shown in DEERS and that CHAMPUS eligibility ceases upon eligibility
for MEDICARE Part A.
I further understand that my failure to follow the rules of this program
may result in either increased cost share or complete non-reimbursement.
--------------------------------------------------------------------------SIGNATURE:
DATE:
___________________________________________________________________________
ADLER,KATHLEEN
30/577-72-2843 RCD Rm: MAIN FILE ROOM (A)
FIGURE 4.4.4.2.
SAMPLE OUTPUT REPORT:
6-311
MCP ENROLLMENT FORM
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
NH PORTSMOUTH, VA
22 Jan 1993@1110
Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
MCP CONDITIONAL ENROLLMENT ROSTER
Division: TRIPLER ARMY MEDICAL CENTER
==================================================================================================================================
Name
FMP/SSN
DDS
DOB
Patient Category
Spons Home Phone
Enrollment Date
Patient Address
OHI
PCM
Rank
Work Phone
Auto Disenroll Date
==================================================================================================================================
FARRINGTON,JOSEPHINE
30/098-00-0001
11 Nov 70 USN FAM MBR RET
CDR
447-7560
26 May 93
9987 SUNSET ST
LIMBAUGH,RUSH
23 Sep 93
PORTSMOUTH, VA 23701
GLASS,WHITNEY
1219 HALE DRIVE
SAN DIEGO, CA 92101
02/224-13-4285
01 Jul 93
USAF FAM MBR AD
WASHINGTON,WAYNE
SSG
8048515119
06 Jul 93
03 Nov 93
KELEMAN,CATHERINE
303 S CHERRY
MORRISON, IL 61270
40/359-46-8955
12 JUN 19
USAF FAM MBR AD
PARKS,BERNICE
CPT
(805)772-3310
14 Jun 93
12 Oct 93
Division total:
FIGURE 4.4.4.4.
SAMPLE OUTPUT REPORT:
6-312
MCP CONDITIONAL ENROLLMENT ROSTER
3
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TRIPLER AMC, HI
07 Jul 1993@1517
Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
ENROLLMENT/DISENROLLMENT DISCREPANCY REPORT
From: 06 Jul 1993
To: 07 Jul 1993
==================================================================================================================================
Patient
FMP/SSN
Sex DOB
Home Phone
Work Phone
Date of Trans MCP Status
Sponsor
Sponsor Unit
Pending Appts Duty Phone
Discrepancy
==================================================================================================================================
AURELIUS,GERTRUDE
30/808-60-0101 F
04 Jul 1960 H:
W:
06 Jul 1993
INVALID ENROLLMENT
CAMP SWAMPY
NON-MTF
D:444-5555
SSN Not Found in DEERS Data Base - Verify S
DELANO,ANNA
DELANO,KENNETH EUGENE
02/368-64-6645 F
A COMPANY
16 Dec 1983
H:555 555-5444
W:555-555-0912
06 Jul 1993
INVALID ENROLLMENT
D:555-8787
Invalid Enrollment Date Change - Patient No
DELANO,WILBUR
DELANO,KENNETH EUGENE
04/368-64-6645 M
A COMPANY
19 Dec 1989
H:39009290760
W:
D:555-8787
06 Jul 1993
INVALID ENROLLMENT
Invalid Enrollment - Not Eligible For Plan
GUILLERO,DANIEL
GUILLERO,DONALD H
01/534-48-2466 M
31 Jul 1975
AIR COMBAT COMMAND
H:
07 Jul 1993
INVALID ENROLLMENT
Invalid Enrollment - Patient Already Enroll
W:
D:
---------------------------------------------------------------------------------------------------------------------------------Beneficiaries with a DEERS Discrepancy Code 56: 'Invalid Enrollment - Patient Already Enrolled' will need to be disenrolled from
their current facility and re-enrolled here.
FIGURE 4.4.4.5.
SAMPLE OUTPUT REPORT:
ENROLLMENT/DISENROLLMENT DISCREPANCY REPORT
6-313
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
NH PORTSMOUTH, VA
11 May 1993@0945
Page 1
Personal Data - Privacy Act of 1974 (PL 93-579)
MCP DEERS INELIGIBILITY REPORT
From: 10 May 1993
To: 11 May 1993
==================================================================================================================================
Patient
FMP/SSN
Sex DOB
Date of Trans
Home Phone
Work Phone
Pending Appts
Sponsor
Sponsor Unit
Duty Phone
Override
MCP Status
Process Type
==================================================================================================================================
GALLOWAY,RAE
20/218480614
F
02 Nov 1946 06 May 1993@0900 H:
W:
Appts:
GALLOWAY,RAE
1st Air Cav
D:
BATCH
OLSON,SVEN
OLSON,SVEN
20/317400514
M
1st Air Cav
07 Nov 1944
WILSON,FAYE
GALLOWAY,R
20/408220678
F
1st Air Cav
01 Jan 1932
FIGURE 4.4.4.6.
07 May 1993@1503 H:
D:
W:
06 May 1993@1305 H:
D:
W:
Appts:
CONDITIONAL ENROLLMENT BATCH
SAMPLE OUTPUT REPORT:
6-314
Appts:
INTERACTIVE
MCP DEERS INELIGIBILITY REPORT
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
User: DUEBBERT,CAROLE
Address: HOME OHI: WITH
Enroll Status: NONENROLLED
Unit ID: 13
TO THE FAMILY OF:
WINIFRED GLASS
1912 COMMUNICATIONS GROUP
1219 HALE DR
HAMPTON VA 23663
TO THE FAMILY OF:
BRITTANY S WHITMAN
1912 COMMUNICATIONS GROUP
104 KINGSBRIDGE LANE
YORKTOWN VA 23692
FIGURE 4.4.4.7.
SAMPLE OUTPUT REPORT: FAMILY BATCH ENROLLMENT LABELS PRINT UTILITY
(Sheet 1 of 2)
6-315
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
User: DUEBBERT,CAROLE
Address: DUTY OHI: WITH
Enroll Status: ENROLLED
Days to Expiration: 1 - 365
PCMs: 126
Unit ID: ALL
TO THE FAMILY OF:
TERENCE C BRUCE SSG
1912 COMMUNICATIONS GROUP
1212 TESTING BLVD
HAMPTON VA 23665
TO THE FAMILY OF:
MARY JOHNSON CPT
1912 COMMUNICATIONS GROUP
23697 COMM GROUP
OCEANSIDE CA 92051
TO THE FAMILY OF:
JERALD BLITON COL
EDS TESTING UNIT
2203
HAMPTON VA 23665
FIGURE 4.4.4.7.
SAMPLE OUTPUT REPORT: FAMILY BATCH ENROLLMENT LABELS PRINT UTILITY
(Sheet 2 of 2)
6-316
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER MCP
27 Apr 1994@1532
Personal Data - Privacy Act 1974 (PL-93-579)
INCOMPLETE PATIENT HOME ADDRESS REPORT
Page 1
Address: HOME
Enroll Status: NONENROLLED
Unit ID: ALL
================================================================================
Name
FMP/SSN
DDS Sponsor
Home Phone
Patient Home Address
PATCAT
Work Phone
Rank
Duty Phone
================================================================================
ANDREWS,JERRY
20/335-89-0112 20
ANDREWS,JERRY
(804) 223-4788
USN ACTIVE DUTY
LT
(804) 442-2772
BASIL,GEORGE
20/447-09-9844 20
BASIL,GEORGE
(804) 899-6224
USA ACTIVE DUTY
PORTSMOUTH, VA 23711
SGT
(804) 899-5176
ELKINS,RONALD
20/448-10-9887 20
ELKINS,RONALD
(804) 223-4788
232 DROGHEDA ST
USN ACTIVE DUTY
(804) 337-4778
PORTSMOUTH, VA
CAPT
(804) 442-2772
NOBEL,ROXANNE
20/387-22-6554 20
NOBEL,ROXANNE
(804) 224-4133
USAF ACTIVE DUTY
PORTSMOUTH, VA 23706
LT
(804) 442-2998
STANLEY,ROBERT
20/232-56-2776 20
STANLEY,ROBERT
(804) 224-9667
USN ACTIVE DUTY
PORTSMOUTH, VA 23708
LT
(804) 442-3876
WILSON,MICHAEL
20/565-35-2887 20
WILSON,MICHAEL
(804) 898-8995
USA ACTIVE DUTY
PORTSMOUTH, VA 23706
CPT
(804) 442-4555
Total Incomplete Home Addresses:
FIGURE 4.4.4.8.
SAMPLE OUTPUT REPORT:
6
INCOMPLETE PATIENT ADDRESS REPORT (Home Address Report)
(Sheet 1 of 3)
6-317
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER MCP
27 Apr 1994@1532
Personal Data - Privacy Act 1974 (PL-93-579)
INCOMPLETE PATIENT DUTY ADDRESS REPORT
Page 1
Address: DUTY
Enroll Status: NONENROLLED
Unit ID: ALL
================================================================================
Name
FMP/SSN
DDS Sponsor
Home Phone
Patient Duty Address
PATCAT
Work Phone
Rank
Duty Phone
================================================================================
BANCROFT,TOM
20/325-80-3112 20
BANCROFT,TOM
(804) 224-4688
USN ACTIVE DUTY
PORTSMOUTH, VA 23706
LT
(804) 447-2772
DAMIAN,GEORGE
20/442-09-0844 20
DAMIAN,GEORGE
(804) 899-6224
USA ACTIVE DUTY
PORTSMOUTH, VA 23711
SGT
(804) 899-5176
QUINCY,ANNA
20/447-01-9802 20
QUINCY,ANNA
(804) 223-4788
USN ACTIVE DUTY
PORTSMOUTH, VA 23706
CAPT
(804) 447-2773
Total Incomplete Duty Addresses:
FIGURE 4.4.4.8.
SAMPLE OUTPUT REPORT:
3
INCOMPLETE PATIENT ADDRESS REPORT (Duty Address Report)
(Sheet 2 of 3)
6-318
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
User: THACKER,DAVID
Provider: 6 Selected
TO:
LT JERRY ANDREWS
14557 J. CLYDE MORRIS AVE.
PORTSMOUTH VA
23706
TO:
SGT GEORGE BASIL
3222 JAMES ST
PORTSMOUTH VA
23711
TO:
CAPT RONALD ELKINS
232 DROGHEDA ST
PORTSMOUTH VA
23706
TO:
LT ROXANNE NOBEL
477 NORTH MAIN ST
PORTSMOUTH VA
23706
TO:
LT ROBERT STANLEY
700 EAST ENGEBRETSEN AVE
PORTSMOUTH VA
23708
TO:
CPT MICHAEL WILSON
4777 WING ST
PORTSMOUTH VA
23706
FIGURE 4.4.4.8.
SAMPLE OUTPUT REPORT:
INCOMPLETE PATIENT ADDRESS REPORT (Generate Corrected Labels)
(Sheet 3 of 3)
6-319
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
14 Sep 1993@0925
Personal Data - Privacy Act 1974 (PL-93-579)
ENROLLMENT ROSTER For ACTIVE DUTY FAMILY MEMBERS By UNIT
Page 1
Unit: 1912 COMMUNICATIONS GROUP
================================================================================
Sponsor/
Sponsor
Enrolled
Family Members
FMP/SSN/Rank
FMP DDS DOB
Date
================================================================================
BRUCE,TERENCE C
20/228-04-5815/SSG
--------------------------------------------BRUCE,ESTHER
01
1
07 Aug 1991 13 Aug 1994
BRUCE,ANDREW
02
2
25 Nov 1987 13 Aug 1994
BRUCE,EILEEN
30
30
12 Jun 1967 11 Aug 1994
Family Member Total:
WHITMAN,PETER D
20/298-66-4855/TSG
--------------------------------------------WHITMAN,DAVID T
02
WHITMAN,BRITTANY S
04
2
4
24 Mar 1982
05 May 1985
Family Member Total:
WILLIAMS,CURTIS W
20/533-78-2525/SSG
--------------------------------------------WILLIAMS,CERISSA
03
WILLIAMS,KAREN L
30
3
13 Jun 1989
01 Nov 1963
Family Member Total:
JOHNSON,MARY
20/800-78-0605/CPT
--------------------------------------------JOHNSON,DON
30
FIGURE 4.4.4.9.
03 Feb 1957
3
06 Aug 1994
02 Jun 1994
2
11 Aug 1994
13 Aug 1994
2
30 Jul 1994
Family Member Total:
1
Unit Total:
8
SAMPLE OUTPUT REPORT: AD FAMILY MEMBERS BY UNIT ENROLLMENT ROSTER
(Sheet 1 of 2)
6-320
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
14 Sep 1993@0925
Personal Data - Privacy Act 1974 (PL-93-579)
ENROLLMENT ROSTER For ACTIVE DUTY FAMILY MEMBERS By UNIT
Page 2
Unit: SIMA
================================================================================
Sponsor/
Sponsor
Enrolled
Family Members
FMP/SSN/Rank
FMP DDS DOB
Date
================================================================================
SMITH,DAVID
20/543-54-5432/COL
--------------------------------------------SMITH,FRED
01
05 May 1976 24 May 1994
SMITH,LARRY
02
15 Aug 1978 24 May 1994
SMITH,JEREMY
03
23 Feb 1980 24 May 1994
SMITH,ALBERT
04
30 Dec 1983 24 May 1994
SMITH,GEORGE
05
07 Jun 1985 24 May 1994
SMITH,CHRIS
06
12 Dec 1988 03 Jun 1994
SMITH,THOMAS
07
11 Nov 1989 04 Jun 1994
SMITH,ROBERT
08
07 Jul 1991 07 Jun 1994
SMITH,CLARA
30
17 May 1956 24 May 1994
Family Member Total:
LONG,THERESA
20/654-32-1098/CPT
--------------------------------------------LONG,TINA
01
LONG,CRISTY
02
LONG,LAURA
03
15 Sep 1972
05 Nov 1975
11 Jan 1978
Family Member Total:
ALLISON,GEORGE
20/723-23-2345/MAJ
--------------------------------------------ALLISON,AMY
31
04 Mar 1960
Family Member Total:
Unit Total:
9
02 Jun 1994
02 Jun 1994
02 Jun 1994
3
15 Jul 1994
1
20
Selected Units Total:
FIGURE 4.4.4.9.
28
SAMPLE OUTPUT REPORT: AD FAMILY MEMBERS BY UNIT ENROLLMENT ROSTER
(Sheet 2 of 2)
6-321
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TRIPLER AMC, HI
22 Jan 1996@1517
Page 1
Personal Data - Privacy Act 1974 (PL 93-579)
ALPHABETIC ENROLLMENT ROSTER By SERVICE
From: 16 Jan 1995
To: 19 Jan 1996
Division: TRICARE MCP DIVISION
MARINE CORPS
==================================================================================================================================
Name
FMP/SSN
DDS DOB
PCM
Spon Home Phone
Effective Dates
Patient Address
OHI
Patient Category
Rank Work Phone
MCP Status
==================================================================================================================================
PALA,MINDY
31/800-82-0705
05 Jul 70 BANES,JOSEPH
CPL
390-1023
01 Feb 95 - 02 Jun 98
293854 Highway 67
USMC FAM MBR AD
Enrolled
Escondido, CA 92026
PALA,PAUL
20/800-82-0705
12 Aug 72 ABBOTT,JAMES
CPL
390-1023
01 Feb 95 - 02 Jun 98
293854 Highway 67
USMC ACTIVE DUTY
Enrolled
Escondido, CA 92026
FIGURE 4.4.4.10.
MARINE CORP Total:
2
Division Total:
2
SAMPLE OUTPUT REPORT: ALPHABETIC ENROLLMENT ROSTER BY SERVICE
(Sheet 1 of 3)
6-322
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TRIPLER AMC, HI
22 Jan 1996@1517
Page 2
Personal Data - Privacy Act 1974 (PL 93-579)
ALPHABETIC ENROLLMENT ROSTER By SERVICE
From: 16 Jan 1995
To: 19 Jan 1996
Division: TRICARE MCP DIVISION
MARINE CORPS
==================================================================================================================================
PATCAT/Name
FMP/SSN
DDS DOB
PCM
Spon Home Phone
Effective Dates
Patient Address
OHI
Patient Category
Rank Work Phone
MCP Status
==================================================================================================================================
FAM MBR OF ACTIVE DUTY
---------------------BENNETT,AURORA
01/229-66-1234
07 Nov 86 MICHAEL,GEORGE
ADM
535-7546
01 Feb 95 - 31 Jan 96
1234 Any Street
USN FAM MBR AD
Pending Enrollment
San Diego, CA 92108
HOPKINS,THUMPER K.
01/800-62-0102
03 Feb 85 KATZ,TEMME
ENS
01-Nov 95 - 31 Oct 96
USN FAM MBR AD
Invalid Enrollment
PEARL,ZELDA N
30/577-55-7890
02 Jan 76 TRAINER,TEDDY
CDR
702/289-2889
01 Jan 96 - 31 Dec 96
111 Carson St
USN FAM MBR AD
Conditionally Enrolled
Fallon, NV
89406
ROY,CARLA
30/613-22-4444
23 Aug 60 MERWELL MEDICAL
ADM
01 Oct 95 - 30 Sep 96
9467 Hi Prk Rd
OHI
USN FAM MBR AD
Conditionally Enrolled
FIGURE 4.4.4.10.
MARINE CORP Total:
4
Division Total:
4
SAMPLE OUTPUT REPORT: ALPHABETIC ENROLLMENT ROSTER BY SERVICE
(Sheet 2 of 3)
6-323
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TRIPLER AMC, HI
22 Jan 1996@1517
Page 3
Personal Data - Privacy Act 1974 (PL 93-579)
ALPHABETIC ENROLLMENT ROSTER By SERVICE
From: 16 Jan 1995
To: 19 Jan 1996
Division: TRICARE MCP DIVISION
MARINE CORPS
==================================================================================================================================
Unit/Name
FMP/SSN
DDS DOB
PCM
Spon Home Phone
Effective Dates
Patient Address
OHI
Patient Category
Rank Work Phone
MCP Status
==================================================================================================================================
1st Marine Division
------------------ROY,CARLA
30/613-22-4444
23 Aug 60 MERWELL MEDICAL
ADM
01 Oct 95 - 30 Sep 96
9467 Hi Prk Rd
OHI
USN FAM MBR AD
Conditionally Enrolled
Moscow, RS
ROY,RANDY
20/613-22-4444
15 May 52 MERWELL MEDICAL
ADM
22 Aug 95 - 31 Aug 96
9467 Hi Prk Rd
USN ACTIVE DUTY
Invalid Enrollment
San Diego, CA 92121
FIGURE 4.4.4.10.
MARINE CORP Total:
2
Division Total:
2
SAMPLE OUTPUT REPORT: ALPHABETIC ENROLLMENT ROSTER BY SERVICE
(Sheet 3 of 3)
6-324
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
13 Sep 1993@1204
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
CASE MANAGEMENT PROGRAM ENROLLMENT ROSTER
Exception Provider: ADAMSON,GEORGE V
Division: AIR FORCE MTF DIVISION
==================================================================================================================================
Name
FMP/SSN
DDS
DOB
PCM
Spon Home Phone
Effective Dates
Patient Address
Condition Text
OHI
Patient Category
Rank Work Phone
MCP Status
==================================================================================================================================
ROBERTS,HAROLD
20/555-66-6555 20
09 Feb 50 THACKER,DAVID
COL
8329749273
23 Aug 93 - 07 Oct 93
8847 XENIA AVE
USAF ACTIVE DUTY
Enrolled
HAMPTON, VA
23665
bleeding ulcer
FIGURE 4.4.4.11.
SAMPLE OUTPUT REPORT: CASE MANAGEMENT PROGRAM ENROLLMENT ROSTER
(Sheet 1 of 4)
6-325
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
13 Sep 1993@1204
Page 2
Personal Data - Privacy Act 1974 (PL-93-579)
CASE MANAGEMENT PROGRAM ENROLLMENT ROSTER
Exception Provider: CRAWFORD,PHYLLIS
Division: AIR FORCE MTF DIVISION
==================================================================================================================================
Name
FMP/SSN
DDS
DOB
PCM
Spon Home Phone
Effective Dates
Patient Address
Condition Text
OHI
Patient Category
Rank Work Phone
MCP Status
==================================================================================================================================
JAVENS,KAITLYN
01/478-55-5045 1
12 Oct 79 CRAWFORD,JACQUI
SFC
619-543-5435
08 Sep 93 - 23 Oct 93
11345 SANDY LAKE DRIVE SOUTHWE
OHI
USA FAM MBR RET
Enrolled
HAMPTON, VA
23665
Urinary infection.
FIGURE 4.4.4.11.
SAMPLE OUTPUT REPORT: CASE MANAGEMENT PROGRAM ENROLLMENT ROSTER
(Sheet 2 of 4)
6-326
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
13 Sep 1993@1204
Page 3
Personal Data - Privacy Act 1974 (PL-93-579)
CASE MANAGEMENT PROGRAM ENROLLMENT ROSTER
Exception Provider: JONES,ROBERT T
Division: AIR FORCE MTF DIVISION
==================================================================================================================================
Name
FMP/SSN
DDS
DOB
PCM
Spon Home Phone
Effective Dates
Patient Address
Condition Text
OHI
Patient Category
Rank Work Phone
MCP Status
==================================================================================================================================
JAVENS,KAITLYN
01/478-55-5045 1
12 Oct 79 CRAWFORD,JACQUI
SFC
619-543-5435
10 Sep 93 - 10 Sep 95
11345 SANDY LAKE DRIVE SOUTHWE
OHI
USA FAM MBR RET
Enrolled
HAMPTON, VA
23665
Urinary infection.
FIGURE 4.4.4.11.
SAMPLE OUTPUT REPORT: CASE MANAGEMENT PROGRAM ENROLLMENT ROSTER
(Sheet 3 of 4)
6-327
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
13 Sep 1993@1204
Page 4
Personal Data - Privacy Act 1974 (PL-93-579)
CASE MANAGEMENT PROGRAM ENROLLMENT ROSTER
Exception Provider: ZAMBIA,ZELDA
Division: AIR FORCE MTF DIVISION
==================================================================================================================================
Name
FMP/SSN
DDS
DOB
PCM
Spon Home Phone
Effective Dates
Patient Address
Condition Text
OHI
Patient Category
Rank Work Phone
MCP Status
==================================================================================================================================
ROBERTS,HAROLD
20/555-66-6555 20
09 Feb 50 THACKER,DAVID
COL
8329749273
23 Aug 93 - 07 Oct 93
8847 XENIA AVE
USAF ACTIVE DUTY
Enrolled
HAMPTON, VA
23665
Urinary infection.
Division Total:
FIGURE 4.4.4.11.
SAMPLE OUTPUT REPORT: CASE MANAGEMENT PROGRAM ENROLLMENT ROSTER
(Sheet 4 of 4)
6-328
4
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
14 Sep 1993@1323
Page 1
Personal Data - Privacy Act 1974 (PL-93-579)
CHANGE in ELIGIBILITY ENROLLMENT ROSTER
FROM: 14 Sep 1993
TO: 14 Sep 1994
Division: A DIVISION
Eligibility Category: APPROACHING THE AGE OF 21
==================================================================================================================================
Name
FMP/SSN
DDS
DOB
PCM
Spon Home Phone
Enrollment Date
Patient Address
OHI
Patient Category
Rank Work Phone
End Eligibility Date
Sponsor Name
MCP Status
==================================================================================================================================
LONG,CRISTY
02/654-32-1098
05 Nov 72
MILES,DAVIS
CPT
234-2344
02 Jun 93
12343 LIBERTY BLVD
USA FAM MBR AD
02 Jun 94
SAN DIEGO, CA
92121
LONG,THERESA
Enrolled
FIGURE 4.4.4.12.
SAMPLE OUTPUT REPORT: CHANGE IN ELIGIBILITY ENROLLMENT ROSTER
(Sheet 1 of 3)
6-329
SAIC/CHCS Doc. TC-4.5-0706
29 Jul 1996
TIDEWATER
14 Sep 1993@1323
Page 2
Personal Data - Privacy Act 1974 (PL-93-579)
CHANGE in ELIGIBILITY ENROLLMENT ROSTER
FROM: 14 Sep 1993
TO: 14 Sep 1994
Division: A DIVISION
Eligibility Category: Approaching the End of Eligibility Date
==================================================================================================================================
Name
FMP/SSN
DDS
DOB
PCM
Spon Home Phone
Enrollment Date
Patient Address
OHI
Patient Category
Rank Work Phone
End Eligibility Date
Sponsor Name
MCP Status
==========================================