Q&A Attachment 12b - 2025 HSR Reports.xlsx

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Attached to
Medical and Mental Health Services
Solicitation number
1301
Issued by
Idaho

About this file

Written by GovTribe AI ·

This file is a 2025 Health Services Report (HSR) template and Q&A attachment for the Idaho Department of Correction (IDOC), specifically for Penitentiary of Southern Idaho (PWCC). The document is a comprehensive monthly reporting form designed to track medical and mental health service delivery metrics across IDOC facilities. The template captures detailed data on population information, screening activities, medical provider encounters, nurse sick call encounters, mental health encounters, dental services, infirmary care, segregation procedures, and various clinical activities. The report is intended to provide year-to-date (YTD) tracking and monthly breakouts of chronic disease program statistics, with data organized by calendar month (January through December) and quarterly summaries. The form includes 127 distinct data fields covering patient demographics, service volumes, clinical outcomes, and specialized care categories including autoimmune diseases, cardiac/vascular conditions, diabetes, hepatitis C, HIV/AIDS, oncology, and pulmonary disease management.

The HSR template demonstrates the operational requirements and performance measurement framework that contracted medical and mental health service providers must maintain under the IDOC RFP. The form indicates that the incumbent provider, Corizon Health Services, has been utilizing this reporting structure to document service delivery across multiple facility types including main prison facilities, community release centers, and extended care infirmaries. The document contains numerous data fields with reference errors and incomplete entries, suggesting this is a draft or working template for the 2025 contract period. The reporting requirements encompass comprehensive metrics on clinical staffing hours, medication management, psychiatric services, telemedicine encounters, and disease-specific care tracking, which establishes baseline performance expectations and documentation standards for prospective bidders responding to the September 2, 2026 proposal deadline.

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Q&A Attachment 13 - Medical and Mental Health Audits.pdf PDF
Q&A Attachment 15 - Legal Claims.xlsx XLSX spreadsheet
Consolidated Offeror Questions.docx DOCX document
Q&A Attachment 8 - IDOC 2026 Backlog Report.xlsx XLSX spreadsheet
Q&A Attachment 12a - 2024 HSR Reports.xls XLS spreadsheet
Q&A Attachment 12c - 2026 YTD HSR Reports.xlsx XLSX spreadsheet
Q&A Attachment 9 - LD's assessed.xlsx XLSX spreadsheet
Exhibit 8 - Medical Audit Tool.xlsx XLSX spreadsheet
Q&A Attachment 10 - IDOC FTE Reporting 2024 - 2026.xlsx XLSX spreadsheet
Exhibit 11 - Financial Tracking Tool.xlsx XLSX spreadsheet
Q&A Attachment 16 - IDOC Background Questionnaire.pdf PDF
Q&A Attachment 7 - IDOC 2025 Backlog Report.xlsx XLSX spreadsheet
Consolidated Offeror Modifications and Exceptions.docx DOCX document
Q&A Attachment 17 - NCCHC Accreditation Letters.pdf PDF
Exhibit 14 - MMS Report.xlsx XLSX spreadsheet
Exhibit 10 - MH Audit Tool.xlsx XLSX spreadsheet
Q&A Attachment 14 - Average Daily Subpopulations.xlsx XLSX spreadsheet
Q&A Attachment 11 - Validation Report for Facility Sample.xlsx XLSX spreadsheet
Amendment 1 - RFP 1301 - Administrative Document.docx DOCX document
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Jan

Site Name:ERROR:#REF!Site Number:ERROR:#REF!Name of PreparerMONTHLY CHRONIC DISEASE PROGRAM REPORT
CurrentLast Mo.

Riley, Karen: Riley, Karen

the proposed new HSR would allow for tracking of every months' stats YTD. Unsure why this current "monthly" summary breakout would need to be added on the reportSite:ERROR:#REF!
Month/YearERROR:#REF!Avg. Daily Census CurrentERROR:#REF!ERROR:#REF!ReviewerMonth/Year:
RDU/SCREENS/ASSESSMENTSCurrentLast Mo.ONSITE SPECIALTY CARECurrentLast Mo.TRANSPORTSCurrentLast Mo.CLASS INumber of OffendersTOTAL NUMBER OF CHRONIC DISEASE VISITS
ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!35ERROR:#REF!ERROR:#REF!ERROR:#REF!61ERROR:#REF!ERROR:#REF!ERROR:#REF!(One CDP DX)CurrentLast Mo.Diagnosis:Number of Visits
ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!36ERROR:#REF!ERROR:#REF!ERROR:#REF!62ERROR:#REF!ERROR:#REF!ERROR:#REF!93Class I (one CDP DX) 1 DiagnosisERROR:#REF!CurrentLast Mo.
ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!37ERROR:#REF!ERROR:#REF!ERROR:#REF!63ERROR:#REF!ERROR:#REF!ERROR:#REF!113Autoimmune DiseasesERROR:#REF!
ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!38ERROR:#REF!ERROR:#REF!ERROR:#REF!114Cardiac/VascularERROR:#REF!
ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!39ERROR:#REF!ERROR:#REF!ERROR:#REF!OFFSITE ACTIVITYCurrentLast Mo.115Endocrine Disease/DisorderERROR:#REF!
ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!40ERROR:#REF!ERROR:#REF!ERROR:#REF!64ERROR:#REF!ERROR:#REF!ERROR:#REF!CLASS IINumber of Offenders116DiabetesERROR:#REF!
7ERROR:#REF!ERROR:#REF!ERROR:#REF!41ERROR:#REF!ERROR:#REF!ERROR:#REF!65ERROR:#REF!ERROR:#REF!ERROR:#REF!(Multiple CDP DX)CurrentLast Mo.117Gender DysphoriaERROR:#REF!
8ERROR:#REF!ERROR:#REF!ERROR:#REF!Average Hospital Length of StayERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!118HematologyERROR:#REF!
MENTAL HEALTHCurrentLast Mo.66ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!119HIVERROR:#REF!
TRANSFER SCREENSCurrentLast Mo.42ERROR:#REF!ERROR:#REF!ERROR:#REF!67ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!120LTBI TreatmentERROR:#REF!
9ERROR:#REF!ERROR:#REF!ERROR:#REF!43ERROR:#REF!ERROR:#REF!ERROR:#REF!68ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!121Liver Disease (Non HCV)ERROR:#REF!
10ERROR:#REF!ERROR:#REF!ERROR:#REF!Total MH Appts CompletedERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!122Hepatitis CERROR:#REF!
11ERROR:#REF!ERROR:#REF!ERROR:#REF!44ERROR:#REF!ERROR:#REF!ERROR:#REF!WORKMAN'S COMPCurrentLast Mo.Total Class II OffendersERROR:#REF!123Neurological Disease/DisorderERROR:#REF!
45ERROR:#REF!ERROR:#REF!ERROR:#REF!69ERROR:#REF!ERROR:#REF!124OncologyERROR:#REF!
CLINICAL VISITSCurrentLast Mo.46ERROR:#REF!ERROR:#REF!ERROR:#REF!70ERROR:#REF!ERROR:#REF!125Pulmonary DiseaseERROR:#REF!
12ERROR:#REF!ERROR:#REF!ERROR:#REF!CLASS IIINumber of Offenders126Renal DiseaseERROR:#REF!
13ERROR:#REF!ERROR:#REF!ERROR:#REF!PHARMACYCurrentLast Mo.FEMALE OFFENDERSCurrentLast Mo.ERROR:#REF!CurrentLast Mo.Total Number of VisitsERROR:#REF!0
14ERROR:#REF!ERROR:#REF!ERROR:#REF!47ERROR:#REF!ERROR:#REF!ERROR:#REF!71ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!
15ERROR:#REF!ERROR:#REF!ERROR:#REF!% on Prescription MedicationERROR:#REF!ERROR:#REF!72ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!125Offenders in Chronic Disease ProgramERROR:#REF!
16ERROR:#REF!ERROR:#REF!ERROR:#REF!48ERROR:#REF!ERROR:#REF!ERROR:#REF!73ERROR:#REF!ERROR:#REF!Total Class III OffendersERROR:#REF!
17ERROR:#REF!ERROR:#REF!ERROR:#REF!% on Psychotropic MedicationERROR:#REF!ERROR:#REF!74ERROR:#REF!ERROR:#REF!
18ERROR:#REF!ERROR:#REF!ERROR:#REF!49ERROR:#REF!ERROR:#REF!ERROR:#REF!75ERROR:#REF!ERROR:#REF!HIV/AIDSNumber of Offenders
19ERROR:#REF!ERROR:#REF!ERROR:#REF!76ERROR:#REF!ERROR:#REF!TOTAL CHRONIC DISEASE BY DIAGNOSIS127ERROR:#REF!ERROR:#REF!
20ERROR:#REF!ERROR:#REF!ERROR:#REF!ANCILLARY SERVICESCurrentLast Mo.CurrentLast Mo.127ERROR:#REF!ERROR:#REF!
21ERROR:#REF!ERROR:#REF!ERROR:#REF!50ERROR:#REF!ERROR:#REF!ERROR:#REF!DENTALCurrentLast Mo.101Autoimmune DiseasesERROR:#REF!127ERROR:#REF!ERROR:#REF!
51ERROR:#REF!ERROR:#REF!ERROR:#REF!77ERROR:#REF!ERROR:#REF!102Cardiac/VascularERROR:#REF!127ERROR:#REF!ERROR:#REF!
INFIRMARYCurrentLast Mo.78ERROR:#REF!ERROR:#REF!103Endocrine Disease/DisorderERROR:#REF!127ERROR:#REF!ERROR:#REF!
22ERROR:#REF!ERROR:#REF!ERROR:#REF!INFECTIOUS DISEASESCurrentLast Mo.79ERROR:#REF!ERROR:#REF!104DiabetesERROR:#REF!127ERROR:#REF!ERROR:#REF!
23ERROR:#REF!ERROR:#REF!ERROR:#REF!52ERROR:#REF!ERROR:#REF!ERROR:#REF!80ERROR:#REF!ERROR:#REF!105Gender DysphoriaERROR:#REF!
24ERROR:#REF!ERROR:#REF!ERROR:#REF!53ERROR:#REF!ERROR:#REF!ERROR:#REF!81ERROR:#REF!ERROR:#REF!106HematologyERROR:#REF!
25ERROR:#REF!ERROR:#REF!ERROR:#REF!54ERROR:#REF!ERROR:#REF!ERROR:#REF!107LTBI TreatmentERROR:#REF!
26ERROR:#REF!ERROR:#REF!ERROR:#REF!55ERROR:#REF!ERROR:#REF!ERROR:#REF!OPTOMETRYCurrentLast Mo.108Liver Disease (Non HCV)ERROR:#REF!
27ERROR:#REF!ERROR:#REF!ERROR:#REF!82ERROR:#REF!ERROR:#REF!109ERROR:#REF!ERROR:#REF!
28ERROR:#REF!ERROR:#REF!ERROR:#REF!OFFENDER DEATHSCurrentLast Mo.83ERROR:#REF!ERROR:#REF!110OncologyERROR:#REF!
56ERROR:#REF!ERROR:#REF!ERROR:#REF!84ERROR:#REF!ERROR:#REF!111Pulmonary DiseaseERROR:#REF!
EXTENDED CARE INFIRMARYCurrentLast Mo.57ERROR:#REF!ERROR:#REF!ERROR:#REF!112Renal DiseaseERROR:#REF!
29ERROR:#REF!ERROR:#REF!ERROR:#REF!58ERROR:#REF!ERROR:#REF!ERROR:#REF!COMMUNITY RELEASE CENTERSCurrentLast Mo.TotalERROR:#REF!
30ERROR:#REF!ERROR:#REF!ERROR:#REF!85ERROR:#REF!ERROR:#REF!
31ERROR:#REF!ERROR:#REF!ERROR:#REF!POST PHYSICALSCurrentLast Mo.86ERROR:#REF!ERROR:#REF!
32ERROR:#REF!ERROR:#REF!ERROR:#REF!59ERROR:#REF!ERROR:#REF!ERROR:#REF!87ERROR:#REF!ERROR:#REF!
33ERROR:#REF!ERROR:#REF!ERROR:#REF!60ERROR:#REF!ERROR:#REF!ERROR:#REF!88ERROR:#REF!ERROR:#REF!
34ERROR:#REF!ERROR:#REF!ERROR:#REF!89ERROR:#REF!ERROR:#REF!
90ERROR:#REF!ERROR:#REF!
91ERROR:#REF!ERROR:#REF!
92ERROR:#REF!ERROR:#REF!

&"Arial,Bold"CORIZON &"Arial,Bold"HEALTH SERVICES REPORT

_x000D_&1#&"Calibri"&10&K000000 IDOC Data Sensitivity Classification - L3 Restricted &8Revised 022714

PWCC 2022 HSR

DEFINITIONSSITE NAME & NUMBER: PWCC ID0008ERROR:#VALUE!
REVIEWED BY: LORI JOHNSON
HEALTH SERVICES REPORT - MEDICALHEALTH SERVICES REPORT - MEDICAL
EACH SITE WILL COMPLETE THIS REPORTDefinitionsReports / Inputs / PathwayEACH SITE WILL COMPLETE THIS REPORTJanFebMarAprMayJunJulyAugSeptOctNovDecQ1Q2Q3Q4YTD TOTALYTD AVE
POPULATION INFORMATIONPOPULATION INFORMATION
Avg Daily Population# of residents/patient who reside in facility in a given monthMonthly Average Daily Population ReportAvg Daily Population339331319321321325331315319310313321329.6666666667322.3333333333321.6666666667314.6666666667322.0833333333
SCREENINGSSCREENINGS
Intake Screens-RDU# of residents who come through RDU in a given monthRun Nurse Intake Screening Report in eOMISIntake Screens-RDU26224949492640324029457719512411215158240.3333333333
Mental Health Screens-RDU# of residents who have a mental health screen performed in RDURun Nurse Intake Screening Report in eOMISMental Health Screens-RDU25224948482540344029437819212111415057740.0833333333
Dental Intake Screen-RDU# of residents who have a dental screen performed in RDURun Dental Initial Intake Exam in eOMISDental Intake Screen-RDU25227348482642136329514821612211812858440.6666666667
Transfer Screens In# of residents transferred In to your facility (to include from RDU to ISCI)Run Nurse Transfer Receiving Report in eOMISTransfer Screens In31576054141610315124821684462437025.1666666667
Transfer Screens Out# of residents transferred Out from your facilityRun Nurse Transfer Sending Report in eOMISTransfer Screens Out4923613037224755128124
Transfer Mental Health Screens# of residents transferred IN who received a MH screenTransfer Mental Health Screens10016339713441248651031092430123.7
Number of TB Screens-RDU# of TB Screens plantedRun Pentaho Idaho RDU Audit and filter as necessaryNumber of TB Screens-RDU26224968985242324128437726321811514874448.1666666667
MEDICAL PROVIDERS ENCOUNTERSMEDICAL PROVIDERS ENCOUNTERS
Clinical Visits-Physicians# of physician encountersRun Encounter Search by physician(s) for your facilityClinical Visits-Physicians2026263232432965194421211361071138644231.5
Clinical Visits-Midlevel# of midlevel encountersRun Encounter Search by midlevel(s) for your facilityClinical Visits-Midlevel1431961761471851901552741851851641638475226145122495180.25
Health Assessments-RDU# of health assessments completed in RDURun Practitioner Health Assessment - Initial for your facilityHealth Assessments-RDU25224849492640314029514819312411112855638.1666666667
Periodic Health Exams Completed# of periodic health exams completed (annual exams)Run Practitioner Health Assessment - Periodic for your facilityPeriodic Health Exams Completed61412113211004310.75
# of Medical Provider encounter refusals# of Medical Provider encounter refusals0000000ERROR:#DIV/0!
TELEMEDICINE ENCOUNTERS (SEE TELEHMED LOG)TELEMEDICINE ENCOUNTERS (SEE TELEHMED LOG)00000013111301.6666666667
NURSE SICK CALL ENCOUNTERSNURSE SICK CALL ENCOUNTERS
Health Services Requests submitted -RDU# of HSR's submitted while in RDUProvide number from sick call logHealth Services Requests submitted -RDU000000006018113500606412431
Sick Call seen - RDU# of residents seen for sick call while in RDUProvide number from sick call logSick Call seen - RDU000000002115470021264711.75
Medical Health Services Requests Submitted# of HSR's submitted for your facility for GPProvide number from sick call logHealth Services Requests Submitted50044546451459659157958057269662382125191701173121408091581.75
Sick Call seen - Medical# of residents seen for sick call for GPProvide number from sick call logSick Call seen - Medical19726017437241954242251641045935933514221333134811535256372.0833333333
Total # Nurse Sick Call encounters completed (autocalculated)Total # Nurse Sick Call encounters completed (autocalculated)1972601743724195424225164314743633426311333136911794512376
# of referrals to Medical provider/Mid-level after seen by nursing sick call# of referrals to Medical provider/Mid-level after seen by nursing sick call899010313641813600554104.5
# of referrals to Mental Health after seen by nursing sick call# of referrals to Mental Health after seen by nursing sick call109261687238870032559.5
# of referrals to Dental after seen by nursing sick call# of referrals to Dental after seen by nursing sick call62646161248610030962
# of Nurse Sick Call refusals# of Nurse Sick Call refusals0000000ERROR:#DIV/0!
OTHER NURSING ENCOUNTERSOTHER NURSING ENCOUNTERS
Number of Lab Draws-RDU# of lab draws completed while in RDUPentaho Report - Idaho RDU Audit (filter by completed)Number of Lab Draws-RDU00004926403140294548497511112235738.5
Number of lab Draws-MedicalNumber of lab Draws-Medical2503392861561031156001187257.75
Clinical Visits RN/LPN/CMSClinical Visits RN/LPN/CMS9769258939653759965939.75
# of post use of force exams completed# of post use of force exams completed0000000ERROR:#DIV/0!
# of return from off-site assessments completed# of return from off-site assessments completed3431650006532.5
MENTAL HEALTH ENCOUNTERSMENTAL HEALTH ENCOUNTERS
Initial Psychiatric provider Evaluations# of initial psychiatric evaluations completedRun Mental Health Psychiatrist Initial Psych Eval in eOMISInitial Psychiatric provider Evaluations21132281434223032224278776557329172.75
Psychiatrist Visits Completed# of psychiatric visits completedRun Mental Health Psychiatric Scheduled and Unscheduled by physician(s) for your facility in eOMISPsychiatrist Visits Completed3617511221410405034263642240146124104614153.5
Psychiatric Midlevel Visits Completed# of midlevel psychiatric visits completedRun Mental Health Psychiatric Scheduled and Unscheduled by midlevel(s) for your facility in eOMISPsychiatric Midlevel Visits Completed5368102921088463100557472734232842182191144286
Suicide Risk Assessments Completed# of suicide risk assessments completedRun Mental Health Clinician SRA Initial in eOMISSuicide Risk Assessments Completed384247734994869262474645249216240138843210.75
Resident Placed on Suicide Watch# of residents placed on suicide watchResident Placed on Suicide Watch1213163071300010150.5
Total # of Mental Health encounter refusalsTotal # of Mental Health encounter refusals0000000ERROR:#DIV/0!
TELEPSYCH ENCOUNTERS (SEE TELEPysch LOGS)TELEPSYCH ENCOUNTERS (SEE TELEPysch LOGS)3617328740506965595785
DENTAL ENCOUNTERSDENTAL ENCOUNTERS
Dental HSR's Received# of HSR's received for dental servicesProvide number from sick call logDental HSR's Received6295906367716178891231521503772012284251231307.75
Dental Appts Completed# of completed dental encounters completedRun Dental Sick Call Scheduled by provider(s) for your facilityDental Appts Completed12866136111916262551281712341475322642455521593398.25
Dental Prosthesis-in processDental Prosthesis-in process0200200022
Hygienist HSR's Received# of HSR's received for hygenist servicesProvide number from sick call logHygienist HSR's Received102534112386222486367418.5
Hygienist Appointments Completed# of completed hygenist encounters completedRun Dental Sick Call Scheduled by hygenist(s) for your facilityHygienist Appointments Completed6200160000119970203612
MISCELLANEOUS VISITS AND DIAGNOSISMISCELLANEOUS VISITS AND DIAGNOSIS
RN Hours-Nampa-CRCRN Hours-Nampa-CRC000000000ERROR:#DIV/0!
Provider Hours-Nampa-CRCProvider Hours-Nampa-CRC000000000ERROR:#DIV/0!
RN Hours-Treasure Valley-CRCRN Hours-Treasure Valley-CRC000000000ERROR:#DIV/0!
Provider Hours-Treasure Valley-CRCProvider Hours-Treasure Valley-CRC000000000ERROR:#DIV/0!
RN Hours-East Boise-CRCRN Hours-East Boise-CRC000000000ERROR:#DIV/0!
Providers Hours-East Boise-CRCProviders Hours-East Boise-CRC000000000ERROR:#DIV/0!
RN Hours-Idaho Falls-CRCRN Hours-Idaho Falls-CRC32323232128320016080
Provider Hours-Idaho Falls-CRCProvider Hours-Idaho Falls-CRC808080803208000400200
Class I (one CDP DX) 1 DiagnosisClass I (one CDP DX) 1 Diagnosis15515515510156610100667333.5
Class II (Multiple CDP DX) 2 DiagnosisClass II (Multiple CDP DX) 2 Diagnosis38383820134200015477
Class II (Multiple CDP DX) 3 DiagnosisClass II (Multiple CDP DX) 3 Diagnosis171717126312007537.5
Class II (Multiple CDP DX) 4 DiagnosisClass II (Multiple CDP DX) 4 Diagnosis7777287003517.5
Class II (Multiple CDP DX) 5 DiagnosisClass II (Multiple CDP DX) 5 Diagnosis333312300157.5
Class II (Multiple CDP DX) 6 DiagnosisClass II (Multiple CDP DX) 6 Diagnosis1113630094.5
Class III (High Acuity) ChemoClass III (High Acuity) Chemo000000000ERROR:#DIV/0!
Class III (High Acuity) DialysisClass III (High Acuity) Dialysis0001110021
SEGREGATIONSEGREGATION
Segregation Medical Intake Screen# of medical intake screens for segregation residentsRun Nursing Segregation Intake in eOMISSegregation Medical Intake Screen282722343541292119182417146110695938426.25
Segregation MH Intake Screen# of mental health intake screens for segregation residentsRun Nursing Segregation Intake in eOMISSegregation MH Intake Screen21201713539271741419159475484826519.0833333333
Segregation Welfare Checks# of welfare checks completed for segregation residentsRun Nursing Segregation Rounds in eOMISSegregation Welfare Checks101158152421363127717816010394975892096152941707127.4166666667
Segregation Sick Call HSR'sSegregation Sick Call000000000ERROR:#DIV/0!
INFIRMARY CAREINFIRMARY CARE
Number of Infirmary Beds# of bedsReport number of beds in your infirmaryNumber of Infirmary Beds888888888888402424241128
Admissions to Infirmary# of admission to infirmaryRun Practitioner Infirmary Admission in eOMISAdmissions to Infirmary83965113101082720222317826.8333333333
Discharges from Infirmary# of discharge from infirmaryRun Practitioner Infirmary Discharge in eOMISDischarges from Infirmary5912118101214106106262936221139.4166666667
Medical Observation (<23 hours)# of residents who received 23 hour observationProvide number from infirmary logMedical Observation (<23 hours)000145512488870242423717.8888888889
Infirmary Care DaysInfirmary Care Days9520213421005513.75
Infirmary Average Length of stayInfirmary Average Length of stay352610600164
Infirmary Rounds# of provider infirmary roundsRun Practitioner Infirmary Rounds in eOMISInfirmary Rounds792024653412421282882123111533832527.0833333333
Number of Extended Care Infirmary Beds# of LTC beds in your facilityReport # of LTC bedsNumber of Extended Care Infirmary Beds00000440444404812244
Admissions to Extended Care Infirmary# of admissions to LTCProvide number from LTC logAdmissions to Extended Care Infirmary13214262314267117312.5833333333
Discharges from Extended Care Infirmary# of discharges from LTCRun Practitioner LTC Discharge in eOMISDischarges from Extended Care Infirmary1301222320214573191.9
Extended Care Infirmary Care DaysExtended Care Infirmary Care Days621316076600013634
Extended Care Average Length of StayExtended Care Average Length of Stay313313095300012523.75
Extended Care Infirmary Rounds# of provider LTC roundsRun Practitioner LTC Rounds in eOMISExtended Care Infirmary Rounds634222554234765719991691861849111521755391777148.0833333333
ON-SITE SPECIALTY VISITSON-SITE SPECIALTY VISITS
Residents Receiving X-raysResidents Receiving X-rays512140310003110.3333333333
Orthotic/Prosthetic Visits CompletedOrthotic/Prosthetic Visits Completed000000000ERROR:#DIV/0!
Physical Therapy Visits CompletedPhysical Therapy Visits Completed0060600066
UltrasoundsUltrasounds000000000ERROR:#DIV/0!
Dialysis Treatments/ RunsDialysis Treatments/ Runs000000000ERROR:#DIV/0!
Dialysis Provider VisitsDialysis Provider Visits000000000ERROR:#DIV/0!
Specialty Provider Consultation-onsiteSpecialty Provider Consultation-onsite000000000ERROR:#DIV/0!
OPTICAL APPOINTMENTSOPTICAL APPOINTMENTS
Optical HSR's Received# of HSR's received for optical servicesProvide number from sick call logOptical HSR's Received294117819295131015115944473618613.4166666667
Optical HSR's Referred to OptometristOptical HSR's Referred to Optometrist29410340003411.3333333333
Optical Visits Completed# of completed dental encounters completedRun Practitioner Optometry by provider(s) for your facilityOptical Visits Completed00280360290018006436291814727.75
Optical Outstanding HSR's# of optical appointments waiting to be seenCount the number of outstanding optical HSR's for your facility
NUTRITIONAL SERVICESNUTRITIONAL SERVICES
Medical Diets# of residents on a medical dietAccess the Medical Diet Authorization Log and report total medical diets.Medical Diets1213101214458121410126130253615210.5
MEDICATIONMEDICATION
Residents on Prescription Medication# of residents who received a prescription medicationObtain number from pharmacy providerResidents on Prescription Medication27729126025726025025624825424125726013457677587583628907
Residents on Psychotropic Medication# of residents who received a psychotropic medicationObtain number from pharmacy providerResidents on Psychotropic Medication19520416616272716200889444.5
Number of Non-Formulary Prescriptions# of resident who received a non-formulary prescriptionObtain number from pharmacy providerNumber of Non-Formulary Prescriptions17012614312256112200683341.5
Residents on emergency psychotropic medicationResidents on emergency psychotropic medication0000000ERROR:#DIV/0!
Residents on non-emergency Involuntary MedicationResidents on non-emergency Involuntary Medication0000000ERROR:#DIV/0!
Total # of Treatment Review Committee (non-emergency involuntary medications)Total # of Treatment Review Committee (non-emergency involuntary medications)0000000ERROR:#DIV/0!
INFECTION CONTROLINFECTION CONTROL
Number on LTBI Treatment/Meds# of residents on LTBI treatment/medsChronic disease log / nurseNumber on LTBI Treatment/Meds000000000011000221
New TB Positive Tests# of PPD's positive tests

Patrick Franks: Patrick Franks:

Ask April Lee if there is a report for thisNew TB Positive Tests000000000ERROR:#DIV/0!
Active MRSA Cases# of active MRSA casesProvided by BioReferenceActive MRSA Cases000000000ERROR:#DIV/0!
# of Hepatitis A with active HCV (positive RNA test)# of Hepatitis A with active HCV (positive RNA test)0000000ERROR:#DIV/0!
# of Hepatitis B with active HCV (positive RNA test)# of Hepatitis B with active HCV (positive RNA test)0000000ERROR:#DIV/0!
# of new intakes with history of HCV (untreated or unknown treatment)# of new intakes with history of HCV (untreated or unknown treatment)0000000ERROR:#DIV/0!
# of active HCV (positive RNA) NOT currently on treatment# of active HCV (positive RNA) NOT currently on treatment0000000ERROR:#DIV/0!
# of Residents with HCV actively on treatment# of Residents with HCV actively on treatment0000000ERROR:#DIV/0!
# of Current month new positive HIV tests# of Current month new positive HIV tests0000000ERROR:#DIV/0!
# of HIV# of HIV0000000ERROR:#DIV/0!
# of patients on HIV meds during the month# of patients on HIV meds during the month0000000ERROR:#DIV/0!
PPDsPPDs
# of initial PPDs placed# of initial PPDs placed100492668243680031160.75
# of initial PPDs read# of initial PPDs read112572668263680033165.75
percentage . Read divided by placed (AUTOCALC)percentage . Read divided by placed (AUTOCALC)112%116%100%100%ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!3.2832653061ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!1.0708163265
Annual TB Screens/Plant# of annual TB tests planted or screens completed (birth month)Annual TB Screens2424222191210011222.75
Annual PPDs placedAnnual PPDs placed24492221116210013729
Annual PPDs readAnnual PPDs read24572221124210014531
percentage . Annual Read divided by placed (AUTOCALC)percentage . Annual Read divided by placed (AUTOCALC)100%116%100%100%ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!3.1632653061ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!1.0408163265
EMERGENCY MEDICAL SERVICESEMERGENCY MEDICAL SERVICES
Medical Emergency responses within the facilityMedical Emergency responses within the facility4430740007437
Naloxone deployments within the facility (given by medical staff)Naloxone deployments within the facility (given by medical staff)20200022
TRANSPORTSTRANSPORTS
Ambulance emergency responses within the facilityAmbulance emergency responses within the facility21300031.5
Medical Transports Scheduled# of scheduled medical transportsObtain from schedulerMedical Transports Scheduled49324236655240694869212612315315711654945.75
Medical Transports Unscheduled# of unscheduled medical transportsObtain from schedulerMedical Transports Unscheduled21882755874911171820665.5
Total IDOC Man Hours-UnscheduledTotal Man Hours-Unscheduled20016580644456400509127.25
HOSPITALIZATIONHOSPITALIZATION
# of hospital admissions# of admissions to a hospitalProvided by UM Team# of hospital admissions21220002142492310242.2222222222
# of inpatient hospital days# of inpatient hospital days222410400142.5
# of Observation only patients# of Observation only patients000000000ERROR:#DIV/0!
OFF-SITE SPECIALITY CONSULTATIONSOFF-SITE SPECIALITY CONSULTATIONS
AudiologyAudiology000000000ERROR:#DIV/0!
CardiologyCardiology1210400041.3333333333
DermatologyDermatology000000000ERROR:#DIV/0!
EndocrinologyEndocrinology0010100011
ENTENT2141810092
GastroenterologyGastroenterology320510500153.3333333333
General SurgeryGeneral Surgery2100300031.5
GynecologyGynecology831012000124
HematologyHematology000000000ERROR:#DIV/0!
Internal MedicineInternal Medicine000000000ERROR:#DIV/0!
Maternal Fetal MedicineMaternal Fetal Medicine000000000ERROR:#DIV/0!
NephrologyNephrology0001110021
Neurology/NeruosurgeryNeurology/Neruosurgery0011210031
OncologyOncology000000000ERROR:#DIV/0!
OphthalmologyOphthalmology2032720092.3333333333
Oral SurgeonOral Surgeon1100200021
OrthopedicOrthopedic623213200153.25
Outpatient SurgeryOutpatient Surgery20057500123.5
PodiatryPodiatry0400400044
PulmonologyPulmonology1001210031
UrologyUrology0110200021
Other off-site specialty consultsOther off-site specialty consults05814271400419
# of Off-site Specialty Care refusals# of Off-site Specialty Care refusals10100011
SPECIALTY DIAGNOSTICS - OFF SITESPECIALTY DIAGNOSTICS - OFF SITE
UltrasoundsUltrasounds0240600063
MRIsMRIs1111410051
CT ScansCT Scans335011000113.6666666667
Other DiagnosticsOther Diagnostics114410400142.5
# of Off-site Specialty Diagnostics refusals# of Off-site Specialty Diagnostics refusals0000000ERROR:#DIV/0!
Residents WORKMAN'S COMPResidents WORKMAN'S COMP
Total Residents under Workman's Comp.# of residents who have an open Workman's Comp caseScheduler should have this numberTotal Residents under Workman's Comp.000000110000002021
Total Workman's Comp Appts-offsite# of offsite appointments related to Workman's Comp caseScheduler should have this numberTotal Workman's Comp Appts-offsite00000010000001011
WOMEN'S HEALTHWOMEN'S HEALTH
Pregnant Residents# of residents who are pregnantChronic disease log / nursePregnant Residents7544766106802717228746.3
# of pregnant Residents on MAT# of residents who are receiving MATProvided by pharmacy provider# of pregnant Residents on MAT101111111112233101
Live Births# of residents who gave live birthOffsite log

Patrick Franks: Patrick Franks:

Kerrie checking to see if live versus stillborn could be captured Patrick Franks: Patrick Franks:

Ask April Lee if a report could be created Patrick Franks: Patrick Franks:

Ask April Lee if there is a report to capture this type of data/itemLive Births3131021233228367242.0909090909
Miscarriage/stillbirth# of residents who had a miscarriage/stillbirthOffsite logMiscarriage/stillbirth000001000000010011
OB Appointments CompletedOB Appointments Completed83246416004710.25
mammograms completedmammograms completed0201310041.5
PAP smears completedPAP smears completed36335049168490021742
SUBSTANCE ABUSESUBSTANCE ABUSE
Unique Residents on CIWA/COWS ProtocolUnique Residents on CIWA/COWS Protocol0000000ERROR:#DIV/0!
Unique Residents on MATUnique Residents on MAT0000000ERROR:#DIV/0!
CHRONIC CARE DIAGNOSISCHRONIC CARE DIAGNOSIS
Autoimmune Diseases# of residents with this diagnosisChronic care database on the M DriveAutoimmune Diseases11111151122222333767534.4166666667
Cardiac/Vascular# of residents with this diagnosisChronic care database on the M DriveCardiac/Vascular59596856757271737167705131720321518892366
Chemo# of residents with this diagnosisChronic care database on the M DriveChemo110021111203381.1428571429
Diabetes# of residents with this diagnosisChronic care database on the M DriveDiabetes1110111320192122211818116552644722816.25
Dialysis# of residents with this diagnosisChronic care database on the M DriveDialysis1111111133
Endocrine Disease/Disorder# of residents with this diagnosisChronic care database on the M DriveEndocrine Disease/Disorder565656414141414253508333136166
Gender Dysphoria# of residents with this diagnosisChronic care database on the M DriveGender Dysphoria32334444534315111310493.5
Hematology# of residents with this diagnosisChronic care database on the M DriveHematology333444111100171231332.5
LTBI Treatment# of residents with this diagnosisChronic care database on the M DriveLTBI Treatment000000000011000221
Liver Disease (Non HCV)# of residents with this diagnosisChronic care database on the M DriveLiver Disease (Non HCV)333644441221191495473.0833333333
Neurological Disease/Disorder# of residents with this diagnosisChronic care database on the M DriveNeurological Disease/Disorder212021221414151511111259850412821715.0833333333
Oncology# of residents with this diagnosisChronic care database on the M DriveOncology11002233411344105232.1
Pulmonary Disease# of residents with this diagnosisChronic care database on the M DrivePulmonary Disease50505048404037383542453123812811011859442.1666666667
Renal Disease# of residents with this diagnosisChronic care database on the M DriveRenal Disease1113111112117534191.25
HIV/AIDS/HCVHIV/AIDS
Total Number of Residents with Hep C Dx# of residents with Hep C DxChronic disease log / nurseTotal Number of Residents with Hep C Dx3737373636373737272825311831091018447733.75
Residents on Hep C Treatment# of residents receiving Hep C treatmentChronic disease log / nurseResidents on Hep C Treatment0001122111132445151.4444444444
Total Number of Residents with HIV Dx# of residents with HIV DxChronic disease log / nurseTotal Number of Residents with HIV Dx00000000000000000ERROR:#DIV/0!
Total Number of Residents w/new HIV Dx# of residents with new HIV DxChronic disease log / nurseTotal Number of Residents w/new HIV Dx00000000000000000ERROR:#DIV/0!
Residents on HIV Treatment# of residents receiving HIV treatmentChronic disease log / nurseResidents on HIV Treatment00000000000000000ERROR:#DIV/0!
Total Number of Residents with AIDS Dx# of residents with AIDS DxChronic disease log / nurseTotal Number of Residents with AIDS Dx00000000000000000ERROR:#DIV/0!
CHRONIC CARE ENCOUNTERSCHRONIC CARE ENCOUNTERS
Autoimmune DiseasesAutoimmune Diseases1113630091.5
Cardiac/VascularCardiac/Vascular1228182179210010019.75
Endocrine Disease/DisorderEndocrine Disease/Disorder0010213121005215.5
DiabetesDiabetes1084123100245.75
Gender DysphoriaGender Dysphoria0020200022
HematologyHematology0001110021
LTBI TreatmentLTBI Treatment000000000ERROR:#DIV/0!
Liver Disease (Non HCV)Liver Disease (Non HCV)1201410051.3333333333
Hepatitis CHepatitis C000000000ERROR:#DIV/0!
Neurological Disease/DisorderNeurological Disease/Disorder252211200132.75
OncologyOncology000000000ERROR:#DIV/0!
Pulmonary DiseasePulmonary Disease129129429005110.5
Renal DiseaseRenal Disease000000000ERROR:#DIV/0!
GRIEVANCES (see Centurion Grievance Roll Up Report)GRIEVANCES (see Centurion Grievance Roll Up Report)001342
OCCURRENCE/SENTINEL EVENTS (also send oSEL report)# of occurrenc sentinel events also send osel reportOCCURRENCE/SENTINEL EVENTS (also send oSEL report)
Number of Suicide Attempts# of suicide attemptsGet number from MH Clinical SupervisorNumber of Suicide Attempts1123112432008592242
Offender Death-onsite# of offender death onsiteGet number from HSAOffender Death-onsite00000000000000000ERROR:#DIV/0!
Offender Death-offsite# of offender death offsiteGet number from HSAOffender Death-offsite000100000000110021
Suicides# of suicidesGet number from HSASuicides000100000000110021
MISCELLANOUS NCCHC REQUIREMENTSMISCELLANOUS NCCHC REQUIREMENTS
# of Man-Down events - day# of Man-Down events - day1613383299320013124.75
# of Man-Down events - evening# of Man-Down events - evening171200290002914.5
# of Man-Down events -night# of Man-Down events -night10613174617006311.5
# of Disaster drills# of Disaster drills000000000ERROR:#DIV/0!
STAFF REQUIREMENTSSTAFF REQUIREMENTS
Post Physicals CompletedPost Physicals Completed3300000003
# of IDOC Staff Immunizations Clinics Offered (Hep A&B and TB)# of immunization clinics offered to IDOC Staff this monthGet number from HSAIDOC Staff Immunizations TB/Hep A&B00000000000000000ERROR:#DIV/0!
Training Hours for Healthcare Staff30Training Hours for Healthcare Staff11000001
# of participants10# of participants12130000012.5

_x000D_&1#&"Calibri"&10&K000000 IDOC Data Sensitivity Classification - L3 Restricted

ICIO

SITE NAME & NUMBER: ICIO
Year: 2025
HEALTH SERVICES REPORT - MEDICAL 2025
DefinitionsReports / Inputs / PathwayEACH SITE WILL COMPLETE THIS REPORTJanFebMarAprMayJunJulyAugSeptOctNovDecQ1Q2Q3Q4YTD TOTALYTD AVE
POPULATION INFORMATION
# of residents/patient who reside in facility in a given monthMonthly Average Daily Population ReportAvg Daily Population578580577581580581582587580587590591578.33580.67583.00589.33582.83
SCREENINGS
# of residents who come through RDU in a given monthRun Nurse Intake Screening Report in eOMISPentaho - Idaho RDU_Audit_v4: Count, Filter Out DuplicatesIntake Screens-RDU000000000000000000.00
# of residents who have a mental health screen performed in RDURun Nurse Intake Screening Report in eOMISPentaho - Idaho RDU_Audit_v4: Count, Filter Out DuplicatesMental Health Screens-RDU000000000000000000.00
# of residents who have a dental screen performed in RDURun Dental Initial Intake Exam in eOMISPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeDental Intake Screen-RDU000000000000000000.00
# of residents transferred In to your facility (to include from RDU to ISCI)Run Nurse Transfer Receiving Report in eOMISPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeTransfer Screens In303441403344442525372335411117949571734.25
# of residents transferred Out from your facilityRun Nurse Transfer Sending Report in eOMISPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeTransfer Screens Out1818142418232122181815821765614138418.08
# of residents transferred IN who received a MH screenTransfer Mental Health Screens303441403344442525372335411117949571734.25
# of TB Screens plantedRun Pentaho Idaho RDU Audit and filter as necessaryNumber of TB Screens-RDU000000000000000000.00
MEDICAL PROVIDERS ENCOUNTERS
# of physician encountersRun Encounter Search by physician(s) for your facility

Johnson, Chris: Johnson, Chris:

This is easier to count using Pentaho. With eOMIS, a report would have to be run for each and every encounter type. Pentaho - Idaho Encounters_Audit_v4: Filter Encounter Type, Staff Name Johnson, Chris: Johnson, Chris:

Encounter Type: Select all encounters that require a face-to-face visit.Clinical Visits-Physicians3240562817226145911724767252736620.58
# of midlevel encountersRun Encounter Search by midlevel(s) for your facility

Johnson, Chris: Johnson, Chris:

This is easier to count using Pentaho. With eOMIS, a report would have to be run for each and every encounter type. Pentaho - Idaho Encounters_Audit_v4: Filter Encounter Type, Staff Name Johnson, Chris: Johnson, Chris:

Encounter Type: Select all encounters that require a face-to-face visit.Clinical Visits-Midlevel129888115415317017816513913512714816674774824103036138.92
# of health assessments completed in RDURun Practitioner Health Assessment - Initial for your facilityPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeHealth Assessments-RDU000000000000000000.00
# of Medical Provider encounter refusals000000000000000000.00
TELEMEDICINE ENCOUNTERS (SEE TELEHMED LOG)
NURSE SICK CALL ENCOUNTERS
# of HSR's submitted while in RDUProvide number from sick call logHealth Services Requests submitted -RDU000000000000000000.00
# of residents seen for sick call while in RDUProvide number from sick call logSick Call seen - RDU000000000000000000.00
# of HSR's submitted for your facility for GPProvide number from sick call logPentaho - Idaho HSR_Audit_v4Health Services Requests Submitted778770733669729780910810783765715711915321782503219116025762.75
# of residents seen for sick call for GPProvide number from sick call logPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeSick Call seen - Medical23037536831522713229825323321524625231446747847135315262.00
Total # Nurse Sick Call encounters completed (autocalculated)00000ERROR:#DIV/0!
OTHER NURSING ENCOUNTERS
# of lab draws completed while in RDUPentaho Report - Idaho RDU Audit (filter by completed)Number of Lab Draws-RDU000000000000000000.00
Pentaho - Idaho Encounters_Audit_v4: Filter Encounter Type# of return from off-site assessments completed53615910949533813422111486.75
MENTAL HEALTH ENCOUNTERS
# of initial psychiatric evaluations completedRun Mental Health Psychiatrist Initial Psych Eval in eOMISPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeInitial Psychiatric provider Evaluations12211221130319446331.58
# of psychiatric visits completedRun Mental Health Psychiatric Scheduled and Unscheduled by physician(s) for your facility in eOMISPentaho - Idaho Encounters_Audit_v4: Filter Encounter Type, Staff NamePsychiatrist Visits Completed000000000000000000.00
# of midlevel psychiatric visits completedRun Mental Health Psychiatric Scheduled and Unscheduled by midlevel(s) for your facility in eOMISPentaho - Idaho Encounters_Audit_v4: Filter Encounter Type, Staff NamePsychiatric Midlevel Visits Completed758452668046418143576261748192165180128562.33
# of suicide risk assessments completedRun Mental Health Clinician SRA Initial in eOMISSuicide Risk Assessments Completed1000111100106221110.50
eOMIS: Appointment Search, Filter Status, No ShowTotal # of Mental Health encounter refusals000000000000000000.00
TELEPSYCH ENCOUNTERS (SEE TELEPysch LOGS)
DENTAL ENCOUNTERS
# of HSR's received for dental servicesProvide number from sick call logPentaho - Idaho HSR_Audit_v4: Filter Encounter TypeDental HSR's Received888583757875856273908996979228220275170281.58
# of completed dental encounters completedRun Dental Sick Call Scheduled by provider(s) for your facilityPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeDental Appts Completed79676445724554464646416221016214614966755.58
# of HSR's received for hygenist servicesProvide number from sick call logPentaho - Idaho HSR_Audit_v4: Filter Request AreaHygienist HSR's Received2628222431333425273422107688866631626.33
# of completed hygenist encounters completedRun Dental Sick Call Scheduled by hygenist(s) for your facilityHygienist Appointments Completed2628212022211218162817167563466124520.42
SEGREGATION
# of medical intake screens for segregation residentsRun Nursing Segregation Intake in eOMISPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeSegregation Medical Intake Screen371717151826191315121918150584633515.08
# of mental health intake screens for segregation residentsRun Nursing Segregation Intake in eOMISPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeSegregation MH Intake Screen371717151826191315121918150584633515.08
# of welfare checks completed for segregation residentsRun Nursing Segregation Rounds in eOMISPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeSegregation Welfare Checks706272116114138250256891248514315193685953522834126.58
INFIRMARY CARE
# of bedsReport number of beds in your infirmaryNumber of Infirmary Beds000000000000000000.00
# of admission to infirmaryRun Practitioner Infirmary Admission in eOMISPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeAdmissions to Infirmary000000000000000000.00
# of discharge from infirmaryRun Practitioner Infirmary Discharge in eOMISPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeDischarges from Infirmary000000000000000000.00
# of residents who received 23 hour observationProvide number from infirmary logMedical Observation (<23 hours)000000000000000000.00
# of provider infirmary roundsRun Practitioner Infirmary Rounds in eOMISPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeInfirmary Rounds000000000000000000.00
# of LTC beds in your facilityReport # of LTC bedsNumber of Extended Care Infirmary Beds000000000000000000.00
# of admissions to LTCProvide number from LTC logPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeAdmissions to Extended Care Infirmary000000000000000000.00
# of discharges from LTCRun Practitioner LTC Discharge in eOMISPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeDischarges from Extended Care Infirmary000000000000000000.00
# of provider LTC roundsRun Practitioner LTC Rounds in eOMISPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeExtended Care Infirmary Rounds000000000000000000.00
OPTICAL APPOINTMENTS
# of HSR's received for optical servicesProvide number from sick call logPentaho - Idaho HSR_Audit_v4: Filter Encounter TypeOptical HSR's Received282110132321674123181820303571315654725.25
# of completed dental encounters completedRun Practitioner Optometry by provider(s) for your facilityPentaho - Idaho Encounters_Audit_v4: Filter Encounter TypeOptical Visits Completed02402521111725322340021857746341218.17
# of optical appointments waiting to be seenCount the number of outstanding optical HSR's for your facilityOptical Outstanding HSR's1151012102153112283249241406.92
NUTRITIONAL SERVICES
# of residents on a medical dietAccess the Medical Diet Authorization Log and report total medical diets.Atlas - Food Service - Reports - LocationMedical Diets21252422212422222626242428167707449223.42
MEDICATION
# of residents who received a prescription medicationObtain number from pharmacy providerEmail from DiamondResidents on Prescription Medication29330329831932532932432232232633632531619739689876089318.50
INFECTION CONTROL
# of residents on LTBI treatment/medsChronic disease log / nurseNumber on LTBI Treatment/Meds000001100122111581.40
TRANSPORTS
# of scheduled medical transportsObtain from schedulerIdaho ED and IP LogsMedical Transports Scheduled10513365464104822155904.80
# of unscheduled medical transportsObtain from schedulerIdaho ED and IP LogsMedical Transports Unscheduled441265403123351376613.18
HOSPITALIZATION
# of admissions to a hospitalProvided by UM TeamIdaho ED and IP Logs# of hospital admissions010001000000210030.17
Residents WORKMAN'S COMP
# of residents who have an open Workman's Comp caseScheduler should have this numberTotal Residents under Workman's Comp.000000000000000000.00
# of offsite appointments related to Workman's Comp caseScheduler should have this numberTotal Workman's Comp Appts-offsite000000000000000000.00
# of residents who are pregnantChronic disease log / nursePregnant Residents000000000000000000.00
# of residents who are receiving MATProvided by pharmacy provider# of pregnant Residents on MAT000000000000000000.00
# of residents who gave live birthOffsite log

Patrick Franks: Patrick Franks:

Kerrie checking to see if live versus stillborn could be capturedLive Births000000000000000000.00
# of residents who had a miscarriage/stillbirthOffsite logMiscarriage/stillbirth000000000000000000.00
CHRONIC CARE DIAGNOSIS
# of residents with this diagnosisChronic care database on the M DriveeOMIS: Dashboards, Health Dashboards, Chronic Care ReportAutoimmune Diseases577777777777402121211036.83
# of residents with this diagnosisChronic care database on the M DriveeOMIS: Dashboards, Health Dashboards, Chronic Care ReportCardiac/Vascular1141061231331341401421411381411431437504074214272005133.17
# of residents with this diagnosisChronic care database on the M DriveeOMIS: Dashboards, Health Dashboards, Chronic Care ReportChemo000000000000000000.00
# of residents with this diagnosisChronic care database on the M DriveeOMIS: Dashboards, Health Dashboards, Chronic Care ReportDiabetes232523262730313233383637154839611144430.08
# of residents with this diagnosisChronic care database on the M DriveeOMIS: Dashboards, Health Dashboards, Chronic Care ReportDialysis000000000000000000.00

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