English French Notes Complete/Exclude Contact Made by Source of Contact Source(s) of Contact (after 9/1/97) Location of Event Treatment Status Refer Contact to Congressional Contact Date Sent Date Due Serv/Sect Involved Section/Discipline Involved Discipline Issue Text QM Involvement Resolution Comments Date Resolved Code Status Code Definition Referred to SEAT Level of Satisfaction Persian Gulf Service? Issue Code Name Internal Appeal New Patient Representative report of contact entered QAC- *** The Patient Rep record associated with this alert *** has been . No response needed, killing alert. *** You have an unsent response to this alert. *** Alert action Enter (R)espond to enter your response to this alert. Enter (I)gnore to save this alert for a later response. Enter (D)elete to delete this alert without a response. Enter (P)rint to print the report of contact. Enter one of the codes listed above. Ignore *** You have timed out while entering a response. *** *** The text can be recovered if you re-enter the alert. *** *** If not, it will be automatically purged in two weeks. *** Saving your response, please wait . . . Patient Rep resolution comments update *** End of response *** Patient Rep response by Patient Rep Alert VA Alert on Report of Contact Select CONTACT NUMBER: QAC EDIT Select REFER CONTACT TO: Enter (S)end to generate a new alert. Enter (K)ill to kill a pre-existing alert. Enter a code from the list above. Entries in the REFER CONTACT TO field: Using this option does not purge the records archived. At the device prompt, save the output to a file, capture the output for a word processing package, or send it to a printer for a hard copy report. Archived Patient Rep Contact Records Issue Totals by Location Total Issues for Division: Total Issues for Location: Issue Code Issue Codes can no longer be entered or edited. Only National Issue Codes are valid. The Issue Code list will be periodically evaluated and updated. Select ISSUE CODE: Only 999 issue codes allowed per heading! Select a different heading. ' as a new Contact Issue Code The data from the SERVICES INVOLVED multiple (745.1,15-> 745.115,.01, a pointer to the NATIONAL SERVICE file [#730]) will be moved to the SERV/SECT INVOLVED multiple (745.1,21-> 745.121,1->745.1211,.01, a pointer to the SERVICE/SECTION file [#49]). The conversion may be run multiple times without adverse effects on the database. The SERVICES INVOLVED will be duplicated for each ISSUE CODE. A report will be printed showing any conversion problems/issues. It is recommended that you queue this report. If you wish to run this conversion/report at a later time, enter 'DO ^QACCONV0' at the M programmer prompt. Patient Representative Service Conversion No conversion problems found. Contact Number: * No Issue Codes found, cannot convert services. * No Serv/Sect's for National Serv ' Multiple Serv/Sect's for National Serv ' Service Conversion Report * - indicates data not converted Customer Service Standards Totals Select report format: Report Format (D)etailed or (S)ummary: for detailed or for summary. Do you want to print this report for just one Discipline? Enter 'YES' if you prefer to print this report for one specific Discipline. Enter 'Yes' if you prefer to print this report for one Service/Discipline. Total for Service/Discipline: Total for Discipline: NUMBER OF CUSTOMER SERVICE STANDARD Enter the Discipline as a two letter abbreviation: Not a valid Discipline, choose from: Enter the Service/Discipline: Not a valid service/discipline. Try again. For all Divisions Totals for all Divisions: This option purges all Patient Rep contact records with Dates of Contact that fall within the date range you select. Once these records are purged, they cannot be recovered! Please answer Y(es) or (N)o Select the date range to purge. *** Beginning date must be today or earlier !! *** Should I continue with the purge No records purged! Purge selected Patient Representative contact records Deletion request queued. Discipline No Discipline selected. Patient Rep No data found for the date range selected! Issues for Division: Total Issues for Issue Report for Would you like this report for one Enter 'Y' if you want only one DISCIPLINE: Edit Patient Representative Contact Persian Gulf War?: Previously Entered Issue Codes: None! Report by Employee Enter an Employee Name or for ALL: INVALID NAME...RE-ENTER NAME! EMPLOYEE SELECTION NOT FOUND... to Continue Is the above Employee the correct one? PLEASE ENTER 'Y' or 'N'... to Continue Select one of the above: MUST SELECT A NUMBER FROM 1- ... to Continue * * * NO DATA TO PRINT * * * NON-DIVISIONAL Unknown Employee Contact # Serv/Sect or Discipline Staff Courtesy^Timeliness^One Provider^Decisions^Emotional Needs^Coordination of Care^Patient Education^Family Involvement^Physical Comfort^Transitions The Customer Service Standard file (#745.6) has been altered locally. This file is pointed to by the Issue Code file (#745.2). Before installation these pointers should be updated. Current Customer Service Standards MUST be: ^QA(745.6,1,0) = 1^Staff Courtesy ^QA(745.6,3,0) = 3^One Provider ^QA(745.6,5,0) = 5^Emotional Needs ^QA(745.6,6,0) = 6^Coordination of Care ^QA(745.6,7,0) = 7^Patient Education ^QA(745.6,8,0) = 8^Family Involvement ^QA(745.6,9,0) = 9^Physical Comfort Patch 17 will overwrite your data - editing of this file is not permitted. Installation of the patch will create changes in this file. Do you want to continue with this installation Installing this patch will overwrite the data in your file 745.6. Proceed? Installation stopped, global destroyed. Your database has Issue Codes that duplicate those exported with this patch. After installing this patch the following Issue Codes will refer to the new codes. Installing this patch will change the entry in your file 745.2. Proceed? QAC*2.0*17 Select A, M, or F Enter A for All Issues, M for all issues for Male patients, or F for all issues for Female patients. Patient Rep Issue Totals Total Issues by Division: Select the key you want to allocate/deallocate: QACKEY ADD QACKEY DEL Checking for current holders of the Type a '?' to list their names. Select PATIENT REPRESENTATIVE: *** No Patient Reps. selected !! *** Allocate / Deallocate Please answer Y(es) or N(o) Allocating key: Deallocating key: Enter the name of a Patient Representative to add to the list. Enter a minus (-) Patient Representative name to remove a name from the list. Patient Reps. selected for key ALLOCATION: Patient Reps. selected for key DEALLOCATION: QACKEY Routine collects data from local Patient Rep file for rollup QAC MAIL QACERROR( ERROR MSG FROM PATIENT REP DATABASE ROLLUP - PATCH QAC*2*4 XXX@Q-PSS.MED.VA.GOV QAC ROC LIST: This option will run the Patient Representative data roll-up for one month. Valid date not entered - exiting. Invalid Date Would you like only a part of if to limit the date range, if you want the whole month. Enter the number of the earliest day. Enter the number of the last day. End date must be later than beginning date. No Contacts for this date range. Number of records transmitted to the national database - End of Manual Rollup Option. MANUAL ROLLUP STATUS Manual Rollup for Total number of records sent: QACMSG( **** Installation of this patch requires that domain be defined. Refer to patch XM*999*133 for domain definition information. No Patient Involved Enter Date of Contact: Enter Patient Name Enter New Patient Representative Contact Patient SSN: Patient DOB: Patient Sex: Eligibility Status: Patient Category: Persian Gulf War?: Last ROC for There are no open Contacts on patient Would you like to edit open ROC(s) at this time Edit an open Report of Contact on Enter the list number of your selection. ****Returning to 'Enter New Contact' session.**** This is the date the Patient Representative was initially contacted. Enter a date no later than TODAY. Issue Code(s): Enter your Division: Choose the number of your division. Enter a new Service/Discipline: Service/Discipline must point to a Discipline. No Discipline entered - deleting Service/Discipline. Enter office or name: Select the date range you want to print. *** No data found for this patient and time frame *** Patient Name with Brief Data DIAGNOSIS / CARE / PREVENTION PURPOSE/SIDE EFFECTS OF MEDICATION Diagnosis / care / prevention Purpose/side effects of medication Staff Courtesy^Access/Timeliness^One Provider^Decisions/Preferences^Emotional Needs^Coordination of Care^Patient Education^Family Involvement^Physical Comfort^Transitions Select records by Enter 'C' to select records by contact number. Enter 'D' to select all records over a date range. Choose the method of record selection. No records found within this date range. Contact Inquiry Enter the Contact you wish to generate: Do you want the Resolution Text included Report of Contact ** This information is not for the Patient Record ** Source of Contact: Ward Visit Internet Refer To: Issue Text: Resolution: Report of Contact continued Long Term Psych Extended/Intermediate Care 1 Contact made by (#C) 2 Issue Headers (#I) 5 Service (Old field - Service field de-activated 10/97 - #I) 8 Contact Source (#C) 9 Treatment Status (#C) 10 Treatment Status (#I) Print Spreadsheet Totals for: Select the number or item you want totalled. #I means total is by Issues. #C means total is by Contacts. or to exit. Spreadsheet Report Contact Made by Source of Contact Contact Numbers by Treatment Status Issue Code by Treatment Status Issue Code Patient Rep Service Spreadsheet Sex Issue Code Heading Patient Care Courtesy Compliments Environment Information/Assistance Medical Records Personal Property Access/Timeliness Staff courtesy One Provider Decisions/Preferences Emotional Needs Physical Comfort Coordination of Care Transitions Family Involvement Risk Management Complaints Regulation Issues Requests for Information #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################