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This is the LASER Patient and Assessment WebEx.
In this WebEx, we will review how to create a patient and how to enter assessment information. If you have not yet watched the LASER Login WebEx, please view it prior to viewing this WebEx.
At this point, we are presuming that you know how to create either a system administrator or a data entry user ID.
You can login with either a system administrator or data entry user ID.
Please remember that the system administrator ID has the most authority of all of the user ID types.
The system administrator ID has access to all of the functionality within LASER. They can add, edit, or delete user,
patient, and assessessment data. They can add or edit facilities and create inactivation or modification records if necessary.
They are also authorized to import or export files as well as to run event tracking reports.
The other user types available within LASER are the data entry users and view only users.
Data entry users can only add or edit patient or assessment data or edit the facility they are assigned to.
View only users can only view assessment data that has previously been entered in.
We are going to login with a system administrator ID right now.
Under the administration menu, you will want to select patient.
On the right side of the patient information screen, you can enter
or update patient information which consists of the demographic information such as name, date of birth,
and gender from the screen.
All of the required fields are in bold and have an asterisk next to them.
The required fields are: Assigned Facility/Provider Submission ID,
(for data entry users this field will be pre-populated with the facility you are assigned to
and for system administration users, this field will contain a list of all facilities that have been created).
The Patient Last Name which is a text field that has a maximum of 18 characters,
Gender which is a drop-down box where you can choose male or female, Birth Date, Race/Ethnicity which are check boxes.
And you can check them once to select them, twice would be not assessed or a third time to clear the selection.
Highest Education Completed which again is a drop-down box where you can choose the selection that best fits.
Does the Patient need or want an interpreter? And note if you select Yes here
Preferred Language will also be required which is a text field. If you choose No,
Preferred Language will be disabled.
Marital Status, another drop-down box and Hide Patient Record. This is also a drop-down box. If you choose Yes,
hide patient record, the patients data will not be seen on the search screen
unless you choose the Show Hidden records option.
This option can be used for patients that you have entered all necessary assessment data
and you don't expect them back in your facility.
For most of the required fields, you can choose not assessed or no information, if the patient either refuses
or is unable to answer the questions.
As with the facility and user screens,
you can save your information by clicking either the save button at the top of the screen
or you using the file menu with the save feature in the drop-down box.
The patient information that you enter on this screen will automatically be entered on an assessment for that
patient upon creation of the assessment.
I will now enter in some patient data.
To add an assessment you can either double-click on the patient's name under patient summary, or you can select the patient
and click on the add assessment button in the bottom right-hand corner of the screen.
You will then be presented with the Assessment Wizard.
The fields on the Assessment Wizard are Assessment Reference Date, Admission Date, Reason for Assessment which is a drop-down box,
allowing you to choose the correct option, and Discharge Date.
All of the fields on the Assessment Wizard are required with the exception of Discharge Date when the reason for assessment
is Admission.
You can see that the Discharge Date field will be automatically disabled when you select Admission as your Reason for
Assessment.
This is because usually you will not know the actual Discharge Date at admission.
The Admission Date is required on a Discharge assessment. Since you will know the Admission Date at discharge.
These fields will need to be entered every time you create an assessment for a patient.
When you have filled out all the fields on the Assessment Wizard, click on finish to create the assessment.
You will then see the Assessment Screen.
The right side of the Assessment Screen is where you will enter your assessment information. The drop-down fields will default to blank
but allow you to choose your response.
At the top of this section, there are three tabs, the first tab is the assessment information,
the second tab displays the patient details that were entered when the patient was created.
The patient information cannot be updated from this screen.
You will need to go back to the patient information screen to make any changes.
To do that, you will save your assessment by clicking on the save icon which looks like a computer disk in the menu bar.
You will then close out of the assessment by either clicking the red X on the toolbar, the white X on the assessment tab,
or by going to the file menu and selecting close assessment.
If your patient screen is still open, it will display. Otherwise, you can go to the administration menu
and select patient from the drop-down.
Then, select the patient you wish to edit.
The patient information that you entered previously will display on the right-hand side in the patient detail section.
Make any necessary changes and then save the patient information by clicking on the save icon.
The changes that you make will automatically update on the patient details tab,
if you have not yet exported that assessment.
The third tab will display the assessment determination information that was filled in on the Assessment Wizard.
Like the second tab, you can only view this information. The information on this tab cannot be changed.
The left hand side of the assessment screen shows the navigation tree.
The bolded fields are items that need to be completed.
Note that it is recommended that the data be entered in the order that the questions appear which follows the item set
for the optimization of the skip patterns and/or edits.
As you answer items within the assessment information, the items will be removed from the navigation tree.
You will see a skip pattern when depending on your answer to one question you do not have to answer the following question or quesitons. An example of this is at question M0210.
Does this patient have one or more unhealed pressure ulcers at stage 1 or higher?
If you answer no to this question, then the following questions regarding the pressure ulcers numbers and sizes will automatically become disabled.
If you enter yes, you will need to answer the questions.
Edits are the warning and/or error messages that you may receive if the data that you entered isn't what is expected or required.
For example, if you answer question M0210 with a yes, and then proceed to leave question M0300A,
the number of stage 1 pressure ulcers blank, but you answer questions M0300B1 through M0700 with 0,
you will see edit number 3542- If M0210 equals one, then all items from M0300A through M0300B1
must not equal caret(^) which is blank.
Entering data out of order can also cause unexpected results. At any point, you can click the save and validate button
or you can save and validate your assessment by clicking the save
and validate button which is represented by an icon displaying a piece of paper with a pencil that is located on the menubar
underneath the word security.
Or,by going to the file menu and click on Save and Validate from the drop-down menu.
If there are any errors
or warnings within the assessment, they will be displayed on the bottom left-hand corner of the screen.
You can single click on any error to automatically jump to the item with the problem.
You can also click on the print error report button located at the bottom left-hand corner of the screen,
if you would like to see an assessment error report, detailing all of the error messages.
You can either save, print, or close this report.
To close this report, you would click on the X in the upper right-hand corner.
If you save and validate your assessment but it still has errors, the assessment status will be Data Entry.
If you open an assessment, and you close it without saving
or you only saved by clicking on the save icon represented by the computer disk on the menubar,
underneath the word file, and do not validate by clicking the save and Validate icon, the status will be In Use.
Once all items have been completed, and the record assessment does not contain any errors,
the assessment will go to Export Ready status.
You can close out of an assessment by either clicking the red X on the toolbar, the white X on the assessment tab
or by going to the file menu and selecting close assessment from the drop-down list.
Now if the patient screen is still open, that will display. Otherwise, you can go to the administration menu
and click on patient.
The top of the Patient Information screen contains search criteria. I have entered a few test patients for our demonstration.
If you want to view all of the patients that have been created, you can simply hit the search button without any search criteria populated.
If you click on a heading of a column, the data will sort by that column.
You can click on the column heading again to reverse the sort order.
There is also a scrollbar at the bottom of the screen to allow you to view all the patient information.
If you would like to locate a patient based on specific criteria, you can select the field name
and condition you would like to use and click search.
All of the patients that meet your criteria will be displayed in the patient summary section.
Let's look for the patient that we just created.
We will select patient last name from the field name drop-down box. Our condition will be equals to
and we will type in Doe in the field value box. Click on search and there is the patient, Jane Doe that we just created.
If you would like to search for an assessment rather than for a patient,
you may select search from the assessment menu located at the top of your screen.
The top of the assessment screen contains a search criteria much like the patient search.
If you would like to view all assessments that have been created regardless of status,
simply hit the search button without any search criteria populated.
If you have specific information that you would like to search on you can select a field name and a search condition
and then click search. Again,
let's search for the assessment that we just created. We will select Last Name from the field drop down box, again the condition will be equal to
and field value we will type in Doe. Click search and there is the assessment we just created for Jane Doe.
From this screen you also have the ability to edit and/or delete an assessment.
To edit an assessment, you can either double-click on the assessment listed,
or you can click the edit assessment button located at the bottom of the screen.
Please note that only a system administrator can edit an assessment that is in exported status, meaning that the
assessment has already been exported.
And this will create a modification record.
If you would like to delete an assessment, you can single click on the assessment you would like to delete
and then click on the Delete Assessment button at the bottom right hand corner of the screen.
Again, only a system administrator can delete an assessment
however you will not be able to delete an assessment that is in exported status.
If the Assessment is in exported status and you have not submitted it to the ASAP system yet,
you can double-click on the assessment and choose reset status and edit from the box that appears.
This will now put the assessment back in In Use status and you can now delete the assessment.
If the assessment has been exported and submitted to the ASAP system already, you will need to create
and submit an inactivation record.
This concludes our WebEx on creating Patients and Assessments.
The next WebEx will review the Import and Export processes.
Thank you.
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