Welcome to the Champ Software Topical Webinar Series!

1. Welcome to the Champ Software Topical Webinar Series! Pathways 101 Please remember to place your phone on mute and do NOT place your phone on hold.

2. Pathways 101 • Agenda: • Definition of a Pathway • How to Create a Pathway • Pathways and Reports • How to Request a Pathway

3. The Omaha System Standardized taxonomy or language designed to document client care from admission to discharge. Why is using a standardized language important? Three Components: • Assessment component: Problem Classification Scheme (area of focus) • Intervention component: Intervention Scheme (your actions) • Outcomes component: Problem Rating Scale for Outcomes (outcomes)

4. What is a Pathway? Pathways reflect customized care plans that are developed to represent a specific client group. They can be used for: orientation of new clinicians client assessment templates saving time by eliminating repetitious documentation documenting data consistently Pathways articulate best practices for client assessment and care planning in Omaha System terms. Pathways make documentation faster and more consistent.

5. Careplan vs Pathway? What is the difference between a Care Plan and a Pathway? Pathway: Pathways are designed for use with client populations and include the problems/interventions that are most often identified with that population. Care Plan: Care plans are designed for an individual client within a client population. We use pathways as a starting point for an individual care plan, and then individualize it even further as needed.

6. Creating a Pathway Three steps to creating a new pathway: What is the 1st, 2nd and 3rd Step? Choose only problems that are most commonly experienced by that population. Add typical interventions related to those problems. Identify the client population

7. Creating a Pathway How do I find already existing Pathways? • http://omahasystemmn.org/KBS_care_plans.php - Minnesota Omaha System User Group website (careplans) • http://omahasystemguidelines.org/ - New project by Karen Monsen and other creating evidence-based guidelines • Network with other users through our Listserv, User Group meetings or with a neighboring agency • Network with neighboring state agencies to split the task of creating pathways/custom tabs/reports and then share them • Champ Software is in the process of creating a document that will allow access to view available pathways which will be housed in the Knowledgebase

8. Creating a Pathway How to take a form style document and make it into a pathway? Take each question and.. • Find the problem: are you using an umbrella problem or specific problem (remember that more problems does not make better documentation) • What target are you going to use? • What targets do you do in which Categories? • Create your guide: your guide can be the exact wording from your document, you can build in your answer or you can shorten the phrase. Example: Child’s Comprehensive PhysicalQuestion - Systems Review: Gastrointestinal (bowel function; bowel movement consistency; color; frequency)Problem: Umbrella Problem of Growth/Development (could also use Bowel Function)Category: Assessment/SurveillanceTarget: screening procedures; Category: Treatments and Procedures; Guide: bowel function within normal limits (describe consistency, color and frequency)Target: screening procedures; Category: Treatments and Procedures; Guide: bowel function NOT within normal limits (describe consistency, color and frequency)

9. Pathways and Reports Secrets to pulling data from Pathways! • Create a unique prefix that you use to pull that information only. TB Skin Test: 0-5mmTB Skin Test: 5-9mmTB Skin Test: 10+mmTB Skin Test: administered to L forearmTB Skin Test: administered to R forearmTB Skin Test: read as negativeTB Skin Test: read as positive • Build the answer or range right into the pathway’s guide. The child is up-to-date on their immunizationsThe child is NOT up-to-date on their immunizations Lead level: 0-4 no riskLead level: 5-10 moderate riskLead level: 11+ high risk

10. Pathways and Reports Which Screen in Reports pull what information? Intervention Info: • Charting: all Problem details including problem notes • Intervention: Interventions=guides; ifyou want a report to only include thoseitems you checked off or completed, choose completed; pathway name is available

11. Pathways and Reports Which Screen in Reports pull what information? Charting Info: • Charting: all problem details includingProblem notes; includes all interventions completed; no information available forpathways; includes notes included in the guide “note pads.”

12. How to Request a Pathway You will need to get permission from the agency and forward that to support@champsoftware.com and include: • Name of the pathway group and pathway name • Where do you want it transferred from and where do you want it “pasted” to. Example: I would like the Rabies pathway (group: human hazards) from Vanderburgh’s production database transferred to our training and production databases.

13. Discussion / Questions / Comments?

14. Thank You for Participating & Attending Today! Stay tuned for our next webinar! Tuesday, September 23 from 10-12CT Topic: Training Future Staff on use of NN If you have any suggestions for other Topical Webinar subjects please feel free to email me at: norah@savardconsulting.ca