Defining Privileges in Midas Seeker...22nd Annual Midas+ User Symposium • June 2–5, 2013 • Tucson, Arizona Defining Privileges in Midas+ Seeker Tuesday, June 4, 2:30 pm This

22nd Annual Midas+ User Symposium • June 2–5, 2013 • Tucson, Arizona

Defining Privileges in Midas+ SeekerTuesday, June 4, 2:30 pm

This hands-on class is designed for Medical Staff Professionals whowant to utilize the Privileging functions within Midas+ Seeker to enterand track provider privileges. Participants will learn the process ofcoding and categorizing privileges as well as how to maintain theappropriate data dictionaries. Lessons will also include how tocomplete the process by assigning privileges to providers, how toassemble appropriate reports for distribution, and how to inquire onprivileges previously granted. CEU: NAMSS

Presented By:

David Broughton, Midas+ Training Specialist

Jana Darnell, Product Manager, MIDAS+ Seeker

Copyright ©2013 MidasPlus, Inc. All Rights Reserved.

Contact us at:Midas+ Solutions4801 East Broadway, Suite 335Tucson, Arizona 85711(800) 737 8835

Visit our Web site at: http://www.midasplus.com/

Defining Privileges in Midas+ Seeker

David BroughtonMidas+ Training Specialist

Jana Darnell, CPMSM, CPCSProduct Manager, Midas+ Seeker

Objectives

• Demonstrate dictionary search options

• Evaluate existing privilege delineations

• Categorize privilege delineation content

• Describe Midas+ Seeker privileging structure

• Define privilege delineations within Midas+ Seeker

• Demonstrate privilege assignment and inquiry

- 2 -2013 Midas+ User Symposium


22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013 1

Dictionary Search Options

• Code or Description

• Begins with and/or Contains

• ‘Is Like’ – 3 options for pattern matching

• Sort Code or Description


‘Is Like’ Pattern Matching

Option 1: Underscore ( _ ) character serves as a substitute for any single character

Option 2: Percent sign ( % ) wildcard is a substitute for any combination of characters, including numbers

Option 3: Back slash ( \ ) wildcard is used when you want to do a search in which your results will include an underscore, percent sign, or back slash. Inserting a \ allows insertion of a _, %, or \ character in the search pattern and keeps the search pattern from using these symbols as substitutes for other characters. The allowable character combinations are \_, \%, and \\.



2 22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

Privileging in Seeker

An evaluation of your current privilege delineations and categorization of those delineations into five classes:• Specialties

• Competencies/qualifications

• Descriptive scope of care

• Categories of Procedures – will you build your own or use the distributed categories

• Procedures – enter your own or use ICD-10s


Privileging Structure in Seeker

Within Midas+ Seeker, there are six dictionaries involved in the privileging functionality:

• CRED-BODY SYSTEM (671)

• CRED-INDIVIDUAL PRIVILEGE (126)

• CRED-MAJOR PRIVILEGE (127)

• CRED-SPECIALTY (245)

• CRED-ORGANIZATION (249)

• PROCEDURES (ICD-9 AND CPT-4) (43)




Defining Privileges in Seeker: Step-by-Step Procedures

1. Review delineations of privileges on paper and denote each classification.

2. Identify generic Major Privilege Category (127) for Specialty.

3. Copy and Paste Qualifications/Competencies and Descriptive Scopes of Care into Notes section of generic Major Privilege Category.

4. Search Major Privilege Category definition for any distributed categories denoted on paper delineation (for example, Laser Procedures).


Defining Privileges in Seeker: Step-by-Step Procedures (continued)

5. Add new terms to Major Privilege Category definition for any categories not found in distributed.

6. (a) Translate individual procedures denoted on paper delineation to ICD10s.

-OR-

(b) Enter individual procedures into Cred Individual Privilege dictionary (126).

7. Assign Body System (671).




Defining Privileges in Seeker: Step-by-Step Procedures (continued)

8. Assign Major Privilege Category (127).

9. If multi-facility, and procedure is not performed at one of those facilities, exclude that facility in the Excluded Organization grid.

10. Select ICD9 or ICD10 from Care Management Procedure dictionary, as desired.

11. In Major Privilege Category definition for each category defined above, assign the Specialty (245) and any qualified procedures (126) for the specialty.


Dictionary Relationships




Dictionary Relationships (continued)


Dictionary Relationships (continued)




Resources


Thank you for attending.

Questions?

David BroughtonMidas+ Training [email protected]

Jana Darnell, CPMSM, CPCSProduct Manager, Midas+ [email protected]




Defining Privileges in Midas+ Seeker Step-by-step Procedures

1. Review paper delineation of privileges and denote each privilege classification:

a. Competency/Qualification

b. Descriptive Scope of Care

c. Category of procedures

d. Procedures

2. Identify a distributed generic Major Privileges Category (127) for each Specialty.

3. Copy and paste Qualifications/Competencies and Descriptive Scopes of Care into the Notes section of each distributed generic Major Privilege Category.

4. Search the distributed Major Privilege Category definitions for any privilege categories

identified on the paper delineation (for example, Laser Procedures).

5. Add new terms to Major Privileges Category definition for any categories not found in the distributed set.

6. Individual Privileges:

a. Translate individual procedures denoted on paper delineation to ICD-10 OR

Enter individual procedures into Cred Individual Privileges dictionary (126)

b. Assign Body System (671)

c. Assign Major Privilege Category (127)

d. If a procedure is performed at some but not all facilities in a multi-facility organization, denote any excluded facilities in the Excluded Organization grid.

e. Select ICD-9 or ICD-10 from Care Management Procedure dictionary, as desired.

7. For each category defined above, do the following in Major Privilege Category definition (127):

a. Assign the Specialty (245)

b. Select any qualified procedures (126)


22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

Documents

Defining Privileges in Midas Seeker...22nd Annual Midas+ User Symposium • June 2–5, 2013 • Tucson, Arizona Defining Privileges in Midas+ Seeker Tuesday, June 4, 2:30 pm This