UDS-PRO® System Highlights · the UDS-PRO® ® UDS-PROi ®®® software UDS-PRO® ® ®® ®® ®

© 2004-2008 Uniform Data System for Medical Rehabilitation (UDSmr), a division of UB Foundation Activities, Inc. (UBFA). All rights reserved.All marks associated with FIM, Mini-FIM, UDS-PRO, UDS-PROi, UDSPRO Central, and UDSmr are owned by UBFA.

Uniform Data Systemfor Medical Rehabilitation

270 Northpointe Parkway, Suite 300Amherst, New York 14228tel: 716-817-7800fax: 716-568-0037www.udsmr.org

Does your IRF PPS software provide optimal support? Does it assign CMG, LOS, and facility-adjusted reimbursement values at admission? Does it help you monitor compliance with the 75% Rule? Does it provide national and regional CMG-based comparative data for tiers, discharge setting, and FIM™ ratings? If your IRF PPS software doesn’t do these things, perhaps it’s time to consider the UDS-PRO® System.

The UDS-PRO® Advantage

FeatureSystem features

Software tools

Clinical expertise

Database

Reports

AdvantagesDesktop/network and Internet software versions to suit your work environmentOptional HL-7 interfacingIRVEN and other vendor data conversions available for a historical database

Projected CMG, LOS, and facility-adjusted FPPCase-level IRF compliance statusFIM™ Track module for admission and discharge rating assistanceICD-9 lookups, validation checks, and advanced ICD-9 prioritizerInformatics data with FY 2007 national and regional CMG comparative data for tier distribution, discharge setting, and FIM™ ratingsValidation between function modifiers and FIM™ items for distance walked/wheeled, bowel and bladder management, and tub/shower transferMini-FIM™ assessment tool, a 7-item preadmission screening tool with admission and denial trackingUser-defined custom fieldsCMG export file for billingDynamic export for custom reportingPatient satisfaction moduleExport and submit CMS files via AT&T dialer

UDSmr staffs the CMS Help DeskWe are the official source for IRF PPS information!

Recognized by the industry as the “clinical experts”Exclusive clinical and educational resources and consultative services

Largest independent database, representing more than 870 facilities (over 70% of all IRFs in the U.S.)RIC and CMG benchmarks are representative of the industry and provide stable performance targets

Weekly refreshed national and regional comparative data User-friendly drill-down capabilities for RIC-CMG patient analysis Real-time reports, including case-mix index, 75% compliance, program management, goal attainment, and census Quarterly reports, including summary and detail reports for your executive team Scoring report graphs with nation-adjusted comparative data




Automatic updates This new feature can be configured to automatically detect, download, and install updates from UDSmr’s website, reducing the burden of your IT department and increasing ease of use.

Enhanced dynamic exportVersion 4.0 offers better flexibility and powerful query-building options.

Real-time reporting capabilitiesThe UDS-PRO® software includes a real-time reporting system. Our Presumptive Eligibility Estimation Report (PEER) shows facilities their estimated compliance with CMS’s 75% Rule. Facilities that have received their results on the Presumptive Eligibility Test from their FIs have stated that our report has given them an estimate within 1% of the actual percentage of qualifying cases. Reports can be run with a variety of filters and options such as payer, RIC, date ranges, and more. Other reports include LOS-to-date for patients in care, program management reports, and more.

Custom fieldsThe UDS-PRO® software allows you to name your custom fields to better reflect the type of information stored in them. You can even configure them as dates, list boxes, or checkboxes.

New case listing optionsThe Case Listing module features savable filters, print and export options, column selection features, and sorting options. The new FIM™ Track module provides rating assistance during the 3-day periods after admission and prior to discharge.

HL7 interfaceOur UDS-PRO® software has HL7 interface capability, providing you with a robust platform that reduces data entry and integrates multiple information systems and diverse departmental systems.

Mini-FIM™ assessment toolThe Pre-Admission Listing module includes the Mini-FIM™ assessment tool, a 7-item assessment that projects a case’s CMG and expected LOS. (It also projects the case’s FPP if you have entered facility adjustment values.) This tool relieves you of the need to complete function modifiers and all 18 FIM™ items at pre-admission. You can also code a reason for a patient’s non-admittance to your facility. The reason for denial of admission is selected from a customizable list. Potential 75% Rule presumptive compliance statistics are also shown.

New CMG optionsVersion 4.0 now offers three CMGs for optimal flexibility. In addition to the payment CMG that we have always included, your cases now have a reporting CMG for cross-comparison and a dynamic CMG you can calculate using any of the CMG groupers available.

Enhanced Profile Report capabilitiesOur enhanced Profile Report includes case-based CMG goals along with 50th, 75th, and 90th percentile goals for the patient. These goals are based on outcomes from hundreds of thousands of IRF-PAI cases.

Cost fields, referral information, and resource utilizationThe UDS-PRO® software contains fields that you can use to track costs, referral information, and resource utilization. Not only can you track cost information for each patient, but you can set up facility cost averages by CMG, RIC, or IGC. In addition, new fields for bed number, room number, floor number, and referring physician have been added. And you can save Federal Prospective Payment (FPP) values with effective dates. This information provides accurate historical calculations in the event that your facility’s wage index changes or that CMS again changes the standardized payment conversion factor (SPCF, formerly BNCF).

Informatics dataOur informatics module allows you to compare your facility’s real-time data with regional and national benchmark data by reporting CMG to analyze patient expectations for goals and discharge planning.

Patient satisfaction surveyOur Patient Satisfaction Survey module allows you to track patient satisfaction at admission, discharge, and follow-up. This module includes import/export capabilities.

More featuresThe UDS-PRO® desktop includes a wide variety of features, including:

CITRIX-enabledBackup schedulingData archivingFTP settingsSession timeout Enhanced user security featuresFull loggingMulti-facility configuration options

Additional informationFor more information on the UDS-PRO® software, contact our sales department at (716) 817-7856 or [email protected].

••••••••

UDS-PRO® Software As a result of subscriber feedback, version 4.0 of our UDS-PRO® desktop software has many new enhancements. These new enhancements and our standard features combine to make the UDS-PRO® System the one outcomes system that will best serve the needs of your rehabilitation hospital.




ReportsThe UDS-PROi® software provides a comprehensive set of real-time reports that help you monitor indicators such as LOS-to-date for patients in care, goal attainment, and CMI. The Presumptive Eligibility Estimation Report (PEER) shows facilities their estimated compliance with CMS’s 75% Rule. Subscribers that have received their results on the Presumptive Eligibility Test from their FIs have stated that our report has given them an estimate within 1% of their actual percentage of qualifying cases. The application also provides outcomes data with national and regional benchmarks for RICs, CMGs, and patient-level drill-down, plus parameters and a wide variety of filters.

Custom fields

The UDS-PROi® software allows you to name your custom fields to better reflect the type of information stored in them.

Customizable case listing optionsYou can customize the Case Listing window more than ever before. The UDS-PROi® software allows you to select columns for display, including the MSI and IRF Compliance fields. You can also choose sorting options to select how many records you want each window to display and to filter unnecessary data from your view. You can also print the IRF-PAI form for multiple cases at once and lock or unlock groups of cases.

HL7 interfaceOur UDS-PROi® software has HL7 interface capability, providing you with a robust platform that reduces data entry and integrates multiple information systems and diverse departmental systems.

Enhanced user security featuresNot only do we use two levels of authentication for the application itself, but you have the option to set periodically expiring passwords on a per user basis. You can even reset passwords for all users if needed.

Enhanced Profile Report capabilitiesOur enhanced Profile Report includes case-based CMG goals along with 50th, 75th, and 90th percentile goals for the patient. These goals are based on outcomes from hundreds of thousands of IRF-PAI cases.

Pre-admission featuresThe Pre-Admission Listing module includes the Mini-FIMTM assessment tool, a 7-item assessment that projects a case’s CMG and expected LOS. (It also projects the case’s FPP if you have entered facility adjustment values.) This tool relieves you of the need to complete function modifiers and all 18 FIMTM items at pre-admission. You can also code a reason for a patient’s non-admittance to your facility. The reason for denial of admission is selected from a customizable list. Potential 75% Rule presumptive compliance statistics are also shown.

Cost fields, referral information, and resource utilizationThe UDS-PROi® software contains fields that you can use to track costs, referral information, and resource utilization. Not only can you track cost information for each patient, but you can set up facility cost averages by CMG, RIC, or IGC. In addition, new fields for bed number, room number, floor number, and referring physician have been added. And you can save Federal Prospective Payment (FPP) values with effective dates. This information provides accurate historical calculations in the event that your facility’s wage index changes or that CMS again changes the standardized payment conversion factor (SPCF, formerly BNCF).

Informatics dataOur informatics module allows you to compare your facility’s real-time data with regional and national benchmark data by CMG to analyze patient expectations for goals and discharge plans.

FIMTM Track moduleThis new module allows you to track your admission and discharge ratings for a patient over a 3-day period and to transfer these ratings directly to the appropriate fields in the patient’s case record. The software’s rating selection process is dictated by the most current IRF-PAI rating guidelines.

Additional informationFor more information on the UDS-PROi® software, contact our sales department at 716-817-7856 or [email protected].

UDS-PROi® Software The UDS-PROi® software is an on-line application that you can access via the Internet. It allows you to access your data “any time, anywhere.” Our latest release includes all of the familiar features of our UDS-PRO® desktop application as well as several exciting new features. It is now housed within the new UDSPRO CentralTM website, which merges on-demand reports with a wide array of subscriber resources.




What are on-demand reports?

UDSmr provides interactive, online reports to all UDS-PRO® System subscribers. Housed within the UDSPRO Central™ website, these unique reporting tools are available 24 hours a day, 7 days a week, providing you access to on-demand reports that you can use to analyze your facility’s performance any time, anywhere.

Why use on-demand reports?

By using UDSmr’s on-demand reports to analyze past and present performance, your facility can identify its program’s strengths and areas for improvement. These reports can also help your facility determine whether changes to admission policies, staff training efforts, and other practices have resulted in improved performance. Additionally, your facility can use the reports to analyze data at the RIC, CMG, and patient levels to examine whether specific populations or individual patients are impacting your facility’s performance.

What kinds of reports are available?

UDSmr offers five main on-demand reports, but limitless ways to view the data. Outcome reports benchmark your facility’s against comparison groups, while demographic reports allow you to examine demographic influences on your outcomes. Trending reports provide monthly, quarterly, and yearly trending data and graphs for your choice of two outcome measures at once. The Cases with Special Characteristics Report provides benchmarks on the percentages of early transfers, short stays, expired cases, and interrupted stays. Finally, coding and clinical reports allow your facility to identify rating issues with function modifiers, FIM™ items, and impairment/etiologic diagnosis combinations.

Each major report can be customized to your facility’s needs. You can select variables such as total discharge FIM™ rating, FIM™ change, LOS, and case mix index. You can also select specific time periods (including rolling 12-month fiscal years), impairments, and demographic information to further refine your report. You can even drill down through the report at the RIC, CMG, or patient level and compare your facility’s data to the state, the region, the nation, or other facilities within your corporation.

Other features

In addition to the limitless reporting options, UDSmr’s on-demand reports offer a variety of export formats, including PDF, CSV, and XLS. Our “saved reports” option allows users at your facility to save frequently run reports and their parameters to a single location for quick access during future sessions. Finally, our on-demand database is updated every week with new data, ensuring the highest quality and standards in benchmark reporting.

Additional information

For more information on UDSmr’s on-demand reports, contact Maggie DiVita, Analytical Services Group Supervisor, at 716-817-7864 or [email protected].

On-Demand Reports

University Firewall

UDSMR Firewall

Crystal Reports Server

University at BuffaloNetwork Internet

UDS-PRO® OnlineHelp Server

Internet Barrier

Not Accessible from the Internet

Database Server #1

UDS-PROi™Web Server

UDS-PROi™Web Server

Database Server #2 Security Controller #1 Security Controller #2




Hardware and Software Maximum security and availabilityThe UDS-PROi™ server architecture ensures that no one point of failure can compromise our system. Our servers are located in a highly secure computer room managed by the University at Buffalo, The State University of New York. This room and the building that houses it operate under government-level security. The Internet connection provided by the University at Buffalo features high redundancy and very high-speed connections (2-T3 or 6-T1). The university also provides us with a redundant power source to protect against outages and blackouts.

Web serversOur two high-power, multi-processor web servers operate at the same time and share the load as needed. If one server becomes busy, the other will begin processing requests in order to speed up the response time that you see on your end.

Security controllersThese two servers maintain our security. These servers also function as backups for our Crystal Reports server, so your reports are available even if the report server goes down.

Database serversOur two high-power, multi-processor database servers provide redundancy insurance and the potential for future load sharing.

Crystal Reports serverOur Crystal Reports server is responsible for creating your reports. This powerful server is backed up by our security controllers.

FirewallsWe employ two firewalls to safeguard your data. One of the firewalls is administered directly by us, and the other is controlled by Computing and Information Technology (CIT) at the University at Buffalo. The extra protection of our second firewall helps insulate your data from external source corruption. The following diagram illustrates our server setup:




Hardware and Software Backup ProceduresServer backupsWe follow standard server backup procedures. Full backups are run nightly on all servers. We also have images of all the servers so that we can restore them quickly if needed.

Database backupsOur MS-SQL database is fully backed up each night. We also perform differential backups every few hours during the day. These procedures back up data that has been added or changed since the last nightly backup. In a worst-case scenario, we will lose data only since the last backup. The verification process restores the database and data to another set of database servers.

Conversion FeesDatabase conversionConversion from version 3.5, 3.5a, or 4.0 of the UDS-PRO® software to the UDS-PROiTM software is available free of charge after an evaluation period. If your facility later decides not to use the Internet-based software, we will charge a fee of $300.00 to convert your data back to desktop use. We will convert data only to version 4.0 of the desktop software.

Report conversionWe can convert custom Crystal Reports that facilities have created and imported into version 3.5, 3.5a, or 4.0 of the software. A small fee will be charged for each report. Note that we cannot convert reports that access databases other than the UDS-PRO® database.

Hardware RecommendationsThe tables below display our recommended hardware requirements for the UDS-PROiTM software (Internet) and the UDS-PRO® software (desktop).

UDS-PROiTM software (Internet)Computer IBM-compatible PC, Pentium P4 1GHz or higher Video card capable of supporting 1024x768 resolution Keyboard and mouse

System memory 256MB RAM (Windows® XP) or 128MB RAM (all other OS)

Supported Internet Microsoft® Internet Explorer 6.0browsers and other Adobe® Acrobat® Reader® 7.0 (free from www.adobe.com)software

Internet T1 or fractional T1 DSL Any broadband connection capable of sustaining a connection of 128K mbps NOTE: Dial-up connections will work but may be slow and unresponsive depending on the quality of the connection. This type of connection, while not ideal for constant use, may be good for occasional data lookup or reporting.

UDS-PRO® software (desktop)Computer IBM-compatible PC, Pentium P4 2.8GHz or higher 3.5” floppy drive 50X CD-ROM drive Video card capable of supporting 1024x768 resolution Keyboard and mouse

Operating system Windows® 2000, 2003, or XP (all supported with latest Service Pack)

System memory 512MB RAM for the UDS-PRO® software, 2GB RAM for the UDS-PRO® database

Hard drive 500MB for the UDS-PRO® software, additional 750MB for the UDS-PRO® database

Other software Microsoft® Internet Explorer 6.0 Adobe® Acrobat® Reader® 5.0 or higher (free from www.adobe.com) Internet connection for quarterly data submission (optional) NetOp® Remote Control software for remote system troubleshooting (optional)

HospitalInformationSystem

UDS-PRO®

Software

All TRAnSAcTIOnSHAPPen In ReAl TIme!

ADT/DFTFinancial Information

ADTDemographic Information




Integrating hospital information systems is a challenge that faces all information system professionals. Assuring data accuracy, integrating diverse departmental systems, reducing data entry and other human errors, and protecting patient information—these factors all complicate the process. UDSmr’s UDS-PRO® HL7 software interface provides a platform on which all of these factors can be addressed in a user-friendly, user-defined way for those who use version 4.0 of the UDS-PRO® desktop software as well as those who use the UDS-PROi® Internet-based software.

BenefitsThe UDS-PRO® HL7 interface offers a variety of benefits to rehabilitation facilities, including the following:

Reduced data entry: Saves on people time.Improved data integrity: Data entered at admission does not have to be entered a second time, thus reducing data entry errors.Reduction in coding and billing errors: Key billing data stays consistent with clinical evaluations and documentation.Real-time data processing: Cases are automatically created in the UDS-PRO® software once the admission process is complete, and related information is updated as soon as it becomes available.

FeaturesThe UDS-PRO® HL7 interface software uses HL7 v2.3+ with backwards compatibility. It can receive and transmit ADT A01, A03, A05, and A08 transactions and can transmit DFT P03 transactions. It can send or receive acknowledgment messages if required. In addition, it includes a custom Z segment called ZIR, which is capable of holding nonstandard data in an HL7 message. (You must customize your HL7 interface to accept this segment.)

The UDS-PRO® HL7 interface also features message transaction logging capabilities, logging to Windows® Event Viewer, Last Sent Time and Last Received Time displays, and message filtering, which allows you to send and receive cases based on your requirements.

A cost-effective solutionThe UDS-PRO® HL7 interface is available for a one-time charge of $2995—well below comparable offerings from other HIS vendors. Implementation costs between $1100 to $6600, depending on the complexity of the installation. Ongoing support is available for a monthly rate that is based on complexity. (This support is required for users of both the UDS-PRO® desktop software and the UDS-PROi® Internet-based software.) Installation, customization, and training are available from our HL7 implementation partner, Computer Solutions and Software, Inc. (CSSI). You also can address questions to Tony Manetta, Supervisor of Network Technologies and Services, at 716-817-7850 or [email protected].

HL7 Interface

Documents

UDS-PRO® System Highlights · the UDS-PRO® ® UDS-PROi ®®® software UDS-PRO® ® ®® ®® ®