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P P atient atient I I nformation nformation M M anagement anagement S S ystem – ystem – Scheduling Scheduling Version 5.3 (Patch 1010) Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS [email protected] (505)248-4160 20091020

Patient Information Management System Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

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10 Things to Know about PIMS Scheduling 1. Appt Mgmt* (AM) 2. Appt Listing (AL) 3. Chart Request (CR) 4. Clinic appt availability(MD) 5. Letters(PL) 6. Waiting Lists(WL) 7. Patient Mini Registration(PMR) 8. Reports(SCR) 9. Set Up a Clinic(SCS  SET) 10. Edit Scheduling Parameters (SCS  ACM  ESP)

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Page 1: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

PPatient atient IInformation nformation MManagement anagement SSystem – ystem –

SchedulingSchedulingVersion 5.3 (Patch 1010)Version 5.3 (Patch 1010)

Joann Henry, User Support Specialist, OIT, [email protected] (505)248-4160

20091020

Page 2: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

PCCPatient

Database

Dental

BehavioralHealth/Social

Services

Pharmacy

Surgery

RadiologyCHR

Clinic Scheduling

Women’sHealth

Field Nursing

EmergencyRoom

Laboratory

PatientRegistration

Admission Discharge Transfer

PCC Data Entry

Intro to RPMS and PIMSSensitive

Patient Tracking

Clinical Scheduling for Windows

Page 3: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

10 Things to Know about PIMS Scheduling

1. Appt Mgmt* (AM)2. Appt Listing (AL)3. Chart Request (CR)4. Clinic appt availability (MD)5. Letters (PL) 6. Waiting Lists (WL)7. Patient Mini Registration (PMR)8. Reports (SCR)9. Set Up a Clinic (SCSSET)10. Edit Scheduling Parameters (SCSACMESP)

Page 4: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

***************************************** * INDIAN HEALTH SERVICE * * CLINIC SCHEDULING SYSTEM * * VERSION 5.3 * ***************************************** DEMO HOSPITAL

AL Appointment List AM Appointment Management CR Chart Requests CHK List Patient Check In Status DA Display Patient's Appointments MB Multiple Appointment Booking MC Multiple Clinic Display/Book MD Month-at-a-glance Display PL Print Scheduling Letters PS View Provider's Schedule WL Waiting List Enter/Edit PCP Primary Care Provider Menu ... PMR Patient Mini Registration SCR Reports Menu (Scheduling) ... SCS Supervisor Menu (Scheduling) ...

Select Scheduling Menu Option:

Page 5: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Overview AM* (Appt Management) Make Appt Check In Walk In Patient Registration No Show Cancel Appt Re-book Check Out

►SCHEDULING – Appointment Management

Page 6: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Overview►APPT MGMT – Make Appointment

Page 7: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Available AppointmentsMONTH-AT-A-GLANCE Sep 11, 2009 15:55:22 Page: 1 of 5PLEASE REMIND THE PATIENT TO RECYCLE THEIR PAPERPLEASE REMIND THE PATIENT TO RECYCLE THEIR PAPERPRODUCTS, BRUSH THEIR TEETH OFTEN AND WALK AS MUCHPRODUCTS, BRUSH THEIR TEETH OFTEN AND WALK AS MUCHAS POSSIBLE. ALSO WISH THEM A GREAT DAY! :)AS POSSIBLE. ALSO WISH THEM A GREAT DAY! :)

DR ORKINDR ORKIN Oct 2009

TIME |8 |9 |10 |11 |12 |1 |2 |3 |4 | DATE | | | | | | | | | |TU 20 | [0 1 1 0|1 0 0 1|1 1 0 1] | [1 1 1 1|BB 1 1 1]WE 21 | [1 1 1 1|1 1 1 1|1 1 1 1]TH 22 | [1 1 1 1|1 1 1 1|0 1 1 1|1 1 1 1] [1 1 1 1|1 1 1 0|0 0 0 0]FR 23 | [AA 1 1 1|1 1 1 1|1 1 1 1] | [1 1 1 1|1 1 1 1]SA 24 | | [0 1 1 1|1 0 0 1|1 1 0 0]MO 26 | [1 1 1 1|1 1 1 1|1 1 1 1] | [1 1 0 0|0 1 1 1|1 1 1 1]TU 27 | [1 1 0 0|0 0 1 1|1 1 1 1] |** [1 1 1 1|1 1 1 1]WE 28 | [1 1 1 1|1 1 1 1|1 1 1 1] **TH 29 | [1 1 1 1|1 1 1 0|0 1 1 1|1 0 1 1] [1 1 1 0|1 1 1 1|1 0 1 1]FR 30 | [1 1 0 1|1 0 0 1|1 1 1 1] | [1 0 0 1|1 1 1 1]+------Enter ?? for more actions--------------------------------------------->>>AL Appointment List SL Short Appt List Q QuitSelect Action: Next Screen//

Overview►APPT MGMT – Make Appointment

Page 8: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Letter Generated (optional)

Overview ►APPT MGMT – Make Appointment

CELESTINE A RAADROUTE 3 BOX 486

DENT, MINNESOTA 56591

Dear Ms. Celestine Raad, Your next appointment in our clinic is as follows: TUESDAY SEP 15, 2009 9:00 AM DR ORKIN ClinicTUESDAY SEP 15, 2009 9:00 AM DR ORKIN ClinicTo reschedule any appointments listed, please call our main appointment desk at (505)248-9999. Thank you!

Joann Henry Appointment Desk

Page 9: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

+--Patient-------------Appt Date/Time----Status--------------- 11 999999 White,Betty 10/10/2009@15:15 No Action Taken/Today 2 999988 Henry,Clara 10/10/2009@15:30 No Action Taken/Today 3 999977 Riley,Anne 10/10/2009@16:00 No Action Taken/Today

Select Action: CI Check In Select Appointments (1-3): 1 Last Registration Update: FEB 24, 2008 ...checked in OCT 10, 2009@15:08 CLINIC CODE for VISIT: 06 DIABETIC VISIT PROVIDER: WHITEWOLF,C// [ENTER]

============================================================

+--Patient-------------Appt Date/Time----Status------------ 1 999999 White,Betty 10/10/2009@15:15 Checked In 15:08

Overview►APPT MGMT – Check IN

Page 10: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Select Action: Next Screen// PTPT Change Patient Select Patient: NOODLE,JANETNOODLE,JANET Select Action: Quit// WIWI Unscheduled Visit Select Clinic: DiabeticDiabetic WHITEWOLF,CHENENA K APPOINTMENT TIME: NOW//[ENTERENTER] (MAR 06, 2009@15:36) OTHER INFO: SWOLLEN LEFT LOWER LEGSWOLLEN LEFT LOWER LEG ...checked in MAR 06, 2009@15:36CLINIC CODE for VISIT: 0606 DIABETIC VISIT PROVIDER: WHITEWOLF,CHENENA K// [ENTERENTER]

(MAR 06, 2009@15:36)

--Patient-------------Appt Date/Time---Status------------------ 1 888888 Noodle,Janet 03/06/2009@15:36 Walk In/Checked In 15:36

OKAY TO PRINT A ROUTING SLIP IN MEDICAL RECORDS NOW? YES// [ENTERENTER]

Overview►APPT MGMT – Walk IN

Page 11: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

--Patient-------------Appt Date/Time----Status--------------

1 777777 Quiver,Aaron 03/06/2009@09:00 No Action Taken/TodayNo Action Taken/Today

Select Action: Next Screen// NSNS No Show Appointment(1-1): 11

WANT TO AUTO-REBOOK NO-SHOW APPOINTMENTS NOW? No// [Enter][Enter] WANT LETTERS PRINTED NOW? No// [Enter][Enter]

==========================================================

--Patient-------------Appt Date/Time----Status----------1 777777 Quiver,Aaron 03/06/2009@09:00 NO-SHOWNO-SHOW

Overview►APPT MGMT – No Show

Page 12: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Select Appointments (1-6): 6

Appts cancelled by Patient or Clinic: Patient// [Enter] Select CANCELLATION REASONS NAME: ?? Choose from: DEATH IN FAMILY OTHER TRANSFER OPT CARE TO OTHER VA TRAVEL DIFFICULTY UNABLE TO KEEP APPOINTMENT UNKNOWN WEATHER Select CANCELLATION REASONS NAME: TRAVEL DIFFICULTY CANCELLATION REMARKS: CAR BROKE DOWN

REBOOK ANY APPOINTMENTS THAT YOU CANCELLED? No// [Enter]

Overview►APPT MGMT – Cancel Appt

Page 13: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

-----Clinic-----Appt Date/Time----Status-------------- 5 Bj Alc 10/08/2009@17:00 Checked In 16:08

Select Action: CO

Select Appointment(s): 5 Do you wish to make a follow-up appointment? YES// NO CHECKED OUT: NOW// [Enter]

(OCT 08, 2009@16:59)

-----Clinic-----Appt Date/Time----Status-------------- 5 Bj Alc 10/08/2009@17:00 Checked Out 16:59

Overview►APPT MGMT – Check Out

Page 14: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Overview►SCHEDULING – Appt Listing (AL)

Select Scheduling Menu Option: AL Appointment List Select division: ALL// [ENTER] Select clinic: ALL// DR ORKIN For Date: TODAY// 10/20 (OCT 20, 2009) Include Walk-Ins? YES// [ENTER] Include Who Made Appt? NO// YES Include Patient's Phone #? NO// YES Include Primary Care Info? NO// YES Include Current Community? NO// YES Include Chart Requests? NO// YES

Page 15: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Overview►SCHEDULING – Clinic Appt Availability (MD)

MONTH-AT-A-GLANCE Mar 06, 2006 16:45:58 Page: 1 of 261 of 26FASTINGFASTING-------------------------------------------------------------------------------- DIABETICDIABETIC Mar 2006Mar 2006

TIME |8 |9 |10 |11 |12 |1 |2 |3 |4 DATE | | | | | | | | | MO 06MO 06 | [[0 0 1 3|1 3 3 3|2 3 3 3]] | [1 3 3 3|3 3 2 2|BB 3 3 3]TU 07 | [0 3 3 3|3 3 3 3|3 3 3 3] | [2 2 2 2|2 2 2 2]WE 08 | [2 3 3 3|2 3 3 3|2 3 3 3]TH 09 | [00 2 2 2|2 2 2 2|0 1 2 2|2 2 2 2] [2 2 2 2|2 2 2 2|2 2 2 2]FR 10 | [0 2 3 3|3 3 3 3|3 3 2 2] |** [0 2 2 2|1 2 2 2]SA 11 | | [1 11 1 1|1 1 1 1|1 1 1 1]MO 13 | [2 2 1 3|3 3 3 3|22 3 3 3] | [3 3 3 3|3 3 3 3|3 3 3 3]TU 14 | [3 3 3 3|3 3 3 3|2 3 3 3] | [2 2 2 2|2 2 2 2]WE 15 | [3 3 3 3|AA 3 3 3|3 3 3 3] *TH 16 | [2 2 2 2|2 2 2 2|1 2 2 2|2 2 2 2] [2 2 2 2|2 2 2 2|2 2 2 2]FR 17 | [2 2 3 3|3 3 3 3|3 3 33 3] | [2 2 2 2|1 2 2 2]+------Enter ?? for more actions--------------------------------------------->>>ALAL Appointment List SLSL Short Appt List QQ QuitSelect Action: Next Screen//

Page 16: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

PPatient atient IInformation nformation MManagement anagement SSystemystem

of 20of 20

SCHEDULING: CLINIC SET SCHEDULING: CLINIC SET UPUP

Joann Henry, User Support Specialist, OIT, [email protected] 505-248-4160

2009102020091020

Page 17: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

A. Introduction & BasicsA. Introduction & Basics

• When entering the Set Up Parameters:– There are 47 fields to consider (13

required fields).– The fields are divided into 4 data entry

screens. (e.g. Page 1 of 4, Page 2 of 4, etc.)

Page 18: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

B. Data Field SpecificationsB. Data Field Specifications1)1) *Clinic name*Clinic name2)2) *Abbreviation*Abbreviation3)3) *Division*Division4)4) *Facility*Facility5)5) *Clinic meets at this facility?*Clinic meets at this facility?6)6) *Non-count clinic?*Non-count clinic?7)7) Include on file room listsInclude on file room lists8)8) Principal clinicPrincipal clinic9)9) Physical locationPhysical location10)10) TelephoneTelephone11)11) *Clinic code*Clinic code12)12) Hospital serviceHospital service13)13) Clinic ownersClinic owners14)14) Special instructions for making Special instructions for making

apptappt15)15) Prohibit access to clinicProhibit access to clinic16)16) Schedule on holidaysSchedule on holidays17)17) Overbook users & levelOverbook users & level18)18) Hour clinic display beginsHour clinic display begins19)19) *Length of appointment*Length of appointment20)20) Variable appointment lengthVariable appointment length21)21) *Display increments per hour*Display increments per hour22)22) *Overbooks/day maximum*Overbooks/day maximum23)23) *Max # days for future booking*Max # days for future booking24)24) Start time for auto rebookStart time for auto rebook

25)25) *Max # days for auto rebook*Max # days for auto rebook26)26) Pre-appointment letterPre-appointment letter27)27) Clinic cancellation letterClinic cancellation letter28)28) Appointment cancellation letterAppointment cancellation letter29)29) No-show letterNo-show letter30)30) *Allowable consecutive no-shows*Allowable consecutive no-shows31)31) Waiting period for no-showsWaiting period for no-shows32)32) Print health summaryPrint health summary33)33) Print health summary typePrint health summary type34)34) Print address/insurance updatePrint address/insurance update35)35) Print RX profilesPrint RX profiles36)36) Require x-ray filmsRequire x-ray films37)37) Ask for check in/out timeAsk for check in/out time38)38) Create a visit at check-inCreate a visit at check-in39)39) Visit service categoryVisit service category40)40) Multiple clinic codes usedMultiple clinic codes used41)41) Visit provider requiredVisit provider required42)42) Other Info on CheckinOther Info on Checkin43)43) Clinic providerClinic provider44)44) Default providerDefault provider45)45) Availability date(s)Availability date(s)46)46) TimeTime47)47) Number of slotsNumber of slots

Page 19: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

B. Data Field B. Data Field Specifications Specifications (Continued)(Continued)

1)1) *Clinic name*Clinic name (2-30 chars)(2-30 chars)2)2) *Abbreviation*Abbreviation (1-7 chars)(1-7 chars)3)3) *Division*Division4)4) *Facility*Facility (N=No Y=Yes)(N=No Y=Yes)5)5) *Clinic meets at this facility? *Clinic meets at this facility? (N=No Y=Yes)(N=No Y=Yes)6)6) *Non-count clinic?*Non-count clinic? (0=No 1=Yes)(0=No 1=Yes)7)7) Include on file room listsInclude on file room lists (0=No 1=Yes)(0=No 1=Yes)8)8) Principal clinicPrincipal clinic9)9) Physical locationPhysical location (1-25 chars)(1-25 chars)10)10) TelephoneTelephone (3-13 chars)(3-13 chars)11)11) *Clinic code*Clinic code (code list)(code list)12)12) Hospital serviceHospital service (code list)(code list)13)13) Clinic ownersClinic owners (code list)(code list)14)14) Select special instructionsSelect special instructions (3 lines)(3 lines)15)15) Prohibit access to clinic*Prohibit access to clinic* (Y=Yes)(Y=Yes)16)16) Schedule on holidaysSchedule on holidays (Y=Yes)(Y=Yes)17)17) Overbook users & levelOverbook users & level (code list)(code list)18)18) Hour clinic display beginsHour clinic display begins (0-16)(0-16)19)19) *Length of appointment*Length of appointment (10-240)(10-240)20)20) Variable appointment lengthVariable appointment length (V=Yes,variable (V=Yes,variable

number)number)21)21) *Display increments per hour*Display increments per hour (code list)(code list)22)22) *Overbooks/day maximum*Overbooks/day maximum23)23) *Max # days for future booking *Max # days for future booking (1-999)(1-999)24)24) Start time for auto rebookStart time for auto rebook (0-16)(0-16)

25)25) *Max # days for auto rebook*Max # days for auto rebook (1-365)(1-365)26)26) Pre-appointment letterPre-appointment letter (code list)(code list)27)27) Clinic cancellation letterClinic cancellation letter (code list)(code list)28)28) Appointment cancellation letterAppointment cancellation letter (code list)(code list)29)29) No-show letterNo-show letter (code list)(code list)30)30) *Allowable consecutive no-shows*Allowable consecutive no-shows (0-999) (0-999)31)31) Waiting period for no-showsWaiting period for no-shows (0-365)(0-365)32)32) Print health summaryPrint health summary (0=No, 1=Yes)(0=No, 1=Yes)33)33) Print health summary typePrint health summary type (code list)(code list)34)34) Print address/insurance updatePrint address/insurance update (0=No, (0=No,

1=Yes)1=Yes)35)35) Print RX profilesPrint RX profiles (code list)(code list)36)36) Require x-ray filmsRequire x-ray films (Y=Yes)(Y=Yes)37)37) Ask for check in/out timeAsk for check in/out time (0=No, 1=Yes)(0=No, 1=Yes)38)38) Create a visit at check-inCreate a visit at check-in (0=No, 1=Yes)(0=No, 1=Yes)39)39) Visit service categoryVisit service category (code list)(code list)40)40) Multiple clinic codes usedMultiple clinic codes used (0=No, 1=Yes)(0=No, 1=Yes)41)41) Visit provider requiredVisit provider required (0=No, 1=Yes)(0=No, 1=Yes)42)42) Triage clinicTriage clinic (0=No, 1=Yes)(0=No, 1=Yes)43)43) Clinic providersClinic providers (code list)(code list)44)44) Default providerDefault provider (0=No, (0=No,

1=Yes)1=Yes)45)45) Availability dateAvailability date (Date)(Date)46)46) TimeTime (24 hour time)(24 hour time)47)47) No. of slotsNo. of slots (0-26)(0-26)

Page 20: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

C. A word about Default C. A word about Default LettersLetters

• Prior to assigning default letters, Prior to assigning default letters, these letters must have been these letters must have been defined through the ENTER/EDIT defined through the ENTER/EDIT LETTER option:LETTER option:

PRE-APPOINTMENT PRE-APPOINTMENT CLINIC CANCELLEDCLINIC CANCELLED APPOINTMENT CANCELLEDAPPOINTMENT CANCELLED NO-SHOWNO-SHOW

Page 21: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

To NAVIGATE screen: UP key DOWN key TAB key ENTER key

► Type ?? – Available options will be displayed at the bottom of the screen.

► Type @ – To delete an entry – be careful .

D. Screen NavigationD. Screen Navigation

Page 22: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

► FROM THE MAIN MENU . . .

Select Scheduling Menu Option: SCS Supervisory Menu

Select Supervisor Menu (Scheduling) Option: SET Set Up a Clinic

Select CLINIC NAME: JJ PEDIATRICS

Are you adding ‘JJ PEDIATRICS’ as a new HOSPITAL LOCATION? No// Y

LENGTH OF APP’T: 1515

The Length of appointment designated for clinic. Enter a whole number between 10 and 240 and must be a multiple of 10 or 15.

D. Screen Navigation D. Screen Navigation (Continued)(Continued)

Page 23: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

SET UP A CLINICSET UP A CLINIC Page 1 of 4Page 1 of 4

CLINIC NAMECLINIC NAME: : JJ PEDIATRICSJJ PEDIATRICS ABBREVIATIONABBREVIATION: : JJPEDJJPED DIVISIONDIVISION: : CARNEGIE INDIAN HEALTH CENTERCARNEGIE INDIAN HEALTH CENTER FACILITYFACILITY: : DEMO HOSPITALDEMO HOSPITAL

MEETS AT THIS FACILITY?MEETS AT THIS FACILITY?: : YESYES NON-COUNT CLINIC? (Y OR N)NON-COUNT CLINIC? (Y OR N): : NONO INCLUDE ON FILE ROOM LISTS?: INCLUDE ON FILE ROOM LISTS?: YESYES PRINCIPAL CLINIC: PRINCIPAL CLINIC: PRINCIPAL PEDIATRICSPRINCIPAL PEDIATRICS PHYSICAL LOCATION: PHYSICAL LOCATION: 2ND FLOOR2ND FLOOR TELEPHONE: TELEPHONE: 222 345-0987222 345-0987 CLINIC CODECLINIC CODE: : PEDIATRIC PEDIATRIC HOSPITAL SERVICE: HOSPITAL SERVICE: PEDIATRICSPEDIATRICS

CLINIC OWNERS (responsible for setup)CLINIC OWNERS (responsible for setup)BRUNING,BJBRUNING,BJHENRY,JOANNHENRY,JOANN______________________________________________________________________________________________________________________________Exit Save Next Page RefreshExit Save Next Page Refresh

Enter a command or '^' followed by a caption to jump to a specific field.Enter a command or '^' followed by a caption to jump to a specific field.

COMMAND: Press <PF1>H for help InsertCOMMAND: Press <PF1>H for help Insert

E. Actual Set Up Screen E. Actual Set Up Screen (1 of 4)(1 of 4)

ImportaImportant Field nt Field

Page 24: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

SET UP A CLINICSET UP A CLINIC Page 2 of 4Page 2 of 4

SPECIAL INSTRUCTIONS for make appt. (3 lines max.)SPECIAL INSTRUCTIONS for make appt. (3 lines max.) PLEASE REMIND PARENT TO BRING CHILD’S IMMUNIZATION CARD.PLEASE REMIND PARENT TO BRING CHILD’S IMMUNIZATION CARD.

PROHIBIT ACCESS TO CLINIC?: OVERBOOK USERS & LEVELPROHIBIT ACCESS TO CLINIC?: OVERBOOK USERS & LEVEL SCHEDULE ON HOLIDAYS?: SCHEDULE ON HOLIDAYS?: HENRY,JOANN RHENRY,JOANN R HOUR CLINIC DISPLAY BEGINS: HOUR CLINIC DISPLAY BEGINS: 88 LENGTH OF APPOINTMENTLENGTH OF APPOINTMENT: : 3030 VARIABLE APPOINTMENT LENGTH: VARIABLE APPOINTMENT LENGTH: YES,YES, DISPLAY INCREMENTS PER HOURDISPLAY INCREMENTS PER HOUR: : 30-MIN30-MIN OVERBOOKS/DAY MAXIMUMOVERBOOKS/DAY MAXIMUM: : 55MAX # DAYS FOR FUTURE BOOKINGMAX # DAYS FOR FUTURE BOOKING: : 9090 START TIME FOR AUTO REBOOK: START TIME FOR AUTO REBOOK: 1313 MAX # DAYS FOR AUTO-REBOOKMAX # DAYS FOR AUTO-REBOOK: : 6060______________________________________________________________________________________________________________________________Exit Save Next Page RefreshExit Save Next Page Refresh

Enter a command or '^' followed by a caption to jump to a specific field.Enter a command or '^' followed by a caption to jump to a specific field.

COMMAND: Press <PF1>H for help InsertCOMMAND: Press <PF1>H for help Insert

E. Actual Set Up Screen E. Actual Set Up Screen (2 of 4)(2 of 4)

Page 25: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

SET UP A CLINICSET UP A CLINIC Page 2 of 4Page 2 of 4

SPECIAL INSTRUCTIONS for make appt. (3 lines max.)SPECIAL INSTRUCTIONS for make appt. (3 lines max.) PLEASE REMIND PARENT TO BRING CHILD’S IMMUNIZATION CARD.PLEASE REMIND PARENT TO BRING CHILD’S IMMUNIZATION CARD.

PROHIBIT ACCESS TO CLINIC?: PROHIBIT ACCESS TO CLINIC?: YESYES OVERBOOK USERS & LEVEL OVERBOOK USERS & LEVEL SCHEDULE ON HOLIDAYS?: SCHEDULE ON HOLIDAYS?: HENRY,JOANN RHENRY,JOANN R HOUR CLINIC DISPLAY BEGINS: HOUR CLINIC DISPLAY BEGINS: 88 LENGTH OF APPOINTMENTLENGTH OF APPOINTMENT: : 3030 VARIABLE APPOINTMENT LENGTH: VARIABLE APPOINTMENT LENGTH: YES,YES, DISPLAY INCREMENTS PER HOURDISPLAY INCREMENTS PER HOUR: : 30-MIN30-MIN OVERBOOKS/DAY MAXIMUMOVERBOOKS/DAY MAXIMUM: : 55MAX # DAYS FOR FUTURE BOOKINGMAX # DAYS FOR FUTURE BOOKING: : 9090 START TIME FOR AUTO REBOOK: START TIME FOR AUTO REBOOK: 1313 MAX # DAYS FOR AUTO-REBOOKMAX # DAYS FOR AUTO-REBOOK: : 6060______________________________________________________________________________________________________________________________Exit Save Next Page RefreshExit Save Next Page Refresh

Enter a command or '^' followed by a caption to jump to a specific field.Enter a command or '^' followed by a caption to jump to a specific field.

COMMAND: Press <PF1>H for help InsertCOMMAND: Press <PF1>H for help Insert

PRIVILEGED USERSPRIVILEGED USERS

HENRY,JOANNHENRY,JOANN BRUNING,BJBRUNING,BJ

E. Actual Set Up Screen E. Actual Set Up Screen (2 of 4)(2 of 4)

Page 26: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

SET UP A CLINICSET UP A CLINIC Page 3 of 4Page 3 of 4

PRE-APPOINTMENT LETTER: PRE-APPOINTMENT LETTER: SCHEDULED APPTSCHEDULED APPT CLINIC CANCELLATION LETTER: CLINIC CANCELLATION LETTER: CLINIC CANCELLEDCLINIC CANCELLED APPT. CANCELLATION LETTER: APPT. CANCELLATION LETTER: CANCELLEDCANCELLED NO SHOW LETTER: NO SHOW LETTER: NOSHOWNOSHOW ALLOWABLE CONSECUTIVE NO-SHOWSALLOWABLE CONSECUTIVE NO-SHOWS: : 33 WAITING PERIOD FOR NO-SHOWS: WAITING PERIOD FOR NO-SHOWS: 1515

PRINT HEALTH SUMMARY?: PRINT HEALTH SUMMARY?: YESYES HEALTH SUMMARY TYPE: HEALTH SUMMARY TYPE: PEDIATRICPEDIATRICPRINT ADDRESS/INSURANCE UPDATE?: PRINT ADDRESS/INSURANCE UPDATE?: YESYES PRINT RX PROFILES?: PRINT RX PROFILES?: YES, MEDICATION PROFILEYES, MEDICATION PROFILE REQUIRE X-RAY FILMS?:REQUIRE X-RAY FILMS?:

______________________________________________________________________________________________________________________________Exit Save Next Page RefreshExit Save Next Page Refresh

Enter a command or '^' followed by a caption to jump to a specific field.Enter a command or '^' followed by a caption to jump to a specific field.

COMMAND: Press <PF1>H for help InsertCOMMAND: Press <PF1>H for help Insert

E. Actual Set Up Screen E. Actual Set Up Screen (3 of 4)(3 of 4)

Page 27: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

SET UP A CLINICSET UP A CLINIC Page 4 of 4Page 4 of 4

ASK FOR CHECK IN/OUT TIME: ASK FOR CHECK IN/OUT TIME: YES YES (Should always be set to YES)(Should always be set to YES) CREATE VISIT AT CHECK-IN?: CREATE VISIT AT CHECK-IN?: YESYES VISIT SERVICE CATEGORY: VISIT SERVICE CATEGORY: AMBULATORYAMBULATORYMULTIPLE CLINIC CODES USED?: MULTIPLE CLINIC CODES USED?: YESYES VISIT PROVIDER REQUIRED: VISIT PROVIDER REQUIRED: YESYES TRIAGE CLINIC?: TRIAGE CLINIC?: NONO ::

CLINIC PROVIDERS DEFAULTCLINIC PROVIDERS DEFAULTPROVIDER,KELLIE YESPROVIDER,KELLIE YES

______________________________________________________________________________________________________________________________Exit Save Next Page RefreshExit Save Next Page Refresh

Enter a command or '^' followed by a caption to jump to a specific field.Enter a command or '^' followed by a caption to jump to a specific field.

COMMAND: Press <PF1>H for help InsertCOMMAND: Press <PF1>H for help Insert

E. Actual Set Up Screen E. Actual Set Up Screen (4 of 4)(4 of 4)

IHS uses only ONE IHS uses only ONE PROVIDER. If not PROVIDER. If not known may leave known may leave

blank. blank.

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a)a) What is the What is the Clinic codeClinic code associated with the associated with the

clinic?clinic?b)b) Is clinic grouped under a Is clinic grouped under a principal clinic?principal clinic?c)c) Clinic ownersClinic owners – Who can change this clinic – Who can change this clinic

setup?setup?d)d) What is the default What is the default length of appointmentslength of appointments & can & can

it beit be variable?variable?a)a) Will the clinic Schedule appointments onWill the clinic Schedule appointments on

holidaysholidays??b)b) Will Will health summarieshealth summaries be printed with routing be printed with routing

slips?slips?c)c) Will Will default lettersdefault letters be assigned to the clinic? be assigned to the clinic?d)d) Will the clinic Will the clinic create a visitcreate a visit at check-in time? at check-in time?e)e) Will this be a Will this be a Non-Count clinicNon-Count clinic? If No, visits ? If No, visits

included in statistics. If Yes, visits are not included in statistics. If Yes, visits are not included in statistics.included in statistics.

f)f) Will this clinic Will this clinic Prohibit AccessProhibit Access? If so, who will ? If so, who will have the ability to schedule appointments?have the ability to schedule appointments?

F. Details to Gather before Clinic Set F. Details to Gather before Clinic Set Up StepUp Step

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a)a) What is the What is the Clinic NameClinic Name??______________________________________________

b)b) What is the What is the Clinic AbbreviationClinic Abbreviation? ? ____ ________________________________________

c)c) What is the What is the Division NameDivision Name? ? ______________________________________________

d)d) What is the What is the Facility NameFacility Name? ? ______________________________________________

e)e) Will the clinic meet at this facility? Will the clinic meet at this facility? ______________________________________________

f)f) Will this be a Will this be a Non-Count clinicNon-Count clinic? ? ______________________________________________

g)g) What is the What is the Clinic CodeClinic Code? ? ______________________________________________

h)h) What is the What is the appointment lengthappointment length? ? ______________________________________________

i)i) What are the What are the Display Increments per hourDisplay Increments per hour? ? ______________________________________________

j)j) What is the What is the Overbooks/day maximumOverbooks/day maximum? ? ______________________________________________

k)k) What are the What are the max # days for Future bookingmax # days for Future booking? ? ______________________________________________

l)l) What are the What are the max # days for auto-rebookingmax # days for auto-rebooking? ? ______________________________________________

m)m) What are the What are the allowable # of consecutive no-showsallowable # of consecutive no-shows? ? ______________________________________________

F. (cont.) F. (cont.) Must KnowMust Know before Clinic Set before Clinic Set Up StepUp Step

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G. Setting Up Clinic G. Setting Up Clinic AvailabilityAvailability

• Availability Date Enter the first date appointments can be made AVAILABILITY DATE: 10/19/2009

• Time Enter the time range the clinic is available (24 hour format) TIME: 0800-1200

• Number of Slots Enter the number of patients which will be seen per

increment NO. SLOTS: 1// 4

Page 31: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

G. Setting Up Clinic Availability G. Setting Up Clinic Availability (Cont.)(Cont.)

• ExampleAVAILABILITY DATE: 10/19 (OCT 19, 2009) MONDAY TIME: 0800-1200 NO. SLOTS: 1// 4 TIME: 1300-1700 NO. SLOTS: 1// 4 TIME: [4] [4] [4] [4] [4] [4] [4] [4] | [4] [4] [4] [4] [4] [4] [4] [4] ...PATTERN OK FOR MONDAYS INDEFINITELY? Y (Yes)...PATTERN FILED!

AVAILABILITY DATE: 10/20 (OCT 20, 2009) TUESDAY TIME: 0800-1100 NO. SLOTS: 1// 4 TIME: 1200-2000 NO. SLOTS: 1// 2 TIME: [4] [4] [4] [4] [4] [4] | [2] [2] [2] [2] [2] [2] [2] [2] [2] [2] [2] [2] [2] [2] [2] [2]

...PATTERN OK FOR TUESDAYS INDEFINITELY? Y (Yes)

...PATTERN FILED!

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Pick ListsPick Lists

Page 33: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Types

• Pick Lists can be made for:– ICD9 codes– CPT codes– Education topics

• Each type works in similar ways

Page 34: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

First List

• If you have never created a Pick List, you will get a message like the one below

• Reply Yes to get started. If you already have Pick Lists, you can select which one to edit or create a new one

Page 35: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Adding a Category• If you do not fill in any of

the fields, this list is available for everyone

• You can make lists that apply to locations, providers, clinics, and disciplines

• The author is always a manager; sites can add other managers such as Clinical Application Coordinators (CACs) and Health InformationManagement Services (HIMS) folks

Page 36: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Adding Elements

• Items can be added in several ways:– You can add them

individually– You can query the

system to see what is already being used

– You can import a list from another site

Page 37: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Adding Individually

Page 38: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Adding through a Query

Page 39: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Importing a List

• A list can be installed from another site using the Import button

• Again, these codes need to be reviewed and cleaned up before using.

Page 40: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Rename Function• The code will come in with its “official” name.• Many providers would prefer a more common or

shorter name

Page 41: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Pick Lists and Superbills• Create by query• Create special ones for supplies, etc.

Page 42: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Resource and Patient Management Resource and Patient Management (RPMS) Electronic Health Record (RPMS) Electronic Health Record

(EHR) (EHR) Pick List AssociationsPick List Associations

Really Powerful at Measuring Stuff

Page 43: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Selecting an Item for Edit

Page 44: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Adding CPT Codes

Page 45: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Adding Patient Education

Page 46: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Adding Immunization Information

Page 47: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Adding Purpose of Visit (POV)

Page 48: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

User Choice to Add Associated Items

Page 49: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Adding Education

Page 50: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Adding Immunization

Page 51: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Adding ICD and CPT Codes

Page 52: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

RPMS/EHR RPMS/EHR Vital Measurement SetupVital Measurement Setup

Page 53: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Vital Measurements

• EHR>BEH>VIT• 2 Parameters to control:

– Which measurements appear for viewing

– Which vitals will be entered

Page 54: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

CVR - Measurements Listed on Cover Sheet

Page 55: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

TPL - Data Entry Template

Page 56: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Asthma Measurements

• ADM ASTHMA WORK/SCHOOL DAYS MISSED• ASFD ASTHMA SYMPTOM FREE DAYS• PF PEAK FLOW• BPF BEST PEAK FLOW• FEF FEF 25-75• FVFC FEV1/FVC• O2 O2 SATURATION• RS RESPIRATIONS• FVFC FEV1/FVC• FEF FEF 25-75

Page 57: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

RPMS/EHR RPMS/EHR Health Summary OverviewHealth Summary Overview

Page 58: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

RPMS/EHR Health Summary

• IHS Health Summary• Patient Wellness Handout• VA Health Summary

Page 59: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

IHS Health Summary

• Common Health Summary– Adult Regular– Diabetes Standard– Pediatric

• Common Flowsheets– Anticoagulation– Cardiovascular– Diabetic– Anemia

Page 60: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

IHS Health Summary Cont…

• Common Measurement Panels– Adult STD– Adult STD Metric– Pediatric STD– Pediatric STD Metric

Page 61: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Updates to IHS HS Components/Supplements

• Released in Feb 16, 2011– Asthma Control– Medication Reconciliation– Nutritional Risk– Brief Demographics with advance directive– Asthma Patient Care Supplement– Anticoagulation Therapy Supplement

Page 62: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

IHS Health Summary

Page 63: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

IHS Health Summary

Page 64: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160
Page 65: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Patient Wellness Handouts

• Report that “speaks” to the patient vs provider

• Multiple reports available including:– Medication Reconciliation– Asthma Action Plan– Asthma Summary

• Plus the ability to customize your own reports• Report tracking system

Page 66: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Patient Wellness Handout

Page 67: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Patient Wellness Handout Cont…

Page 68: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Patient Wellness Handout Cont…

Page 69: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

VA Health Summary• Brought in additional components not available

through IHS HS Component:– Adhoc Report– Progress Notes Selected– Variety of New Medication Profiles– Clinical Reminders Brief

• Includes some IHS HS Components– Flowsheets– Supplements– Measurement Panels

Page 70: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

VA Health Summary

Page 71: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

VA Health Summary

Page 72: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Ad Hoc Report Cont…• Create an HS “on the

fly”– Quick method of

looking up information not normally found in the standard HS

– Report specific to that patient & will reset when user leaves patient

Page 73: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

ReportsEHR>BEH>RPT

Page 74: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Health Summary Overview Cont…

• RPMS Menu:– EHR > BEH> RPT > HSM

Page 75: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Health Summary Overview Cont…

IHS Health Summary VA Health SummaryDEMO HOSPITAL RPMS-EHR Management Version 1.1 VHA Health Summary Configuration   BAT List Batch Health Summary Locations BLD Build Health Summary Type Menu ... DEF Display/Edit Health Summary Site Defaults ... LOC Setup Batch Print Locations MNT Health Summary Maintenance Menu ... PRN Print Health Summary Menu ... TYP VHA Health Summary Types Menu ...

DEMO HOSPITAL RPMS-EHR Management Version 1.1 IHS Health Summary Configuration

DF Delete Health Summary Flowsheet DI Delete Health Summary Flowsheet Item DM Delete Measurement Panel Definition DS Delete Health Summary Type FMMT Create/Modify Health Summary Type using Fileman HM Health Maintenance Reminders ... HS Generate Health Summary HSSP Update Health Summary Site Parameters IS Inquire About a Health Summary Type LC List Health Summary Components LF List Health Summary Flowsheets LI List Health Summary Flowsheet Items LM List Measurement Panel Types LS List Health Summary Types MF Create/Modify Flowsheet MI Create/Modify Flowsheet Item MM Create/Modify Measurement Panel MS Create/Modify Health Summary Type PP Print Health Maintenance Item Protocols PWH Print Patient Wellness Handout **> Out of order: Use APCH PWH GENERATE PWH option TYP IHS Health Summary Types

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Health Summary Overview Cont…

Patient Wellness Handout

  EMO HOSPITAL RPMS-EHR Management Version 1.1

************************************* ** IHS Health Summary ** ** Health Summary Maintenance Menu ** ************************************* IHS PCC Suite Version 2.0

DEMO HOSPITAL

PWH Generate a Patient Wellness Handout DEF Update Default PWH for a Site AAP Print Asthma Action Plan MPWT Create/Modify Patient Wellness Type TPWH Number of PWHs Given to Patients Report

Page 77: Patient Information Management System  Scheduling Version 5.3 (Patch 1010) Joann Henry, User Support Specialist, OIT, IHS (505)248-4160

Questions and DiscussionQuestions and Discussion