OCS Gateway User Manual

I
OCS®-Gateway
Outcome Concept Systems, Inc.
1818 East Mercer Street
Seattle, WA 98112
866.641.8324 FAX 206.720.6018 www.ocsys.com
This manual was published in Microsoft Word™. The screen shots were created using Snagit

.
All other product names mentioned are trademarked or copyrighted by their respective manufacturers.
© 2002-2006 OCS, Inc. Printed in USA
TABLE OF CONTENTS
Getting Started ....................................................................................Chapter 1
Overview ........................................................................................................ 1-1
Hardware and Software Requirements ....................................................... 1-2
Installation of OCS-Gateway ........................................................................ 1-3
OCS-CAST............................................................................................Chapter 2
Logging into OCS-CAST................................................................................. 2-1
Adding Agencies and Branches ................................................................. 2-3
Removing Agencies and Branches ................................................................ 2-7
Set Benchmark Password ................................................................................. 2-8
Set Descriptor ..................................................................................................... 2-9
Database Surrogates ..................................................................................... 2-10
Edit Existing Surrogate Database .................................................................. 2-10
Add New Database Surrogate...................................................................... 2-12
File/Folder Surrogates...................................................................................... 2-14
Edit Existing Surrogate File/Folder.................................................................. 2-15
Add New File/Folder Surrogate ..................................................................... 2-16
Admin Lockout Schedule............................................................................... 2-20
Archive Configuration..................................................................................... 2-22
Set Up User Profiles - Copy User ..................................................................... 2-23
Changing User Profile Passwords................................................................... 2-29
Create New User ............................................................................................. 2-30
Remove User Profiles ....................................................................................... 2-30
View Reports .................................................................................................... 2-32
OCS-Gateway.....................................................................................Chapter 3
Logging into OCS-Gateway ............................................................................ 3-1
Applications ...................................................................................................... 3-1
Utilities.................................................................................................................. 3-2
OCS-DIT and OCS-VISIT..................................................................................... 3-4
OCS-Benchmark Submission Tool (OCS-BMST) .............................................. 3-4
OCS-Database Management Tool (OCS-DBMT).......................................... 3-7
Key Utility............................................................................................................. 3-7
Database Conversion..................................................................................... 3-12
Benchmark Business Intelligence Reporter (OCS-BBI Reporter) .....Chapter 4
Overview............................................................................................................. 4-1
Benefits ............................................................................................................... 4-1
Internal versus External Benchmarking........................................................... 4-1
Deadlines for Submitting Quarterly Data ....................................................... 4-2
Accessing OCS-BBI Reporter Online .............................................................. 4-2
JCAHO Reports ........................................................................................ 4-4
OASIS Reports................................................................................................... 4-5
Online Benchmarking Graphs ........................................................................ 4-7
Chapter 1
Getting Started
Overview
OCS-Gateway streamlines the use of OCS products, serving as a single place to access and manage the security of all OCS applications.
OCS-Gateway comes with the following utilities:
OCS-CAST: (OCS-Common Application Security Tool) Allows for the creation and management of user accounts and the setup of agency information. This should be accessed only by the System Administrator or designated technical support personnel.
OCS-DIT: (OCS-Data Import Tool) Allows agencies to collect OASIS data in MIS or point-of-care software and import the data into an OCS-OASIS database for desktop and benchmark reporting.
OCS-VISIT: (OCS-Visit Import and Statistical Information Tool) Allows agencies to import visit utilization data from electronic claims files into the OCS-OASIS database for desktop and benchmark reporting. Accepts both NSF 6.0 and 837 electronic file formats.
OCS-BMST: (OCS-Benchmark Submission Tool) Extracts, encrypts, and zips appropriate data for quarterly benchmark submittals. The zipped file is uploaded through the OCS website’s HIPAA-compliant Web Uploader.
OCS-DBMT: (OCS-Database Management Tool) Includes the archive, backup/restore database, key utility, and database conversion tools. Only the key utility and database conversion tool apply to SQL Server databases. The SQL Server Database Administrator (DBA) must manage database maintenance functionality (archiving, backup/restore, etc.) for SQL Server through the SQL Server application.
OCS-Gateway is the centralized launch-point for all OCS applications. Applications such as OCS-OASIS and OCS-EPIC are installed on top of OCS­Gateway. Unlike before, you will double-click one icon to access any OCS application.
Please have your System Administrator or designated technical support personnel review the following information to properly setup OCS-Gateway on each workstation and/or network. If you need assistance or have questions or concerns, please contact OCS Client Services at 866.641.8324.
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Getting Started
Hardware and Software Requirements
Hardware
Pentium 1.5 GHz or better
256 MB RAM minimum (higher recommended)
24X CD-ROM
40 GB EIDE 7200 RPM hard drive
Integrated Intel 10/100MB NIC
56 Kbps modem (Broadband internet such as cable or DSL
recommended)
Software
Microsoft Windows 2000 Professional SP4, Windows 2000 Server SP4, Windows 2003 Server SP1, or Windows XP Professional SP2
Microsoft SQL Server 7 or 2000; required for using with a SQL Server database
Microsoft Access97, 2000, 2002, or 2003 recommended for Access database users
Note: If multiple users use the same Microsoft Access database, all
must use the same version and service pack of Microsoft Access and MS Jet
Microsoft Internet Explorer 6.0 or higher
Software installed or updated by the OCS-Gateway installation
Crystal Reports version 8.5
MS Jet 4.0 SP6
MDAC 2.7 SP1 Microsoft Data Access Components (MDAC)
Microsoft.NET 2.0 Framework
Software Consideration
OCS uses Crystal Reports version 8.5 for many reporting functions. If you have other applications installed on the same computer that will be used for OCS applications, and those other programs use an earlier or later version of Crystal Reports, installing OCS-Gateway may cause a problem with those reports or may cause problems with OCS-Gateway.
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Getting Started
Installation of OCS-Gateway
Please refer to the Standard Installation Guide provided by OCS Client Services. For more information, please call 866.641.8324 or email tech@ocsys.com
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Chapter 2
OCS-CAST
OCS-CAST (Common Application Security Tool) is the security module that controls access to all OCS products, including automatic access to online benchmarking. It is very robust, allowing very specific levels of access to individual applications, agencies and branches where appropriate. At the same time, it includes features that simplify the process for setting up multiple users.
Special Note: Before getting started in OCS-CAST, first install all OCS
applications.
To get started with any OCS application, you need to first set up users, agencies, and if applicable, branches in OCS-Gateway. To do this, the Systems Administrator or designated technical support personnel will need to go into OCS-CAST.
Launch OCS-Gateway through the shortcut created on the desktop or by going into Start|Programs|OCS|OCSGateway
Important Note: To log into OCS-Gateway initially, use the default
User ID and Password: masteradmin (password is case sensitive).
For security reasons, please be sure to change the masteradmin password from “masteradmin” to something more secure. Follow the instructions laid out in the “Change User Profile Passwords” section below. Be sure not to forget or lose this new password.
Click on the Utilities tab in the main OCS-Gateway interface. To access the Common Application Security Tool, double click OCS-CAST or highlight it and click [Go!]
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OCS-CAST
To configure the application, click [Configuration]
Interesting Note: OCS-Gateway shows the application version
number and the name of the logged in user in the bottom left­hand corner.
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Adding Agencies and Branches
Start by entering your agency information. Click [Add Agency]
OCS-CAST
Enter your six-digit Agency ID (Medicare Provider Number / OASIS M0010)
When you hit [OK] the next pop-up screen will ask to confirm your six-digit Agency ID entry:
The next pop-up screen will ask you to enter the Agency Name for that Agency ID (M0010). This name will appear on OCS desktop reports (in OCS-OASIS Reporting and OCS-EPIC).
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You may want to specify the city or state if you have multiple agencies with similar names that will be added to the list. Hit [OK]
Under Create (P)arent Branch or (N)o Branch heading, select the correct radio button P or N. This Branch ID (M0016) is assigned by CMS. This will automatically add the parent branch for you in OCS-CAST.
If you have entered users into OCS-CAST and wish to add a new Agency ID and have all users with access to this new Agency ID, select Activate New Agency If you have not added any users yet, you can choose not to select any of the options. Make your selection and click [Continue]
You will be prompted to enter and confirm the password your agency was assigned by OCS.
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OCS-CAST
Note: This is the Organization ID and Password used to log onto
your OCS-BBI Online Reports.
The Agency ID will have branches of Other and Blank. As of January 1, 2004, all agencies are required by CMS to start using branch identifiers in M0016. "Other" and "Blank" is to take care of those assessments/episodes with other (non­standard Branch IDs) or blank (that is, no an empty value) in the M0016 field.
Note: Please contact OCS Client Services if you want to update all
Other and Blank Branch ID’s (M0016’s) in your database to your current CMS assigned Branch ID’s.
If the agency has any branches, you can enter all of your branch information under the main Agency ID.
Highlight the agency provider number and select [Add Branch]
You will be prompted to enter the Branch ID (M0016) assigned by CMS.
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OCS-CAST
Special Note: The first seven digits will pre-populate for you, based
on the Agency ID (M0010) that you entered earlier. Add the last three digits of your Branch ID and click [OK]
When you hit [OK] another pop-up screen appears, asking you to enter your Branch Name.
Be specific so that when you look up the Branch ID, you will recognize who they are right away. Each of the branches will be listed under the Agency ID you specified.
If you have entered users into OCS-CAST and wish to add this new Branch ID and have all users have access to this new Branch ID, select Activate New Branch
Note: In this case, MASTERADMIN is also a user
If you have not added any users yet, you can choose not to select this option. Make your selection and click [Continue]
The newly entered Branch ID will appear under the specified Agency ID.
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OCS-CAST
Special Note: If you do not enter a Branch ID in the proper format,
you will get the following pop-up screen:
Removing Agencies and Branches
At any point, you can remove any Agency or Branches that were entered inadvertently or you no longer want to include.
To remove just a specific branch, select the branch you wish to remove, and click [Remove Branch]
To remove the Agency ID and all Branches associated with the Agency ID, select the agency you wish to remove, and click [Remove Agency]
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OCS-CAST
After clicking the button, the following pop-up screen will appear:
[Remove Agency]
confirmation screen
[Remove Branch]
confirmation screen
Click [Yes] to delete or [No] to cancel out of this function.
Set Benchmark Password
If you need to update the online benchmarking password for an agency, first select the Agency ID you wish to update and select [Set BM Password]
The Set Benchmark Password window will appear. You will notice that the password field has been cleared.
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OCS-CAST
Enter the correct or updated password here and hit [Accept] If you clicked on the Set Password button in error, click on [Cancel] and the old password will be saved.
Note: OCS assigns and manages online benchmarking passwords.
You cannot use this function to set your own password. If you need to change your OCS-BBI password, please contact OCS Client Services.
Set Descriptor
If you wish to change the way the Agency or Branch Name appears on screen, you can select the Agency or Branch ID and select [Set Descriptor]
An Edit Agency/Branch Descriptor window will appear.
It will contain the current name assigned to the selected Agency ID or Branch ID. Make any changes here and click [Accept] If you wish to exit without making any changes, click [Cancel]
Note: Modifying the descriptor for the Agency ID does not
automatically modify the descriptor for the Branch ID. You must select the Branch ID(s) separately and make appropriate modifications here.
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OCS-CAST
Database Surrogates
Database surrogates allow your System Administrator or designated technical support personnel to select the shared location of a database for all users to access. If the database is ever moved to a different location, it is only necessary to modify the surrogate path, rather than the specific database path for each user. The change to the surrogate will ‘cascade’ to all users.
OCS-CAST comes with these surrogate databases created. They are currently pointed to the local blank copy of the database in the root folder: C:\Program Files\OCS
OCS-OASIS database (ocsoasis.mdb) OCS-EPIC Norms (ocsnorms.mdb)
OCS-EPIC Project (ocsepic.mdb)
To change the location of the surrogate databases or create a new surrogate database, click [Database Surrogates]
To edit the existing database surrogate, select the database you wish to update and click [Edit]
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On the Edit Database Surrogate screen, click [Browse] to specify the location of the database.
Click [Browse] again to select the database location. Here you have to select if the database is a Microsoft Access database or a SQL Server Database. If you choose to browse to a SQL database, it will ask you for a server name and location, as well as to authenticate yourself as a user.
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Important Note: If the database is on a network drive, OCS highly
recommends that you specify the UNC (universal naming convention) path of the database vs. the mapped path. For example, instead of F:\OCS\ocsoasis.mdb it would be \\<server name>\OCS\ocsoasis.mdb
Click [Test Connection] to ensure you have selected and entered the correct information to access the database. Click [Update/Exit] to proceed.
If you were able to connect to the database successfully, click [Update/Exit]. Followed by [Save] on the Edit Database Surrogate screen.
To enter a new database surrogate, click [Add New]
Enter the name (description) of the database – this is what you will see when you select the surrogate database for each user and for each application. Descriptions must be unique and are not case sensitive.
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Here you have to select if the database is a Microsoft Access database or a SQL Server Database. If you choose to browse to a SQL database, it will ask you for a server name, location, as well as to authenticate yourself as a user.
Click [Test Connection] to ensure you have selected and entered the correct information to access the database. Then click [Update/Exit] to proceed.
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Special Note: If you assign a surrogate database to a
user and then try to delete that surrogate database, you will receive the following pop-up screen:
Click [Yes] to continue with the deletion or if you want to cancel or are unsure of whether you want to delete or not, click [No]
File/Folder Surrogates
As with Database Surrogates, you can select the File/Folder Surrogates, so at any time the Systems Administrator or designated technical support personnel decides to move the location of a file, they can move the location of files for all users in one place.
OCS-CAST comes with these files/folders created. Currently, they are pointed to the local blank copy of the database in the root folder: C:\Program Files\OCS
File:
OCS-EPIC Address Book File
Folder(s):
OCS-eCAT Bitmaps Folder OCS-EPIC Components Folder
OCS-eCAT Templates Folder OCS-EPIC Job Queue Folder
OCS-OASIS (RG) Report
OCS-EPIC Process Queue Folder
Configuration Folder
OCS-OASIS (RG) Report Setup Folder OCS-EPIC Reports Folder
OCS-OASIS (RG) Report Templates
OCS-OASIS (DE) Reports Folder
Folder
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To change the location of the surrogate file/folder or to create a new surrogate file/folder, click [File/Folder Surrogates]
To edit the existing file/folder surrogate, select the file/folder you wish to update and click [Edit]
From here, select the file/folder you wish to update, and click [Edit]
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On the Edit Folder Surrogate screen, click [Browse] to specify the updated location of the file/folder.
Once you have selected the updated location, click [OK] Click [Save/Exit] to save your updated file/folder location.
To add a new file or folder, select [Add File]
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OCS-CAST
First select the type of surrogate you are creating – File Surrogate or Folder Surrogate.
Then, enter the name (description) of the file– this is what you will see when you select the surrogate file for each user and for each application.
You will be asked to locate the file – Click [Browse] to select the file location.
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OCS-CAST
Select the file and click [Open] Select [Save/Exit] on the Create New Surrogate screen to exit.
It will appear on the list of available surrogate files/folders.
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OCS-CAST
All surrogate files and folders (and databases) will appear in pink. This is a visual indication that the surrogate file or folder was selected. We will see this when we add users in the next section.
File Surrogates with have this icon: , while the Folder Surrogate will have this
icon: .
Special Note: If you assign a surrogate file or folder to a user
and then try to delete that surrogate file or folder, you will receive the following pop-up screen:
Click [Yes] to continue with the deletion or if you want to cancel or are unsure of whether you want to delete or not, click [No]
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OCS-CAST
Admin Lockout Schedule
As the administrator, you can create a schedule to lock users out of OCS applications at specified time frames. This may be useful to perform updates, create database backups, and complete other administrative work.
To do this, click [Admin Lockout Schedule]
To lock days of the week or hours of the day, click on the gray headings that appear on the top and the left-hand side of the screen. For example, if you wish to lock all users out on Sundays, click on the Sunday heading.
Important Note: This feature prevents users from launching OCS
applications during designated hours. Users who are in any OCS
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OCS-CAST
application when the lockout period begins, however, will still have access to the applications until they exit OCS-Gateway (they will not be "kicked out" of the product).
You can select very specific times of the day as well. Just click on the cell that corresponds to the day and time you wish to lock. In the example above, the application is locked Monday – Thursday from 8 AM to 9 AM.
If users try to log into OCS-Gateway during these specified times, they will receive the following message:
You can clear all entries made by clicking on [Clear] located on the top left hand corner of the screen. Hit [Accept] to save changes prior to hitting [Exit]
Note: The Admin Lockout Schedule affects all users that do not
have access to OCS-CAST. Please give users access to OCS-CAST privileges accordingly.
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OCS-CAST
Archive Configuration
Prior to exiting the [Configuration] screen, we recommend you archive a copy of your configuration settings, in case your configuration files become corrupted or you need to revert back to an earlier setting.
To archive the configuration files, click [Archive Configuration] in the Configuration Main Menu to manually create an archive file.
It will prompt you for a location to save the archived file.
The name of the archived file will automatically be date and time stamped.
You will be asked to confirm your password. Enter your password and hit [Proceed]
The next pop-up screen will notify you that the archive process is complete.
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OCS-CAST
Set Up User Profiles – Copy User
You are ready to set up a user’s profile. In order to start adding new users to the security module, click [User Management]
From the main menu of the User Management screen, click [Create New User]
OCS-CAST has four template users created for your convenience – prefaced with AA in front of the name: AAADMINUSER, AAPOWERUSER, AAREPORTINGUSER , and AADATAENTRYUSER.
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OCS-CAST
AAADMINUSER – User will full permissions to all applications and utilities,
including managing OCS-CAST
AAPOWERUSER – User with permissions to all applications and utilities,
except OCS-CAST. This user does not have the ability to change the database path in the various modules
AAREPORTINGUSER – User only has permissions to applications with
reporting capabilities, limited access to modules
AADATAENTRYUSER – User only has permissions to applications related to
data entry or importing data, limited access to modules
Special Note: OCS recommends that most users do not have
access to change the database path. If users have permissions to change database path, administrators who change the surrogate database location for all users, will not be able to update those user accounts. Please contact OCS Client Services for more information.
Click on the first drop down box to select the type of user you want to create. For the purpose of this guide we are going to create a Power User.
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OCS-CAST
You will be prompted to enter a username that can be up to 16 alphanumeric characters. The username cannot start with a number. Click [OK]
Note: Since the username is not case-sensitive, the username will
be displayed in upper case letters.
Next, enter and confirm the user’s password.
You can either hand-type a unique password for the user OR you can click [Set password to user ID] If the user’s name is not six characters, it will add the
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numeric ‘1’ until the password is at least six characters long. For example, if the user account is Doe, it will create the password as doe111.
Select [OK] to save the username and password.
Hit [Enter] to view the user’s privileges.
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OCS-CAST
The tree view presents the logic of the security system:
Users can have access to different OCS applications Therefore the
available applications are listed under each user’s heading
Within each application, you can assign access to different privileges
Therefore Privileges are listed under each application’s heading
There can be several different levels of privileges Therefore specific
privileges are listed, when appropriate, under the Privileges heading
An agency may have several branches Therefore all branches that
have been added in the Administrative Setup module will be listed under the appropriate agency heading
A heading with hidden options under it will have a small plus sign in the box to the left of the heading. To view options under any of the headings, click on the plus sign.
Note: You can double-click on the heading as well, but doing
so will switch permissions for the item
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OCS-CAST
Each icon indicates the level of rights assigned to the user.
The heading icons will reflect rights assigned by the following three symbols:
1) Red X on heading—Access to nothing under the heading (and sub-headings)
2) No mark on the heading—Access to the product, but not necessarily the privileges
3) Solid green checkmark on sub-heading—Access to everything under the heading and sub-headings
4) Green dashed checkmark on the sub-heading—Access to some of the privileges or agencies under the heading, but not all
In order to change an assigned level of privilege, click on the appropriate listing and hit the Space Bar on your keyboard or double-click on the heading. Changing the allowed access to a product heading will not change any of the assigned privileges or agency access. Changing the access on the Privileges heading or Agency/Branch heading will change everything underneath that heading.
Special Note: You cannot alter any of the OCS-CAST permissions
set for the MasterAdmin account. This is a safety precaution feature added to avoid locking the entire system out.
Now that you have completed creating the user account you can finish the process by entering the users information on the right by providing their name and email address. Once you have filled in those boxes you may click save to complete the process.
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OCS-CAST
Changing User Profile Passwords
To change the user’s password, click on the User Profile’s name and click [Reset User Password]
The password must be at a minimum of 6 characters and a maximum of 20 characters long. If you enter more or less, you will receive the following pop-up screen.
Enter the new password in both text boxes (‘Enter New Password’ and ‘Confirm New Password’) and hit [Accept]
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You will be asked to confirm the change, hit [Yes] The password change will occur immediately.
Note: You only need to provide the old password when
changing the password for the MASTERADMIN. You do not need to enter the old password for any of the users created in OCS-CAST.
Create New User
If you wish to use the Create New User button, please contact OCS for further information.
Remove User Profiles
It is very easy to delete a user profile out of OCS-CAST.
Select the user you wish to delete and select [Remove User]
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OCS-CAST
OCS-CAST will prompt you to confirm the deletion:
Once you have selected [Yes] you cannot restore the deleted user profile.
The next pop-up screen will notify you that changes have been saved. Click [OK]
Note: Instead of deleting a user profile, you can also
‘inactivate’ the user, selecting the username and clicking [Inactive User] on the right-hand side of the screen.
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OCS-CAST
It will read ‘User Status is currently Inactive’.
You cannot delete nor inactivate the MASTERADMIN user profile.
View Reports
For auditing or troubleshooting purposes, you can generate reports of what has been entered into OCS-CAST. Click [Security Reports] on the main OCS-CAST menu.
This will take you to a menu of security reports you can run in OCS-CAST.
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OCS-CAST
First, select the type of report you wish to run, under Step 1: Select type of report.
Depending on the report type you select, your available options will appear on the right-hand pane, under Step 2
Make your selection and click [Run Report]
The report you have selected will pull up in a Crystal Report Viewer. You can either print or export/save the report from here.
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IMPORTANT NOTE!!
OCS STRONGLY RECOMMENDS THAT YOU CREATE AN ARCHIVE FILES (BACKUP) OF THE TWO FOLDERS: “OCS\OCSCAST\VALIDATE” AND “OCS\OCSCAST\OCSINI” THROUGH OCS-CAST. THESE FOLDERS CONTAIN THE OCSCNFIG.TXT, OCSPW.TXT, MANY USER.CFG FILES, AND MANY OCS.USER.INI FILES ANY TIME YOU MAKE ANY CHANGES IN OCS­CAST.
It is strongly recommended to do this every time you make any changes in OCS-CAST. If for any reason these files become corrupted, you can restore the backups.
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Chapter 3
OCS-Gateway
Launch OCS-Gateway through the shortcut created on the desktop or by going into Start|Programs|OCSGateway.
Log into the software with the username and password that has been assigned through OCS-CAST.
Note: There is an online help button right on the OCS-Gateway
application! Click on the blue question mark in the bottom right­hand corner to access OCS product specific user guides and information.
There are two tabs on the screen: Applications and Utilities. All items that you have access to will be in bold print.
Applications
The applications tab lists all products currently available in OCS-Gateway. All bolded items are OCS products you have purchased and installed at your agency.
To launch an OCS product, you can either double-click or click on the OCS product and hit [Go!] to open the OCS product.
Please ask your System Administrator or designated technical support personnel if you are unable to access OCS products you can see here.
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Utilities
All importing and database utilities are centralized and available in the Utilities tab.
When using OCS-DIT, OCS-VISIT, or OCS-BMST, you will be required to select the OCS-OASIS database that you want to use if it was not set up by your System Administrator in OCS-CAST in advance. If you have the ability to change the database path within OCS-CAST, you can change it manually within the utility. Click on [Select Database] or [Change Database], as appropriate.
Select the type of database you will be accessing, Access 97, Access 2000, Access XP, or Access 2003, SQL Server97, or SQL Server2000 from the drop-down list under the heading Host
If you are using an Access 97, Access 2000, Access XP, or Access 2003 database, the window will not change. Click [Browse] to search for and select the applicable database.
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If you are using a SQL Server database, you will be required to enter more information.
Enter the applicable Server Name, Database Name, Database User ID and Password.
With either type of database, you want to be sure that all of the information entered is correct. To do so, click [Test Connection] When your setup is
complete, click [Update/Exit]
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Note: The [Test Connection] function does not test to see if
you have selected the appropriate database. It only tests to see if you can connect to the selected database.
OCS-DIT (Data Import Tool) and OCS-VISIT (Visit Import and Statistical Information Tool)
Please refer to the User Guides for OCS-DIT and OCS-VISIT for instructions on how to import your data. If you are familiar with the import process using the stand-alone applications, the only change you will see in OCS-Gateway is how the database path is selected.
OCS-BMST (Benchmark Submission Tool)
To create a file of your data for quarterly benchmarking with OCS, select the OCS-BMST.
Enter the appropriate information about your agency and the person responsible for submitting the data to OCS. Complete the submission information. This information will be saved after creating your first submission file so you won't have to reenter it.
Click [Create File]. OCS-BMST will scan your data for bad dates, create a new database with only the required data for the benchmarking quarter, strip the patient identifying information (name, social security number, Medicare number and Medicaid number), and compress the resultant file.
The name of the file will be your agency’s Medicare Provider number (M0010) followed by the appropriate quarter (for example, 123456 2004-Q1.zip). This file
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is now ready to be sent, along with a completed copy of the OCS Benchmark Data Submittal Form, to OCS for benchmark processing.
NOTE: Even if you have converted your database to MS
Access 2000, SQL Server7.0, or SQL Server 2000, the file that is created will be an MS Access97 database.
To send your data to OCS via our HIPAA-compliant OCS-Web Uploader, please follow these directions:
1. Log on to the Internet and go to the OCS web site: www.ocsys.com
2. Click on the link: Client Login
3. Select the Client Corner/Tech Talk link in the Client Login area at the right
side of the page
Type in the User Name and Password for Tech Talk (Call OCS Client
Services if you need this information) then click the [Login] button
Click on the Client Corner/Tech Talk link (first link on the Resources
page)
4. Click the link to the OCS-Web Uploader - Data Transmission to OCS, followed by Web Upload Quarterly Data Submission
5. Click on one of the [Browse] buttons
 When the Choose File window opens, select the file you wish to
submit. Highlight it, and click [Open] or double-click on the file
 The file path and name will be displayed in the text box  If you need to send additional files, repeat the browse clicking on the
next [Browse] button
7. When you are ready to transmit, click [Upload!] The status bar on the bottom of the page will show that the file is
being transmitted
When the process is complete, you will be taken to a new page listing
the files that were uploaded (with or without errors)
When the process is complete, you will be taken to a new page telling
you how many files were successfully transferred
8. Complete the process by calling OCS Client Services at 1.866.641.TECH
(8324) to let us know that you've sent data via the OCS-Web Uploader
Several user options are set automatically in the OCS-BMST that can be changed, if necessary. You can change these options by clicking the Options button. Each of the options is explained below.
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the other file.
The default quarter
is determined by the
current date and
will change
automatically each
quarter. If you want
to change the
quarter of data that
will be extracted
from the database,
click on the down
arrow and select
another time frame
The default Source MDB is the database being used by your
OCS-OASIS software. If you want
to create a submission file from
another database, click this
button to search for and select
By default all three extract file options are selected. You can chose not to include any of the options by removing the check from the box.
Run date verifications—The Benchmarker Submission Tool checks dates (SOC date, assessment date and birth dates) to make sure that they are valid.
Compress the submission file—Uses a zip utility to make the resultant file
Display monthly estimates—Selecting this option will produce an informal report of approximately how many patient cases were included in the file for each quarter.
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OCS-DBMT (Database Management Tool)
Here is where you will find all of your tools to better manage your database.
The [Backup DB], [Restore DB], [Archive Tool] and [Repair and Compact DB] database functions are only applicable to Microsoft Access 97, 2000, XP, or 2003 databases.
KEY UTILITY
This utility allows users with Key Utility privileges to change the primary keys of an assessment in the event an error is made in these fields during data entry or importing an assessment. The primary key fields for OCS are:
Agency ID (M0010) Patient ID (M0020) Start of Care Date (M0030) Date Assessment Completed (M0090) Assessment Type (M0100)
We recommend that this utility be used by administrators or ‘power users’ only.
To access this utility, click [Key Utility] on the main OCS Database Management Tool menu.
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Press [OK] to continue.
If you have yet to select a database path, you will receive the following pop-up screen:
Click [Yes] to select the database.
Once you click on [Test Connection], followed by [Update/Exit], you will be taken to the Key Utility module.
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Type in the name or identification number of the patient whose assessment needs correction, click “Last Name” or “Patient ID” as appropriate, and click [Search] A list of all patients who have assessment data in the database and meet the criteria appears.
Note: It may take a couple of minutes for assessments to appear in
the list for agencies with large databases.
Once the list appears, you may search for a particular patient or assessment by clicking on the appropriate Sorting button (Last Name, First Name, Patient ID, Agency ID) and the list will be re-sorted for your search.
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Important Note: A patient may be listed in this table more than
once if he or she has had more than one start of care date. Be careful to select the correct start of care date associated with the assessment.
If you need to alter the Agency ID, Patient ID, or Start-of-Care date, all assessments for the patient (the series) must be updated. To do this, click on the "Edit Assessment Series" button, key in the required changes in the Agency ID, Patient ID, and/or Start-of-Care date boxes, and select [Update] A dialog box asking you to confirm the changes will appear.
Click [Yes] to change the field(s) or [No] to cancel. If you click [Yes] a final confirmation box will appear noting the changes and the edits will be reflected in the list of assessments.
Important Note: Editing a value in an “assessment series” (M0010,
M0020, or M0030) will change that value in all assessments associated with the episode of care. For example, editing the M0020—Patient ID on a discharge assessment will cause the patient ID to be updated on the SOC assessment for that episode along with any other assessments that are part of the episode.
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If you only need to alter a Date Assessment Completed or Assessment Type field, you do not need to edit the entire series and can edit a single assessment date. To do this, click on the appropriate assessment with the mouse cursor and click the "Edit Specific Assessment" button. Key in the correct date or select the correct assessment type, and select [Update]. A dialog box asking you to confirm the changes will appear.
Click [Yes] to change the field or [No] to cancel. If you click [Yes] a final confirmation box will appear noting the changes and the edits will be reflected in the list of assessments.
Some data changes that can be made in Key Utility are state key field changes. Corrections to key fields made on an assessment that has been submitted to and accepted by the state require an inactivation record and the corrected version of the assessment be submitted to the state.
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In order to facilitate that process, the software will ask about the submission status of the assessment when changing the data. If you indicate that the assessment has been submitted to and accepted by the state, an inactivation record will be created and the assessment prepared for re-export. It will be necessary to submit both the inactivation record and the corrected assessment to the state.
Changes that will trigger the key field change process:
M0100 on any assessment M0090 on Recertification and Other Follow-Up assessments M0030 on SOC assessments
Important Note: Changing M0030 on any assessment will change
the SOC date on all assessments that are part of the patient’s episode. However, since the OASIS question is only a key field on SOC assessments, that is the only assessment within the series that will have an inactivation record created or will be prepared for re­export. Likewise, it is the only assessment for the episode that must be resubmitted to the state.
To exit this utility, click [Exit]
Database Conversion
Database Conversion allows you to convert your OCS-OASIS database from
Access 97 to Access 2000, SQL Server 7.0, or SQL Server 2000 and vice versa.
To get started, click [Database Conversion]
The first step is to select your current MS Access 97 OCS-OASIS database--the database you wish to convert. Select the Access 97 option button and browse to your current OCS-OASIS database.
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Click on [Test Connection] to verify the existence of the database and path. Then select [Next]
Next, select the type of database that you wish to convert to. If you select either SQL Server options, you will need to provide more information, including the SQL server login and password in order to continue.
Enter the required information and hit [Convert]
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Once the conversion is complete, you will get a confirmation screen. Click [OK] to exit the Database Conversion Tool.
You can now use this newly converted database with all of your OCS programs.
Note: This database conversion tool only converts the tables within
your database to another format. If you have queries, forms, reports, and/or macros in the database, you will need to import that information separately.
One of the applications run through OCS-Gateway is the OCS Benchmark Business Intelligence Reporter. Please ask your System Administrator or
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designated technical support personnel if you are unable to access this application.
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Chapter 4
Benchmark Business Intelligence Reporter (OCS-BBI Reporter)
Overview
The OCS-OASIS program is designed to help home care agencies collect, analyze, and benchmark OASIS data elements. Benchmarking is an important component of outcome data analysis as it puts your individual agency outcome scores into context. For example, knowing that your improvement in ambulation rate is 79% is more meaningful when you know how that compares to internal, regional, national, or other norms. Done correctly, benchmarking helps you better understand your practices, prioritize opportunities for improvement, and learn from the experience of others.
Benefits
The benefits that your agency can realize from benchmarking include:
Identification of your strengths and weaknesses (“opportunities for improvement”)
Prioritization of your improvement activities
Demonstration of measurable results from improvement efforts
Improvement in practice patterns
Opportunity to network with peer and “best in class” agencies
Effective communication with staff, payors, board members, and the community about the value of the care you provide.
Internal versus External Benchmarking
Internal benchmarking is the comparison of practices and outcome scores within an organization. For example, internal benchmarking activities might include comparisons of ADL/IADL scores by assessment period (for example, 1st quarter versus 2nd quarter), by provider, by discipline, by patient type, or by diagnosis. Such analyses allow you to identify areas, functions, or departments within your organization that are performing most efficiently. You may want to try to normalize operations within your organization to that “best-in-class” benchmark if appropriate.
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External benchmarking is the comparison of practices and outcome scores between agencies. External benchmarking might involve comparing your ADL/IADL scores to those of agencies of similar size and operating status. You might wish to compare your outcomes to those of agencies that are in the same geographic location. Your organization may want to set certain external high performance norms revealed through this benchmarking process as internal goals. Such analyses allow you to assess your competitive position and identify the areas that require attention if your organization is to remain competent providers of care and competitive in today’s marketplace.
Both types of benchmarking are supported by OCS-OASIS. Internal benchmarking can be accomplished by running ad hoc reports at your agency and using the sorting, grouping, and constraint features to compare different areas. External benchmarking can occur after OCS has received and aggregated the data from all users and released the quarterly benchmark reports. These reports compare each of your OASIS outcome scores to regional, national, state, system and characteristic-group norms. Examples of these reports are included at the end of this chapter.
Deadlines for Submitting Quarterly Data
To be included in the comparative database, your quarterly data must be received by OCS 30 days after the close of each quarter. OCS defines quarters on a calendar-year basis as follows:
Quarter Period Data Due to OCS
First January – March April 27th Second April – June July 27th Third July – September October 27th Fourth October –December January 26
th
Accessing OCS-BBI Reporter Online
Log into OCS-Gateway, and under the Applications tab, click on OCS-BBI and select [Go!] This will take you to the OCS Benchmarking web site.
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Select your Agency ID listed in the view and click [Go!]
OCS-BBI Reporter
The Report Type selection screen will appear. All clients who have submitted data will have access to the OASIS Quarterly Reports. Joint Commission accredited agencies using OCS for ORYX submittal can access their monthly JCAHO ORYX reports online.
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Select which report you would like to run and select [Next]
If you select to run JCAHO Monthly Reports, the JCAHO Monthly Report, Definition page appears.
Click on the down arrow next to the Report Type selection box to pick which report you want to run. For definitions and detailed information on the different report and chart types, please refer to your OCS JCAHO ORYX Manual and OCS JCAHO Report Interpretation Guide (JCAHO RIG). Select your desired month for reporting, and the measure you want to review (your selected ORYX
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measures are marked with an “X,” but you can review any of the measures for which you have submitted data). Click [Run Report]
If you select to run OASIS Quarterly Reports, the OASIS Quarterly Report, Definition page appears.
Click on the down arrow on the Report Type drop-down box to select the type of report you wish to run. Then click on the down arrow on the Date Range drop-down box to select the reporting period of interest. Lastly, click on each of the down arrows on the Compare Group drop-down boxes to select the various compare group types you wish to include on your benchmark report. Click [Next]
The Criteria Selections page appears.
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Click on the down arrow on the Service Lines drop-down box if you wish to narrow the data printed on the report to a particular service line. Then click on the down arrows for each of the Compare Group drop-down boxes to identify the specific compare groups you wish to include on the report. After making your selections, click [Run Report]
The Report Page will appear.
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To review the information online, use the scroll bars on the right side of the page to move to the bottom of the page. To print the report, click on the Print button on your browser toolbar or select FILE|PRINT from the menu bar.
To create a new report, click [New Report] at the top of the page. You will be returned to the Report Selections page to design a new benchmark report.
Online Benchmarking Graphs
Graphs that represent the data in your benchmarking reports are quickly and easily available by clicking on the name of the benchmark measure on the report.
From the on-screen benchmark reports, select which measure you want to graph and click on the measure name (which serves as a link to the graph).
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The Online Graph appears.
The data for your agency is displayed in red, while the norms that you selected to display on your report are shown in blue. To return to your report and graph a different measure, simply select [Back] on your browser window.
To exit Online Benchmarking, select FILE|CLOSE from the menu bar.
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