New for FY 2016

Comprehensive System for

Electronic

Documentation for I/DD Providers

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Document Storage Incident Investigation Resolution Tracking Employment History Case Management & Oversight Individual Based Caseloads Attendance linked to ISP Data

Real-Time Notifications Enhanced Risk Analysis Measure Health Outcomes Track Outcomes and Performances Person-Centered Data & Trends Attendance Billing Linked to Documentation Mobile Apps/GPS Location/EVV

Table of Therap Basic Support Plans & Tracking

4

T-Logs: Daily Notes & Logs

8

Individual Data

9

Health Records

12

Secure Communications

15

GER (General Event Report)

16

GER Resolution

19

Person-Centered Data & Trends

20

Time Tracking & BER

22

MAR & Certified EHR Medication Administration Records

23

Therap Clinical MU- Drummond & Assessment

25

eCHAT & Care Plan

26

Billing/Billing Plus Automated Billing Records

27

Attendance

28

Claims & Utilization Reports

29

Billing Report

30

IB Billing

31

Additional Modules Document Storage

32

Personal Finance

33

Employment History

34

Mobile Documentation

36

Contents Staff Support Training Management System

38

Staff Scheduling

39

Features & Support Support & Training

40

Therap Patents

43

Data Integrity

44

Individual Based Caseloads

45

Therap Events

46

About Therap Therap is the industry leader in providing electronic records and documentation in long-term care services for people with Intellectual or Developmental Disabilities. Therap is a web-based application suite designed to provide a comprehensive solution for the planning, documentation, reporting, communication and billing needs of organizations which supports people with intellectual and developmental disabilities in home and community-based services (HCBS), and other settings. Using secure cloud technology, the Therap system dramatically improves the quality of service within day programs, assisted living facilities, ICF/IID facilities, community support programs and state orgaizations. Daily communication and reporting between the state agencies, administrators, health care professionals, case managers, quality assurance teams and families becomes seamless. For a modest annual fee Therap system users have a mature, automated system that can be implemented by any organization, using a web-browser, and any internet enabled electronic device you might choose. We now support over 250,000 individuals across the United States and internationally. l

Hosted in multiple live sites mirrored across non-contiguous states

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24 X 7 staffed system monitoring and support

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Data integrity through audit trails, electronic signatures

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Able to interface with external systems and MMIS vendors

Therap Basic

Support Plans & Tracking Document the Plan-Building Process for Individual Based Services Determine Goals, Objectives & Assess using Scoring Methods Track Progress & Generate Reports for Review & Analysis

I

ndividual Support Plans facilitate methodical and concise individual plan-building. Provider agencies can use Therap’s service plans and goal tracking tool to plan, organize and implement services for each individual in a HIPAA compliant manner. The ISP module includes program definition and service data collection which covers a flexible way of tracking an individual’s progress in achieving their goals. ISP Reports provide detailed information about individual’s goals and outcomes.

Individual Support Plan The Individual Support Plan (ISP) provides an enhanced workflow for planning and documenting supports for an individual. The support plan application captures: yy Individual’s Personal Preferences yy Risks - for instance, at Home/Employment without Support yy Professional Services - look up contacts, add service providers yy Action Plans - link to ISP Programs, Personal Focus Worksheets yy Discussion Records yy Service Supports - add from a Service Directory The Individual Support Plan application can be used to plan, organize and implement support plans for each individual in an agency. The ISP module includes program definition, data collection and report generation features that offer flexibility in tracking an individual’s progress in achieving their goals.

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The ISP module contains details of the supports, activities, and resources required for the individual to achieve personal goals. Therap’s ISP module helps articulate decisions and agreements made during a person-centered process of planning and information gathering. The ISP module is designed to be intuitive and to reflect what’s important to and for the individual. You can add personal preferences when setting goals, and establishing networks of support. Major health risks and safety issues at home and community environments can be assessed and recorded as well. In the Therap Multi-Provider system, a Unified Search option is available for individuals who receive services from multiple Linked Provider agencies.

ISP Program Therap’s ISP Program module is designed to facilitate the development of a detailed Individual Support Plan. It consists of scoring details, tasks and teaching methods that track progress of an Individual’s specific goals and skills. The ISP Program module is used to design and document teaching programs that chart the goals or training objectives. An ISP Program for an individual can be subdivided into one or more tasks. The tasks assigned can be evaluated by using various Scoring Methods including Yes/No responses, the level of independence in completing tasks, and approaches defined by users. These scores determine successful completion of tasks and the level of progress.

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Therap Basic ISP Agenda With the ISP Agenda module you will be able to electronically develop an agenda of topics to be considered and discussed in ISP Planning meetings. ISP Agenda gives ISP Team Members an account of the previous year’s progress of an individual, providing a glimpse into factors that worked well and made sense to implement for the individual. Development of an Agenda is a crucial step in the care planning process. ISP Agenda links to the Individual Support Plan being reviewed as well as the Personal Focus Worksheet, which gathers pertinent information about the individual. Notable features include:

ISP Agenda

yy Add Individualized Agenda Topic, including ones from the Worksheet yy Record Progress Towards Outcome of Action Plans yy Display Regulatory Items including hours of Employment/ School yy Attach external documents and add notes after the ISP meeting

Personal Focus Worksheet The Personal Focus Worksheet is built around the requirements of the Individual Support Plan to gather pertinent information about an individual. It is a questionnaire about the individual where you can fill out five sections to record and share information about the current state of the individual.

Personal Focus Worksheet

Personal Focus Worksheet

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Questions

To determine goals and issues.

Current ISP 

Meeting Minutes

Decision:

ISP Agenda



Programmatic



Clinician



Issue Resolved

Individualized Items



Discussion Record



Progress Towards Outcomes



Deferred



Regulatory Items

ISP Data Collection

Comments

New Individual Support Plans New Services , New Goals,

Therap Billing See page 30

Action Plan



Action Plans

ISP Reports



Regulatory Items

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New Action Plans & Discussion Records

Individual Support Planning Once a meeting with the information from the individual’s Worksheet and ISP reports are concluded, the decisions are recorded as minutes within the approved agenda and used in creating future plans.

Linked to : ISP Programs

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Therap Basic Personal Focus Worksheet includes:

Non Grid Method

yy Factors important to the individual including personal preferences, interests and aspirations

yy Enter details of a program session.

yy Ongoing Events, Social Interaction, Living Arrangement, Employment, Spiritual, Religious, Cultural Considerations yy Reflections/Comments of others who know and care about the individual on how to improve the person’s support needs yy Ways in which the person’s quality of life can be enhanced through more independence, community involvement, and higher income capacity

yy Specify begin and end times or time duration of services that were provided during a session yy Tracks progress of the individuals and helps plan future steps

Collect ISP Data & Case Notes using Android Devices

yy Conflict between desires and objectives for the individual’s support needs

yy Service Data with Date, Duration, Scores & Comments

ISP Data

yy Electronic Visit Verification with GPS Location

ISP Data is used to collect data for the associated ISP Programs. ISP Data Collection will allow you to track progress of individuals on a regular basis. ISP Data can be collected by two methods: Grid and Non Grid.

yy Built in Camera, Voice-to-Text and Touch Signatures See more on page 36

Grid Method yy Intuitive interface for recording data yy Efficient recording of scores over a period of one month

Clinician Report Clinician reports display detailed information of days and times during which training or supervision is provided along with comments and observations.

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Therap Basic

ISP Reports Generate reports on the services provided to the individuals to track service delivery and progress towards goals. There are mainly two types of reports:

Programmatic Reports yy Shows task scores and the calculated deviation from baseline for specific periods.

yy Assists in tracking the progress of the individuals and also in planning future steps.

Clinician Report yy Displays detailed information about the days and times during which training or supervision is provided. yy Shows comments and observations recorded during the sessions.

Programmatic Report Programmatic reports display task scores that help track progress. This information can be used for billing data.

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Therap Basic

T-Logs:

Daily Notes & Logs Document Daily Logs, Notes & Follow Ups Enhance Staff-to-Staff Communication Categorize Health Notes, Behavior Notes, Contact & General Information

T

-Logs are an alternative to your logbooks and the daily notes that you share with other staff members at your agency. You may write T-Logs for specific individuals or for a particular program. These logs are automatically shared with co-workers based on their caseload of Individuals. Updates made to T-Logs can be seen from the Update History.

Types of T-Logs The T-Logs can be categorized using one or more of the preset labels – Health, Notes, Follow-up, Behavior, Contacts and General. Types of T-Logs help staff to organize the notes into the relevant categories.

to receive notifications based on these levels High/Medium/Low. You may choose to receive Notifications on your phone as a text message, on your pager, over email or through Therap’s Secure Communications (SComm) messages.

New Scanner Interface The New Scanner Interface allows you to scan multiple-paged documents. You can also rotate, delete and crop pages in preview mode before attaching them to the T-Log.

Attachments Two types of external attachments can be added to T-Logs:

Tracking T-Logs

yy External attachments from computer

T-Logs carry information that needs to be seen and known by everyone supporting an individual in an agency. Thus, Therap’s To Do list on the Dashboard helps you to keep track of the information by displaying a count of T-Logs that are yet to be read. The ‘Mark as Read and go to Next’ feature makes it easy to read through the large numbers of unread T-Logs. This will also reduce the count of T-Logs from your Dashboard, helping you to keep an exact count of T-Logs that you need to acknowledge.

yy External attachments from scanner

Notifications The notification level of T-Logs automatically defaults to Low and the agency then decides which criteria each notification level meets. Every user has the ability to configure the system

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Photos can be attached to T-Logs as well. The maximum size of a single attachment is 3 MB.

Additional Features: yy Update submitted T-Logs yy Add follow-ups to existing T-Logs yy Review read status of T-logs by users yy Send T-Log via SComm yy Download T-Logs as PDFs on your computer for printing yy Record Time In/ Time Out yy Add Staff Reporter to T-Logs yy Track actions performed by users with the Activity Tracking module

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Therap Basic

Individual Data Individual’s Background Data Emergency Family/Physician Contacts Diagnoses, Advance Directives & Dietary Guidelines Program Enrollment & Discharge Information

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he Individual Data module is used to record the basic demographic, health and emergency information for individuals. All other Therap forms that are created for them will refer to this information, making sure the care providers are well informed. Modules titled Individual Data, Emergency Data Form (EDF), Individual Home Page, and Individual Medical Information are designed for storing and viewing different information of an individual.

Individual Data Form The Individual Data (ID) form is designed to help you record and maintain essential information regarding the individuals you support. The page contains basic information such as first and last names, gender, date of birth, SSN, Medicaid number, admission date, physical features, etc. You are able to attach two photographs of the individual and add external files or attach scanned documents to this module.

reference and as an aid to decision making and planning.

Diagnoses Diagnoses and their descriptions can be entered for an individual. A lookup box helps you search and pick out the diagnosis from a pre-defined list. The system provides a comprehensive list of ICD-9/ICD-10 and DSM IV diagnoses, state based codes, and other common lists. Another lookup box helps locate who diagnosed the individual with the condition. The Axis (1/2/3/4/5) and the diagnosis dates are specified too. Diagnoses for conditions that are no longer applicable or no longer exist can be resolved and the details of when and by whom they were resolved is recorded in the system.

Guidelines

Medical Information

Guidelines and restrictions on diet, mobility, communication, supervision and other factors that affect daily living are recorded in this section. These can be written in narrative form and drop-down menus are available for the ones that have a known set of options - e.g. for mobility needs, a user can select from preset options of ‘Walks on own’, ‘Walks with assistance’, ‘Uses a cane’, ‘Uses a walker’, ‘Wheelchair’ or ‘Other’; as well as entering an optional descriptive comment.

General medical information regarding the individual is recorded in this section. This includes blood type, disabilities, adaptive equipment, emergency orders, primary care physician and other information, which are available from other modules for cross

Other information such as Insurance, Assessment Score, Team Members and Contacts are recorded on this form. Agencies can include data of their choosing by the use of Custom Fields. Data entered in Custom Fields can be included in an EDF and other custom reports.

If an agency is running programs providing specialized services, an individual’s enrollment in these programs can be tracked here. The date of enrollment, physical locations and contact information of these programs are also recorded here.

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Therap Basic Emergency Data Forms The Emergency Data Forms (EDFs) display a set of information that may be essential in case of emergencies. Data is automatically extracted from an approved Individual Data form and shown in a read only view. Users are also given notifications if emergency information has changed. On these forms, a ‘Read and Acknowledge’ count is shown to the user on their Dashboard so they can follow up. It can be printed or exported to PDF format. The EDF’s usage also extends to temporary staff who need to get an overview of the Individuals.

Emergency Contacts Contacts labeled as ‘Emergency Contact’ in an Individual Data form will show up on the Emergency Data Form (EDF) with available

details including provider agency’s contact information.

Medical Contacts The EDF displays contact information of an individual’s physician, hospital, pharmacy, and dentist, to be used for medical needs and emergencies.

Other Data The EDF shows other data entered into Individual Data including the individual’s identification data, insurance plans, medical data, behavior information and guidelines for attending to the individual’s needs. With proper authorization, you will be able to view an EDF and track whether the latest EDF has been printed.

Individual Data Form The Guidelines and Contacts sections of the IDF

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Therap Basic

Demographic Report Each agency can generate a demographic report, which is based on the information entered in the Individual Data forms. The report displays all the relevant demographic statistics by active/inactive individual, gender, age, mobility, communication modality, top 10 diagnoses and others. The report also shows counts of individuals enrolled in different programs and supervision schemes.

Export to Excel You have the option to export the Demographic Report results to an Excel file by clicking on the ‘Export to Excel’ link at the bottom of the ‘Demographic Report’ page.

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Therap Basic

Health Records Schedule & Document Appointments with Doctors, Therapists, Pathologists & Others Track Lab Tests, Immunizations & Skin Integrity/Infections Generate Detailed & Monthly Health Care Reports

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herap’s Health Tracking module allows you to efficiently track different types of health data and create detailed and monthly reports. It provides a flexible way to record and follow up on medical issues such as: � Vital Signs � Blood Glucose � Appointments � Medication History � Height/Weight � Intake/Elimination

level to be assigned to the record. This helps alert the relevant teams and/or decision makers.

Blood Glucose The Blood Glucose module makes it possible for you to record and keep track of the blood glucose level of an individual in detail, including the method of measurement and the administration of insulin. These records for an individual can be summarized into periodic reports and easily exported to Microsoft Excel to effectively analyze the trends.

Height/Weight

� Seizures

The Height/Weight module gives you a simple and intuitive interface to record the height and weight of the individuals being supported. The collected data can be viewed on a graph, table, or exported to an Excel spreadsheet, for further analysis. BMI of the individual is displayed in this module once the Height and Weight information is entered.

� Health Care Reports � Lab Test � Immunization � Infection Tracking � Menses � Respiratory Treatment � Skin/Wound

Vital Signs This form contains sections for recording an individual’s pulse, temperature, respiration, and blood pressure. The person entering the data can view a reference table where the normal ranges for each specific vital sign is displayed (mandated criteria for LTPAC EHRs). The system also detects an out of range value being entered, displays an ‘Outside Range’ message beside the entry, and necessitates a High notification

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Health Tracking modules have a Search feature that allows you to quickly reopen an old record. When you will enter the first three letters of an individual’s first or last name, the system will pull down a list of names that match to make it easier to find and select an individual. Records can also be filtered by their status (whether ‘In Prep’, or ‘Draft’ status; or Deleted) or their Notification Level (High, Medium or Low - which signify the record’s priority).

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Therap Basic Intake and Elimination The Intake/Elimination form has a highly configurable and user friendly input screen for saving multiple data entries during the day. This module makes it easier for you to efficiently track and record intake of fluids and/or solids and output of urine and/or bowel.

Seizures

Appointment Reminder The Dashboard displays the appointments for the current day and the current week to remind users of upcoming appointments for individuals.

Appointments The Appointments module enables you to enter details and track upcoming appointments for individuals. Contact Information of physicians, specialists and hospitals are available from pre-populated lists. You can specify reason for appointments and record the follow-up information such as the diagnoses, medication changes, and lab results. Follow-up appointments can also be set. A Consultation Form can be generated from Appointments that include information useful at appointments such as current medications, Medicaid & Medicare numbers and medical diagnoses.

Medication History The Medication History module is an efficient tool for you to keep record of medications given to individuals. Integrated with First Databank, a leading drug database, Medication History forms are equipped with drug lookup tools that also provide details such as what the drug looks like and side effects. These measures make sure the staff have information to avoid medication errors.

Medication History yy Instant medication look-up & search yy Drug-Allergy & Drug-Drug interactions

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Seizure Reports enable you to record and view the duration of a seizure, the date and time, and other relevant information, including what actions were taken by staff, what the precipitating factors were, a description of the event, and a comments box to capture other information.

Health Care Reports The Health Care Report can be generated for a given time/date range, with summaries from an individual’s data. These may include information extracted from Health Tracking forms, along with key information such as allergies, dietary guidelines, and the medical diagnoses. A summary of the General Events Reports created within this date range is also shown in the report. Once a report is generated, you can save the report within the system. Comments can be added to this report by any user having appropriate privileges to the individual. Options to generate detailed and monthly health care reports are available.

Lab Test Result The Lab Test Result module gives you the ability to create new lab tests, keep track of scheduled lab tests, and record results of lab tests for an individual. Therap provides an option to generate summary reports based on lab test results and tools to follow up on them.

Therap’s flexible access control and notifications system make sure that people involved in providing support to an individual are informed of the status of those individuals. Various communication mechanisms allow you to enable notifications for a specific set of actions and levels of concern (e.g. high, medium or low). You can also select the appropriate media such as email, cell phones and pager for notifications.

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Therap Basic

Graphs/Data View Graphical representation of Height/Weight measurements for convenient comparison (top) & Vital Signs (right)

Health Care Report Extracts information from different Therap modules including Individual Data Form, General Event Report, and Health Tracking forms to provide a summary over a given time range

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Therap Basic

Secure

Communications HIPAA Compliant, Secure Messaging and Sharing Email & Pager Notifications Attachment Support for External Documents & Therap Forms

S

Comm messages are similar to secure emails that facilitate the exchange of information among users in an agency, in a secure, HIPAA compliant way. SComm messages help improve communication related to services as well as the operations of the company, e.g. agency wide meeting announcements.

Providing Access

When sending messages, you get different options, including type and notification levels to categorize the messages. These options help senders and receivers to filter or search for messages. Users who have marked messages as ‘Read’ are listed in the Reader’s List of each SComm message.

SComm allows you to select multiple recipients based on recipient names, titles and program names. you can also create fixed mailing lists, called ‘Custom User Groups’. Upon request, Therap allows the exchange of SComm messages between multiple agencies who provide support to the same individuals. Communication with Therap Customer Support is possible using the SComm module. With special roles, users in Oversight Agencies can send SComm messages within that agency and to other providers linked to that agency. The provision of this role in SComm allows a user in an agency to share relevant information to oversight organizations from within Therap.

Sharing Data

Notification

You can share both general and individual specific information and attach various files and individual specific plans, forms and reports from other Therap modules through SComm messages. Sharing forms or reports from most modules, e.g. an ISP Program or a GER (incident report), with co-workers, is possible from both the SComm interface and the modules’ interface.

SComm messages can be prioritized with ‘High’, ‘Medium’ and ‘Low’ notification levels. You may choose to receive notifications for SComm messages on a phone and/or pager by configuring the notification level needed to receive notifications via your chosen media.

The forms that are shared also follow Therap’s security protocols and only the recipients with appropriate access privileges are able to open these attachments. The entire communication is processed using Therap’s secure, HIPAA compliant servers. As a result, the information that is being shared remains safe and secure.

The forms that are sent via SComm also follow Therap’s security protocols and only the recipients with appropriate access privileges are able to open the form attachments. Communication through SComm is processed using Therap’s secure, HIPAA compliant servers and information shared remains safe and secure.

Sending and Tracking Messages

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Therap Basic

Incident Reporting (GER) Instant Event Reporting Real-Time Sharing Reviews & Follow-up Tracking Alerts & Notifications Witness Reports

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he General Event Reports (GER) tool will help you record incidents comprehensively, with dropdown menus of options to choose details from as well as the ability to record witness details and accounts. Events can also be prioritized using the High, Medium and Low labels to ensure proper follow-up by support professionals.

Record Multiple Incidents in a Single Report When multiple events, for instance, an injury and the use of restraints, need to be recorded on the same incident report, it can be done with the GER module. Each event type includes the option to enter detailed information specific to the event.

Injury Detailed information regarding the cause of injury, type of injury, severity of the event, treatment details among various other options can be added. To allow more flexibility you are provided with a body diagram, a visual tool where service providers can select body parts that sustained injuries in the incident.

Medication Error Incidents caused due to a medication error can be documented here. This GER event contains fields for medication error type, error details (e.g., medication ordered and medication given), prescriber notification and reason for errors among other options.

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Restraints and Restraint Related to Behavior The GER module allows you to add information about events where physical, chemical, mechanical, and other types of restraints were administered. Summary notes on restraints may be added as well. Detailed information on restraint related to behavior, including time and date, status and summary can be recorded using GERs. This section is integrated with Therap’s Behavior Tracking module to facilitate reporting or generating clinical reports.

Recording Abuse, Neglect & Exploitation A key feature of Therap’s GER module is the ability to flag incidents for which abuse, neglect & exploitation allegations are suspected. This allows agencies to track whether such allegations involve actual physical, psychological or sexual abuse or negligence. Therap ensures automatic and real-time alerts of incidents and allegations of abuse, neglect and exploitation via Secure Communications (Therap’s internal, HIPAA compliant messaging system), email and text messages.

Approve, Review and Follow-up Counts Submitted GER forms can be tracked by support staff for approval, review, and follow-up. Therap’s ‘To Do’ section of the applications Dashboard displays a list of counts for new/unread event

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Therap Basic

Injury Information and Body Diagram

reports pending review and/or approval. This view varies depending on access privileges.

Alerts and Notifications GER’s flexible notification mechanism allows you to enable notifications for a specific set of actions (e.g. submission, reviewing or approval), and a specific level of notification (e.g. high, medium or low). You can also select the appropriate media (Email, cell-phones, pager, etc.) via which they will receive these alerts.

Comply with State Regulations GER forms enables the provider to stay in compliance with state regulations. Therap includes state specific GER forms, which have been designed according to the policy of different states. You are able to take printable version of the state specific information regarding an incident. The forms for each particular state are visible only to users in agencies of these states. The following is a list of the states where Therap offers state specific Incident Reporting

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GER Counts on Dashboard

forms: Arizona, Colorado, Connecticut, Delaware, Florida, Maine, Montana, New York, New Jersey, Washington, Maryland. Contact us to discuss what we can do to meet the requirements for incident reports in your state.

Multi-Individual Event Section Save time and effort without the need to enter similar information in multiple forms for an incident involving more than one individual with Therap’s Multi-Individual Event. Multi-Individual Event offers the chance to create a single form containing linked GERs for multiple individuals involved in the same incident.

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Therap Basic

Electronic Sticky Notes ‘T-Notes’ is a handy Therap feature for attaching digital sticky notes to GERs and other modules. These can be used to convey small pieces of information or to make notes to oneself or to others working on a particular GER.

Workflow Management

Electronic Workflow Management

Incident Submitter

Report Subm

itted

Saves or Submits

GER

Save to Worklist

Submitters Worklist

Reviewer

Submitted

Approver Approves or Returns

Return to Submitter

Viewable to State Staff

Reviews & Comments

p Re

A ort

ed rov

pp

Approved GER

Automatic Notifications (FirstPage, Scomm, Email, Text Message, Pager)

State/ County Staff Statewide Incident Reporting in: Delaware, Montana, New Mexico, Nebraska & North Dakota

GER Resolution Internal Provider Reports State Reported Incident Reports

State Specific Incident Reports for Florida, Maryland, Arizona, New Jersey & more..

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he GER module provides a robust and effective solution for documenting, reporting and tracking subsequent investigations and results regarding incidents of an Individual receiving services. The electronic workflow of the application increases efficiency by simplifying the processes of documentation, reviewing, approval and oversight. Users can submit, review, approve, follow-up, view, and delete GERs based on their assigned access privileges. Once a GER form is entered, it is automatically made available to authorized users for reviewing and approval.

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  

Management Summaries Flexible Reporting Export to Excel

This ensures that the GER can be properly reviewed by all involved parties. Relevant comments can be added to the report as needed. If a report is found to be incomplete or incorrect, it can be sent back to the submitter for further work. This ensures integrity of the information recorded on the GER form. Depending upon the actions performed, the status of the GER gets updated. This helps users (for example: Incident Management Coordinators) to track the progress of GERs. Thus all the details are well-preserved and any changes made are also recorded.

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Therap Basic GER Resolution The GER Resolution module allows you to record the final outcome of an incident separately from the initial incident report, but still linked. This means that staff may be able to view the initial report but not the final resolution. GER Resolution is a place to record the findings and recommendations of an investigation and related information. You can mark an incident as being open or closed, making it easier to keep track of those incidents where

follow up is not yet complete. The GER Resolution form has its own set of roles allowing for full control over who can view or edit the form. It works in both Oversight (State/ County /Multi-State Provider) accounts and in regular provider accounts. Oversight users with the appropriate roles are able to access the copy of the form in the Linked Account. Linked Account users cannot access the copy of the form in the Oversight account.

GER Resolution Record investigation details for ongoing and closed investigation reports on a GER.

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Therap Basic

Person-Centered Data & Trends Therap provides a concise yet comprehensive view of individual focused information. You can obtain summaries regarding an individual’s health, allergies, orders, medications and services received using this module. Background Information The first page of an Individual Home Page shows you recent feed of activity and a picture of the person.

Lists the Individual Service, Habilitation, Behavior Plans, ISP Agenda, Personal Focus Worksheet, Comprehensive Health Assessment, Care Plans, and Custom Forms.

Option for data collection for the corresponding ISP Programs.

Profile Links to the Individual Data Form, Emergency Data Form, Individual History, and Document Storage for the individual are available. This page displays additional health information including active medications, allergies, and diagnoses. Data such as height, weight, temperature, pulse, oxygen saturation, respiration, blood pressure, and blood glucose are available here. A list of programs the individual is enrolled appears on this page as well.

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List of Active Allergies of the individual.

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Therap Basic yy yy yy yy yy yy yy yy

Person-Centered Information Displays Programs enrolled in & Staff Members involved Health Information & Trends Medications, Diagnoses, Allergies, and Orders Links Service Plans, Behavior Plans, Custom Forms Links to ISP Programs for Data collection List of Staff involved with the Individual Latest Updates on Incidents and/or Shift Notes

Individual Home Page Graphs show the trends for Weight, Temperature, Blood Pressure, and Blood Glucose for the individual.

Latest Updates This area displays the information about the latest updates about the individual from the T-Log and GER modules, which includes the shift notes or daily logs and incident reports for the individual.

Upcoming Events List of upcoming Appointments and Immunizations for the individual.

Photos The module has a page where you will be able to create photo albums and upload pictures.

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Therap Basic

Time Tracking Track Behavior Changes & Activities Create Templates for Periodic Data Collection Analyze Patterns from Reports

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his module is for monitoring behavior and activity changes of an individual over a time span at regular intervals. You can create Time Tracking Templates, listing up to 10 options, outlining what to track, what observations are expected, and the length of an interval. Each observation is assigned a color which helps identify patterns of behavior from the data collected.

Informative Reports You can generate comprehensive reports containing data recorded for an entire month. The reports show the maximum, minimum, and average durations and counts for each of the observations recorded for an individual.

Behavior Tracking Track Interventions Compare the Frequencies of Different Behaviors Determine Behavior Trends Map Behaviors to Interventions

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he Behavior Event Records (BER) module of Therap Applications is used to record the details of behaviors of individuals and the intervention techniques for those behaviors. Individuals may have a behavior plan defined for them or have their BER recorded.

Interval Data You can enter interval data on the occurrence of behaviors to note the number of instances of that behavior, in a day or an hour, and accurately

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determine the frequency of an individual’s behaviors.

Reporting Feature The detailed reporting feature of the BER module allows you to generate 4 types of reports. The reports can be displayed in tabular or graphical format for daily to yearly ranges. The reporting mechanism enables analysis of individual’s behavior patterns and assesses the effectiveness of interventions within a span of time.

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MAR & Certified EHR

Medication Administration Records Track Scheduled, Administered & PRN Medications Get an Overview of the Due/ Overdue Medications. Generate Monthly Medication Administration Reports.

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ith Therap’s electronic Medication Administration Records, you get a tool with features designed to reflect the conventional kardex for administration of medications. This offers nurses and other staff a familiar interface for data entry on Therap’s MARs.

increase flexibility, we have included the ability to edit the End Date and add attachments for approved Medication History forms.

Flexible Scheduling and Efficient Administration

Therap’s Medication History and MAR modules interface with the First Data Bank - one of the world’s most comprehensive and trusted industry standard drug knowledge databases. This provides the modules with easy access to relevant drug information including identification, dosage information, precautions, side effects, and many more. This substantially lowers the risk of medication errors and leads to improved decision making.

Medications can be scheduled automatically and manually on the MAR form. You can highlight respective cells on the grid to understand when medications are due for administration to Individuals. To schedule medications, you can select from an extensive list of items and specify the dose, frequency, starting date, and time of the medication. Therap’s electronic MARs significantly reduces the amount of time required by staff members to record medication administrations as they can record meds by single clicks on the cells of a grid.

Interface with Industry Standard Drug Database

Color Coded Information Color codes are provided for due medications, newly administered medications, previously administered medications, the current day, and others. These inform you of the current state of the MAR.

Read Only Format The Medication History form, once approved, is available in read only format if data has not been recorded on the respective MAR form. To

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MAR & Certified EHR Real-Time Notifications You can choose to receive real time notifications when a MAR is locked for data entry, when information on medications have been updated, or a medication has been recorded as missed or refused from being administered.

Filters and Jumps Therap allows you to filter medications for Individuals by the medication types (e.g. PRN Medication or PRN Treatment), the program from where it was scheduled, or a time period during which a medication is to be administered. You can access the part of the screen where you want to record data through the ‘Jump to’ menu with just a single click.

Reference Data for Reducing Medication Errors You can view the following information regarding individuals on their MAR: yy Allergies: Known allergies are listed to alert users to possible complications yy Medical Contacts: List of physicians, hospitals , and other contacts with details for reference or emergencies. yy Medical Diagnosis: The current diagnosis for the individual. yy Dietary Guidelines: Guidelines regarding an individual’s diet.

yy Drug Database: Medication details are available for cross reference from an industry standard drug database, which lowers the possibility of errors.

General Features yy Medication configuration and approval on the MAR form yy Staff’s initials recorded when data entered on the MAR form yy Time-stamped archives of a Medication History and complete audit trail for reviews yy Record medication purposes and comments from prescribers yy Bulk data entry when individuals are away from the Program yy Download a variety of useful reports, exportable to Microsoft Excel, PDF for offline analysis, or printing

MAR Configuration MAR’s Configuration page effectively displays all medications for an individual for the current month. Scheduled medications are highlighted in green which make the medication administration process seamless. It grabs the attention of users and they know when they need to administer medications to individuals. Details regarding PRN and other medications are also displayed on this page which adds to the affability of the system.

MAR Configuration Page

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MAR & Certified EHR

Therap Clinical MU Therap’s EHR is certified to meet federal meaningful use standards. You can exchange healthcare data with primary health care providers. The framework of Therap application supports exceptional interoperability ensuring that state agency personnel and care coordinators can access up-to-date health care data from external providers for all individuals with electronic health records. The Therap Clinical for Meaningful Use Certificate of EHR Compliance from the Drummond Group. Therap Clinical for Meaningful Use covers the resources including: yy

Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines.

yy

Generate and transmit permissible prescriptions electronically (eRx).

yy

Record the following demographics: preferred language, sex, race, ethnicity, date of birth.

yy

Record and chart changes in the following vital signs: height/length and weight (no age limit); blood pressure (ages 3 and over); calculate and display body mass index (BMI); and plot and display growth charts for patients 0-20 years, including BMI.

yy

Use clinical decision support to improve performance on high-priority health conditions.

yy

Provide patients the ability to view online, download and transmit their health information within four business days of the information being available to the EP.

yy

Provide clinical summaries for patients for each office visit.

yy

Protect electronic health information created or maintained by the Certified EHR Technology through the implementation of appropriate technical capabilities.

yy

Incorporate clinical lab-test results into Certified EHR Technology as structured data.

yy

Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care and send these patients the reminders, per patient preference.

yy

Use clinically relevant information from Certified EHR Technology to identify patient-specific education resources and provide those resources to the patient.

yy

Capability to submit electronic data to immunization registries or immunization information systems except where prohibited, and in accordance with applicable law and practice.

yy

Use secure electronic messaging to communicate with patients on relevant health information.

yy

Record electronic notes in patient records.

yy

Imaging results consisting of the image itself and any explanation or other accompanying information are accessible through CEHRT. This Complete EHR is (2014 Edition) compliant and has been certified by an ONC‐ACB in accordance with the applicable certification criteria adopted by the Secretary of the U.S. Department of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.

Vendor name : Therap Services, Date Certified : 10/23/2014, Product Version : 2014.5, Criteria Certified : Complete EHR Ambulatory, Certification ID Number : 10232014‐1995‐8 Clinical Quality Measures Certified – 2v3; 50v2; 68v3; 75v2; 122v2; 123v2; 124v2; 130v2; 131v2; 132v2; 133v2; 138v2; 139v2; 143v2; 156v2; 167v2 Modules Tested – 170.314 (a)(1‐15); (b)(1‐5, 7); (c)(1‐3); (d)(1‐9); (e)(1‐3); (f )(1‐3); (g)(2‐4) Additional software used: Ingage Patient, Toad for Oracle (SQL client) Price Transparency: This certified product-version may require ongoing monthly or yearly costs to support online patient service (170.314.e.1). In addition, support for integration of this certified product-version with other ONC certified systems may require additional one-time costs or additional ongoing monthly or yearly fees.

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MAR & Certified EHR

eCHAT:

Comprehensive Health Assessments Record & View Health Related Information in a Single Form Maintain Checklists for Safety Issues & Risk Factors Identify & Document Health Needs Evaluate Summarized Health Assessment Records

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he Comprehensive Health Assessment Tool, also known as eCHAT, provides health and support professionals with an exhaustive list of options to conduct health evaluation of an individual. It is an intuitive, easy to understand

online assessment of an individual’s health, symptoms, and history. It calculates the overall acuity level and publishes a summary of health assessment along with recommendations for where greater care or support may be required.

Care Plan Clearly Identifies Problem, Goal and Approaches of Care Tailored Care Plan for each Individual Nurse Approved Standard Template Care Plans

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are Plan module provides platform for documentation of standard Care Plans for Individuals. It comes equipped with Standard Care Plans in Global Template Library which had been approved by a panel of experienced nurses.

required approaches. This module also allow features like:

Using this module, Care Plan can be created for each problem with clearly identified goals and

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yy

Team Meeting Discussion

yy

Track Acknowledgement of Plan

yy

Sharing Care Plan Globally

yy

Track Care Plan reviews and comments

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Billing/Billing Plus

Billing Generate Billing Units from Attendance, Service Data & Direct Input Submit 837P and 837I Claims Electronically and/or Manually Create Billing Reports for Utilization, Statistical Analysis & Accounting Uploads

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herap’s Billing solutions are designed to be effective tools for Finance Departments, Executives, Program Managers and Case Managers. These Billing modules can be used for Medicaid billing services by doctors, nurses, healthcare professionals, or anyone involved in the billing cycle of an I/DD agency, state or county. Therap provides options to generate billing from service documentation - ISP Data, attendance (per diem, hourly, monthly units) or direct input e.g. mileage tracking, employment supports, etc. Then, you can submit and track 837P and 837I claims electronically. Therap Billing support features a number of reports for claim status, attendance and utilization of service units.

Administrative Features Therap Billing support includes creation of a master record of services that contains the rendering or billing provider such as Adult Day Training, Residential Habilitation (ResHab), Supervised IRA, PREVOC, ICF, etc., service description/codes, procedure modifier, unit of measure/rate, cost center type, and claim type: professional or institutional. Funding sources or payer information such as Florida Medicaid, KMAP, eMedNY, MNITS, DMAP, etc., can be identified as electronic or manual claim status.

Personal Care and many more. yy Authorize number of units per period (daily, weekly, monthly, quarterly, half yearly, yearly) for billing. yy Automatic notifications of low balance and expiration dates. yy Methods of data collection: ISP data, attendance data and direct billing data input. yy Unit rate history tracking. For each authorized service, the funding source, authorization period, type of unit, unit rates, procedure codes, unit limits per period and authorized amounts are specified. The system provides the flexibility to set weekly and monthly maximum units. With service authorizations in place, you are ready to track billing units from billable service records, attendance logs and ISP goal tracking data.

The information stored in the administrative sections is used in the process to create both Institutional and Professional claims. Service Authorization

Service Authorization yy Record services provided such as Day/ Residential Habilitation, In-Home Supports,

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Billing/Billing Plus Attendance The Attendance module allows comprehensive recording of attendance data for individuals receiving services with options to track time in/ out and use flags to mark present/absent. It allows updating, approving and generating billing for the recorded attendance data from the same page. You can record and update attendance data for multiple individuals for multiple services using the attendance grid, and even view details of an attendance type. yy Time calculation of units for billing data yy Per diem, hourly, monthly units yy Track billable/non-billable units (present,

absent, hospital, training days) yy Rounding algorithms: half up, none, round up, round down yy Multiple time in/time out entries per day yy Robust search mechanism You can search for attendance data with automated filtering mechanism and generate automated attendance reports including attendance record report, attendance statistics report, and attendance summary. Authorized users will be able to view printable version of attendance data to use for official purposes.

Attendance yy Record, update, and approve Attendance to generate billing data yy Use attendance data to generate statistics and other reports

ISP Data as Supporting Document Therap now provides a flexible link to ensure that when attendance data is collected, there is also the appropriate amount of supporting documentation being done using ISP Data (see page 6). When setting up (or updating) attendance you can define whether to look for any ISP Data, ISP Data at a particular location, or a specific

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ISP program. Then for each attendance option you can define how many ISP Data entries are required to make a billable session. Upon Approval and prior to the generation of Billing Data, any entry that does not have enough supporting ISP Data with be marked with a red box and a warning given that there is insufficient supporting documentation.

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Billing/Billing Plus

Enable ISP Data as Supporting Document option on the Attendance type

Add the Attendance Type and the ISP Program to be used as supporting document on the Service form

On the Attendance Grid, an entry with insufficient supporting documentation will be indicated by a red box

Claims & Utilization Reports With Therap’s electronic billing, agencies can create Professional and Institutional claims in ANSI X12 837 format, and submit claims electronically to state Medicaid, ensuring compliance with HIPAA 5010 Electronic Billing Standard. Claims, generated in a printable PDF format, can be submitted manually to private payers. For submitted claims, Therap automatically updates status with information received from Medicaid and from uploaded X12 835 remittance reports. yy Submit claims on daily, weekly, semi-monthly, and monthly cycles, with bundled or individual claims for each service line. yy C reate recurring claim templates with billing, rendering provider, service code and prior authorization numbers. yy S end void and replacement claims with associated TCN/ICN numbers. yy Resubmit denied or rejected claims. yy T rack unclaimed billing data that result from administrative errors.

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yy S ystem reader produces RA, claim status, EOB- adjustments. yy M edicaid data requirements validation: name, DOB, Medicaid number, gender and address. yy G enerate reconciliation reports to view paid amount, payer name, check number, etc. yy T rack service units utilized and remaining over a period of time, and view remaining days, expiration status and unit costs with the utilization report.

Therap has Trading Partner Agreements with MMIS vendors, ACS/Xerox, EDS/HP & CSC for Medicaid claim submission in several states. Therap acts as a billing agent for providers throughout the US for Professional and Institutional claims.

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Billing/Billing Plus Billing Summary Report Enables ad-hoc reporting by selecting output columns from a range of options including service provider’s name, agency name, contact number, begin and end date, billable/non-billable units, unit rate, funding source, authorization number, service description/code, and claim ID.

Utilization Report Tracks service units utilized and remaining over a period of time. It can further chart percentages of total utilization and remaining service units, and provide a view into remaining days, expiration status, and unit costs. This report can be generated monthly or annually.

Denied Claim Report Displays claim ID, queue date, and total amount for the list of denied 837 Professional and Institutional claims.

Reconciliation Report

Claims & Utilization Report

Billing Reports With Billing module reports, you can chart percentage utilization from total units of service, view TCN/ICN numbers, billing provider, total amount paid, and an overall summary. Billing reports can be used for A/R revenue report and cash management statements.

Generate reconciliation information with 42 elements including program cost center number, site cost center number, description / code, account number, funding source, funding source vendor ID and so on. Reconciliation Reports also indicate total amount to be paid for a particular payer.

Attendance Summary View summarized information on Individual’s attendance and customize columns according to your preference for attendance type, attendance data form ID, and billable time slot among other fields.

Utilization Report Track service units utilized over a given period of time.

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Billing/Billing Plus

Integrated Billing Automatic Billing setup when acknowledging Service Authorization Generating Billable Units using Attendance and Direct Input to Record Service Utilization Automatic Submission of Billable Claims to State Payer Integrated Individual Budgeting and Electronic Billing Therap’s Integrated Billing solution, currently live statewide in Nebraska, brings together the Individual Budgeting modules and Therap direct electronic Medicaid billing to make authorizing, documenting, and billing for services quicker and simpler than it has ever been. Service Coordinators work with the individual to build a budget that contains a range of services which can be across multiple providers with

options for processing exemption funding. Upon the approval of the budget, service authorizations are automatically sent to the appropriate providers preconfigured with the appropriate business rules and attendance configuration. The provider only has to click to accept. Upon final approval of attendance data claims are automatically sent from the provider for approval by the service coordinator. Upon their approval they are sent to the MMIS for payment. Just a few clicks and no paper required!

State- Oversight Account ICAP

Provider Accounts

Review & Approval Send to Provider(s)

Create Budget

IBA

IB Service Authorization & Allocation (Provider Specific)

Individual Budget with all Service Authorizations & Allocations

Acknowledge & Update Billing Details

Submitted Claims & Paid Claims

Service Authorization with Billing details Service Authorization Configure for Data Service Collection

Claim Status

Attendance/Billing Data

MMIS

External System Process

Internal System Process

MMIS Translator State Systems

Create Claims

Submit Claims X12- 837

Claims Claim Status X12- 837

• Denial Report • Aging Report • Utilization Report • Reconciliation Report

Integrated Billing Workflow

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Additional Modules

Document Storage External Documents Collected Together in HIPAA Compliant Way Customization of Document Types Update Stored Documents Quick Reference to Document Validity

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he Document Storage module has been designed to enable you to store external documents of individuals and view those documents from one convenient place. Different types of external documents including admission/discharge orders, authorizations, consultant reports, lab result, progress notes, and referral documents can be stored for individuals. The types of documents to be stored can be customized by administrators at provider level to suit agency requirements.

Store Agency Specific Documents The Document Storage module allows you to store agency specific documents. Users with the

appropriate administrative access privileges will be able to add and search for agency specific documents stored in the Documet Storage module. Details such as Type, Received Date, and Description can be recorded in these documents. Additional details such as Validity Range and Comments can be added while storing agency wide documents or storing a document for an Individual.

Additional Storage Space Document Storage module allows you to upload files up to 10 MB in size. The total storage limit per individual varies from provider to provider according to the storage capacity requested by Provider Administrators. Additional space can be added to Document Storage module.

Provider Administrators of Agencies may contact the Sales at Therap to add the Document Storage Module.

Contact us today to enable Document Storage for your agency!

Therap Training Academy Self Paced, On Demand Training Courses Create your Training Academy account and start learning today! See page 42

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Additional Modules

Personal Finance Define Different Types of Finance Accounts Record Details of Deposits & Expenses Generate Reports of an Individual’s Transactions

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he Personal Finance module posts live account balances for each individual’s assets, Funeral Trusts, Saving Accounts, Consolidated Fund Accounts, Cash on Hand, all expenses and incomes (Social Security, Room and board, Wages etc) in real time. You can record various information including transaction category, date, amount, check, and receipt numbers. You can also attach scanned or electronic copies of transaction receipts for each transaction. Individuals, case managers, family members, guardian and program staff, and auditors can view all of these transactions.

It can provide consolidated master reports on assets, post scanned documents of receipts, and generate expense reports re-determinations for Medicaid. For each individual, you can generate a report that includes all of their accounts or just the ones they select. The report can be generated for particular types of transactions as well, such as expenses on food and entertainment, or cash deposits or deposits from work, etc. These reports show periodic trends. Sorting the report by institutions and merchant allows more flexibility in how the reports are generated.

Mary Active Personal Finance Account 1 Regular Expenditures

Personal Finance Account 2 Main Account

Expense Food

Income Part-time work

Expense Movie

Major expense Clothes

Walk in the park, expense - Soda

Transfer to second account

Personal Finance Transaction Report Comprehensive report that can show all the transactions and their types, for the accounts separately or both accounts at once

Personal Finance Transaction

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Add-On Applications

Employment History Therap’s new Employment History module allows providers to document employment services and supports in real time from any device as services are provided in the community, at the worksite or at a program setting. The Employment History module enables providers to track information essential for the individual’s employment. Users with administrative privileges will be able to create new templates that include employers, contact persons, and jobs for individuals. This module has an integrated search engine which can be used to search jobs and employers. Using this search engine, suitable jobs can be located depending on the needs of an individual. Training/Coaching Training and coaching information of an individual can be recorded here. You will be able to select skills developed from a given list. Total contact hours along with the start date and end date of the training/ coaching program can be recorded in this form.

Application and Interview The application and interview information such as application submission date, interview date, type of interview, employer name etc. can be entered in this section of the module. To allow more flexibility, there is a section for entering detailed description of the application and interview on this form.

Employment Record Details of an individual’s previous and current job information is recorded under this section of the module. Job details such as the position title, contact person, benefits, work schedule, job type, etc. can be stored under the Employment Record section.

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Add-On Applications How to enable this module for your agency? For existing Therap users, an administrator at the agency will need to make a request to Therap’s Regional Sales Representative to purchase the module for their agency. Contact a Regional Sales Representative at 203-596-7553 ext. 4.

Employment Referral Employment Referral allows you to record referral information about an individual’s Employment History. You will be able to record source of referral, referral type, referral date, and other information related to an Employment Referral in this section. External documents can also be attached here.

Assessment The Assessment score and date can be recorded in this section of the module, along with the type of assessment, from a pre-populated drop down list. Additional comments and external attachments can be added to the assessment form.

Employment Milestone The Employment Milestone feature of this module allows you to create Milestones for an individual’s career. Different types of milestones such as job discovery, annual meeting, completion of trainings etc. can be recorded under Employment Milestone. Users will also be able to document milestone types, start date and due date of milestones in the Employment Milestone form.

Career Development Plan This feature helps to plan and keep track of the career development of an individual. You will be able to enter effective date and document the summary of the career development plan in this form.

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ISP Data

Use Therap’s mobile app to remotely collect service data along with the ability to verify visits using GPS location.

Remotely Collect Service Data Verify Visits Using GPS Location Collect Signatures to Verify Service Delivery Take Photographs as Part of Documentation View Service Data from Anywhere

ISP data feature of the Therap Android App enables you to select an individual, navigate to the Program for which support is being provided, and record date, duration of contact, task scores and location. If the service provided is billable, it is possible to specify that on this interface and add comments as well. Therap Android app comes with a built-in camera feature for the ISP data module that gives you the option to take pictures of individuals as part of documentation. The GPS feature enables Electronic Visit Verification. This means that health professionals can document on site and stay updated even if they are away from their workstation or providing community-based support. During home visits, staff members can record service data using the ISP Data module. Users can add signatures with their finger tips or stylus pens while they remotely collect data. Program Managers can view service data from their phones for proof of service delivery. As data is saved on Therap servers, it enables billing calculations for Medicaid reimbursement requirements or generating Programmatic or Clinician reports. Information such as IP address of the device and/or GPS Location help establish an audit trail. 36

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MAR

Therap’s MAR module lets you track medication and treatment for an individual from Android devices.

Administer and Record Scheduled & PRN Medications View Allergies, Diagnoses, and Images of Medication Access Shared Medical Contacts Reference Data for Reduced Medication Errors

The mobile MAR app enables quick entry of records in community settings and other locations. Standard information including administration time, drug details, name and title of service provider are either auto populated or entered with a few screen taps. Record type such as omission, refusal, or administration of PRN can be indicated and comments can be added for further details. The app tracks an audit trail including the time/date stamp and IP address and uploads this information to the Therap system. The MAR module is integrated with industry-standard drug database, First Databank (FDB), which provides drug knowledge that helps healthcare professionals make precise medication-related decisions. The app displays detailed pertinent information about medications including images and allergies. You can view diagnoses and access shared contacts for health professionals who are involved in providing care and support to an individual.

Password Reset With the Therap for Android app, agency administrators can reset passwords of staff members from their mobile devices.

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Staff Support

Training Management System Setup & Schedule Training Sessions for Staff Record Staff Certification and Attach Certificates to Publish Results Conduct Training Sessions, View & Publish Results

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he Training Management System helps track staff members’ training histories and allows real-time scheduling of sessions through the system. Authorized users can track detailed information about agency wide staff training and certifications as well as records of staff credentials at the agency. This module enables monitoring and management of training classes, courses and curricula based on state requirements and agency policies and procedures. Users can manage class notes and deleted records as well.

Schedule Training Sessions Training sessions can be scheduled and instructors can be assigned to them. When you sign up for classes, the ‘Classes’ section of the Dashboard contains notifications of classes that are due. You can also view results and check status of training classes.

Manage Instructors, Supervisors TMS module enables you to add and create a list of training instructors, and generate reports on classes and sessions. The module allows management and assignment of supervisors to trainees.

Conduct Training Sessions and Publish Results Training instructors can upload session notes, publish results and attach certificates when publishing results for their assigned training sessions. Instructors can also track status of sessions- passed/failed/present/absent.

Training Profile This provides an overview of trainees training information for the training sessions in Therap. Assignments to classes, courses, curricula, upcoming training sessions to attend, information related to certification, certificates attached and staff under supervision can be viewed from here.

Other features include: yy Self enrollment for training by staff yy Automated scheduling, assignments of trainings yy Tracking of initial certifications, training requirements and staff enrollments yy Reminders of overdue trainings or certifications yy Generate reports to track training information

Results with Certificates

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Staff Support

Staff Scheduling Define Weekly Work Schedules Track Corresponding Work Hours According to the Schedule Determine Overtime & Unpaid on a Weekly Basis

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he Staff Scheduling module enables efficient tracking of work hours that are paid and unpaid for the staff within your agency. You may define weekly schedules with one or more time slots and use them to track unpaid working hours and overtime for the staff members assigned to each time slot. These weekly schedules can be shared across different programs within the agency. The Staff Scheduling module allows you to set up schedules for various types of support professionals ranging from a staff member in a residential program whose work pattern is fairly similar every week to a specialist working across multiple programs whose schedule varies widely from one week to the next. Staff members in a program can view their own schedules as well as their co-workers’ on their calendars. The module allows users to see their schedule across programs as well.

Schedule. The Master Program Schedule creates one or more default schedules that can be used as templates to easily create Weekly Program Schedules. Weekly Program Schedules are created in the Staff Scheduling module to effectively manage work hours of employees by setting up weekly schedules. Providers can define default schedules and then use these as templates to easily set up the actual weekly or monthly schedules for staff members.

Schedule Templates Templates may be created for weekly schedules that remain unchanged over one or two weeks. If the weekly schedules vary widely on a weekly basis, the system provides flexibility to include these variations in weekly schedules as per agency requirements.

Master/Weekly Schedules For ease of use the module is divided into Master Program Schedule and Weekly Program

Therap Calendar Organize schedules, appointments, daily notes and upcoming events

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Therap Calendar Therap Calendar enables staff to view their own schedules from their accounts. It further facilitates better planning and management of different events in a program. The calendar allows you to track and view appointment schedules, save day notes, mark dates for special staffing needs and other daily events. The calendar displays monthly, weekly and daily views of the calendar entries. This feature supports exporting to PDF for you to print calendar pages.

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Features & Support

Support & Training Extensive Documentation & User Guides Interactive Training Materials Multiple Channels for Customer Feedback

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herap provides agencies with various necessary training, support and information resources, from the very first stages of implementation to day-to-day usage. These include a broad array of training options, support materials and technical assistance, designed to cater to varying learning scenarios and user needs. Therap staff regularly visit agencies and state offices across the country to provide necessary training and to form a better understanding of users’ needs. In general, Therap provides training and support at four different levels

of operations staff: yy Provider Administrators yy Senior and Clinical Staff yy Frontline Managers yy Direct Support Professionals

Training Materials and Support Resources Therap offers a wide array of multimedia resources and support materials that can be accessed through Therap’s online ‘Help & Support’ website.

Support Materials

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Features & Support FAQs The FAQs are designed for Therap users to locate answers to their commonly asked questions. You can look these up for quick references and specific answers.

Blogs Blogs are an ideal place to know more about Therap, its people, recent events and developments taking place and learn about how to get the most out of Therap applications from Therap’s support and sales staff as well as Certified Trainers (expert users).

State pages

Training and Implementation specialists will respond to your issue within 24 hours You are provided assistance in troubleshooting difficulties and are communicated with regarding issues including PHI information securely via Therap’s issue tracking mechanism.

Live Help You can chat securely with our support staff and get immediate answers to their questions. In the event that ‘Live Help’ is offline, the questions left by users are instantly forwarded to the Training & Implementation team and are responded to as soon as possible.

You can learn about state specific Therap applications and features, conferences, events, information sessions and information pertaining to their agencies by visiting Therap’s State Support pages.

User Guides These guides contain step by step instructions with graphical representations on how to use different Therap application features, administrative options and management tools. Our support site also contains other helpful training resources including Quick Guides, Automated Trainings and Webinars by users, trainers and developers.

Live Chat with Support Agents

Feedback from Customers Therap users are always encouraged to contact us with questions and suggestions regarding the system. You may get in touch with us using any of the means listed which are accessible from every page inside Therap applications:

Application Feedback In the event an issue is encountered while using the system or users have a suggestion or opinion about a certain module, they can use the ‘Feedback’ link to send a message to Therap’s Training and Implementation team.

Therap Ideas An exciting place for you to share ideas, request features and follow what others are suggesting. For ideas posted on the site, you have the option to rate them according to their preference.

My Issues You can submit your questions, suggestions and problems within the application via ‘My Issues’ located on your Dashboard. Therap’s

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Automated Training Videos Automated training is a series of animated and interactive training videos, where Therap’s own virtual trainer takes you to Therap’s virtual classroom to learn about different Therap modules. You are taken from screen to screen showing how to enter data into different Therap forms, search for stored information and view reports. These sessions use images and cartoons to make learning more fun and effective for training and self evaluation. These videos are useful for users to go through on their own, or in a classroom setting guided by an actual trainer. Therap’s Automated training videos convey information about Therap and its different modules with visuals demonstrating users where and how to put information. Yo are provided with tips that help them in documentation. These videos are upgraded with new features and enhancements introduced with each release in the system.

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Features & Support

Therap Training Academy On Demand Training from Therap Instructors Quizzes to Test Competency and Retention Earn Certificates upon Completion Courses on How to Master the Modules you Already Use

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herap Training Academy is a new addition to Therap’s Help and Support Training Materials. The Therap Training Academy offers courses for a variety of users such as nurses, direct support professionals, managers, auditors, family and guardians, and more. These selfpaced training courses are an excellent educational tool for new and seasoned users alike. The courses includes review quizzes, handouts and a certificate upon training completion. The Training Academy will help trainers teach the system to all staff in your agency, while selfdirected for the user who’d like to further his/her skills and competency within Therap. Learn the how to’s for each module, taught by our support team. Some of the Training Academy Courses are:

Training Manager Account Do you want to invite staff to training courses and track their progress? Users with Training Manager Accounts for their agency will be able to invite staff to courses and manage their progress in the Training Academy. To obtain a training manager account you’ll need a provider administrator at your agency to send a request via email to: [email protected].

yy T-Logs yy General Event Reports yy Therap Introduction for New Users yy Secure Communications yy Health Tracking yy ISP Data yy Recording Data in the MAR yy Medication Administration Records yy Individual Data Form Overview yy ISP Programs & Templates yy Behavior Tracking

Therap Training Academy Courses

yy ISP Data Reports yy Medication Histories

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www.TherapServices.net

(203) 596-7553

Features & Support

Justin M. Brockie Chief Operating Officer

Therap has always been at the forefront of bringing the benefits of internet based communication to the intellectual and developmental disability community. Our patents serve as a confirmation of our commitment and innovation to this field for the past ten years. Therap is bringing the benefits of secure transparency to individuals and their families supported by states, counties, and providers across the country.

U.S. Patent #8,528,056

Issued October 2, 2012

Managing Secure Sharing of Private Information Across Security Domains

U.S. Patent #8,281,370

Issued September 3, 2013

Managing Secure Sharing of Private Information Across Security Domains Through the Internet, Mobile Devices, and Wireless Networks

U.S. Patent #8,613,054

Issued December 17, 2013

Managing Secure Sharing of Private Information Across Security Domains Using an Access Profile

U.S. Patent #8,615,790

Issued December 24, 2013

Managing Secure Sharing of Private Information Across Security Domains Using Multiple Caseloads

U.S. Patent # 8739253

Issued May 27, 2014

Managing Secure Sharing of Private Information Pertaining to Abuse or Neglect Across Security Domains

U.S. Patent # 8819785

Issued August 26, 2014

Managing Secure Sharing of Private Medication Information Across Security Domains www.TherapServices.net

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Features & Support

Data Integrity Time-Stamped Documents With Electronic Signatures Records of Activities on Documents & Reports Multi-Level Access Control & Data Security

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herap’s prime goal is to ensure data integrity and security. Therap is implemented on state-ofthe-art infrastructure ensuring regular backups at geographically non-contiguous locations so you can avail a system that stores and protects data in a transparent and reliable manner. Therap improves the communication within an agency so that support staff are aware of the overall progress and medical status of an individual. Along with the ability to share information, comes the responsibility of ensuring that only the right people can access the data by setting appropriate privileges. Data exchange between an end user’s browser and Therap is carried over encrypted channels.

Information on Forms Forms in Therap show when data was entered by which user. The Entered By and Approved By fields are instances showing how records of different activities are kept.

Electronic Signatures Therap forms carry electronic signatures of the users working on the form including electronic time and date stamps. Thus any entry of data can be easily traced back to the originator. Agencies may also display their policy agreement to users right after logging into Therap to make sure they understand the implications of online documentation.

Multi-Level Access Control The access privileges of user accounts are set and managed by a separate class of users within the agency with administrative privileges. Administrators are able to set the privileges for the rest of the staff depending on the services they provide, and individuals for whom they are responsible. Therap’s multi-level access control mechanism will allow users to define the level of access they will have on a particular record and the actions they will be able to perform.

Audit Trails Therap has developed its Activity Tracking module to keep records of operations performed by users inside the system. This module shows who has been using the system, when they were using it and for what purpose. These are helpful for audits and for monitoring actions performed by staffs.

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Activity Tracking Date/Time Stamps, Electronic Signatures & IP Address to meet HIPAA and Audit Requirements.

www.TherapServices.net

(203) 596-7553

Features & Support

Individual Based Caseloads Easy to Understand Much More Flexibility Makes the System More Efficient and Scalable

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he Individual Based Caseloads give you access to an individual across all of the programs that the individual is enrolled in. This way you can have access to Individuals irrespective of the program that they are in. This provides a person centered approach to services and supports that individual receive.

Demo Site

Group Caseload The functionality to create Group Caseloads enables users to include two or more Caseloads in a group. This provides an independent Caseload that includes individuals from multiple Caseloads. Group Caseloads cannot be added to other.

Manage Privilege The figure below illustrates : yy A user has access to the caseload named ‘Site A’ which consists of two individuals named Ella Baker and Mary Active.

Ella Baker Emma Jones Mary Active A caseload which consists of one or more individuals is called an Individual Based Caseloads. An Individual Based Caseload named ‘Demo Site’ may only contain three individuals Ella Baker, Emma Jones and Mary Active. A user with that Caseload assigned can see the information about these individuals if that user has the appropriate role assigned to them.

yy Another caseload ‘Site B’ consists of two individuals named Emma Jones and John Smith. The same user has access to those individuals also. yy In that case a new caseload will be created which is called the Group Caseload. Group Caseload will consist of three individuals Ella Baker, Emma Jones, Mary Active and that particular user may access this Group caseload.

Group Caseload

Site A

Site B

Demo Site

Ella Baker Mary Active

Emma Jones John Smith

Ella Baker Emma Jones Mary Active

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Features & Support

Therap Events Informative Sessions Directed to Assist Current & Potential Users Knowledge Sharing Platform for Management & Support Professionals Web Presentations & Live Training

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herap places high importance on continuous communication with users to better understand the needs of the I/DD community. Therap organizes multiple events as channels where users can get together and share their knowledge including Regional and National Conferences, Information Sessions, and User Group Meetings.

Regional Conferences Regional Conferences are 2-day events that take place in order to provide training to users and to discuss agency policies and implementation of Therap applications. Separate training sessions are designed for users with varying levels of expertise. Therap holds over 20 regional conferences in a year across the United States. These conferences allow agencies to discuss regional issues, state or county regulations, and other issues for staff training, electronic billing, and audits.

User Group Meetings A user group is a meeting of Therap users in the same state to troubleshoot, network, discuss state-wide issues and get information on the latest Therap releases. Attendees may also ask questions and get help on any topic regarding the usage of Therap at their agency from the attending Therap team members and other users.

Information Sessions Introduction to Therap yy Incident Reports

yy Daily Notes & Logs

yy Health Records

Interactive Discussions

Information Sessions Therap Sales team, often collaborate with existing Therap users to host information sessions. These sessions are designed to serve as a direct source of information about Therap Services and its suite of applications for interested

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agencies. The presentation includes a firsthand look into how the application works from entering documentation to getting necessary reports for surveys and audits.

yy Implementation

yy Compliance

yy Open Sessions

Hands on Training yy How-to Sessions

www.TherapServices.net

yy Administration & Access Controls

(203) 596-7553

Features & Support Greater Portland January 26–28

National Conference 2016

Iowa

September 30-October 1

Montana June 9-10

North Dakota June 2-3

Washington

New York

August 26-27

September 15-16

Connecticut

September 29-30

Minnesota

April 28-29

Multi-State Provider Conference

August 18-19

New Jersey

October 6-7

California

Maryland

May 5-6 October 7-8

May 27-28

Nebraska

Virginia

June 24-25

October 27-28

North Carolina

New Mexico

May 5-6

May 27-28

South Carolina

Colorado

May 12-13

August 4-5

Texas

Missouri

October 14-15

Alabama

May 13-14

Conferences across USA Therap holds over 20 conferences annually across the USA. Location, date and times may vary.

Florida

September 1-2

July 21-22

Illinois

April 28-29

Annual National Conference

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herap National Conference is the biggest Therap event that takes place for 3 consecutive days with prospective Therap users and industry experts. Sessions are led by Therap staff, Therap Certified Trainers and Therap users. These sessions focus on Therap applications, implementation and policies.

How-To Sessions

January 26-28 National Conference Greater Portland, Pacific Northwest 2016 User Presentations

These sessions are held to resolve issues of different states and find out more about their requirements that should be part of Therap.

Therap invites you to share your knowledge and experiences at the National Conference. Therap encourages these presentations to highlight suggestions, best practices and to provide a forum to discuss and share knowledge. Many user presentations focus on the written documents necessary to offer concise guidelines while giving further knowledge about different modules to Therap end users at varying levels of skills and expertise. Other user presentations center on topics of accountability, Therap IT infrastructure, tips & tricks, and live demonstrations of how to use certain modules.

Discussions and Brainstorming

Conference Highlights

Therap encourages dialogue in these sessions that find solutions to training materials for advanced users, working with surveyors, issues of disaster prepar­edness policies and ideas, and so on. Therap’s technical team and support and implementation specialists are often present during these conversations.

yy yy yy yy yy yy yy

These sessions are held simultaneously for the beginner, intermediate and advanced level of user on different Therap modules to enhance daily documentation (Daily logs, Service Data, Staff Schedules) and secure communications.

State Specific Issues and Regulations

Visit Our Website for Upcoming Events:

www.TherapServices.net

Networking Reception for all Attendees Reception for Therap Certified Trainers Training for Beginner and Advanced Users New Modules and Mobile Apps Brainstorming about Future Development User Group Meetings Sessions on Health Tracking, MAR, eBilling

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for I/DD Providers

Documentation

Electronic

Goal Tracking Support Plans Incident Reports Risk Plans Personal Finance

Individual Support Electronic Claim Submission Track all Service Types and Codes Utilization/ Reconciliation Reports

Billing Support

And More

Medication Administration Record with Drug Database Health Tracking Applications Health Care Reports

Electronic Health Records

Therap Services 562 Watertown Avenue, Waterbury, CT 06708-2240

www.TherapServices.net

(203) 596-7553

Call us to speak to one of our Sales Representatives, or visit our Website to Request a Demo Account!

Therap Training Academy Staff Scheduling Track Training Notifications

Staff Support