Category Archives: ADL News

EMR Updates for CMS New Patient Driven Payment Module (PDPM)

Announcing Major Functionality Enhancements to ADL Optimum Series EMR

ADL is enhancing its software in preparation for the Patient Driven Payment Module (PDPM). Our goal is to assist facility staff in classifying patients into the appropriate payment groups based on data driven clinical characteristics. PDPM is value based and rewards patient outcomes.

Patient Driven Payment Method (PDPM) Information

Effective October 01, 2019, each patient will be assigned a case mix classification that drives reimbursement. The primary diagnosis (Section I10020B on the MDS) will determine which of the 10 clinical categories the patient will be assigned. Once the clinical category and any comorbidities are taken into account, the patient will be categorized further based on 5 criteria: Nursing, Occupational Therapy, Physical Therapy, Speech Therapy, Non Therapy Ancillary (NTA). These 5 items are the basis of PDPM.

Prepare for PDPM Now:

Things to Review with Staff

1Ensure staff is proficient in ICD-10 coding and that all codes are accounted for appropriately.
ADL software will display appropriate Diagnosis codes throughout the EMR
2Make sure relevant staff is familiar with Section GG of the MDS, which will replace Section G
3Calculates a residents LACE score to predict the rate of readmission or death within 30 days of discharge
4Make sure comorbidities are captured upon admission
5Make sure HIV/AIDS codes are accurate for the increased rate adjustment
6Reduce burden of multiple assessments – Scheduled MDS assessments will decrease from a minimum of 5 in 100 day stay
to 1 completed at the beginning of care
7MDS I8000 Active Diagnosis – Make sure to capture accurate and detailed medical diagnosis
8PDPM scores will be accessible within various places in the EMR as reference

Compliance Requirements

1MDS new category I10020B for Primary Diagnosis will determine clinical categories
2Providers will be required to complete an IPA with an ARD by 10/07/2019 for all Medicare Part A residents
(10/01/19 is Day 1 so schedule accordingly)
3Each should discipline justify and support the level of service provided.
ADL will alert user when assessments are due and ensure that proper ICD-10 codes are used based on conditions and orders
4Re-certification tracker of all active ICD-10 codes will keep you in compliance

For more information, reference the CMS official website here.

Other ADL News

Hazardous Medications Alerts have been Added to OE & eMAR

Alerts have been added to the Order Entry and the eMAR applications

For the proposed 2018 list, the National Institute for Occupational Safety and Health (NIOSH) presents the policy for how drugs are assigned to the 3 hazardous drug classifications using a new peer reviewed 5 Category system based on evidence of the hazard:

  • Category 1—Special Handling Information
  • Category 2—Insufficient Toxicity Information Available to Meet NIOSH Definition of Hazardous Drug
  • Category 3—Available Information Shows a Toxic Effect that Does Not Meet the NIOSH Definition of a Hazardous Drug
  • Category 4—Available Toxicity Information Does Not Demonstrate or Support a Determination that the Drug Meets the NIOSH Definition of a Hazardous Drug
  • Category 5—Available Toxicity Information Demonstrates or Supports a Determination that the Drug Meets the NIOSH Definition of a Hazardous Drug
    Hazardous Medication List (February 2019)

    Other ADL News

    New Patient Bracelet Style Added

    A new styled Patient Bracelet has been added to the ADL system.

    You can now print bar-coded and color-coded bracelets. Up to 10 precautions can be printed on the bracelet as seen on the print preview screenshot below. The bracelet can be scanned to expedite capturing Medication Administrations, Vitals, Laboratory Results and other areas where patient data needs to be retrieved.


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    CMSNet VPN Client Software Upgrade 04/02/2019

    CMSNet VPN Client Software Upgrade – April 2, 2019

    Please be aware that CMS is upgrading the current Juniper VPN Client software required to access the CMSNet secure network when using QIES web applications (MDS Submissions, CASPER, EPOC and PBJ). The rollout is by facility type, with Swing Beds starting on 4/8/2019 and nursing homes on 6/30/2019.

    Starting on those dates, the upgrade process will be triggered automatically the first-time a user launches their current Juniper VPN Client and logs into CMSNet. Upon successful logon, the new Pulse Secure Desktop Client software will be downloaded, and the user prompted to start the installation process.

    Please be aware the initial installation of this new client software requires administrative level rights on the user’s Windows PC. Those staff without that level of rights should plan to have someone from their IT area available to enter their administrative credentials when prompted. Once the software installs successfully, administrative rights are not required to use it.

    For any questions or assistance, please contact the CMSNet Help Desk at 888-238-2122 or

    Other ADL News

    ADL Updates the Easy Query Reportwriter

    A major upgrade to the Easy Query has been completed and will be released in the next update.

    Easy Query is a Dynamic SQL query builder designed to help you create queries and reports. The EMR application now has an end-user-oriented query builder to run any queries they can imagine without any additional assistance. Build complex queries or filter expressions visually simply by assembling a phrase in natural language to create reports or display screens.

    • Natural language user interface for query building.
    • Distributed as 100% pure .NET assemblies.
    • Databases: MS SQL Server, Oracle, MySQL, PostgreSQL or object-relational-mapping solutions (like Entity Framework)
    • Windows .NET framework versions: 2.0 and higher

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