Checklist for Enabling Outcomes-Driven Acuity

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Checklist for Enabling Outcomes-Driven Acuity

Note: Your Staff Manager configuration may not include this optional application. To add this application to your configuration, contact your Clinical Consultant or Client Advocate.

Organizations use Outcomes-Driven Acuity to calculate staffing based on patient acuity. This requires that caregivers complete a patient acuity assessment for every patient, which results in the dynamic calculation of acuity. In addition to the set up in Staff Manager Administrator and Staff Manager Client, use of Outcomes-Driven Acuity requires that you complete the following steps.

Install and fully test the Registration import interface.
Complete and test the facility, profile, and location mappings in Staff Manager.
Check that data is populating the HL7 Census page and that the census displayed is accurate.
Check that patient names display in the navigation pane for Acuity for mapped profiles and locations.

First: Database Preparation

The implementation of acuity requires that your Cerner Corporation Clinical Consultant populate the outcomes table through Interface Manager with Nursing Outcomes (NOC) or other outcomes, as determined by your organization. This file enables the Clinical Consultant to perform the following tasks.

Populate the standard outcome sets based on the patient population for each location, location and hospital service combination, or both.
Assign weights to each outcome within the set, as appropriate.

Second: Steps in Staff Manager Administrator

Enterprise Administrators automatically have read and write access to Outcomes-Driven Acuity. They must update the other security groups, however, if those groups should have access to Outcomes-Driven Acuity.

If you plan to have support staff print assessment pages for employees to use as a reference or to include in patient charts, you should create a group permission for the support staff with read access to Acuity data.

Open Staff Manager Administrator.
Select Edit Profile from the menu or double-click a profile in the Profiles dialog box. This opens the Edit Profile dialog box.
Select the Group Permissions tab.
Select a group in the left pane.
Click Set Permissions. This opens the Set Interface Permissions dialog box.
Select Acuity Data.
Select the access level.
1. Selecting None means that the selected security group will have no access to acuity data.
2. Selecting Read gives the selected security group read only access to acuity data.
3. Selecting Full gives the selected security group access to read and edit acuity data.
Click OK to save your changes and close the dialog box.

The following table describes how each setting affects security group access to acuity data.

Acuity Data Interface Permission	Patient Assessment Page	Assessment Status Page	Patient Assessment History Page	Patient Assessment Audit Page
None	No Acuity Menu Presented in Staff Manager
Read	Cannot access	Can view and print historical assessments	Can view history and view and print assessments	Cannot access
Full	Can access and create assessments	Can view, print, create, and edit assessments	Can view history and view and print assessments	Can view and create audits

Third: Steps in Staff Manager Client

Set up Global Skills. All profiles using acuity must map their profile skills to Global Skills.
1. Open Staff Manager Client.
2. From the Maintain menu, select Skill. This opens the Skill dialog box.
3. Profile skills are in the Skill Name column. Select the Global Skill cell beside the profile skill you want to map.
4. Select a skill from the Global Skill menu. The available global skills are those set up in Staff Manager Administrator.
5. Click OK to save your changes and close the dialog box.
Update Employee Settings. You need to enable permissions for those employees working with Outcomes-Driven Acuity who are in the Unassigned Users security group.
1. Open Staff Manager Client.
2. From the Maintain menu, select Employee Info. This opens the Employees dialog box.
3. Select the Permissions tab.
4. Select the access level desired.
  1. Select Read Access to Acuity Data to give the employee read only access to acuity data.
  2. Select Read & Write Access to Acuity Data to give the employee access to read and edit acuity data.
  3. Deselect both check boxes if the employee should not be able to read or edit acuity data.
5. Click OK to save your changes and close the dialog box.

The following table describes how each setting affects employee access to acuity data.

Employee Permission	Patient Assessment Page	Assessment Status Page	Patient Assessment History Page	Patient Assessment Audit Page
Read Access to Acuity Data	Cannot access	Can view and print historical assessments	Can view but cannot delete an assessment; can view and print assessments in History and in Audit Printable View	Cannot access
Read and Write Access to Acuity Data	Can access and create assessments	Can view, print, create, and edit assessments	Can view and delete an assessment; can view and print assessments in History and in Audit Printable View	Can access

Any employee responsible for entering patient acuity assessments must be in a security group with Full access to Acuity data in Staff Manager Administrator or have Read and Write Access to Acuity Data checked on the Permissions tab of the Employees dialog box in Staff Manager Client.

Any employee responsible for conducting patient assessment audits for evaluating Interrater reliability must be in a security group with Full access to Acuity data in Staff Manager Administrator or have Read and Write Access to Acuity Data checked on the Permissions tab of the Employees dialog box in Staff Manager Client.

Additional Information

In addition to permission settings in Staff Manager Administrator and Staff Manager Client, Outcomes-Driven Acuity uses security information about each employee to determine which profiles and locations that employee can select in the left pane of the Clairvia Web Acuity pages. Each employee automatically receives access to all employee home profiles and associated locations. This means that employees with concurrent jobs are able to select and view patients in each profile considered one of their home profiles. The employee also receives access to all profiles included in their Floats To Profile menu.

EXAMPLE

Employee Rebecca Hicks has read and write access permissions for acuity. Based on the information in her Floats To Profile menu, she is able to enter and edit patient assessments for patients in 5W MedSurg (her primary home profile) as well as 4W L&D, 6N MedSurg, 7E Medical and 8N Ortho/Neuro.