This article pertains to:

Status
colour Purple title Impact

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Once you (the clinical user) have enrolled a participant into a remote management program, and the participant has completed enrollment into the program, data flow for that participant will initiate, and you will begin to receive PGHD into the Impact Clinician Dashboard.

You will also receive any associated alerts or notifications for the participant, if enabled.

The Clinician Dashboard has four is organized in two primary areas:

1. Programs and View Window

   1. View Window

   2. Program Dropdown

      1. Switch Between Programs

      2. Enroll in New Program

   3. Additional Program Information

      1. Resend Enrollment Email

      2. Change Reviewing Provider

      3. Unenroll from Program

   4. Additional Statistics

2. Program Summary

3. Program Readings (Participant Data)

   1. Logbook

   2. Graphs

   3. Time Series

   4. Time of Day

4. Program Configuration

   1. Goals

   2. Notifications

1. Programs and View Window

Participant programs and the view window is shown in the header area of the dashboard. You can view the participant’s name and the programs that they are enrolled in (shown as a program dropdown menu).

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1. Participant information section - this section contains information specific to the participant independent of the program.

2. Program information section - this section contains program specific information. If the participant is in enrolled in multiple programs, those programs can be navigated by using the program tabs.

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1. Participant Section (upper section)

This section contains top level information for the participant - this includes the patient’s demographic information, alerts across all programs, and notes and alert dismissals across all programs. Note that your organization may not be using all of these features.

Participant Demographics and Editing

• Participant information shows across the top of the view - this includes: participant name, identifier (if enabled for your organization), DOB, mobile phone number, and email address.

• Click the pencil icon to update the participant's information, for example, their email address or mobile phone number.

Alerts

• Alerts will trigger based on their configured criteria and will accumulate in the alert box - this is similar to an inbox for new messages or notifications, but it is contained within Impact.

• Only active alerts will show in the alert box. Alerts can be selected and dismissed, and notes and time (duration of time that you spent with the participant around the alert, if any) can be logged.

• Once an alert has been dismissed, it will disappear from the alerts box and be logged as a dismissal.

Alert Dismissals / Notes

• Notes can be added when dismissing an alert or independently via the ADD NOTE button, as needed.

  • The note itself and the time spent can be edited after the note has been created by the original author. Notes can also be deleted by the author.

  • You can enter time (duration of time that you spent with the participant) as a component of the note.

Time Spent

• Time spent in minutes can be logged to track interactions with participants.

  • You can enter time (the duration of time [mins] that you spent with the participant) while dismissing an alert or when adding or editing a note.

  • Time is summed at the participant level for the current month and then presented in the Participant View. You can also select the month to be able to review total time from past months (up to six months in the past). This time is a sum of time logged for the participant, across programs, and across providers (if multiple providers have logged time with the participant).

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2. Program Section (lower section)

This section contains program level information with data and information specific to the selected program.

Switching Between Programs

You can switch between programs by using the program tabs. Select the desired program tab to navigate to that program. Note that programs that are pending enrollment will prompt for you to complete the enrollment.

+ Enroll in New Program (enrolling participant in another program)

Participants can be enrolled in multiple programs. To enroll the participant into another program, click the + ENROLL IN NEW PROGRAM button to initiate the enrollment workflow.

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Note: Once enrollment has started, or the participant has been enrolled in the new program, the program will show as a program tab option.

Program Status Indicator

The enrollment status is shown at the left hand side of the dashboard. Here you can understand where the participant is within the enrollment process and their current status for the selected program.

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Impact Participant Program Enrollment Statuses

Data Timespan (View Window)

The View Window is shown on the right hand side of the dashboard header. This View Window “Data timespan” is extremely very important, as it populates and informs the view date range for the below log booklogbook, graphs, statistics, and goals. 

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 You can toggle the View Window window by clicking on it. Two weeks is the default view, and there are four total window options:

1. One week

2. Two weeks < Default View

3. One month

4. Three months 

Program

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Switching Between Programs

Select the highlighted program in the header. A dropdown menu will display with available programs for the participant. Select the desired program to navigate to that program. 

+ Enroll in New Program (enroll participant in another program)

Participants can be enrolled in multiple programs, if available. Select the highlighted program in the header. A dropdown menu will display. Click the + ENROLL IN NEW PROGRAM button to enroll the participant into another program.

Note: Once the participant has been enrolled in the new program, that program will show in the programs dropdown in the clinician dashboard header.

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Actions and Options

Select the additional information program actions ellipses button (...) on the right hand side of within the dashboard.

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Additional program information actions and options will be shown for that participant based on the participant’s program status Impact Participant Program Enrollment Statuses.

Options and information include: enrolling and reviewing provider information, an option to resend the enrollment email or source invite email, an option to change reviewing provider, as well as an un-enrollment button if the participant is active in the program.

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Resending Enrollment Email

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Program

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Actions modal will show the Enrolling and Reviewing Provider for the selected

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program. If the participant has not completed enrollment (Impact Participant Program Enrollment Statuses), the clinical user will have the option to RESEND THE ENROLLMENT EMAIL to the member.

The participant

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will then be send another copy of the enrollment email to prompt them to complete

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enrollment

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(Participant Enrollment Workflow Overview:

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HealthBridge ).

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Changing Reviewing Provider

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Program

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Actions modal will show the Enrolling and Reviewing Provider for the selected participant’s program. If you are not the Reviewing Provider, you can take over and assume that role for the patient.

The Reviewing Provider will always take on the required notifications for the participant. To take over as the Reviewing Provider

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, you will be prompted to confirm that you would like to proceed and assume the role

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. Once you have assumed the Review Provider role, all required notifications will be enabled for you.

Unenrolling the Participant from the Current Program

If the participant has completed a program, or if you need to

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un-enroll them from the current program, select the UNENROLL PARTICIPANT button from the Program Actions modal.

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You will be prompted to confirm un-enrollment. Un-enrollment cannot be undone; once unenrolled, the participant’s data will stop flowing, and you will no longer receive notifications for the participant

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. Once unenrolled, the participant is eligible for re-enrollment in the program. Click the YES, UNENROLL button to complete un-enrollment.

Program Summary

The Program Summary section provides an at-a-glance overview of measurement types used within the program, summarized statistics for those measurement types, and the participant’s source connection status (Impact Participant Source Connection Status) by measurement type.

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Advanced Statistics (Blood Glucose

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programs only)

The Advanced Statics section can be expanded to show summary information and additional data for blood glucose programs. This includes the number of hyper and hypoglycemic events, the average number of readings taken per day, and other more granular statistics.

If you have multiple Blood Glucose rules for a patient the Advanced Statistics will return data on the ‘default’ rule the patient is enrolled in.  This means that if you have a rule to ‘Keep all between x and y’ and another rule to ‘Keep only pre-meal readings between x and y’ the Advanced Statistics will base its math off the rule for all readings rather than the one for a subset of the readings returned by the patient. 

2. Program Summary

The Program Summary section provides an at-a-glance overview of the participant’s program status, source connection status, and reading data. 

On the right hand side, you can see the participant’s program status (Impact Participant Program Enrollment Statuses). You can also see the participant’s data source connection status (Impact Participant Source Connection Status). If there are more than one measurement types available in the program, the binary status (pending and connected) of each source can be seen.

3. Program Readings (Participant Data)

The Program Readings

Program Readings (participant data)

The program readings section contains the participant’s discrete data. The participant’s data can be viewed in a traditional log book logbook view, or viewed in graphs and charts relevant to the program’s measurement types.

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Logbook View

The log book logbook is the default view for participant data. Individual data points show within the log booklogbook, and are organized by row (day) and column (time of day) for the blood glucose measurement type (these show as a hybrid calendar view for other measurement types). The log book logbook and other charts will show the data available only for the View Window selected at the upper right hand corner of the clinician dashboard Data Timespan range selected.

Readings in Red ↑ signify high out of goal range values
Readings in Blue ↓ signify low out of goal range values

The logbook and other graphs can be filtered to show desired reading types. For example, pre and post-meal values for blood glucose.

Comment bubble icons next to the dates on the far left column of the log book reading dates indicate that the participant has entered comments for readings during that day. The number above the icon shows the number of comments. The icon can be clicked, or the individual readings can be clicked, to expand and show the reading comments.

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Charts

Readings can also be displayed in graph viewsgraphical or chart views. Click the View “View” dropdown on the top right of the section to select the Charts view“Charts.”

The Charts view shows a Timeline, as well as a Time of Day graph for the blood glucose measurement type. Different measurement types have different graphs relevant to those measurement types. We are looking at blood glucose data via the Timeline and Time of Day graphs below.

These graphs can be filtered by meal relation and (for Blood Glucose) or to only show out of range values. It is important to again to note that these graphs only show values within the View Window selected at the upper right hand portion of the clinician dashboard.

4. Program Configuration

Data Timespan selected.

Goals

Goals show at-a-glance participant program progressparticipant program progress at the current point in time (upon page load). These are also dependent on the Data Timespan selected. Individual participant goals can be edited and updated to set personalized care plans and care objectives - these changes will only apply to the individual participant for the specific program.

Default program goals are established by a Validic Admin via the Admin Portal.

Notifications

Notifications are actions intended to alert necessary parties when certain rules are metevents occur. There are two available notification recipients - the participant and the provider.

Provider

Providers can receive notifications via

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the EHR messaging platform (either direct or via a group or pool message), via in app Alerts, or via email or SMS (not widely used).

Participant

Participants can receive notifications via email, SMS, and patient portal/secure message (if enabled).

If you are the participant’s Reviewing Provider/Clinician, you will have required notifications enabled by default and those notifications will be sent or assigned to you. You can enable optional notifications via the toggles toggle to the left of the notificationsnotification to opt in to it.

If you are not the participant’s Reviewing Provider, you can still opt in to receiving notifications for the participant as an Observing Provider/Clinician using the opt in toggle.

Notifications can be edited using the “Edit” button on the top right of the section. 

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