Service Request by Veronica Salvas for help with MONITORING Measures

[dlounsbu]

• [x] Qualtrics Service Request Form was received from User
• [x] e-mail acknowledging that User's Qualtrics Service Request Form was sent
• [x] Problem FULLY RESOLVED and Issue is Closed
• [x] Qualtrics Post-Service Request Survey was sent to User

Use comments feature (below) to document:

1. A clear and concise description of the solution.

2. A clear and concise description of any alternative solutions or features you've considered.

3. Any additional context, such as screenshots about the problem.

[dlounsbu]

From: David Lounsbury [mailto:noreply@qemailserver.com] Sent: Wednesday, September 8, 2021 7:38 PM To: david lounsbury david.lounsbury@einsteinmed.org Subject: IPA Tracker Support Request Form Submitted

IPA SERVICE REQUEST SUMMARY

1. CONTACT INFORMATION:

Veronica Salvas

Email: vsalvas@mhacg.org

Phone: 845 264 1765

2. COUNTY

Columbia

3. WHICH FEATURE(S):

MONITORING: Creating, updated or deleting information about an implemented SMART Strategy

4. BRIEF PROBLEM DESCRIPTION:

the metrics for IPA: Multi-county web-based training for MOUD providers are not up to date. They should be " 2.5 # of individuals receiving MOUD" # licensed providers registered for series (Columbia County) # licensed providers registered for series (Outside Columbia County) # licensed providers completing series (Columbia County) # licensed providers completing series (Outside Columbia County) # licensed providers registered for session 1 (Columbia County) # licensed providers completing session 1 (Columbia County) # licensed providers registered for session 2 (Columbia County) # licensed providers completing session 2 (Outside Columbia County) # licensed providers registered for session 3 (Columbia County) # licensed providers completing session 3 (Outside Columbia County) # licensed providers registered for session 4 (Columbia County) # licensed providers completing session 4 (Outside Columbia County) # licensed providers attending reporting the currently prescribe MOUD/MAT # licensed providers attending reporting they plan to prescribe MOUD/MAT Proportion of licensed providers attending who are not currently prescribing, but report intention to start prescribing MOUD/MAT

5. URGENCY:

50

6. ANYTHING ELSE TO SHARE:

[dlounsbu]

From: david lounsbury Sent: Wednesday, September 8, 2021 8:12 PM To: vsalvas@mhacg.org Cc: Donrie Purcell donrie.purcell@einsteinmed.org; Nicholas Bove nicholas.bove@einsteinmed.org Subject: FW: IPA Tracker Support Request Form Submitted Importance: High

Hi Veronica:

We have received your IPA Service Request and will be glad to assist you.

It maybe be useful to arrange a short call or Zoom meeting to better understand what is needed.

I could meet with you between 3pm-4pm, or maybe, Nick, you could follow up if that time is not convenient for Veronica??

Dr. Purcell is traveling tomorrow, but will be back on-line Friday.

Hope to connect with you soon.

Best, David

[dlounsbu]

From: David Lounsbury [mailto:noreply@qemailserver.com] Sent: Wednesday, September 8, 2021 7:29 PM To: david lounsbury david.lounsbury@einsteinmed.org Subject: IPA Tracker Support Request Form Submitted

IPA SERVICE REQUEST SUMMARY

1. CONTACT INFORMATION:

Veronica Salvas

Email: vsalvas@mhacg.org

Phone: 845 264 1765

2. COUNTY

Columbia

3. WHICH FEATURE(S):

SPECIFICATION: Creating, updating, deleting information to define or describe a SMART Strategy

4. BRIEF PROBLEM DESCRIPTION:

The metrics for IPA Safer Prescribing C1 are not current. They should be: Home Study: # of licensed pharmacists registered Session 1 (Columbia County) Home Study: # of licensed pharmacists registered Session 1 (Other County) Home Study: # of licensed pharmacists registered Session 2 (Columbia County) Home Study: # of licensed pharmacists registered Session 2 (Other County) Home Study: # of licensed pharmacists registered Session 3 (Columbia County) Home Study: # of licensed pharmacists registered Session 3 (Other County) Home Study: # of licensed pharmacists registered Session 4 (Columbia County) Home Study: # of licensed pharmacists registered Session 4 (Other County) proportion of attendees indicating an intent to act, per specified session topics (ie, intent to enroll in NCAP if not enrolled; enroll in ESAP if not enrolled) Volume of Naloxone dispensed via pharmacies at the county level Live Event: # of licensed pharmacists registered (by session, by county and overall) Live Event: # of licensed pharmacists attended (by session, by county and overall)

5. URGENCY:

50

6. ANYTHING ELSE TO SHARE:

[dlounsbu]

From: David Lounsbury [mailto:noreply@qemailserver.com] Sent: Wednesday, September 8, 2021 7:29 PM To: david lounsbury david.lounsbury@einsteinmed.org Subject: IPA Tracker Support Request Form Submitted

IPA SERVICE REQUEST SUMMARY

1. CONTACT INFORMATION:

Veronica Salvas

Email: vsalvas@mhacg.org

Phone: 845 264 1765

1. COUNTY

Columbia

1. WHICH FEATURE(S):

SPECIFICATION: Creating, updating, deleting information to define or describe a SMART Strategy

1. BRIEF PROBLEM DESCRIPTION:

The metrics for IPA Safer Prescribing C1 are not current. They should be: Home Study: # of licensed pharmacists registered Session 1 (Columbia County) Home Study: # of licensed pharmacists registered Session 1 (Other County) Home Study: # of licensed pharmacists registered Session 2 (Columbia County) Home Study: # of licensed pharmacists registered Session 2 (Other County) Home Study: # of licensed pharmacists registered Session 3 (Columbia County) Home Study: # of licensed pharmacists registered Session 3 (Other County) Home Study: # of licensed pharmacists registered Session 4 (Columbia County) Home Study: # of licensed pharmacists registered Session 4 (Other County) proportion of attendees indicating an intent to act, per specified session topics (ie, intent to enroll in NCAP if not enrolled; enroll in ESAP if not enrolled) Volume of Naloxone dispensed via pharmacies at the county level Live Event: # of licensed pharmacists registered (by session, by county and overall) Live Event: # of licensed pharmacists attended (by session, by county and overall)

1. URGENCY:

50

1. ANYTHING ELSE TO SHARE:

Looks like Veronica has questions about who to navigate both the SPECIFICATION and the MONITORING features of the Tracker.

[dlounsbu]

From: David Lounsbury [mailto:noreply@qemailserver.com] Sent: Wednesday, September 8, 2021 7:35 PM To: david lounsbury david.lounsbury@einsteinmed.org Subject: IPA Tracker Support Request Form Submitted

IPA SERVICE REQUEST SUMMARY

1. CONTACT INFORMATION:

Veronica Salvas

Email: vsalvas@mhacg.org

Phone: 845 264 1765

2. COUNTY

Columbia

3. WHICH FEATURE(S):

Some other feature

4. BRIEF PROBLEM DESCRIPTION:

The metrics, milestones, etc for IPA: OEND B3 are not up to date. Let me know how best to provide the correct info.

5. URGENCY:

50

6. ANYTHING ELSE TO SHARE:

[dlounsbu]

I meeting with Veronica to assist her is in order.

I can try to reach her tomorrow around 3pm. Or, Nick, if you are free earlier, see if you can assist.

[dlounsbu]

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From: Veronica Salvas [mailto:vsalvas@mhacg.org]
Sent: Wednesday, September 8, 2021 8:42 PM
To: david lounsbury <david.lounsbury@einsteinmed.org>
Cc: Donrie Purcell <donrie.purcell@einsteinmed.org>; Nicholas Bove <nicholas.bove@einsteinmed.org>
Subject: Re: FW: IPA Tracker Support Request Form Submitted

 

CAUTION: This email comes from an external source; the attachments and/or links may compromise our secure environment. Do not open or click on suspicious emails. Please click on the “Phish Alert” button on the top right of the Outlook dashboard to report any suspicious emails. --

Thank you.  I am not available tomorrow afternoon.  I could do Friday sometime between 11 and 2, or next week Monday, Thursday and Friday are fairly open for me.

[NBOVE1]

Hi Veronica, I’m available today 11AM-12PM, or tomorrow 11AM-12PM. Please let me know which would work best for you. Thanks, Nick

[NBOVE1]

Thanks very much Veronica!

I will review with Donrie. And I am making a note to circle back to you next week, Friday (9/17).

To summarize our discussion and your excellent points – we (Einstein and those of use supporting the IPA Tracker tool) can and should be more proactive in providing coaches and county coalition staff with ‘data’ support. There is a need to help counties streamline their measures with their smart strategies. Specifically, there are often ‘Other’ Measures (other than Primary, Secondary, and Structural) that are nonsensical. Again, a pleasure to talk with you.

DL

[dlounsbu]

From: david lounsbury Sent: Friday, September 10, 2021 2:01 PM To: Veronica Salvas vsalvas@mhacg.org Cc: Donrie Purcell donrie.purcell@einsteinmed.org; Nicholas Bove nicholas.bove@einsteinmed.org Subject: RE: Columbia County metrics

Thanks very much Veronica!

I will review with Donrie. And I am making a note to circle back to you next week, Friday (9/17).

To summarize our discussion and your excellent points – we (Einstein and those of use supporting the IPA Tracker tool) can and should be more proactive in providing coaches and county coalition staff with ‘data’ support. There is a need to help counties streamline their measures with their smart strategies. Specifically, there are often ‘Other’ Measures (other than Primary, Secondary, and Structural) that are nonsensical. Again, a pleasure to talk with you.

DL

David W. Lounsbury, PhD Associate Professor, Epidemiology & Population Health Associate Director, Patient-Centered Outcomes Research Training Department of Epidemiology & Population Health Division of Health Behavior Research and Implementation Science Albert Einstein College of Medicine David.Lounsbury@einsteinmed.org e-mail 718.839.7452 office 917.690.1020 cell 718.652.0418 fax

[dlounsbu]

From: david lounsbury Sent: Wednesday, September 15, 2021 6:21 PM To: Veronica Salvas vsalvas@mhacg.org Cc: Donrie Purcell donrie.purcell@einsteinmed.org Subject: RE: Columbia County metrics

Hi Veronica:

Just getting back to you about how best to streamline measures for Columbia County in the Tracker.

You mentioned that you are responsible for just 3 IPAs. Who else should we engage about the others ? Danielle Hotaling and/or Lori Torgersen, PhD?

Best, David

[dlounsbu]

From: david lounsbury Sent: Wednesday, September 15, 2021 8:08 PM To: Veronica Salvas vsalvas@mhacg.org Cc: Donrie Purcell donrie.purcell@einsteinmed.org Subject: RE: Columbia County metrics Importance: High

Hi Veronica:

Yes, we would like that! We know that there are still structural, design and data management issues with the Tracker, so consultation with them will be very helpful to us and, we hope, useful to them, too! Thank you!

David

PS – thank you for sharing your tracking spreadsheets. They are very elegant. We are referencing parts for some of our visualizing exercises with Tracker data.

[dlounsbu]

From: david lounsbury Sent: Wednesday, September 15, 2021 8:08 PM To: Veronica Salvas vsalvas@mhacg.org Cc: Donrie Purcell donrie.purcell@einsteinmed.org Subject: RE: Columbia County metrics Importance: High

Hi Veronica:

Yes, we would like that! We know that there are still structural, design and data management issues with the Tracker, so consultation with them will be very helpful to us and, we hope, useful to them, too! Thank you!

David

PS – thank you for sharing your tracking spreadsheets. They are very elegant. We are referencing parts for some of our visualizing exercises with Tracker data. <html xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40">

From: Veronica Salvas [mailto:vsalvas@mhacg.org]
Sent: Wednesday, September 15, 2021 7:14 PM
To: david lounsbury <david.lounsbury@einsteinmed.org>
Cc: Donrie Purcell <donrie.purcell@einsteinmed.org>
Subject: Re: Columbia County metrics

 

CAUTION: This email comes from an external source; the attachments and/or links may compromise our secure environment. Do not open or click on suspicious emails. Please click on the “Phish Alert” button on the top right of the Outlook dashboard to report any suspicious emails. --

Hello, David.

 

Yes, Lori and Danielle both have IPA entry responsibilities.  Would you like me to do an email intro recapping our meeting and inviting them to one?  

[dlounsbu]

@donriepurcell

Please apply your measures analyses to Columbia's data.

@NBOVE1

Can you put your fingers on the powerpoint slides that explain present guidance on the recommended structure of a county Action Plan? I will look, too, but I remember Tim presenting about how each Action Plan should have at least3 MOUD strategies, one OEND, and one safe prescribing. And the MOUD strategies should be linkage, initiate, and retain. . . something like that. And then that they should, collectively, touch all three sectors. Right? THANKS

[NBOVE1]

Good Morning David, and Donrie. Sure, I'm attached three documents that directly relate to action planning and are used to train staff on how to properly create an action plan as it relates the HCS and our phase four deliverables. Also, yes the strategies should collectively touch all of three sectors which are behavioral health, healthcare, and criminal justice. If you have any questions, please let me know. Thanks! Nick

PHASE 3 4 5 Training 20200522 REV.pptx Module 6 Training. CE. Community Action Planning Facilitation.pptx Action Plan (All Areas) for Members.pdf

[donriepurcell]

Thanks nick.

Sent from my iPhone

On Sep 16, 2021, at 9:46 AM, NBOVE1 @.***> wrote:

 CAUTION: This email comes from an external source; the attachments and/or links may compromise our secure environment. Do not open or click on suspicious emails. Please click on the “Phish Alert” button on the top right of the Outlook dashboard to report any suspicious emails.

Good Morning David, and Donrie. Sure, I'm attached three documents that directly relate to action planning and are used to train staff on how to properly create an action plan as it relates the HCS and our phase four deliverables. Also, yes the strategies should collectively touch all of three sectors which are behavioral health, healthcare, and criminal justice. If you have any questions, please let me know. Thanks! Nick

PHASE 3 4 5 Training 20200522 REV.pptxhttps://nam04.safelinks.protection.outlook.com/?url=https%3A%2F%2Fgithub.com%2Fdlounsbu%2FNYHEALing-IPAtracker-support%2Ffiles%2F7178185%2FPHASE.3.4.5.Training.20200522.REV.pptx&data=04%7C01%7Cdonrie.purcell%40einsteinmed.org%7Cd69295b2988b4559eec308d979182b8f%7C9c01f0fd65e040c089a82dfd51e62025%7C0%7C0%7C637673967707022933%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=82Re3LrvNUzuU5yaEB81%2BrRUW2wJHK23liEhIwMoAiA%3D&reserved=0 Module 6 Training. CE. Community Action Planning Facilitation.pptxhttps://nam04.safelinks.protection.outlook.com/?url=https%3A%2F%2Fgithub.com%2Fdlounsbu%2FNYHEALing-IPAtracker-support%2Ffiles%2F7178187%2FModule.6.Training.CE.Community.Action.Planning.Facilitation.pptx&data=04%7C01%7Cdonrie.purcell%40einsteinmed.org%7Cd69295b2988b4559eec308d979182b8f%7C9c01f0fd65e040c089a82dfd51e62025%7C0%7C0%7C637673967707032921%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=6NwH5dLOb6ex8YVHA5FhqRjwUCJbT5w3U%2FCx0nbEUjU%3D&reserved=0 Action Plan (All Areas) for Members.pdfhttps://nam04.safelinks.protection.outlook.com/?url=https%3A%2F%2Fgithub.com%2Fdlounsbu%2FNYHEALing-IPAtracker-support%2Ffiles%2F7178188%2FAction.Plan.All.Areas.for.Members.pdf&data=04%7C01%7Cdonrie.purcell%40einsteinmed.org%7Cd69295b2988b4559eec308d979182b8f%7C9c01f0fd65e040c089a82dfd51e62025%7C0%7C0%7C637673967707032921%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=1J3VrnHR6ck1JKkQBOuPsxhoDgebO6g0pQQIDN2Moj8%3D&reserved=0

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[dlounsbu]

Thanks very much Nick!

Donrie, let's keep working on useful ways of analyzing and visualizing county-specific Action Plans, with a focus on Measures selected (Step 1 in my proposed outline).

With that in hand, and before we arrange any follow up with anyone in the county coalition (in this case Columbia Co), we will want to reach out to the county coach (Aimee in this case??), as well as Tim, to explain how we hope to use the information to make recommendations about how to 'clean up' their Tracker data, catch up with monitoring, download data for their own reporting purposes.

As we have been 'invited' in via Veronica's Tracker TA request, this is an opportunity for use to pilot the protocol steps I outlined the other day.

Again, I am hoping that this effort on our part will improve the quality of the data being stored in the Tracker for everyone's use.

Thoughts??

[donriepurcell]

sounds good

On Sep 16, 2021, at 10:36 AM, David W Lounsbury @.***> wrote:

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Thanks very much Nick!

Donrie, let's keep working on useful ways of analyzing and visualizing county-specific Action Plans, with a focus on Measures selected (Step 1 in my proposed outline).

With that in hand, and before we arrange any follow up with anyone in the county coalition (in this case Columbia Co), we will want to reach out to the county coach (Aimee in this case??), as well as Tim, to explain how we hope to use the information to make recommendations about how to 'clean up' their Tracker data, catch up with monitoring, download data for their own reporting purposes.

As we have been 'invited' in via Veronica's Tracker TA request, this is an opportunity for use to pilot the protocol steps I outlined the other day.

Again, I am hoping that this effort on our part will improve the quality of the data being stored in the Tracker for everyone's use.

Thoughts??

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[dlounsbu]

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From: david lounsbury
Sent: Tuesday, September 21, 2021 11:29 AM
To: Lori Torgersen <LTorgersen@columbiahealthnet.org>; Donrie Purcell <donrie.purcell@einsteinmed.org>
Cc: 'Veronica Salvas' <vsalvas@mhacg.org>; Danielle Hotaling <danielleh@twincountyrecoveryservices.org>
Subject: RE: IPA Tracker in Columbia County

 

Hi Lori:

 

Excellent.

 

Donrie would be fully available during this time. I have conflict from 2pm-3pm, so I will join at the start and, if need be, at the end, of this time.

 

Best and thanks,

David

 

https://github.com/dlounsbu/NYHEALing-IPAtracker-support

 

 

David W. Lounsbury, PhD

Associate Professor, Epidemiology & Population Health

Associate Director, Patient-Centered Outcomes Research Training

Department of Epidemiology & Population Health

Division of Health Behavior Research and Implementation Science

Albert Einstein College of Medicine

David.Lounsbury@einsteinmed.org e-mail

718.839.7452 office

917.690.1020 cell

718.652.0418 fax

 

 

From: Lori Torgersen [mailto:LTorgersen@columbiahealthnet.org]
Sent: Tuesday, September 21, 2021 11:02 AM
To: Donrie Purcell <donrie.purcell@einsteinmed.org>; david lounsbury <david.lounsbury@einsteinmed.org>
Cc: 'Veronica Salvas' <vsalvas@mhacg.org>; Danielle Hotaling <danielleh@twincountyrecoveryservices.org>
Subject: IPA Tracker in Columbia County

 

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Hi Donrie.  Hi David.

 

I hope this email finds you well.  Veronica informed me that you discussed joining one of our local team meetings to discuss/assist with the IPA tracker for Columbia County.  Please see the Zoom details for our meeting next week on Thursday 9/30 from 1:30-3:30 below.  Thanks for your assistance - we're looking forward to having you.

 

Best,

Lori

 

Join Zoom Meeting

https://us02web.zoom.us/j/81157374227?pwd=UGVxR3ViaGxJaU9SODJ0SFBoeW9qZz09

 

Meeting ID: 811 5737 4227

Passcode: 678899

One tap mobile

+19292056099,,81157374227#,,,,*678899# US (New York)

+13126266799,,81157374227#,,,,*678899# US (Chicago)

 

Dial by your location

        +1 929 205 6099 US (New York)

        +1 312 626 6799 US (Chicago)

        +1 301 715 8592 US (Washington DC)

        +1 346 248 7799 US (Houston)

        +1 669 900 6833 US (San Jose)

        +1 253 215 8782 US (Tacoma)

Meeting ID: 811 5737 4227

Passcode: 678899

 

 

 

 

 

Best,

Lori

 

Lori Torgersen, Ph.D.

HEALing Communities Study (HCS) Project Manager

325 Columbia Street

Hudson, NY 12534

(c) 518.755.2498

[dlounsbu]

@donriepurcell when are we scheduled to meet with Lori and Vanessa?!

[dlounsbu]

From: david lounsbury Sent: Wednesday, October 13, 2021 11:08 AM To: Veronica Salvas vsalvas@mhacg.org; Jessica Neufeld jn2434@columbia.edu; Donrie Purcell donrie.purcell@einsteinmed.org; Lori Torgersen ltorgersen@columbiahealthnet.org; Danielle Hotaling danielleh@twincountyrecoveryservices.org Cc: Nicholas Bove nicholas.bove@einsteinmed.org Subject: RE: IPA Data Update Importance: High

Hi Veronica and Jessica:

So, we having been working on a way to help manage creating OTHER measures.

We realized that it may be best practice to allow only persons with ‘Admin’ privileges to create new OTHER measures. We were concerned about two things: (1) redundancy of OTHER measures across counties and (2) the problem of associating units with an OTHER measure.

Donrie and Nick have been helping other PMs and DMs with this matter.

I am recommending that Donrie either help you create/edit the OTHER measures you are describing, or to give you Admin privileges (do you can add them yourself!).

Best and thanks, David

IPA Data Tracking_Agency Entry-3.xlsx

[dlounsbu]

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From: Jessica Neufeld [mailto:jn2434@columbia.edu]
Sent: Friday, October 15, 2021 10:46 AM
To: Veronica Salvas <vsalvas@mhacg.org>
Cc: Donrie Purcell <donrie.purcell@einsteinmed.org>; Nicholas Bove <nicholas.bove@einsteinmed.org>; david lounsbury <david.lounsbury@einsteinmed.org>; Lori Torgersen <ltorgersen@columbiahealthnet.org>; Danielle Hotaling <danielleh@twincountyrecoveryservices.org>
Subject: Re: IPA Data Update

 

CAUTION: This email comes from an external source; the attachments and/or links may compromise our secure environment. Do not open or click on suspicious emails. Please click on the “Phish Alert” button on the top right of the Outlook dashboard to report any suspicious emails. --

Thanks Veronica! Have a great weekend as well. 

 

Yes, reach out if you have any additional issues. 

 

On Fri, Oct 15, 2021 at 10:43 AM Veronica Salvas <vsalvas@mhacg.org> wrote:

Ok, thank you.  I see how that works. 

I'm shifting gears to work on something else for Monday, but I will work on these edits next week.  I'll keep you posted of progress.

 

Have a good weekend,

Veronica

 

On Fri, Oct 15, 2021 at 10:10 AM Jessica Neufeld <jn2434@columbia.edu> wrote:

Hi Veronica, 

 

If you select the measure and click edit, in the editing mode, you change the measure type to "other" and you can edit the text. You can't edit Primary, Secondary or Structural measures. Those are pre-populated. 

 

 

 

On Fri, Oct 15, 2021 at 9:59 AM Veronica Salvas <vsalvas@mhacg.org> wrote:

Hi,

 

I still have the same problem.  I cannot add or delete measures.  There is a pre-filled drop down menu of measures.  See the attached screen shot.

 

Veronica

[NBOVE1]

@jbazinet1111 Hi Jeff. I'm working with Columbia County and they've encountered a bug in MONITORING MEASURES. When viewing the IPA in SPECIFICATION MEASURES, they have set measures entered which are correct:

Although, when going into MONITORING MEAUSRES for this same IPA, measures from additional strategies not included in this IPA are populating:

This similar issue is happening in the IPA: COPE Community Opioid Programs

Please advise, and thank you.

[jbazinet1111]

I see the issue and it has to do with deleting strategies.

For the group: What is your policy for retaining monitoring records for strategies and measures that may later get deleted from the specification? Do you want them cleared out or do you want them to remain? If they remain (which is the case now), we may have to jump through some hoops to not show them in the Monitoring.

[NBOVE1]

Thanks Jeff. My thought would be that if a metric was deleted from specification, it should be also deleted in monitoring. We don't currently have a mechanism in place to "restore" deleted items and we train staff to save all data regularly while working in the tracker. @dlounsbu @donriepurcell please feel free to weigh in.