The release of the 4.1.9.X series reflects SMART Management's continued goal to meet the industry’s regulatory demands, continuous product improvement, and response to customer-reported issues:
- ICD 10
The latest version continues to hone the regulatory requirements and continued improvements related to the introduction of ICD functionality. We continue to incorporate customer feedback, and incorporate new features to comply with and support ICD 10 mandates.
- Support for multiple medications
New functionality was added to allow for the management of multiple strengths of multiple medications. The new features were added to the product and database architecture.
Along with the significant changes made in the 4.1.9.x family, SMART has also continued monitoring and improving performance.
In addition to our goal of enhancing the performance of the software itself, SMART has modified the way in which we deploy updates of the software to create a more streamlined process. We have also implemented the following changes:
- Performance Improvements
A new (and optional) background service has been added in an effort to improve the performance of the application and has a direct dependency on Interbase. In the unlikely event that this service cannot be activated, the system will notify the user of this fact and allow them to continue to use the software without this optimization function. The user may then contact support as time allows to re-enable this functionality. The error message reads:
“A service used to improve the performance of SMART software is not currently available. SMART can run without this service, but the performance will not be optimal.
Please contact SMART Support to restore this feature.”
Clicking OK will simply run the software.
Likewise, if this background service and the SMART software itself are set to two different timezones, the service cannot be activated. Once again, the system will notify the user of the issue with the following message:
“A portion of SMART software used to optimize performance of the system is set to a different timezone than the core part of the software and cannot be used.
‘Shared Data Services’ is running on Eastern Standard Time while SMART2k is on Mountain Standard Time.
Please contact SMART Support to correct the issue and restore this functionality."
- Caseload counselors can now edit problems entered by other users
Counselors can now edit diagnoses listed in the Problems tab which were entered or diagnosed by another counselor for patients on their caseload.
Note that “Editing” and “Deactivating” are distinctly different processes.
For example, if a patient was diagnosed with “X, moderate” and it later improves to “X, mild”, the user should change the diagnosis from one to the other when it improves; the patient had a moderate case of X which later improved to mild. These are two separate and distinct diagnoses. Instead, the user should deactivate the existing diagnosis first, then enter the new one.
If someone, on the other hand, enters a diagnosis of “X, mild” and it should be “X, moderate”, it would require editing to correct.
- Clinics can now specify whether or not the front and administrative staff are permitted to enter a diagnosis code via a new setting in:
Administration > Settings > Clinic Settings > Controls 1
This setting allows clinics to configure whether or not Active Diagnosis/Problem must be entered prior to admission.
If the box is checked, then entering a diagnosis is mandatory that the patient have an active ICD-10 problem during admission.
Admit Screen > Problems Tab:
The following reported issues have been addressed in this release:
- The inability to add a new insurance carrier because CMS-1500 tab wasn’t displaying information correctly has been corrected.
(Admin > Settings > Status > Insurance Carrier > Add New)
- Diagnosis codes for services are now properly listed at time of manual billing.
At the time of manual billing, an invoice can be assigned any diagnosis that is/was active or deferred as of the service start date for that service. A diagnosis is considered active beginning with its “When Diagnosis Date” and inactive on “Inactive as of Date”. The “When Diagnosis Date” must be on or before the service date; it cannot be before.
(Billing $ > Invoice Entry > [Find Patient] > Invoice Entry tab)
- Alerts can now be added for discharged patients.
(TX > [Find Patient] > Case History tab)