Status Overview Screen: Action Links

1. Status Overview Screen: Action Links Request Exemption(pull-down list provided for reason for exemption) Set Preferences(navigation options) December 2009

2. Status Overview Screen The Status page shows all the sections of the report and the completion status of each section. December 2009

3. UDS Report Status Table A [+] or [-] appears for tables that are in both the universal and the grant reports (i.e., Tables 3A, 3B, 4, 5 and 6A) and for Table 7, which has three pages. 508 Compliant! December 2009

4. UDS Report Status Table Overall completion status of a table depends on the completion status of the individual reports for that table. Click Updateto open a page for editing You can update any page, even those marked ‘Completed’ or ‘Validated.’ Doing so may cause the status to revert to‘In Progress.’ December 2009

5. Contact Information Screen Project Director information is pre-populated from user account information in the EHBs Click Add toenter informationfor other contacts You must provide a UDS Contact. This is the person to whom the reviewer will turn if there are questions about the data December 2009

6. Service Area Information Click Add to enter zip codes and patients Note that each UDS Table has a Table Comments section that allows you to explain unique situations associated with the data reported. December 2009

7. Service Area Information Enter zip code and patient data. You can enter up to ten sets of zip code and patient data at a time. Click Save to save the data. Click this button after you have saved the dataand you are ready to continue. Zip codes that have been entered appear here. Check to ensure there are no duplicates. December 2009

8. Service Area Information Options to Import Zip Codes For these two rows,enter the data here Check boxes to select one or more rows and then click the appropriate button to update or delete the data December 2009

9. Options for ImportingZIP Codes Importing ZIP Code data from your prior UDS YearService Area Information Importing ZIP Code data from your Change in Scope data December 2009

10. Tables in the Universal andGrant Reports This tab indicates the current report for tables in both the universaland the grant reports(i.e., Tables 3A, 3B, 4, 5 and 6A). Use this dropdown list to access the other reports for this table. Choose the report from the list and click Go. December 2009

11. Table Error Messages When data entry produces errors, an advisory appears at the top of the page. Fields where errors occur are highlighted. December 2009

12. Error Message Symbols December 2009

13. 2009 UDS: Table 3A ABC CHC, Inc. When you click the Mark as Complete button, the screen will list fields that are missing data. This screen will have a Confirm Mark as Complete button which when clicked will run the data validation checks on the data entered on this table including comparisons between grant level reports and universal reports (e.g., if you report more patients on your grant level report than your universal UDS Table report, it will indicate a validation error). If there are no validation errors, the system will mark the Table as Validated on the Status Overview Screen. December 2009

14. Example of Providing a Reason for Not Reporting December 2009

15. 2009 UDS: Table 3B Note changes to Table 3B layout for 2009 ABC CHC, Inc. 012340 System calculates this subtotal Many of the UDS Tables have Save buttons that allow you to save the data entered in a section of the table December 2009

16. 2009 UDS: Table 4 Patients by Income as Percent of Poverty Level ABC CHC, Inc. 012340 Patients by Principle Third Party Medical Insurance Source Managed Care Utilization Special Population Patients December 2009

17. 2009 UDS: Table 5 Click to hide data Reduces theMedical Care Services category to one line to provide more space on the screen 012340 ABC CHC, Inc. Click to enter data Expands the Medical Care Services category to show its data fields December 2009

18. 2009 UDS: Table 6A Visits and Patients by Primary Diagnosis Categories ABC CHC, Inc. 012340 Visits and Patients by Selected Service Categories December 2009

19. 2009 UDS: Table 6B “We do not currently provide perinatal/prenatal services” 012340 ABC CHC, Inc. Section A – Age Categories for Prenatal Patients Section B – Trimester of Entry into Prenatal Care Section C – Childhood Immunizations Section D – Pap Test December 2009

20. 2009 UDS: Table 7 This report has 3 Sections: Section A: Deliveries and Birth Weight by Race/Ethnicity Section B: Hypertension by Race/Ethnicity Section C: Diabetes by Race/Ethnicity December 2009

21. 2009 UDS: Table 7 (continued) Section B: Hypertension by Race/Ethnicity December 2009

22. 2009 UDS: Table 7 (completed) Section C: Diabetes by Race/Ethnicity December 2009

23. 2009 UDS: Table 8A December 2009

24. 2009 UDS: Table 9D December 2009

25. 2009 UDS: Table 9E December 2009

26. Report Comments Screen “… if you want to share any information with the reviewer of your report …” Reviewer comments will appear here Add comments here December 2009

27. Data Audit Report Screenand Report Print Edits buttonproduces a printed reportof the errors found in theUDS Table Reports December 2009

28. Data Audit Report Screen Explaining why reported data does not satisfy the system edit checks December 2009

29. Data Audit Report Screen Example of the‘Explained’ view Example of the‘Show All view December 2009

30. Data Audit Report Screen Your goal is to achieve a UDS Report with“no Edits” December 2009

31. Review Screen Use this button to print all yourUDS Tables Use theseViewlinks to view/print individualUDS Tables December 2009

32. Submit Screen December 2009

33. Submit Screen View Report linktakes you back to the Review Screen December 2009

34. Final Submission Verification Screen Print this page button December 2009

35. Resources December 2009