ConXus Profile v4.0

Available: September 26, 2014

Implementation Process

ConXus Profile v4.0 (English and Spanish) is available for upgrade beginning October 1st, 2014. Please refer to the updated Knowledge documentation in the Client Services Portal for the updated ConXus Profile Specification. Clients should contact PDHI Client Services to implement HRA version 4.0.

Overview

ConXus Profile v4.0 introduces the ability to manage multiple populations through the use of one instrument. Previously, the adult HRA was built to support populations 18 – 64 years. It could be used for populations over the age of 64 but did not change the question set for these participants. Version 4.0 introduces the ability to collect appropriate age-specific questions for all individuals beginning at 18. Version 4.0 also introduces the ability to add Medicaid specific questions without requiring a new HRA configuration by indicating that the program is “Medicaid”. This flag adds the questions appropriate for low-income groups to users within the Medicaid program.

Description of the Enhancements

Questionnaire

  1. Questions have been added to support the 65+ population:
    • Personal care, e.g. bathing, dressing
    • Daily tasks, e.g. shopping, medication management
    • Urinary incontinence
    • Fall risk
    • Pain
    • Availability of a care giver
    • Problems with teeth or dentures in health history
    • Shingles and pneumonia vaccinations, based on USPTF guidelines
  2. Questions less relevant to an older population have been aged out as follows:
    • All questions used only for future disease risk assessment, i.e. all of Personal Health History except Vision and Hearing impairment, for 65 years and older.
    • Screenings and checkups, based on USPTF guidelines.
  3. Questions have been added to support low-income populations (e.g. Medicaid):
    • Availability of transportation for doctor appointments
    • Diagnosed condition and prescribed medications for ADHD, autism, bipolar disorder, migraines, schizophrenia, seizures, substance abuse problems.
    • Access to food and ability to pay for food
    • Living conditions, including availability of heat, water, and electricity.
    • Alcohol problems
    • Sexual health
    • Substance abuse
  4. A question has been added in the Motor Vehicle Safety section related to phone use/texting while driving.
  5. The question for clinical breast examination in the Health Management section has been removed based on USPTF guidelines.
  6. The question for cardiovascular procedures in Heart Disease has been updated to reflect current procedures.
  7. The questionnaire format has been updated to remove any scrolling within a page.

Assessments

  1. Assessments have been added to support a senior population:
    • Personal care, e.g. bathing, dressing
    • Daily tasks, e.g. shopping, medication management
    • Urinary incontinence
    • Fall risk
    • Pain
    • Shingles and pneumonia vaccinations, based on USPTF guidelines
  2. Assessments less relevant to an older population have been aged out as follows:
    • Future disease risk assessment, for users 65 years and older.
    • Screenings and checkups, based on USPTF guidelines.
  3. Assessments have been added to support a low-income population:
    • Sexual health
    • Substance abuse
  4. The assessment for clinical breast examination has been removed, based on USPTF guidelines.
  5. The assessment algorithms for depression risk and depression impact have been updated to better consider both diagnosis and current symptoms.
  6. The assessment for metabolic syndrome has been updated for consistency with guidelines.
  7. The 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ATP4) was reviewed for impact on heart disease assessments. Following discussions with advisory board members and clients, no change has been made to the heart disease risk assessment at this time.

Reports

  1. The Member Report has been updated as follows:
    • Addition of new assessments related to the senior population in a new section called Senior Health and to the Health Management section.
    • Removal of the Future Disease Risk section for users 65 years and older.
    • Addition of new assessments related to sexual health for Medicaid populations.
  2. The Provider Report has been updated to:
    • Add a new section Senior Health and add new information in the Health Management section for users 65 years and older.
    • Add a new section Living Conditions and add new information in the Health History section for Medicaid users.