Chronicle Diabetes DSMES Documentation Platform

We are excited to announce that Chronicle Pro is now live.  If you were not able to attend the Chronicle Pro webinar, we have the recording of the presentation below.  

Services will be able to utilize Chronicle Pro free for 90 days starting October 16^th.   After 90 days the Chronicle Pro features will be disabled, and your service can either subscribe to Chronicle Pro or continue to use the current version of Chronicle. 

Chronicle Pro Subscription Fees:

• 1 Year $150.00 
• 4 Year $400.00 ($200 savings)

Please Note: The current version of Chronicle Diabetes will remain free to all Recognized Services.

• Chronicle Pro Webinar
• Passcode: 861430
• Chronicle Pro Walkthrough Guide 10/11/2023 

Chronicle Pro Features:

• Each section of the participant chart will have an A-I indicator letting the user know if that component of the cycle has been met (red light-no / green light-yes).
• Two new sections have been added: One section for documenting the referral information and another to document the provider communication (A & I within the cycle).  Both sections will have an upload function to house any documentation. 
• Users now can filter participants based on if they have met all the A-I requirements within the participants search tool.
• A new patient audit report will be added to allow the user to quickly print a complete chart that has met the A-I requirements.
• Calendar function: A new calendar function will allow users to see upcoming classes, sessions, and scheduled follow-ups. 

Please feel free to email ERP@diabetes.org if you have any questions.

The ERP and Chronicle development team have been hard at work to launch the Chronicle refresh!  The goal for this refresh is to optimize the platform to support current browsers as well as streamline a few of the tedious data entry points i.e., Participant Assessment and Health Status sections.   This refresh will not change how you document DSMES information, and it won’t affect any of your historical information. 

Chronicle Refresh Recorded Webinar (Recorded 10/6/2022)

• /cd-refresh
• Passcode: 691442

Chronicle Diabetes is now available to non-ADA Recognized services for a nominal subscription fee:

• $100 on-boarding fee
• $250 start-up and subsequent annual fee

Benefits of using Chronicle Diabetes:

• Unlimited number of users and sites
• Conduct comprehensive assessments and intervention
• Leverage tools including a complete patient manager, medications list, online participant self-assessment, and more!
• Access to monthly Chronicle Diabetes Ask the ERP Experts Q/A Webinars
• Free Chronicle demo site which will allow you to explore the entire platform as well as document participant encounters and export reports.   This is a demo site so please do not enter any real patient health information
• Generate robust reports which include diabetes care and education specialist hours as well as individual and aggregate behavioral goals and participant outcomes.
  • Report Examples:
    • High-level Report
    • Filter Report
    • Hospital & ER Visit Report

To begin, please submit the ERP Onboarding Form and choose the “Non-ADA Recognized Chronicle Subscription” option.   Once this is submitted the Quality Coordinator will receive a welcome email with instructions on getting started and submitting the subscription within the portal.

Please Note: Business Associate Addendum (BAA) for Chronicle Users (The BAA must be accepted within the ERP Portal by the Quality Coordinator prior to accessing Chronicle. We recommend sending this document to your Legal Counsel for review.)  

For assistance with Chronicle Diabetes please contact ADA staff at ERP@diabetes.org or 888-232-0822

We are excited to share with you that you can now access the Chronicle Pro demo site below. This is a demo site so please do not enter any real patient health information. Each day you would like to access the site you will need to request a new temporary username and password. Once you've completed this information, a temporary username and password will be emailed to you. This information will be valid for the remainder of the day, after which time it will expire. If you would like access to the demo on a later day, you will need to request a new username and password.

Access the Chronicle Diabetes Demo Site 

Getting Started with Chronicle: 

• Business Associate Addendum (BAA) for Chronicle Users (The BAA must be accepted within the ERP Portal by the Quality Coordinator prior to accessing Chronicle. We recommend sending this document to your Legal Counsel for review.)  
• Chronicle Setup Guide 
• Chronicle Capabilities

We are excited to share with you that the Chronicle High-Level report is now available within the Chronicle Diabetes reports tab and the ERP portal. This report can be downloaded as a standalone report, or it can be exported through the filter report which allows you to filter report data based on provider, demographics, clinical lab information, and numerous other filters chosen by the educator. This report can also be downloaded program-wide to include all of your recognized sites. Download the Chronicle High-Level Program report guide for more information and instructions.

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High-level report features:

• Participant types
• Diabetes Self-Management Education and Support (DSMES) services methods
• Instructional hours
• Demographic number and percentages for population seen
• Barriers to care
• Behavioral outcomes
• Program outcomes
• Participant measures

Chronicle High-Level Program report example—The program outcome and participant measures sections include footnotes explaining each of the data points. The last page of the report will provide you with a key for every data point provided on the report.

Chronicle High-Level Program Report Recorded Webinar

Access Recording 
Access Passcode: 653590 

Chronicle Reporting Capabilities 

• Delta Report (Available to Minimal Capacity Users) 
  • Generates aggregate behavioral change outcomes 
  • Generates aggregate participant outcomes 
  • Generates additional biometrics
• ERP Site Report (Available to Minimal Capacity Users) 
  • Generates the total number of participants during reporting period 
  • Generates the average hours of DSME received by participants during reporting period 
  • Generates the demographics of participants seen during the reporting period
• Educator Hours Report 
  • Generates Summary of educator Hours 
• Filter Report (Available to Minimal Capacity Users) 
  • Generates aggregate reports by numerous filters which now include provider and insurance type for the purpose of advertising program outcomes to insurers and providers.
  • Generates individual participant reports which can include participant demographics as well as initial and most recent behavior objectives and lab data
• Lost to Follow-up Report 
  • Provides the number of participants that have behavioral goals set with no follow-up
• No Show Report 
  • Provides the contact information for participants that have been placed in No Show status 
• Hospital & ER Visit Report (Available to Minimal Capacity Users) 
  • Generates the  % change in hospital & ER visits post DSMES, both due to diabetes and not due to diabetes. 

Chronicle Guides

• Chronicle Initial Comprehensive DSMES Cycle  
• Chronicle Workbook 
• Chronicle Walkthrough
• Chronicle Setup Guide 
• Chronicle Reports Guide

Assessment Forms: 

• DSME Assessment Example 1 - English 
• DSME Assessment Example 2 - Spanish
• Chronicle Diabetes De-Identified Participant Chart

Chronicle Diabetes (CD) FAQ

Q: Does CD integrate with other electronic health record (EHR)?

A: CD is a standalone documentation platform that does not currently integrate with other EHRs.
 

Q: Is CD HIPAA compliant?

A: CD is designed to meet the requirements of the Health Insurance Portability and Accountability Act (HIPAA)
 

Q: Is there any software I need to download to use CD?

A: CD is a web-based platform so there is no software to download.  CD can be accessed from any computer or mobile device as-long-as there is internet access.  We recommend using the most recent version of your browser when accessing CD.  Chrome and Firefox are the recommended browsers.
 

Q: Is there a cost associated with using CD?

A: CD is a free benefit to Recognized services and services that plan on applying for Recognition in the future.  The only time a service will have a fee involved with CD use is if a service has a special request or need that the ADA staff cannot perform.
 

Q: Does the ADA require services to use CD in order to maintain Recognition?

A: ADA does not require services to use CD for documentation purposes.  CD is a free benefit of Recognition for services to use if they choose to. 

Q: If I am already documenting in an EHR do I need to double document in CD?

A: If your current EHR documents everything you need for your DSMES service and Recognition, then there is no need to double document in CD.  Services often use CD at minimal capacity if their current EHR does not aggregate their behavioral or participant outcomes.  Learn more about CD minimal capacity use here. 

Q: My service is planning to apply for Recognition in future.  Can I use CD before submitting an application?

A: Yes.  Services that plan on applying for Recognition in the future can use CD prior to submitting an original application.  A service will need to submit an onboarding form to be setup within the ERP Portal in order to be able to access CD. 

Q: What are the benefits of using CD?

A: CD is built to satisfy all ADA requirements for documenting participant information. 

CD Capabilities:

• Import data required for ERP Applications and Annual Status Reports
• Document and track the complete patient DSME Cycle
• Track educator hours and patient statistics
• Generate Letters to patients and providers
• Generate reports for the purpose of advertising program outcomes and use for QI projects

Additional Reporting Capabilities:

• Generates aggregate reports by numerous filters which now include provider and insurance type for the purpose of advertising program outcomes to insurers and providers.
• Generates individual participant reports which can include participant demographics as well as initial and most recent behavior objectives and lab data
• Generates the % change in hospital & ER visits post DSMES, both due to diabetes and not due to diabetes