Online client assessment/screening forms help you determine the appropriate level of care. Screening forms may include needs assessment, problem presentation and other relevant clinical information. The results of a clinical assessment trigger workflow guidelines to help the professional caregiver client-centered – but assessment-driven – care plans.
The array of standard assessments can be used ‘as-is’ or configured based on organizational standard clinical criteria. In addition, industry-standard assessment tools may be incorporated when applicable.
All assessment data is stored in standard SQL tables and is fully reportable, allowing for statistical tracking and data analysis.
A multi-directional system that helps you build a dynamic referral database for tracking internal and external referrals. Initiate referrals internally to another specialty, such as radiology, dietary or laboratory. External referrals leverage available communication and HIE infrastructure. Security standards protect and encrypt all patient-related information during transmission.
Log and track all call and contact activity with features that include:
Treatment plans support individualized patient treatment and recovery plans.
These plans house patient strengths, problems, goals, objectives, interventions, diagnoses and medical orders. Tools and utilities such as the default treatment planner and clinical libraries allow you to create standard treatment plan templates and quickly add them to the patient chart.
Clinical Library functionality allows you to pre-build and link treatment plan components (problems, goals, objectives, and interventions) to match treatment protocols and smoothly develop individualized plans. Treatment plan review and signature functionality are integrated into its design.
Most states now encourage organizations to take a recovery/person-centered care approach to treatment planning. Evidence-based standards guide the professional caregiver through the concepts of recovery and offer an applied recovery methodology. Evidence-based clinical content is constructed on industry standards found in national databases, although an organization may choose to customize these standards to reflect its own clinical criteria and benchmarks.
Rich formatting options and template-driven guides monitor compliance standards for documentation completion. Service detail between services provided and services billed are fully synchronized. Rich text formatting options such as user- or organization-defined fonts, colors, automatic spelling checks, word processing features, voice recognition applications and dictation/transcription functionality are included.
From within the progress note, a professional caregiver can view both current and historical components of a client’s active treatment plan. Additionally, components in the treatment plan can quickly be linked to the progress note for documentation and service delivery compliance with planned care. Treatment plans may be reviewed and updated from within the progress note to document adherence to the current plan.
Group documentation is another example of the tight integration between such administrative functions as scheduling and clinical documentation. The group leader may create a standard note for the group, but the system will prompt for an individualized statement for each client to note individual contributions within the group setting. Completion of the notes provides service details for billing, reconciliation of the appointment status and documentation to support the service provided – in a single step.
Valuable for documenting and tracking ancillary orders, this tool helps you dispense medication, Medical Administration Records (MARs), pharmacy information and informed consents. Clinicians can integrate orders with treatment plans, measure order-specific outcomes and structure contracts by medication use to maximize outcome-based reimbursements. Clinical Orders Functionality is integrated with the hospital’s pharmacy management system, and ePrescribing or discharge and aftercare.
Ancillary orders can be standing or on-demand. You can add dates to orders as required (for example, specimen information), and results are returned automatically via HL7 interfaces to an HIE or LIS/RIS as required.
CoCENTRIX integrates Mediware’s Ascend, a comprehensive inpatient and outpatient pharmacy system that utilizes the departmental formulary to support pharmacy functions and medication management. Features include:
Robust Medication Management
Flexible, Scalable and Easy-to-Use
Meaningful, Actionable Reporting
Built-in Financial Controls
The CoCENTRIX e-MAR complies with Joint Commission’s National Patient Safety Goals. The nursing care board offers an efficient online view of medication schedules and allows you to move from patient to patient, clearly identifying the patient and ensuring adherence to the five rights of medication administration:
Medication orders recorded as part of the CPOE process and order sets automatically appear on the e-MAR and e-MOR (Medication Observation Record) for residential services. Listed medications are cross referenced by medication type (for example, over-the-counter, herbal supplements/remedies), allergies and reactions. A complete history is available for entry and subsequent viewing.
Outcomes and forms meet the market requirement for outcome data collection, measurement, analysis and studies.
Clinical users can design client outcome studies, administer assessments and report on outcomes related to population, geographical and national clinical standards.
Beginning at admission, discharge planning is an integral part of the care planning process. CoCentrix integrates discharge planning and care planning, offering a comprehensive closed loop solution. Discharge planning process tools include: