Assessments: Team-Based Care

Admission Assessments

Capture a resident’s conditions at the time of admissions and use this initial assessment to automatically create a Care Plan.

Periodic Assessments

Periodically or episodically record a resident’s condition on either a desktop or tablet PCs and use these assessments to automatically populate an MDS.

Comprehensive Discipline Sections

Easily navigate and enter data for every aspect of the resident’s condition then view and print all charting documentation.

Includes:

1. Nursing: ADL Functional/Restorative, Bladder, Bowel, Current Resident Status, Dehydration, Elopement, Fall Risk, Skin Risk
2. Rehab: Physical, Occupational, Speech, Rehabilitation Therapy
3. Nutrition: Nutrition Risk Screening
4. Social Services: History Assessment and Abuse
5. Activities: Resident Activity Assessment
6. Pain: Comprehensive Pain Assessment – Standardized “happy/sad” face pictures and questionnaire check boxes
7. Education: Interdisciplinary Teaching – Each discipline can address knowledge deficits and detail topics to be covered
8. Additional Assessments: include Dental, Discharge, Physician, Podiatry, Psychiatric, Religious, and more.

• Enhance Record Accuracy
• Improve Communication
• Shared Database
• Ensure Chart Uniformity

• Anatomical Diagrams
• Assessment Templates
• Auto-Create Care Plans
• Auto-Create Initial Care Plan
• Auto-Score Assessments
• Condition / Pain Monitoring
• Import / Export Features
• Multi-Disciplinary Approach
• Patient Scheduling
• Point-of-Care Data Entry
• Visual Body Charting
• Multi-Disciplinary Approach
• Point-of-Care Data Entry
• Visual Condition Tracking

• ADT / Census Control
• CNA Charting
• Dietary
• EMR / HER
• MDS / Care Planning
• HIPAA Security
• Progress Notes
• Recreation / Activities
• Resident Scheduler

• ADL Reportwriter
• Crystal Reports
• Fast Reports
• SQL Reporting Services