Auto-select ICD-10 Diagnosis Codes in ADL Order Entry

Enhanced ICD-10 Diagnosis Codes Accessibility

Medication and lab orders in ADL will now display the most commonly used ICD-10 codes, based on the type of order. Upon entering an order into the system, prescribers will be prompted to choose from a list of the most appropriate ICD-10 codes, based on the medication or lab that they are ordering. Users will then select one of the available options or will be able to enter a code of their choice. The system will also show which are the best codes to maximize reimbursement.


ADL Testing PDPM/MDS Changes

Patient Driven Payment Model (PDPM) MDS Changes

CMS has provided a beta version of the PDPM calculator for the MDS. The calculator has been integrated into the MDS and is being test for early release. The screen has been simplified to provide a easier view.

Preview of the MDS RAI screen:



EMR Updates for CMS New Patient Driven Payment Module (PDPM)

Announcing Major Functionality Enhancements to ADL Optimum Series EMR

ADL is enhancing its software in preparation for the Patient Driven Payment Module (PDPM). Our goal is to assist facility staff in classifying patients into the appropriate payment groups based on data driven clinical characteristics. PDPM is value based and rewards patient outcomes.

Patient Driven Payment Method (PDPM) Information

Effective October 01, 2019, each patient will be assigned a case mix classification that drives reimbursement. The primary diagnosis (Section I10020B on the MDS) will determine which of the 10 clinical categories the patient will be assigned. Once the clinical category and any comorbidities are taken into account, the patient will be categorized further based on 5 criteria: Nursing, Occupational Therapy, Physical Therapy, Speech Therapy, Non Therapy Ancillary (NTA). These 5 items are the basis of PDPM.

Prepare for PDPM Now:

Things to Review with Staff

1 Ensure staff is proficient in ICD-10 coding and that all codes are accounted for appropriately.
ADL software will display appropriate Diagnosis codes throughout the EMR
2 Make sure relevant staff is familiar with Section GG of the MDS
3 Calculates a residents LACE score to predict the rate of readmission or death within 30 days of discharge
4 Make sure comorbidities are captured upon admission
5 Make sure HIV/AIDS codes are accurate for the increased rate adjustment
6 Reduce burden of multiple assessments – Scheduled MDS assessments will decrease from a minimum of 5 in 100 day stay
to 1 completed at the beginning of care
7 MDS I8000 Active Diagnosis – Make sure to capture accurate and detailed medical diagnosis
8 PDPM scores will be accessible within various places in the EMR as reference

Compliance Requirements

1 MDS new category I10020B for Primary Diagnosis will determine clinical categories
2 Providers will be required to complete an IPA with an ARD by 10/07/2019 for all Medicare Part A residents
(10/01/19 is Day 1 so schedule accordingly)
3 Each should discipline justify and support the level of service provided.
ADL will alert user when assessments are due and ensure that proper ICD-10 codes are used based on conditions and orders
4 Re-certification tracker of all active ICD-10 codes will keep you in compliance

For more information, reference the CMS official website here.

Hazardous Medications Alerts have been Added to OE & eMAR

Alerts have been added to the Order Entry and the eMAR applications

For the proposed 2018 list, the National Institute for Occupational Safety and Health (NIOSH) presents the policy for how drugs are assigned to the 3 hazardous drug classifications using a new peer reviewed 5 Category system based on evidence of the hazard:

  • Category 1—Special Handling Information
  • Category 2—Insufficient Toxicity Information Available to Meet NIOSH Definition of Hazardous Drug
  • Category 3—Available Information Shows a Toxic Effect that Does Not Meet the NIOSH Definition of a Hazardous Drug
  • Category 4—Available Toxicity Information Does Not Demonstrate or Support a Determination that the Drug Meets the NIOSH Definition of a Hazardous Drug
  • Category 5—Available Toxicity Information Demonstrates or Supports a Determination that the Drug Meets the NIOSH Definition of a Hazardous Drug
    Hazardous Medication List (February 2019)

    New Patient Bracelet Style Added

    A new styled Patient Bracelet has been added to the ADL system.

    You can now print bar-coded and color-coded bracelets. Up to 10 precautions can be printed on the bracelet as seen on the print preview screenshot below. The bracelet can be scanned to expedite capturing Medication Administrations, Vitals, Laboratory Results and other areas where patient data needs to be retrieved.