Clinical Care Documentation / Care Planning : within Clinical Applications

• Automatically assigns resident into an acuity class based upon a user defined total attribute point value.

• System is highly scalable and can accommodate shift/daily volume totals or can be broken down to the source by cc/ml.

• Supports on-line recording of medications, piggybacks, IV's, hyperal, and blood products ordered in HCS Pharmacy and Order Entry Systems.

• Provides a user maintained database of standard care plans which link nursing diagnosis/problem statement and outcomes/long-term/short-term goals to interventions and education.
• Ability to have interventions populate a treatment record, specify responsible discipline, and drop charges upon completion.

• Ability to access policies and procedures by subject or policy number and view information on-line, which can be facility specific.

• Allows for entry of free-form interdisciplinary progress/narrative notes with templates available to reduce keystrokes and promote comprehensive documentation.

• On-line incident reporting capability includes tracking and reporting on falls, medication errors, and all incidents involving residents, employees and visitors.

• Can audit on-line by user or resident all the electronic medical record information accessed with the ability to scan by date range.

• Automates CMS 700/701 forms with full integration of billing and clinical applications.

• Organization can choose which orders and care plan interventions to populate the treatment record with. This can be run separately by responsible discipline.
• Ability to view online all treatments for specific date range, by shift, when treatments are given, if given and document reason when not given.

• Allows for entry of temperature, pulse, respiration, blood pressure, weight, pain scale, and blood glucose.
• Vital signs can be viewed in graphical format.
• Provides a listing of all resident weights with a history of the last 30, 90, and 180 days noting percentage of change.

User-Defined Clinical Assessment Tools : within Clinical Applications

• Links the assessment module to the care plan module by suggesting nursing diagnoses based on answers to assessment questions.
• All assessment tools are user defined and maintained, allowing organizations to keep the assessments they are currently using.

Order Entry : within Clinical Applications

• Accommodates user defined order entry screen which allows additional data to be captured along with order requirements.
• Allows for entry of orders from multiple sites including nursing stations, selected ancillary departments, and other service areas.
• Warns user of potential duplicate order upon entry of order.
• Checks for procedure-to-procedure and procedure-to-medication conflicts and provides an alert to view the conflicting tests or medications.
• Communicates service orders/requisitions to all appropriate departments automatically.
• Accommodates entry of order sets (by doctor, provider, diagnosis, or department), exploding and high frequency orders.
• Produces work lists for ancillary departments and clinicians, based on current orders.
• Order verification/review, receive, and complete orders for each ancillary department.
• Full integration with all relevant INTERACTANT Modules.
• Full reporting capability.
• Generates display for all orders to facilitate monthly renewals.

Results Reporting : within Clinical Applications

• Allows viewing of single and composite results for each resident.
• Ability to print results on demand.

Clinical Staffing and Scheduling : within Clinical Applications

• Automatically feeds hours worked into the payroll system.

• Integrates employee demographic information with the scheduling component.
• Provides nursing management information concerning scheduling preferences, qualifications, and other employee data.
• Maintains all demographic, payroll, license, certification, and scheduling information for each organization employee (integrated with HCS Human Resources Management Module).

• Maintains float department allowing scheduling at any place within the organization.

• Responds to employee requests, schedule restrictions, organizational policies, and unit requirements.

Pharmacy : within Clinical Applications

• Full integration with all relevant INTERACTANT Modules.
• Pharmacy on-line adjudication to third party billing providers.
• View drug utilization by order/dose and physician.
• Pharmacy universal claim form.
• Pharmacy cycle fill period defined by nursing unit and can be modified.
• Complete reporting capability.
• Provides fill list designed to meet organizational needs.

• Integrates with First Data Bank Formulary.
• Accommodates formulary creation, updates, and inquiries.

• System can dispense to residents as well as employees.

• Provides pharmacy with a separate user modified security system.

• Accommodates ordering of floor stock pharmacy items.
• Provides a pharmacy alternate drug display, which lists medications within the same American Hospital Formulary Service Classification with pricing information to assist clinicians in making cost of therapy decisions.
• Inventory control for narcotics, return medication credits/adjustments, and doctor's standing orders.

• On-line MAR (Medication Administration Record) allows for accurate documentation of medications.

• Provides inquiry into drug compatibility and interaction tables.

Minimum Data Set (MDS) : within Clinical Applications

• Comprehensive MDS is fully integrated with all INTERACTANT Modules including demographic data from registration, clinical data from Electronic Medical Record (EMR), and charge minute data from revenue cycle management.
• Automates MDS and Care Area Assessments per Appendix C published in RAI Manual with automatic feeds to CAA assessment from MDS responses.
• MDS home page provides a single screen summary of all vital resident information including photo, therapy start of care dates, clinical/critical alerts, and a visual alert for assessments(s) with an ADL score on the cusp of a higher category.
• Comprehensive PPS and OBRA MDS scheduling accommodates all scenarios including midnight rule and therapeutic leave of absence.
• MDS assessment is automatically filled in based on previously entered information in clinical data repository. Some questions are automatically filled while others provide a look-back window view to capture the highest burden of care.
• Provides automatic messaging for MDS coordinator when a significant event occurs that could affect MDS schedule.
• Case Mix display lists all RUG scores for various groupers, i.e., federal, state, insurance, and alternate state, allowing drill-down to PPS questions and display of current BIMS and PHQ-9 score with scoring legend.
• Resident-specific problem statement listings generated from triggered CATs fosters creation of resident-centric comprehensive plan of care.
• Significant change option allows trending between MDS assessments for all declines, improvements, and/or both on one screen.
• Therapy scheduler allows program planning of therapy minutes, keeps a realtime working RUG score based on minutes entered, and alerts when program plan is not followed and/or projected RUG will not be met.
• 672 and 802 data updated from most recent MDS assessment and/or EMR with individualized modification.
• RAI manual available within MDS for section-level help.

• MDS Home Page
• MDS Scheduler
• RUG IV
• Schedule Adjustment Worklist
• Clinical Assistant
• CAA Summary
• CAA Trigger Legend
• Therapy Scheduler
• Automated 802/672
• Quality Indicator Reporting
• Quality Measure Reporting
• MDS Drill-Down Reporting
• Care Area Trigger Inquiry

Wireless Hand-Held Device : within Clinical Applications

• HCS INTERACTANT Software provides for wireless, hand-held devices which can be used for point-of-care computing.
• Allows for entry of all registration and admission information, clinical care documentation, order entry, and materials inventory management.
• Enables caregivers to capture information where it happens - at the point-of-care - in a cost effective manner.
• Bar coding allows for medication verification/administration, materials management, and immediate charging of supplies and medications.
• Improves standardization of charting.
• Facilitates data collection for utilization review and outcomes management.