MEDITECH
Long Term Care System
product brief

MEDITECH's Long Term Care product is a comprehensive financial, administrative, and clinical system which offers all features necessary to facilitate a full continuum of service for extended care patients and residents.

As with all MEDITECH products, our Long Term Care system provides maximum integration and exchange of information between all applications. Our extensive real-time integration minimizes the time required to input crucial patient information and eliminates duplication of effort throughout the care continuum.

Highlights:
   • Administrative/Billing Suite provides account information from one centralized location, while still allowing for different pricing requirements for multi-facilities
   • Executive Support System allows CIOs to gather and analyze information from throughout the enterprise
   • Clinical Suite includes a comprehensive Resident Assessment Instrument (RAI), which utilizes point-and-click technology within the MDS
   • Care Planning includes a Plan of Care routine that allows for easy navigation, documentation, and review
   • Clinical Documentation enables providers to record on-line medication administration, while giving access to extensive reporting capabilities
   • Order Entry allows users to enter an unlimited number of order sets, series orders, and clinical interventions, while maintaining audit trails on all transactions
   • Enterprise Medical Record collects, stores, and displays clinical data from all MEDITECH clinical applications, while Provider Order Management ordering features enable care providers to view order histories and details of specific orders.

Administrative/Billing Suite

Our Administrative/Billing Suite meets all federal, state, and intermediary billing requirements. All resident account information is accessed from one centralized location, maximizing efficiency by providing a streamlined flow of resident demographic information. A series of user-defined reports allow you to view and trend financial and statistical information throughout the health care enterprise.

Admissions features include ability to:
• Assign visit-specific account numbers and unique medical record numbers upon admission/registration
• Collect and update demographic and insurance information, including changes in insurance coverage
• Track level of care changes
• Track leave of absence/hold days
• Track temporary vs. permanent beds
• Put beds on reserve
• Track referrals and inquiries
• Capture daily care charges
• Capture multiple diagnoses upon admission/registration
• Assign rooms and beds electronically with error checking
• Easily access Census reports, including census with RUGs detail
• Quickly retrieve resident demographic information from previous admissions/registrations and update when necessary.

Billing/Accounts Receivable features include ability to:
• Access all patient account information through one centralized routine
• Enter charges manually through a simple routine, or retrieve them automatically via other MEDITECH applications
• Easily enter payments, adjustments, and refunds
• Centralize billing and collections while still allowing for different pricing or payor requirements in a multi-facility environment
• Produce interim bills, age each interim bill, post payments to each interim bill
• Track exhausted benefits, including calculating and updating "days remaining" for full, co-insurance, and lifetime reserve days (if applicable)
• Set up system to automatically "rollover" to a new insurance order after resident has exhausted benefits
• Pre-bill self-pay patients for room and bed charges, and Medicaid patients for liability amounts
• Track Medicare Part B revenue and reimbursement
• Allocate revenue to the General Ledger by either primary insurance or Medicare Part B
• Electronically submit UB92's and HCFA 1500's
• Establish "Master" Contracts to facilitate the setup of reimbursement rules applicable to all residents with a particular insurance, i.e. Medicare, and calculate contractual adjustments at the time of billing
• Establish "Patient Specific" contracts to facilitate the setup of reimbursement rules applicable to a single resident and calculate contractual adjustments at the time of billing
• Generate statements on a monthly basis (or any user-defined cycle) that will summarize room and board charges
• Transfer billing data daily and monthly to General Ledger
• Transfer refund data to Accounts Payable.

Resident Trust Accounting features include ability to:
• Record deposits (social security, cash) and withdrawals (barber and beauty)
• Track fiduciary data including fiduciary demographics, expenses, assets, and sources of income
• Auto batch monthly sources of income such as deposit of social security check, cutting down on manual entry of these transactions
• Post interest which will automatically be dispersed across accounts based on residents' average daily balance
• Generate statements as well as reports showing account activity in summary or detail formats
• Transfer funds from Resident Trust to Resident's Self Pay balance in Accounts Receivable (optional).

Medical Records features include ability to:
• View a complete history of a resident's visits, along with a diagnosis associated with each visit
• Store demographics and insurance information for future retrieval
• Perform multiple functions for a list of patients through a single routine including signing out/returning records, processing incomplete records, and tracking correspondence requests.

Abstracting features include ability to:
• Code on-line using ICD-9 codes, CPT-4 codes, and modifiers
• Interface with a number of encoding systems
• Electronically submit state abstract tapes
• Create organization-defined case mix reports.

Executive Support System
With our Executive Support System, executives and managers are offered a powerful management tool to gather and analyze information throughout the health care network. ESS produces user-defined reports instantaneously, enabling decision makers at all levels to view integrated administrative and statistical information. Executives and managers benefit from:
• Summary and detail information throughout the organization
• Historically trended information
• Standard and individualized reports
• Comparative data and period analysis capabilities.

Integration with Hospital system
For enterprises that share functionality between the MEDITECH Acute Care software and the MEDITECH Long Term Care Administrative/Billing suite, features include the ability to:
• Share demographics stored during prior visits, and link long term care visits with hospital visits all in one file
• Automatically create a long term care Pre-Admission upon Hospital discharge, based on discharge disposition
• Bill ancillary charges for orders processed at the Hospital from the long term care Billing/Accounts Receivable
• Transmit LTC Billing/Accounts Receivable data to the Hospital Accounts Payable and General Ledger
• Feed long term care / billing data to the Hospital Executive Support System.

Clinical Suite

Our Clinical Suite includes a comprehensive and fully compliant Resident Assessment Instrument (RAI) with many features to assist with the intensive RAI process. Our clinical software also streamlines information, from initial ordering and verifying of results to daily resident charting. All data is immediately available within a single automated chart. The system provides flexibility to tailor care providers' access to confidential data, residents, locations, and panel items within the Enterprise Medical Record.

Resident Assessment Instrument
• Pre-Admission Assessment Qualifier
• Point-and-click technology within the MDS for ease of documentation
• Sharing of query responses between assessment documentation and the MDS
• Ability to recall values from either previous MDSs or PCS assessments
• Multiple users able to document within MDS and RAPS simultaneously
• Extensive MDS error checking at the section level as well as overall
• ICD9 Diagnosis flow between Admissions, Abstracting, and the MDS
• Medications populate Section U from active medication list
• Quality Indicator reporting
• A multitude of reporting tools available to assist with managing the MDS schedule
• Direct link between MDS responses and problems appearing on the Plan of Care
• Ability to manage which residents have been successfully accepted into the state database, by allowing users with the appropriate access to change the overall status of an MDS to Accepted. RAI components will remain editable until deemed Accepted by someone on-site.

Care Planning
• Multi-disciplinary Plan of Care Routine that allows for easy navigation and review
• Ability to associate a responsible party to interventions
• Care providers can establish facility and resident-specific Care Plans or Critical Paths for generation of discipline specific worklists
• Suggested problem list triggered via responses on MDS Assessments
• Multi-functional routine where one can easily access resident notes, outcome, and intervention documentation
• Ability to capture Care Plan review date, time, and user, immediately available on an audit.

Clinical Documentation
• Patient assignment and identification list
• Standard of Care for delivery of protocol or location-specific care
• Ability to generate a suggested list of problems from assessments— a list that can be included on the resident's Plan of Care
• Care provider-specific worklists of interventions needing to be performed per resident
• Ability to establish a Plan of Care for an individual resident; this can be a Care Plan or a Critical Path for the generation of work lists and assignments
• Flowsheet style documentation
• Point-and-click methodology allows for quick and easy response to assessments
• Extensive charging capabilities for treatments and therapies
• Ability to record on-line medication administration (MAR)
• Extensive reporting and printing capabilities.

Order Entry
• Ability to enter an unlimited number of order sets, series orders, and clinical interventions
• Ability to enter, amend, cancel, print or verify orders
• Ability to view clinical results and reports
• Ability to restore orders from one admission to the next within a facility-defined time period
• Medical Necessity can be set up per procedure to prompt users for ICD9 code and modifier, if appropriate; the Medicare Advance Beneficiary Notice (ABN) can be printed at time of order entry for resident signature
• Ability to record resident administrative and order information for quick and easy on-line reference
• Dietary data easily reviewed and updated
• Dietary reports detail residents' diet histories, current diets, and restrictive diets
• Meal counts, meal labels, and nourishment labels
• Sophisticated security features, including audit trails.

Enterprise Medical Record
• Collects, stores, and displays clinical data from all MEDITECH clinical applications, other vendor applications, and outside resources such as hospitals, clinics, and provider offices
• All aspects of care are located in a single resident chart and instantly accessible to health care providers, as data can be trended across multiple visits.
• Multiple numerical results can be graphically represented in one display, while reference ranges and abnormal result flags help care providers easily identify data that is not within normal limits
• Provides access to confidential data, residents and panel items can be tailored to each care provider
• Provider Order Management ordering features enable physicians and care providers to enter new orders for residents, view the details of a specific order, view the order history for a resident's current visit, modify or request the cancellation of existing orders, stop/start/hold medication orders, view and enter allergy information, and restore orders from a previous admission.

Integration with Hospital system
For enterprises that share functionality between the MEDITECH Acute Care software and the MEDITECH Long Term Care Clinical suite, features include the ability to:

• Process LTC ancillary orders, and automatically trasmit orders to the acute care facilitiy's Lab/Micro and Radiology
• Share Height, Weight and Allergy information between Long Term Care and the acute care Order Entry systems
• View LTC Ancillary results in the Enterprise Medical Record under the Long Term Care account
• For MAGIC sites, ancillary results will appear in Patient Care Inquiry for acute care users and Enterprise Medical Record for Long Term Care users, with links between both.

For more information about us, contact a MEDITECH Marketing Representative

MEDITECH
Medical Information Technology, Inc.
MEDITECH Circle
Westwood, MA 02090
781-821-3000
www.meditech.com