MEDITECH
Patient Care
System
product brief
MEDITECH’s Patient Care System (PCS) is an electronic documentation system offering care providers interdisciplinary Plans of Care required for a patient-focused care delivery system. Automated worklists allow care providers to document care using a point-of-care-device. PCS display panels provide the ability to observe up-to-date patient information.
Dynamic electronic links to MEDITECH's Enterprise Medical Record (EMR) offer care providers another resource for their clinical decisions. These links support critical data review during the assessments and outcomes documentation process.
Highlights:
PCS
establishes and generates the clinical tools needed to manage the
delivery of patient care. PCS enables a care provider to:
• Create a patient assignment and
identification lists. A care provider assignment list displays a
particular care provider's patients
• Initiate a Patient Standard of
Care for delivery of protocol or location specific patient care
• Generate a suggestion list of
problems from assessments. This list can be included on a
patient's Plan of Care
• Establish a Plan of Care for an
individual patient. This can be a Care Plan or a Critical Path
for the generation of worklists and assessments.
Standard
Features
Patient
Care Management
PCS establishes and generates the clinical tools needed to manage
the delivery of patient care. PCS enables a care provider to:
• Create a patient assignment and identification lists. A
care provider assignment list displays a particular care
provider's patients.
• Initiate a Patient Standard of Care for delivery of
protocol or location specific patient care.
• Generate a suggestion list of problems from assessments.
This list can be included on a patient's Plan of Care.
• Establish a Plan of Care for an individual patient. This
can be a care plan or a critical path for the generation of
worklists and assessments.
To facilitate the transition of automating patient care planning and on-line documentation, standard care plans are delivered during installation of PCS.
Clinical
Content
PCS dictionaries serve as the foundation for automating patient
care management. This clinical content, developed by expert
clinicians, comprises the standard Plans of Care. The standard
system dictionaries include:
• The Assessment Dictionary, which is used to define the
input screens that appear during the documentation of a
particular intervention from the worklist. Assessments are
associated with interventions in the Intervention Dictionary.
• The Intervention Dictionary, which is used to define
functions, treatments, or tasks that a care provider performs on
behalf of the patient. Interventions are associated with out-comes
on the Plan of Care.
• The Outcome Dictionary, which assists the care provider in
defining measurable patient goals and achievements. The outcomes
are based on interventions for a particular problem on the
patient's Plan of Care.
• The Problem Dictionary, which defines the nature of the
patient's health disorder. Problems are associated with a
particular Plan of Care. Problems may be added independently to a
particular plan or triggered based on a response to an assessment
query.
• The Plan of Care Dictionary, which includes the group of
problems, outcomes, interventions, and assessments associated
with a particular plan.
Documentation
of Patient Information
PCS allows care providers to electronically view, update, and
process relevant patient information components of a Plan of Care.
PCS supports the delivery of a patient-focused care system and
offers a means to capture clinically significant data on the
patient's progress. PCS documentation features enable care
providers to document:
• Interventions and assessments on a worklist. A worklist
contains the interventions or tasks that the care provider will
perform for the patient.
• Spreadsheet Documentation, used as a tool for simultaneous
data review and data entry, allows for:
– care providers to document assessments,
intake and outputs, medications, laboratories, and wave forms to
be included for review and documentation
– drag and drop capabilities for
rearranging data for care providers viewing preference
– graphing upon demand
– data documented to enter EMR in real-time.
• Outcome evaluations, including EMR data review
capabilities.
• Variances from a Critical Path indicating source, subtype,
and status.
• Free text notes and templates that may be linked to a
problem, outcome, intervention, or order.
• Medication Administration Record (MAR). The on-line MAR
documents activity related to patient medications such as:
– administration, entering a comment,
entering reason medication wasn't given, and adjusting actual
dosages
– changing a medication's order, viewing a
medication's order and dose instruction
– clinical indicator, monograph, and
associated data for a specific medication
– Allergy Management, and the patient's
Enterprise Medical Record.
• Resident Assessment Instrument (RAI), which includes
Minimum Data Sets (MDS), Resident Assessment Protocols (RAPS),
and the Resource Utilization Group (RUG) questionnaires. This
documentation gives skilled nursing facilities and other long-term
care providers the ability to develop a patient Plan of Care and
to report patient information to health care agencies.
Reporting
and Printing Capabilities
PCS features extensive reporting and printing capabilities. The
reports enable care providers and organizations to summarize
information in various formats. PCS users have the flexibility to
specify the level of detail to be included on these reports for
printing. PCS enables users to print and report:
• Patient profiles, including data screens, orders, current
medications, interventions, notes, and data histories
• Up-to-date Plans of Care, care provider worklists, and
patient care summaries and output formats capturing documentation
data
• Variance Reports from Critical Pathways, tracking
individual patient variance information and cross patient
statistical data
• Audit Reports listing documented patient care. These
reports can be created in an unlimited number of formats.
Benefits
• Patient data is presented in a logical and concise format
through standard screens and panels for clinical decision making
• Point-of-care documentation reduces transcription time and
inaccuracies
• Point-of-care documentation allows users to view real-time
recording of patient data in the EMR for timely decision making
• EMR data can be viewed during documentation process to
view patient's progress
• Plan of Care worklists and assessments are automatically
generated for a specific care provider discipline, which allows
care providers to easily facilitate day-to-day patient care
management.
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