MEDITECH
Nursing
product brief

MEDITECH's Nursing application allows both multiple and single facility health care organizations to accurately measure patient care needs, create standard patient care plans, document assessments on-line, and use nursing resources more effectively.

Highlights:
   • Automate the creation of a patient's plan of care
   • Create individualized patient care plans
   • Document performance of interventions associated with patient care plans
   • Automatically record acuity just by documenting care given
   • Associate each intervention with acuity values to permit accurate costing of patient care
   • Record on-line notes about a patient's progress
   • Print profiles that show patient conditions, diagnoses and treatments
   • Print audits of patient interventions for private insurers, health insurance companies, quality improvement managers, and governmental organizations that review standards
   • Measure and review patient care requirements
   • Calculate the number of staff and the skill mix required at each care area
   • Plan staffing of personnel by unit or by individual staff member
   • Generate statistics that analyze delivery of patient care, efficiency of care delivery, adequacy of staffing, and adequacy of staffing projections
   • Pull lab results from electronic medical records while viewing patient profiles
   • Use an MIS report schedule to print patient profiles.

Standard Features

Management of Care Plans
The application offers an on-line library of standard care plans for patients. With it, users are able to:
• Use existing care plans or create new ones according to the nursing model of choice
• Match care plan to the diagnosis appropriate to a condition, the interventions appropriate to the diagnosis or problem, and the expected goals of the treatment
• Associate each intervention with a workload measurement or acuity value, which can be organization-wide or location-specific.

The system also permits modification of standard care plans to suit individual patient needs. Users can:
• Construct an individual care plan by deleting or adding diagnoses and interventions when appropriate
• Define supplementary text, goals, and expected outcomes
• Edit the status, initiation date, target date, completion date, or directions of an intervention on an individual care plan
• Add supplementary text to interventions on individual care plans
• Install standard care plan dictionaries to facilitate installation
• Print individual care plans for specific patients to list each diagnosis or problem included in a plan, giving status, initiation date, target date, and completion date; printouts also detail the goals and interventions associated with each plan.

Automated Assessments
On-line assessment routines suggest nursing diagnoses or problem lists based on the responses in the assessment, initiating the plan of care and acuity. The system:
• Automatically generates a problem list or care plan for review
• Prevents omission of areas of concern for the patient
• Assists in the planning of staffing needs
• Meets The Joint Commission requirements of the Plan of Care based on the assessment and by linking outcomes/goals to interventions
• Auto triggers an order based on a query in a Nursing assessment
• Prioritizes problems and diagnoses
• Provides on-line Resident Assessment Instrument
• Provides Medical Administration Records
• Provides acknowledgement of ordered meals by authorized users.

Point-of-Care Documentation
The application accommodates point-of-care documentation using a handheld computer. Care providers view current patient information and record observations, view and record patient medications, and document treatment while at the patient's bedside. The handheld computer offers full access to a wide range of patient care and clinical information found in MEDITECH's integrated Health Care Information System.

Acuity
Acuity values and workload measurements predict and record patient needs and identify costs for patient care. Features include:
• Prospective (for predicting patient care requirements) and retrospective (for recording the care delivered) acuity units
• Consideration of multiple aspects of each intervention: status, level, directions, acuity value
• Posting of care delivered to a patient's account in the Finance Department
• Reports that analyze the adequacy of staffing projections and examine a single unit over a range of time or compare multiple units at one time. Statistics are available by day, week, ledger period, or year, and as totals or as daily averages
• Indirect and direct acuity billing.

Managing Interventions
The application provides a flexible method for managing interventions, as users can:
• Quickly check off a group of interventions, then perform similar functions on all of them at once, such as, document, change their levels and/or their directions, and view their histories
• Document activity performed by themselves or by others within the health care organization
• Record activity for the current time or for an earlier time
• Print audits reflecting documentation and delivery of care; audit formats are determined by the type of interventions included and the needs of the various care areas that require the audits.

Scheduling Capabilities
The planning of nursing schedules is automated, as nurse managers use the system to:
• Plan the staffing of nursing personnel by unit or by staff member
• Project staff requirements (in tabular or graphic formats for enhanced user comprehension) based on number of workload units historically required at that unit
• Edit staffing retrospectively to ensure accurate records of hours worked.

Miscellaneous Features
The system offers functionality that enables care providers to print profiles that summarize a patient's condition, diagnosis, and treatment.
• At shift change, care providers can quickly familiarize themselves with the present state of their patients
• Care providers can choose to see the patient profile for one patient, several patients, or all the patients on a unit
• Organizations determine their own formats for patient profiles, selecting the components to be included and the order in which they are displayed; components include care area-defined screens, orders, current medications, interventions, administrative data, progress notes, Intake and Output balances, and vital signs including graphic display
• Organizations can have as many different patient profiles as needed, and formats for these patient profiles can be location-specific
• Patient notes can be multi-disciplinary in nature and viewed for all or selected disciplines.

 

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