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Point of Care modules are supposed to keep you alerted as to your residents’ needs and help you organize and document them effectively.

Unfortunately, a lot of electronic health care vendors do not provide a CNA POC or point of care software system that is intuitive or particularly accommodating, some of the most basic advantages that EHRs are supposed to provide. So while POC testing has been on the rise for decades, there are still many nurses using paper charts despite their facilities’ owners paying top dollar for EHRs.

The Purpose of Point of Care Documentation: Less Paperwork, Better Results

In a dream world, CNA or nurse POC charting, or, point of care documentation:

  • Is easy to use
  • Gives visual and textual cues for what has and has not been completed and documented
  • Provides alerts and warning pop-ups
  • Allows for customized data and preferences
  • Integrates seamlessly into other parts of your long-term care software systems

Well, there’s no need to dream anymore.

Experience Care’s latest Point of Care software module is a system of collecting and organizing information that prioritizes user experience and maximizes efficiency.

POC CNA Usability

Your Electronic Health Records (EHR) system is supposed to eliminate the need for paper, let you track trends, automatically report, and more. That allows CNAs and nurses to work more quickly, which gives them more time to do what is most important: provide quality care to your residents. That’s why we’ve rethought and redesigned our entire Point of Care software system, to make charting easier than ever. No longer will CNA POC workflows be disrupted due to time-consuming paperwork, miscommunication, insufficient information, errors, or unavailable team members.

Our new Point of Care software (POC) module allows you to:

  • Seamlessly collect data related to all care activities, including restorative nursing, therapy, and mood observation.
  • Record multiple occurrences in one shift and then view all entries, add, eliminate, and give reasons for changes with a few clicks of the mouse.
  • Stay on a topic page—like weight or breakfast consumption—as you quickly move from resident to resident.
  • Allow all staff members access to data and other important information, like vitals, ADLs, reports of pain, and nutrition from the convenience of their tablets.
  • Easily navigate your workflow by simply clicking on ADLs that you want to observe.
  • Check your worklist for easy-to-understand cues that indicate which items have not been documented during a session or shift. You can now navigate all items in one list to see which still need to be addressed.
  • Capture almost all MDS 3.0 items and import them to NetSolutions’ MDS 3.0 software. For your convenience, responses are saved automatically and items are color-coded to indicate that they’ve been completed.
  • Organize resident information by date or by resident name to view mood observation or care provided on a particular day.
  • Initiate a CNA POC charting session by clicking the subject area that corresponds to particular tasks, like restorative nursing, therapy, or mood observation.
  • Know each resident’s story, needs, and wants prior to starting a charting session.
  • Easily print your summary screen available on the Kardex system, which is explained further below.

Point of Care CNA Alert System

Staying on top of your resident’s needs is challenging but also critical to their well-being. At Experience Care, we’ve taken major steps to ensure that you can keep your CNAs and nurses better informed about everything from DNRs to what gives individual residents meaning in their lives. Your staff can then prioritize tasks as appropriate.

nurse using point of care software on a tablet
The Point of Care software module allows staff members to easily access resident information.

The Electronic Kardex

  • Our embedded Kardex is a new alert system that provides notifications about the most urgent and important matters concerning residents, including:
    • ADLs
    • Fluid restrictions
    • Fall interventions
    • Incontinence maintenance
  • Daily alerts and easy warning pop-ups for every resident are made visible whenever a nurse logs on and must be acknowledged by your staff. These warnings can be set to expire or be deactivated.
  • Get real-time automated updates when the conditions of residents change or there are adjustments to care plans.
  • Our CNA POC charting prevents error and memory lapses by requiring charting to be entered well before the end of shifts. Further, it prevents copying by hiding entries from the previous shift.
  • A summary screen allows you to view all of the most important information about a resident—from their code status to diet and fluid restrictions—in one convenient location.
  • Click “help” at any time to receive clear definitions of non-ADL terms.

Personalized Settings for Personalized Care

Technology can give long term care facilities a great advantage in terms of the speed at which they can process information. However, if your long term care software is not customizable, it may not be capable of documenting what you need, how you need it. Our module allows you to:

nurse using ipad with patient
POC CNA usability translates to more time providing care.
  • Set user-defined buttons and events with customized graphic images and labels that allow you to capture items specific to your preferences.
  • Set items as required with our special color-coding option.
  • Generate reports of data documented through user-defined buttons.
  • Set a preferred language and even record information in the language of the resident, like Spanish. These language preferences can be set to appear automatically, eliminating the need to switch language keywords for different residents.
  • Build lists of residents that you want to include in a particular session or from a specific shift.
  • Create customized follow-up questions based on the responses given to the initial questions you answer. For instance, you can designate a button for “swelling.” If you enter “yes,” then the next question will ask if you applied ice or heat.
  • Access all information from the hardware of your choice, whether it be wall-mounted touchscreen kiosks, Windows desktops, laptops, Android tablets, or iPads.
  • Choose the specialist vendor interfaces with whom you want your software to integrate, like Care Tracker and AccuNurse. With the latter, you can use headsets to document or give real-time updates or instructions of care using a voice-recognition technology. You can also maintain privacy through AccuNurse’s structured content that asks for yes/no responses and uses room numbers instead of names.

Minimize Risk; Maximize Compliance

With our latest POC charting software, you will be able to deliver better care and ensure that your facility is reimbursed appropriately. Here’s why:

doctor checking stats on tablet
The POC CNA alert system means tasks are far less likely to remain incomplete.
  • More accurate charting of ADLs means more accurate PDPM scores and great reimbursement. Just a one-point difference in an ADL score can translate to losing $10 to $40 per day/per resident in payment by Medicare Part A and Medicaid.
  • Our improved KPI (key performance indicators) dashboard monitors resident activity to help you optimize care plans and accelerate and track resident progress.
  • Reduce the likelihood of missing important data, like a one-person assist during the day and a two-person assist at night, in a few clicks.
  • Our Body Location Indicator Tool locates the specific part of a resident’s body that has pain on a graphic.
  • Check compliance by way of on-demand reports.
  • Track ADLs for seven days and observe variances across shifts that could indicate resident, staffing, or charting issues.
  • Manage compliance on a day-to-day basis with our Date of Service tool, which tells staff members when data was not collected from residents in the past 24 hours. You can also view the percentage of compliance by shift over the last seven or 31 days.

Improve Your Bottom Line With The CNA POC

The PDPM era is upon us, which means staying on top of ADL scores is an absolute must. Thankfully, with the latest developments in long term care EHR, that is entirely possible. The Kardex system described above is the first thing that your CNAs will see when they log in. That means that they will be immediately notified about tasks that have the highest priority. From there, nurses can enter other parts of the system and input information as appropriate.

The individual responses entered by your CNAs and nurses using the POC for separate shifts and days are entered into MDS 3.0 sections, and the totals are calculated automatically and far more quickly than anything that can be done on paper. Nurses can click “import” to view data before adding it to an assessment and MDC coordinators can get a birdseye view of MDS 3.0 responses given by residents by way of a Benefit Sensitive Fields report. Staff members can view changes in responses across time to help them select the most beneficial assessment reference date (ARD).

These features result in more accurate PDPM scores, which means getting fully reimbursed for the care you’re providing. And simplified charting through AccuNurse, which is integrated with our POC, ensures that care is charted so that you receive full payment from Medicare and from Medicaid in case-mix states. This also allows for the under coding of ADLs for Medicare and Medicaid payments.