Using the MDS 3.0 Care Plan Software, Care Area Assessments (CAAs), three pre-delivered care plan libraries, and correlations with User-Defined Assessments and diagnoses, Experience Care’s Care Plan software system provides an intuitive and efficient method for building a resident’s individualized person-centric care plan as part of their EHR.
Creating personalized resident care plans is an essential step so facilities can provide the highest quality of care. This means having an efficient system in place that supports detailed, facility-defined care plan content, MDS assessments to increase standardization, and real-time updates that are easily managed during care plan conferences and meetings.
Simplify the process of gathering important admissions information like initial assessment data and MDS documentation so all data flows directly into the care plan assessment, which is then pushed out onto the floor for your CNAs and floor staff.
Direct from your electronic health record and straight into the care plan assessment, identifying potential problems, updating or adding new interventions, building a personalized care plan, and accessing the information via the Kardex has never been quicker, easier, or more efficient.
Individualized Care Plans Software Solutions
Build care plans more easily and efficiently using the automated processes in care plans software, which allow staff to access, review, and create a comprehensive care plan in line with the federal regulated time frame of 21 days.
Staff can also access the list of potential problems, and then personalize each problem according to the resident’s needs. This added convenience allows staff to extract resident data and input it into the software system, rather than manually inputting the problems from scratch, saving them time and effort.
Once the care plan is built—it is conveniently pushed out to the electronic Kardex, allowing CNAs and floor staff access to the care plan with the latest updated information. This useful feature allows CNAs to update resident data daily while documenting relevant intervention notes with real-time data, which can then be reviewed in the resident care plan with the resident, family, or interdisciplinary team.
Furthermore, because all real-time resident data like resident falls or safety interventions is displayed on the Kardex, the software allows staff to set up helpful notifications where staff must acknowledge and sign off the intervention, thus keeping every team member informed and in full communication.
Start with Pre-Defined UDAs In Your Careplan Software
Our intuitive careplan software allows users to initiate a resident care plan by selecting from an online list of pre-defined Suggested Problems. These are triggered by correlations between the Experience Care MDS 3.0 Library and the resident’s MDS 3.0 responses, CAAs, diagnoses, and User-Defined Assessments (UDA). They are monitored by care plan coordinators, who modify the suggested problems, goals, and interventions to best fit the needs of each resident.
Examples of suggested problems:
- Fall Risk
- Risk of Pressure Ulcer
- Nursing History assessment
- Responses to MDS
- CP module
If you are already using a care plan library written by your facility staff, the software supports you in setting up correlations with that library to take advantage of the Suggested Problems feature.
As users select problems from the pre-defined Suggested Problems list, they can also add goals and interventions from one or more libraries to build a comprehensive resident care plan. Users can also choose to enter the care plan text into free-form fields or use a hybrid method of software, which incorporates the suggested problems from CATS (Care Area Triggers) that are then personalized by the care plan coordinator who creates a resident-centered care plan tailored to the needs of the resident.
Dashboard for Key Performance Indicators in Care Plan Software
The built-in NetSolutions KPI Dashboard allows users to easily access Key Performance Indicators (KPIs) with the essential drill-down details in their care plan software, drawing the user’s attention to important goals. Simply click on the KPI Dashboard to check for the number of New Admits, Readmissions, Past Due Care Plan Goals, and Paused Care Plans.
Afterward, a list of residents who fall into these KPIs will be displayed. Users can select on each resident in the list to see the actionable data associated with each resident, thus tailoring their care plan to meet their individual needs.
Use Automated Processes to Build Personalized Care Plans
Build a care plan efficiently using the Summary Panel that displays all current or resolved problems. It gives clinicians the necessary tools to select and deselect problems, goals, and interventions from multiple libraries as they choose the appropriate set of items tailored to each resident.
When a user sees an asterisk in the Care Plan statements—this indicates individualization, such as referencing a resident’s body part or left/right side. Users can easily maintain the care plan with one online page that shows the complete care plan in a collapsible or expandable window.
When users click on a problem, goal, or intervention, they will also be able to view and edit the displayed text. The system automatically tracks events in the software using the edits and views button that shows the user and date, and supports storing a Care Plan Problem/Goal/Intervention as historical data prior to editing.
MDS 3.0 Quick Plan Library
The MDS 3.0 Quik Plan Library is a free feature that is included with the NetSolutions Care Plan system. Users can use our pre-established statements as the foundation to build personalized resident care plans via the MDS 3.0 Quik Plan Library. The library offers a complete set of problem complexes that were established by adding measurable goals and interventions to each problem statement.
Customize complex problem statements to easily reflect facility-specific practices
The MDS 3.0 Quik Library contains a common list of Problems, Goals, and Interventions, along with suggested correlations between the problem statements, CAAs, and MDS 3.0 items.
Users can simply click on the Suggested Problems link when they start building a care plan to trigger the appropriate list of problems, goals, or interventions. By selecting the pre-defined problems from the list, users can complete the care plan by personalizing the goals and intervention statements, tailoring them to the individual needs of a resident.
For added convenience, users can also edit the correlations between care plan problems, MDS items, diagnoses, CAAs, and User-Defined Assessment items. These are built into the MDS 3.0 Quik Library so facilities can personalize them to suit the facility’s unique standards.
With approximately 168 problems along with the accompanying goals and approaches, users can easily identify, select, and print the problem correlations into a master report, giving them a comprehensive overview of a resident’s care plan.
Medical Diagnoses and I-PLAN Libraries
The NetSolutions Care Plan system also includes a built-in Medical Diagnoses Library with pre-defined goals and interventions. Users can access the library by using the Library Assistant feature that has automatic prompts, including the option to add additional language functions so as to personalize each statement.
For maximium efficiency, users can also browse the Diagnoses Library, which holds up to 60 diagnoses, as well as pre-defined goals and interventions, which are selected and automatically added to the resident’s care plan.
We have also included an Optional I-PLAN Library that is available for use with NetSolutions Care Plan software with no additional charge. It is based on the nationally recognized standards of care with library items written from the resident’s perspective using “I” statements. These statements can be personalized to match the resident’s ability and preferences.
Vitals for the EMR
Charting residents’ vital parameters and notes has never been easier using NetSolutions by Experience Care’s Care Plan and Physician Orders. Users can conveniently access data flow from Vitals to CareConnection (RosieConnect) devices that are integrated with the software system. The system automatically maintains acceptable ranges by providing helpful alerts so all members of the team, including social workers can know when parameters fall outside of that range. Parameters include:
- Blood glucose level
- Blood pressure
- Oxygen saturation
- Level of consciousness
The benefits include:
Care Plan Progress Notes
Our Care Plan Progress Notes allows users to:
- Quickly add free-form notes to a resident’s EHR with full documentation on all progress-related notes that are aligned with a specific goal
- Efficiently reference a care plan problem by identifying the ID number using our state-of-the-art retrieval and reference system, allowing you to reference it in your notes or in a survey so facilities can quickly identify and refer to the problem
- Conveniently copy, paste and edit text from a previous note into a new one with a few simple clicks
- Avoid unnecessary documentation errors by utilizing the spell check function to ensure 100% accuracy
- Effortlessly print reports, problems, and goals to allow share resident data to the relevant parties, such as during surveys, litigation, or family requests. This is particularly useful if the facility has limited computers, thus allowing all floor staff to access the relevant information when needed.
Reporting Made Easy
We have also created a set of standardized on-demand reports that are based on past care plans, showing the problems, goals, and interventions that were in place during the resident’s stay in a facility. These care plans have been updated over time, thus giving accurate resident information. These reports contain information on the following:
- Nursing Kardex: A reference tool used by direct-care providers. It offers clear descriptions on how much support and assistance a resident requires on Activities of Daily Living (ADLs), which are based on the MDS responses that are automatically imported from NetSolutions MDS 3.0 software.
- Care Plan: Full display identifying a resident’s problems, goals, and interventions.
- Care Plan Snapshot: This feature offers a snapshot of a residnt’s care plan according to a certain date or date range.
- Documentation Records: Users can access monthly schedules for each discipline, such as ADLs, dietary notes, social services, MDS nurse assessments, dietitian and therapy assessments, which all document resident-specific information and care plan interventions. They can also create customized charting records for specific areas, such as a UTI record.
- Acuity Report and Acuity Summary: These are organized by client and by discipline so the MDS coordinator can monitor the 802/672 requirements.
Additional Reports include:
- Conference Report
- Goals Due for Review
- Goals Resolution
- Problem Summary
- Suggested Problems
Links to Practice Guidelines
NetSolutions supports utilizing additional external links that assist users to build a balanced and appropriate resident care plan.
Our intuitive software offers several links to external websites like the DHHS’ National Guideline Clearinghouse, a public resource for evidence-based clinical practice guidelines. Users can build a resident care plan using standard care plan protocols and guidelines, as well as access additional care planning information, creating a tailored care plan that meets all compliance measures.
Some benefits include the pre-built guidelines and care plans that make it more efficient for staff to create a complete set of care plans. These form the basis of the care plan framework so allowing staff to then customize them according to the resident’s needs.
Care Plan Conferences
We also offer the option of booking a Care Plan Conference in advance via the Care Plan Conferences page. This allows users to determine the location, number of attendees as well as see a chronological summary of past conferences.
Users simply click the eAssign checkbox to see if their facility uses NetSolutions eAssignment and Messaging feature to identify which trigger has been chosen. Afterward, it will send a message to each attendee about the scheduled meeting.
For maximum convenience, the system also supports paperless care plan conferences with automated online tools used for scheduling the conference, notifying attendees, signing in attendees, and entering notes.
Before the conference, attendees can sign into the conference electronically. Facility staff simply enter their password and click the “Done” button. For attendees who are not registered into the system, such as family members, they can sign in using a digital signature-capture pad, which allows them to sign in remotely.
NetSolutions has been tested with the Topaz SigLite 1×5 pad model T-S460-HSB-R. The Topaz model is fully compatible with NetSolutions software, so facilities can rest easy knowing there won’t be any connectivity problems should they purchase the software and model together.
After the conference, users can add notes to the Conference page allowing all attendees to see what activities took place during the conference.
Creating a resident care plan is an essential step in admitting a new resident. To build a comprehensive care plan, a significant amount of resident information needs to be gathered. That’s why we have also included several additional features to improve the user experience, convenience, and aid the process of creating a personalized resident care plan, such as:
- Suggests problems based on correlations with the MDS 3.0 Quik Plan Library, CAAs, MDS 3.0 items, diagnoses, and items in User-Defined Assessments
- Custom libraries may be exported and shared with a sister facility so different healthcare providers can share policies and procedures. This allows caregivers to customize resident care plan interventions, import and export them to other providers, and improves efficiency, convenience, and accuracy of documentation.
- Provides a “Resident Strengths Window,” which identifies the resident’s strengths used to develop appropriate interventions, thus improving function rather than preventing deterioration. This allows caregivers to add positive resident information, which is used to create achievable goals in the care plan. Another advantage is that it focuses on developing a personalized care plan to ensure residents can attain and retain the highest level of cognitive, physical, and psychological well-being, which are commonly the important measures identified by the resident and their family.
- Supports saving a partially completed care plan by using the Pause and Resume buttons
- Captures statements made by residents and family members
- Updates review dates automatically following the review date intervals (30, 60, 90 days) that you set up. The on-demand report will list the appropriate goals due for review.
- Ensure care plans are built on best practices that improves efficiency
The Care Plan System is a game-changing tool in the world of long term care. It collates relevant data and automatically summarizes it into suggested problems, goals, and interventions. Caregivers can then simply:
- Select and personalize an item according to the resident’s needs
- Monitor and update goals, interventions, and problems with minimal time and effort
- Push out the information to all CNAs and floor staff, keeping everyone informed of any changes to condition
Our Care Plan System makes designing a personalized care plan easy and convenient. Want to start creating more efficient care plans? Click here to book your demo now.