Electronic Health Records that give your staff more time with your residents.
Minimum Data Set (MDS)
PointClickCare Minimum Data Set (MDS) provides full MDS assessment automation including RAPs and RUG III scores. Our system automatically schedules your MDS assessments and prompts you when you should be considering a significant changes assessment. It pulls relevant data from the entire EMR to answer questions for you, and a completed MDS triggers changes in Care Plans, Billing and Medical Diagnoses. Built in and customizable error checks and warnings ensure that errors are caught before your MDS is completed.
Care Plans
Produce high quality care plans in a fraction of the time and manage interdisciplinary reviews. PointClickCare Care Plans module is the easiest care planning product, requiring only minutes for new users to learn. Maximize caregiver productivity through care plan integration with progress notes, MDS (RAPs), assessments, documentation records, resident management and clinical administration tools. Take advantage of a series of care plan libraries to produce the highest quality care plans, modify & configure your own libraries, and customize your care plans.
User Defined Assessments
PointClickCare Assessments is a powerful tool enabling the preparation of customized interdisciplinary assessments, surveys and other forms. With this module you can configure your own assessment questions with pick lists, check boxes, and free-form text responses with related acuity levels, or choose a complete assessment from our extensive library and modify it as you see fit. Standard assessments and case-mix management is available for a number of resident / patient assessment classification models. PointClickCare fully integrates Assessments with Progress Notes, Care Plans, Documentation Records, Resident / Patient Management and Clinical Administration tools.
Computerized Physician Order Entry (CPOE)
Through PointClickCare Physician's Orders module, you can quickly and easily manage physician's orders. Create consolidated administration records, even if ordering from multiple pharmacies and manage standard facility protocols through order groups. Report on medications used and manage other order types (lab, diagnostic, dietary, all other orders) and even create standing orders on admission.
Electronic Medication Administration Record (eMAR)
eMAR from PointClickCare is a full medication administration system that is securely accessed over the internet and integrated with your Pharmacy for real-time accuracy and dependability. Reorder medications at the touch of a button, be alerted to missed doses and signatures, and the system will even remind you to follow-up on PRNs. And even if you are not using PointClickCare as your primary Long Term Care software, you can still enjoy the benefits of On Demand eMAR from PointClickCare as a stand alone product integrated with your Pharmacy. Imagine a single online MAR that helps you improve the 5 R's, reorder medications automatically, all with a simple touch-screen interface.
Pharmacy Integration
PointClickCare Pharmacy Integration instantly sends orders entered into PCC to the Pharmacy, completely eliminating the need for faxing. This level of integration allows nursing staff to order directly from the online pharmacy formulary, and is integrated with the resident's eMAR. To help save even more time, receiving orders can be accomplished with a bar-code scanner, and intelligence built into the system notifies the receiver of any changes or substitutions made to the order from the pharmacy.
Point of Care (POC)
Point of Care refers to the ability to access key information, task lists and schedules, complete documentation, and receive alerts and messaging, all in close proximity to a resident. PointClickCare's Point of Care interface enables Care Plan Driven Tasks and ADL Capture to be easily completed from a touch-screen interface. Point-of-care enables care providers to instantly access resident information from anywhere within their facility. By bringing technology closer to the resident, quality of care is improved while improving compliance and reimbursement.
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Medical Diagnosis
The PointClickCare Medical Diagnosis module uses the ICD9 & 10 standard codes as a basis to track current and historical resident / patient medical diagnoses. Manages a highly configurable non-abbreviated / common name description ICD-9 or 10 library. Ability to search for diagnosis by ICD-9/10 code or by diagnosis description. Manages a Hot list library of most commonly used diagnosis. Maintains onset & resolved dates for each client diagnosis. Ability to assign rank and classification to each client diagnosis. Robust reporting on resident population. Full integration with MDS section I.
Quality Improvement Administration (QIA)
PointClickCare Quality Improvement Administration facilitates rapid implementation of an effective Quality Improvement program through an organized framework, including hundreds of pre-established performance indicators, which will prepare healthcare facilities for industry benchmarking and accreditation.Benchmarking allows you to begin anonymously tracking your organization against hundreds of peer organizations across the country*. Corporations, associations and regional health organizations can produce healthcare report cards for internal comparisons. (*Capability applies to Canadian organizations only at this time.)
Admission / Discharge / Transfer (ADT)
Everything you'd expect from a fully integrated ADT, without the hassle! A/D/T produces and communicates admission, transfer and discharge documentation. As a fully integrated PointClickCare module, resident / patient demographic information flows through to all other PointClickCare Clinical, Financial and Enterprise applications. A/D/T tracks demographics and manages all current, historical and waiting list clients quickly and easily. In addition, A/D/T maintains a physician registry for all care professionals such as attending physicians, dentists, therapists and consultants. Seamlessly convert waiting list clients to active residents upon admission, and highly configurable Bed/Room/Unit setup as well as robust reporting allow you to keep a handle on all your resident data. Our Quick A/D/T Wizard allows nursing staff to document census changes at any time to update the clinical record, but ensures that all changes are reviewed by billing staff before it affects invoicing.