Dream Factory by TruBridge Ideas Portal
This would benefit all physicians and nursing staff who interact and chart with pregnant patients. A calculator that is able to give estimated due date based on last menstrual period, that can then be adjusted to final due date based on ultrasound findings and then calculate estimated gestational age to update with each entry. This should be able to be presented in a flow sheet format that includes weight, blood pressure, fetal heart tones, fundal height, cervical exam, comments and presence of fetal movements and contractions for each encounter combined in the same display. We should also have a view that includes pertinent OB labs easily linked into the document with the above flow sheet and EDC calculator.
There is also need for updated OB nursing documentation for labor flow sheets, nonstress testing, postpartum evaluations and newborn care.
To improve workflow efficiency, clinical documentation quality, and patient care consistency for obstetric patients, I fully support the proposal to develop and integrate a comprehensive obstetric module within the TruBridge EHR system. This enhancement will address existing system limitations and provide essential tools to assist providers and nursing staff in managing prenatal, intrapartum, postpartum, and newborn care.
Furthermore, I recommend the introduction of standardized templates for the following areas:
Labor flowsheets (e.g., contractions, interventions, labor progression)
Non-stress tests
Postpartum assessments
Newborn evaluations (e.g., weight, feeding, APGAR scores, screenings)
These templates should be designed in alignment with clinical best practices and enable structured data capture to support continuity of care and facilitate efficient reporting.
I would like to suggest that when a patient is marked as pregnant in the Encounter section of the Demographics, it should trigger additional documentation fields specific to pregnancy. Key data points such as Gestational Age, Estimated Due Date, Last Menstrual Period, Gravida, and Para would be extremely helpful if they could be displayed in the patient ID panel and made available for use in Notes Filters.
Currently, the ability to include this information in provider notes is very limited, often requiring manual entry each time. Expanding TruBridge’s capabilities to support structured pregnancy-related documentation would significantly improve workflow efficiency and ensure more consistent, comprehensive charting for obstetric patients.