I would like to see a section for Short Term vs Long Term goals, Ability to free text SPECIFIC interventions (instead of selecting from a pre-typed list), ability to indicate which discipline is "responsible" --ex: is it more Nursing, PT, OT, ST, Cardiopulm, etc. driven problem/goal? AND to be able to indicate whether the goal was Met, Not met yet, or modified at that date/time documented on. Would also be nice to have a "notes" section to be able to add in if family was present, and anything else specific about that specific care plan related encounter. And yes, if it could all print out for audit purposes, that is a need too. Also...not a must but if there could be a field in the provider note that would flow into the plan so that they could update any change in their plan while typing their progress note and it would flow to the Plan of Care, that would prevent extra clicks in workflow as well and really add to the multidisciplinary aspect of the planning.
This is a HUGE component to nursing documentation that should be prioritized. Leaving Care Plans in Flowcharts while moving everything else is ridiculous. Nursing is not prioritizing the care plan because CPSI is not prioritizing the care plan.
Some ideas for functionality: Anything charted within CW5 should have the ability to link to actions on the Care Plan. The care plan should have the same idea as patient education documents...if it is a diagnosis, then suggested nursing diagnoses should come up when choosing a care plan, as well as choosing your own. There should be an easy REVIEWED button that creates a time stamp and signature of reviewing nurse.
Status update?
I would like to see a section for Short Term vs Long Term goals, Ability to free text SPECIFIC interventions (instead of selecting from a pre-typed list), ability to indicate which discipline is "responsible" --ex: is it more Nursing, PT, OT, ST, Cardiopulm, etc. driven problem/goal? AND to be able to indicate whether the goal was Met, Not met yet, or modified at that date/time documented on. Would also be nice to have a "notes" section to be able to add in if family was present, and anything else specific about that specific care plan related encounter. And yes, if it could all print out for audit purposes, that is a need too. Also...not a must but if there could be a field in the provider note that would flow into the plan so that they could update any change in their plan while typing their progress note and it would flow to the Plan of Care, that would prevent extra clicks in workflow as well and really add to the multidisciplinary aspect of the planning.
How is Evident handling this issue related to the 21st Century Cures Act?
This is a HUGE component to nursing documentation that should be prioritized. Leaving Care Plans in Flowcharts while moving everything else is ridiculous. Nursing is not prioritizing the care plan because CPSI is not prioritizing the care plan.
Some ideas for functionality: Anything charted within CW5 should have the ability to link to actions on the Care Plan. The care plan should have the same idea as patient education documents...if it is a diagnosis, then suggested nursing diagnoses should come up when choosing a care plan, as well as choosing your own. There should be an easy REVIEWED button that creates a time stamp and signature of reviewing nurse.