This is a true story. When I first got out of nursing school, I was given the assignment of passing meds and doing treatments for 25 residents in a long-term care facility. I walked in the room and a sweet little lady was sitting in a rocker next to the bed. “Mrs. Black,” I asked? She replied,” yes” so I prepared and gave her meds. About that time a CNA walked in and said, “Mrs. White, let’s get you back to your room.” Well, you can imagine my horror.
Continuous innovation has always been a hallmark of Optimus EMR. At our upcoming 2014 Optimus Information Exchange, October 1-2 in Tampa Bay, Florida, customers will once again learn about exciting new developments within the Optimus system. Following is a brief overview of some of the topics to be covered:
- Deficiency Free Surveys: Be prepared for more than just the State Survey with tips and ideas to help manage your data and software so it’s not managing you.
- Interoperability: Customers will learn about the next generation of Interfaces. CCD, RHIO, Clinical Data interfaces and more.
Just imagine: It’s the 17th of the month and the MAR’s and TAR’s have been sent to the pharmacy to be printed. In the 10 days before they come back, I have at least 100 new orders that will have to be manually written on the new orders sheets – ugh! I also have to do a double check on each and every resident’s orders just to make sure that they are correct. And how do I accomplish this? By pulling paper charts, one at a time, painstakingly going through each and every order, writing them in on the new MAR, plus calling the physician, because, hey here’s 2 orders that he didn’t sign. That in addition to documenting in the nurses notes, faxing the new order to the pharmacy, and writing the new order on the PO sheet. What a lot of paperwork!
As a former charge nurse two of my major concerns were whether or not my residents had a bowel movement and their intake for meals. Now, picture this, 5 or 6 nursing assistants in a corner, with a messy loose leaf notebook, complete with smudges. It’s 5 minutes before time to clock-out and there is no overtime allowed for charting.
Way back in the beginning, when OBRA 87 evolved, I was handed a box of forms and a large cumbersome manual. That paper version of the Minimum Data Set (MDS) assessment had little triangles next to each question. You took those little symbols and compared and calculated to determine whether or not an area would trigger. Case mix scores? It took hours to calculate, that is, if you could understand the complicated government imposed, hand written algorithms.