Allegheny Messages

New fields in the 485/Plan of Care are available with Main office software version 6120 dated 03/22/2017 and Clinical Point of Care software version 2551 dated 03/22/2017 due to the new Conditions of Participation effective in July of 2017.  The Mental status section has been updated and can now be accessed by a new tab button found at the top of the 485/Plan of Care data entry screen labeled Mental Psych.  The new section will be labeled mental/Psychosocial and Cognitive status.  Agencies utilizing the Point of Care software Comprehensive assessments will see fields with a new red label in the Neuro/Psych system assessment section.  These red labeled fields will pull to the 485/Plan of Care when the 485/Plan of Care is created.  Additionally the Mental Behavioral status, Cognitive Performance, Social Skills data entry fields and  the memo field on the Neurological tab will also pull to the 485/Plan of Care when created from the comprehensive assessment.

The Goals screen has been updated to include also documentation of the Patient Goals and Expectations/ care preferences.

The Intervention Guide is now available with  Clinical Point of Care Software version 2550 dated 03/20/17 and Main Office Software  version 6119 dated 03/20/17.

Intervention Guide training video is now available.  If your agency has not received training video access, please contact Allegheny Software Publishers, Inc.

The Intervention guide can be added at the patient’s Start of Care by the clinician using the point of care software.  The intervention guide can be found at the bottom of the New Activity screen accessed through the green plus button in each patient Activity screen.  Once the certification period is entered, Interventions can be populated by selecting the patient diagnosis or primary problem when the “add” button is selected.

Interventions are visit specific based upon evidence based best practice recommendations utilizing the nursing process with motivational interviewing techniques to promote patient engagement and self management. The software allows documentation of patient specifics/individualization for each intervention as needed as well as the ability to remove intervention not appropriate for the patient.  Interventions are available each visit as alerts in each of the system assessment sections.  Updates to each intervention can be completed each visit in the Alert screen which will automatically update the patient progress toward goals tab in the skilled nursing visit assessment.  Interventions can be used to document the interventions performed during the visit and patient response to previous interventions in the narrative section by using the Import Interventions button.  The plan for the next visit can be developed through the same import interventions button by using the Next check box column.

Goals for the patient episode can be imported into the Intervention Guide from the patient Plan of care.  Goals for the episode are available in the Intervention guide alerts screen in the skilled nursing visit assessments.  Updates can be entered for goals throughout the course of the episode.

All clinicians can add a Communication note to update the Intervention Guide from the alert screen by selecting the ‘Comm Note’ button providing a record of case management and care coordination by all clinicians and disciplines providing care to the patient.

The main Office software/Control Board/Pt Status/Intervention Guide tab  allows all patient Intervention guides to be reviewed and updated for Case conferences and interdisciplinary meetings.

The Intervention guide can assist agencies in meeting updated Condition of Participation clinical documentation requirements.

Future enhancements will be shortly available with automation of patient specific/individualized orders, teaching and goal creation for the Plan of care as well as including Patient identified goals for the episode of care.

Agencies who wish to establish their own agency specific interventions should contact Allegheny Software Publishers, Inc.

A new QA screen is now available with Main Office software version dated 02/20/2017 or  later and Clinical Point of Care Software dated 02/15/2017 or later.

Agencies that have Quality Assurance designated personnel reviewing documentation for completeness, quality and/or coding, now have the option to utilize the new QA screen found in the Control Board.

MANAGED HOSTING ENVIRONMENT- Agencies utilizing the software in the Managed Hosting Environment will need to initiate an override in Set up/Clinical Set Up, “Turn on Managed hosting Clinical re-approvals”.  This will initiate a new screen in the Clinical Point of Care software allowing Clinicians to review documentation which has gone through the QA process in read only format and apply a final approval/electronic signature.

The QA Screen in the Main office software has multiple filters for date range and check boxes for specific document types.  Ultimately there are check box filters to exclude documents missing the initial approval and excluding documents already QA Reviewed.  Once filter criteria are selected, the software will save the items for future access to  the screen.    All a user needs to do is select the Load again.

The software will indicate opening the highlighted document will remove the clinician’s approval and open the document when the QA Open button is selected.  The software saves the original electronic approval and will include it with the original date and time stamp on any print form.  Updates can be made to the document.  Upon exiting the record, the software will ask if the record should be marked as QA reviewed.  Selecting” Yes”, will populate the date in the QA Date column in the grid for tracking and later for filtering to see only those documents not yet marked as QA Reviewed.

The QA Person will then Mark RA the record.   The record will be made available to the clinician in the Clinical Software making it available for review in read only format and for the clinician to place their final approval on the record.  The Re-approval screen will display automatically upon opening the Point of Care Software.  The Re-approval screen can also be accessed from a button found at the right side of the main Patient Listing screen.

In the Main Office software QA screen, the Status is updated removing the Approved status  and a check mark is placed in the RA check box column to indicate the document has been marked for Re Approval.

IN THE MANAGED HOSTING ENVIRONMENT ONLY, The QA person may Block the document at this time (prevents the clinician from opening the record /accessing the data entry fields from the Clinical software Patient Activity screen.

Clinicians will see the documents marked for re-approval upon logging into the clinical software in the Re-approve screen.  The document can be viewed, closed then the Approve button can be selected.  The clinician can then enter their approval password to place their final electronic approval.  Documents approved will drop off the grid.

The QA screen in Main system will now display the status as approved and the Re-approval date and time stamp will display.

When printed the documents will indicate the initial electronic approval and the final approval will print on the signature line with the date and time stamp of the final approval.

SERVER BASED SOFTWARE

Agencies using the software installed on their own local server will see only Comprehensive OASIS and 485 documents list in the QA screen.

The QA screen will hold filters for the date range and check box filters to exclude documents missing the initial approval and excluding documents already QA Reviewed.  Once filter criteria are selected, the software will save the items for future access to the screen.    All a user needs to do is select the Load again.

The software will indicate opening the highlighted document will remove the clinician’s approval and open the document when the QA Open button is selected.  The software saves the original electronic approval and will include it with the original date and time stamp on any print form.  Updates can be made to the document.  Upon exiting the record, the software will ask if the record should be marked as QA reviewed.  Selecting” Yes”, will populate the date in the QA Date column in the grid for tracking and later for filtering to see only those documents not yet marked as QA Reviewed.

The QA Person will then Mark RA the record.   The record will be made available to the clinician in the Clinical Software in the Reapprove screen.  The document should be edited, reviewed and upon leaving the clinician will place their final electronic approval.

SERVER BASED AGENCIES MAIN OFFICE QA PERSONNELL MUST WAIT FOR THE FINAL APPROVAL TO REACH THE MAIN OFFICE BEFORE THEY BLOCK THE RECORD.

When printed the documents will indicate the initial electronic approval and the final approval will print on the signature line with the date and time stamp of the final approval.