Long-Term and Post-Acute Care Providers Engaged in Health Information Exchange: Final Report. Electronic Health Record System

10/29/2013

As noted above, Beechwood's clinical or EHR application is AOD. Beechwood was one of the first users of AOD in New York. They are frequently a reference site and helped start an AOD User Group in Western New York area. To understand how Beechwood uses the AOD application, Table I-2 describes the modules used and any related notes that emerged during interviews.

TABLE I-2. AOD Modules Used

  AOD Clinical Module   Notes
Admissions Admission coordinator uses laptops to enter data into AOD directly from hospital site. Hospital data will be scanned & available in the AOD system. Once admitted change of status & workflow routing messages will be sent to relevant staff from the AOD system.
Face Sheet & Census  
MDS  
Care Plan  
Interdisciplinary Notes Beechwood uses templates & unstructured narrative notes.
User Defined Assessments Include initial assessments by disciplines & quarterly updates.
Incident Tracking  
Immunization & TB Testing Includes both input & reporting to the State of New York through the state HCS for outbreaks, immunizations, other reportable infections & required disaster plan reporting. This portal also provides messages to Beechwood such as emergency notifications.
Point-of-Care Nursing assistant ADL charting documentation at point-of-care (kiosk touch pads). Beechwood was a beta test site for AOD on this application. Homemakers (special types of nursing assistants who work on the nursing units which are called households at Beechwood) will also use this for activity tracking such as laundry, housekeeping, activities, dining, meal & fluid intake.
Alerts & Messaging AOD has developed alerts & messages. Beechwood can chose to turn on or off the messages. They can be sent in AOD application or to a person's e-mail in Office Logic. Examples of clinical alerts include completion of vitals & assessments such as ADT, falls, skin, etc.
Physician Orders, Medication & Treatment Records Currently a manual process. Beechwood faxes all physician orders (including medications) to Buffalo Pharmacies, Inc. Medication & treatment records are provided by the pharmacy. The goal is to have all order entered into AOD & pushed to the pharmacy.

 

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