INPATIENT AND EMERGENCY SERVICES DOCUMENTATION:
AUTOMATION AND NETWORK IMPLEMENTATION

Anil Mitra, 2/3/2006

NEEDS

Goals and interventions

Meet with SW. Rationalize and LCSW / MFT / ASW;  provide options for SW / AT interventions; problems ® goals. Some standard goals and interventions?

Consult

IS regarding directory to store, networking; disk space; implementation of security features – password for read only folder; number of plans open at a time; using signature pads

Medical / social services / nursing staff regarding medical necessity, drop-down list and other features above. Estimate: one – two hours for medical / nursing staff. Social services / nursing regarding convenience of entry and use. Add standard nursing, social work interventions

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1. Brief description, 2. Features and benefits, 3. Q&A to assess, 4. Further development

DESIGN FEATURES TO INCORPORATE

§          Setup

Select file directories; store in text file

Lists of problems, signs and symptoms, etiologies; of goals; and of interventions; store in text file

§          Select first name

§          If plan date = admit date then plan = preliminary

§          One table, one page – eliminate this in the html version