Page 20 - Pointcare Rehab Process and Tips
P. 20

Adding Coordination Notes OUTSIDE f a Visit

            •  Menu
            •  Medical Records
            •  Find your patient, then click any Visit
            •  Either collapse “history” or swipe up to reveal “Features” section
            •  Click “Notes”
            •  Choose “Add”
            •  Choose the type of note that you want to write
            •  When finished either click save from the menu button OR press the back button and choose save.


        Reviewing Medical Record OUTSIDE of a visit

        o  From the Rolling Calendar screen, click on the Menu (3 vertical dots at top right) and click on Medical Records.  Find
            and select the patient’s name, then click on a patient’s visit(s).
        o  2 Sections:
               o  History- viewing
               o  Features-doing (Use this section to add Coordination Notes, add New Orders to update Calendar/ freq)
                         You must scroll all the way down and expand the “Features” Section.









        Process for Entering Orders on Admission


        •  The system automatically sends orders entered during the admission visit to the Primary Physician.
        •  Orders are driven from data entry via the following fields: Diagnoses, Pathways, Vital Signs (if entering Parameters),
            Client Meds, Plan of Care Supplies/DME, POC Development, Integumentary Command Center, and Client Calendar.


        Supply/DME Orders


        •  Supply/DME categories must be included in the Physician Order (New Order) before they can be ordered.
        •  Supplies/ DME will be ordered via Parachutehealth.com (see Guide to Ordering from Parachute) for all patients.
        •  “Supplies Delivered” is an auto populated field from the Supply interface.  Use only to confirm orders.
        •  NOTE: Supplies and DME needed before admission or urgently must be ordered via Contract Admin (OPS).
        •  Non-formulary supplies not found in Parachute should be requested by contacting Contract Admin DME



        Ordering other Rehab Services

            •  Admission visit:
                   a.  Choose Pathway “Need for other disciplines”, indicate which discipline
                   b.  Save the order

                                                                                                                  19
   15   16   17   18   19   20   21   22   23   24   25