Display a Record of Resident Condition Changes and Identify Resident Care Areas of Concern

As a built-in feature of the NetSolutions EMR, the Clinical Dashboard feature lets you view Key Performance Measures at a glance to manage each resident’s care and your facility’s overall performance. The Dashboard is delivered as part of NetSolutions ADT and Clinical applications.

Delivered with 34 Key Performance Indicators

Your Clinical Dashboard will be delivered with 34 pre-defined KPIs (Key Performance Indicators) in these categories: Census, Vitals, Care Delivery, Documentation, and Diagnoses. The pre-defined KPIs can be modified on the fly. You can define additional KPIs for your facility. Drill-down details provide actionable information and reporting.

When you click on the Clinical Dashboard from the main menu you will notice that it resembles the CMS-672/802 pages with KPIs divided into categories. Each KPI includes a brief description and a number link. The number represents how many residents triggered a KPI. Click on the number to see the residents listed as well as information associated with the trigger.

Census KPIs: New Admissions and Hospital Readmissions

All facility staff with security will know when a new resident arrives by checking the New Admissions KPI in their Dashboard. When they click on the number link a list of residents with an admit date in the look-back period will display along with this data: location, HR#, payor, admit date/time, discharge date/time, visit source, prior hospital, and discharge code. A report can be viewed, printed, and shared.

You can change your view of KPIs – to all KPIs for a specific resident or for residents in a specific nursing station. KPI results also can be displayed in graph formats.

Hospital Readmissions: To capture important hospital readmission information, the Dashboard pulls data from Discharge and Hold screens in ADT. The Hospital Readmission KPI and its graph will include Percent readmissions by month, Hospital Admissions per 1000 days, Transfers to ED per 1000 days, Transfers to Hospital (Observation) per 1000 days, Admissions by day of the week, Admitting Hospital, and Admissions by Payor. For Transfers, data is available for the time of day, by attending physician, by outcome, by condition, by diagnoses, and by contributing reason.

Creating and Modifying KPIs

The Dashboard supports you with a simple process for creating facility-defined KPIs. You can modify the built-in KPIs on the fly to pinpoint specific information.

For example, you can add more diagnoses KPIs with a simple process that includes setting the look-back period, and specifying an ICD-10 code or a range of ICD-10 codes (such as all Diabetes codes). Another option is capturing residents with a specific diagnosis and vitals in a specific range.

The Built-in KPIs

The following 34 KPIs are pre-defined and will appear in your Clinical Dashboard when you have the associated NetSolutions application. At a minimum, ADT (Admit Discharge Transfer) KPIs and Diagnoses will display in your system because that data resides in the ADT module that is included with all NetSolutions systems.

To populate all the KPIs shown below, your NetSolutions EMR would include these modules: ADT, Care Plan, MDS, Physician Orders, eCharting with eMAR, Interdisciplinary Progress Notes (IPN), and UDA. For Vitals, either Care Plan or Physician Orders is required.

ADT KPIs

• New Admissions
• Hospital Readmissions

Vitals from Physician Orders or Care Plan

• Pulse – Radial
• Systolic Blood Pressure and Diastolic Blood Pressure
• Respiration
• Temperature
• Oxygen Saturation Percentage
• Pain
• Level of Consciousness
• Blood Glucose and Blood Glucose – Diabetic Residents
• Weight Loss – 30 days and 6 months
• Weight Gain – 1 week and 1 week with diagnosis of CHF or Chronic Renal Failure

Interdisciplinary Progress Notes (IPN)

• Pending Progress Note – past 24 hours
• No Progress Note Documented – past 72 hours

Physician Orders

• Anxiolytics, Sedatives, and Hypnotics Use
• Benzodiazepines Use
• Pending Physician Orders
• Physician Review Past Due
• Unsigned Orders
• Nurses Un-noted Orders

Diagnoses

• Pneumonia
• Congestive Heart Failure
• Acute Myocardial Infarction
• Chronic Obstructive Pulmonary Disease
• Aftercare of Joint Replacement

Care Plan – Goals Past Due and Care Plan Paused

MDS 3.0 – MDS past due and MDS completed, not submitted

User-Defined Assessment – Assessment Past Due and Assessment Performed/Not Performed

eCharting with eMAR – PRN Waiting Results and Held Orders – Past 72 Hours