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Axiom's Clinical System contains everything necessary for home health care documentation. The system was researched and developed for and in conjunction with home health care professionals. Multidisciplinary Care Plan for Home Care Clinicians Our Care Plan provides the clinician with a myriad of intervention lists in accordance with Medicare designated codes. "A" codes for skilled nurses, "B" codes for physical therapy, "F" codes for aides and so on. These interventions are matched and linked to NANDA problem statements to which appropriate goals are provided. The Care Plan will display on a flow sheet and each discipline's entry is viewed at a glance. Click on any particular part of the care plan highlight it and all pertinent information is there. Interventions recorded in the care plan are automatically linked to the progress note for quantifiable measurement of patients/PCG response to clinician's care/services Skilled Nursing Home Care Component The Skilled Nursing component provides the SN with every aspect involved in charting home care delivery. It is complete with OASIS for admission, recertification and discharge visits. Therefore, everything the SN requires to perform complete visit documentation is contained in one program. This component allows complete full body system review, freedom to document in any order the SN prefers, and does not require forced paths for recording clinical data. The SN component permits use of a prescribed documentation path for those who prefer to follow a set routine. Physical Therapy Home Care Component The Physical Therapy component is designed for use by the PT case manager and/or the PT as part of the care team. The PT can open a case and record admission information or document regular visits. The PT component is comprehensive enough for full evaluations and flexible enough to allow recording specific focused examinations. Full Body System Review Documenting wounds and the healing process is easily viewed on a Wound Flow sheet. This accommodates b.i.d. or other multiple daily visits. It easily records conditions that impact the treatment or recovery of the patient and can be recorded and tracked over time demonstrating progress and resolution. Full body system review is primarily used at admission recertification and discharge visits; however the program is capable of recording these evaluations at any time. Each body system displays several screens allowing the clinician to pick and choose how much documentation is necessary. Each body system includes a place to document wound care, management of symptoms & conditions and provides measurable statements for patient and primary care giver participation. On-Screen Drug/Drug Interaction A complete list of medications is available by simply typing in the first few letters of the medication name. Drug information is available on-screen for any drug selected from this list. A Not On List section is available for entering herbal formulas or other alternative methods of medication not found on the commercial drug list. Warning messages appear when adding any medication that does not work synergistically with medications that are already a part of the patient's drug therapy. The clinician has the opportunity to view a report in real time, explaining details of the medication's interactions. This drug/drug interaction warning allows the clinician to place a call to inform the ordering physician and/or get further orders. |
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