What’s ‘old’ in TIME But Under-Utilized? (Clinical) 11/16/2018 What’s ‘old’ in TIME But Under-Utilized? (Clinical) Presented by Peggy Rodgers September 17, 2014

11/16/2018 Older features in TIME Additional Functionality within existing applications Physician Rounding application Hemodialysis Flowsheet 11/16/2018

Older features in TIME Stand-alone Applications – Alerts 11/16/2018 Older features in TIME Stand-alone Applications – Alerts Hepatitis B Alerts Care Plan Alerts 11/16/2018

11/16/2018 Objectives Describe at least one example of the Physician Rounding Application being used by another discipline. Evaluate the options for Hepatitis B Alerts that could be integrated with current clinical processes. 11/16/2018

11/16/2018 Objectives Define how the flowsheet warnings can improve documentation and accountability. Compare the efficiency of Care Plan Alerts, using notifications in TIME vs. current manual processes. 11/16/2018

Physician Rounding Application 11/16/2018 Physician Rounding Application 11/16/2018

Rounding Views - Overview 11/16/2018 Rounding Views - Overview Create new views for specific disciplines Nursing Anemia Management Dietitian Monthly Review

Anemia Management - Process 11/16/2018 Anemia Management - Process Review of Lab Results & Medications Medication Dose/Frequency Changes Progress Note Documentation 11/16/2018

Nursing View – Anemia Management 11/16/2018 Nursing View – Anemia Management Lab Results – Anemia Lab Results Category Medication History – Anemia Medication Categories Progress Notes – Anemia Management Template

Sample Nursing View for Anemia Management 11/16/2018 Sample Nursing View for Anemia Management 11/16/2018

Nutrition & Bone Management - Process 11/16/2018 Nutrition & Bone Management - Process Medication Dose Changes/Recommendations Progress Note Documentation 11/16/2018

Dietitian View – Nutrition and Bone Management 11/16/2018 Dietitian View – Nutrition and Bone Management Lab Results Nutrition Lab Results Category Bone Disease Lab Results Category Medication History Nutrition Medication Categories Bone Disease Medication Categories Progress Notes – Bone Management Template

Sample Dietitian View for Rounding 11/16/2018 Sample Dietitian View for Rounding 11/16/2018

Physician Rounding Views 11/16/2018 Physician Rounding Views Available Resources Release Notes V7.1 SP 12 Physician Rounding Application (Webinar) Infian Client Portal/Infian Training Webinars/TIME System Clinical Applications Training Recordings TIME On-Line Help Documentation 11/16/2018

11/16/2018 Hepatitis B Alerts 11/16/2018

Hepatitis B Alerts – Overview 11/16/2018 Hepatitis B Alerts – Overview The warnings and alerts are specific to the Hepatitis B status for each patient: Infected Susceptible Protected Non-responder

Hepatitis B Alerts – Benefits 11/16/2018 Hepatitis B Alerts – Benefits Provide alerts regarding needed vaccines (initial, second set, and booster). Provide warnings when a clinician enters lab orders that are unnecessary based on previous lab test results. Provide alerts for when follow-up lab orders are needed after a vaccine series 11/16/2018

Lab Results Hep B Alerts 11/16/2018 Lab Results Hep B Alerts New Hep B Susceptible Patient Alert Hep B Susceptible Again Alert Still Hep B Susceptible Alert 11/16/2018

Lab Results Hep B Alerts 11/16/2018 Lab Results Hep B Alerts Hep B Protected Patient Alert Hep B Protected Booster Alert Hep B Infected Patient Alert Non-Responder Patient Alert 11/16/2018

Lab Order Hep B Alerts New Patient Alert Transfer In Patient Alert 11/16/2018 Lab Order Hep B Alerts New Patient Alert Transfer In Patient Alert 11/16/2018

Lab Order Hep B Alerts Missing Lab Order Alert 11/16/2018 Lab Order Hep B Alerts Missing Lab Order Alert Lab Ord / Hep B Vaccine Alert Extra Hep B Lab Order Alert 11/16/2018

Medication Order Hep B Alerts 11/16/2018 Medication Order Hep B Alerts Missing Hep B Vaccine Alert Extra Hep B Med Order Alert 11/16/2018

Hepatitis B Alerts Available Resources Release Notes V7.2 SP 13 11/16/2018 Hepatitis B Alerts Available Resources Release Notes V7.2 SP 13 Hepatitis B Alerts – Series (Jan 2014)(Videos) Infian Client Portal/Infian Training Webinars/TIME System Clinical Applications Training Recordings TIME On-Line Help Documentation 11/16/2018

Hemodialysis Flowsheet Warnings 11/16/2018 Hemodialysis Flowsheet Warnings 11/16/2018

Hemo Flowsheet Warnings Benefits 11/16/2018 Hemo Flowsheet Warnings Benefits Warns if specified requirements are not met Standardized documentation with system required progress note Flowsheet cannot be closed without required documentation 11/16/2018

Hemo Flowsheet Warnings 11/16/2018 Hemo Flowsheet Warnings Close Flowsheet Screen Warnings System Required Progress Note template: Dialysis Duration did not meet criteria for Actual vs Ordered Post Weight missing or does not meet criteria for Post Weight vs Target Weight 11/16/2018

Hemo Flowsheet Warnings 11/16/2018 Hemo Flowsheet Warnings Available Resources Release Notes V7.2 SP 15 TIME On-Line Help Documentation 11/16/2018

Hemo Flowsheet Warnings 11/16/2018 Hemo Flowsheet Warnings Service Pack 21 Enhancement Actual Liters Processed vs Ordered 11/16/2018

11/16/2018 Care Plan Alerts 11/16/2018

Care Plan Alerts Benefits 11/16/2018 Care Plan Alerts Benefits System tracking of due dates vs manual tracking procedures Timely notifications by Discipline 11/16/2018

Care Plan Alerts Benefits 11/16/2018 Care Plan Alerts Benefits System tracks completion status of the Care Plan for each discipline Helps prevent duplication of document 11/16/2018

11/16/2018 Care Plan Alerts TIME System tracks due dates based on set-up criteria; Date of last Care Plan Patient Stable vs Unstable status Nightly process scans active patient records to create notifications 11/16/2018

Care Plan Alerts Timely notifications by Discipline 11/16/2018

Care Plan Alerts Helps prevent duplication of document 11/16/2018

11/16/2018 Care Plan Alerts System tracks completion status of the Care Plan for each discipline 11/16/2018

Care Plan Alerts Available Resources Release Notes V7.2 SP 10 11/16/2018 Care Plan Alerts Available Resources Release Notes V7.2 SP 10 Patient Assessment and Care Plan Tracking (Webinar) Infian Client Portal/Infian Training Webinars/TIME System Clinical Applications Training Recordings TIME On-Line Help Documentation 11/16/2018

Please remember to complete contact hours form and evaluation form Thank you