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Watch Page Enhancements
Several Watch pages have been refined to improve the reporting of
those residents who have improved, deteriorated, or had no change in
the status of various conditions. In addition, several
performance enhancements have been added to improve the speed at
which the pages load )particularly at the organization level and for
larger spans of time) and to provide more sorting options for the
various Watch pages. These enhancements
particularly affect those states who use the short quarterly.
This is due to the fact that some
of the fields used previously in determining change status
were not required on a quarterly assessment and, therefore, the
residents were not accurately counted by the system.
As before, in determining status of
change for residents, CareWatch®
compares each resident's assessment to her/his prior assessment to
see if a condition has improved or deteriorated. The system
classifies each resident by analyzing the answers to a variety of
MDS fields appropriate for the condition.
The enhancements made to these Watch pages consist of incorporating additional
fields to more accurately reflect any change in the condition of a resident.
The fields used in the classification of change in status for various conditions are shown below:
- Mood and Behavior:
analyzes answers to E1a-p and E2 for mood; E4aA-eB for Behavior
- Urinary Continence: analyzes
answers to H1b instead of H4
- Bowel Continence: added new table which uses H1a field to determine change
status
- Communication and Vision:
analyzes C4 and C6 fields instead of C7
- Cognition: analyzes daily
decision making as it relates to B4; the title in the table has
been changed to "Daily Decision Making"
- ADL: looks at all of the G1
factors and G2
If a resident shows a decline in any of the fields, he/she is
counted as "Deteriorating." If no decline is found in the
fields, then the system checks to see if any of the fields have
shown improvement. If improvement is noted, then the resident
is counted as "Improved." In cases where none of the fields
show any change, the resident is classified as "No Change."
There also may be instances when a resident only has one assessment
on file and a comparison cannot be made regarding a resident's
condition; these residents are then also classified as "Unknown."
Please note that CareWatch®
gives priority to deterioration with regard to a resident's
condition as compared to improvement because any deterioration issue
is a consideration for the resident's care plan.
In addition to these calculation
enhancements, several modifications have been made to the Alerts and
Sentinel Events page which provide greater detail and more
flexibility when using the data shown in the report. These
include:
- changing the label "Low Risk
Pressure Ulcer" to "Low Risk Ulcer"
- basing the Low Risk Ulcer
count on the QM
- removing Cognitive Watch from
the Watch Page Summary table and replacing it with "CPS"
- changing the
"Improved"/"Deteriorated" counts to use the same methodology as
the individual watch pages (discussed above)
- changing the "Improved,"
"Deteriorated," and "No Change" links to drill through directly
to the corresponding Resident List page
Further changes have occurred at the Alerts and Sentinel Events
Resident List level (when you drill through the resident counts and
get the list of residents by name). Of particular note is the
addition of several columns to the list which previously did not
exist:
Similar changes have been implemented when you access the Resident
Summary information from the Sentinel Events and Alerts page:
A note about the sortable headers in the tables. The sorting
option has been refined so that the headers can be sorted in
ascending and descending order and on a second level. This
will allow you to sort a column and then get the list alphabetically
within those grouping you chose.
For example, in the ADL Resident List, if you first click on the
"Resident" heading label to sort the table by resident name, and
then click on "Bathing" twice (clicking once will put the least
severe residents at the top of the list, clicking twice will put the
most severe residents at the top of the list), the table will be
re-sorted in an order that gives you the "Totally Dependent"
residents first in alphabetical order. This is a little tricky
to describe in writing, so we encourage you to play around with the
new sort options. Please don't hesitate to give us a call
(937-767-1885) if you have any questions.
We look forward to hearing your comments and feedback about the
refinements that we have made to these pages. Please don't
hesitate to contact us at 937-767-1885 or via Ask eHDS if you have
questions or concerns or if you have recommendations for further
enhancements.
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