Home health computerized charting.

Specialties Home Health

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Looking for information on computerized charting. We currently use Allscripts and have for years, but management feels there are better programs out for to help increase productivity. Our nurses have currently been paper charting in home and then come back to the office and chart. Trying to get them use to do curbside charting. So any thoughts on that would be helpful too. Anyone have any thoughts and programs that they like and ones to stay away from. We do home health and hospice. Thank you in advance.

Specializes in Pediatrics Retired.

Computer charting and increased productivity shouldn't be in the same hemisphere. Computer charting simply shifts administrative burden onto the back of the people generating income for the company; you'll never increase productivity with POC documentation, or any other mechanism where the working staff has to bear this burden. Techies and admin will disagree but the elephant will continue to stand in the room.

As a "Techie" I will agree to disagree with Old Dude. Many factors come into play when an agency (small or large) will convert or implement a new system. I tell Administrators that the first 90 days of starting a EMR system will give the caregivers another excuse while documentation is late. My laptop broke, I didn't know how to do something, I couldn't get on the internet (but I did post a Facebook update!)

Modern EMR systems are designed in an intuitive way for caregivers to gain acceptance in the marketplace. This is the number one priority.

In regards to increased productivity, however, I do see modern EMR system showing this. I recently worked with an agency that had a census of 100+ that was still using a combination of Haven, DDE and paperwork. They have 10 members in their office that do nothing but redundant data entry and work. Placing them with an EMR will definitely see an increase in productivity after the learning curve is over.

A few years ago, I presented a non-vendor biased view on the steps to take when looking at an EMR system. I'll be glad to share that with you if I can find it! Just send me a message.

Specializes in Pediatrics Retired.
As a "Techie" I will agree to disagree with Old Dude. Many factors come into play when an agency (small or large) will convert or implement a new system. I tell Administrators that the first 90 days of starting a EMR system will give the caregivers another excuse while documentation is late. My laptop broke, I didn't know how to do something, I couldn't get on the internet (but I did post a Facebook update!)

Modern EMR systems are designed in an intuitive way for caregivers to gain acceptance in the marketplace. This is the number one priority.

In regards to increased productivity, however, I do see modern EMR system showing this. I recently worked with an agency that had a census of 100+ that was still using a combination of Haven, DDE and paperwork. They have 10 members in their office that do nothing but redundant data entry and work. Placing them with an EMR will definitely see an increase in productivity after the learning curve is over.

A few years ago, I presented a non-vendor biased view on the steps to take when looking at an EMR system. I'll be glad to share that with you if I can find it! Just send me a message.

Thank you Mike for making my point. EMR can streamline many things if only that damn patient care, family dynamics, and drive time didn't get in the way.

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Tks JD

Homecare Home base is thorough but there are redundancies throughout.

Specializes in home health, hospice, wound care.

Axxess and Kinnser are great from a field nurse entry aspect but absolutely horrendous if the nurse is trying to quickly review previous notes or orders before going into a visit. HCHB is tedious at first but awesome to be able to get look at what's going on with a patient...assuming the previous nurses have completed their documentation. The other big downside to HCHB is that you have to access from the device to be able to chart, Axxess and Kinnser can be used from any computer access and not user specific device. HCHB from an administrative side is great because there are so many reports that can be generated. There's no program that both administrative and field nurses will both love though since each side is looking for vastly different things.

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