Task Planning and Tracking (TPAT) Module
The Task Planning and Tracking (TPAT) module in NNM provides reminders for a wide array of tasks that can be tracked in the system. These reminders can be for clinical activities such as head ultrasounds or eye exams, and also for patient management activities such as infant care instruction or CPR training. Reminders can also be generated for follow-up activities such as referral confirmation or submission of reports to the state or other external agencies.
Reminders can be generated manually by individual users and can be targeted for all clinicians, a specific job type (eg: all nurses) or even a specific user. These reminders can be for pre-defined tasks or can be for an ad hoc task that does not require detailed tracking.
Once a reminder is created, the system will track the status of that reminder. If a reminder is overdue, a number of reports will highlight this fact for NNM users. Also, a real-time indicator on the main patient screen will flash if critical reminders are due or overdue. Once the task for an associated reminder is completed, the reminder is marked complete and is linked to the task that fulfilled it. This means that the user can quickly see what has been done, and view the detailed result of a task that fulfilled a reminder.
In addition to the manual creation of reminders, complex rules can be established for the automatic creation of reminders. These rules are created by the system administrator and can be triggered by a long list of clinical events for the patient. For example, a reminder for an eye exam can be automatically generated for any patient admitted with a birth weight lower than a certain value or gestational age lower than a certain value. An eye exam reminder could also be automatically generated for any patient with certain diagnoses or who are on O2 for more than a specified number of hours. Using the reminder generation function, a discharge plan can be automatically created based on the clinical status of the patient on admission, and constantly updated as the status of the patient changes.
Reminders are a key component of discharge planning. A centralized view of all the discharge planning reminders is also provided. All of the reminders associated with discharge tasks are organized on a single screen for review and tracking. In addition, quick access to the tasks which fulfilled completed reminders is available and minutes of discharge planning rounds can be tracked.
Patients can be listed by whether their daily progress note has been completed, by whether billing has been completed or whether any notes need to be reviewed and signed.
Note Plan Comments
Certain comments within a note can be marked as "plan" items. These items are not only listed under their specific outline topic but also get automatically listed under the Plan section of the note. This consolidates the plan items, if desired by the clinician, into one section of the note for review and follow-up. Plan comments are also automatically included in the daily signout sheet for quick reference.
As part of the note generation process, the practitioner can identify labs to be completed in the next day. Flags will then be displayed the next day to remind the user that labs are expected.
Discharge Summary Comments
During the course of a patient’s stay, the clinician can mark comments made in their daily progress notes as "discharge comments". These comments can then be automatically retrieved and copied into a Discharge Summary. When this feature is combined with the clinical data summaries that NNM automatically generates, the development of a Discharge Summary is quick and easy – even for a complex patient with a long stay.
When data from a diagnostic exam is entered, the schedule date for the next exam can be identified. This process creates reminders which are displayed for a patient as the exam date nears. Reminders are also automatically generated for the administration of medications and a variety of respiratory therapy tasks. In addition, any type of free-form reminder can be entered and will appear when the activity is due. A full report can be generated that lists all reminders, by day, for a particular date range, to get a complete view of upcoming tasks.
A signout sheet can be generated giving a summary of all patients currently on service. A brief history, along with current fluid/nutrition, O2 therapy, diagnoses, medications, referrals and plans are listed for each patient and can be used for signout, discharge planning or even daily rounds.
Over the course of a hospital stay, referrals can be entered for a patient. Referrals can be made to specific physicians or to organizations such as long-term care facilities and governmental support agencies. Based on the referrals, Referral Letters can be automatically generated at discharge time which are addressed to the referred-to physician or organization and provide infant/maternal background and a brief history of the stay. The referral letters act as cover letters for the Discharge Summary and are another example of tools to aid in planning and in saving time.