Updates to eBridge INA as of January 13
- The latest eBridge updates include enhancements to the adult and Pediatric INA. These enhancements are mainly to increase the clarity of the responses to the questions in the INA. Two questions will now be mandatory. These include:
- Patient Profile (both Adult and Pediatric)
- Advanced directive (Adult)
- Many questions have new explanatory text in blue to clarify the intent of the question.
- A number of questions have a “none”, “no reported issues”, or “Unable to...” option
- SpO2 has been added to the vital signs as a non-mandatory field (Adult and Pediatric)
Addition of Printed IPASS report for Nursing in eBridge as of January 13
- The role group of Staff Nurse will have the ability to print a report that could be used during handover. There are 2 options for the printout the “list” and “long” version. List version includes:
- Open box/Summary, Last name, first name, MRN, Age/gender, Location, Attending
- The “long” version includes everything on the “list” version and:
- EDD, Illness severity ,Free text "Blurb" ,Task list, Code status ,Allergies ,Last name/first name ,MRN, Age/gender, Location ,Attending MD ,Team ,Nurse
- As we work toward implementing IPASS into our nursing practice, we will be piloting the use of these reports as part of the handover process.
- If you need assistance with eBridge, please use the “Contact Us” button within the eBridge Application, or call the Partners IS Help Desk at 6-5085. The training phone line has been discontinued.
News for nurses:
- Governance of eBridge content and nurse workflow around using eBridge is being managed by unit based Clinical Nurse Specialists. If you would like to share any feedback or have suggestions for optimization, please contact your CNS or Annabaker Garber at AGarber1@partners.org
- Please review the “additional problems” page as we continue to add nursing problems and reference material. http://intranet.massgeneral.org/pcs/eBridge/index.html
In the spring of 2016, MGH will "go live" with Partners eCare, a new common electronic health record (EHR) system that will allow medical record sharing in real time. Partners eCare is being introduced Partnerswide and will span inpatient, outpatient, ambulatory, surgery, emergency, billing, scheduling, and patient portal activity.
Planning for Care
Introduction to Standard PC.01.03.01
Planning for care, treatment, and services is individualized to meet the patient's unique needs. The first step in the process includes creating an initial plan for care, treatment, and services that is appropriate to the patient's specific assessed needs. To continue to meet the patient's unique needs, the plan is maintained and revised based on the patient's response. The plan may be modified or terminated based on reassessment; the patient's need for further care, treatment, and services; or the patient's achievement of goals. The modification of the plan for care, treatment, and services may result in planning for the patient's transfer to another setting or discharge.
The hospital plans the patient's care, treatment, and services based on needs identified by the patient's assessment, reassessment, and results of diagnostic testing. (See also RC.02.01.01, EP 2)
The written plan of care is based on the patient's goals and the time frames, settings, and services required to meet those goals. Note: For psychiatric hospitals that use Joint Commission accreditation for deemed status purposes: The patient's goals include both short- and long-term goals.
22 Based on the goals established in the patient's plan of care, staff evaluate the patient's progress.
23 The hospital revises plans and goals for care, treatment, and services based on the patient's needs. (See also RC.02.01.01, EP 2)
(Taken from 2014 Joint Commission Comprehensive Accreditation Manual)
There are numerous terms and acronyms in healthcare that may be unfamiliar. Please click here to visit a Glossary of Terms that may be helpful. And please email any suggested additions.
This month's featured term: Electronic Health Records
The Electronic Health Record (EHR) is a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports. The EHR automates and streamlines the clinician's workflow. The EHR has the ability to generate a complete record of a clinical patient encounter - as well as supporting other care-related activities directly or indirectly via interface - including evidence-based decision support, quality management, and outcomes reporting. (From HIMSS http://www.himss.org/library/ehr/?navItemNumber=17633)
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