COMPUTERIZED MEDICAL RECORDS SYSTEM

THIS PROJECT IS CONCERNED WITH A PATIENT DATABASE SYSTEM FORCARE PLANS AND MEDICAL RECORDS IN NURSING HOMES, HOME CARE INSTITUTIONS, AND SUBACUTE CARE FACILITIES. THE SYSTEM ALSOINCLUDES HANDLING OF DEMOGRAPHIC INFORMATION, CENSUS REPORTS, PATIENT ASSESSMENTS, AND CARE PLANS. THE CARE PLANS ARE BASED ON AN HIERARCHICAL STRUCTURE OF DIAGNOSIS, PROBLEMS, GOALS, AND APPROACHES. THE SYSTEM ALLOWS THE USER TO DEFINE THE TERMS AND ORGANIZE THEM IN THE DESIRED TREE STRUCTURE IN ORDER TO DEFINE THE STANDARD OF CARE FOR THE INSTITUTION. IT ALSO ALLOWS CUSTOMIZING THE CARE PLAN TO THE SPECIFIC PATIENT. IN THE SECOND PHASE OF THE PROJECT, IT IS PLANNED TO IMPLEMENT A MEDICAL RECORDS SYSTEM, INCLUDING ORDER ENTRY, TASK LISTS, MEDICAL LOGS, RESULTS ENTRY, AND NURSE AND PHYSICIAN OBSERVATIONS. ASSESSMENT DATA WILL BE CONNECTED WITH THE CARE PLANS, AND THE CARE PLANS WITH THE ORDER ENTRY AND NURSE OBSERVATIONS. THE SYSTEM WILL ANSWER THE NEED TO AUTOMATE THE MEDICAL RECORDS FOR NURSING FACILITIES IN ORDER TO ENHANCE THE QUALITY OF CARE AND TO SIMPLIFY THE MEDICAL DOCUMENTATION.