e-ADT Essentials · The e-ADT (Admission, Discharge & Transfer) system is where you document a...

15/11/2010

e-ADT Essentials Version IV

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Published June 2008

©2008 Med e-care Healthcare Solutions, Inc. This publication, or any part of thereof, may not be reproduced or

transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, storage in an

information retrieval system, or otherwise, without the prior written permission of MED e-care Healthcare Solutions, Inc.

6/26/2012

ADDITIONAL TRAINING OPPORTUNITIES

Enhance the skill you learn in your MED e-care training and learn new skills by taking advantage of

additional training options

Online Training

We offer interactive classes delivered only by a MED e-care Education Specialist. These classes cover a

range of supplemental material including optional module and task-specific functionality.

Onsite Training

If your organization has a larger group of employees to train, you may find that onsite training best meets

your needs. When you schedule onsite training, a MED e-care Education Specialist conducts training at

your organization. Onsite training can consist of the MED e-care curriculum, or you can create your own

class outline to meet your specific training needs

To learn more about these training opportunities, ask your account manager or contact MED e-care

directly.

MED e-care 710 Kingston Road

Toronto, Ontario M4E 1R7

Phone 416.686.8592 • Fax 416.686.3861

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OVERVIEW

Introduction to e-Care IV’s e-ADT

MED e-care’s e-ADT application gives you full admission, discharge and transfer

automation. It is fully integrated for a smooth easy transition from admission to assessment,

submission to discharge. The applications web-based designed allows e-ADT to be accessible

from any computer with a high-speed internet connection, yet extremely secure due to the

“Role” based security options discussed in our Facility Setup Guide.

Objectives

Upon completion of training, you will be able to:

Navigate the e-CARE IV software system.

Search for a Client and add a New Admission.

Transfer and discharge clients.

Generate necessary reports.

Chapter

1

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GETTING STARTED

MED e-care’s suite of software applications gives you a complete assessment solution for

your facility. Our e-ADT system gives you maximum flexibility and easy data entry

processes. With MED e-care, it is a seamless process from completing the admission or

discharge to submitting to CIHI. This dynamic application has a user friendly web-based

interface and is as intuitive as many of today’s applications.

Objectives

Upon completion of this lesson, you will be able to:

Logon and change your password

Navigate in e-CARE IV

Identify and describe areas on the Dashboard

Access e-ADT and e-Reports.

Chapter

2

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Logon

The MED e-care login screen is accessed from a local internet service through a secure

hyperlink supplied to you at the time of installation. Key in the user name, email address and

password supplied to you by your system administrator and click on the sign-in option.

The next screen will prompt you to select the facility you want to access. If you only have one

facility it will be the only option available. Click on the drop-down arrow to select the facility

and then click on the continue option.

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DASHBOARD

The next screen you see will be the system “Dashboard”. This houses a calendar section for

scheduling, a bulletin board, reminder, and is the launch pad for all of the software systems

available in e-CARE IV. Each facility has the ability to customize the Dashboard to include

the facilities logo, hyperlinks and portals to valuable websites and resources, such as MED e-

care Online Support.

MESSAGE CENTER

To access the Message center, select the View Message Center option illustrated above. The

Message Center allows users to communication with other users of e-CARE IV. Working

similar to most standard e-mail systems, you may select the user you want to send a message

to, key the details of your message and send. You may also retrieve and read messages you

have received from other users. It will also show you what users are “online” or currently

logged in to the system.

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Your system administrator will have the ability to post announcements or bulletins on the

Dashboard for all users to see. They will appear on the right side panel as illustrated below.

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ACCESSING SYSTEMS

The e-CARE IV application contains multiple systems that users can access. The systems that

are available to the user are dependent on how the user’s security has been set up. The user

will only see the systems they have security rights to access. Selecting “Home” will bring you

back to the Dashboard, clicking on e-ADT and e-Assessments will allow you to access the

Admission, Discharge & Transfer and Assessment systems. The e-Reports system is where

you run reports for all systems. System configuration is setup by clicking on Settings, and

clicking on My Account will enable you to change your password.

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E-ADT (ADMISSION, DISCHARGE & TRANSFER)

The e-ADT (Admission, Discharge & Transfer) system is where you document a Client’s

demographic information, contact information, client health and advance directives. As well,

you have the ability to track all admissions, discharges and transfers from your facility.

Objectives

Upon completion of this lesson you will be able to:

Create a new admission

View or edit current admissions

Perform a re-entry (re-admitting a client that was previously discharged)

Transfer a Client (including internal transfers and bed swaps)

Discharge a Client

Chapter

3

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NEW ADMISSION – SETTING UP NEW CLIENTS

Setting up a new client is done through the e-ADT system in the e-Care IV application. After

logging into e-Care IV select the e-ADT option.

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Select the Admission/Discharge option from the Navigation bar on the left side of the screen.

This will enable the user select to create a new admission, view or edit current admissions, re-

entry of a previously discharged client and discharge a client.

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Select the New Admission tab. You may either select an existing client from the Patient

Selection Screen and then click on Admission/Re-Entry or if the client does not exist in the

database, select Admit New Client.

Admission Record

For a new admission, the next steps entail entering the client identification, contacts, client

health status, advance directives and admission information.

Certain fields in this record are mandatory and must be filled in. Fields marked with an

asterisk indicate mandatory fields.

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The five areas of information that need to be entered are separated by tabs across the top of the

record. The first tab is the Client Identification. The client’s biographical information is

entered on this tab. Chart numbers may be manually entered in, or you may have the system

select the next available chart number. You also have the ability to upload a picture of your

client.

Once you have completed entering the information on this screen, select the Contact tab to

continue.

CLIENT CONTACTS/FUNERAL CONTACTS

There are 2 areas on the Client Contact screen. On the top half of the screen you may either

select from an existing list of funeral homes or create a new funeral home contact. If your

client has made any arrangements with a funeral home prior to admission, you may enter that

information here. The bottom half of the screen allows you to enter the Client’s personal

contact information, such as emergency contacts and next of kin.

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To create a new contact for your client, select the Add New Contact button. A window will

pop up and allow you to enter the contact information.

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Fill in the appropriate information, including the type of relationship the contact has with the

client as well as the associations and personal information and click on the save button to save

the contact information.

CLIENT HEALTH STATUS

The next tab of information that needs to be filled in is the Client Health Status screen.

This screen allows you to select Allergies your client may have, Treatments and Medications

they are receiving as well as a Diagnoses. Place check marks in the boxes and key in the

descriptions in the fields displayed.

To add Diagnoses select green plus sign on the bottom left of the screen. This will launch a

window that enables you to select from an ICD10 list of diagnosis.

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Place a check mark in the box to the left of the appropriate diagnosis. To jump to diagnoses

that start with a specific letter, click on the one of the Alphabet buttons on the bottom of the

screen. You also have the ability to search by the name of the diagnosis by using the Search

option at the top of your screen.

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ADVANCED DIRECTIVES

To select advanced directives select the tab and place a check mark next to the applicable

Directives. You may use the spaced provided to key in additional information such as level.

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ADMISSION INFORMATION

The Admission Information tab allows you to enter details about your client’s admission such

as the admitting and primary Physician, bed assignment, and referral source. When all of the

information has been filled in all of the tabs click on either Pre-Admit (do not select completed

under signature) if this is just a pre-admission, or place a check mark in the completed box and

click on the Admit button to complete.

Please note if your admission data is being interfaced into the e-ADT system, the admission

record will appear in your hotlist when you log into the system. You will need to access the

record and mark it as complete on the admission information tab of record.

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To view or edit a current admission, select Information post and then Current Admissions

from the navigation bar and a list of all admissions will display in the Patient Selection Screen.

You may further filter the Patient Selection screen by selecting a filter, using the Search by

feature or filter by a letter of the Alphabet on the bottom of the screen. Click on the client you

wish to view or edit and the admission record will open.

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If changes need to be made to the Client’s admission record, select the Edit button. Once the

changes have been made, select the Update button.

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TRANSFERS

There are 2 types of transfers available in the Navigation bar, an Internal Transfer, and a Bed

Swap.

An Internal Transfer of a Client to a different unit in the facility can be accomplished by

selecting the Internal Transfer option. Select Internal Transfer from the Navigation bar and

select the client you wish to transfer from the Client Selection Screen.

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Select the new nursing unit and bed and any applicable notes. Mark the signature section as

complete and click on the transfer button at the top of the screen.

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Bed swaps can be easily updated using the Bed Swap option. Select Bed Swap from the

Navigation bar. Select the first client, the chart number and bed number will auto-populate

the applicable fields. Repeat the process for the second client and click the Swap button on

the bottom of the page.

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DISCHARGE

To discharge a Client select the discharge option from the Navigation bar and select the client

you wish to discharge from the Client Selection Screen.

Fill in the applicable information on the screen and check the Signature section, click the

discharge button at the top of your screen to complete the discharge.

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Re-Entry

The Re-Entry option is used to re-enter a Client that was previously discharged. Select the

New Admission option from the Navigation bar and then select a patient that was previously

discharged from the Patient Selection Screen and click on the re-entry button next to the name.

.

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Fill in the applicable information and check the Signature section and click on the Re-Entry

button at the top of the screen to complete the re-entry of the client to your facility. The

system will re-admit the client with the original profile information

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Client History

Client history information is available by selecting the History option in the Navigation bar.

You may select to view or edit Admission History, Re-Entry History, Discharge History, and

Internal Transfer History.

Select the type of history you would like to view or edit and then select the client you would

like to it for. If you would like to edit the information, click on the Edit button at the top of the

screen.

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Once the client has been admitted through the e-ADT system, they are automatically

scheduled for the appropriate pending events. In most cases, the first pending event after a

new admission is an Admission Assessment.

e-ADT Reports

Select e-Reports to access the reporting system. The left hand navigation bar will display the

different reports available across all systems. Expand the ADT section by clicking on the plus

sign and select the applicable report.

Once the report selection has been made a parameter screen will display.

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Each report has a parameter selection. Select the applicable parameters and click on the Run

Report button. You may also display a report description by clicking on the Report

description button. By default, reports run in PDF format and will open in the PDF reader

application installed on your computer.

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