Care Plan report fields

Agency

Name and address of the agency from Administration>Configuration>Business Units.

Telephone

This field displays telephone of the agency. This information is stored in Administration>Configuration>Business Units.

Patient

Patient's ID, name and address from Patient>General>Basic.

Team

Team the patient belongs to from Patient>General>Admissions & Status.

Admit

Date of patient's admission from Patient>General>Admissions & Status.

Telephone

Patient's telephone number from Patient>General>Basic.

Insurance

Name of insurance payer from Patient>General>Payer.

 Insurance Date

Insurance warranty period start date. The second date represents the admission close date if during the insurance warranty period some admissions were closed.

Sex

Patient's sex from Patient>General>Basic.

DOB

Patient's date of birth from Patient>General>Basic.

Age

Patient's age from Patient>General>Basic.

Caregiver

Patient's caregiver from Patient>General>Admissions & Status.

Directives

Advanced directives concerning the patient from Patient>Clinical>General Clinical.

DME/Supplies

Supply items for the patient from Patient>Clinical>General Clinical.

Safety Measures

Patient's safety precautions. This information is stored in Patient>Clinical>General Clinical.

Nutrition

Patient's nutrition requirements from Patient>Clinical>General Clinical.

Allergies

Patient's recorded allergies from Patient>Clinical>General Clinical.

Functional Limitation

Patient's functional limitations from Patient>Clinical>General Clinical.

Activities Permitted

Activities permitted for the patient. This information is stored in Patient>Clinical>General Clinical.

Mental Status

Patient's mental or emotional condition from Patient>Clinical>General Clinical.

Other

Additional patient's information which is not specified by any of the determined fields from Patient>Clinical>General Clinical.

Prognosis

Patient's prognosis from Patient>Clinical>General Clinical.

Description

Diagnosis code and description from Patient>General>Diagnoses.

Special

Special diagnosis indicators from Patient>General>Diagnoses.

Start Date

Date when this diagnosis became effective for a patient. If the date is followed by the word (Primary), it indicates the patient's primary diagnosis. This information is stored in Patient>General>Diagnoses.

MD#1, MD#2, etc.

Patient's doctor title and name from Patient>General>Admissions & Status.

MD CTI

First and last name of the physician certifying terminal illness. The MD CTI is taken from the active CTI document as of the reporting date. If there is no active CTI documents as of the reporting date, MD CTI is taken from Patient>General>Admissions & Status.

Work

Patient's doctor phone number from Patient>General>Admissions & Status.

Fax

Patient's doctor fax number from Patient>General>Admissions & Status.

Care Plan

Code and the title of the patient's care plan from Patient>Clinical>Care Plans.

Goals/Expected Health Status Evaluation + Potential

Description and dates of expected health status evaluation and potential results of the treatment from Patient>Clinical>Care Plans.

Interventions

All interventions associated with the selected goal and care plan from Patient>Clinical>Care Plans.

Narrative

Additional information concerning the appropriate care plan from Patient>Clinical>Care Plans.

Visit Frequency

Visit frequencies for certain certification period and for each applicable discipline. The discipline can be selected in the Discipline field of the Define tab. This information is stored in Patient>Clinical>Visit Frequency.

For certification date beginning

Certification period beginning date from Patient>Clinical>Visit Frequency.

Medications

Patient's active medications. Highlighted medication indicates inactive part of medication group as of reporting period date. This information is stored in Patient>Clinical>Medications.

Description/Dose/Frequency/Route

Description, dose, frequency and route for each of the patient's medications. This information is stored in Patient>Clinical>Medications.

Non-Covered

Medications that are not covered by hospice agencies from Patient>Clinical>Medications.

Start Date

Medication start date from Patient>Clinical>Medications.

Start Hold

This field displays start hold date from Patient>Clinical>Medications.

Refill Information

Medication refill information from Patient>Clinical>Medications.

Evaluation Date

Date of the medication evaluation.

Drug Interactions

This field displays Yes if drug interactions were present for the evaluated medications. Comments to the drug interactions are printed next to Yes, if applicable. If no drug interactions were present, this field displays No.

Significant Side Effects

Displays Yes if significant side effects were present for the evaluated medications. Comments to the significant side effects are printed next to Yes, if applicable. If no significant side effects were present, this field displays No.

Duplicate Drug Therapy

Displays Yes if duplicate drug therapy was present for the evaluated medications. Comments to the duplicate drug therapy are printed next to Yes, if applicable. If no duplicate drug therapy was present, this field displays No.

Ineffective Drug Therapy

Displays Yes if ineffective drug therapy was present for the evaluated medications. Comments to the ineffective drug therapy are printed next to Yes, if applicable. If no ineffective drug therapy was present, this field displays No.

Drug Reactions

Displays Yes if drug reactions were present for the evaluated medications. Comments to the drug reactions are printed below the caption, if applicable.

Omissions

Displays Yes if omissions were present for the evaluated medications. Comments to the omissions are printed below the caption, if applicable.

Dosage Errors

Displays Yes if dosage errors were present for the evaluated medications. Comments to the dosage errors are printed below the caption, if applicable.

Non Compliance

Displays Yes if noncompliance was present for the evaluated medications. Comments to the noncompliance are printed below the caption, if applicable.

Comments

Additional medication evaluation comments.

Falls

Falls that occurred with a patient. This information is stored in Patient>Clinical>Adverse Events>Falls.

Fall Date

The date when the fall occurred. If the fall date is not known, the date the fall is documented will be displayed followed by the asterisk (*) indicating the exact date is unknown.

Injuries

Description of injuries caused by a fall. If the patient had no documented injuries, the <None apparent> value is displayed.

Observed by Clinician

Indicates whether the clinician observed the fall.

Reported By

Indicates person who reported the fall.

Patient

Displays Yes if a patient reported a fall personally.

PCG

Displays Yes if the patient's primary caregiver reported a fall.

Other

Displays information about the person who reported a fall.

Physician Notified

Name of the notified physician.

Notified By

Name of the person who notified the physician about a fall.

Notification Date/Time

Date and time of the fall notification.

Comments

Additional comments to the fall.

Infections

Patient's infections from Patient>Clinical>Adverse Events>Infections.

Start Date

Start date of the infection.

End Date

End date of the infection, it is shown only when the infection has ended.

Infection System

Name of the body system where an infection is located.

Comments

Additional comments to the infection.

Signatures

Signatures, discipline title and date of the signature. The signature and dates should be written by hand.

Patient Treatment History

Patient's treatment history since the date specified in Show Historical Data Since field of the Define tab. It can display Care Plan, Visit Frequency, Medications and Clinical Update/Progress Notes sub-sections which are of time period defined by Show Historical Data Since field and active admission start date.

Underlined items have been added or modified since <date>

Date beginning from which the added or modified items are underlined. The date is set in the Highlight Changes Since field of the Define tab.