providing affordable electronic charts that are easy to use and fast partners with: click on screen...

Providing Affordable Electronic Charts That Are Easy to Use and

FastPartners with:

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Mission:

To provide an affordable, easy to use, and fast electronic chart/tracking solution

FUNCTIONSe-CHECKCHART provides electronic charting,…

…tracking, and…

…reporting

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Patient Flow by Time of Day By Acuity

URGENT

NONURGENT

EMERGENT

Doc (All) MidLevel (All) Quarters (All) Days (All) Years (All) Months (All)

Patient Encounter

Hours

Acuity

HARDWAREe-CHECKCHART uses a wireless tablet PC (the size of a clipboard) and an electronic pen

As fast and easy to use as writing with a pen…

...and still creates an electronic medical record

ADMINSTRATIVE FUNCTIONS (from any PC) Assign staff on duty

Doctors

Nurses

Mid-levels and/or Residents

Add new patients

Enter as much or as little info as you want (nothing is required). With an interface to the hospital’s registration system, info can be automatically downloaded

TRACK PATIENTS Arrange patient view by room #, arrival time, doctor, or by any of the heading topics

Patients highlighted in color haven’t been seen. The color corresponds to their triage acuity level

Patients in the treatment area are listed in this panel

Patients in the waiting room are listed in this panel

Tracking View on the Tablet PC

Patients in the treatment area

Patients in the waiting room

Incomplete charts

PICKING UP A NEW PATIENT (physician)

1. Choose a patient

4. Click to begin documenting

2. Assign a doctor (if not already assigned at triage)

3. Confirm that the system chose the template which you want. If not, chose the template from the drop down list.

Documentation begins on the HPI page

Control buttons take the user to clinical sections of the chart

HPI = This is the History of Present Illness sectionROS = Review of Systems, PMH, SH and FH sectionsEXAM = the Physical Exam section of the chartMDM = Medical Decision Making (test results, Tx, Dx)Order 1 = Order sheet for Labs and X-raysOrder 2 = written orders for nurses, respiratory therapy, etc.PROC = Procedure templates (36 different procedures)

RX / DC = Prescription writing and Discharge Instructions

X–T = Extra Typed Note (a blank page for typing)X–N = Extra Note (a blank page for hand writing)PICT = Picture Templates (body diagrams on which to draw findings)DICT = Dictation. This allows the user to document that the chart (or part of it) was dictated

Templates contain reminders of documentation requirements

Large body diagrams are available for documentation (in addition to the diagrams that are already on the Exam page)

There are more than 36 procedure notes

Lab and X-ray orders can be sent to the unit secretary

Orders can be sent to the nurses

Orders are signaled on the tracking board, and the nurse or secretary can indicate when the order is in progress or completed

Care can be transferred from one physician to another

Prescriptions and discharge instructions can be written (an optional feature)

When the chart is signed by the physician (and mid-level/resident), a summary of the pages used for documentation is provided, as well as a warning if key pages have not been completed

Nurses can also document electronically

Your hospital’s current forms can be used, or customized forms can be created

Nursing procedure notes are also available

Changes made to the patients’ status are automatically time stamped and recorded

REPORTS

Are based upon information captured from:

• Time stamped changes in status• Triage (when a patient is added)• Doctors, nurses and mid-levels

assigned• Procedures performed

Sample ReportNumber of patients per hour of the day

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Patient Flow by Time of Day By Acuity

URGENT

NONURGENT

EMERGENT

Doc (All) MidLevel (All) Quarters (All) Days (All) Years (All) Months (All)

Patient Encounter

Hours

Acuity

(simulated data)

Additional time based reports:

Depending on if, when and how features of the system are used…

• Length of time in waiting room• Time until seen by nurse and

physician• Time until disposition decision is made• Time to complete the disposition

(discharge, admission, etc.)• Time for consultants to respond

Disposition Reports:

Numbers of patients…• Seen• Admitted• Transferred• Left AMA or Without Being Seen• Died

Can be based on time (day, month, year) and by practitioner (doctor, nurse, mid-level)

A daily log of patients seen can be created which can be used:

• To comply with CMS requirements• To comply with JCAHO

requirements• For billing departments to use to

confirm that there are charges for all patients who were seen

Patient Demographic Reports

Based upon…• Age• Gender• Chief complaint• Vital signs• Mode of arrival

Practitioner Reports

Based upon…• Number of patients seen• Time from arrival to disposition

decision• Kinds of patients seen (triage acuity,

chief complaint, age, etc.)• Number and kinds of procedures

done• Number of incomplete charts

Meeting the Needs

• Physician Documentation Templates

• Tracking System• RX and Discharge

Instruction Software provided by EXITCARE

• Triage and Registration Modules

• Administrative Modules• Reporting Package• Database for chart

retrieval

RX and Discharge Instructions by EXIT CARE

Registration Module

Triage Module

Admin Module

Analytical Reports

Nursing Documentation

Physician Documentation

Tracking System

Customers’ Needs

• We’re meeting the business needs of healthcare– Affordability– Flexibility– Speed– Ease of use– Service

• You get it all for a fraction of the price of our competitors!

Customer Satisfaction

Quality Value

Service

COSTFor the cost of any current paper charting

system, we can replace it with an electronic charting AND tracking solution!

You provide us with the current cost of using a paper system, we will meet or beat that price replacing it with an electronic system- period.

It’s that simple. Show us the proof, and we’ll provide you with an electronic solution.

How?1. On average, a 34,000 ED visit hospital spends

approximately $2,000 per month on NCR Carbon Copy Forms.

2. They spend another $1,000 per month on copy machine related expenses.

3. They lose approximately 1% in lost revenue due to lost or incomplete charts.

4. At least 1 FTE is used to copy and stock templates,, to assemble charts, to copy completed charts, for data input to generate reports, and untold time is spent looking for charts in the ED or in Medical Records.

5. There are template licensing fee and/or dictation/transcription costs.

6. Handwritten charts result in lost revenue due to down-coding because they usually don’t meet the documentation guidelines for reimbursement.

Real Example – E-mail From Potential Client cost analysis

Hi Bill.I received the information regarding the cost of the NCR forms. It is as follows:1) Nursing Assessment ("A1") Form: $0.269 each. (One form is used on each of the ED's 33,000 annual visits)2) Nursing E.R.Flowsheet ("continuation form): $0.12 each (One form is used on each of the ED's 33,000 annual visits)3) ED Order Sheet: $0.12 each (One form is used on each of the ED's 33,000 annual visits)4) ED Discharge Instructions (contains prescription blanks): $0.255 each (One form is used on each of the approximately 26,400 ED patients who are discharged)

Other costs would be the cost of copying the original templates. I don't know how much 32pound copying paper is (I can find out), but each patient has (at least) one template. Plus,there is the time of the person who makes the copies, checks to see if we need more copies,and re-supplies the folders in which we store the templates.

Also, the hospital will be saving the time of the person who is manually entering data into a computer so that we can run statistics and reports which your system will do automatically. I'msure that at least 50% of his time is dedicated to data entry....I can find out for sure, and alsofind out what his salary is.

Plus, there will be huge time saving for other personnel who have to try to locate charts. Inaddition, there will be a time savings for people who have to count how many unfinished chartsthe docs have, and then make a report every week (your system is able to do that at the touchof a button).

COSTS OF ED PAPER TEMPLATE CHARTING NCR Paper Equipment, Personnel,

etc.Item Cost #Visits Total

RN Assessment

$0.269 34,000 $9,146

RN Flow Sheet

$0.12 34,000 $4,080

Order Sheet $0.12 34,000 $4,080

Discharge Instructions

$0.255 27,200 $6,936

Total NCR Paper Cost

$24,242

Item Annual Cost

Copy machine maintenance $ 6,000

Copier paper (for templates) $ 6,000

0.25 FTE @ $10/hr (copy, stack templates, assemble charts, copy charts for PMD’s)

$ 5,200

0.6 FTE (data entry/generate reports)

$ 12,480

MD, RN, ED secretary, Medical Records clerk (locating charts for return visits, X-ray discrepancies, complaints, QA, etc.)

$ 6,000

0.25 FTE (scan charts-make an EMR)

$ 5,200

Lost charges (lost charts/late charges) 1% of total @ $100/chart

$ 34,000

Shipping charts to billing company

$ 3,600

Template licensing fee $ 17,000

Total Annual Costs $71,680

Grand total cost of paper documentation: $ 119,722

$ 3.52 per patient

Our Cost for Charting AND Tracking:

$2 Per PatientThat’s a cost SAVINGS of

$50,000 PER YEAR!(or a LOT MORE if you also pay for transcription)

And if your documented paper charting costs are less,

WE WILL MATCH IT!

HOW CAN YOU NOT AFFORD THIS SYSTEM?

The system is not an additional expense—at worst it replaces the current cost of paper documentation, and will probably cost LESS than the cost of paper, thereby SAVING you money.

YOU CAN’T AFFORD NOT TO USE THIS SOLUTION

Pricing Exclusions

• EXITCARE RX and Discharge Instructions software is sold separately. The cost varies depending on the size of the ED and the number of languages requested.

• Implementation, training, hardware, interface, and maintenance fees are not included in the price.

For more information regarding the CHECKCHART electronic charting and tracking system,

Call us toll free at: 888-313-1493E-mail us at: info@checkchart.comVisit us on the web at: www.checkchart.com