| | Description | Inpatient Management ( ADT )
Patient Admission, Discharge and Transfer
The Inpatient module should support two main functions : the administration of wards ( nursing units ) and the handling of admissions, discharge and transfer of patients in those wards.
The system should assist management in viewing and assessing inpatient facilities, enhancing their ability to plan resources use and service provision for the future |
| 1 | | Collect and update demographic data and insurance information | | 2 | | Schedule and pre-admit patients | | 3 | | Cancel reservations / admissions | | 4 | | Generate inpatient admit questionnaires, both long and short forms | | 5 | | Generate defaults for newborn | | 6 | | Enter a patient’s condition at the information desk | | 7 | | Transfer patients and swap beds | | 8 | | Capture daily care charges | | 10 | | Send admission notifications | | 11 | | Enter room and bed board for appropriate bed assignment | | 12 | | Calculate daily room charges on cut off time of day |
| >>> Ward ( Nursing Units ) set-up and Maintenance | | Support the setting up of wards ( nursing units ) parameters : | | 18 | | Support bed status codes ( ex: Occupied , available , reserved , empty , other…) | | 19 | | Define rooms by occupancy ( single , double ) | | 20 | | Define double rooms by gender | | 21 | | Define room by financial status | | 22 | | Permit the amendment of all set up information | | 23 | | Allow changes and overrides |
| >>> Inpatients – Admissions, Discharge and Transfers ( ADT ) | | The ADT system should be the center control of all room allocations, prior to admission it should check previous information of the patient and flag the operator about patient preferences, and also warn if there are any payments. | | 24 | | Patient admission data includes:- Admit date and time | | 25 | | Patient admission data includes:- Medical record number | | 26 | | Patient admission data includes:- Admitting physician | | 27 | | Patient admission data includes:- Attending physician | | 28 | | Patient admission data includes:- Last inpatient stay dates and facility | | 29 | | Patient admission data includes:- Text comments | | 30 | | Patient admission data includes:- Admitting diagnosis | | 31 | | Patient admission data includes:- Primary insurance, ID number , and subscriber / policy holder | | 32 | | Patient admission data includes:- Secondary insurance, ID number , and subscriber / policy holder | | 33 | | Patient admission data includes:- Third insurance, ID number , and subscriber / policy holder | | 34 | | Record mode of transport on patient arrival and departure | | 35 | | Record source of admission ( ex: elective , accident , emergency ) | | 36 | | Record source of transfer | | 37 | | Support inquiry into patient’s past hospital visit for past five years | | 38 | | Maintain a VIP file and display VIP status as patient record is retrieved during admission | | 39 | | Display a ‘bad debt’ indicator on admissions screens, if applicable to patient | | 40 | | Support ‘confidential’ patient admissions with inquiry screens and census reports indicating that no information should be given out | | 41 | | Provide ability to assign a pre-admission number for scheduling services and other purposes | | 42 | | Allow entry of the patient’s reservation date in the pre-admission function | | 43 | | Provide online help screens for all admissions , transfer , and discharge functions | | 44 | | Allow user to page forward and backwards in admission screens | | 45 | | Automatically retrieve patient’s master index (MPI ) data into all pre-admission and admission functions | | 46 | | Immediately update master patient index files when new patient data is entered during admission | | 47 | | Allow rescheduling of pre-admissions without re-entry of patient data | | 48 | | Automatically purge ‘no-show’ pre-admissions after a hospital-defined time period | | 49 | | Provide ability to maintain and display insurance pre-certification requirements during admission and pre-admission functions | | 50 | | Support the entry of –pre-certification number and/or name obtained from the insurance company | | 51 | | Automatically assign new patient account number when admitting patients | | 52 | | Provide ability to change inpatient accounts to outpatient status with automatic transfer of patient data and charges | | 53 | | Allow entry of three physician ? names ( ex: admitting , attending , referring ) in admission screens | | 54 | | Display warning on admission screen if admitting physician’s privileges are suspended | | 55 | | Provide a length of stay (LOS) review capability supporting entry of last day of authorized stay | | 56 | | Support newborn admission ( as a separate admission ) using mother’s demographic and insurance data with reference to mother’s account | | 57 | | Provide ability to link mother and baby accounts on demand, so that charges are combined on one account | | 58 | | Support online inquiry of all beds from which patients are waiting transfer or pending discharge | | 59 | | Automatically transmit ( ex: via interface ) patient data to medical records and patient accounting system | | 60 | | Provide online inquiries of bed status ( ex: vacant, occupied) by nursing station or hospital service | | 61 | | Allow patient transfers to be initiated by admissions or nursing staff | | 62 | | Allow readmission of erroneously discharged patients, retaining patient account data and charges | | 63 | | Provide ability to backdate a transfer to a lower class of room rate charges | | 64 | | Provide ability to backdate a discharge with automatic correction of room rate charges | | 65 | | Provide ability for nursing and admitting staff to initiate discharge transactions | | 66 | | Include an indicator on discharge processing screens stating if patient has valuables | | 67 | | Support entry of ICD-10 codes at discharge | | 68 | | Support entry of CPT4 procedure codes at discharge | | 69 | | Support interface to bar coding printers for printing bar-coded patient labels | | 70 | | Provide ability to print patient wristbands | | 71 | | Display bed control indicator for bed assigned by gender, and forbid transfer between assigned gender beds | | 72 | | Display history of bed locations and transfers for a specific patient | | 73 | | Provide ability to automatically swap patients ( without using ‘dummy beds’) | | 74 | | Support the use of ‘dummy beds’ and post charges to the patient account | | 75 | | Provide ability to isolate beds and remove from use | | 76 | | Support bed reservations for patients | | 77 | | Display patient census by nurse station | | 78 | | Display census of all patients with VIP status | | 79 | | Display patient census online by physician | | 80 | | Display Patient Length of Stay ( LOS ) versus actual stay | | 81 | | Support real-time update of census inquiries after patient admissions, discharges and transfers | | 82 | | Capture Physician data showing :- Physician name and Code number | | 83 | | Capture Physician data showing :- Physician specialty / department | | 84 | | Capture Physician data showing :- Physician telephone / beeper number | | 85 | | Capture Physician data showing :- Ward to be admitted to | | 86 | | Capture Physician data showing :- Reason for admission | | 87 | | Capture Physician data showing :- Name of person authorizing admission if not physician | | 88 | | Capture Physician data showing :- Admitting diagnosis codes ( ICD10) |
| 89 | | Support online search for patient data by last name | | 90 | | Support online search for patient data by phonetic ( soundex) name search | | 91 | | Support online search for patient data by social security number and other alternate numbers | | 92 | | Provide online inquiry for patient location |
| 93 | | Print list of pre-admissions by arrival date , service type , and financial class | | 94 | | Print daily list of ‘no-show’ pre-admitted patients | | 95 | | Print inpatient admission forms with ability to reprint if needed | | 96 | | Print patient labels at time of admission for lab samples and other needs | | 97 | | Provide ability to print census lists by user-defined categories ( ex: nursing units, patient name ) | | 98 | | Print detailed inpatient list of name, room , MD ( medical doctor ) , service , admit date , discharge date , diagnosis , and financial class | | 99 | | Print detailed admission lists in patient name ( alpha) order | | 100 | | Print detailed admissions list by financial class | | 101 | | Print detailed admissions list by nursing unit | | 102 | | Print detailed admissions list by physicians | | 103 | | Print patient admission, transfer, and discharge notices in hospital-defined areas | | 104 | | Print notification of canceled discharges in hospital defined areas | | 105 | | Print detailed discharge patient list in alpha order by financial class | | 106 | | Print admissions list by 1st insurance, showing 2nd and 3rd , flagging those needing certification within 24 hours | | 107 | | Print patient admissions, transfers, and discharges report by nursing station | | 108 | | Print nursing unit census lists by financial class for social services and utilization review | | 109 | | Print census statistical reports for total patient days, admissions, transfers, and discharges | | 110 | | Print patient census by physician | | 111 | | Scheduled registration list by name , service , or priority | | 112 | | Occupancy summary report by service or location | | 113 | | Generate a report with standard tests for a patient attending a ward | | 114 | | Statistical reports based on services, length of stay , patient status | | 116 | | Admissions by physician |
| 117 | | Interface with Medical Records module | | 118 | | Support HL-7 ( Health Level 7 ) interfaces to patient accounting, managed care , case management and other systems for transfer of demographic, diagnosis and other data | | 119 | | Incorporate for MLC cases ( Medico Legal Cases ) with separate MLC number |
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