Access to ALERT®
Application login by means of biometric authentication and username
This code can also be used together with a password, in case of biometric reading system failure or in case of non identifiable fingerprint
Each professional is granted access to patients’ medical records, in accordance to the permissions defined for his/her user profile
Easy Login to easily change profile or user, without having to close and re-open the application
Single Login to easily change from one ALERT® environment to the other without having to log in and log out of the application
Admission
Patient identification and registration
Patient admission
Print a patient ID wristband with or without a bar code
Capture of an image of the patient using a web camera
Track registered patients that have not yet been seen by a physician
Capacity to immediately provide information to family members
Printing of reports or any relevant information pertaining to each episode
Organize patient transportation and track and oversee patient transfers
Capacity to organize waiting rooms
Capacity to use short messaging systems for scheduling and other purposes
Register patients “Temporarily” and merge of temporary records with standard episode records
Alerts
Consult requested
New results available
Delay in administering a drug, performing a procedure, terminating a transport and other tasks
Patient unattended for over a period of time
Alerts forwarded to cell phones
Ancillary means of diagnosis
Order and consult imaging and lab tests
Record and consult all activities relating to the execution of all the different stages of imaging and lab exams
Automatic request of transportation to the indicated areas whenever particular ancillary tests require it
Access to previous ancillary tests
Audit Trail
Common repository for the audit logs of all the ALERT® suite of products
Back office
Administrator:
- Customize the application’s areas, including among others
- Facilities: departments, services and rooms
- Users: registration, biometric data, specialties, profile and alerts association
- Laboratory Tests: parameters, tubes, lab test panels, most frequent tests’ list
- Specimen collection rounds
- Imaging Exams: general list and most frequent exams’ list
- Other Exams: general list and most frequent exams’ list
- Medication: general list and most frequent medication list
- IV Fluids: IV fluids or IV admixtures general lists and most frequent items lists
- Immunization: general list and most frequent immunizations list
- Intake/ Output parameterization
- Diagnosis: most frequent diagnosis list
- Appointment scheduler BackOffice
- Discharges parameterization
- Pending issues BackOffice (messaging between professionals)
- Print tool parameterization
User:
- User ID and registration
- Frequently used texts
- End of shift
- Introduction of content
- Parameterization of guidelines
- Parameterization of protocols
- Parameterization of order sets
Consults
Request, tracking, and documentation of consults
Alert (including short text messaging) to consult requests
Customer relationship management
Contact Management
- Management and record of incoming and outgoing calls
- Automatic identification of incoming caller
- Direct phone call generated by the solution
- Simplified access to each contact’s details
- Entity and individual’s contact standardization
- Integration (HL7) of summarized information on clinical emergency episodes for appointment purposes
- Information search, according to different criteria (name, insurance policy no., hometown, etc.)
- Integration with CTI (Computer Telephone Integration) solution
- Access to management statistic information
Visit Management
- Access to information on inpatients’ location
- Visitor management and identification
- Visitor control (definition by visiting time service and maximum amount of visitors)
- Visitor automatic recognition (insurance policy no. or if already registered in the facility)
- Simplified access to inpatients’ past history
- Printing of properly identified (with barcode) visitor card
- Visit statement printing
- Viewing of information in different perspectives
- Access to management statistic information
Discharge
Medical, nurse, social and administrative discharge
Final diagnosis confirmation and coding
Definitive and pending discharge
Scheduling of future appointments
Print reports, certificates and other documents
Prescription in electronic format or on paper
Prescription instructions
Referral placement, tracking and answer notification
Discharge instructions
Notes for colleague
Document management
Capacity to scan, save and manage paper documents and computer files
Ability to associate documents to different areas of the patient’s medical record
Capacity to interact with a paper archive for placing requests, and the ability to track those requests
Documentation
Templates for any chief complaint to be used by both physicians and nurses
Clinical, coding and discharge checklists
Level of care indicator
Automatic suggestion of differential diagnosis and other aspects of disease management
Automatic display of previous answers to different aspects of the clinical encounter
EHR viewer
Overview of each patient’s Electronic Health Record (EHR) by means of a viewer area displayed in most screens, and via shortcuts from each patient’s summary information
Episode status checklists
Calculators such as APGAR score, BMI, Delivery Due Date and NIPS
Monthly or quarterly calendars
Clinical Decision Support tool that integrates with Evidence Based Medicine applications and provides access to online services that may suggest diagnoses based on findings as patient is observed
Direct access to guidelines and protocols
Operative times table for documenting all times concerning a surgical procedure
Prescription views: being filled, in the current episode and from previous episodes
Embedded Electronic Health Record (as detailed below)
Electronic Health Record
Automatic transfer of specific information documented during the episode to the patient’s EHR
Organization of each patient´s clinical information such as problems, medication and allergies
Capacity to access information from previous episodes, including information collected and stored in other information systems
Compliance with Clinical Document Architecture (CDA)
Overview of each patient´s Electronic Health Record (EHR) by means of an EHR Viewer, and through shortcuts from each patient´s information summary view
Emergency Room (specific)
Trauma registration
Trauma registration and ABCDE methodology
Triage
Capacity to triage patients according to clinical criteria
Establish an acuity level for each patient
Organize a priority list for multiple patients
Triage systems available include: 5-Level Triage System (U.S.); Dutch Triage System; Manchester triage system
Other systems can be easily implemented
Hand-off
Capacity to hand-off responsibility over a patient or a group of patients
Shift change tool for on-screen overview of summary information for shift change or print a summary report for a group of patients at shift change
Management information
Real time overview of the Emergency Department: room usage, patient distribution, graphic representation of each episode, immediate access to each developing episode, and target time analysis
Data warehouse for complete analysis of clinical and financial variables
Medical Proccess
Body Diagram
Graphically document injuries or lesions on the human body
Use different symbols and drawing tools to represent different types of injuries or devices, such as burns, wounds, scars, fractures, drains and catheters
View a patient’s diagram history
Zoom diagrams in and out
List of most frequent images displayed by default, according to the medical specialty, although several other images (body / organs) can be added
Consults
Request, tracking, and documentation of consults for physicians or case managers
Request, tracking, and documentation of specialty appointments
Select a given professional or specialty
Alert (including short text messaging) to consult requests
Documentation
Templates, both for doctors and nurses to use, that can be activated according to chief complaint for emergency episodes, consultation type for outpatient encounters and to specialty for inpatient environments
Touch-option and free text documentation modes
Clinical, coding and discharge checklists
Level of care indicator
Automatic suggestion of differential diagnosis and other aspects of disease management
Automatic display of previous answers to different aspects of the clinical encounter
Documentation validation features such as advanced input windows and range limits for specific values, mandatory fields, automation fields (for calculators or automatic monitoring intervals) and color coded icons
Documentation help features, including application help screens, tooltips, shortcuts and wizards
It is possible to parameterize for each facility and specialty most frequent medication, exams or diagnoses lists, as well as predefined texts to be available in the different assessment areas within the application
Medical History
Specific area for documenting and accessing a patient’s medical history, including problems, previous episodes, allergies., risk factors, biometrics, blood Type, and past family, medical, surgical and social history
Clinical documents may be attached to the clinical record in this area
Physical Exam
Observation areas where the user can document data regarding physical exam, vital signs, body diagram and biometrics
Pregnancy
Specific mother oriented templates that already contain parameters for documenting information about the baby, including periodic observation, pelvic ultrasounds assessment, and prenatal, perinatal and neonatal history
Partogram document and consult for baby’s monitoring related to delivery stages
Referral
Capacity to request, track, accept, and be informed about a referral
Capacity to attach documents to a referral
Review of Systems
Predefined templates to document the assessment of body systems through a set of questions seeking to identify signs and symptoms that the patient may be experiencing or has experienced (e.g. assessment of general psychological health, or assessment of endocrine, respiratory and cardiovascular systems)
Reports
Request and send specialized reports
Print tool for customized reports
Vital Signs
Document vital signs and other indicators such as temperature, pulse rate, blood pressure, orthostatic, or oxygen saturation level
Order an on-going process for vital signs monitoring
Analyze outcomes available in a grid that displays the progression of values
View vital signs’ progression as chart, being possible to select or unselect the indicators to view (according to needs)
Medical decision making
Guidelines
Define sets of orders and procedures, which can be applied for management, prevention, screening, and treatment of related pathologies
Create, duplicate, edit and cancel guidelines
Enter mandatory data
Define permissions for the guideline activation and use
Define criteria of inclusion (covered by the guideline) or exclusion (not acceptable for applying the guideline) from simple value ranges (weight, height, age, body mass index, etc) to more detailed data (lab tests or exams done, previous diagnoses, etc)
Define tasks such as medication administration, appointment scheduling, exams, lab tests and consult (among others)
Select from the most frequent list of guidelines parameterized for the facility and by work environment
Search by guideline groups
Protocols
Define clinical protocols in form of decision trees, which can be applied for prevention, management and treatment of pathologies
Create, duplicate, edit and cancel protocols
Enter mandatory data
Define permissions for the protocol’s activation and use
Follow the related protocol's decision tree, by progressively answering specific questions and performing the tasks suggested
Tasks can include nursing care, nutrition evaluation, procedures, medication administration, patient education, treatments and other disease management aspects
Return to any of the previous stages of the protocol (redefining the treatment plan if needed)
Search by general protocol groups
Tasks and actions are color coded
There are also different symbols for identifying each task, instruction, order, actions' connection or question
Messaging between professionals
New feature to allow for professionals to exchange messages among themselves
Nursing
Nurse documentation, including templates, all based on ICNP standard language
Summary of nursing activities for each patient
Nurse teaching
Nursing diagnoses and interventions
Calculator of the number of nursing care hours per patient per day based on each patient´s characteristics and problem list
Order and perform dressings and document wound location
Fluid balance monitoring
Order management
Cardex
Timeline view of pending tasks
Care Plans
Manually specify care plans for patients, which are patient specific treatment plans that are extended throughout multiple episodes, scheduling eventual exams, medications, lab tests, etc
Include several tasks
Coding
DBC validation engine to support all DBCs type of care
Co-sign
Document exam orders requested by phone or verbally, on behalf of the person who ordered them
Review and approve the orders recorded in the user’s name by co-signing all at once or one procedure at a time
Diet management
Diet definition: institutionalized diet (general diets defined by the institution); personalized diet (user defines the diet); pre-defined diet (user can select a diet created in the personal configurations area)
Diet planning
Dietician consults
Orders
Diagnostic tests
Order and consult imaging exams and lab tests
Select from list of most frequent diagnostic test list
Select from groups of lab tests for a specific rationale (Panels)
Record and consult all activities relating to the execution of all different stages of imaging and laboratory exams
Automatic request of sample and patient transport to the indicated areas whenever particular diagnostic tests require so
Access diagnostic test results automatically through software interface
Identify abnormal results, which are highlighted with red flags upon information obtained through software interface
Document diagnostic test reviews
Consult diagnostic test history
Lens prescription
Lens prescription tool for Ophthalmology appointments
Medication
Select from a list of most frequently used medications which can be used to facilitate medication orders
Search medication by pharmacological group (anti-inflammatory or antihistaminic, for example)
Manage different medication administration types, such as medication reported by the patient, medication to be administered in the current episode, pharmacy orders, dietary supplements and compound medication and IV Fluids
Manage prescription to the facility’s pharmacy or to outside pharmacies
Apply therapeutic medication protocols to administer medication used in a specific treatment for a particular disease
Change the parameters of an active medication order (modify)
Create additional orders for a prescribed drug (refill)
Medication Reconciliation: access, at any time, all the medication that the patient is taking, independently of the application area where it was documented
Sliding scales prescription
Dose range orders
Order sets
Create and activate sets of tasks
Set a priority level for the groups of tests, procedures, or exams chosen, which will lead to a defined scheduling sequence
Redefine the parameters of any task
View all completed or ongoing order sets for a patient in the episode selected
Procedures
Order, track and document procedures from a list of the most frequent ones by specialty in the facility
Associate each procedure to one or more differential diagnoses
Review each procedure’s status (if it is delayed or still on time)
Conduct an advanced search to find additional specific procedures
Automatic coding of procedures
Vaccines
Complete tool for vaccine management
Patient overview
Summary grids for patient groups and individual patient dashboards that show relevant patient information, as well as ongoing and pending tasks
Shortcuts to access different fields within the patient’s EHR such as exams, procedures and nursing assessments, and to perform any required task
Timeline View to access patient’s previous encounters, along summarized information for each event
Personal Health Record
Each individual can organize his/her personal health information in electronic format
Each individual can manage access to his/her personal information
Planning
Appointment scheduling
Individual appointments
Single visits
Series of appointments
Group appointments
Interdisciplinary appointments
Scheduling notification
Overbooking with overlapping of appointments – more than one patient in the same appointment slot
Appointment scheduling beyond the number of available slots for a given specialty / professional / facility
Appointment scheduling beyond the schedule defined for that same professional / facility
Appointment availability is color coded
Reschedule individual or group of appointments through drag-and-drop features
Apply filters for appointment views by type, professional or specialty
Apply filters for appointment scheduling by time interval, type, clinical environment, among others
Consult next vacancies, next appointments, calendar and appointment details in the scheduling viewer
OR scheduling
Surgery scheduling, including details such as responsible surgeon, estimated duration and operating room
Consulting the status of each operating room, with daily and weekly views
Search within the surgery waiting list
Surgery rescheduling
Bed Planning and Management
Overview of beds, rooms and wards in what concerns occupancy levels
See each bed status (free, occupied, in cleaning, etc.) for each ward or department
Allocate patients to specific beds at point of admission or later
Surgery and Inpatient Waiting List
Priority management, following specific criteria such as relative urgency and absolute urgency
Bed and room allocation
Multi-Resource Planning
Plan resources at operational, tactical and strategic (future) levels;
Define, relate and project different resource types (staff, equipment, beds, rooms, etc);
Organize, process and gather statistical information on production levels and procedures (e.g. goals, deviations, durations, resource usage, etc).
Prescription
Complete prescription software, including electronic e-prescribing to local pharmacies
Access to medication content for contra-indications, drug interactions, etc.
Problem list
Define each problem’s chronicity;
Automatic coding of problems, by choosing one or more international diseases classifications tables such as ICD9, ICD10, ICPC2 and NANDA.
Procedures
Capacity to request, track and document procedures
Automatic coding of procedures
Referral
Capacity to request, track, accept, and be informed about a referral
Capacity to attach documents to a referral
Reports
Request and send specialized reports
Print tool for customized reports
Scheduling
Complete scheduling tool
Task list
To Do List that displays all patients under the caregiver’s responsibility, for whom there are one or more pending tasks
It is also possible to view, with the same kind of detail, all issues that depend on other professionals
Therapeutics
Prescribing, executing and administering treatments (drug therapy and other)
Consultation of previous treatments
Tracking
Summary header for every episode, which provides instant patient ID, including patient’s photo, patient sex and age, location, diagnosis under consideration, attending physician and nurse, date and time of arrival, length of stay, existence of advanced directives and other special circumstances
Tracking board that summarizes, for groups of patients, patient ID, tasks, diagnosis, attending physician and nurse, patient location and other care characteristics
Bird’s eye view of an entire facility, department or room with zoom in/out capabilities, and the possibility to assess the level of occupancy of any area of a facility, as well as select a specific patient anywhere and at any time
Barcodes printed on wristbands to identify patients and printed on lab tube labels to identify specimens
Patient search functionality
Photo identification
Transfer
Possibility to request, track and respond to transfer requests
Possibility to time and plan a patient transfer
Transport
Automatic transport request as a function of specific exam needs
Transportation request at any time for internal or external sites
Track the status of each transport request between different facilities
Transport can be requested and tracked for medications, equipment, blood-derivatives and other
Triage
Capacity to triage patients according to clinical criteria
The available triage systems include:
- 5-Level Triage System (US)
- Dutch Triage System
- Manchester Triage System
- Other systems can be easily implemented and/or customized
User profiles
- Administrative clerk
- Ancillary personnel
- Imaging technician
- Information desk clerk
- Laboratory technician
- Manager
- Nurse
- Pharmacist and pharmacy technician
- Physician
- Practice Manager
- Psychologist
- Social worker
- Therapist
Vaccines
Complete tool for vaccine management
Warnings
Contra-indications
Data not saved
Confirmation that special actions are to be performed
Warnings can be forwarded to cell phones
Workflow
Filter data by workflow type
Access in real time any ordered tasks that were assigned by different professionals for the same patient (with the added possibility of also viewing tasks assigned to other profiles or users)
Complete tasks and document any related notes and results which will immediately be available in the patient’s EHR, along with the status of all workflows (e.g. lab tests and imaging exam orders, medication and procedure prescriptions)
View previous answers given by other healthcare professionals for similar questions (Thematic Workflow) while filling in a template. Thereby, inter-relating all records and avoiding redundant clinical data
