Community

A community system must have the flexibility to support the varying needs of the plethora of health workers who work in the community, from chiropodists to respite care workers. Ascribe has a range of Community Care solutions that can provide a complete information solution for community care including the management of staff schedules and caseloads, care planning and the Single Assessment Process.

Our systems has been designed to facilitate continuous feedback, monitoring, and communication between members of the community multi-disciplinary care team, these systems enable greater clarity in the apportionment of responsibilities and strong clinical governance, reporting and information.

A multidisciplinary approach

A complete care record contains information gathered from birth and  throughout the client's lifetime (whatever the setting or the professional discipline) in a single integrated and longitudinal record. Clinicians can view historic and current client care and can see who else is or has been involved in the client's care (subject to stringent security options).

Key strengths

• Flexibility – a high degree of customisation allows a workflow-based interface – the user is not required to move through many screens to complete a specific task.
• Web technology is used to provide an easy-to-learn interface and a high degree of flexibility of form layout.
• Connectivity – We support links to other information systems and the CfH spine.

Modules in more detail:
Care management

A highly configurable, multi-disciplinary care management module provides the means to create and monitor care pathways, care plans and assessments. The care planning functionality is designed with clinical governance in mind.  Packages of interventions are built to address a specific need (e.g., leg ulcers) using the core care plan templates. Users build the patient care plan by importing and customising the pre-built packages of care. Target outcomes, actual outcomes and variances are recorded for effective clinical governance reporting.

Single Assessment Process

Ascribe's community systems fully supports the Single Assessment Process for Older Persons. Individual assessment components are be designed (using the template builder) to match local processes, which are then built into a variety of combined web forms specific to a professional group or a particular stage in the assessment process. A series of customisable report views, allow show a snapshot of up-to-date information from all stages of the assessment process.

Staff organiser

Contacts may be scheduled in advance using the staff organiser module. In addition, the system supports facility booking, management of non-contact time, mileage analysis and timesheet production.

Contact recording

Contact recording is closely integrated with the diary management and care planning to minimise effort in data entry. Pre-scheduled diary events and planned interventions may be quickly converted into historical contact records with a few mouse clicks.

Child vaccination and examination scheduling

The child health module provides automated scheduling for child vaccinations and immunisations, and examinations. Its design is underpinned by the Child Health Informatics Consortium’s (CHIC) specification. The suite of pre-built reports includes COVER statistics and SureStart reports.

Document management

Microsoft Word integration allows local administrators to define standardised letter/document templates including data fields, which may be quickly generated and printed by users, then saved in the database as part of the patient record. For example, our customers use Word documents to produce letters and provide easy-to-read printouts of care plans and assessments for patients. Scanned documents may be also be saved into the patient record.

User alerts

The system may be configured to send alerts to users, giving notice of forthcoming review dates and other significant events relating to their patients. The alerts are displayed as a task list whenever the user logs in. Alerts remain in the user’s task list until they dismiss them (at which point they are archived and the date and time of dismissal are logged in the audit trail).

Reporting

A suite of built-in reports is provided, requiring no local query writing. These include operational reports, e.g., overdue contacts, activity by location, and national returns. In addition, industry-standard third-party products such as Crystal Reports are used to interrogate data to meet local reporting requirements (full training is provided), or data may be offloaded into a data warehouse.
   

For Domiciliary Care

Ascribe Domiciliary Care system (ADC) is an information system designed to manage operational, clinical and financial aspects of community care.

Improved Service Efficiency
ADC ensures the most appropriately skilled and available staff are scheduled to deliver services to their clients. This provides:

• Improved efficiency of staff schedules and hours worked
• Advanced planning of schedules and better management of appointment reallocations
• More precise client budgets, including over and under runs

The accounts receivable cycle is reduced by allowing charges for services to be split between multiple debtors and the client ensuring invoices are correct and complete.

Better information at the point of care
A single client record holds all the information for all the services associated with the client such as nursing, allied health, personal care, home maintenance, transport, delivered meals and respite care. Field staff that are equipped with mobile computers are able to manage their appointment and record information about clients on the spot. The system alerts clinical staff to any medical conditions or special needs of a patient and enables them to attach notes.

Other Services
ADC is developed and supported as part of a flexible product solution program. A range of implementation options are available from a simple deployment to a fully managed outsourced solution including consulting, customisation, training, systems management tools and 24 by 7 managed services.

ADC Client Management System - Functions:

Client Master Index
• Automated allocation of unique identifier
• demographic information
• Search functions
• Alternate identifiers, contacts, names and addresses with history
• Postcode and SLA validation
• Consolidation/deconsolidation of records

Client Management
• Episode management - referral, admission and discharge
• Financial information
• Care types
• Alerts & notes
• Assessments
• Diagnostic coding
• History file tracking
• Visit recording

Clinical Support
• Clinical pathways
• Client care plans
• Clinical review
• Assessment authoring tool

Group client management

Program Management
• Program definitions and business rules
• Online summaries and reports

Client Document management
• Document attachments to clients, episodes, events

Staff Management
• Individual and organisational provider information
• Provider matching
• Multi-service appointment scheduling
• Recurring appointments
• Rostering
• Site staff workload management

Call Centre (Call Agent)
• Integrated with telephony system
• Retains all client and non client communications and tasks
• Task allocation
• Uses client demographics to route calls to specific operators
• Linking to call recordings
• Advanced call agent management for VHC clients

Referral In
• Referral Board
• CSC Intake management and processing

Referral Out
• Referral out process with attachment of documents/assessments
• Tracking of referrals to external organisations

Electronic Referral
• Web Referral
• Interface with InfoXchange S2S

Financial Support
• Fee schedules
• Financial programs
• Automated Invoice creation and statement/Invoicing printing
• Processing of Credits and reversals
• Third party Billing - DVA, WCA, etc...
• Interface to Debtors
• ODBC interface

Reporting
• Planning roster and run sheets
• Label printing
• Statutory reporting
• Data warehouse extract routines
• A fully integrated Report Writer enables individual users to configure and design reports

Ascribe Report Writer reports
• SCTT
• Others...

Standard Reports (This list is an abbreviated list)
• Summary Statistics
• Client Registration Summary
• Client Interagency Referral Summary
• Client Referral Notification/Separation Summary
• Client Label print
• Planner report of scheduled appointments
• Electronic SSVR report
• Client Missing Fields report
• Automatic Discharge report
• Statistical Summary report
• Invoice and Invoice Reversal reports
• VTA Exception report
• VTA Payment report
• Program Appointments Match report
• Recalculate Appointments report
• Roster report
• Table Downloads report
• Veteran Monthly File Match report
• Veteran Review Tasks report
• Assessment print reports
• Care Plan print report

Support of Mobile Computing
• Management and management of Mobile workforce
• Messaging (HL7)
• Interface to Gemino system - downloads
• Handheld inquiry

Other Interfaces
• RosterOn

For more information or to book a demonstration, please call us on +44(0) 870 053 4545 & ask to speak to our Sales Office team.