Inpatient Clinical Documentation System

MindLinc is a comprehensive electronic behavioral health care management system. MindLinc seamlessly integrates clinical care at all levels, regulatory management, research and quality improvement.  MindLinc helps customers manage insurance, managed care, and billing processes.  Through its data element, clinician/patient-centric workflow, MindLinc helps users efficiently manage their daily tasks.  MindLinc employs a clinical rules engine to help guide clinical practices and creates a clinical outcomes data warehouse for retrospective analysis for clinical, administrative, and financial support.

MindLinc includes:

Triage – Crisis Intervention - Call Center – Emergency Room Functionality includes

·       Call logging and Patient Tracking

• Evaluate client-caller risk and triage to most-appropriate clinical setting

• Provide disposition and schedule follow-up call or visit with specific clinicians or clinics

• Manage Referrals

Demographics comprehensive intake including ability to create and manage Financial Data, Authorizations, and family group/entities.

Comprehensive Evaluation and Assessments

Treatment Planner seamlessly integrates patient-specific and discipline-specific problems, goals, objectives,  and interventions into multidisciplinary treatment plan.  Objective Measures are integrated directly into progress notes.

Progress Notes: Fully-Customizable, can be role-based, level of care-based, or treatment modality-based.  Evaluations, Assessments, Progress Note are designed to assures efficient user and organization-defined workflow. MindLinc integrates the treatment plan and progress note processes. Upon completion of the treatment plan, users select specific problems, goals, objectives, interventions from treatment plan they want to address in specific progress note.  CRIS provides the ability to measure progress toward achieving goals, objectives and discharge criteria using the embedded treatment progress outcomes tracker.

Orders Entry System provides an efficient and accurate way to manage and communicate orders across the multidisciplinary treatment team. User access and views are role-based and set by the customer. MindLinc Order Entry provides the ability for written and verbal orders. All Orders and Order Sets are fully and easily configurable. Orders include Medications, Labs, Allergies, Interventions and  Admit order sets for all disciplines (e.g., social work, psychology, nursing (e.g., observation status, ward/unit activities/privileges), case management, activities therapy, consults, physical therapy, speech therapy, vocational rehabilitation, legal status, reason for admission, discharge, transfer, referral).  MindLinc Order Sets are logical groups of orders organized according to specific treatments, functions, users, or clinical groups and are integrated into the clinical documentation processes.  Order history reports include Medication Order, Laboratory Order and Unit Order sheets.

Medication Management provides tools to enhance patient safety, increase physician and nurse productivity and manage formulary and drug costs.  Features include:

·        Drug interaction (Winter 2008)- Drug/Drug, Drug/Food, Drug/Allergy interactions improves safety of patient care.

·        ePrescriber - Electronic prescription, refills sent directly to client pharmacy of choice

·        Side Effects and Adverse Reactions – provides ability to measure and track side effect symptoms over time

·        Medication History and Timeline (excellent visual tool for clinicians to view medications over any time period) including tracking of the prescriber, reason for ordering, reason for discontinuing, start and stop dates, tracking if adequate dose and adequate duration

·        Comprehensive Medication Ordering functionality

·        Medication Reconciliation forms for JCAHO compliance

Restraint and Seclusion provides tools to help reduce restraint and seclusion and enhance patient safety  Features include:

·        Patient intervention preferences to help reduce instances of restraint and seclusion

·        Complete documentation including family contact, type of restraint, alternatives tried. Release and Post Release Information

·        Restraint and Seclusion orders, verbal and written with Q shift order renewal, and Q15 minute vital checks.

Discharge Summary: Auto-created discharge summary populates information from selected clinical encounters (e.g., admission and discharge notes).   The discharge summary provides full edit capabilities and brings pertinent information forward to facilitate high-quality, efficient documentation of the course of treatment.

MindLinc Clinical Documentation System Benefits·        

·       Improve process, continuity and delivery of care

·        Improve patient safety and reduce organization risks and liabilities

·        Integrate patient and family involvement, self-reported information and into treatment

·        Improve patient outcomes: capture outcomes, relate to treatment, use rules engine to guide and improve clinical outcomes

·        Meet regulatory patient care  and reporting requirements

·        Increase Productivity: allows work to be daisy chained

·        Improve communication: embedded messaging and task system