Documentation errors remain one of the most difficult problems that home health and hospice agencies face. Axxess’ Agencycore home health care software helps home health nurses document the care they provide their patients in an easier, more compliant, accurate and complete manner.

1) Access to diagnosis-based teaching guides.

By incorporating diagnosis-based teaching guides in the skilled nurse progress notes and OASIS assessments, Axxess’ Agencycore home health software provides home health nurses with instant and convenient access to information about diseases, conditions, and wellness issues in language they can understand. With this integrated access, home health nurses can learn about the latest treatments, look up information on a drug or supplement, find out the meanings of words, or view medical videos or illustrations. They can also get links to the latest medical research on several topics or find out about clinical trials on a disease or condition

2) Primary and Secondary Diagnosis provided on progress notes

Prior to beginning documentation on skilled nurse note, agencycore software alerts the clinician to what the primary and secondary focus of care is for the patient they are documenting on. This reduces documentation time for the nurse and improves the quality and accuracy of the documentation.

3) Previous documentation archived and easily retrieved

Agencycore home health care software provides nurses with instant and convenient access to all previous documentation on their patients. This access allows the nurses to have historical information that will help provide superior outcome-based care that can be easily documented. In addition, nurses have a history of knowledge deficits that have been addressed with their patients and can therefore educate and document instruction provided to their patients on knowledge deficits areas that remain.

4) Documentation of Wound Care.

With easy and convenient integration of the wound care flow sheet into the skilled nurse progress note, home health nurses can document the care provided to their wound care patients more accurately. The wound care flow sheet is integrated into the OASIS and skilled nurse visit note under the integumentary (skin) system assessment.

5) Documentation of new Infections.

The infection report document is integrated into the skilled nurse progress note so that home health nurses have easy and convenient access to effectively document infections. In the infection control section of the skilled nurse progress note, the new infection report is integrated into the visit note so that this critical piece of documentation is provided. By integrating the infection report form in the skilled nurse note, home health nurses are prompted to complete the infection reports in cases where their patient is on antibiotic medications.

6) Documentation of New/Changed/Discontinued Medications.

Once the initial medication profile is completed, it can be easily maintained during each visit. The medication profile is integrated into the skilled nurse note. In the care coordination section of the skilled nurse progress note, home health nurses are able to be update the medication profile based on the latest available information while completing their visit note. Home health nurses therefore have access to the most updated and compliant medication profiles on their patients at all times.