We hope your summer is treating you well, and you are getting out and about and enjoying the beautiful summer weather!
We've been adding some amazing features to MedRight again and we'd like to tell you about them in our second major release of 2019. We have also fixed several bugs and issues our valuable customers have pointed out to us.
We have rounded out our marketing tool (LEADS) to allow for email blasts (marketing emails) to referrals, prospects, and other contacts. These blasts allow homes to inform contacts of bed availability within the home, open-houses, and other marketing events that the home wants may want to share with prospective residents, providers, etc.
Homes can now send email blasts from MedRight to residents, family members of residents, and staff. These blasts allow homes to inform resident family members and/or staff about activities and happenings within the home such as parties, the monthly calendar of events, or other activities that the home wants resident’s families to know about. Before using this new feature, please read the help document ‘Email Blasts’.
We have added a new feature that allows for activity tracking of resident attendance to events and activities that the home sponsors. This feature ties in with the awesome community calendar feature. Many states are now requiring activity tracking for their residents and this feature is intended to meet these requirements.
Homes can now create barcodes for any order from MedRight using Avery labels 5167. This allows nurse driven homes and orders not coming from a pharmacy to be barcoded and scanned. Studies show that scanning orders is the best safety precaution for residents. Best practices encourage scanning orders for all residents.
For homes that use periods (AM, NOON, EVE, etc.) we put the time of the period (10AM-4PM) next to the period on the New Order page to make it easier to know the timeframe of a period.
We added “Intrathecal (IT)” as a new route for orders and made the route entries in the pull-down show in alphabetical order.
We added two new fields in the facility profile to allow the home to put their web page address and an alias name they may want to use. Both of these fields are used within the new community calendar feature.
MedRight can keep track of inventory for each order. We added a “par level” feature and a staff notice that can send emails/text to specified staff if the inventory level of an order hits PAR.
We added a new feature to ‘Triggered Alerts’ such that one can now go to the Triggered Alerts page within the AWP and it will show all triggered alerts within the home. We also inform users of the AWP about triggered alerts by displaying a ‘Triggered Alerts’ message on login to the AWP if there are triggered alerts that should be handled. Finally, with triggered alerts, we simply remove them if they are not handled within 30 days.
We added two new configurations: Show Alert Charting Order Directions on Chart for Resident and Show Alert Charting Order Directions on Hot Notes. Some homes like the order directions, others don’t. Now the home can choose whether they want to display the directions or not on resident charts and hot notes.
We added the feature to allow past resident data to be edited on the Edit Resident pages. This “fixes” the problem of having to readmit a past resident to update their charts after they have been discharged.
We increased the number of Late ADLs to be documented on to 5 days instead of 2.
We now allow users to hold PRNs just like they would hold chronic orders.
We have added a utility to globally search for a contact. This feature is under the main Menu ‘Utilities’. The search works with last names, first names, facility names, and emails. With this feature user can get a list of residents who share the same MD, Case Manager or other common contacts.
We have completely changed the way that Care Plans get signed. No longer is it necessary to print Care Plans out for signatures. Furthermore, we have added on the MedPass Machine a notification to users the number of Care Plans they need to sign. Please read the help document ‘Service Plans: Service Plans and Care Plans’ to fully understand how to generate Care Plans and put them on the MedPass Machine for signature.
We added the functionality to the AWP such that on the MedPass Machine selection Panel, the MedPass Machine selection will “stick” on the selected MedPass Machine until the user selects another MedPass Machine. This allows users to select the residents of a certain MedPass Machine and stay on the residents of that MedPass Machine while navigating around on the AWP.
We added the feature to allow a resident who was previously discharged and readmitted to the facility to have a ReAdmit Service Plan, thus allowing them to start over with their service plans.
We added a new staff notice to allow users to receive notices (texts and emails) 15 minutes before medication(s) could go late. This feature would be used to remind users that a medpass period is going to end and they need to get their orders passed. To facilitate this new feature, we changed the graphical user interface for the staff notice page so that the user gets a text and a more detailed email, if wanted. Because we cannot send resident names and medication names together (HIPAA violation), we send the medication name and the resident’s room number.
We added an integration with the Omnicare Pharmacy (CVS) in any state in the United States.
Release Notes 2019-04-18
Happy Spring and Happy Easter:
Flowers and trees are beginning to bloom and so are our developers! They've been adding some very amazing features and the usual fix of minor issues for our first major release in 2019.
We have created a new feature called Super Account for our customers who manage multiple facilities and do not want to remember multiple facility names and passwords. See the help document and video under Documentation & Videos called Super Account (under Admin Web Portal Help) to learn how to use this feature.
We have created a new feature that allows each resident to have a calendar in which the home can schedule doctor appointments and other resident events. These calendars can be shared with family members and staff members. See the help document called Resident Calendars (under Admin Web Portal Help) to learn how to use this feature.
We have created a new feature that allows the facility to create and print large paper wall calendars to inform their residents of facility events such as Bingo or Exercise. See the section called Community Calendar in the help document called Resident Calendars (under Admin Web Portal Help) to learn how to use this feature.
We have created a new feature called Certifications & Licenses that allows a facility to keep track of staff certifications and licenses, what the staff has, when they are due for renewal, when last updated, etc. See the help document and video called Staff: Certifications & Licenses (under Admin Web Portal Help) to learn how to use this new feature.
We have created a new feature to allow ADLs to be given offline (if there is no Internet.) We have also added the feature to ADLs so that users can back document for a day or a shift. See the help document called ADLs: Documenting ADLs from a MedPass Machine (under MedPass Machine and ADL Machine Help) to learn how to use this feature.
We have created a new MedPass Feature configuration called Give All Orders that allows the home to use or not use the “Give All” feature on the MedPass Machine. By default, the configuration is set to allow the home to use the Give All feature. See the help document called Facility: MedPass Features Configurations (under Admin Web Portal Help) to learn how to use this feature.
From the MedPass Machine, we have added the ability to print the narcotic log based on a date range.
Under Reporting we separated Resident & Staff reports. A new submenu under Reports called Staff Reports now has reports specifically for Staff.
The ability to document that multiple residents received immunizations within the facility at once was added. This is for homes that have physicians come in and give multiple residents immunizations on a given day. See the help document called Edit Resident: Immunizations (under Admin Web Portal Help) to learn how to use this new feature.
On the MedPass Machine, the Staff Notes counter is now refreshed every minute to indicate more quickly (to the user) any new staff notes, plus the number of staff notes is in parenthesis and in a different color to highlight they exist.
A new prerequisite called Storage Location was added to allow for the caregiver to be informed of the location of a medication.
A new follow-up called G Tube drainage was added for the caregiver to document the residual amount in a G tube.
Several submenu items on the Administrative Web Portal now allow users to open the page in a different browser tab, allowing users to have multiple portal pages open simultaneously.
The ability to print blank assessments is now available now for all assessments.
On discharge for a resident, we extended the options for discharge to allow for more information in regard to tracking discharges.
On admission for a resident, we extended the options to the admission form to allow for more information to tracking admissions.
We have implemented documenting and storing information about resident’s refusal of care. When an order or ADL is not given because the resident refused it, we log it and the new report called Refusal of Care now reports resident refusals.
We have deprecated the AWP configuration MedPass Private Mode due to HIPAA constraints and it now always 15 minutes.
Chart types in Chart for Residents can now be defined and customized so that caregivers can categorize Resident Charting. See the help document and video under Documentation & Videos called Chart for Resident (under Admin Web Portal Help) to learn how to use define and customize chart types.
We added the ability to tag residents as Free of Communicable Disease.
We added new features to our marketing feature, MedRight Leads, so that users can now pre-admit residents directly from MedRight Leads and changed the graphical user interface to be fit more seamlessly into MedRight. We also updated the documentation for the feature. See the help document and video under Documentation & Videos called Utilities: LEADS: Leads Manual (under Admin Web Portal Help) to learn how to use this feature.
A new feature called Logged Events located under Utilities exists that documents important events done and the staff member who did the event. See the help document and video under Documentation & Videos called Utilities: Finding Data (under Admin Web Portal Help) to learn how to use this feature.
We added a progress bar on MedPass Machine and ADL Machine login so that users know the progress of their login should they have slow internet access.
We have created a new Global Configuration called Auto Selected Shifts that allows a home to specify what shifts they want the alert charting to be set to instead of all shifts by default. See the help document and video under Documentation & Videos called AWP Configurations: Global Configurations (under Admin Web Portal Help) to learn how to use this feature.
We added two (2) new Global Gonfiguration to let the facility choose whether they want to show the order directions on Resident Charts and Hot Notes. See the help document and video under Documentation & Videos called AWP Configurations: Global Configurations (under Admin Web Portal Help) to learn how to use this feature.
Release Notes 2018-10-12
Happy Fall
The weather is cooling, but our development is just heating up for the 4th quarter of 2018. Our first fall release added some very nice new features and fixed some bugs and minor issues that our customers have brought to our attention.
We have added a configurable Seizure Management Tool so facilities can track seizures residents have. See the documentation and video Seizure Management Tool on how to configure and set up the seizure feature.
We have added the feature to allow scheduled orders at midnight. Now there is the ability to select 00.00 (midnight) when scheduling an order.
We have added the feature to add prerequisites to treatments, both medication treatments and regular treatments. One adds a prerequisite to a treatment just like one adds a treatment to a chronic or PRN order.
We have added the feature of a FLACC (face, legs, activity, cry, consolability) pain scale for those homes who want to use this pain scale. See the documentation and video Vitals - Charting and Graphing to understand how to make this the default pain scale for the facility.
We have added the feature of an "alternative" name being on the orders. For pharmacy driven homes, sometimes the facility uses the generic drug name and sometimes not, depending on the agreement between the pharmacy and the facility. To help the facility match the name of an order, we allow the facility to put an “alternate” name on the order This is done by the link "Alternate Name" on the Medication Profile if the preference is turned on. If your facility wants to turn on this preference, please send an email to support@carerighttech.com.
We have added a new procedure called “G Tube Drainage Check”
We have added the feature to allow the user to select multiple residents on the nightly generated reports page. See the documentation and video Reporting to learn how to use this feature.
We have added a new table to log events that staff members perform that are not associated with a particular order. This table named “Logged Events” is accessible under the main navigation menu item, Utilities.
We have added the feature to allow a home to add “types” to their charts so that they can filter charts for residents by this type. For example, when adding a new chart, the user can now create the chart as a specific type and sort or search by that type. See the documentation and video Chart for Resident . This is a facility preference. If your facility wants to turn on this preference, please send an email to support@carerighttech.com.
We have added the new feature of a Wound Component to comply with MDS 3.0, available only through AWP (Administrative Web Pages) at this time. See the documentation and video Wound Component to see how to use this wonderful Wound Component.
We have added the feature to allow the facility to add charts for multiple residents at a time.
We have added the feature to allow the facility to add hot notes for multiple residents at a time.
We have added the ability to allow facilities to set up automated reports that they may need or want sent to them via email daily, weekly, or monthly. For example, if the facility wants a medication report sent to a specific user’s email every Monday, this is now possible. See the documentation and video Reporting on how to use this feature.
We have added the feature to allow assessments to be shown on the MedPass Machine. To add those assessments you want your staff to view (not edit) on your MedPass Machine, navigate to facility->MedPass Features and select the assessments you want on the MedPass machine.
Be very careful on selecting features for your MedPass machine! If you are not sure what a feature does, please call the support line.
We continue to update the documentation and videos under Help, accessible under the MedPass Machine and the Administrative Web Portal (AWP).
Release Notes 2018-08-31
The 3rd quarter of 2018 has been busy. We are happy that our port to the new Administrative Web Portal (AWP) is completely finished for all of our customers! Thank you for your patience.
The beginning of fall is beautiful here in Wyoming, and even though most developers are enjoying vacations, we continue to work at our goals for MedRight!
We’ve added the following new assessments in MedRight:
Diabetic Assessment Tool
Monitoring of Side Effect Scale (MOSES)
WILDA Pain Assessment
Self-Medication Assessment
We are bringing "back" our MDS 3.0 ADL features! Our first beta release went out, but we plan to be completely done with this by the end of November 2018!
Revamped and udpated the personal information page for the resident.
Added the ability to add a barcode to any order so it can be scanned.
We now allow explicit Schedules with "AM and "HS" codes on our HL7 servers
Added a new logged event page (under utilities) to show events that we log that are not medication oriented such as locking or unlocking the period clocks.
We added the ability to sort "Chart by Resident" entries by MedCart
Users can easily connect to support from the HELP menu now because we added a link for them to click instead of them having to know the link.
Added a new Dashboard "Last Login" section
Release Notes 2018-04-02
The year is off to a bang! The first quarter has blazed by and we have done our first release of the new Administrative Web Portal (AWP) to great fanfare. We have also solidified our new MedPass eMAR and every one of our customers is now using the new and improved MedRight MedPass eMAR.
Our New AWP Portal is out! Initial feedback from customers is fantanstic.
S-PRN are a new order type. A S PRN created this way will still be a PRN, but also is allowed to be scheduled. They will appear in the Chronic tab when due, but do not go late.
Our Natural Language Processor (NLP) was released this month. This reads the pharmacy directions and selects the frequency, dose, and type from it.
Added the ability to add sub-folders to Document Uploads. Plus we added the ability to upload multiple files at a time!
Release Notes 2017-12-21
Well, another productive year for MedRight has come to a close. We continue to enjoy creating the easiest and most feature rich software for care facilities on the market.
This quarter brought many nice changes -- our new web based, online/offline eMAR was released and we are in the throws of writing our new version of the Administrative Web Portal.
We are excited to ring in 2018 with you and hope you enjoy MedRight.
Added the NDC of a medication from the pharmacy on the Medication Profile.
Added the ability to move forward or backwards (medpasses) throughout the day.
Added the feature to allow users to set the MedPass machine in picture or list mode.
Added the feature of Group Leave -- allowing more than 1 resident to be put out on Group Leave (going to work) for the day.
Released version 2.0 of MedRight Leads - the marketing tool.
Added the ability for a nurse to add her own note to a medication.
Added the Pharmacy Dashboard for pharmacies.
A "Resident Status" feature was added to allow resident's to be set on alert and to set their status easily.
Added Alert Charting for a resident
Added Incident Reporting feature and all the infrastructure for this feature.
Added a "Literal" treatment so that users could name their treatments anything they wanted to name them.
Release Notes 2017-09-03
Happy End of Summer,
While the summer is winding down, the work and progress here continues at record breaking pace. We continue to work hard on the new MedPass Machine and allowing customers to customize it.
We are excited with some new homes that we have brought on board and some of our residential treatment homes that continue to make MedRight a priority. We hope you enjoy the new features.
We have release Version 1.0 of the new MedPass Machine!
Hold, Postpone, and Inactivate orders are new features added to the new MedPass Machine.
Seeing what was done during a MedPass period has been added.
The Wound Component has been added to MedRight on the AWP.
New Help documents and videos have been updated and added.
The infrastructure to a customizable new behavior tracker has been created.
A seizure tracker has been added to MedRight.
Release Notes 2017-03-31
Hello Again,
It's the first quarter of 2017 and as the ole' saying goes, "time flies when you are having fun." We are busily designing our new Administrative Web Portal (AWP) and solidifying our new MedPass component. It is so much fun. We've added a few new developers and we love our new office building that we moved in to.
We hope your year is off to a great start and look forward to a challenging year with us as we do a total rework of some old technology!
We added the Clinical Opiate Withdrawl Scale (COWS) Assessment.
We added the Clinical Institute Withdrawl Assessement (CIWA) Assessment.
We updated our Alerts & Trends to track residents on alert easier.
Our new ADLs templates and assignment was released to Beta for several homes.
A new and improved Vunerability Assessment was released.
Our new documentation and video infrastructure was released and updated with new videos.
A residual followup was added.
A effective PRN followup was added.
New Reports were added so that users could easily see resident profiles.
The Medication Profile was revamped.
Release Notes 2016-12-22
Wow! Another year has passed.
We want to thank you all for another great year! More changes and a better product is what we have worked very hard on this year.
We continue to round out the MedRight product and make it customizable for your home. Many new features were added this quarter that you have asked for.
See you next year. Have a safe holiday season and New Year!
Tool tips were added for all the reports on the Reporting page.
A new Service Plan report was created.
Standing Orders were changed to allow a name for Literal Standing Orders
Customizable Care Plans were added to MedRight so that homes could customize their CarePlans.
A new interface for the New Order Screen was added.
Release Notes 2015-07-24
The second quarter of 2015 has just flown by. We are very excited about all the new features and changes that we have accomplished in MedRight to meet the needs of our customers. Even though the weather is now beautiful here in Wyoming, and we are cycling through vacations for our developers, we continue to work at whittling away at our and your goals for MedRight!
We’ve added the following assessments in MedRight:
Assistive Devices
Baseline
Braden Risk
Client Vulnerability
Fall Risk
Feeding
Medication Management
Mini Mental
Return from Hospital
Side Rail
Pain
Facilities now have the ability to build any ADLs needed for any resident.
The ability to print blank Personal Service(s) assessments is now available.
The ability to identify residents as hospice residents and/or wanderers has been added.
We added a Medical Condition tab to Edit Resident so the user can document the prior medical conditions of a resident.
We added the ability for users to document the side effects, the contra indications, and the adverse reactions for orders on the Medication Profile.
We added the ability for users to document mobility devices used by residents. This data feeds to the reports such as Physician orders, etc.
When users create orders within MedRight, we allow them to add an RX number on creation of the order.
For nurse driven facilities, we have added a preference to allow the user to auto activate orders on creation.
For nurse driven facilities, we now allow the user to edit their medication signature/directions.
There is a new preference in which a facility can set such that standing orders on admission and standing orders on assign could be automatically activated for the facility.
An PTINR procedure was added to allow documentation of INR.
The ability to apply different staff types to specific facilities that use MedRight is now available.
The ability to rename "Residents" to "Patients" has been added.
The ability to assign a staff member to a group is now possible.
Another preference for the facility has been added that allows the facility to request their Facility Name, Address, FAX #, and Phone # at the top of the MD, Facesheet, and Physician Order reports.
The facility can now add specific doctor instructions on the Physician Orders.
Release Notes 2015-03-05
We are on track for the first quarter of 2015 and have released Service and Care Plans out of beta and into Production! We want to thank our wonderful customers who helped us develop this great new addition to MedRight. We are sure you will appreciate the full robustness and completeness of being able to manage your residents from inquiry until their end of stay.
Service Plans! Create a library of Service Plans and easily assign them and customize them to one or more residents.
Care Plans. Create customized Care Plans for one or more residents generating necessary ADL workflows.
Service Plan Assessments. Create Pre-Admit, On-Admit, 30 day, 90 day, and Significant Change Service Plan Assessments with ease.
Release Notes 2013-04-25
April is almost over, however, the team at MedRight has been hard at work to get a release out before the month comes to an end. While there aren't a lot of new features within this release, there are a number of improvements designed specifically for MedRight users!
There is a new permission for Medication Rewrite. So the facility can determine which staff will have permission to rewrite an order.
On the Clinical Device we are now only displaying the last 4 digits of the residents Social Security Number.
When an order comes from Pharmacy with an SC code the facility now has the ability to activate the order as a Taper.
We have changed some wording on the Clinical Device and reporting. We have replaced QD with Daily, and QOD with Every Other Day.
We have added three new Follow-ups: Respiration, Pulse, and Pulse Oxygen.
Release Notes 2013-03-11
It’s March and we are overdue for a MedRight release! While very quiet, we’ve been quite busy growing tremendously! Besides our new mobile wound care tablet app, we’ve been super busy working at getting eScripting through SureScripts available as a module in MedRight and integrated into our pharmacies by the first quarter of this year.
eScripting (via SureScripts) is now in BETA and expected to be available as an add-on module for MedRight by the end of March. Many of our homes have been waiting for this, and we are very excited to offer it and its fabulous integration with MedRight.
In February, we released our mobile wound care tablet app available on the Apple Store and Google Play. Over 400 downloads so far! Go grab it here.
We’ve threaded the sync service! Users will no longer get the “syncing not available” message and have to call the support line to restart the sync service on the clinical device. Yeah for support, and better yet, awesome for our customers.
We’ve extended our HL7 server to integrate with the pharmacy software of Prodigy Data Systems, ComputerRx, RX30, and Omnicare!
An updated MR Manual has been released.
An updated MR AWP Manual has been released.
Release Notes 2012-12-19
Happy holidays! Another year is coming to a close, but not without a snappy MedRight release. It's been a very productive year with lots of changes and wonderful features. Our biggest accomplishment in this release is the electronic Narcotic Log and the fully released electronic signed Physician Order functionality.
We hope your holiday season is filled with family and fun.
Physicians now have the ability to electronically sign the Physician Order in MedRight. Documentation of this new feature is in the newly updated AWP manual.
Narcotic Log now available in “BETA” – only selected beta users are using the new electronic Narcotic Log. It will be ready for final release in January.
MedRight now has a bigger and brighter look for the resident profiles page on the clinical device. The Navigation Bar and the Diagnosis screen also have an improved look.
Added the ability to delete ICD9 from individual orders.
SC (See Chart) HOA code for pharmacy and facility use is now in place and allows refilling, reordering, and prerequisite setup.
Updated MR Users Manual has been released.
Updated AWP Users Manual has been released.
New MedRight University videos have been added.
Release Notes 2012-10-31
Fall is in full swing and so are we in our development efforts! We are pleased to announce another release with some very nice features and some fixes that have been brought to our attention by our loyal customers.
Physicians now have the ability to electronically sign the Physician Order in MedRight. Documentation of this new feature is in the newly updated AWP manual.
Narcotic Log now available in “BETA” – only selected beta users are using the new electronic Narcotic Log. It will be ready for final release in January.
MedRight now has a bigger and brighter look for the resident profiles page on the clinical device. The Navigation Bar and the Diagnosis screen also have an improved look.
Added the ability to delete ICD9 from individual orders.
SC (See Chart) HOA code for pharmacy and facility use is now in place and allows refilling, reordering, and prerequisite setup.
Updated MR Users Manual has been released.
Updated AWP Users Manual has been released.
New MedRight University videos have been added.
Release Notes 2012-09-21
This is a minor release with a few minor new features. This release, while small, includes necessary bug fixes and reporting updates.
Orders that are Postponed or Held now have a watermark on them in the Medication Profile, the Not Given Panel, and the tablet itself for easier indication.
The View Medication History option has been added to the Medication Profile on the Administrative Web Pages.
A new Discharge Preference has been added to allow facilities to pick how they want orders to be handled on discharge.
Release Notes 2012-08-28
As summer is in full swing, we hope everyone is able to go out and enjoy the beautiful weather. Here at CareRight Technologies, we have been focusing more on the "little things" to make MedRight great. While we have fewer new features in this release, we have been working to correct several smaller bugs and changes in anticipation of the many new features to be introduced this fall. Not to say, this release is without some cool features! As always, we appreciate all of the feedback from our clients as we continue to improve MedRight. Watch your email to sign up for one of our Webinars to discuss the New Features and Changes below.
An up-to-date Users Manual is now available on each clinical device under 'Help'.
An Inventory system has been added and will now allow the facility to track inventory. Whether the pharmacy supplies the orders or the home inputs them itself, inventory is now available and facilities are now able to keep their inventory up to date.
When setup, the current inventory count of any order will now be displayed on both the Medication Profile and the Resident Data Page. The home can choose to use this feature but the preference to use it is set to 'No.' If a home wants to use this feature, the home needs to set the preference and see the Users Manual (starting on page 134) on how to setup and use inventory.
Note: Narcotic Log Tracking in the next release will need this feature set ‘On’ if the home will want to use the Narcotic Log Tracker.
Add Note to Reports. The 'Add Note to Report' feature allows the care provider to add a note to either the MAR or TAR report at any time. With this feature, care providers may “go back” and document something forgotten or document something thought of later. It is available on both the clinical device under the Main Navigation Menu ‘Notes’ and on the Administration Web Pages under the Utilities tab.
Residents with inactive orders will be shaded in yellow on the client and the Administration Web Pages.
Facilities can choose to show Inactive orders in every medication pass period or just during the medication pass period it is assigned to. It is a preference. The default of the preference is set to show Inactive orders only during the medication pass period it is assigned to. If the home wants to use this preference, please call the 24x7 support line and we will turn the preference on for them.
A resident centric symptom & intervention prerequisite is now available. Homes can set interventions per resident’s symptoms.
The options under the Medication Profile are sorted alphabetically on both the clinical device and the Administration Web Pages for ease of use.
We nightly generate all the important reports you need! No longer do you have to go and run your reports on demand. After midnight every night, the 30 day MAR, the 30 day long MAR, the 30 day TAR, the 30 day long TAR, Physician Orders, 5 day blank MAR, and the 30 day blank TAR run and are fabulous! Not only that, if you don’t want to view them one by one, on the very top and the very bottom of the list of residents on the reports page a ‘All Residents’ option exists for the 30 Day Long MAR, the 30 Day Long TAR, and Physician Orders.
The Bowel and Bladder Procedure/Vital has changed so that care providers have an “Unwitnessed” option. Also, all the bowel and bladder reports and graphs have been updated to reflect this and to be more useful. We believe the graphs are much more useful!
We added the ability to give PRN tablets/capsules in increments of .25
We added the ability to change between Medication Cart and Treatment cart for those facilities that use both types of carts.
Release Notes 2012-05-15
This release is little in size but big in wow! The biggest change is the ability to subcategorize orders. Another nice feature is an intervention prerequisite. Requiring non-pharmacological interventions before giving psychotropic or other types of medications is becoming a federal standard all over the country. Another few new features are intended to make it easier to access the history of an order on the clinical device. The change of the log in process makes it faster to log in. Of course there are the standard set of minor bug fixes and trivial changes (spelling errors, etc.) that our users point out to us.
All changes are in response to our wonderful users who insist the very best in their eMAR.
An Intervention prerequisite is now available. Acting just like other prerequisites, the care provider must provide documentation of the 3 non-pharmacological interventions they tried before administering the order requiring the intervention.
A verify prerequisite is now available. This prerequisite simply asks you to verify (yes or no) if you should be giving the order.
Facilities can now subcategorize their orders within these groups: Diabetics, Nebulizers, and Anticoagulants. We automatically tag these orders coming from the pharmacy, but a care provider can move any order they already have within the MedRight system into one of these categories. We built this feature because many users wanted these types of orders grouped together for ease of administration and searching.
To use this feature, the facility must turn on the use of subcategories by setting the Subcategory Preference to 'On.' By default, the Subcategory Preference is set to 'Off.'
Once the preference is set and the clinical box is synchronized, these categories will show up.
For users who want their Blood Sugar Checks grouped in the diabetic subcategory, they now must build a Diabetic Blood Sugar Check from the 'New Medication' pull down. This builds it as a MedRight medication type, tags it as a 'Diabetic' order, and these orders print on the appropriate MARs.
All Clinical reports (Under Reports) that ask for a resident now has an optional search box to allow caregivers to search for a resident.
Finding information about an order on the clinical device has gotten easier! To accommodate this request, the following changes were done in this release:
Medication History: Getting a quick view of an order's medication history (given, not given) is now simple. Users can now click on the new 'Medication History' icon on the order tablet, or select the 'View Medication History' option from any medication or PRN order within the Medication Profile. This feature is not intended to be a detailed review of an order. If the user is looking for the detailed history of an order, they should use the appropriate MAR and TAR reports.
30 Day Filled MAR and 30 Day Filled Tar: Under the Reports Menu, the care provider now has direct access to the 30 day filled MAR and the 30 day filled TAR on the server without having to log into the administration web pages. Note: The TAR/MAR retrieved when selecting this report is the nightly generated 30 day filled MAR or TAR.
Today's MAR/TAR Event Log: This report is a detailed log of performed actions on the orders of one or more residents. The entries are listed chronologically and will show the following: the order name, the date and time the action was performed, a description of the action, and the care provider who preformed the action. The user can sort on any of the columns.
We believe these features on the clinical device go a long way in letting the care provider quickly figure out the history of an order.
Logging In and Syncing have changed! Now when users log in, they do not synchronize immediately. They can synchronize anytime they want by selecting the ‘Synchronize’ button on the Resident Profile Page. Selecting this button synchronizes the clinical device with all other clinical devices in the facility and the server, getting updates from the pharmacy or administration web pages. The Synchronize button will be red to indicate that the clinical device has not been synchronized within 2 hours. We also now “AutoSync.” This feature happens under the condition that IF the clinical device is idle for 10 minutes AND a synchronization has not happened in 120 minutes, we will synchronize the box automatically. Note: The longer between syncs, the more information there is to sync, thus the longer the synchronization will take.
For infrastructure purposes, we added the buttons for Care Plans and Assessments that will be coming soon. Since we made changes to the graphical user interface to handle the option to sub-categorize orders, we felt that we should make all the changes to the graphical user interface at once.Note: If the feature is not available to a facility it is grayed out and has no functionality.
We have extended the flexibility of the Treatment Boxes. Care providers can now move any order back and between the medication cart and the treatment cart. Note: Only orders that are able to be administered are displayed as due on the respective clinical device (treatment or medication box). All a resident’s orders are still visible in the Medication Profile on each clinical device.
Release Notes 2012-04-11
We are pleased to announce another release. We believe you will enjoy all the new features in this release.
Care providers now have the ability to adjust the start and end dates of orders. Simply select that option under the Options drop down menu in Medication Profile Page.
There is a full online scheduling system now available for MedRight users. Care providers can use the online scheduling system from any browser within the facility and the clinical devices and schedule appointments (labs, doctor appointments, etc.) for residents within the facility. Anybody in the facility can either access the online scheduler from MedRight OR from the web address: http://kalendi.hjsemr.com.
To use the online scheduler, the user MUST have a username and password. Their username is their email address in the staff file for MedRight and the PIN. If the user does not have an email address, they will not be able to enter the scheduling system.
Every resident and every staff member has a calendar. Put events on the correct calendar. You may overlay calendars to see multiple calendars at once.
This feature is a full online feature meaning that you must have internet access to use this feature. There is also a mobile app for both an iPHONE and Android phone in conjunction with this feature.
Dual Signage is available now. If a facility requires two signatures to document an order than the order has to be made a dual signage order (under the Medication Profile), and when the order is Given/Not Given, it will require another PIN number.
Order rewrite has been added. This feature allows the facility to “rewrite/clone” any order and change any component of the order. It is done during the DC'ing of an order. If it is a pharmacy order, meaning the order originally came from the pharmacy, the order will be rewritten as a temporary order and have an RX#. However, whenever the pharmacy does anything to the original order (changes it, dc's it, etc.), the temporary order gets removed. Users cannot rewrite split or taper orders.
This feature should be used in two cases:
You have an order from that the pharmacy fills and the doctor asks for a change from a QD to a BID. You DC the pharmacy order and “rewrite” the order. You build a temporary order with a BID easily and quickly. You FAX the pharmacy the change. When the pharmacy gets the change in, the temporary order is deleted and the new pharmacy order is done.
You have a treatment order that you have put into the system. You need to change it. Instead of Dc'ing the order and building a whole new one, you DC the order and rewrite it. Since this is an order that originated at the facility and not the pharmacy, the order is not built as a temporary order.
The main goal of this feature was to easily write temporary order changes but the facility must still inform the pharmacy of these changes so they can make them and get you the correct order for your residents. Remember:Temporary orders should NOT be the system for more than 2-3 days and IF they the DON/ADON should be very aware of why and fix them.
Free form Diagnosis. Now when adding an ICD9 diagnosis, the user is allowed to either a) select from an ICD9 code or b) type their own diagnosis.
A current resident census, taken every night at 12:10AM, is updated on the Institution tab on the Administration Web Pages. This resident census counts all active residents at 12:10AM every day.
Auto generated reports. Every night after midnight the system now auto generates several reports. To see what reports are auto generated, please select the Report tab and then select “Auto Reports.” This feature was built so that a) users don't bog down the reporting server unnecessarily, b) consultant pharmacists can get reports, and c) to use the reporting server(s) efficiently.
For QMO orders, the monthly interval definition has been expanded to allow for more powerful expressions like the 1st Saturday of every month.
We did a complete First Data update such that all NDC, pictures, and drug formulary's were updated on all clinical devices in the field.
We added the forearm to the body parts for the location prerequisite so that injections could be shown given in the forearm and not just the arm.
Release Notes 2012-03-13
We are excited to make this big release! It is chalk full of wonderful new features, mostly requested from our loyal and patient customers. We've spent a long time wanting to do some of these additions, and we are glad we are at a point in the development where we can make these kinds of changes.
A new prerequisite was added. It is called "Patch". It is so that the care provider is notified and can document whether they took the old patch off before putting the new patch on. Along with the Location prerequisite, care providers can document where and when they remove old patches and put new ones on.
Consultant Pharmacists who use RxPertise and MedRight can now get their feed from MedRight. Since the eMAR should be absolutely pristine in it's data, this feature makes doing consultant work with RxPertise so much easier and nice.
We added over 40 videos to MR University and they were pushed to all client machines.
Modification of End Dates based on Activation Date. If an order has an end date, it will adjust appropriately during the activation of the order.
Stat orders, a onetime order may be created. They can be administered at anytime during the day. Once the order has been given, it is automatically DC'ed. Stat orders can be created for medication, prns, treatment medications, and treatments. They are not counted in the “inactive” orders.
We've added the functionality and logic to handle 2 step PPD orders. Under the “New Medication” button, the care provider can select “Start 2 Step PPD.” Two preferences are added to handle PPD orders. They must be filled out prior to PPD orders being used.
Medication time logic was changed to first set the medication time from what the pharmacy sets it in each order, and if no pharmacy time is set, we use the default time specified in MedRight preferences.
We added the room number of the resident to the Resident Data Page so care providers could quickly see what room number a resident was in when passing orders.
We've added a diabetic flag setting. Once a resident is marked as a diabetic from within the Administration Web Pages, a diabetic icon will display on the Resident Profile Page and on the Resident Data Page so care providers can easily recognize they are diabetic.
The Login PIN pad was made much larger specifically for the 10.1 tablet but it is nice for all the clinical devices.
We added many new features to the wound component, including clearly defining body parts for men and women.
It is now possible to transfer a Medication order to a Treatment Order and keep all prerequisites and follow ups with the order.
We added the start date of QOD/Q3D order types on the medication profile on the clinical device and the administration web pages.
We added the functionality of building Standing Orders with Prerequisites and Followups.
We added the ability for the care provider to add more directions under the sig code for each order. This option is called “Add Nurse SIG.”
A supplement follow up was added. There was a supplement prerequisite and now there is a supplement follow up.
We added a Supply Category under Literal Orders and all supply orders coming through HL7 are tagged under Literal Orders and this new supply category.
We added several Permissions Options for the permission engine. These new permission settings include permissions for: Note Deletion, Make Treatment, Adjust Week/Month, Add Toggle, and Adjust Start Date.
We also added a “MedRight Login” permission. This permission is set for people within the MedRight system who should not even be able to login into MedRight. For example, if the facility has CNA's and they have a pin for CareRight. If their permission is set to 'No' that they cannot log into MedRight, then they cannot use their login pin for CareRight to log into MedRight.
Release Notes 2012-01-18
Happy New Year! We are starting out the New Year with a renewed enthusiasm and focus to make MedRight an even more amazing product. Most of the additions and changes in this release are meant to streamline and make MedRight easier to use for the care provider.
A new count is now in the summary section of MedRight. It is called the inactive count. It is a count of all orders in MedRight that are not active and in rotation. Not only is the count there, but the background of the resident's tile is colored to indicate that the resident has inactive orders.
We have streamlined the activation process. Now during activation the care provider is shown the time or period in which the order is currently assigned. Instead of having to go to the medication profile to change the time or period of the order, the care provider can simply select the time or period button on the activation screen and change it during activation.
Prerequisites and follow-ups can now be put on Treatment Medications that are on a Treatment Box. Furthermore, if a prerequisite or a follow-up is already present on a medication and the care provider uses the 'Make Treatment' option then the prerequisite and/or follow-up will follow the medication to the Treatment Box.
If the care provider has a medication order that has a sliding scale and if the blood glucose testing is too low such that no units of the medication are required, MedRight AUTOMATICALLY does a NOT GIVEN for the order and in the NOT GIVEN reason puts in the blood glucose that was recorded.
A new 'Clear All' feature was added so that a care provider could clear all the late orders for a resident at once instead of having to clear them one by one. This feature is in the 'All Options' pulldown and is labeled 'Clear All Lates.' Once the user selects this option, they will need to put in a reason.
Sliding scale prerequisites can be automatically added to orders coming through the pharmacy. This works ONLY if the pharmacy uses the HL7 infrastructure change listed in the Infrastructure & HL7 Changes section below.
Blood Sugar was added as a follow up.
A shift report was added so that care providers could view the workload of their shift.
