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Hi. I'm no PCI guru, and I have not seen anyone design the kind of thing you're referring to, either. When I'm trying to find chart data from the allied disciplines in PCI (for example, to complete an MDS), I can usually find it eventually, and that may be my only option. But it's SO much easier to look at it in NUR. PCI can become such a cluttered mess.
I've had luck getting PT, RT etc to look for data in NUR (use VH for example, to review sequentially filed data - no it's not a spreadsheet, but you can get used to processing the data in your head that way).
Since it's unlikely that docs are going to look in NUR, you might want to retool what is sent to PCI. If it is so choked up with screens (that has been designated "assessments") and query group queries that the docs think are useless, it may simply irritate them to look in Meditech for anything other than their diagnostic results & such. Re-engineering can be worthwhile.
It is possible that what constitutes interdisciplinary documentation is almost a separate topic? There are multiple ways in which documentation can meet the criteria of being interdisciplinary. First and foremost, and most traditional, is the use of the same (paper) chart by multiple disciplines. A simple "reviewed" notation by one discipline under the notes of another is so easy, for example.
If the chart is online, obviously, we can go one step further and actually link the documentation to the same careplan. Again, everyone can see everyone else's documentation, AND it's all care plan related, on some level.
Another step might be to identify patient problems that are shared, with interventions that are carried out by more than one discipline, and parlay that into something. For example, both Nursing and Physical Therapy perform ambulation, bed mobility and bed transfer functions. So instead of having an intervention by that title for PT, and an intervention called Mobility for Nursing, design a single intervention with query language that both disciplines can successfully use. That adds another layer of interdisciplinary charting (as well as simplifying data aggregation for report writing)..
Then there's the approach of having screens wherein each discipline enters its own unique information, but all on the same "form".
The last thing that comes to mind is the very simple strategy - pointed out to me by somebody else on the L - of training staff to include discussions they had with other disciplines in their notes. This could be nothing more than having the discharge planner chart every day who (which discipline) she talked to, the problems that were discussed, the plans that were made and the actions that were or will be taken. This is also multidisciplinary documentation.
Sorry for going on and on, but JCAHO and all it's regulatory permutations makes us all nuts and maybe it doesn't have to be as hard as we think.
Good luck and happy Friday. Sharon
-------------- Original message --------------
From: "Noble,Elizabeth" <[EMAIL PROTECTED]>
> All messages should be posted in plain text. HTML will be converted to
> attachments. The meditech-l web site is MTUsers.com
> ======================================
>
> Good Afternoon,
>
> I am sending this email on behalf of a colleague.
>
>
> We are inquiring if anyone has been able to do something creative to help with
> the viewing of all Allied and Nursing Documentation within PCI, that is in
> keeping with a philosophy of Interdisciplinary documentation. Currently, we have
> all nursing and allied documentation screens under one PCI query group called
> Clinical Documentation. Assessments fall under the Assessment data source.
>
> Our initial thought had been to keep! everyt hing together in the one data source
> to improve the ability to gain a quick overview, but we are finding the
> format too busy and cumbersome, particularly since we have brought nursing and
> almost all our allied staff online, for documentation in NUR.
>
> Do you currently?
>
> Have a single data source for all nursing and allied documentation?
> Have a data source per discipline?
> Group together specific disciplines?
> Do something else creative to organize\display the information either on the
> main table of contents screen or within the query group?
>
> Thanks in advance
> Nancy Cunningham RN
> Clinical Informatics Specialist
> Humber River Regional Hospital
> Email: [EMAIL PROTECTED]
>
> Office: (416) 658-2183
> Pager: (416) 680-5108
>
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