MED e-care Healthcare Solutions Inc.

Newsletter July 2010

MED e-care proudly announces the

iMAR Offline Application!!!

Website: www.mede-care.com | E-mail: info@mede-care.com | Telephone: (416) 686-8592

 Product Update

MED e-care has been providing solutions to Long Term Care Providers Key Benefits
and the Hospital Sector since 1996 and currently supports more than
Increase Medication Safety
2000 product installations. MED e-care was the first vendor to
develop and implement a Medication Administration submission Less paperwork
software solution, known as iMAR. Interfaces with the Pharmacy
Auto updates to Progress Notes
MEDe-care’s iMAR offers clients an innovative and integrated
solution to medication administration. The web-based applications Tracks medication inventory
provide users with secure and convenient access to client records;
allowing for real time recording, collection and reporting of patient data. iMAR was designed due to demand for the
Long Term Care Sector for a more efficient and accurate replacement to risk prone paper MAR. Launched in 2007,
MED e-care’s iMAR is a proven pharmacy interfaced real time electronic medication documentation solution.

MED e-care continues to be the fore runner in the

development of progressive, cutting edge
technology with the introduction of the offline
version of iMAR. This application is able to DOWN
SYNC data between the Server Database and the
tablet PC database. The Nurses can administer the
medication and treatments to residents during their
medpass as if they were using the web-based
application. Following the administration of
medications the Nurses are then able to UP SYNC
between the tablet PC database and the server
database which then allows all of the data to be
transmitted to the Pharmacy at that point in time.
There is no requirement for an established wireless
network throughout the Long Term Care facility,
thus reducing the cost associated with the iMAR.
 Touch Care
The Touch Care software tracks the ADLs and Nursing Rehab services provided to
a resident. The goal of touch care is to track all of the cares provided and make
sure that your practice receives the right amount of funding.

The Software can track every single care provided to a resident

and produce various reports highlighting when the highest level
of care was provided. This information can be used by the
administration to file for reimbursement. All of this can be done
by touch of a button; this means no more time wasted searching
or analyzing through old records and codes.

 The easily accessible system and the touch screen environment

allow the care givers to document their activities on the fly.
 Documentation reports can be printed for any given period.
 Reports and graphs illustrate the various levels of care provided
to a resident.

TOUCH CARE TESTIMONIALS

“The TouchCare, located in the
dining area, I love; and the “It’s great, easy to use.”
TouchCare at the nursing station,
I find is faster to access and the
nurses likes it. In my opinion:
they are running well and it’s
what we need.” Karen Cowans
“It’s good, I like it PSW
and its fast!”

MarieClaire Faiola
RAI Coordinator
Leisurworld Brampton Meadows
Claudine Stevens
PSW

News and Events

Event Date Place

MED e-care/MDS-RAI Research Sept. 13,2010 Campbell, BC
Sept 15,2010 Nanaimo, BC
Network Credentialing
Sept 17,2010 Victoria, BC
Download Credentialing Brochure Sept 20,2010 Vancouver, BC
Oct. 6, 7, & 8, 2010 Toronto, ON
A Nursing Rehabilitation and Restorative (NRR) standard has 7 phases or parts…
BY:
Dr. Paul Beaulne, DHA, RAI-C
President
MED e-care Healthcare Solutions, Inc.

1. CRITERIA FOR REFERRAL

2. SCREENING ASSESSMENT
3. ASSESSMENT (FOLLOW UP FROM SCREENING)
4. PLAN
5. EXPECTED OUTCOMES
6. DOCUMENTATION
7. EVALUATION

The following is an example of Stage 3, 4, 5, and 6. The complete Standard can be downloaded from the RAI Forum at www.RAI.to.

NURSING REHABILITATION AND RESTORATIVE (NRR) STANDARD 4: EATING & DRINKING

This care standard outlines the process for addressing an individual’s difficulty with eating and drinking.
This is defined as the ability to manage oral intake of solids and liquids in order to maximize nutrition and
hydration requirements with minimum risk while meeting the individual’s goals.

3) ASSESSMENT - An assessment should be performed by the most appropriate health care professional with a combination of
education, training and experience. The assessment should include but not limited to the following:
• Medical status (medical history, relevant diagnoses) Other factors (individual’s desires concerning diet)
Physical status (weight, strength, respiratory status, oral facial function) Medication review
Functional status (ability to manage mechanics of eating) RAP 12 Nutritional Status
Mental status (ability to follow direction) RAP 13 Feed Tube
Cognitive and Perceptual status (memory, perceptual status) RAP 14 Dehydration/Fluid Maintenance
Environmental factors (where meals are eaten) RAP 5 ADL / Rehabilitation

4) PLAN - The multidisciplinary health care team members will collaborate with the individual and the family/caregiver to develop
a plan to address eating and drinking. The plan may include:
• Adaptive utensils to facilitate independent eating
• Positioning
• Oral motor exercises
• Diet texture and/or fluid consistency modification
• Maneuvers
• Meal time strategies and/or feeding guidelines for care staff

5) EXPECTED OUTCOMES
• The individual will maintain maximum safe oral intake while minimizing risk as appropriate
• The individual will have access to and knowledge about the use of adaptive equipment to promote eating/drinking independence
• The individual’s oral nutrition and hydration will be maintained or improved
• Caregivers will have the knowledge to safely assist the individual with eating/drinking
• Individual’s preferences and goals will be integrated into the care planning process

6.) DOCUMENTATION - The multidisciplinary healthcare team is responsible for documenting the results of assessments,
treatment plans and ongoing progress notes regarding the management of the individual’s eating and drinking difficulties. This
documentation should be kept in a manner that is accessible to all.
Reading Lounge

Did you know…

The first product to have a bar code
was Wrigley's gum.
About.com: Inventors

Apples, not caffeine, are more efficient

at waking you up in the morning.
WikiAnswers

You burn more calories sleeping than

you do watching television.
AnswerBag

Life is too short to wake up with regrets.

So love the people who treat you right.
Love the ones who don't just because you can.
Believe everything happens for a reason.
If you get a second chance, grab it with both hands.
If it changes your life, let it.
Kiss slowly.
Forgive quickly.
God never said life would be easy.
He just promised it would be worth it.
Anonymous

Joke!
How Do Crazy People Go Through The Forest?

They take the Psychopath!!!

Friday Smile - Internet

WE CARE ABOUT OUR CLIENTS

ONLINE SUPPORT MADE EASIER

NEW SUPPORT UPDATES ON THE

MEDE-CARE WEBSITE
Our support team is available to assist you from 8:00 am – 5 pm; 5 days a week.
We continually try to find solutions to all you needs in a quick timely manner.

“SUBMISSIONS MADE EASY”

Mede-Care is always trying to make your job easier. We understand the challenges of
your daily routine and want to make sure you can do all the processes without any
complications.

We have put together STEP by STEP instructions with screen shots to help you at
submission time. You can access this information on our website www.mede-care.com.
Under “SUPPORT”, “FAQ”, Submissions made Easy. We have also updated a number of
the items in FAQ so feel free to check them out.
 TESTIMONIALS
“I have used Mede-care software for a
long time now. The staff at MEDe-care is
very knowledgeable in what they do, and
they are always there to help when you
need them.
Mede-care does go the extra mile
to get information to their users.”
Sylvia Masters
RAI coordinator
Leisureworld Brampton Woods
Alina Sandica RN, RAIc
Senior Informatics Consultant
Leisureworld Care giving Centers
"Dear Support Team and Mede-care staff, we can
never thank you enough for all your dedication,
patience and attention to detail that you so diligently
provide to each of our Informatics Team member...
Personally, I would have never learned as much as I
did, if it wasn’t for Webern’s assistance... We
wouldn’t be able to do our job in a timely
manner if it wasn’t for Sheri, Natalia, and Vicky’s
help and teaching. Thank you all… Thank you
Paul and Sheila…”
“Our home has called Mede-care’s customer service a
lot of times and they are very patient with us. They
helped us with software issues as well as guiding us
on how to generate reports and utilize tools in the
software we never knew before. The staff themselves
is very friendly and accommodating in dealing with
our problems. The best thing I liked is that I
can immediately talk to someone, and it is
great how they are able to connect to our
terminal so we can properly show and explain
our situation....”
Evangeline Dara Sunga
RAI Coordinator
Leisureworld Rockcliffe
Leonida Hernandez-Rn
RAI Coordinator
LeisureWorld Vaughan
“As a customer of Mede-Care, I would say
that I am getting good service from Support
especially from Sherie.
She attended to all my requests and she
helped me a lot with my CIHI submissions
errors, rejections and the problems
we encountered with our shift reports
and other issues.
Keep up the good work. God Bless. ”
 TIPS

Admitting/Submitting a re-entry instead of an admission. When a resident is discharged

and missed their assessment date or was out of the facility for more than 92 days, a re-
admission must be done, a re-entry will be rejected.

Forgetting to unsubmit a rejected record before making a correction. All items rejected by
CIHI must be “Unsubmitted” before corrections are made; otherwise it will create a
significant correction record.

Unsubmitting an accepted assessment to make a correction. Accepted items should

NEVER be unsubmitted unless directed by a Mede-care staff to do so. To create a
significant correction, do NOT unsubmit the record first.

Unsubmitting an entire quarter when just a few items were rejected. Please ensure you
only unsubmit the individual records that were rejected by CIHI and not the entire quarter.

Assuming all items on the Data Quality Audit report need to be corrected. These items are
flagged in the DQA report as items that are coded out of the norm, but may be correct.
Only make changes to the items on your DQA report that you believe were made in error.
 COMMUNIQUE
- June2010

Urgent mandatory reading for all

RAI
DOC
Administrations
Ministry of Health has identified a significant increase in rehab RUGs scores. Sites should audit 20% of
their charts that code rehab scores. This is to determine that there are
Assessments done for physiotherapy and nursing rehab
Care plan in place
Documentation signed for during ARD week
Continued evaluation

According to the statistics by Ontario Health in Q3 of 2009/2010, the distribution of the percent of
resident assessments increased in the Special Rehabilitation categories. 11% of LTCH residents in
Ontario received enough rehabilitation therapy.

Go onto forum to RAI – login – download reports to facilitate documentation and training for rehab
group as soon as the extended ministry of health.

Source: Long-Term Care Homes Case Mix Transition

“Congratulation to Jodi
Servant from Community Life
Pickering (233 beds). On her
very first submission to CIHI, she
had ZERO rejections!”
 We are pleased to inform...
We are please to inform you that Wendy Pickles, Sue (Sujata) Palande and Krista Rafferty have

joined our organization. Let’s warmly Welcome Our New Employees…

Wendy Pickles

Wendy comes to Mede-Care with many years of experience in Management and Office Services. She spent 10
years working in Long Term Care and then moved to the Health & Dental Benefits field. We gain from her
knowledge in finance and billing which relates to our E-Financial system. She also brings with her experience in
implementing computer software. Please join us in welcoming her to Mede-Care.

Krista Rafferty

Krista has worked for 18 years in the pharmacy industry and the long term care facilities. She has been in the
role of Supervisor with many different pharmacies for Medication Administration Record (MAR), which included 3
month reviews as well as different types of reports that deal with nursing and retirement homes. Krista strives to
deliver outstanding customer service, training and time management. She hopes to bring new ideas and
strengthen customer relationships.

Sue (Sujata) Palande

Sue has more than 20 years experience working as a senior healthcare executive and a clinical leader in
hospital operations, staff development and healthcare management. Her accomplishments in the areas of
operational efficiency, nursing recruitment, and information technology will be a great asset to our firm. We are
sure that Sue’s expertise will help enhance the consulting work we do at Mede-Care.
 Yes, yes. We are
releasing our
Version 4.
Let me show you the
new 24-hour Care
Have you seen
Plan.
our financial
software?

We want to see your

new iTouch Care.

Come see our

Would you like a
new offline
quote for that?
MAR.

WOW! Thank you for

$100 playing the
Money Booth.

Thank you for your support!

Please send your suggestions and requests for material that you would like to see in our Newsletter.

MEDe-Care Healthcare Solutions, Inc.