Maintain accurate and structured documentation through comprehensive Daily, Weekly, Monthly, Quarterly, and Annual Notes, supporting the work of Nurses, Caregivers, Physical Therapists, and BCBAs.
Assign roles to employees based on their job functions to ensure operational efficiency. Control access to sensitive information while providing each team member with the tools and resources necessary for optimal performance. Maintain accurate records to support accountability and compliance.
Stay informed and maintain control with instant alerts for missed schedules, medication administration, public schedule updates, time-off requests, approval rejections, expiring certification documents, and more.
Easily manage client and patient information, including contact details, enrollment records, insurance and health information, incident reports, and individualized care plans.
Streamline HR operations with a centralized employee database that captures roles, contact information, wages, staff availability, and schedules. Simplify workforce management with integrated time-off requests and timesheets seamlessly submitted to payroll.
This comprehensive Notes is designed to help physical and occupational therapists streamline documentation and enhance client care. It includes essential forms for organizing client information, performing detailed evaluations, creating effective treatment plans, and maintaining clear, structured progress notes. Perfect for professionals seeking efficient, consistent, and high-quality documentation for every client session.
Ensure compliance with Home and Community-Based Services (HCBS) Providers, Home Health Agencies, Residential Homes, Assisted Living Facilities (ALFs), and Adult Day Programs by tracking real-time attendance and service delivery through integrated Electronic Visit Verification (EVV) systems.
Compliance with Standards: Designed to meet HIPAA, CMS, and Joint Commission requirements, ensuring secure and regulatory-compliant medication management. Electronic Signatures: Enables secure, authenticated documentation of medication administration, enhancing accountability and protecting patient records. Audit Trails: Maintains a complete, time-stamped record of all medication activities and edits, providing full transparency and supporting regulatory audits. Alerts and Reminders: Delivers proactive notifications for scheduled doses, missed medications, and potential issues, helping to minimize errors and enhance patient safety. Real-Time Documentation: Supports immediate, accurate recording of medication administration events, ensuring up-to-date records that reflect current patient care.
Our platform supports BCBA professionals by streamlining documentation of essential session components, including client identification information, presenting issues, and the primary focus of each session. Clinicians can easily record behavioral observations, client-reported concerns, and the therapeutic interventions applied, along with the client’s response to those interventions. The system also allows for detailed tracking of progress toward treatment goals, conducting risk assessments when applicable, and outlining clear plans or next steps. Additionally, therapists can efficiently document their clinical impressions, ensuring comprehensive and organized case management.
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