Patient Assessment: Parameter specific identification of patient problems & goals

Documentation: Linked patient problems & goals, parameter specific, to charting record for on-screen comparison during documentation

Documentation: During charting - on-screen view of patient progress as a percentage toward meeting clinical goals

Documentation: Charting form displays prior treatment data without having to access a different screen

Documentation: During charting - parameter specific historical record can be viewed on-screen

Documentation: Historical numeric data can be graphed and viewed on-screen for trending analysis

Quality Improvement: System tracks physician compliance to established protocols or clinical practice guidelines. Assists in reduction of unnecessary treatment and promotes physician education.

Outcomes: System tracks patient true cost of care by labor, supplies & equipment

Outcomes: System alerts practitioner, based on user-defined criteria, when patient documentation reflects a declining benefit to treatment. Labor savings from reducing length of time on service through tracking improving patient treatment outcomes.

Outcomes: System provides capability to link treatment modalities to user identified patient clinical problems for analysis of treatment benefit.

Outcomes: System can provide detailed outcome reporting to analyze and determine best practice models

Productivity Analysis: On-screen view of historical therapist specific activities (clinical & non-clinical) by shift with real-time productivity

Personnel Management: System includes a staff scheduling module

Personnel Management: System provides the capability to forecast staffing needs in advance based on user-defined criteria specific to user-defined patient care areas. Potential labor savings from improved personnel management.

Ventilator Alarm Monitoring

• Notify personnel of alarms both audibly and visibly
• View real time wave forms from remote locations
• Prioritize alarms based on importance
• Track alarm response times and actions
• View configurable vent waveforms, flow & pressure loops, and patient parameters in single or multi-patient views

Automated Weaning Trials

• Track and validate effectiveness of the weaning process
• Customize weaning trial flowsheets specific to a ventilator model and physician preferences
• Add, remove, and arrange data fields for analysis
• Track all patient care costs, cost reductions, and clinical outcomes
• Use definable criteria for pass/fail analysis
• Suggest clinician next step recommendations based on configurablle branching logic criteria
• View trending data on screen in graphs and tables

Electronic Ventilator Flowsheets

• Customize ventilator flowsheets for specific needs
• Add, remove, and arrange required vent check fields
• Capture data on-screen for graphing and trending
• Analyze data for research and benchmarking
• Access ventilator data readily from remote locations

OPUS-RT™ is a comprehensive Respiratory Care Department and patient clinical management system. It is designed to assist department administration in validating the clinical and cost-effectiveness of their respiratory care department. Its primary objective is to assist respiratory care practitioners in achieving maximum therapeutic effectiveness at the lowest possible cost to the hospital and patient.

The OPUS-RT™ system will enable respiratory care departments to:

Capture all department charges automatically during the documentation process; all charges will tie directly to documentation, additionally addressing the issues of patient safety and assuring that all charges are captured accurately and completely.

Provide effective scheduling, staffing of therapists, and forecasting workload needs

Improve department productivity; improved therapist time management with documentation, patient scheduling and clinical data available at their fingertips at any time

Identify clinical problems, set measurable goals, and track meaningful outcomes through a clinically driven documentation process. Exceeds JCAHO requirements.

Increase therapist’s ability to manage patient’s progress and adjust therapy as needed

Enables the development of proven best clinical practice models/protocols

Improve productivity and/or reduce department labor expenses significantly by:

• Identifying treatment orders that fall out of compliance with user defined clinical practice guidelines or patient driven protocols which will aide department management, with appropriate medical direction, to reduce therapies that may not be medically necessary or appropriate
• Helping patients get better quicker by enabling therapists to focus on meaningful goals of therapy and effective coaching
• Reducing the number of treatments a patient is given by alerting the therapist when the patient has achieved their clinical goals and/or appears not to be receiving any further clinical benefit
• Reducing charting time by charting at the patient’s bedside during therapy

OPUS-RT™ generates easy-to-read clinical outcomes, as well as detailed cost analysis and department management reports. These reports assist department management to define best clinical practices and manage the department in the most cost-effective manner.

OPUS-RT™ is the only fully relational database system designed to provide unique clinical outcomes and department management reporting which enables respiratory care management to cost justify their entire respiratory care program.

Theronyx Personnel Resource Management (PRM) program is designed to function in conjunction with our Outcomes Performance Utilization System (OPUS-RT™), a clinical management, documentation, and outcomes tracking program. The PRM system is designed to promote the efficient use of personnel resources in providing health care services to patients in any health care setting.

The system has the capability to allow the user to schedule personnel according to a prospective workload forecast based on clinical procedures ordered by physicians. The system will notify the user of staffing overages or shortages based on this forecast. Staffing and workload requirements can be forecast on a shift-by-shift basis up to five days ahead based on actual orders for therapy, thus making it possible for the user to more cost-effectively manage personnel resources. Labor savings can occur with the use of the OPUS-RT™ Personnel Resource Management Program.

Specific Functionality:

Personnel Data Management:

• Tracks key human resource data such as employee name, employee number, S.S. number, birth date, address with multiple phone numbers, hire date, credentials, job code, job description, salary/wage (may include benefits), and employee status (active, terminated, inactive, leave, full-time, part-time, per diem, agency)
• Tracks employee skill level (allows user to define skills required to perform all job responsibilities and then select those skills the employee is capable of performing)
• Allows user to define care teams by skill level.
• Allows user to define shift codes which provides for multiple shift start and end times within standard 8 and 12 hour shifts.
• Shift codes will define productive minutes for patient care and non-productive minutes for break and report time (administrative).
• Tracks licenses and certification by renewal date.

Schedule Generation:

• Staff schedule is created through a development screen that allows user to select from available staff.
• The Daily Schedule view screen displays staff count and hours, comparing estimated workload needs with actual scheduled staff hours by patient care area. The system displays forecasted staffing needs. Variances are displayed in hours.
• System forecasts staffing needs based on clinical interventions ordered by physicians. Interventions are defined by user and linked to a user defined RVU (relative value unit or predefined time standard).
• The development screen creates schedules in one-week blocks which can be linked together with other one-week schedule blocks to form multi-week rotation schedules.
• Seven-day schedules can be viewed on screen. Schedules can be modified on the view screen by changing shift code and patient care area.
• Schedule view displays by employee, regular time, and total hours scheduled.
• Schedule can be viewed by skill team.
• Schedule may be viewed and printed from any workstation within the LAN.

Workload Assignment

System provides user with the capability to assign a patient care workload to scheduled staff based on physician-ordered interventions by shift. Patient care assignments are made by supervisory staff and are employee specific. The user interface provides the user with a number of special features to evaluate the effective management of the entire process. The user interface utilizes a function that automates the assignment process based on specific routing criteria. The system also provides a very user friendly “drag and drop” feature that makes assigning activities to therapists or changing assigned activities fast and easy.

The workload assignment screen displays the following data to aide user in the work allocation process: patient name, point of service, scheduled time for service to be performed, the time the service was last performed, order expiration date, description of intervention, frequency of intervention to be provided, and RVU.

OPUS-RT™ is the only fully relational database system that is designed with the clinician in mind to provide unique reporting that cost justifies respiratory care programs. It provides easy-to-read clinical outcomes reporting as well as detailed cost analysis reports That enable hospitals to define best clinical practices, which reduce or eliminate unnecessary therapies while maximizing those which are medically appropriate.

The innovative OPUS-RT™ comprehensive accounting and department management systems are designed to accommodate the sophisticated tracking of respiratory care clinical practice within the entire hospital - from routine to critical care.

A multitude of standard user reports are included with OPUS-RT™. Reports can be defined by the user in an unlimited variety and the data sorted according to your needs. Examples of some of these reports are available here.

Patient Billing Detail & Summary Reports:

by Date/Time Range; by Patient/POS Lists clinical interventions, supplies, and equipment provided to patients. Includes dates of service, cost, and revenue data.

See samples of our reports:

• Patient Billing Audit by Account Number Report
• Therapist Workload Report
• Patient Billing- Detail Report

Management Information

Workload Assignment:

by Date/Time Range; by Therapist/Time; Therapist/POS; POS/Therapist

Therapist Activities Performed (scheduled & unscheduled):

by Date/Time Range; by Status; Therapist/Status/Time; by Patient/Time/Status; by POS/Patient/Time/Status

Therapist Activities Assigned and Missed:

by Date/Time Range; by Patient/Time; by Therapist/Patient; by POS/Patient/Therapist

Therapist Activity (Productivity) Detail & Summary Reports:

by Date/Time Range; by Therapist; by Activity/Intervention; by POS

Retrospective Charting Analysis Detail & Summary Reports:

by Date/TimeRange; by Therapist; by POS; by Patient

Time Standard Analysis Detail & Summary Reports (RVU vs. Real Time):

by Date/Time Range; by Therapist; by Activity/Intervention; by POS Note: Compare RVU to Average Real Time (ART) for the period selected. Displays Variance (RVU - ART) Also displays: Net % Increase/(Decrease) in

See samples of our reports:

• Therapist Activity Detail Report
• Therapist Activity Summary Report
• Time Standard Analysis- Detail Report
• Time Standard Analysis- Summary Report
• Physician Orders Clinical Compliance Report

Clinical Documentation

• Patient Evaluation: by Date & Time Range; by Patient; by Therapist; by POS/Therapist
• Progress Notes: by Date & Time Range; by Patient; by Therapist; by POS/Therapist
• Shift Report Notes: by Date/Time Range; by Patient/Therapist; by Therapist/Patient
• Clinical Summary of Patient Care (Text Format): by Date & Time Range; by Patient/Therapist; by Therapist/Patient
• Adverse Reactions by Patient: by Date & Time Range; also by POS/Patient
• Adverse Reactions by Therapist: by Date & Time Range
• Adverse Reactions by Intervention: by Date & Time Range
• Vent Check: by Date & Time Range; historical view of vent/patient parameters

See samples of our reports:

• Clinical Evaluation Report
• Progress Note Report
• Vent Check and Weaning Trial Screens

Outcomes Reporting

Treatment Cost Analysis: by Date & Time Range ; by Patient; the patient list may be filtered by the following data elements: POS, ICD-9, Discharge Status, Cognition, Rehab Potential, Payor Type, Gender, Age

Sophisticated Database Query & Reporting Capabilities

• Patient Profile- Clinical Outcome Report
• Mechanical Ventilation Outcomes- Cost Analysis Report
• Vent Mode Hours Graph