When starting an assessment in Point of Care you are asked four questions about the type of visit:

Assessment Type: the answer to this question will determine what type of required and optional screens will appear.   The first five assessment types will build OASIS (Start of Care, Resumption of Care, Recert, Special Followup, Discharge).  The Start of Care and Recertification will build a 485.

Payer: The payers that are setup for the current patient will appear.  Select the correct payer for the visit you are completing.

Job Code:  All job codes for your discipline will appear.  Select the correct job code for the visit you are completing. 

Visit Status Code:  Select the correct visit status code for the type of visit you are completing. 

Starting the visit:

Double check or change the date and time as needed.  It is meant to capture the exact time you start the visit at the patient's home. 

If the assessment type if an OASIS type then you will have the M0090 Date to answer as well.  If there is a blinking red X next to the date this means the date is outside of the date range that is appropriate for the assessment type selected.  Verify this date and change it as needed.

Click on Start when those questions are correct.

Verify you have the correct patient selected: A short description of the patient with the chart, age,gender, dob, SSN and phone number will appear. Use this information as a checks and balance to verify you have the correct patient pulled up before continuing with the assessment.   You can copy this information into the Comments section and have it print on the note by clicking the “Copy to Comments” button.  You’ll see the text will be inserted into the Visit Comments section.

Visit Comments: Use this section to document your findings when you arrived at the patients home.  You can also use this area to document anything else that may not be covered in the screens provided. 

Add to 60 day summary: Check the box Add to 60 day summary if you feel the comment information needs to show up on the 60 day summary.  The 60 day summary is found under the Patient Information screen > 60 Day Summary tab.

Text Item: Use the Text Item feature to insert pre-typed text into the Comments section.  Your agency has added common phrases used so that you can automatically insert them into different screens in Barnestorm.  This will help save time and data entry error. 

Add Text Item Code to Every Visit: You can add a text item code to all visits started by using the article listed below. 

http://kb.barnestorm.biz/KnowledgebaseArticle50818.aspx