Patient Care Plans

The ICE™ system incorporates a vast vocabulary of standardized languages to facilitate the Patient Care Planning process. An unlimited number of Care Plan Templates can be created for retrieval to establish an individual Patient Care Plan. The Patient Care Plan can then be personalized as required. Languages available for Diagnoses, Procedures and Interventions, Activities and Outcomes in ICE Care Plans include ICOL ™, ICD-9, CPT, NANDA, NIC, NOC etc. User customizable labels can also be added as required, via the knowledge base set-up module.

Patient Outcome Management

“Outcome” is probably one of the most widely used and least well defined terms in health care today. In most cases the term is used generically and subjectively to describe the results of patient care. Unfortunately the current measurement system is inconsistent and at much too high a level to facilitate clear comparative measures that will result in better patient care.

Outcomes in ICE™ are not only an underlying basis for managing the goals and results of care delivery, they are scientifically measured. This unique capability is made possible through the use of Ice’s "Clinical Observation Language" combined with comprehensive researched and published outcome languages such as (NOC).

ICE™ collects and aggregates data with complete confidentiality for all concerned, via the Clinical Knowledge Base. A data base with this power can only be created using techniques similar to those residing within ICE™.

Management Guidelines and Regulatory Compliance

ICE™ conforms to the standards for clinical documentation. Any organization using ICE™ increases their ability to comply with regulations applicable to comprehensive clinical documentation for patient assessment, care coordination, outcome achievement, and quality improvement.

The DRG system implementation in hospitals reduced care costs for a few years. Hospital costs are increasing again with little data available to document improvement in outcomes. To prevent similar trends in the future, the Center for Medicare and Medicaid Services (CMS) has already implemented cost reduction and quality improvement requirements simultaneously to protect patient outcomes in certain care delivery settings.

This approach, which includes fixed reimbursement for specific patient conditions and which requires outcome reporting to electronically accompany all claims submitted for payment, is the blueprint for the future in all health care settings.

Legal Liability/Mal-practice Insurance Companies Providers face many forms of legal liability, with focus in four major areas:

  • Complete and accurate clinical documentation
  • Providing the care for which they are billing
  • Delivering care that is appropriate to the patient’s condition
  • Managing the balance between professional responsibility and payer limitations

The most critical success factor in all areas of liability is accurate, complete and retrievable clinical documentation. Providers must be able to produce such clinical documentation or face serious consequences. The documentation must demonstrate that the patient’s condition was thoroughly assessed, that the problems being treated were clearly identified, that the care plan specifically addressed those problems, and that the patient’s status was continually evaluated.

HIPAA further requires that, upon request, the patient must be provided with a legible, complete and understandable copy of their medical record. ICE™ can help clinicians and other Healthcare providers limit their liability and avoid any legal sanctions that potentially could result from poor clinical documentation and incomplete medical record.

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