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Description
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Enables a record of the Resident’s health and care needs to be maintained and shared with parties who are involved in providing care, to support decision making and the effective planning and delivery of care. |
The Care Home Capability supports the provision of health and care services to Residents who are residing in a Care Home.
The Capability supports the creation and maintenance of a Resident's record, ensuring an accurate, complete and up-to-date view of the Resident's health, care, personal and legal information. Providing the correct permissions are in place, the record can be made available to Care Home clinicians and other staff, external clinicians and any Proxies identified by the Resident.
The Capability has the potential to support a much wider range of operational and care-related processes including:
- Maintenance of staff records
- Scheduling and tracking of care-related tasks and activities (e.g. medication administration, exercise classes, pressure area assessments)Maintenance of equipment or facility records
- Recording of incidents and adverse eventsOrdering repeat prescriptions
The Capability may also support improved communications between the various clinical and administrative parties involved in the delivery of and a more integrated approach to care of the Resident by supporting the creation and maintenance of shared Care Plans and shared care records with other health and care-related organisations. It may also contribute to improvements in performance through provision of data for analysis and support external and regulatory reporting.
Outcomes
Residents or their Proxies |
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Care Home Clinical Staff |
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External Health or Care Professional |
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Care Home Administrators |
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EpicCH1 - maintain Resident's Care Home RecordAs a Health or Care Professional with a legitimate relationship to a Care Home Resident I want to maintain a comprehensive record of the Resident and their care So that I can ensure that a comprehensive record of their care is maintained and is accessible Acceptance criterion 1: create Resident's recordGiven the user has the correct permissions to create a Resident record When a record for a Resident is required Then the record for the Resident can be created And details about the Resident can be recorded Acceptance criterion 2: view Resident's recordGiven a user (e.g. Health or Care Professional, Care Home Staff Member) has permissions to view the Resident's record When they choose to view the Resident's record Then they can view the Resident's record Acceptance criterion 3: amend Resident's recordGiven the user has the correct permissions to amend a Resident record When an update to a Resident's record is required Then the record for the Resident can be updated Acceptance criterion 4: close Resident's recordGiven the user has the correct permissions to close a Resident record When a Resident's record is no longer required Then the record for the Resident can be closed or made inactive |
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EpicCH2 - maintain Resident Proxy preferencesAs a Care Home Manager I want to maintain records of a Resident's consent preferences regarding a Proxy (e.g. spouse, relative, friend) So that I can ensure a Resident's consent preferences are correct Acceptance criterion 1: maintain Resident's preferences regarding ProxiesGiven a Resident has nominated a Proxy And has identified their preferences with respect to the Proxy (e.g. Proxy can view the Resident's record, Proxy can take decisions on behalf of the Resident) When the user of the Care Home Solution accesses the Resident's record Then they are able to view any existing preferences And amend the record to reflect the details of the proxy And record the Resident's preferences with regard to the Proxy and decision-making circumstances Acceptance criterion 2: Proxy accesses Resident's recordGiven a Resident has nominated a Proxy to have access to view their record When the Resident's preferences regarding the Proxy are recorded Then the Proxy can view the Resident's record Acceptance criterion 3: treatment assent given by ProxyGiven a Resident's Care Plan requires agreement for a treatment to go ahead And the Resident's record indicates a Proxy is in place for such decisions When the Proxy provides assent to the treatment Then details of the decision being made by the Proxy (rather than the Resident themselves) can be recorded EpicCH3 - view and maintain End of Life Care PlansAs a Care Home Manager I want to ensure that everyone involved in a Resident's care can view and maintain an End of Life Care Plan So that a Resident's wishes regarding End of Life Care are recorded and can be respected should the plan be enacted Acceptance criterion 1: create an End of Life Care Plan for a ResidentGiven the user has the correct permissions to create an End of Life Care Plan for a Resident When an End of Life Care Plan is required for a Resident Then an End of Life Care Plan for the Resident can be created And the Resident's wishes and preferences can be recorded And the Resident's record indicates that the plan exists And the End of Life Care Plan's existence can be communicated to other interested parties (e.g. G.P.) Acceptance criterion 2: view End of Life Care Plan for a ResidentGiven a user (e.g. Health or Care Professional, Care Home Staff Member) has permissions to view the End of Life Care Plan When they choose to view the End of Life Care Plan Then they can view the Resident's End of Life Care Plan Acceptance criterion 3: amend an End of Life Care Plan for a ResidentGiven the user has the correct permissions to amend an End of Life Care Plan for a Resident When a change is required to an End of Life Care Plan for a Resident Then the End of Life Care Plan for the Resident can be amended Acceptance criterion 4: close an End of Life Care Plan for a ResidentGiven the user has the correct permissions to close an End of Life Care Plan for a Resident When the End of Life Care Plan for a Resident is no longer required Then the End of Life Care Plan for the Resident can be closed or made inactive Acceptance criterion 5: record the existence of an externally held but accessible End of Life Care Plan for a ResidentGiven a Record exists for a Resident When the existence an End of Life Care Plan, held by another organisation, is identified for the Resident Then information about the existing End of Life Care Plan can be recorded (e.g. where it is held, how it can be accessed) EpicCH4 - record incident and adverse eventsAs a Health or Care Professional providing a service to the Resident I want to record details of any Resident-related incidents or adverse events and inform others involved in their care about them So that I can ensure that others involved in their care can contribute to any immediate care decisions and any mitigating actions to prevent further occurrence of such events Acceptance criterion 1: generate an incident or adverse event reportGiven there is provision to record information about incident or adverse events When an incident or adverse event occurs involving a Resident Then a record of the incident or adverse event can be created And the record can be maintained Acceptance criterion 2: receive an automatic incident or adverse event report notificationGiven an incident or adverse event has arisen concerning a Resident And the Solution has been configured to identify who receives notifications about incidents and adverse events When the details of an incident or adverse event are recorded Then notifications are sent to the relevant recipients EpicCH5 - maintain Staff RecordsAs a Care Home Manager I want to be able to maintain accurate records for Staff Members So that I can use the information to generate schedules and assign appropriate staff to undertake activities related to Resident care Acceptance criterion 1: maintain staff recordGiven a record is required for Staff Members And the user has the correct permissions to maintain the record When the staff records option is selected Then the record for a Staff Member can be maintained (created or updated) And information about the Staff Member can be recorded EpicCH6 -support Transfer of Care scenariosAs a Health or Care Professional providing a service to the Resident I want to ensure that, whenever a Resident is transferred into or out of our care, all relevant parties involved in their care are informed and, where required, can be involved in the decision-making So that I can ensure transfers are timely, appropriate and relevant information is exchanged between parties in support of the transfer EpicCH7 -maintain Staff Task schedulesAs a Care Home Manager I want to be able to create and maintain schedules So that tasks relating to Resident care are delivered efficiently (i.e. right time) and effectively (i.e. right person and skills) Acceptance criterion 1: create Staff schedulesGiven care-related tasks are required (e.g. medication administration, dressing changes, bed changes, etc) for Residents at defined frequencies And information relating to the required tasks in known (e.g. frequency, type of staff required) And information relating to Staff Members is available (e.g. availability, skills and qualifications) When a staff schedule is required Then a schedule can be generated that allocates appropriate staff to each task And reports on any unassigned tasks or conflicts And the schedule can be saved Acceptance criterion 2: manually amend Staff schedulesGiven a schedule of tasks has been created When changes are required (e.g. add ad hoc tasks, remove tasks, resolve conflicts) Then the schedule can be manually amended And the Solution notifies the user of any conflicts And the changes to the schedule can be saved EpicCH8EpicCH7 - manage TasksAs a Care Home Manager I want to monitor the status of tasks assigned to members of staff So that I can identify and respond to any issues with delivery of care tasks Acceptance criterion 1: monitor Task progressGiven a schedule of routine tasks has been created And there is a means for staff to identify when tasks are started and completed And there is a means to track task progress When the report or dashboard of progress is selected Then information relating to the progress of tasks (e.g. start time, status) can be viewed Acceptance criterion 2: generate Task reminderGiven a Staff Member has been assigned a task to commence at a scheduled time When a task is due Then a reminder is generated And the reminder is sent to the assigned Staff Member And a further reminder can be sent if the task becomes overdue EpicCH9EpicCH8 - reportingAs a Care Home Manager I want to generate reports relating to the care provided to Residents So that I can better plan and manage the delivery of care Acceptance criterion 1: reports based on a range of selection criteriaGiven that information relating to care of Residents is available (e.g. Resident records, information about care tasks or incidents or adverse events) And this information is available to the reporting Solution And selection rules have been defined to identify records meeting certain criteria (e.g. Residents taking a specific medication, tasks that took longer than expected) When the report is run Then only those records with matching values are output And the output can be analysed to identify trends or performance EpicCH10 - integrate with Telehealth equipmentAs a Health or Care Professional providing a service to the Resident I want to efficiently capture clinical observation data from Telehealth equipment So that data can be shared with Health and Care Professionals involved with their care and used to support decision-making EpicCH11 - integrate with Telecare equipmentAs a Health or Care Professional providing a service to the Resident I want to be able to integrate the Care Homes Solution with Telecare equipment in use with Residents (e.g. falls bracelets or location monitors) So that adverse events (e.g. Resident falls or wanders) can be identified quickly and responded to EpicCH12 - support Shared Care PlansAs a Health or Care Professional providing a service to the Resident I want to view and update or allow others to view and update any Shared Care Plan associated with the Resident So that everyone involved in their care can work effectively as a team EpicCH13 - support Shared Care RecordsAs a Health or Care Professional providing a service to the Resident I want to have access to the health or care records for the Resident that are held by other organisations So that I can take informed decisions based on a more complete view of the Resident's health and care information EpicCH14 - request PrescriptionsAs a Care Home Clinician I want to be able to electronically request a further prescription for a Resident from their GP So that I can ensure the Resident's medication does not run out causing potential harm to them EpicCH15 - maintain equipment and facility recordsAs a Care Home Manager I want to maintain records of all the equipment and facilities involved in the delivery of care to Residents and the operation of the Care Home So that I can ensure that Residents and staff are in a safe environment and we meet our certification (e.g. CQC) requirements EpicCH16 - give regulatory body access to anonymous recordsAs a Care Home Manager I want to allow our regulatory body (e.g. CQC) to have access to anonymous Resident records (i.e. no Resident identifiable information is displayed) So that the Regulator can assess the quality of the records being kept EpicCH17 - give regulatory body access to identified Resident RecordsAs a Care Home Manager I want to allow our regulatory body (e.g. CQC) to have access to identified Resident records when the Resident (or their Proxy) has granted permission So that the Regulator can assess the quality of the records being kept |
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Suppliers will have to attain compliance with these Standards during the compliance stage before they can be live on a framework with this Capability: None |
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Suppliers will have to attain compliance with these Standards during the compliance stage before they can be live on a framework with this Capability: |
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Suppliers will not be assessed or assured on these Roadmap Items as part of Onboarding
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