Inpatient EHR for Psychiatric Hospitals & Residential Treatment

Bed Census Management

Real-time visibility into beds, patients, and facility capacity

Bed Status Dashboard:

• Visual bed board showing all units
• Bed status: occupied, available, cleaning, blocked, pending discharge
• Patient demographics (name, age, admission date) visible per bed
• Acuity level and observation status displayed
• Customizable columns (code status, alerts, shift handover notes, and more)
• Filter by unit, status, or patient characteristics
• Quick search to find any patient instantly

Quick Actions from Bed Census:

• Open patient chart
• Document vitals
• Access MAR
• Add shift handover messages
• Admit patient to bed
• Transfer or swap beds
• Put beds on hold
• Document nursing notes

Census Management:

• Current patient census by unit
• Daily census tracking and reporting
• Admission and discharge logs
• Average daily census calculations
• Length of stay tracking per patient
• Occupancy rate reporting

Admission Workflow:

• Bed assignment during admission process
• Patient demographics and insurance capture
• Authorization tracking
• Customizable admission assessment templates
• Unit notification of new admission

Discharge & Transfer:

• Discharge planning tracking
• Estimated discharge date management
• Transfer between units workflow
• Bed turnaround time tracking

Key Benefits:

• Eliminate phone calls to find available beds
• Take action directly from bed board without opening charts
• Customize view for unit-specific workflows
• Accurate census data for staffing decisions
• Streamline admissions and discharges

Electronic MAR (Medication Administration Record)

Safer medication administration with complete documentation

Scheduled Medication Display:

• All scheduled medications displayed by administration time
• Color coding for overdue, due now, or upcoming medications
• PRN medications clearly separated
• Dosage, route, and special instructions visible
• Allergies prominently displayed

Medication Administration Documentation:

• Document administration with automatic timestamp
• Reason codes for medication not given (refused, NPO, other)
• Late administration reason documentation
• Witness signature for controlled substances
• PRN administration with reason and effectiveness documented

PRN Medication Management:

• PRN order display with indication
• Administration history showing frequency
• Effectiveness tracking (effective, partially effective, not effective)
• Alerts if PRN given too frequently

Controlled Substance Tracking:

• Witness requirements for administration
• Waste documentation with witness
• Controlled substance count reconciliation
• Discrepancy reporting
• Complete audit trail for all controlled substances

Key Benefits:

• Reduce medication errors from illegible documentation
• Complete audit trail for regulatory compliance
• Track PRN effectiveness patterns
• Simplify controlled substance management
• Clear documentation for state surveys

Nursing Shift Assignments

Create safe, balanced shift assignments efficiently

Assignment Creation:

• Visual assignment interface for assigning nurses to patients
• Patient-to-nurse ratio calculation
• Acuity level displayed per patient
• Observation requirements displayed (routine, close, 15-min, 1:1, constant)

Observation Level Management:

• Set observation level per patient (routine, close, 15-min, 1:1, constant)
• Observation requirements visible during assignment creation

Shift Handoff:

• Print shift assignments for each nurse
• Medication times and PRNs visible
• Access to bed census for patient details (diagnosis, precautions, alerts, tasks, orders)

Acuity Tracking:

• Patient acuity scoring
• Display acuity levels during assignment creation
• Track acuity changes over time
• Support staffing level justification with acuity data

Key Benefits:

• Create balanced assignments efficiently
• Ensure safe patient-to-staff ratios
• Consider patient acuity when making assignments
• Document appropriate staffing levels

Activity Monitoring

Track patient engagement in therapeutic programming

Activity Tracking:

• Electronic attendance tracking for all patient activities
• Document attendance status (present, absent, refused, excused)
• Record reason for absence
• Track therapeutic groups, meals, exercise, recreation
• Real-time attendance visibility

Patient Activity History:

• Complete appointment and activity history in patient chart
• View all scheduled and completed activities
• Individual and group therapy sessions
• Track participation over time

Activity Reports:

• Patient attendance summary by date range
• Group attendance rosters for billing
• Custom reports for utilization review and payer authorization
• Activity participation data for medical necessity documentation

Key Benefits:

• Replace paper sign-in sheets with electronic tracking
• Track patient engagement in therapeutic programming
• Document active treatment participation
• Generate attendance reports for payer authorization

Inpatient Scheduler

Coordinate appointments and activities across the facility

Appointment Scheduling:

• Individual therapy sessions
• Group therapy (CBT, DBT, process groups, psychoeducation)
• Psychiatric appointments
• Medical provider appointments
• Family therapy sessions
• Case management meetings
• Discharge planning meetings

Resource Management:

• Therapy room scheduling
• Provider availability calendars
• Appointment conflict detection
• Recurring appointment setup
• Cancellation and rescheduling workflow

Patient View:

• Patient’s complete daily schedule
• Color-coded by activity type
• Time conflicts highlighted
• Print daily schedules for patients
• Real-time updates

Staff View:

• Provider’s daily schedule
• Patient list for group activities
• Appointment reminders
• No-show and cancellation tracking

Key Benefits:

• Coordinate complex schedules across facility
• Prevent double-booking of rooms and providers
• Maximize provider utilization
• Ensure patients attend required activities
• Document attendance for compliance

Clinical Flowsheets

Streamlined documentation for routine assessments and monitoring

Vital Signs Flowsheets:

• Temperature, pulse, respirations, blood pressure
• O2 saturation, pain scale, weight tracking
• Time-based grid format
• Automatic vital sign trending

Behavioral Observation Flowsheets:

• Mood and affect
• Behavior and activity level
• Sleep patterns and appetite
• Social interaction
• Response to treatment

Safety Check Flowsheets:

• 15-minute safety checks
• 30-minute checks
• 1:1 observation documentation
• Location and patient behavior observed
• Exception-based charting to reduce redundancy

Intake & Output Tracking:

• Fluid intake by type
• Output measurement
• Running totals calculated automatically
• 24-hour summary

Customizable Flowsheets:

• Create flow sheets for custom forms and assessments
• Unit-specific screening questionnaires
• Withdrawal monitoring (CIWA, COWS)
• Eating disorder monitoring
• Any data tracked in custom note templates

Key Benefits:

• Fast, efficient documentation
• Visual trending of clinical data
• Automatic calculations
• Flowsheets for facility-specific assessment tools
• Meet regulatory documentation requirements