User Manual
Contents
1. Gauze Pad EX ABD Petrolatum Gauze Vaseline 3x9 Xeroform 5x9 Non Adherent Pad 3x4 Ex Telfa lodoform Packing Strip 1 2 1 Roll Gauze 4 Ex Bulkee or Kerlix Compression Tubigrip E Ace wrap Tape Paper Silk Cloth zz Cohesive Bandage 3 6 Una Boot 3 Hy Tape pink tape 2 Mefix 2 Freq of change Other Freq Freq of change Other Freq jij e ara go Bd LE Bd Other Products Requested Other Products Requested 7 When you are finished evaluating all wounds for this resident tap on the Patient Done button at the top of the screen 8 The Review Wounds and Order screen is presented 1 Leave the Yes in the Place Order column or tap Yes to turn off this order 2 Tap Confirm to continue or Cancel Review Wounds and Order Facility Name Universal Nursing And Rehabilitation Patient Name Abigail Adams Last Ordered on Same as Previous Order 08 26 2012 No Yes 1 days ago Show Previous Order E FINALIZING EVALUATIONS AND ORDERS This is an important step that tells Fastcare that you are finished your evaluations and are ready to place your orders In earlier versions of Fastcare orders were placed immediately However we learned that in the hubbub of the real world the original data might require corrections The Finalize step gives you time to edit data from a wound round before saying I am ready now to record these evalu2. REP FEATURES AVAILABLE ONLY TO REPS Fastcare features in this section are available only to Gentell reps Fastcare deliberately restricts functions at every level to create an orderly system and prevent chaos for instance only reps can set up new facilities and only high level managers at facilities can set up or remove nurses at that facility 16 SETTING UP NEW FACILITIES To set up a new facility tap the Facility button then tap New Facility To see your existing facilities you can also tap the Choose button or if you have many facilities enter the first few letters of a facility and then tap the Choose button Gentell Fastcare Logout Find Facility Screen Sales Rep Betsy Meyers Company Gentell Corporate Contacts Current Facility Find facility 1 Rep Firm name Gentell Corporate Contacts Facity Name beginning wih Type the first few letters and ENTER key 2 here The first field for a New Facility enables you to set up a new chain of nursing homes by defining the Headquarters location Once you have set the headquarters you can add additional locations by choosing the name of the nursing home chain from the list For mstance in the illustration below you would choose Betsy s Nursing Home if you were setting up additional locations for Betsy s Nursing Home If you were setting up a facility with a single location you would choose This is an independent facility Gentell Fastc
3. forms Facility Report and Trend Report click on the report button With the report open right click in your browser to produce the print option Facility Report for 11 18 2012 Pressure wounds Back Forward Reload p abpa punom Jad paq punom Save as Print Translate to English View page source Location View page info uyuow siy uado uow si p soj Sunin93y g 8 a 2 O o v 2 a suondui5a PUNO BE juauyeal paygiupy palnboy y 14 PRINTING FASTCARE REPORTS Fastcare prints four groups of reports 1 Order Forms for physicians signatures 2 Evaluation Forms by date 3 weekly Facility Reports and 4 Trend Reports of individual wounds To print reports login to Fastcare from a computer with a printer attached and click on Facility Tap on the yellow report buttons to reach the report of your choice Note that Trend Reports require more than one wound observation there is no trend with a single observation Gentell Fastcare Show Facility Screen Nurse Administrator Florence Nightingale Patient Facility a E AA EE AA A E Facility details Edit facility Find Personnel Place Order Facility Report Trend Report Show Orders Finalize Eval Orders Facility Groups FACILITY REPORTS The Facility Report generates facility wide reports on five different types of wounds 1 Pressure Wounds 2 Diabetic Wounds 3 Arterial amp Venous Wounds 4 Skin Tears and 5 Ot
4. rl On ooo dad 12 Chance the Status ota Reside bases rotas 13 Whati anurse le vestirte lili 13 Getting started with Fastcare ON your Computer mncanccnccncnnonenenenannse recerca creara 14 Fasteale on your Computer PRADO a aiii 14 ante tastcare Repo Sac dois a S aaria E ona 15 FACE REPOSAN ei 15 WAS A A a e 0 e 15 Notes for the Fastcare QAPI report ssssessscssssssssssssssssssessesssssssssssessssesssssseneeaseonessesassasssessssassaseaeeneeonensesstsseeatsaesaesass 16 For more information on QAPLinnonacacncononenonencnensonenrmnro erroneo eres 16 Ren Peattires avallable Only to TES sci cian een eee ieee ee hee tees 16 Bye CIM UN TN Ae AC UD tec a E 17 Setting up New Personnel at a Nursing HOME eseessessessesseeseessessesteeeeseeneeseeseeseeseesseseseeseeneeneeseeaeeasesteseeeeneeneens 17 Electronic Health Records EHR and Fastcare sissandi 18 A 0 810 gl cone merece mere rere parr ne ome Ere ne os 18 NEW CAMERA PROCEDURE AS OF JAN 14 2015 onnonccncaniononannienenenenenenenenecesseennenene erre 18 e o ee eee eta 20 Quick notes for completing Wound Evaluations wu esssesssssseseessessecsesssesesseessessesseessesseesseseeseestesseeseeseeseeneesseens 20 Nal NO 21 Can I delete information in Fastcare If information is deleted is it tracked by person sss 21 Gorrectme D taafter Finaliza OMi iaaa aaa aaa 21 IV ONT ARIO O aa E lo el e da o a E E E e 21 Where does the Fastcare data reside and how is it protected ssssssesses
5. that provides different information to people depending on their need For instance rep firms can establish facilities but rep firms cannot see resident information It would be a violation of HIPAA for anyone other than medical personnel to see patient records Nurses in one facility can see the records of residents in their facility but not in other facilities The buttons at the top of the each Fastcare screen reflect this hierarchy tap Rep Firm to find the name of your representative tap Facility to edit your facility data and tap Personnel to add Personnel Only senior facility personnel can add personnel or edit facility data EVALUATING RESIDENTS ADDING A NEW RESIDENT Tap Resident then the New Resident button and fill in the fields Gentell Fastcare Find Resident Screen Nurse Administrator Florence Nightingale Patient Facili A E EA ES EA EEES Find Open Resident Rep Firm name Demo Rep Firm Facility name Universal Nursing And Rehabilitation Abigail Adams i EVALUATING A WOUND 1 Tap Resident 2 Choose a resident Scroll up and down the list of names by dragging your finger up and down the list When you find the name you want tap on that name 3 Tap the Evaluate Wounds button Gentell Fastcare Loc Resident Screen Nurse Administrator Florence Nightingale Patient Facility U Er ENE EEES EA Resident Information Edit Resident Resident Facesheet Resident Orders Evaluate Wounds Name Abi
6. 0 2 0 1cm Undermining No Tunneling NO Thickness Stage II Type of Wound Venous Tissue Type Granulation Odor No Pain NO Drainage Amount Light Drainage Type Sero Drainage color Debridement Type Chemical Debridement Date Wound Bed Granulation Wound Edges Rolled Surrounding Skin Callous Primary FOC QD Secondary FOC QD Pri Dispensing Period 30 Sec Dispensing Period 30 Treatment Abigail Adams 65 General Comments and Observations Wound pictures Comment to Wound Care Speci This is where you can write any comments or special concerns about a wound and then ask specific questions that will be sent to Gentell wound care specialists Ask Wound Care Specialist for Recommendation CHANGE THE STATUS OF A RESIDENT 1 Choose a Resident and tap Edit Resident Resident Information Edit Resident Resident Facesheet Resident Orders Show Facility Evaluate Wound Name Abigail Adams Gender Female Patient Status Open 4 2 In the Status field on the right of the Edit Resident page choose a new status and tap the Save button at the bottom of the screen Status Discharged Open Closed Discharged Deceased WHAT IF A NURSE LEAVES Change his or her password and modify the name to communicate to everyone else Sharon Brown RESIGNED This will continue to reflect the name of the person who performed treatments and will explain why they are no longer available 13 GETTING STARTED WITH FASTCAR
7. ABLET Each Fastcare tablet includes a wall charger with a unique connection that plugs into the bottom of the device Recharging the tablet each night should provide plenty of power for the next day TURNING ON YOUR FASTCARE TABLET Your Fastcare tablet has two modes for turning on and off 1 screen mode and 2 all the way off mode Since the device can take several minutes to turn all the way off and on we recommend that you simply tap the On Off button to turn the screen off and on The first time that you turn your tablet on press and hold the On Off button Volume On Off Back of Samsung Tablet TABLET CONTROLS The bottom of the screen has two very useful buttons the Back button and the Home button Tapping on the Back button will take you back to a previous screen or will down a menu that you may have mistakenly tapped The Home button will bring you back to the home or main screen see below Your Fastcare tablet will continue to run Fastcare even though you may not see 1t just tap the Home button and the Fastcare button to return to Fastcare at any time Back Home Time Battery Bottom of Tablet Screen Front THE FASTCARE HOME SCREEN The first screen you see 1s the Fastcare Home screen It contains the Gentell logo and a number of icons that can be tapped to launch the applications below These are the only applications that will function on the tablet which has been locked down with softw
8. CARE You can log into Fastcare here www gentellfastcare com or through links on the home screen at Gentell www gentell com Gentell Fastcare Login About Help Login Screen Email Password E Remember me on this computer New Customers Please choose one Nursing Home Hospital Home Health Care Agency Woundcare Center Pharmacy Distributor Assisted Living facility Long Term Care Facility Export Customer Podiatrist VNA VA Medical Center Consumer Log into Fastcare by entering your email and your password and then tapping the Enter button Your Gentell representative Director of Nursing or Administrator will supply you will a password for your facility If you have forgotten your password tap Forgot password Enter your email address and 1f your email address is in Fastcare your password will be sent to that email address ADDING PERSONNEL AT YOUR FACILITY You can add personnel to your facility 1f you have management permissions in the system for instance 1f you are the Director of Nursing or Administrator If you do not have these permissions the following buttons will not appear on your screen To add personnel 1 tap the Personnel button at the top of the screen and 2 tap the Add Facility Person button See illustration on the next page On the next Fastcare screen add the person s name email address and other information You will also need to invent a password such as FC829 T5 Do no
9. E ON YOUR COMPUTER Fastcare screens are designed to operate on 10 inch tablets but can also operate on your computer The buttons are large enough to accommodate finger taps on a tablet but also respond to a mouse clicks on a computer l Fastcare is supported on personal computers on high speed browsers including Google Chrome and Firefox Fastcare 1s not supported on Internet Explorer 2 If you do not already use a high speed browser please search for download and install either Chrome or Firefox on your computer 3 In the browser s address bar type gentellfastcare com This address will take you to the secure Fastcare site which is indicated by the lock on the left side of the address bar E C A 8 https gentellfastcare com wcp default login Wy Gentell Fastcare Fastcare browser bar in Google Chrome 4 Bookmark the site by clicking on the star on the right side of the address bar This will make it easy to find Fastcare the next time you use it 5 On the Fastcare login screen enter your email address and password then click on Enter button FASTCARE ON YOUR COMPUTER PRINTING Fastcare reports are designed to print on standard 8 5 x11 paper and are most easily printed from a computer on your network attached to a printer Tablets can be attached to in house networks but we have found that printing is easiest for most of our customers when they print from Fastcare on their desktop computers To print Eval
10. Gentell We make It better Fastcare Wound Tracking amp Reporting Software User Manual Updated 5 15 15 CONTENTS a A e 2 4 SUP DON Carane EAA A enna 4 Requirement for a Wifi or Verizon CONNecCtiON cncccnnonenene ercer 4 A Harta Boot Jf your tablet Nang S au ai iaai rerit 4 e O eee 4 ATTENTION INTERNET EXPLORER USERS cccscesssessessesseseeseeseeseeseestestessessesseeneeneeseeseeaeeaeeasesseaseseeseeneeneens 4 Ene Fasteare Tablero cau icuce sins acc ueecasectecsesatieescdebeesaccstonsaee destacadas 5 Charone VOUT PASCAL A lei 5 Turnine on your Pasteare abletaita is 5 PDE ONTO Mmm er erer cee torent roc ere mere career rRner ere er erm re tar rRare Srnec rer eer ere Sree wee eer tore 6 Ene hast Cale OIG SChCC Nath rt o o tn 6 En Fas t are Coniston o ersten eer eee teeta aie eae 6 VAN OS dl 6 GE O a e lo o 6 Settings Icon Establishing a Wifi CONNECTION ssessesssesseeseessecseessessesseessesseeseessesseeseeseeseeseesseeseesiesseeseesseeneeneeneess 6 BLOWSEI o caaas 7 HOWTO SC sd a E E A N 7 Names ol Lasa ll 7 EOCENO VIGO Rastreo ate 7 Adame Personnelat VOUT aci cts cl 0 do 7 Phe Fasteare Review Screcn cutis 8 e oe E OO O ee eee meee ee 8 EA RE O Be meee renee niet a oe eee ere ee eee ee eee aa 9 PUCCIO a New RE dl 9 Evaluating a Wound ii eee 9 Finaliz me EValtationsand Order Siin e de en cd nd 11 5 Fe S90 A 12 ResOpentins a VV OUI dirienenn aa tts acetates a ec ceed eben eaten 12 Request a Treatment Recommenda
11. QI is a pro active and continuous study of processes with the intent to prevent or decrease the likelihood of problems by identifying areas of opportunity and testing new approaches to fix underlying causes of persistent systemic problems PI in nursing homes aims to improve processes involved in health care delivery and resident quality of life PI can make good quality even better e QAPTI is a data driven proactive approach to improving the quality of life care and services in nursing homes The activities of QAPI involve members at all levels of the organization to identify opportunities for improvement address gaps in systems or processes develop and implement an improvement or corrective plan and continuously monitor effectiveness of interventions NOTES FOR THE FASTCARE QAPI REPORT 1 The number of residents admitted acquired and recurring equals the total number of that particular type of wound 2 The number improved declined and closed also equals the total The basis for determination of improved or declined is based on the first and last PUSH scores during the specified time with 17 being the worst score and 0 equal to closed For example a wound that may start with a PUSH of 5 during the specified time and then goes to 0 even before the end of the time period is considered closed rather than improved FOR MORE INFORMATION ON QAPI http www cms gov Medicare Provider Enrollment and Certification QAPI qapidefinition html
12. are Sales Rep Betsy Meyers Company Gentell Corporate Contact New facility This facity belongs to This ts a Headquarters location This is an independent facility Betsy s Nursing Home Fill out the remaining fields for the new facility and click on Save SETTING UP NEW PERSONNEL AT A NURSING HOME Once you have set up a facility you can add people to that facility This 1s a crucial step that defines someone at the facility who will add other facility personnel and place orders In this step you will add their email address and create their password which will enable facility personnel to access Fastcare If you have just added the facility you can click on the Personnel button and then the Add New Person button If you are not already in that facility click on Facility and choose the facility prior to going to Personnel 17 ELECTRONIC HEALTH RECORDS EHR AND FASTCARE Fastcare 1s a powerful cloud based wound recording system that can interface with EHR systems that provide an Application Programming Interface or API We are currently completing the integration with PomtClickCare and Matrixcare Once complete nurses using Fastcare will no longer need to enter patient data but will instead access the patient record in the EHR system through secure HIPAA compliant channels authorized and tested by the EHR manufacturer If you would like your EHR system to interface with Fastcare please arrange a teleconferen
13. are called SureLock to prevent the tablet or the browser from running unauthorized applications THE FASTCARE ICON Tapping on the first icon on the left will load the Fastcare web site ADOBE READER ICON The Adobe Reader can be used to read PDF documents about Fastcare or Gentell products that may be on your tablet GMAIL ICON Each Fastcare tablet is linked to a Gmail account such as fastcare284 gmail com This account can also be used to forward email to your tablet SETTINGS ICON ESTABLISHING A WIFI CONNECTION The settings icon should only be used to connect to a local Wifi system Changing other settings in your system may interfere with Fastcare functions To establish a Wifi connection in a new location e Tap the Settings icon e Tap the Wifi ON button e Tap on the name of your network on the right If no network is available you cannot make a Wifi connection e If necessary enter the key to your network and tap OK or Enter e Tap the Home button at the bottom of the screen 6 BROWSERS Fastcare works with the Surefox browser which only allows access to authorized Fastcare web sites and applications such as gentellfastcare and gentell com How TO USE FASTCARE NAMES OF FASTCARE SCREENS Every Fastcare screen 1s labeled in the upper left corner so that you can easily identify 1t in this manual or when asking for support For instance the login screen is labeled Login Screen LOGGING INTO FAST
14. ations and place these orders 1 Tap on Facility 11 2 Find your facility and tap on the Finalize Eval Orders button Order Forms Find Personnel Assign to another company Eval Forms Facility Report Trend Report 3 Tap on OK F e Your orders have been finalized CLOSING A WOUND In the final Wound Evaluation set the Tissue Type to Closed Resurfaced Tap the Save Observation button at the bottom of the form Evaluate Wound WOUND LOCATION TYPE OF Wounp THICKNESS STAGE Tissue Type EVALUATION DATE MM DD YYYY 08 27 2012 LENGTH cm WIDTH cm DEPTH cm Tunnwetinc DEPTH cm j CLOCK POSITION B B aS ae l Granulation EXUDATE AMOUNT EXUDATE Type EXUDATE COLOR Epithelial Closed Resurfaced None SOU INA aa OO RE OPENING A WOUND Only users with Admin access have this ability Get the facility name resident name and wound location Go to that facility Choose the resident Click on the wound location It should have a red closed on it Above you will see a Reopen wound button Click the button and confirm the action oe B SS You have just reopened the wound The wound data will be complete when it is evaluated and finalized but until then it will show as an open wound REQUEST A TREATMENT RECOMMENDATION Choose a wound in the Resident s record type a comment and tap Ask Wound Care Specialist 12 Length Width Depth 3
15. ce between Gentell and your current EHR provider CAMERA SUPPORT Prior to January 14 2015 Fastcare required a app to control the camera The app is no longer required because the Fastcare web site can now control the camera Here are new instructions for taking photos with Fastcare Fastcare takes three kinds of pictures 1 Facesheets the cover sheet to a resident s medical record that contains the relevant medical and billing information 2 Resident ID face to help identify and form a bond with the resident 3 Wounds images of the wounds to document progress or to share with a Gentell WES for treatment advice No photos are required The most frequently used photo feature 1s the facesheet photo which conveniently copies resident information NEW CAMERA PROCEDURE AS OF JAN 14 2015 Fastcare no longer requires the use of a tablet based program to control the camera you do not need to launch SL4A in order to take a photo because the camera controls are now in the browser The new control also works on most popular tablets including Apple iPads Photo Overview 1 Position the tablet and press the yellow picture button for the type of picture you want Follow the directions listed for each photo type 2 To start tap the camera icon Take the photo and choose to discard or save the photo If you discard the photo take another photo 3 Once you approve of your photo tap the Upload button to add the photo to Fastcar
16. e 18 Fastcare Camera Control fiold camera vertically with camera contro at the top 2 Tap camera button to take picture and then choose Discard or Save gt ap Upload to save to Fastcare Bad picture Take the p Tap to start gt Camera 3 Take a Resident ID or Facesheet Picture 1 Tap on the Resident s record You should see a screen like the illustration below 2 Position the tablet according to the instructions below the button For instance the Resident ID button notes that the tablet 1s in portrait position vertical with the camera controls toward the top Tap one of the two yellow buttons Take Resident ID or Take Facesheet Picture both 1 in the illustration below The camera s image shows on the tablet with a large camera button When you are satisfied with the image press the camera button After a few seconds tap the Show Upload Picture button 2 If you are dissatisfied with your photo take another picture if you want to blank out the photo altogether take a picture of a blank piece of paper or a wall Resident Facesheet Resident Orders Evaluate Wounds GN Name Betty Boop 100 ounds ID In portrait mode contgg at the top 4 FaceSheet In landscape mode controls at righg Ju Take a Wound Picture Location Leg on 08 15 2014 19 Gender Female Date of Birth 01 13 1921 Part A No End Date Social Security 123 12 1234 Un
17. ection within 24 hours Corrections should be sent by encrypted email to fastcareadmin gentell com or by contacting a Fastcare administrator WOUND PHOTOS The only exception to this are wound photos which can be deleted and re captured by local personnel Fastcare allows deletion and management of wound photos because given the nature of photography it is easy to capture a poor photo for instance a picture of the floor rather than the wound and because wound photos are helpful but not integral to the medical record WHERE DOES THE FASTCARE DATA RESIDE AND HOWIS IT PROTECTED Fastcare data resides on virtual servers in the Digital Ocean Server Farm in New York New York Digital Ocean provides a 99 99 uptime SLA around network power and virtual server availability The servers are Hex Core machines with dedicated ECC RAM and high performance RAID SSD Hard Drives 21 The servers are in a physically secure location with very limited access Other than via the Web Interface access to this data 1s by a secure validated link Fastcare performs regular backups and the backups are stored in Atlanta Ga for safety and redundancy Through the web interface via an HTTPS connection data access is based strictly on professional roles as defined in the Fastcare application Data is logically partitioned by facility VIRTUAL SERVER SECURITY EMPLOYEE ACCESS Virtual server security and data integrity is of the utmost concern As a resu
18. gail Adams Gender Female Patient Status Open Date of Birth 12 24 1924 Part B Yes Social Security 234 56 7890 Insurance Company Name Medicare ID Insurance ID Co Insurance Company Name Co Insurance ID Physician Thomas Sneddon Phone 123 323 4444 Physician Address 100 Care A Lot Way Yippi WI 13245 Fax 123 323 4445 Wounds Location right arm on 08 27 2012 Abigail Adams 65 4 1 Choose a wound from the left column or go to the bottom of the list and tap Add New Wound You can inspect the last wound report or if you would like to add another report for that wound 2 tap on the green Evaluate Wound button Gentell Fastcare Evaluate Wounds Date 04 09 2015 Facility Test Nursing Facility Patient Bettina Boop User Glenn Paul Gentell Officer coccyx PDESRHESH 02 10 2015 ETETA Acquired Maa da 10 03 2014 EEES Fi Tyre of Wous OTHER Woux THICKME Mk T E Tres PUSH Soon COCCYX LENGTH cm WIDTH m Derr MEL Derr cm x S NO UNDERMI Nite Derr m LOCK Add New Wound B S Heavy Sero sanguinous GREY Slough Epithelial attached Se oe ea a L Ek TREATMEN No No Pressure ulcer care 5 Fill in the Evaluate Wound form Fields with asterisks require information for Fastcare reports you cannot proceed unless all of these fields are filled in If you choose Other See General Comments add your comments to the General Comments field Evaluate Wound ENT Name Facit Na
19. her Wounds Click on a weekly date or enter a date in the search field The figure below shows the data reported for each wound Facility Report for 08 27 2012 Other wounds 55 y Fo 2 3 2 3 Sog 38 U 2 AR E ct S 225533 o 3 D 2 3 z 7 s 9 uc U D 353583 Z 93 sa 0 3 ot a o ala Name aa Fa Location Type S 5 85 al Adams Abigail 08 02 2012 1 0 0 0 0 right arm Surgical 13 20 03 7 hydrogel gauze Adams Abigail 1 31 2011 4 0 0 0 0 right arm Surgical 2 1 42 UTD 8 WHAT IS THE QAPI REPORT The Fastcare QAPI Report Quality Assurance Performance Improvement is at the end of the Facility Report It is designed to work with CMS performance directives for nursing homes To generate the QAPI report choose a facility and click or tap on the Facility Report button 15 QAPI is defined by CMS as the merger of two complementary approaches to quality Quality Assurance QA and Performance Improvement PI Both involve seeking and using information but they differ in key ways e QAisaprocess of meeting quality standards and assuring that care reaches an acceptable level Nursing homes typically set QA thresholds to comply with regulations They may also create standards that go beyond regulations QA is a reactive retrospective effort to examine why a facility failed to meet certain standards QA activities do improve quality but efforts frequently end once the standard is met e PI also called Quality Improvement
20. ing Period 30 General Comments and Observations ound lt TROUBLESHOOTING THE CAMERA IS NOT TAKING PICTURES P pA To take photos from Fastcare go to the Home screen scroll right by dragging your finger on the screen and tap the icon marked Browser Tap on the Home icon and then drag left to see the camera icon or check the camera icon in Apps The camera should be set to Store location to On Focus mode to Auto Exposure to 0 Picture size to 3M Pixels and Picture quality to Fine While in the camera screen make sure that your tablet is using the correct camera for photos NOT the camera facing you Find the camera icon with the circular arrows and tap on it until the image from the rear exposed camera shows on the screen FIELD NOTES QUICK NOTES FOR COMPLETING WOUND EVALUATIONS After you have finished entering the wound assessment P Go to bottom of page and select the green button that says Save Observation You should see Wound saved in red letters at the top of the page If you have finished all wounds for that resident select the orange button that says Patient Done It will bring up a box called Review Wounds and Order If you are not placing an order tap No and then Confirm 20 5 When you have finished all of the assessments for all of your residents there is one final step go to the Facility page find the Finalize Eval Orders 1t 1s encircled in red and 1s o
21. it 100 Insurance Company Name Medicare ID Ins Co Insurance Company Name Co Insurance ID Responsible Party Day Phone Cell Responsible Party Address Physician Robert Marriott 20p 08 06 2014 Physician Address Betty Boop Allergies Sulphur No Collagen No From the resident s record tap on any wound For instance in the illustration above tap on the Leg wound l PA Position the tablet and tap the Take Wound Picture button The image will fill the screen tap the camera button to take the picture Wait a few seconds and tap the Show Refresh Picture button Fastcare has sent the picture to the server and has added a thumbnail below If you don t like the picture tap on the Manage Pictures button where you can delete pictures To see the full size picture tap on the thumbnail You can take more than one picture of a wound Test Nursing Facility Betty Boop 8 Wound Location Leg Evaluated By Sue Flower Evaluated On 08 15 2014 Wound is Open PUSH 7 Date First Observed 07 30 2014 Length Width Depth 2 0 3 0 1 mn Undermining No Tunneling No Thickness Stage Partial Type of Wound Arterial Tissue Type Granulation Odor No Pain No Exudate Type Sanguinous Exudate Amount Light Exudate color Debridement Type Sha rp Debridement Date Wound Bed Slough tai NES Wound Edges Unattached Betty Boop Surrounding Skin Hardness Induration 100 Primary FOC QD Secondary FOC QD Pri Dispensing Period 30 Sec Dispens
22. lt none of the technical support staff have any access to the backend hypervisors where virtual servers reside nor direct access to the NAS SAN storage systems where snapshots and backup images reside PHYSICAL SECURITY OF THE SERVERS We use only premier data center facilities for colocating our equipment including Equinix Telx and Telecity The site is staffed 24 7 365 with onsite security and to protect against unauthorized entry The site has security cameras that monitor both the facility premises as well as each area of the datacenter internally There are biometric readers for access as well as at least two factor authentications to gain access to the building Each facility is unmarked so as not to draw any additional attention from the outside and adheres to strict local and federal government standards COMMUNICATIONS All communications are transmitted over SSL HTTPS for access to gentellfastcare com and we use SSH keys to access the site SNAPSHOT AND BACKUP SECURITY Snapshots and Backups images are stored on an internal non publicly visible network on NAS SAN servers FURTHER HELP Detailed procedural support is available 24 7 through the Fastcare Help button in in the upper right of the screen or through http fastcare freshdesk com solution categories Gentell Fastcare Login About Help Login Screen 22
23. me ae Bettina Test Nursing Facility 100 104 Tim Johnson Robert Mamott N DATE MWO gt Dare F OSSERVEO ma OL 04 09 2015 10 03 2014 AAA 5 OM oe Cre a Mixed Vascular Neuropathic Diabetic Surgical Burn MASD pa Granulation Other us AU a device for chair Hypergranulation i Erythema Redness Blanchable Slough a s Erythema Redness Non Blanchable Necrotic Hardness Induration Epithelial Intact O Muscle Tendon or Bone Maceration Other a ae Other Attached Unattached Rolled oO Pressure reducing device for bed Tuming repositioning program Nutntion or hydration intervention Pressure ulcer care Surgical wound care Application of non surgical dressings Applications of ointments meds other than to feet Application of dressings to feet 6 Scroll down the Evaluate Wound form to see a group of wound care products that you can choose with a single tap If you change your mind tap the product again When you are finished tap on Save Observation or Cancel at the bottom of the form If you are using a computer you may need to press the PageDn button to reach the bottom of the form 10 Calcium Alginate 2x2 Foam Bordered 6x6 4 Split Calcium Alginate Ag i A G Y E Silver 2x2 Foam Non Bordered 4x4 4x5 Split Collagen 2x2 Hydrocolloid Bordered 6x6 Non Bordered 2x2 wound Cleanser Transparent Film 2x3 Oil Emulsion 3x3
24. n the left side and select This makes all of the evals and orders available for printing REFERENCE CAN I DELETE INFORMATION IN FASTCARE IF INFORMATION IS DELETED IS IT TRACKED BY PERSON Fastcare 1s a hierarchical system that complies with HIPAA guidelines to ensure that only personnel who need to know patient information can view it and only personnel who work directly with the patient can edit 1t For instance a supervisor may view the patient record but cannot edit the record Fastcare only enables changes to the current data When a change is made Fastcare records the name of person making the change Only the most recent change 1s recorded Past data such as a wound evaluation cannot be changed in case of an error a user must request a change by emailing the system administrator When data is deleted it is not actually removed but marked as deleted so that it does not display the original data is archived Once wound data has been finalized it cannot be deleted or changed Fastcare provides a finalization process because the process of wound rounds can be hectic Experience shows that personnel require an opportunity to proof read their work before finalizing the data for the medical record CORRECTING DATA AFTER FINALIZATION Once the wound record has been finalized it cannot be changed by local personnel However mistakes can be corrected by emailing a Fastcare administrator who will usually make the corr
25. ntacting Gentell support A HARD BOOT IF YOUR TABLET HANGS Occasionally tablet computers will hang just like a desktop computer To re start the tablet hold down the Up Volume key on the side of the tablet and simultaneously hold down the Power button until the device re starts This will clear the current memory but most of your recent information should already be saved on the Fastcare server BROWSER SUPPORT On a computer Fastcare is supported on Google Chrome Firefox and Internet Explorer Ona tablet we use the Surefox browser which limits browsing to authorized Fastcare functions ATTENTION INTERNET EXPLORER USERS Microsoft has announced its attentions to discontinue Internet Explorer Beginning January 12 2016 only the most current version of Internet Explorer available for a supported operating system will receive technical support and security updates Please visit the Internet Explorer Support Lifecycle Policy FAQ here http support microsoft com gp Microsoft Internet Explorer for list of supported operating systems and browser combinations THE FASTCARE TABLET Fastcare is optimized for Motorola Android tablets with a Wi Fi or Verizon 3G or 4G connection Supported tablets include the Motorola Xoom the Motorola Xyboard and the Samsung devices The system operates on a secure server that receives the data immediately from the tablet no information is stored on the tablet itself CHARGING YOUR FASTCARE T
26. ssnessosrnresessrnnsenssnnrnsosnnnnseosnnnnsessnnns 21 Virtual Server Security Employee ACCESS sssessecseseceeseestessesteseseeseeseeseeseeatestestesaeseeneeneeneeneeatesnesiesaeeeeneenee 22 Phys Calo e cunoticias 22 COMMIT CAL ONS aaa a 22 Snapshotand Backup SECarity seins etcetera a aaa 22 Parner E a E o a 22 WHAT IS FASTCARE Fastcare is a wound documentation product ordering and reporting system that operates on tablet computers connected wirelessly to secure servers Fastcare sends orders instantly to wound care product suppliers and enables nurses to request and receive advice on wound treatment by sending wound images to remote certified wound specialists Fastcare is HIPAA and F314 compliant and generates compliance reports Fastcare is designed to improve patient care speed up order processing ensure that correct products are used for each wound reduce costs and ensure compliance SUPPORT Detailed procedural support is available 24 7 through the Fastcare Help button in in the upper right of the screen or through http fastcare freshdesk com solution categories Or contact Gentell or your Gentell Representative Gentell 2701 Bartram Road Bristol PA 19007 215 788 2700 EMAIL info gentell com FASTCARE ADMIN fastcareadmin gentell com REQUIREMENT FOR A WIFI OR VERIZON CONNECTION Fastcare requires a wireless connection in order to function Please ensure that your Wifi or Verizon connection is available prior to co
27. t make the password a single word or something like 234 because it may expose your data to unauthorized users Write down the password so that you can give 1t to the new user Gentell Fastcare Logout About Help Personne Screen Level Florence Nightingale Patient Facility Universal Nursing And Rehabilitation 0 106553 05 023 05 cr Nursing Home Universal Nursing And Rehabilitation 2 Add Facility Person Back to Facility Earl Dobson PHYS Jane Goodall Level II Florence Nightingale Level I THE FASTCARE REVIEW SCREEN When you first log into Fastcare you will see the Review screen which displays responses and messages from a Wound Care Specialist Gentell Fastcare Review Items from Wound Care Specialist Screen Senior Nursing Staff Florence Nightingale Patient Facility Universal Nursing And Rehabilitation E AE E AE Queue waiting for response No items from Wound Care Specialist to review If the list is empty there are no items to review If there are many items in the list the older items are at the top because they have waited the longest for your attention To review the newest items that might be off the bottom of the screen drag you finger from the bottom of the list to the top the list will scroll up and down To view any recommendation in the list tap the Show button at the beginning of the recommendation FASTCARE HIERARCHY Fastcare enables multiple groups of people to interact in a hierarchy
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