AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention

Functional Specifications

3. Specifications for Each Pressure Ulcer Prevention Report (continued)

3.2. Intervention History for Nutrition Risk Reports: High Risk and Medium Risk

3.2.1. Report Description

The On-Time Intervention History for Nutrition Risk Reports are companion reports to the two Nutrition Risk Reports. The report displays the same residents who are at high or medium nutritional risk that display on the Nutrition Risk Reports. The reports display dates of physician orders for interventions relevant to nutrition risk.

3.2.2. Dependencies and Clinical Assumptions

3.2.2.1. Physician order entry is required for this report.

3.2.3. Report Example

# High-Risk Resi- dents Room Diet Diet Changes Supple- ments PT OT Speech Social Services Psych Gastro- enterology Hospice Seen by: MD / PA or NP Chem- istry Micro- biology Hema- tology
1 Brown, M 201 Regular 1/3/14 10/4/13   1/2/14 1/2/14         1/2/14 11/27/13 7/3/13 7/3/13
2 White, D 209 Regular 10/20/13 9/2/13     10/18/13 11/2/13 12/27/13 11/13/13   11/13/13 11/13/13 11/13/13 11/13/13
3 Green, D 212 Pureed 12/23/13                 1/2/14 1/2/14 12/18/13 12/18/13
4 Orange, L 221 NPO 1/5/14   12/15/13             1/3/14 1/3/14 6/2/13 6/2/13
5 Pink, S 222 Diabetic 7/22/13 12/31/13                 7/25/13 2/18/13 2/18/13
6 Silver, C 237 Low NA 12/18/13       11/29/13           5/12/13 5/12/13 5/12/13
7 Reddish, R 238 Regular 9/6/13           12/4/13       9/6/13 12/4/13 12/4/13
8 Black, B 240 Pureed 10/3/13     1/2/14             2/18/13 12/4/13 12/4/13

Note: The Intervention History for Nutrition Risk Report is a new report that was added in 2014. Only the report for high-risk residents is shown. Separate Intervention History for Nutrition Risk Reports are produced for residents at high and medium nutritional risk.

3.2.4. Valid Input, Calculations, and Displays

  • The Intervention History for Nutrition High Risk Report displays the same residents who trigger for and display on the Nutrition High Risk Report.
  • The Intervention History for Nutrition Medium Risk Report displays the same residents who trigger for and display on the Nutrition Medium Risk Report.

3.2.4.1. Display residents in the same order displayed on the Nutrition Risk Reports.

3.2.4.2. For all physician orders, display the order with the most recent order date that is closest and prior to the report date.

  • If there is no physician order, then leave the cell BLANK.
  • Review all physician orders, current to oldest, to resident admission date and display date closest and prior to report date.
Report Column Data Source Valid Input & Display
Resident Name Registration Display the resident last name, first name or initial; use EMR vendor name format for reports.
Room Number Registration Display the resident room number; use EMR vendor format.
Diet Physician Orders Display the name of the resident’s current diet.
Diet Order Date Physician Orders Display the date the diet was ordered.
Supplement Physician Orders Display the date the supplement was ordered.
PT Physician Orders Display the date physical therapy (PT) was ordered or a PT consult was ordered.
OT Physician Orders Display the date that occupational therapy (OT) was ordered or an OT consult was ordered.
Speech Physician Orders Display the date that speech therapy (ST) or a speech consult was ordered.
Social Services Physician Orders Display the date that a social service consult was ordered.
Psych Physician Orders Display the date that a psychiatric consult was ordered.
Gastroenterology Physician Orders Display the date that a gastroenterology consult was ordered.
Hospice Physician Orders Display the date that hospice services or consult was ordered.
Seen by MD/NP/PA EMR vendor identifies source. Display the date when the resident was last seen by a physician (MD) or nurse practitioner (NP) or physician assistant (PA). If multiple dates, display date closest and prior to report date.
Chemistry Physician Orders Display the date of the most recent Chemistry order. If the system stores lab values, display asterisk (*) if lab value is abnormal or out of normal range.
Microbiology Physician Orders Display the date of the most recent Microbiology order. If the system stores lab values, display asterisk (*) if lab value is abnormal or out of normal range.
Hematology Physician Orders Display the date of the most recent Hematology order. If the system stores lab values, display asterisk (*) if lab value is abnormal or out of normal range.

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Page last reviewed April 2016
Page originally created September 2014
Internet Citation: AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention. Content last reviewed April 2016. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-functspecs3-2.html