Thinking about wording in GERs
As I am sure you all know, words are very important, especially in our corner of the world.
Last year, we even say the updating of ICD-9 to recognise more current thinking.
Now, we are looking at the wording with in the “Restraint Related to Behavior” and “Restraint Other”. The word “restraint” is quite understandably a very emotive one, bringing with it reminders of a shameful past. However, it is used in many states to refer to practices that are used appropritely and safely.
We would like to replace the word restraint and some of the related terms within those sections. Obviously where we have state forms, those forms will continue to use the state wording.
I hope to present alternative language soon (we are workign with our states on this).
I’d also like to know what you think.
:: Justin ::
Montana Incident Report Updated
Things are moving on apace in Montana since we won the RFP there. Hopefully you have been keeping track of all of Maureen’s travels around the state. We have now visited virtually every single provider in the State of Montana and the move towards a paperless state is gaining momentum!
As part of this process (and we are learning a lot along the way too!) we released an update last night (Therap 8.4.2) which simplifies the completing of the Montana State Incident Report.
:: Justin ::
More exciting times in Minot
Today was day two of the NDACF Conference in North Dakota. There are some great things going on here.
This morning I met with folks from Enable, HIT, and Community Options who along with Pride are pioneering sharing data between providers. It is a fascinating process to work out exactly who has rights to what information and who retains ownership. What makes it work is the fact that these agencies are committed to transparency, trust each other, and are looking for innovative ways to provide the best possible supports to the citizens of Bismarck and Mandan. It is through the work and leadership of people like these that we will develop even more comprehensive cross-provider features for the entire country.
We are also discussing a new pilot for providing state wide incident reporting through Therap from all North Dakotan providers to the State. Based on our experience in Delaware, this is going to be an amazingly smooth and swift state wide implementation.
Tomorrow, it’s time to come home.
:: Justin ::

The Return of "Return"
As I am sure you are aware, we had a bit of a usability hiccup in General Event Reports when we introduced the “Edit this GER” button.
There were actually a number of technical reasons for this, but it really doesn’t matter!
The Approve and Return to Submitter buttons are now back where the belong.
Enjoy Therap 7.3.13!
:: Justin ::
Reviewing and Returning GERs in Therap 7.3.10
In case you hadn’t noticed, we had a bit of an issue with the 7.3.9 release where GER reviewers couldn’t see the “Edit this GER” button and hence couldn’t attach files or return the GER to its submitter.
We have now fixed this and are working on making those buttons available directly on the GER.
:: Justin ::
Abuse and Neglect in Therap 7.2
When Therap 7.2 comes out on Saturday there are a whole bunch of changes which you can review here.
One of the most significant changes is that once a GER (incident report) has been submitted that has Yes selected for either “Abuse Suspected” or “Neglect Suspected” no-one will be able to see it unless they have the “Has access to Abuse/Neglect GERs” box checked on their user profile.
In order to be sure that you do not lose track of any GERs, be sure that you go in and edit the appropriate user profiles as soon as you can after the release of 7.2
:: Justin ::
How much information should a GER Witness get?
We are having an interesting discussion with a few customers, inside Therap, and over in the Forum about how much information we should give to a GER witness who does not have rights to the incident report itself.
This is most often the case when a DSP only has GER Submit and the GER itself is in Pending Approval state.
We’d love to know what you think, so please go and join the discussion.
:: Justin ::
Keeping abuse and neglect GERs private
Ever since Therap 1.0 (I think that was about 1923, it may even have been programmed by Mr. Babbage himself) there has been an issue with GERs that report or allege abuse or neglect. The problem is that anyone who can see a GER can also see that one, and that is not good for all sorts or reasons that you can probably work out for yourself.
We’ve brainstormed around bunches of different ideas, but never came up with one that was simple enough and effective enough… until now!
In Therap 7.2 you will be able to check the box (shown above) to give individual users the right to see a GER associated with abuse or neglect.
I’m really excited about this as a solution as I think it achieves everything we want and can even be expanded into other areas.
It’s worth noting that users who do not have this box checked will also not be able to set up notifications for abuse and neglect or view these reports as part of Management Summaries or Quarterly Nursing Reports.
I’d love to know what you think
:: Justin ::
Required information for Medication Errors
As you probably know, when completing a Medication Error GER (General Event Report) there is space for the medication to be entered both as it was ordered and as it was given.
It doesn’t always make sense to include both, but it’s not always obvious when each field is required, so below is a handy dandy table saying just that!
|
Medication |
Ordered |
Given |
|
Charting |
yes |
yes |
|
Omission |
yes |
no |
|
Order |
no |
yes |
|
Transcription |
yes |
yes |
|
Transcription |
no |
yes |
|
Transcription |
no |
yes |
|
Transcription |
yes |
no |
|
Transcription |
yes |
yes |
|
Transcription |
yes |
yes |
|
Wrong |
yes |
yes |
|
Wrong |
no |
yes |
|
Wrong |
yes |
yes |
|
Wrong |
yes |
yes |
|
Wrong |
yes |
yes |
|
Other |
no |
yes |
Hope this help, let me know
:: Justin ::















