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DARWIN Applications

Electronic Chart

Patient Records

• Demographics
• Insurance
• Practitioners (e.g., primary nephrologist, primary nurse)
• Security Access by Clinic
• Emergency Contacts
• Emergency Orders

Problem List (Web-enabled module)

• Problems
• Vascular Access
• Episodes of Care
• Infections
• Progress Notes
• Medication Orders
• Hemodialysis Treatment Orders
• Shift/Schedule
• Prescribed treatment duration
• Target weight
• Dialysate
• Anticoagulation
• Procedure Orders / Results
• Lab Orders / Schedules / Requisitions / Results
• Peritoneal Dialysis Treatment Orders
• Method of Treatment (CAPD, CCPD, NIPD)
• Exchanges per day
• Dextrose concentrations
• Volumes
• Diet Orders
• Transfusions
• Assessments
• Dialysis Monitoring results

Notifications and Alerts

• Unsigned Orders
• Not Executed Orders
• Lab Alerts
• Clinical Alerts
• Lab Schedule Reminders
• Protocol Reminders
• Result Reviews
• Electronic Signatures

Protocols and Order Sets

This feature allows a clinic to setup their clinical protocols in the computer system, such as an Anemia Protocol or New Patient Protocol.

Medications

• Prescription printing
• Prior adverse reaction checking
• Drug-drug interaction checking
• Drug dosing recommendations based on kidney function and the American College of Physicians' handbook
• Patient education sheets
• Medication review
• History of medication administration

Hemodialysis

Treatment Records

• Physical Assessments
• Vascular Access Assessments
• Blood pressures and weights
• Administered medications
• Start time, end time, duration
• Complications of treatment
• In-center lab work
• Dialysis Monitoring Results

Peritoneal Dialysis

Clinic Visits

• Training, re-training, routine visit
• Blood pressures and weights
• Medications
• Assessments
• Complications
• Notes

Lab Results

File Transfer from DCI Labs - The vast majority of lab results in the Electronic Chart are electronically transferred from the DCI laboratories in Nashville and Columbia, MO. The Electronic Chart also provides for additional interfaces to outside labs via an HL-7 interface.

Kinetic Modeling

DARWIN’s Electronic Chart application performs automatic Hemodialysis Kt/V calculations using the Depner 2-BUN method. The application also performs automatic Kinetic Modeling calculation on Peritoneal Dialysis patients.

Transplant

• Transplant History
• Complications of transplant
• Waiting List Status

Risk Management

The Risk Management module enables the organization to monitor incidents at clinics that might involve legal risk, such as medication omissions, equipment malfunctions, and falls. Clinicians can enter occurrences and track them with a variety of reports. The occurrences are also rolled up to the corporate level to enable company wide monitoring.

Quality Management

The DARWIN Applications are used for management of QM data. The data collection, management, and analysis capabilities of the QM program and reports are described further in the Quality Management section of this web site.

Billing and Accounts Receivable

• Maintain records of primary, secondary, and tertiary insurance
• Set up and tracking of managed care contracts
• Daily reports for tracking treatments and medications to be billed
• Automatic generation of billing records from treatment and medication records
• Month end reports
• Electronic submission of Medicare claims
• Printing UB-92
• Posting Cash receipts
• Numerous reports for tracking receivables and cash
• Tracking of managed care contracts

Medical Reports

The Medical Reports contain over 300 medical reports and plots, which are written in Microsoft Access. The primary categories of reports include:

• Demographics
• Orders
• Flowsheets
• Medications
• Lab Summaries
• Care Plans
• Monthly Progress Notes
• Nutrition
• Short Term Care Plans
• Outcome Reports
• Outcome Monitoring Reports
• DOQI-compliant reports
• Vascular Access reports