The patient-specific record that captures the location and duration of each patient's stay, regardless of the library pattern assigned. This record may be compared to the library pattern and to the expected pattern to analyze variances in LOS by level of care and/or total length of stay. See also Expected Pattern.
The acuity level of a patient at a point in time. Each acuity level is associated with a set of staffing ratios by skill with time of day/day of week adjustments.
Message that administrators can write to staff regarding requests and so on. Can be written and viewed from the Message Center of the Dashboard.
Stands for Admission Discharge Transfer: patient event information used in HL7 systems
Also known as Nursing Assessment or Patient Assessment. The gathering of information about a patient's physiological, psychological, sociological, and spiritual status.
The correlation of perceived qualitative demand indicators compared to the objective quantitative demand indicators. The assignment validation is created by combining utilization calculations from the acuity system with a structured set of interview questions answered by the primary caregiver responsible for a group of patients.
A special program feature used to assess patients for audit purposes. Acuity Audits always start with a blank acuity assessment that, when complete, is saved as an audit record. Audit assessments NEVER are used to calculate staffing and are only used to compare assessments between caregivers.
A chronological list of changes to the program database.
A request to NOT be assigned to a particular date or task. The employee is asking to be blocked from this date/task. Note that block requests are an optional feature; not all facilities allow this option to their employees.
A place on the user's hard drive where browsers automatically save files for reuse; cache files let browsers load web pages more quickly. Also used as a verb to describe this process.
An interim length of stay based on the duration in a level of care group.
One segments of a patient progress pattern. Care phases have start and end times based on HL7 transactions. A new phase begins whenever the patient’s location or level of care group changes.
The type or mix of patients treated by a hospital or unit.
The average diagnosis-related group weight for a hospital's entire Medicare volume. The CMI can be used to adjust the average cost per patient (or day) for a given hospital relative to the adjusted average cost for other hospitals by dividing the average cost per patient (or day) by the hospital's calculated CMI.
Information, such as the number of patients, for a particular category. This data may come from an automatic interface with a system that retrieves census data or from data entered in the Productivity dialog in the Client.
The part of the Staff Manager software suite that allows employees and schedule administrators to access scheduling tools and data over the intranet or Internet.
A list of upcoming competency (skill) expirations. Competency expiration alerts must have an associated threshold on the Profile Alerts tab of the Competency Type Maintenance dialog in Client.
Software that manages the patient transactions coming from the registration system into Staff Manager. Formerly known as NeoIntegrate.
Any DRG or Non-DRG-based library pattern.
The date defining data currently displayed in the program. The current view date can be the actual calendar date or it can be a date in the past or the future.
A library pattern that aligns to the current LOS goals and best practices of the organization for a DRG. A modification to a Standard DRG pattern creates a Custom DRG-based pattern.
Report displaying employees assigned for the chosen date by profile, shift category, and skill.
The home page of Clairvia Web; when users open Clairvia Web, the Dashboard is the first page they see.
Option for viewing data. With day view, partitions are contained in the hierarchy. To move between views, click the corresponding radio button. See also Partition view.
The skill value Staff Manager applies to non-skill-based tasks, such as Education, Sick, and Vacation.
The act of measuring, predicting, and tracking patient demand for services as the driver for resource deployment decisions, especially staffing
Workload defined to enable the calculation of workload in real-time, as differentiated from workload that is calculated for an entire shift.
The date/time the patient will leave from the current nursing unit (for location-based patterns) or level of care group (for patterns defined by level of care).
A system to classify hospital cases into one of approximately 500 groups, also referred to as DRGs, expected to have similar hospital resource use. The system was developed for Medicare as part of the prospective payment system.
A library pattern that aligns exactly to the current Standard Total LOS for a DRG (Diagnosis-related Group).
The generic term applied to any documentation system that provides data for the purpose of generating an acuity level and acuity-based staffing. This term is often used interchangeably with Electronic Medical Record (EMR). In the near future, acuity will be generated from data captured through a Clinical Documentation Architecture (CDA).
The generic term applied to any documentation system that provides data for the purpose of generating an acuity level and acuity-based staffing. This term is often used interchangeably with Electronic Medical Record (EMR). In the near future, acuity will be generated from data captured through a Clinical Documentation Architecture (CDA).
Enterprise Staffing provides administrators with a read-only view of staffing data. This staffing data may be customized to deliver information for multiple profiles, days, and employees.
The number of paid hours an employee is expected to incur based on the FTE specified for each job. Staff Manager calculates this by looking at the FTE Conversion Factor (Daily) stored for each profile on the AutoStaffing tab of the Edit Profile dialog in Staff Manager Administrator.
The complete pattern associated with a patient at any point in time to which a patient's actual pattern is compared. It may be identical to a library pattern or may have been edited by a user. User edits to the departure and discharge dates for each patient create expected patterns. For patients that have not yet been discharged, the future portion of the patient's pattern is the expected pattern. See also Actual Pattern.
A position that has an employee associated with it, regardless of what the position status is.
A device for limiting the amount of data shown on the My Schedule, Requests, Profile, and Reports pages.
Employees working in a profile where they do not hold a job. For example, if an employee has two concurrent jobs on a given date, any hours worked outside those two profiles will be counted as float hours and the employees as a float employee. See also Float hours.
Any hours worked in a profile where the employee does not hold a job. For example, if an employee has two concurrent jobs on a given date, the hours worked outside those two profiles are counted as float hours. Float hours affect several Web reports, including Schedule, Housewide Staffing, Daily Staffing Board, and Turnover. See also Float employee.
Health Insurance Portability and Accountability Act
Health Level Seven: a protocol for sharing clinical information between healthcare applications.
Refers to a piece of software that allows an HL7 system to send admission, discharge, and transfer information to the Staff Manager solution. See also HL7.
The physical location that may be the same as the profile or a subset of the profile. The HL7 message includes the Facility, Unit (Point of Care), Room, Bed and Bed Status. See also HL7.
The number of days in advance for which staffing is predicted using the Predictive Staffing module.
This report displays the planner-based staffing (core or target) and actual hours or FTEs scheduled with one or more variances.
Abbreviation for Human Resources Information System.
A list of all non-cleared exceptions from an interface run for selected profile(s). To run the exception report, click the Run Report button at the bottom of the HR Interface Employee Maintenance page.
The International Statistical Classification of Diseases and Related Health Problems (ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or disease. Under this system, every health condition is assigned to a unique category and given a code. Each code is up to six characters long. ICD codes are used for morbidity and mortality statistics, reimbursement systems, and decision support.
The window or page where a user works with a program. In Clairvia Web, the interface is any page shown in the user's browser window. Also, a sub-program that allows the program to communicate with other computer systems, such as a time and attendance system.
An ongoing audit function needed to monitor the quality of the nursing assessments performed and used to determine patient acuity. The “Patient Acuity Assessment” page is made available to an auditor, who then performs a random and independent assessment of selected patients. The result of the assessment is compared to the caregiver’s assessment and reports are generated that identify individual and overall variation.
The duration of a patient's stay as measured by care level, care phase, and/or total (admission to first inpatient unit through discharge).
One or more care nursing units, defined by the user, as like units based on the relative intensity of service or nursing care provided.
An average length of stay defined for patients with similar characteristics. Library patterns are automatically assigned to patients based on data received by Staff Manager from a Registration import interface, or from data updated directly by users in Staff Manager, at which point they become the patient's expected pattern. Library patterns may be used for comparison purposes.
One or more locations, defined as like locations used to prevent the assignment of a new pattern when a patient is transferred.
One or more HL7 units, defined by the user, with a relationship to one profile at any point in time. Each location is associated with a primary profile.
A group of rooms, beds or a single bed, with a relationship to one location and/or profile at any point in time.
A library pattern defined by location. There are two types of location-based patterns: Location Patterns (library patterns that align to the average LOS for a location) and Location-Service Patterns (library patterns that align to average LOS goals for a location and HL7 hospital service combination).
The process of entering a user ID and password to open the program; not applicable if a facility has been configured for single sign-on.
Command on the navigation toolbar that is used to leave the program. As a security measure and best practice, users should log out before closing their browsers.
Categories formed by dividing all possible principal ICD diagnoses into 25 mutually exclusive diagnosis areas; the first step in assigning a specific DRG to a pattern. The diagnoses in each MDC correspond to a single organ system or etiology and are, in general, associated with a particular medical specialty. MDCs provide high order categories to focus on entire body systems. Each non-location-based Library pattern is associated with an MDC. The MDC is used for reporting purposes.
Optional module for MyDashboard. If configured, the Message Center indicates when a message has been sent to a user. If there are no messages, You have no new messages will appear. Unread messages appear as a blue link. The Message Center is in the lower right corner of MyDashboard.
Date format indicating that the user should enter the date using the two-digit month, the two-digit date, and the four-digit year. Example: 02/08/2004 is the mm/dd/yyyy format for February 8, 2004.
Nursing Outcomes Classification. A structured taxonomy used to describe a patient's progress towards a goal or outcome that has been identified as a result of a nursing assessment. The NOC taxonomy has a five level structure that includes (from highest level to lowest) 1) NOC Domains, 2) NOC Classes, 3) NOC Outcomes, 4) NOC Indicators, and 5) Measures. All users employing direct entry will use the NOC taxonomy, prioritized by service to start.
The second level in the hierarchy of NOC outcomes. NOC Outcome Classes may not be modified by individual organizations licensed to use the NOC Taxonomy and therefore represent a set of outcome indicators that can be used as a standard across institutions and can provide a comprehensive set of data points addressing the major aspects of patient care across the care needs continuum found in provider institutions. As of the Fifth Edition of the Nursing Outcomes Classification (NOC): Measurement of Health Outcomes (S. Moorhead, M. Johnson, M. Maas, E. Swanson) there were 32 classes defined.
The highest level in the NOC hierarchy of outcomes. There are seven defined domains, which are used to group outcome classes: 1) Functional Health addresses the basic tasks of life; 2) Physiological describes organic functioning; 3) Psychosocial Health addresses psychological and functioning outcomes; 4) Health Knowledge & Behavior focus on attitudes, comprehension, and action related to health and illness; 5) Perceived Health helps determine individual’s impressions; and 6) Family Health looks at the effect of the functioning of the family. The seventh domain, Community Health, is not currently used to address a patient’s situation while in hospital.
The fourth level in the NOC Outcomes hierarchy, indicators are the observable criteria used in assessing a patient’s progress towards a specific NOC Outcome. Each indicator is identified by a four-digit outcome number followed by a two-digit identifier. Each NOC Outcome has several suggested indicators; however, individual nursing organizations can modify or change the wording associated with the outcomes and indicators to match their own organization’s situation. NOC indicators are relevant only when a CDA import is used to generate acuity, as they are captured and rolled up to the associated outcome.
The fifth level in the hierarchy of NOC outcomes. A NOC measure is a five-point Likert-type scale that quantifies a patient outcome or indicator status on a continuum from least-to-most desirable and provides a rating at a point of time.
The third level in the hierarchy of NOC Outcomes. Outcomes are the observable criteria used in assessing a patient’s progress toward a specific NOC Outcome. Each NOC Outcome is identified by a four-digit number and has several suggested indicators. Individual nursing organizations can modify or change the wording associated with the outcomes and indicators to match their own organizations situation. This is the lowest level of the NOC taxonomy incorporated in the Staff Manager acuity direct entry assessment.
Not beside each other. For example, Monday and Tuesday are contiguous days, but Monday and Wednesday are noncontiguous days.
A library pattern that aligns to the current LOS goals and best practices for one or more ICD codes, Diagnoses, and/or Admit Reasons.
A patient-specific goal, status, or desired outcome that is used in the assessment of a patient as a measure of patient progress.
A set of outcomes evaluated using a Likert scale for a patient at a point in time. An outcome assessment includes both required and optional outcomes sets. Sets are defined by location or by a location/hospital service combination. Required outcomes are displayed before optional outcomes on the “Patient Acuity Assessment” page.
The definition of an outcome as provided by the source (such as NOC).
The raw score calculated by multiplying each Likert score by its Outcome Group Weight and adding them for a patient.
The result of multiplying the outcome rating (using the adjusted Likert scale) by the outcome weight for a patient.
The collective database of outcomes that will be used for all patients. For the purpose of this program, these are defined by the 330 NOC Outcomes. When referred to as Required Outcome Set, this is also the set of outcome groups associated with a hospital service or a hospital services/location combination.
Each Outcome carries a weight indicating the relative importance of this outcome to other outcomes assessed for patients in this location and hospital service. The assignment of a weight to an outcome by location and or location/service combination makes the outcome required in a patient assessment.
Options for viewing data. With partition view, partitions display at the column header. To move between views, click the corresponding radio button. See also Day view.
A series of phases a patient goes through from admission to discharge, where the phases are defined in terms of desired or actual outcomes for the patient. There are three types of patterns: Standard Library Patterns, Target Patterns, and Actual Patterns.
Also known as a Patient Progress Pattern, a pattern is an outline of a patient’s entire hospital stay that, at a minimum, is defined by location and duration.
The date/time the patient arrived to the first inpatient nursing unit. This date/time marks the start of the patient's progress pattern.
Pattern assignment is done upon initial admission to a profile or location, transfer to a different Profile or location (provided it is not a “like unit”) and upon a change in hospital service if a standard pattern exists for that service in the profile/location.
Data element(s) used to assign and manage library patterns for each patient. Assignment criteria are hierarchical for initial pattern assignment starting with DRG Code (admitting, working or final), primary ICD code (admitting, working, or final), diagnosis (admitting, working, or final), procedure, admit reason, and location (when no criteria are received or matched to a library pattern). Criteria may be received from a Registration import interface or users may update the data directly in Staff Manager.
A segment of the pattern, with a start and stop time, also referred to as a care phase. A new phase begins when the patient’s acuity changes and/or his location changes.
Report that includes detailed information and analysis on an organization's positions.
Generates productivity information by hours, FTEs, or hours per Unit of Service.
A term used in the program to represent a group or department. For example, a profile named 6N Med Surg represents the sixth floor north Medical/Surgical department.
Any event expected to occur in the future based on the standard progress pattern.
A patient who is admitted multiple times under the same encounter number.
A set of user accounts that has permission to complete certain tasks and access certain information. These settings are maintained in Administrator.
The division or category to which a profile is assigned; for example, the profile 6N MedSurg could be assigned to the Surgical Service Line.
Defined 24-hour staffing day. A shift category is divided into partitions to mark the primary shift length for that unit.
A block of time during a Shift Category where certain types of skilled employees work. For example, a shift category called Nursing might have three 8-hour partitions called Day, Evening, and Night.
Special opportunities managers create to fill urgent staffing needs. Users can choose to receive ShiftAlert information by telephone, email, and/or text message.
A configuration used in some organizations that allows Staff Manager to identify users by their network user ID and password. Members of organizations with single sign-on (SSO) do not need to enter an additional ID and password to log in to Staff Manager, although they may be asked to choose a database when opening the program.
The minimum number of minutes an employee has to work past the shift partition for the minutes to count on the next shift. Spill-over may affect the start or end of a shift.
The person or persons at your facility in charge of the use and support of Staff Manager applications, including Clairvia Web. Also the name of the configuration portion of the Staff Manager software, Staff Manager Administrator. Staff Manager Administrator is used to set up and modify the Staff Manager suite.
The part of the Staff Manager solution that handles the complex, data-intensive task of schedule creation and maintenance. This part of the program is not available over the intranet/Internet, but only on those computers used by schedulers.
Staffing alerts include the profile, variance by skill (planned - actual), and date. If an administrator user clicks a staffing alert, Enterprise Staffing will display additional information about the alert.
Defined times of the day when the census or other acuity value or values are pulled to make decision on staffing for the next shift. The default in Staff Manager is two hours before each shift category partition, defined by unit; however, this may be adjusted.
Report lists staffing needs by skill; sorts by profile and shift category partition. Also contains cells to be used when the report is printed so users can enter employee names to fill staffing needs.
A pre-defined Pattern defined for a group of patients with similar characteristics defined by a length of stay and default acuity level. Patterns may be based on location or hospital service and location.
The automated assignment of a Standard Pattern is done by matching up to 2 patient characteristics (hospital service and/or location) against the patterns in Standard Pattern Library. The default pattern will be LOS by profile.
An update to a patient’s Standard Pattern that sets a “goal” for the patient. Each patient is assigned a Standard Pattern from the library upon admission; once the departure date and time is updated, this pattern becomes the patient's Target Pattern.
Thresholds indicate staffing needs for a particular skill during a specific time (shift category partition). Enterprise Staffing uses thresholds when analyzing overstaffing and understaffing. Thresholds are set in Workload Planner in Client.
A series of commands that usually runs horizontally along the top of a page; also known as a menu. In Clairvia Web, the navigation toolbar is at the top of each page.
The number of calendar days a patient stays in the hospital from arrival to the first inpatient unit to discharge.
Defined as a move from one location to another. Does not include room and/or bed swaps within an existing location. The receipt of a HL7 message event indicates a transfer has occurred.
The number of employees terminated or transferred out of a profile during a given time period. Clairvia Web calculates an annualized rate of turnover by profile in the Turnover Report.
Unlicensed Assistive Personnel
Skill value Staff Manager applies to profile skills that have not been mapped to a global skill in those reports and views (such as Enterprise Staffing) that use global skills.
A percentage arrived at through the equation of Target Hours or FTEs divided by Actual/Scheduled Hours or FTEs
The difference between Budgeted FTEs by skill and Filled FTEs.
A position with no employee associated with it, regardless of what the position status is.
The sum of the weighted outcome scores divided by the sum of all outcome weights.