When it comes to software, the needs of speech therapy practices are not unlike those of any other ambulatory care medical practice. Speech language pathologists (SLPs) want to automate onerous or repetitive tasks, streamline documentation, easily access clinical information, code for optimal reimbursement and comply with relevant regulations. Example revenue report from Kareo, a solution for many practice types including (SLPs) But speech pathologists have unique needs of their own, as well. They usually have complex documentation management needs, and may want to cater to various American Speech-Language-Hearing Association (ASHA) recommendations. Additionally, each individual practice will have its own requirements. Some will need a full-fledged electronic medical records (EMR) system for clinical documentation and support.

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Some will need practice management functions, such as appointment scheduling and medical billing. And some practices may need both speech therapy EMR software and speech therapy practice management software. In this guide, we outline some important considerations for SLPs evaluating software options. The patient scheduler of WebPT, a therapy-centric software that offers speech therapy solutions Evaluating Speech Therapy Software Here are some important features to consider when evaluating software for speech therapy: Document management Speech therapy practices typically need to manage a high volume of documentation. You’ll want software that can store and manage all of your forms. Speech therapy CPT & ICD coding The software should be able to reference current CPT and ICD code sets.

Some software will even allow users to select “favorite” codes for frequent procedures or exams so that they can be pulled up quickly; other systems may suggest codes automatically. Speech therapy-specific templates Many EMR systems will include templates specifically designed to help SLPs record their most typical evaluations.

Examples include templates for various types of swallowing exams, voice exams and language/cognitive communication exams. Speech therapy-specific lists Some EMR systems offer custom lists for lab orders, procedure orders and radiology orders. PQRS support SLP practices can avoid penalties on Medicare Part B payments by reporting Medicare Physician Quality Reporting System (PQRS) measures. Some software will include preloaded G-codes and modifiers to help automate this PQRS reporting. Certain practice management systems are also tailored to speech therapy and rehabilitation contexts via custom workflows. Not every software solution will include all of these features, and you may not need all of them (or you may need some to a greater or lesser degree than others). Your practice should identify the features most important to you before you begin evaluating software.

One important consideration to note is that the features we list above are designed to assist providers with record-keeping, scheduling, billing and other tasks. There are also speech therapy solutions on the market for patient usage. This category of software helps patients to practice at home with guided drills, and is particularly prevalent in the treatment of aphasia, stroke and similar disorders. While this buyer’s guide covers solutions for provider usage, we’ve done a on speech therapy software for patient drills. Important Considerations Aside from the speech therapy-specific features of the software you evaluate, you’ll want to weigh some additional factors, such as: Integration requirements. In the realm of speech therapy software, some practices may need an EMR, others may need speech therapy scheduling software and still others may need a medical billing solution—and many practices need all of the above. One such application by itself is called a “standalone” or “best-of-breed” system.

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Conversely, software that integrates multiple applications in one package is known as an “integrated suite.” Integrated suites offer both practice management functionality (scheduling, billing, patient portals etc.) and an integrated EMR system. Alternatively, you can look for a standalone EMR system that’s tailored to the needs of speech therapists. Nearly all speech therapy solutions designed for patient usage are sold on a standalone basis. Most of the practices we talk to are looking for integrated suites (both EMR and practice management). However, there are a couple of scenarios in which you might want to consider a standalone application:. If you currently outsource your billing and don’t plan to bring it in-house, you wouldn’t need your own speech therapy billing software program. If you have a solution in place for one application that you don’t want to replace, but using that same vendor for another application isn’t an option (for example, if the vendor doesn’t offer it), you may want a best-of-breed solution for that other application.

You need software that supports guided drills so that patients can get additional practice, since this functionality isn’t included in either EMR or practice management systems. The claim control center of CGM DAQbilling software, an integrated billing and scheduling solution Software as a Service (SaaS). SaaS solutions—also known as “cloud-based” or “Web-based” solutions—are those which are deployed online and typically accessed through a Web browser. This is in contrast to an “on-premise” solution, which is installed locally on a practice’s own servers. On-premise solutions typically require a larger upfront investment in hardware and installation, as well as payment of an upfront license fee (to own and operate the software). Web-based solutions usually come with a lower upfront investment, but are priced under a recurring monthly subscription fee, such that over the life of the software the. The ePrescribing screen of the MedLedger EHR, a Web-based system Advantages of on-premise solutions include direct control over the software system and how it is accessed, since it’s hosted at your physical location.

Advantages of Web-based solutions include easy remote access (since the system can be accessed over the Internet), data recovery in case of physical damage to your office or computers and, typically, instantaneous updates (since updates don’t have to be installed on your servers each time). For more information on Web-based systems, check out our. Mobile support. Mobile support refers to the ability to easily access and use your software on a mobile device, such as a tablet or smartphone. This may be especially important for speech pathologists who visit client homes and wish to document exams at the point of care.

As more and more medical practitioners use mobile devices professionally, software vendors are increasingly developing mobile apps. If you want speech therapy software for your iPad or iPhone, be sure to ask the vendors you evaluate whether they offer mobile support. Remember that even though Web-based systems will usually be accessible via the Web browser of a mobile device, you’ll still want an app designed especially for use on a tablet or smartphone. (Otherwise, you’ll be accessing an interface designed for a desktop screen, which may be unwieldy on a smaller screen.) Check out our or our for more details on mobile support.

Complete Question: “I'm looking for acuity tools for nurse-patient assignments. I live in Maine so staffing isn't based on ratios. Does anyone have a tool or resource that I could use?” Answer: Upon investigation of your clinical question, members of the committee have provided their expertise in regards to acuity tools for nurse-patient assignments. There is limited amount of research pertaining to nursing acuity tools. Some tools are geared towards critical care versus acute care. It is important to use the appropriate tool for the specific patient population. One example of an acuity tool is based on the AACN Synergy Model.

This process translates patients score into nurse patient assignments, based on patients’ stability, predictability, vulnerability, complexity, resiliency, patient/family participation in decision making and available resources. The hospital at Indiana University Health Ball Memorial uses these areas in the PCU as acuity measures: complicated procedures, education, psychosocial or therapeutic interventions, oral medication, complicated IV drugs and other medications (Kaiser, 2014). Once a tool is created, the acuity tool will be translated into equitable patient assignments.

Charge nurses of other designees will need to collect the data from the primary, direct-care nurses and calculates a total acuity score for each patient as well as the overall unit. After the scores are tabulated, patients assignments can be arranged based on these scores to keep as much of an equal balance as possible.

Charge nurses, or other designee, needs to also consider the geographic location of rooms on the unit, need for continuity of care, and congruency between nurses’ expertise and patient needs. The acuity scores guide management and nurse leaders at the bedside in deciding the number of staff for each shift and will help in developing appropriate staffing levels.

Listed in the references are great publications that may help you develop an acuity tool for your institution. References:. Hendren, R. Planning Nursing Staffing with a Patient Acuity System. Retrieved from.

Harper, K. (2007) Acuity Systems Dialogue and Patient Classification System Essentials. Nurs Admin Q. Retrieved from. Kaiser, M., et.

A New Patient Acuity Tool Promotes Equitable Nurse-Patient Assignments. American Nurse Today, 9(3).

Retrieved from. Kidd, M., et. (2014) A New Patient Acuity Tool Promotes Equitable Nurse-Patient Assignments. American Nurse Today. Retrieved from:.

Kohr, L.M., Hickey, P.A., & Curley, M.A. Building a Nursing Productivity Measure Based on the Synergy Model: First Steps. American Journal of Critical Care, 21,(6), 420-430. Retrieved from. Thomasos, E., et.

Clinical partners' perceptions of patient assignments according to acuity. MEDSURG Nursing, 24(1), 39-45. (Published October 2015) About the AMSN Clinical Practice Committee (CPC) The CPC responds to questions clinical queries. The CPC members are clinical nurses, educators, faculty, and advanced practice nurses from across the country. We perform brief literature reviews and query our member hospitals to determine best practices in order to address your question.