Home care

A home care service: carers and nurses visit patients at home, for nursing, wound care, medicines and personal care. Kila runs it on the clinic’s screens, with Home visits switched on: “Planned visits at home, carers on their phones.” No demo business runs as a home care service: Afya Bora Medical Centre has Home visits switched on and shows the same screens.

What is special

• The day’s home visits. Clinic › Home visits: “The day’s visits at home, who goes, and what was done.” The day shows the Visits, those Done and In progress, those Late (over 30 min) (1) and those with No carer. Each visit shows its time, the patient, where they live, the service, how long it takes, the carer, and when it started and finished.
• A late visit. Choose the carer who goes, or mark it Missed (2) or Cancel it.
• Whose visits. Every carer shows everyone’s visits and My visits your own. Plan visits is where the visits are planned.
• The settings. Under Clinic office › Clinic settings, Dental and home care: A home visit is late after (minutes), 30 at Afya Bora Medical Centre; Carers’ phone position, Not kept or Kept at the start and the finish of a visit; and the Home visit tasks, one a line: Vital signs, Medicines given, Wound care, Personal care and bathing, Meals and fluids, Exercises and mobility.

Zoom

How Kila sets it up

The main screen is Patient queue.

Rules it follows:

• Clinical privacy: Patient records, consent and need-to-know access

Its words:

Most businesses	Home care
customer	patient
product	item
sale	bill
staff	practitioner

Its set-up steps

1. Business details and KRA PIN
2. Facility licence, MFL code and data protection contact
3. Branch, rooms and practitioners
4. Staff and their clinical roles
5. Carers and the first home visits
6. Services and prices
7. Lab tests, reference ranges and prices
8. Insurers, SHA and schemes
9. Medicines and consumables
10. First patient

Its home page

• Today at the clinic
• Home visits today
• My patients
• Triage now
• Prescriptions to dispense
• Waiting to pay
• Patient queue now
• Visits today by practitioner
• Revenue today by payer
• Insurance claims to submit and outstanding
• Claims ready and needing attention
• Medicines expiring or low
• Lab: tests waiting and critical results
• Wards and beds
• Payments waiting for confirmation
• Approvals and reviews waiting
• Licences, permits and returns due
• Services due and reminders

Roles it starts with

Kila’s standard roles, plus these:

• Doctor: Sees patients: notes, diagnoses, orders, prescriptions and results for those in their care. No refunds or stock adjustments.
• Clinical officer: Sees patients: notes, diagnoses, orders, prescriptions and results for those in their care.
• Nurse: Triage, vital signs, history and nursing care for patients with a visit open in their branch.
• Lab technologist: The lab queue only: samples, results, validation and release, and the lab report. No other part of the visit.
• Receptionist: Registers patients, books, runs the queue and records the payer. No clinical details; claims stay with the claims office.
• Health records officer: Registers patients and keeps their files, and compiles the MOH returns (counts, no names). No clinical notes.
• Claims officer: Insurance, SHA and scheme claims: eligibility, pre-authorisations, batches and remittances. No clinical details beyond the codes a claim needs.
• Care coordinator: Plans the carers’ home visits, follows them through the day, and keeps the patients’ files and families informed. No care notes.
• Carer: Their own home visits on their phone: start and finish at the home, the tasks, vital signs and a care note for the patients they visit. No other patient’s record.

What each one does, day by day: Care coordinator, Carer and Nurse.

Where to go next

• Health care: the visit from the front desk to the bill.
• Clinical privacy: who reads a patient’s clinical record.
• Clinic: switching home care on in a clinic.