What is unique about the CPM documentation system?

» Based on a professional-practice framework and interdisciplinary scopes of practice.
» Promotes integrated services and documentation of processes of care: assessment,
problem-identification, planning, treatment/intervention, and evaluation.
» Incorporates evidence-based practice and strengthens clinical decision-making through use of Clinical Practice Guidelines (CPGs).
» Designed to enhance efficiencies and focusing on outcomes in the provision of healthcare across the continuum.
» Supports providers in delivering wholistic, individualized care.
» Addresses patient-safety and quality-improvement issues found in Institute of Medicine (IOM) Report, The Leapfrog Group and JCAHO.
» Provides content and design that supports automating clinical documentation and standardized language for coding and quality improvement data.

What does CPM documentation system include?

»Patient Profile

--History
--Significant Event/Transfer Summary
--Plan of Care
--Discharge Summary

» Clinical Practice Guidelines
» Education Outcome Records
» Patient Care Summary
» Specialty area tools for pediatrics, obstetrics, critical care, ambulatory care, behavioral health and other settings.

What are resources for implementing the CPM documentation system?

The CPM Resource Center provides services and tools for initiating and sustaining the CPM documentation system. Services and tools are based on the premise that documentation is a tool for strengthening professional integrated practice, and the CPM documentation system is identified as one key leverage element in a systems-thinking approach to creating integrated, professional practice and healthy work cultures. CPM Resource Center professionals work with key individuals in customizing implementation. Resources include assessments; workshops; conferences; consortium networking opportunities; phone and on-line consultation, and education materials (e.g. videos, handouts, books, instruction manuals).

What are outcomes reported by organizations using the CPM, including the CPM documentation system?

» Increased patient satisfaction
» Improved relationships between caregivers and patients; among interdisciplinary team members; between staff and administration; and between physicians and staff
» Increased workforce satisfaction
» Improved staff morale and productivity, with subsequent positive impact on recruitment and retention
» Improved quality in clinical care and documentation that has enhanced patient safety
» Increased efficiencies in care that save time and money
» 100% compliance with national accreditation scores

The interdisciplinary clinical documentation system meets and exceeds the 2002 JCAHO Hospital Accreditation Standards. 100% healthcare organizations using the CPM Resource Center clinical documentation system have reported compliance with standards.

Features that address JCAHO
» Supports team in integrating information and documenting on interdisciplinary forms such as history, plan of care, assessment/intervention flowsheet, education/outcome record and discharge summary.
» Wholistic assessments and reassessments
» Individualized assessment, planning and intervention
» Individualized care processes for specific patient populations (e.g.: infant, child, adolescent, adult)
» Functional status assessments
» Nutritional status assessments
» Pain Status assessments
» Evidence-based knowledge provided using Clinical Practice Guidelines
» Restraint assessment and documentation
» Patient Education/Outcome Records that include Pain, Nutrition, Safety and other parameters specifically related to diagnosis.