How To Use Foresight:
The Web App
Intro to the Foresight Web App
How will Foresight help your Facility
Foresight lets Supervisors monitor care in real time and respond to emergencies faster
You see when and where serious behaviors occur, and you can set up alerts for any kind of behavior you want to be alerted about
Foresight provides clinicians data-based support for plan and medication changes.
One testimonial said “we got more behavioral information and insight out of a couple months of using this system than we got in 10 years of paper”
A clinician can quickly see what last week looked like, across a facility or for one Resident.
Foresight helps clients reduce behavioral medications and unnecessary hospitalizations and receive higher levels of reimbursement.
It’s been called enormously helpful for gradual dose reduction
We also have seen this help staff retention by increasing satisfaction on the job and by making their job easier by providing suggestions, guidance and training
The app is easy to use and staff get to feel more closely connected to the chain of care. We’ve also seen them form a stronger sense of a care community after using this app
Setting up your Facility
There are two ways of getting Residents and Staff into the Foresight system, one way is to add them one by one manually, and the other is to integrate with EHR. Our staff can help you through either process.
This section will discuss how to add a new Resident, edit an existing Resident, and look up information on any of the Residents.
• Adding a New Resident
It’s simple to add a new Resident. Let’s get back to the Residents List. (see if they can remember how to get there-- maybe ask if they remember, and give them a hint if they don’t.) Here’s a button at top, Add Resident. Clicking that, this screen is just like the Edit screen but it’s blank. You can enter the name, room number, group and so on, how often their observations need to happen, and what Target Behaviors this Resident has.
• Looking up info on a Resident
‘Click where it says Residents on the left. You’ll be taken to the Residents list. Let’s have a look at this page before we continue- at the top you’ll see filter controls, so that if you want to only see a certain group you can see just that group (have them try). Next, if you click on the name of a Resident, you’ll have some information come up about that person. Here’s where you can see a summary with their main behaviors and a summary message if someone’s written one.’
• Editing a Resident
‘From here, we can actually edit the information of this resident. (describe the edit button here and ask them to click) Here’s all the basic information for the resident is. If the care plan of the Resident changes, you can update that here. If you need to change what target behaviors this Resident has, you can edit those here. You can also change room number and group here. You’ll also find (if necessary ask them to scroll down) an area where you can type in a descriptive summary. You can enter whatever text you want here, and it will appear instantly on the phones of all CNAs and staff members looking at that Resident. You can enter instructions here, and you can highlight those instructions, make them bold, change their size. (ideal if you can show examples on your screen or on a phone here) Some examples: you could write what this Resident likes to talk about, you could put a reminder that today’s their birthday or they have a visitor, you could also put more details about their behaviors. You can change this summary as often as you want, and as soon as you hit SAVE it will appear on CNAs phones.’ (ask if there’s any questions about editing)
• Custom Behaviors
‘If the Resident has a custom behavior, some behavior that’s not on the list- what we do is we look for a behavior that’s similar-- say this Resident is known to claw at themselves. We have about 20 behaviors, organized into 4 categories: Aggressive, Disruptive, Mental, and Sleep-Related. (if necessary, and if time is good, elaborate that Aggressive are things that are more violent or hurtful in nature, Disruptive are things that are more rebellion or acting out, or disobedient in nature, Psychiatric behaviors relate to a psychological condition, and sleep behaviors are somewhat obvious) If you feel this behavior of clawing themselves is more aggressive in nature, you look in that category and you find Self Harming. You can select and then write a custom caption, ‘Claws at Self,’ and the staff will see ‘Claws at Self,’ so you can customize these names to be particular and specific and also familiar to staff.’
• Adding New Staff
‘When someone new joins your team or you need to add a new person to Foresight, first you start at the Users list, and you click Add New. The Add New screen is just like the edit screen, it’s just blank. You’ll notice you can set a Role for a person here. Roles are Staff, Manager, and Admin. Staff can only use the mobile app, they can’t add or edit anyone, they can’t see the Dashboard or download any reports. Managers can use the mobile app -and- the web app, they can do everything staff can do plus they can edit staff and reset their passwords, they just can’t edit Admins or other Managers. Admins can do everything, including edit Manager passwords and info, they just can’t edit -other- Admins than themselves. Always remember to SAVE at the end of creating a new User.
• Looking up Staff
‘Click where it says Users on the left. Here’s the list of Users, which is everyone with an account, all the Staff, Managers, Admins, etc. At the top is a search bar (if we have filters yet by this time mention the filters so they can narrow down who they’re looking at) And from here, you can click the EDIT button to open up more information about any staff.
• Editing Staff
‘The edit screen for Users is a lot simpler than the one for Residents. This is where you can change the User’s password if you need to, Users can change their name if they need to, and Users can also add their phone/email if they want to get alerts. I’ll get more into alerts later. If you click ‘disable’ it will put this person in the archive, it doesn’t delete them forever.
Click where it says Dashboard on the left. This screen is the home screen, it’s where you go to see an overview of the info for the facility. Some of this info concerns Users, some concerns Residents. (Verify the following information is the current Dashboard before proceeding to explain)
Overview / Utilization charts how many behaviors were observed, and how many Users were logged on, throughout the last 7 days.
Resident Behaviors shows the list of Residents with focus on what behaviors they had over the last day. From here you can see which residents had behaviors or serious behaviors and when, and we can also see periods of time where no one was logging in.
For those Operating Multiple Facilities
At the top of the screen you’ll see the name of a facility. Most people will have just one facility to choose from, but some people like Clinicians and Social Workers might have many facilities. So for those who have more than one facility, when you first open the app you might see ‘all’ and a dashboard that shows information for -many- facilities. When ‘all’ is selected you can’t do certain things like access the list of Residents. You have to choose some facility name, to see the Residents for that facility.
Messages and Alerts
‘Click where it says Messages to the left. This is your Message box. (Likely, they won’t have any messages yet. You can mention this. If so, refer to this in future tense) Here’s where your messages are going to be. They can be alerts generated from the system, or they can be (if this still hasn’t been released yet, tell them it’s an exciting upcoming feature) messages from other people using Foresight. You’ll be able to read them, archive them, respond to them here.
Usage Alerts vs. Behavior Alerts
Behavior Alerts happen when a serious behavior is observed in the facility, and Usage alerts happen when less than a certain percent of staff are logging in. A ‘serious behavior’ is any behavior you choose to mark as serious and get an alert for.
How to set up a Behavior Alert
‘Click where it says Profile to the left. (check to make sure this is still how the system works, before telling them this) Click to Add Behavior Alarm, and you can choose whichever of these you want. You can also choose a Custom Behavior after you create them.
Click where it says Reports / Observations to the left.
‘So this is your Observation Report. This is a list of all the observations in the last 24 hours (whatever the filter says) for all Residents. Up right, you’ll see the PDF button. You can actually immediately generate a PDF from this, you can give it a try.
‘Now you may want to refine and specify what report you get from this. See the filters at top, you can specify who you want this report to be about, whose entries [users] you want this to include, the time frame, and whether you want behaviors only. Now you can hit the PDF button, and you’ll get a report with just that information.’
‘Some of the common uses for downloaded reports is psychpharm meetings and care conferences.’