A nursing home staff member is unable to get physicians to order necessary diagnostic tests (urinalysis) for a patient who shows clear signs of a recurrent UTI, despite staff consensus, putting the patient at risk.
There is no structured way for front-line staff (CNAs) to escalate clinical concerns and have them documented and acted upon by physicians, especially during off-hours (3rd shift).
Workarounds Described
- verbally tells nurses about the problem, who then try to talk to physicians
- no formal mechanism for 3rd shift staff to communicate with doctors
Implied Software Gaps
- A mobile app for CNAs to document clinical concerns and escalate them to physicians with structured data
- A facility-wide system to track and resolve clinical escalations with accountability
CareEscalate
CareEscalate is a mobile app that empowers nursing home staff (CNAs, LPNs) to quickly document and escalate clinical concerns (like suspected recurrent UTI) to the on-call physician with structured data. It provides a standardized symptom tracker, facility protocol reminders, and an escalation log that creates a permanent record. Physicians receive actionable alerts with patient history and staff observations, reducing delays in care.
- Patient-specific symptom tracker with UTI-specific indicators (cognitive change, mobility change, urine appearance)
- One-tap escalation to physician with structured clinical note and facility protocol reminder
- Escalation history log visible to all care team members and administrators
- Integration with EHR to pull recent lab results and antibiotic history
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