GAINING ACCESS TO BLUESTONE BRIDGE (2 step process)...Go to BluestoneMD.com and in top r ig ht corner of web pag e clic k on “Ne w Use r ” lin k un der Bluestone Bridge button

Bluestone Bridge Community Staff User Guide Desktop-Version 2.0

The Bluestone Bridge is a secure online communication tool that allows members of a patient’s care team (family, nursing staff, provider team, home health or hospice agency, etc.) to exchange medically relevant messages between regular visits. Community staff may access the Bridge to correspond with provider teams regarding patients residing in their buildings who are enrolled into the Bluestone program. This access will allow community staff to send, receive, and view care messages thereby keeping staff up to date on the patient's current needs. Please note that all users who have access to a patient (provider teams, service vendors, community staff and family) must have individual logins and can see the patient’s entire message history.

Gaining Bluestone Bridge Access Pg 1-3

Logging into Bluestone Bridge Account Pg 3-4

Navigating the Bluestone Bridge Account Pg 4-5

Searching for a patient Pg 5-6

Viewing Subgroups Pg 6-7

Managing Your Inbox Pg 7-10

Message Actions Pg 10-12

Creating Messages Pg 12-16

INR flowsheet Pg 16-19

Family/Guardian access to Bridge Pg 19

Scheduling Pg 19

GAINING ACCESS TO BLUESTONE BRIDGE (2 step process) STEP 1 - Complete User Account Registration Go to BluestoneMD.com and in top right corner of web page click on “New User” link under Bluestone Bridge button.

Owner, Title: Training Department Original Effective Date: 06/2016 Revision History: 12/2016

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http://www.bluestonemd.com/


User will be prompted to create account by completing various fields including name, email, user type, etc. Once finished click Next.

Select appropriate user type, either “Nursing Staff” or “Community Staff - Non-Clinical”. Next, select Facility and job title.


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After completion, user will receive automated email registration confirmation to instruct user to click on link to validate email address and complete second step of registration.

STEP 2 - Community Staff Registration Form Fill out a Community Staff Registration Form which can be found on BluestoneMD.com under Home->Residential Staff Forms at the bottom of the page. Once complete, fax to designated fax number. After both steps are completed, user will have access to all patients within identified community within one business day.

LOGGING ONTO BLUESTONE BRIDGE ACCOUNT Log in to the Bluestone Bridge, at BluestoneMD.com and click on Bluestone Bridge in the upper right hand corner to get directed to the Bridge login page.

Enter email address and password created from registration step. Click blue hyperlinks if unsure of username or password to be forwarded to appropriate area. PLEASE NOTE, usernames and passwords cannot be shared, each user must register individually.


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NAVIGATING THE BLUESTONE BRIDGE Once logged in, four tabs are located in the upper right side of the Bridge - Home, Messages, Patients and Facilities. User account will always open to the Home tab where user will see regular announcements, updates and have access to training materials.

Messages tab will be the screen to view message inbox.

Patients tab will be the screen to view all patients nurse can access.


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Facilities Tab will be the screen to view all facilities nurse can access.

SEARCHING FOR A PATIENT The most efficient way to search for a patient is via the search bar in the upper right corner of the page. This search bar appears on all tabs. Search by typing in patient’s last name and results will appear in the drop down window. Click on patient’s name.

Selecting a patient within the Messages tab Use the search bar or click on Select Patient magnifying glass icon.

This will open up a window to type in the patient’s first or last name


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VIEWING SUBGROUPS If Bluestone sees different groups of residents at different times, they can be separated into Subgroups on the Bridge. The Bluestone team is responsible for creating these groups. To view them, click on Facility Name in top right corner

Click on “View Subgroups”

Click on each subgroup to view the patients housed in that specific group.


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Each new enrollment will be put into Entire Facility until the Team Lead or Clinical Assistant moves them into the correct group.

MANAGING YOUR INBOX Click on Messages tab at top right hand corner to access inbox.

Any messages in the inbox will appear on the left hand side of the message’s page.


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The Inbox is sorted into four different tabs:

● Do List: This tab is for any messages that require nursing attention. ● In-Progress: This tab reflects messages that are still in process. Some may be waiting

for provider approval or review. ● Completed: All messages that have been marked “Complete” will fall into this category. ● Sent: Messages the user has sent.

The following Icons may be shown within any individual message

Icon Function

Indicates message has not been opened or reviewed.

Indicates message has been opened or reviewed by user.


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Indicates order attached to message (with the number of orders)

Indicates that INR flowsheet has been updated, proceed to INR flowsheet.

Indicates Fall Report message type

Urgent message

The following colors designating user type may appear in the inbox

User Type

Bluestone Physician Services Provider Team

Community Staff

Non-Clinical Community Staff

Service Partner

Family

Bluestone Physician Services Admin

Click on an individual message to open it.

The message content will populate on the right side of the screen and you will see the following:


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1. Message from provider team and message history. 2. Current message status i.e. Nursing attention, provider attention, etc. 3. Order details if applicable. Please note, to print signed order - user will click on printer

icon. 4. Actions for message - Comment, Mark Complete, Print or Hide Message

Message Actions Commenting Users can comment on messages if needed using the “Comment” button. Commenting on a message will add a note to the message history and change the message status to Provider Attention. Once the provider team comments on a message it will switch back to Nursing Attention.


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Marking Complete To mark a message complete, click on the message from your “Do List”. Click on “Mark Complete.” Please note, this will place the message in the Completed folder of the inbox and will fall off ALL user’s Do List.

Printing Orders To print orders first select the message from the inbox. If a message has orders attached they will appear above the message. Approved orders can be printed by selecting the Printer icon.

Flag Message User can click “Flag Message” to save the message to the inbox for later review.


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Hide Message User can click “Hide Message” and this will hide the message from the user's inbox.

CREATING MESSAGES There are several message types that user will create to identify specific needs or requests to be addressed. To see and choose which message type you will send select the correct patient and click “New Message.”


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Provider Message To send a message, user will click on Provider Message. This will present a free text box to enter in information like general patient observations, updates, etc. User will use “Add New Order” feature to include order information requiring sign off.


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To add an order to message, user will enter in order information in entirety and click “Add New Order.” This feature can be used to include general orders as well as medication orders. Please note, providers are unable to refill controlled substances via the Bluestone Bridge.

Multiple orders may be attached to one message by clicking “Add New Order.” When everything is complete click “Send Message.”

INR Observation To relay INR information, user will select the INR Observation message type to bring up the INR Flowsheet. This shows all previous INR results and orders for dosing and lab draws. To add a new INR result select “Add INR.” Administrative Inquiry (Non-Clinical) User will utilize this message type to communicate with provider support staff about non-clinical items such as scheduling, medical records, enrollment, etc. This message will attach Bluestone Clinical Assistants and Team Leads by default


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.

Report Fall Incident To relay fall incident, user will select “Fall Incident” message type. A message screen will pop out prompting the user to fill out details regarding the fall. Use the drop down menus/free-text for each item to fill in all fields. Some fields may be left blank and extra notes can be added to the Notes field. When ready, click “Send Message.”

INR FLOW SHEET


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Click on INR blood drop icon within patient profile. This will open up the INR flowsheet.

Choose a DX from the drop down menu and click Save Diagnosis or clear the field and free text a different diagnosis and click Save Diagnosis.

Click “Add INR” to enter a new value. A second window will appear where user will enter INR draw date, current dose of anticoagulant, INR result and any pertinent notes. This will post to flowsheet as an open order, which will relay directly to provider team to address. Please note, do not send additional message stating that INR has been posted, it is not necessary.


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Once INR is logged, the row will have an EDIT/DELETE button. The provider will review the lab and respond with an updated INR order. Users cannot add new INR results until previous orders are approved.

Once the provider has approved the INR order, user will receive a message in inbox which states an “INR flowsheet entry has been added.” which will alert user to check INR flowsheet.

User will be able to print off INR information by clicking on Printer Icon next to desired item in INR Flowsheet.


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FAMILY/GUARDIAN ACCESS TO BRIDGE Please note that many Bluestone patients have family members or guardians who actively participate in patient care. BPS requires appropriate Health Care POA or Guardianship documentation or patient-granted permission for these users to access the Bridge. These users can see the entire message history between all participating parties, including service vendors. All messages exchanged within the Bridge are considered part of the patient’s official medical record.

SCHEDULING Knowing when your Bluestone team will be seeing patients is important to be prepared and letting family members know when their loved ones will be seen. To manage this, we use a “General Patient” account. This account is not associated with any patients so it can be used as a communication tool between you and the Bluestone team for non-clinical items such as scheduling, marketing needs and anything else not regarding a specific patient. The Team Leads send the schedule through this General Patient account. Feel free to use this account to send all messages which are not related to a patient.


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Documents

GAINING ACCESS TO BLUESTONE BRIDGE (2 step process)...Go to BluestoneMD.com and in top r ig ht corner of web pag e clic k on “Ne w Use r ” lin k un der Bluestone Bridge button