This page contains all information related to entering the assessment information assessment information into palCentre. To navigate quickly to a section within this page, please use the menu below:
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If this is the first time you are entering data into palCentre, PCOC recommends you watch this video on entering assessment information.
Assessment level information vs phase level information
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The clinical assessments are assessed daily for inpatient or at each community patient contact. They are reported at admission, when the phase changes and at discharge. Thus there are two ways that data can be entered into palCentre – assessment level or phase level. Assessment level
Phase level
NB: The legacy system SNAPshot system only allows for phase level data to be collected. |
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Your service will need to decide if you will be entering assessment level data or phase level data into palCentre before starting data entry. Please follow the appropriate instructions below for data entry. |
Accessing the
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assessment level screen
Once an episode has been created, you can enter the assessment information for that episode. To access the episode and assessment screen, click on the 
next to the patient name.
The following 'episode and assessments' screen will appear.
The episode information is on the left hand side of the screen and the patient's details can be found above the episode information. This includes the patient name, patient identifier and date of birth.
The assessment information is on the right hand side of the screen. This information relates to the episode that is highlighted on the left hand side. To look at the assessments for different episodes, highlight the episode that you are interested in by clicking on the episode.
In the top right hand corner of the screen is a 'View Report' button. This button will create a report for the current episode including all the patient, episode and phase information.
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Assessment level information can only been entered if an episode has been created for the patient. Assessment dates must be on or after episode start date and on or before the episode end date. |
The clinical assessmentsoccur daily The assessment information screen can be access from the episode screen.
Click on the heartbeat symbol next to the episode you wish to add assessments for:
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This will bring up the assessment screen below:
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Entering Assessment level information
The clinical assessments occur daily for inpatient or at each community patient contact. All assessments will be entered into palCentre. To demonstrate how to enter assessment level data, the following instructions will use this form to show how to enter assessment level information:
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The form above has four columns that have been completed by the clinical team, reflecting clinical assessments made each day of the patients episode. To enter assessment level data, all four columns of information need to be entered. |
Entering the first assessment
In the episode and assessment screen, make sure you have selected the correct episode on the left hand side of the screen. On the right hand side of the screen enter the To begin adding assessments click on 'Add assessments'
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The Assessment details will pop up and filled with the relevant details.
Enter the following details:
Item to be entered | Additional information |
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Date | The date the assessment was completed. This is a mandatory item - you cannot submit an assessment without this information. |
Time | Optional field. The time of the assessment. |
Type | The phase type for the |
assessment. This is a mandatory item - you cannot submit an assessment without this information. | |
RUG-ADL | The RUG-ADL consists of four items (bed mobility, toileting, transfer and eating) and measures the patients function. |
PCPSS | The PCPSS consists of four items (pain, other symptoms, psychological/spiritual and family/carer) with a score between 0 and 3 and screens the severity of palliative care problems. |
AKPS | The AKPS consists of one item with a score between 10 and 100 and measures a patient's ability to perform ordinary tasks. |
SAS | The SAS is a patient rated tool with a score between 0 and 10 that measures the patient's distress across seven domains (difficulty sleeping, appetite problems, nausea, bowel problems, fatigue and pain). There is also a field to capture if the patient or a proxy completed these assessments. |
The information for the first assessment is entered as below. Once all the Assessment details will pop up and can then be filled with the relevant details.
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Once the assessment information has been added , click on the purple 'ADD' button.
Once the assessment information has been addedSubmit', it will appear on the left hand side of then appear in the assessment data entry screen as below.
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Entering the additional assessment
Next we add the second assessment on the form and click on 'ADD'. The assessment will appear on the left hand side of the data entry screen.
Continue to add the assessments on the form until all the assessments have been added into palCentre
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Continue clicking 'Add assessment' or 'Submit and add another' to add in all the Assessments once completed it should look like the below screen. They appear from left to right in chronological order.
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You have now added all the assessment assessments for this episode.
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If an item has not been recorded on the form, use the 'Not Assessed' code in the drop down menu. This will ensure you have minimal items appearing on your data quality report. |
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Assessments can be added in any order into palCentre. Once an assessment is added, palCentre will check the date against all other assessment dates and then order all assessments by date. If you miss adding an assessment by accident, add the assessment into the data entry section on the right hand side of the screen and palCentre will place it in the correct order. |
Entering
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Phase level information
The clinical assessments are assessed daily for inpatient or at each community patient contact. They are reported at admission, when the phase changes and at discharge. When entering phase level information, you only need to add assessments into palCentre on admission, where the phase changes and when the patient is discharged. To demonstrate how to enter assessment phase level data, the following instructions will use this form to show how to enter assessment phase level information:
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The form above shows four columns have been completed by the clinical team, reflecting clinical assessments made each day of admission. To capture the information for these four columns in when entering phase level assessments, you only need to create/enter records for admission, phase change and discharge. As such, you only need to enter the following 3 records.
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If a patient is discharged from your service, it is important to enter the final assessment into palCentre. This will ensure you have minimal items on your data quality report and ensures that ensures that your assessment information is as complete as possible. If a patient dies with your service, no final assessment is required. |
Entering the first assessment
In the episode and assessment screen, make sure you have selected the correct episode on the left hand side of the screen. On the right hand side of the screen enter the To begin adding assessments click on 'Add assessments'
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The Assessment details will pop up and filled with the relevant details.
Enter the following details:
Item to be entered | Additional information |
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Date | The date the assessment was completed. |
This is a mandatory item - you cannot submit an assessment without this information. | |
Time | Optional field. The time of the assessment. |
Type | The phase type for the assessment. |
This is a mandatory item - you cannot submit an assessment without this information. | |
RUG-ADL | The RUG-ADL consists of four items (bed mobility, toileting, transfer and eating) and measures the patients function. |
PCPSS | The PCPSS consists of four items (pain, other symptoms, psychological/spiritual and family/carer) with a score between 0 and 3 and screens the severity of palliative care problems. |
AKPS | The AKPS consists of one item with a score between 10 and 100 and measures a patient's ability to perform ordinary tasks. |
SAS | The SAS is a patient rated tool with a score between 0 and 10 that measures the patient's distress across seven domains (difficulty sleeping, appetite problems, nausea, bowel problems, fatigue and pain). There is also a field to capture if the patient or a proxy completed these assessments. |
The information for the first assessment is entered as below. Once all the Assessment details will pop up and can then be filled with the relevant details.
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Once the assessment information has been added , click on the purple 'ADD' button.
Once the assessment information has been addedSubmit', it will appear on the left hand side of then appear in the assessment data entry screen as below.
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Entering the additional
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Next we add the third assessment on the form (the phase change) and click on 'ADD'. The assessment will appear on the left hand side of the data entry screen.
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assessment
Continue clicking 'Add assessment' or 'Submit and add another' to add in all the Assessments once completed it should look like the below screen. They appear from left to right in chronological order.
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You have now added all the assessment relevant assessments for this episode.
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If an item has not been recorded on the form, use the 'Not Assessed' code in the drop down menu. This will ensure you have minimal items appearing on your data quality report. |
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Assessments can be added in any order into palCentre. Once an assessment is added, palCentre will check the date against all other assessment dates and then order all assessments by date. If you miss adding an assessment by accident, add the assessment into the data entry section on the right hand side of the screen and palCentre will place it in the correct order. |
Modifying an assessment
To modify an assessment that has already been entered, click on the 
the 
button below the assessment you wish to change.
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Once any modifications have been made to the assessment values, click on the 
at "Submit" button at the bottom of the assessment you are modifying pop up to save the changes to that assessment..
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The assessment has now been modified.
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Deleting an assessment
To delete an assessment, click on the 
button below the assessment you wish to delete.
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The following warning will appear, click on 'on "Yes'".
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The assessment has now been deleted.
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