A colleague calls in sick, and Noor starts a route of ten addresses, three needing insulin at set times.
De Linde in Groningen is an example company. It is a district nursing team with four routes and a planner.
The rota is in Excel and changes go through the group chat.
The photo is in the client file, the medication chart is on paper, and the GP does not hear about it until after two.
A change to the schedule was never recorded. Now someone has to dig through the care notes to find out what was actually done.
It is on one colleague's phone. Tomorrow's route has not been updated yet.
The rota is in Excel. A colleague off sick means reshuffling in the group chat, and clients phone to ask when someone is coming.
Daily routes that take into account assessed care needs, times and who is qualified to give which care.
Notes are written up afterwards, and sometimes twice, in the ECD (the electronic client record) and on paper. Record-keeping takes up to 30 per cent of working time.
Care notes on a phone at the client's home, recording only what differs from the care plan.
What the morning shift saw is in a notebook or a chat message. The evening shift and the GP hear about it too late.
A handover in the app instead of the group chat, and family members who can read it too, where that is allowed.
Only at billing time does it turn out that a change was never recorded. Then someone digs through the care notes to find out what really happened.
Seeing each day what went to plan and what did not, so the billing is right before it goes out.
We build alongside it, not in place of it. What we build is the part that now lives in Excel and the group chat.
Nor do you need to. The ECD remains the source, and we build what is missing alongside it, such as the routes, the handover or the check before billing.
Fair enough. If the work goes to plan, there should be no extra recording, so we make it shorter than it is now and record only what differs.
That is settled in the design. Client data sits in a secure environment instead of a group chat, and we set who sees what for each role.
Yes. In district nursing, the district nurse assesses the care needs, and the records have to match the care plan. For home help and support under the Wmo, what counts is the allocation, the hours and the messages to the local council. Under the Wlz at home, it is about more hours per client and more people around the client.
One fixed price, agreed after the design, and no charge per client. It depends on what we build first, whether that is the routes, the handover or the check before billing.
We sit in with the planner and, if we may, cycle round with one of your team for a morning. Afterwards we write up what we would build.
Fixed price, agreed once you approve the design. The code and data are in your name.
How those weeks go