Listed here are the features on the Barnestorm login screen.
Your desktop may have one of the three icons on your desktop. Double-click on the icon to open the Login Screen. The login screen will either pull up your Windows username or show a blank User ID field so that you can enter your Barnestorm User ID. Note: your Barnestorm User ID may not be the same as your Windows username.
There’s a global setting that can be set to allow any user to switch users on the login screen. This saves time so that one user does not have to log out of Windows to allow another user to login.
There is a security feature in the Barnestorm Point of Care software that is activated when a user attempts to log in three times incorrectly - Does Not Apply to Office.
If this happens the software will remove identifying patient information from the local database. All of the information collected on the tablet will be retained, but the vital patient data needing to be secured will be removed.
An office staff will need to unlock your profile from Barnestorm Office. You may want to check with your office to verify you have the correct password. Note that Barnestorm support staff will not supply password information. Once the laptop is connected to your network, the user will be able to log into POC. Most likely, the user will need to start a chat to have Barnestorm support complete a rebuild of the database.
Version and Updates
The login window might have a link available that shows the most recent updates related to the version you are using.
With an internet connection, select the link to open a web page with recent updates. If the link does not show up then there are no related updates to view.
POC Video: Select a Patient - YouTube
From the Main Menu in Barnestorm you can search for a patient by entering their last name, first name, or chart number. When you start to enter the data a list of patients with that data will appear. The more you type in the fewer the patients will show up.
Barnestorm Office Select Patient
At the bottom of the screen, select the viewing option:
Barnestorm Point-of-Care Select Patient
Click on the patient you want to select. You’ll notice the patient’s information will appear at the top of the page. This is your way of knowing which patient is currently selected.
When Barnestorm is maximized the patient data search criteria will look slightly different and will also include the patient's last visit date and Hospice benefit period.
Incomplete= The assessment has a time in but does not have a time out.
Completed =The assessment has a time in, time out but has not been locked.
Locked = The assessment has both time in and out and has been locked.
Locked+Chg =The assessment has been locked by the employee and has been prepped by an office staff for billing.
When the assessment is Locked it applies the employees electronic signature to the note (if the electronic signature is used at your agency).
Patient Info button is used to view patient information, but not change it. This is the quickest way to find information concerning a specific patient. You may print any tab under Patient Info by clicking the Print button. Some screens will show an itemized list where you are able to select an item to view the full content. To return back to the itemized list click on the text anywhere.
Use the Get Map/Directions button to view a map from your agency to the patient’s home.
Copy Feature: This allows you to copy a selected tab from Patient Info and paste it somewhere else.
Most of the tabs work in the same fashion, it will list an itemized list and then you click on it to view additional information.
OASIS-PPS: This will show each OASIS entered. Click on an OASIS and it will show you which OASIS questions where used to create the HIPPS code. The first section shows you the first 6 ICD codes used for billing. To the left of each code will show the value of the code. The next section shows the rest of the ICD codes used for the patient. Next to each code shows the potential value of the code. The third section shows a mixture of MO questions and the value of each.
Office Notes: This information comes from POC > Assessment > Care Goals > Status Improvements section.
Care Conference: This information comes from POC > Assessment > Care Goals > Summary of Progress.
60 Day Summary: This will show vital signs for each 485 episodes. When you click on an episode it shows any of the following information: temperature, respiration, pulse, weight, and blood pressure. It also shows wounds and the measurements, type, and location. This will also show pulse-ox readings. Comments from the Start screen of assessment if the "Add to 60 day summary" box is checked. Comments from Care Coordination Notes if the "Add to 60 day summary" box is checked. Assessment > Care Goals > Status Improvements section.
Scheduled Visits: Shows planned visits by employee, date, type of visit, program/payer code and comments. It will also show if an actual visit was completed for that date or not. The scheduled visit will be compared to the assessments employee and time in. If the employee matches and the time is close then a "OK" will show up next to the scheduled visits.
Clinical Notes: This is a great way to quickly see everything that’s going on with the patient. It pulls a collection of information together to view on one report: Care Coordination Note discussion text, assessment Start screen comments, assessment Misc Notes > 60 Day Summary text.
Messaging Log: Pulls up Messages used in the Barnestorm system tagged with the patient's chart.
Pt Progress: Allows you to select specific information to pull into a graph based on a date range.
While in various screens in Barnestorm you have a chance to insert pre-entered text called [T]Text Items.
This screen will allow you to enter one code or multiple codes at once. By clicking once on the text you want, it will go directly to the document you are working on.
Text Item Icon =
Multi-Select Allows you to select more than one T code and will insert the codes in the order you selected them. Once you checkmark the Multi-Select box and click on your codes, click on the Insert Selected Items button. You will be directed back to the document you were working on along with the text you selected.
You also have the choice to Add No Extra Spaces, Add 2 Spaces, or Go to the Next Line after each code you have selected.
Show Mulit-line Having this checked will show you all the text that was typed in on the code. Unchecked will only show the first line of the text.
Search Filter allows you to sort through the codes and only show what you want.
Search for Patients
Soc. Sec. No.: Search for a patient by social; enter at least the first five digits of the social security number into the text field. Then click on the Soc. Sec. No. button.
Here is a list of fields that are searched:
Patient Info: Emergency contact name, Emergency contact address, Misc Notes
Search for Doctors
Search for Pharmacies
Search for Medicines
Search for Patients Using a Certain Medication
After selecting the medicine, you can view Active Patients Only or select a From and Thru date for active patients.
Click on Search for Patients Taking This Med. A list will appear.
Click on the Print button if you need to print.
Search for Most Common Medications
Select Active Patients Only or use the From and Thru dates.
Click on Most Common Meds. A list of medicines will show with a number of how many patients have used that medicine.
Search for Employees
You should synchronize your Barnestorm Point of Care as often as possible. The longer between sync's, the longer it will take to complete. It is ideal to sync twice (before and after) or more each day you work. Synchronizing will 1) send all of your data to the main server, and 2) retrieve data from the main server to load onto your local database.
How to Sync
If you do not have a connected status, check your internet connection or try rebooting your machine.
Keywords and details about the sync
Database = A collection of patient data.
Entries/Log = Each time a piece of information is saved, it gets recorded in a single log, or an entry. For an example, when documenting an assessment, each screen documented will save an entry. If you return to the same screen several times to edit, it will save one entry per edit. This allows for a historical picture of documentation that occurred.
Local = Each machine that uses Point of Care has its own local database. This means when you are documenting patient data, it gets saved on your machine only until you complete a synchronization.
You will see two numbers separated by a dash. The first number represents the last log/entry number that has been sync'd to the server. The second number is the most recent log/entry that has not been sync'd yet. This means the sync process will send all the log/entries starting with that first number, to send to the server.
Network/Server = The main place where all of the patient data is stored. Each machine that completes a sync will move their data to the server.
The two numbers work the same as the local, it will return any data since the last time you synchronized.
How much data is saved on the local?
During the sync process, data that is older than 120 days will be removed from the machine. This does not mean the data is deleted, it just clears it from the local machine so that it does not bog the machine down with data that may not be needed. The data is preserved on the server database. Patients that have been discharged 120 days ago will be removed from the local database.
If you need to recover data that has been removed
Starting the Visits/Assessments Video: Starting the Visit/Assessment - YouTube
When starting an assessment in Point of Care you are asked four questions about the type of visit:
Assessment Type: the answer to this question will determine what type of required and optional screens will appear. The first five assessment types will build OASIS (Start of Care, Resumption of Care, Recert, Special Followup, Discharge). The Start of Care and Recertification will build a 485.
Payer: The payers that are setup for the current patient will appear. Select the correct payer for the visit you are completing.
Job Code: All job codes for your discipline will appear. Select the correct job code for the visit you are completing.
Visit Status Code: Select the correct visit status code for the type of visit you are completing.
Starting the visit:
Double check or change the date and time as needed. It is meant to capture the exact time you start the visit at the patient's home.
If the assessment type if an OASIS type then you will have the M0090 Date to answer as well. If there is a blinking red X next to the date this means the date is outside of the date range that is appropriate for the assessment type selected. Verify this date and change it as needed.
Click on Start when those questions are correct.
Verify you have the correct patient selected: A short description of the patient with the chart, age,gender, dob, SSN and phone number will appear. Use this information as a checks and balance to verify you have the correct patient pulled up before continuing with the assessment. You can copy this information into the Comments section and have it print on the note by clicking the “Copy to Comments” button. You’ll see the text will be inserted into the Visit Comments section.
Visit Comments: Use this section to document your findings when you arrived at the patients home. You can also use this area to document anything else that may not be covered in the screens provided.
Add to 60 day summary: Check the box Add to 60 day summary if you feel the comment information needs to show up on the 60 day summary. The 60 day summary is found under the Patient Information screen > 60 Day Summary tab.
Text Item: Use the Text Item feature to insert pre-typed text into the Comments section. Your agency has added common phrases used so that you can automatically insert them into different screens in Barnestorm. This will help save time and data entry error.
Add Text Item Code to Every Visit: You can add a text item code to all visits started by using the article listed below.
Edit Visits/Assessments Video: Edit Visit Assessment - YouTube
You can edit the assessment the same way you started the assessment. Instead of using the New button you will use the Edit button.
If the visit is locked then you will need to unlock it first from the Visits/Assessment screen.
You will need to have an appropriate member of an office staff unlock the visit, if you do not have permission. You will need to complete a sync to get the update.
From Barnestorm POC
From Barnestorm Office there are 2 ways to unlock a visit/assessment
When creating a 485 from an assessment, you can pull over other discipline’s Orders/Goals from their assessment. To follow this method, only one clinician can create the Start of Care or Recertification assessment type. The other clinician will document their orders and goals under the Orders/Goals section on their visit note.
Instructions for clinicians who are NOT creating the 485
The assessment type you select cannot be the Start of Care or Recertification assessment type - only one user can use this type and it will need to be the user who creates the 485.
• Select the Orders/Goals screen from either the Required or Optional list of your Visits/Assessments.
• You will use the Box21: Orders and Box 22: Goals tab to document your plan of care.
Box 21 should include your frequency. Be sure to use a format your agency has approved. Ex. PT: 2 WK 7. This will allow the frequency to show up in different areas of the software.
Use the Text Item feature to insert predefined text.
Use any of the onscreen buttons to pull additional information from past visits.
Freehand type additional information that is not covered from the Text Item or onscreen buttons.
• Continue to document the rest of the note as you normally would. As needed, you can select the Menu Style > Required/Optional Screens.
Instructions for the clinician who is creating the 485 from their SOC or Recertification assessment type
Before pulling over the information, you’ll want to make sure the other clinician is finished with their documentation and has synchronized Point of Care. This feature will look for the most recent Orders/Goals going back 10 days to 20 days after the current assessment.
• From Point of Care start or edit the patient’s Start of Care or Recertification assessment type.
• The person creating the 485 can enter their Orders and Goals into the Orders/Goals screen.
• From the Box 21 and 22 tabs, click on the Build from Disciplines button. (This step can be repeated if corrections were made to the other disciplines Orders/Goals at a later time).
• The most recent orders and goals from other discipline’s assessments will pull over for that patient.
• The information pulled over will be added to the bottom of the page.
• Build the 485 as you normally would from the Finish screen of the assessment.
*Note: Each time you click on the Build from Disciplines button, it will add another copy of the other disciplines orders and goals at the bottom of the page. If the other disciplines made a correction to their Orders/Goals text and you Build from Disciplines again, you will need to delete the previous text before or after you pull over the new information. Be careful not to delete your own information.
*Troubleshooting: If the correct information is not pulling over, then check to see if there were multiple Orders/Goals documented recently. Ie. if there were two different assessments that have had Orders/Goals documented, only the most recent will get pulled.
Pain Assessment Video (Start at 11:56 and end at 17:56): Pain Assessment in Visits/Assessments
Point of Care > Visits/Assessments > Pain screen. This screen has several tabs that run across the top of the screen. Some questions may differ depending on the payer type.
The Comments is a large text box that will allow you to document anything not covered. You can free hand type additional information here.
If the patient does not have any pain, you can indicate that here and also answer who provided the information. You can then move on to another area.
Click the asterisk button and you’ll see a diagram pop up for you to select a general location of the pain. Next, select Anterior or Posterior.
From the diagram, click the location of the pain. You’ll notice that the general location description shows up to the right. Use the drop down list to specify in more detail where the pain is located. Click the OK button when the information is complete. If you don’t find the location you need here, you can also type it in on the main pain location screen.
A common report from patients may be a headache. To document the pain location of a headache, click inside of the pain location field and type in headache.
Next, you will document the intensity by asking the patient to number the pain on a scale of 0 through 10. Document the description, exacerbated by, alleviated by and any additional comments you would like to document about the pain. The documentation for this pain location is finished.
Answer the pain intensity questions for the level of pain before taking the medication, one hour after taking the medication and what pain level is acceptable. In the effectiveness box, you have the option to type in a description of your own description OR check the box for Meds are effective at controlling pain as observed and reported and watch it appear in the Effectiveness box. This description will appear on your visit note.
Check the box for each observation. The top of the screen will calculate the pain score as you select your answers. The score of 0 equals no pain; the highest score of 10 would equal severe pain. This method is equivalent to that of asking the patient to pick a face or a number on a scale to describe their pain. The non-verbal pain score will print automatically on your visit note.
This screen in the assessment allows you to measure the patient’s range of motion and balance as well as set goals for physical therapy. This screen appears in the assessment for physical therapy discipline under the Optional tab, but can be moved to Required by an office staff.
The Balance, ROM L, ROM R, Strength, Transfer, and Treatments tabs have options to select a goal and current status score for different range of motions and treatments. After you start a new visit, you will see the previous value given for each item.
Original = This field shows the original value entered in the “Current” field (from the initial Goal Progress assessment). It will appear with the value and then the date of the assessment. Ex. 2 – 01/24
Goal = Enter the goals for the patient. This number will copy over from the previous note. It can be changed, as needed.
Previous = Shows the most recent value answered in that field (from previous physical therapy note). Ex. 3 – 01/29
Current = Allows you to enter a value based on the current assessment for that date.
Print = Check this box if you want the information to appear on the printed assessment.
The ROM and Treatments tabs do not have a drop-down list; you will need to enter a number in the Goal and Current field. Each tab has a comment box at the bottom of the screen that will appear on the preview of the note.
The standard phrases and values can be changed per your agency by going to Barnestorm Office > Codes > POC Codes > Note Codes. Use the Filter Page name PT/Assess and look through the several “Name” options. Use this article to learn how to modify the value/phrases as needed. Customizing Screens
The Fall History screen will show the documentation of fall entries/post falls for a selected patient. Point of Care will allow the clinician to mark a fall as "Fall Precautions Retaught This Visit". Please note that the screen within the assessment is named Post Fall and will have a main menu that shows the list of falls.
From Barnestorm Office pull up the patient and click the Patient Histories tab then select the Fall History tab.
From Barnestorm Point of Care pull up the patient and click on Fall History from the Main Menu or within a visit assessment.
The main screen of the Fall History will show the date of the fall, observed by, location, and if the fall precautions was retaught it will show the name and date of the assessment.
NOTE: If you are viewing this screen outside of a visit assessment you will see a button labeled "Pull Post Fall Assessments". This will pull previous post fall entries into the Fall History screen.
Fall History > Main Menu
Delete a Fall
*This can also be done from within the Edit Fall screen.
Document Re-teaching of the Fall
The following option can only be done from a visit assessment. You will be able to "reteach" fall precautions more than once per fall. The history of fall precautions is listed within the Edit Fall, which shows who retaught and when.
Fall History Main Menu in Point of Care
Fall History > Edit Fall
You can create a reminder note in between visits that will copy over to the next visit assessment Start > Comments screen. You can select which discipline should receive the reminder or select All if should be assigned to the next discipline to start an assessment. This feature can be found in a few places; 1) the Visits / Assessments tab 2) From the Finish screen within a visit note 3) or in the Pause feature of a visit note.
To add a reminder, pull up the Add Reminder screen for a selected patient. Select which discipline can capture the reminder (All will go to the next person who creates a note). Enter the comment that will appear in the Start screen of the visit note. Click on Ok.
If you need to add additional notes just click on the Add Reminder button again and it will add on your note to the previous one.
If you click on Add Reminder and your note is no longer showing, then someone has already created a visit assessment and that reminder was added to their Comments section of the Start screen.
If someone creates a visit assessment and the reminder needs to be forwarded to the next employee, then cut and paste the text into a new reminder. From the visit assessment you can click on the Pause button and go into the reminder screen to add text for the next assessment.