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NDoc® is a web-based, clinical point-of-care application that operates on notebook or tablet computers running Windows XP Professional and utilizes a standard browser. NDoc includes a back office component that operates on any Windows XP Professional PC, also within a browser.

Thornberry also offers Core Charting™, a paper-based documentation system for hospitals, not profiled here.

Product Description:

Thornberry developed NDoc for acute care in 1992 and introduced it to homecare in 1996. In 2002, Thornberry released the current version after a complete rewrite using browser technology. NDoc supports interdisciplinary home care and hospice management functions, including patient intake, OASIS assessments with accuracy checking, patient charting, scheduling with centralized and decentralized modalities, a clinician workflow monitor and intra-company email. Patient charting functionality includes all disciplines and specialties such as pediatrics, maternal/child health and psychiatric nursing. Management functions are supported through a back office executive dashboard and numerous standard reports.

When used in Microsoft Internet Explorer, the patent pending point-of-care module’s multi-session technology allows clinicians to view more than one page of a patient's record and/or more than one patient record at the same time. Data can be transferred to the office using a modem (land line or cellular) or network (wired or Wi-Fi) connection. Thornberry actively supports interfaces between NDoc and billing systems from Custom Data Processing, FGA Software Solutions, Homecare Accounting Solutions, and Meditech as well as various “home grown” systems; telephony systems from Homecare Systems, Inc. and CareWatch; and home telehealth systems from Honeywell HomMed and Advanced Monitored Caregiving.

A patent-pending “automated problem list” system replaces clinical care pathways. The system employs a diagnosis-based reminder list to guide clinicians through structured, customized care planning. The system is driven from a database of initial and ongoing patient assessments. The NDoc point-of-care system is integrated with the First Databank medication file.

NDoc users have an option to include “PassFaces” login authentication technology to supplement traditional username/password login. PassFaces enhances login security by requiring recognition of a series of facial images. Unlike passwords, memory clues to facial recognition cannot be written down or communicated to a coworker and are rarely if ever forgotten.

Technology:

NDoc is a web-based browser application built on the Caché database from InterSystems Corporation. Windows touchscreen notebook computers with TCP/IP capability, such as the ruggedized Panasonic line of mobile PCs, are recommended for field clinicians. The back office database configuration is Windows Server 2000 or 2003 licensed to run Caché. Although the Caché database is ODBC-compliant, users are strongly encouraged to license and learn Crystal Reports, the report writer used by most NDoc customers to mine the NDoc database.

NDoc is licensed for a one-time fee per user and an annual maintenance fee. It is installed on customer servers and can make use of optional shadow servers for redundancy and load balancing. It is also available as a hosted solution through an arrangement with Custom Data Processing. NDoc users control the timing and implementation of updates and have ongoing input into product design and development.

On-site user training is recommended to develop in-house expertise with minimal disruption. NDoc implementation is typically a structured, 60-day process, starting with analysis of agency operations and moving through two 4-hour sessions for clinicians. Support services are offered by email to an automated support system and by toll telephone line. Though rarely used, on-site support is available when necessary for an additional fee. A typical customer can expect to consume 8-15 days for training and go-live support services, depending on agency size. NDoc's technical support department hours are M-F, 8:00 AM – 6:00 PM, Eastern Time. Emergency, off-hours support is available from on-call technical staff. .