MatrixCare Home Health & Hospice

Vorteile

*To start, this review is coming from a CNA. Nurses use MatrixCare and there experience might differ from mine. As a CNA, I think Matrix is great. It's easy to chart on a patient using a kiosk on the floor, on a desktop computer, or by using an IPad. You can view the electronic health record easily for each patient. Once you chart on something, the red outline that indicates that it's due goes away.

Nachteile

Matrix is not the best software to document positioning, which is why many facilities will create their own paper charts.

Vorteile

-ease of use for field staff (iPad App)
-lots of built in reports for getting data out of the system
-easy to contact support and get resolutions
-constantly updating and developing enhancements to the product
-constantly keeping customers up to date on reg. changes, and upcoming product changes and timelines
-documentation is straight forward and easy to follow
-order compliance features keep us compliant with orders when scheduling visits

Nachteile

-takes lots of time and training to get used to
-scheduling components lacking compared to old solution
-expensive compared to our old solution (we were grandfathered into a very old rate so this was just us getting into modern licensing costs)
- only guaranteed 100% comparability with their Web product by using Internet Explorer (which even MS says you shouldn't use anymore!). Only about 95% of the product works in Chrome or Firefox.
- lots of time spent (months before deployment) learning and setting up the product. But they have streamlined this as much as i think they can.

Vorteile

Syncing - it takes seconds to a minute to complete. Staff can sync their ipads as often as they want/need and information flows back and forth instantly. Software has it's own billing module within the same program. - You do not have to transfer files back and forth using a third party billing software. Chatting with Support - As long as they are available (they are not always available though).

Nachteile

Clinical App vs Live Version - It is basically like having two different software systems. While they both contain the same info; certain things can only be done on the live version and certain things can only be done on the mobile app. - This is probably our biggest frustration. It make it harder to help out staff when they have issues because after implementation if you change your processes it's hard for office staff to stay up-to-date with new processes and updates that have happened . Charting/Scheduling/etc. - Some of the ways things need to be fixed or the only way they can be fixed is sometimes greatly time consuming. Customizable - The system is not as customizable as lead to believe. There are quite a few things that we are not able to change to customize for our agency. Speech to text - Doesn't really work for our staff. We ended up buying Bluetooth keyboards for the iPad to make charting a little easier. Admissions still take a long time.. It's not possible to be done in less then 6 hours.Medication list - importing and entering in meds is not as easy as it should be.

Vorteile

The clarity of the operational screens. In general

Nachteile

There are too many toggle options to get from one screen to another

Vorteile

This software is easy to use with guides that allow you helpful tips on how to complete the tasks at hand. If I ever get stuck, creating a help ticket or "case" is easy and takes just a few minutes. The turnaround from their help center staff is quick and amazing! I have always received an answer to my question and if the first help center employee didn't know, they kept my case open while they helped figure it out.
The accessibility of this system is an amazing feature as well. The IE browser can be utilized from virtually anywhere, making this charting system easy to use with automatic updates being done seamlessly.
The report function is AMAZING also! This feature allows you to customize reports and if needed, export to Microsoft Excel. The report feature also allows you to customize and save your report as your own. This is such a time-saving bonus!
Their billing software is great also, allowing for daily billing to be completed with ease. Again, if I ever encounter a problem, the solution is just a few clicks away.

Nachteile

This system did take a few weeks to get used to, but what system doesn't. This isn't really a drawback, just a learning curve. Hang in there.....it gets easier!

Vorteile

Much more modern than our previous software -- user friendly for the clinicians, helps cut documentation time. Functions well, no down-time, and is very easy to Navigate. There are great reporting features and they are doing good preparations for PDGM. Their customer service is light-years ahead of our previous vendors -- very responsive. This is truly meant to be a point of care system -- so it means everyone has to stay current in their workflows. This has helped us decrease our days to RAP, improve order turn around time, and improved satisfaction among our field staff.

Nachteile

The back-office training could have been better -- much of the training was received prior to go-live. Additional training and support after go-live to work through back-office workflows would have been helpful for us.

Vorteile

One of the best things that I love about Brightree is how aware of regulatory changes they are and how responsive they are to make the necessary changes to the software to keep their clients compliant and in-the-know. I never feel like I have to beg for information of how they are going to address new regulatory requirements. They also are really aware of the impact on their consumers and are very helpful with integration of new changes.

Nachteile

When certain things require more development-related help, the length of time can be quite extensive if it has a lower priority rating. However, for high-priority needs, most things are fixed within hours to days. Excellent responsiveness to requests.

Vorteile

I love the fact that we can use it for all our Clinical, billing, and administrative needs.

It is efficient and updated with the regulations to ensure we are compliant.

Nachteile

We would like more ability to customize visit note templates and not have to use a copy and paste functionality into the Narrative section.

In Betracht gezogene Alternativen

Warum MatrixCare Home Health & Hospice gewählt wurde

Gründe für den Wechsel zu MatrixCare Home Health & Hospice

Vorteile

I honestly can say i really do not have anything i like.

Nachteile

this system is very not user friendly makes extra work time to complete tasks.

Vorteile

Good for sales order processing.
Technical Support is excellent. All very knowledgeable about the deficiencies with this software. You will get to know all of them well because you will call them often!

Nachteile

Worst system for AR that I have used in 30 years experience in AR Management. Cannot track patient statements for early out agencies. Lengthy pick up and exchange process if you need to change insurance. No recalculation of claims when price table is updated. Each claim would have to be manually pick up and exchange. Revenue Cycle Worklist does not act like workqueue's in that a person must manually assign account each day. No productivity reporting with Revenue Cycle Worklists. On and on and on. If you want to hire several more FTE's, take on multiple manual processes and collections is not important to your company, this software is for you!

Vorteile

the entire pt.'s chart in my hand, Able to tell family when next visit is scheduled

Nachteile

unable to add falls outside of visit not all falls require a visit.

Vorteile

The ability to see visits and coordinate services so much more quickly than when they were on paper. Not having to wait for papers to be turned in to process payroll and billing. My not having to enter those visits manually. Less paperwork for patient files and employee files due to being online. A quicker turn around for claims. Less hands handling information insuring accuracy.

Nachteile

As an office staff I work mostly on a desktop so what I see and what the field see sometimes is in a different format therefore causes a communication stall. That is the only thing I can think of that is a challenge.

Vorteile

I am a biller and scheduler, which makes both jobs easier to understand in the program. Scheduling with Brightree ensures frequency's are entered correctly and in turn makes checking visits at billing time go smoothly.
There is no fear that regulations are met with this program. The task hot list notifies us of any upcoming regulated tasks needing attention.
It is not hard to find any info in this system. everything is where is should be.

Nachteile

Internet access in the field is needed to use the communicate feature.
Sometimes updates are too drastic

Vorteile

Great Reports
Task Hotlist

Nachteile

Brightree University is hard to "search" to find trainings

Vorteile

It is user-friendly and easy to navigate. I like using BT because for each specific finding there is an area marked clearly.

Nachteile

There some areas does not give a clear report and dashboard. As hospice provider, it is important to make sure we can have access to the collected data and have the ability to analyze them.

Vorteile

Brightree is always updating the program to keep up with the latest regulatory requirements.
It is easy to follow and flow through the charts

Nachteile

Sometimes it is difficult to get a response from the IT department... they are all very kind, but if it is not a easy find, then it can become a long period of time before one may get resolution to their problem.. usually if i am waiting on a call back, i am the one who usually calls.. i have gone weeks without responses.

Vorteile

The Ipad is easy to use, light weight and we are able to carry these to our patients rooms. Not all tasks can be done at the bedside but doing an inpatient entry works well.
having the communication piece is nice to be able to send important messages to other disciplines and our billing departments.

Nachteile

Needs to be tailored to the buyers needs. The inpatient section I did not feel was developed well at all. Most of what we have learned has been trial and error.
It is a bit disheartening when you call for help on a matter and nobody seems to know what to do, what happened, etc.
The inpatient initial assessment is too long. The section about the insurance and income which the liaisons review and have the pt/HCPOA sign falls on the admitting RN. These are areas that the admitting RN did not do, which in school we were taught, don't sign it if you didn't do it. But this is what we are having to do. and if we put down the exact time we started and ended the initial assessment, along with all the other pieces of the admission it would most likely be 4-5 hours. This is with symptom managing 5 other patients and the new one, answering phones, call lights, talking to family and any other issues that come up.
Please, if you do read this, make this area easier, quicker- pull pieces together or something.

Vorteile

Can use it when in areas without WiFi.
Care planning comprehensive
Sample interventions/goals flow from problem areas of care plan

Nachteile

Scheduling a visit takes 10 minutes
Constantly having to sync
Syncing takes a ridiculous amount of time and you have to sync for any change you need to make.
Therapy notes not consistent with terminology; dont follow systems review appropriately , etc
Cannot see others notes until fully completed
Support is only available during business hours when you are trying to see patients.
Frequently kicks you out of system and you have to log in.

Vorteile

The ability to swipe through the screens to access all of a patient's chart as well as the ability to look at other documents in the chart while completing a note.

Nachteile

My only real complaint with the Brightree software is the frequency in which it needs to be synced especially when trying to schedule and create new goals for the care plan.

Vorteile

To be able to access chart easily. Having medical history so handy means so much when you are out in the county

Nachteile

I understand about having to sync after adding information but is there any way to only do a complete sync once a day, and a shorter one when changing or adding information? Just thinking...

Vorteile

The pros of the system are having everything you need right in front of you and not having to spend hours documenting, organizing or filing, also having easy access to an end of year reports.

Nachteile

The only thing I dislike would be when the system is taking too long to log into a file or report

Vorteile

Optimal system for IPads et opening charts during patient visits. Screens are easy to navigate. Orders at careplans are easily updated.

Nachteile

Glitches at frequent updates affect program function. Although these do not happen all of the time, they can significantly impact efficiency. Should offer education with significant changes/updates. We need to be able to pin more than 50 patients at a time.

Vorteile

nice selection of reports/great account manager

Nachteile

general slowness and bugginess, a lot of stuck gets stuck in validation hold and supports takes days to weeks to respond to tickets

Vorteile

I like that I can initiate my charting at my visit with the patient.

Nachteile

I wish there was more of a separation between Hospice and Home Health, as several things that are required for Home Health are not relevant to Hospice.

Vorteile

Flexibility, Intraoperability, Reports, and some of the Functionality

Nachteile

Skilled Nursing documentation: The areas of documentation in the Visit Type - Revisit, Assessment - Hospice Follow-up Visit, Service Code - RN Routine Visit over lap with the same information in the
Interventions, Care Plan, and Review of Systems sections. The Routine Visit doucmentation is TOO LENGTHY and requires TOO MUCH TIME by the nurses to complete documentation for a skilled patient visit. The note needs to be condensed so that documentation is not repeated in these sections of the visit note. I believe reformatting the flow of the visit note would be a great help. Thank you!

Vorteile

Ease of navigation with documentation designed for point of service documentation . Customer service is responsive and knowledgable.

Nachteile

The cost is definately something to consider. With each new added feature there comes an associated cost. Training new staff or refreshing existing staff also has an associated cost. The jump in price from 99 patient - >100 patients was shocking.

Vorteile

From my past experiences Brightree is the easiest, most user friendly healthcare software available. Each admission is separated so you are not guessing. Information you need is readily available. You don't have to search and search. I love that the cert period is at the top of every page. All physician orders are in a neat, tidy format and can be sent/resent from your PC as well as tagged as received signed by physician all in one place. Visit management is my favorite. It is easy to differentiate between a regular visit and an oasis, and if the visit is open or closed. The order frequency is shown without digging for it and the clinician responsible is clear (all very helpful for the billers). Communication notes are also neat in appearance, in one place and can be filtered. Scanning documents into the system is easy and multiple docs can be scanned at once as separate documents. The medication profile is also neat and easy to configure. Same with the diagnosis profile. The scheduling console is so easy, immediate updating, all the field staff has to do to see their visits is sync their device. New referral input is seamless. As long as you have the information to put in a referral can be complete in minutes. The support that you get with Brightree is outstanding. If there are any questions or issues the staff is helpful and polite, and will have a resolution quickly.

Nachteile

The only con I ever found was opening scanned documents. I seemed to take a while to open, but I'm not too sure that wasn't due to poor internet capability. Some days it was not good and other days it was perfect.

Vorteile

The easier accessibility for Field staff with the iPad. Feel that all the Medicare changes are incorporated into by Brightree therefore we are documenting towards what they will require if audited.

Nachteile

The reports do not feel they are reliable. We do a lot of manual tracking along with the reports and we do continue to see discrepancies. When reporting an issue the turn around on answers is very slow. Also, we feel we give adequate information when we report something, but we always get that it is not enough or want the same information again that we already gave.
Going back to when we started the super user process was very stressful and feel should be over longer period of time. Just watching 100 hours of video and then going to the device was not helpful. We actually problem solve many things on our own. We did have a time that we actually new more about the system and how it should work than the one who was suppose to be teaching us. This was in the first few months of learning and then launching the system! We did not have on site training it was all by dialing in and on a time limit.

Vorteile

It's better than our old antiquated system - that's the only good thing I can say. And there was one really great clinical trainer that spent many hours on and off the clock helping us with our issues. It took a long time to get her but once we did, things got much better. I had to go all the way to the Vice President of the company to get additional help from someone who knew what they were doing.

Nachteile

The way MD orders are written are terrible. When the MD orders a new frequency, the old order remains unless you manually write another order to discontinue the original order. This results in a long list of orders, and many of those have been discontinued. However, you can't tell what date they were discontinued unless you go to the actual order that was written to discontinue that order. Confused? That's the point. Scheduling multiple visits is a very slow process. They also aren't willing to add documents that the customer would like to customize. Even documents that would benefit all home health and hospice agencies. After you transition from the training part of the conversion, you have to put in a support ticket or call to get help. But only certain "power users" are able to put in a support ticket.

Vorteile

MatrixCare is really concerned with the end users and always making changes to improve this product. Our Caregivers love using the iPads, the ease of Navigation through the workflows is a favorite and a huge game changer. Our Caregivers also love the voice to text recognition that MatrixCare provides. This really decreased documentation time for our field clinicians. The technical support team is amazing and responds almost immediately. Updates are seamless and do not take any time at all, all the Caregiver has to do is do an update to their app on their iPad. It's so easy.

Nachteile

The mileage feature was a little bit different than what our Caregivers were used to and we are in a rural area so it wasn't a good fit for us. However, MatrixCare is making changes and I know it's going to be amazing. We have nothing negative to say about MatrixCare.

Vorteile

As the Chief Executive Officer of a hospice program, one of my priorities is to select and utilize a software vendor which stands behind their product, proactively researches and implements enhancements ahead of ever changing regulatory requirements, as well as provides exceptional customer service support to our team. Brightree Hospice software not only meets these requirements, they exceed them. The reporting features is one of my favorite components Brightree Hospice offers. It has been a vital instrument in efficiently managing our multifaceted hospice program, which consists of home hospice services, general inpatient and respite care in our freestanding hospice house, medical equipment management, our transitions program, as well as our palliative care program. The Dashboard feature is helpful as it allows me to quickly identify trends in our average daily census, length of stay, etc. Implementation of the software was not nearly as complicated and chaotic as I expected. Each person assigned to our implementation team from the project manager to the Dawn, our on-site trainer, were very knowledgeable, friendly, and helpful. The entire Brightree Hospice team worked together to insure our implementation was a success. I highly recommend Brightree Hospice software to any hospice program which is not just looking software but a dedicated partner in the successful execution of the clinical, back office, billing, and administrative complexity of hospice care.

Nachteile

The Care Communicate function could be enhanced to allow more flexibility with who messages are sent to. Example, groups, teams, etc. and more than 10 people per message. Also wish there was a way for the I-Phone to notify you when a message has been communicated to your i-phone app verses having to check every so often. Otherwise, very satisfied with Brightree Hospice software.

Vorteile

This program is a comprehensive clinical, operational and financial system in a web-based environment. The automated billing functionality allows increased efficiency in our office. Electronic patient records provide our agency with the necessary documentation to produce clean claims sent to Medicare and Medicaid as well as commercial insurance companies. This is very important in today's healthcare setting with an increased focus on medical record reviews/audit requests. The billing process is completely automated and is set-up according to individual payor rules including calculation of PPS adjustments and accurate reflection of AR balances which automatically adjust contractual adjustments as well. Auto-posting of PPS remits allows more time to be spent on collections. Finally, most all system updates are performed by Brightree. With the ever-changing regulatory world, it is imperative you have a system that remains on top of these changes, however, small or large they may be. Our agency prides ourself on regulatory compliance and Brightree's diligence in updating their system with the current changes allows us to remain confident that our claims and clinical documentation meet these standards.

Nachteile

In regards to the billing function of Brightree's home health program, there appear to be very few cons.
1) The Medicare Secondary billing process is not fully available and would be helpful in today's society where we are working longer, even after becoming eligible for Medicare.
2) would like to be able to edit the "canned" reports. Specifically the AR report in order to add the DOB. This is a required demographic when performing follow-up/collections.

Vorteile

Our clinicians love this software because it is easier for them to complete their documentation.
The distinction between billed and unbilled AR.
I also like that we can track our OASIS acceptance in the software

Nachteile

The reports don't allow page breaks. We have also had several configuration errors that have impacted business and the ability to see patients. The reports are very slow to customize and are limited in what information they can provide. We have also had several problems with BT understanding how parents and branches work and have had to develop several work arounds to make up for their deficits.

Vorteile

I like to be able to pull a wide variety of reports with a few keystrokes. Our quarterly meeting with our Account Manager is terrific. We can get help with useful tools and find out whats coming next.

Nachteile

Setting up the bereavement mailing was challenging.

Vorteile

Very user friendly for clinicians and covers most of the basics of home health in office. The basic ideas are all here but each area needs fine tuned to work more efficiently for individual companies. Attractive interface for both AFO and iPads that is very easy to teach to even the most technologically challenged clinicians.

Nachteile

Not easily customizable and very poor customer service response. We have many needs to be efficient in our daily behind the scenes functionality that the software does not support, simply because it wasn't thought out thoroughly. All HH agencies have the same guideline to follow for compliance so these issues would have been worked out long before now.
Initial training and software implementation process were disastrous. "Super users" were barely educated enough to be functional but were expected to train and then to be technical support for the rest of the staff. I have been involved in many software changes in my career and this one was one of the worst as far as preparation. The office staff we were not shown how this software would integrate into our daily jobs. We were just shown how to be barely functional with no way to gain the knowledge after implementation.

Vorteile

The best feature is the fact that the system tells me when Raps and Finals are ready to be submitted and if there is any problems such as no authorization,
Oasis has not been completed, or no first billable visit has been completed yet.

The system also tells me when orders have been sent and if they are not back received.

Nachteile

I really don't know of any Cons.

Vorteile

Compliance!

Nachteile

Personally, I don't like that we have to use Internet Explorer. I wish Brightree was compatible with Chrome.

Vorteile

User friendly, great support team, really good software for a large company.

Nachteile

Cost!!! These people will nickel and dime you to death! Every little "add on" is an add on to your bill. It's too big for a small company like ours. If they had a sister program that was made for a small company, that would be great. Do NOT use their program for documents!! You pay a lot and when you leave Brightree it costs to get your documents back. On top of that, you receive your docs in a way that they choose. Who knows in what form and they don't tell you.

Vorteile

Brightee provides an application for charting visit notes on the iPad, which allows for ease of charting in patients' homes. There are cost savings due to staff no longer using laptops that have to be maintained or serviced, and overall the system is fairly easy to learn and navigate.

Nachteile

There are occasional glitches in the software that causes the application to have to be deleted then re-installed, but this is not very frequent. The ability to access Brightree's AFO side in Safari is not yet fully functioning but we know eventually it will be. There can sometimes be difficulty with technical support staff understanding issues that you may be experiencing, but they will continue efforts to problem-solve until the issue is resolved.

Vorteile

Ease of use and the way the assessments flow on ipad to lessen charting time after visits. The task hotlist, doc. tracking, and reports on AFO which allows do much better communication and tracking of our documents.

Nachteile

Seems there is so many things to learn and if you don't use that particular item daily it is easy to forget. Sometimes have to log in multiple times on the ipad for it to accept password.

Vorteile

The ease and look of the product as well as the ability to easily navigate the screen. Their support is one of the best in the industry making them easy to work with and quick to resolve any issues.

Nachteile

The billing feature seemed to lack where the clinical feature succeeded.

Vorteile

Nothing...The program might be good for billing, and other things but in this day and age your program is only as good as it's weakest link. And their document management program is extremely weak.

Nachteile

Document Management Program is TERRIBLE - If you're a company that generates paperwork on a daily basis and you're forced to use this program, you're screwed! I have as close to a business line T1 internet connection as you can get and it's still the absolute slowest program I've ever had to use. I literally have to work EVERY DAY to stay on top of the paperwork generated here.

Vorteile

BT keeps our agency in compliance as new regulations are introduced they integrate them into the software.
We have a particular account manager who goes over and beyond to explain options available in the system, follow up on any problems and supports us through the changes.
The Ipads for field staff are fast and efficient, do not get virus, and our clinicians are extremely pleased.

Nachteile

Not understanding the system or using it to its fullest is a problem for our agency. We need better webinars and education material to be able to maneuver through the software as it is very complex. It is not exactly "user friendly".

Vorteile

There are thorough assessments available and the iPad makes it convenient for clinicians to document at point of care. There is a focus on compliance and keeping up with changes in billing and regulations that makes Brightree a quality product.

Nachteile

There are multiple issues with reports, both clinical and billing, that make it difficult to trust the data. This means increased tracking of things like infections, wounds, admissions, etc. via other methods, costing time and money. There is some inconsistency with where buttons are on the iPad app which can make it unnecessarily confusing especially for new staff. From the office perspective, there are many areas that seem to be more cumbersome than necessary. Due to the limitations of what can be done on the iPad versus on the computer, on call clinical administration need access to both an iPad and a laptop. There is no integration between Brightree and our triage company, making this process more difficult as well. The printing of information from the charts is not laid out very well, so a routine nursing assessment can take 10+ pages to print, where with our previous EMR we were looking at 2-4 pages. Enhancement requests or issues take a long time to be resolved, sometimes several months.

Vorteile

Always updating for more ease of use and is on the ball with regulatory changes. In the last year there have been vast improvements in the software and our team can not wait to see what is coming next! This software has made our job much easier and we are glad to be as paperless as possible. Jain has been wonderful as an account manager. She definitely has our company's best interest at heart and gets the answer to any question that we may have. Support for clinical has been great and improved significantly in the last few months. Billing software support has improved as well and is more manageable for our small company.

Nachteile

I would like to see the fully functional interface with pharmacy soon, the ability to fax from the software, and the ability to look up providers from the CMS site and have their info flow over to reduce time in hand keying entries.

Vorteile

This EMR system has a nice swipe through method. Many questions making it very thorough and reliable system.

Nachteile

The system has long notes and documentation. For some evaluations, there are questions not meant for the specific discipline making it long for all therapists to complete. There are more therapist friendly EMR systems out there.

Vorteile

User friendly, detailed, easy to navigate. Also, access to i-pad and mobile devices help with the field nurses

Nachteile

There are some area still needs to be improved such as reports and dashboards. Some updates, such as visit notes and other documentation which effected by due date needs to be released sooner to give users time for training and adjustment

Vorteile

I just love Brightree. As a user in our Home Health office, I find that the AFO side is so easy to use and when I call support I get exceptional assistance. The team at Brightree is always helpful and if they don't have solution right away, they take the time to get an answer and always follow up.

Nachteile

When updates are made to the AFO and I didn't see the front page updates, I wish it would make you take a tutorial to show you the updates before you can move forward. Sometimes I miss the front page updates and am surprised by new updated pages. BUT usually I get the hang of an update pretty quickly.

Vorteile

Support is excellent, always available and follows up wonderfully. Implementation Clinical Trainer was excellent and very knowledgeable.

Nachteile

The reports are too extensive, hard to find what you are looking for. Should be grouped in more detail and the top reports should be flagged somehow. The AFO side needs to be updated. It is old and outdated as compared to Brightree I-pad software. Some of the reports dont' populate correctly, are very hard to read and print. It should have more tracking ability to graph or report on FAST, PPS, etc. as this is measurable data to track and report as part of eligibility requirements for recertification of the hospice benefit. As it is now, we have to open go to pt's calendar, click on RN notes, view PDF, scroll down through many pages to find the information. BT has just initiated the tracking of the MAC which is good but only a small part of the decline that we need to track. The required HHA supervisory assessment is not marked as required in BT. It is only of the only part of the SN assessment that is a Medicare REQUIREMENT every 15 days. It is often overlooked by the SN as it isn't required to complete under Brightree. Also the time card view from the AFO is very difficult for employees to monitor their time as the visit note only shows the time in on the calendar view. Each employee has to open up the visit note PDF to see the time out so they can correctly enter start time of the next thing in their day, like non-visit timesheet entry. Ongoing orientation in BT, education, is difficult but I was told you will be updating BT University to make it easier to use for new staff orientation and possibly organized per discipline.