How does the platform run a continence program and reduce CAUTI risk?
Expected outcome
Catheter-day and care-plan evidence
Modeled from workflow design and industry benchmarks. No customer communities measured yet — figures are targets, not validated results. See Industry Findings for methodology.
The problem
Incontinence affects 60% of residents, but most communities have a supply closet instead of a continence program. Catheters stay in too long because nobody tracks the days.
How the platform runs it
Every resident gets a continence assessment with a structured bladder diary. The toileting schedule appears on the CNA’s task list at the right time. Every indwelling catheter is tracked from insertion — the system counts catheter days and prompts daily necessity assessments. On day five, the physician receives an automatic prompt to assess for removal. CAUTI prevention is built into the workflow.
On the shift
Every indwelling catheter on the floor shows on the continence dashboard with insertion date, daily indication review, and the next removal-trial date. The 9 a.m. assessment for Mr. B. flags that his catheter has been in place for 12 days without a documented daily indication; the system requires the nurse to document why before charting the shift. The bowel and bladder retraining cohort — eight residents — shows individualized schedules and compliance per shift; one CNA’s compliance has dropped, which the unit manager addresses on the next round.
What the outcome looks like
Evidence focus: continence plans, catheter-day reviews, and CAUTI-prevention evidence are tracked for operator review. No skin-breakdown or CAUTI outcome is claimed here.
What goes wrong without it
Without continence tracking, catheters stay in because nobody is reviewing the indication daily. CAUTI rates rise; the F-tag for unnecessary catheterization is a top-ten survey citation. Bowel-and-bladder programs exist on paper but devolve to "take her to the bathroom every two hours," which is not a program and does not work.
Where this connects in the platform
Every clinical workflow runs on the same record. These are the feature pages, head-to-head comparisons, and pillar articles that go deeper on the surfaces this workflow touches.
Feature surfaces
Compared head-to-head
Clinical and quality references
Clinical workflows on this page run against the CMS RAI/MDS manual, the Quality Measure technical specifications, and the recognized clinical practice guidelines published by AGS, IDSA, and the Wound, Ostomy and Continence Nurses Society.
- Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual
CMS
The binding rulebook for MDS assessment timing, item coding, and look-back windows that drive both quality measures and PDPM scoring.
- MDS 3.0 Quality Measures User's Manual
CMS
Technical specifications for the long- and short-stay quality measures reported on Care Compare.
- Beers Criteria for Potentially Inappropriate Medication Use in Older Adults
American Geriatrics Society
Reference standard for psychotropic stewardship and high-risk medication review in older adults.
- CDC / NHSN Long-Term Care Facility Component
CDC
Definitions and surveillance protocols for UTI, respiratory, and multidrug-resistant organism tracking used in infection control.