metaSOFT International
Clinical Module

Medical Rehabilitation

Integrated rehabilitation care management — multidisciplinary team coordination, goal tracking and functional outcome measurement.

MDT coordination
physio, OT, speech and nursing
Functional outcomes
FIM, Barthel and more
Goal tracking
SMART rehabilitation goals
Discharge planning
home care and community handover
Benefits

What your rehabilitation team gains from day one.

Multidisciplinary team (MDT) coordination

A shared MDT care plan visible to physiotherapy, occupational therapy, speech and language therapy, nursing and the medical team — eliminating duplicated assessments and ensuring coherent goal-directed care.

Rehabilitation assessment and goal setting

Comprehensive rehabilitation assessment on admission; SMART short-term and long-term goals set collaboratively with the patient and family — updated at weekly MDT reviews.

Daily therapy session tracking

Each therapy discipline records daily session notes, treatment delivered and patient response; therapy hours aggregated for clinical and billing reporting without manual timesheet entry.

Functional outcome scales (FIM, Barthel)

FIM and Barthel Index scored at admission, weekly and discharge — graphs demonstrate functional gain over the rehabilitation stay and provide the objective evidence required by insurers and accreditation bodies.

Progress reporting for referring physicians

Structured weekly progress reports generated from MDT notes and outcome scores; sent automatically to the referring physician's inbox without manual report writing by the rehabilitation team.

Discharge planning and home care handover

Discharge planning begins at admission; home modification requirements, equipment needs, community services and follow-up therapy documented and coordinated before the patient leaves the unit.

Feature highlights

Coordinated rehabilitation care from admission to community reintegration.

MDT care plan

  • Single shared care plan across all therapy disciplines
  • Discipline-specific goals linked to overall rehabilitation goals
  • MDT meeting agenda and minutes documentation
  • Patient and family involvement recording

Therapy session diary (physio, OT, speech)

  • Per-discipline session notes with treatment and response
  • Therapy hours tracking per patient per discipline
  • Group therapy and individual session differentiation
  • Automatic billing per session per discipline

Functional assessment scores

  • FIM and Barthel Index with item-level scoring
  • Serial scoring at admission, weekly review and discharge
  • Functional gain graph over rehabilitation stay
  • Outcome data for case-mix and quality benchmarking

Progress notes

  • SOAP progress notes per discipline per session
  • Consolidated daily patient summary for nursing handover
  • Weekly summary auto-generated for referring physician
  • All notes stored in the patient's HMS medical record

Goal achievement tracking

  • SMART goal status (not started, in-progress, achieved, modified)
  • Goal review at each MDT meeting with team sign-off
  • Barrier documentation when goals are not achieved on time
  • Goal achievement rate for department performance reporting

Discharge summary

  • Multidisciplinary discharge summary auto-populated from MDT data
  • Home programme, equipment and community referrals documented
  • Follow-up therapy and outpatient review schedule
  • Sent to referring physician and GP on discharge
Part of metaSOFT HMS

Medical Rehabilitation is one of 20+ integrated modules on the metaSOFT HMS platform — one database, one patient record, one source of truth.

Rehabilitation outcomes depend on seamless coordination between multiple therapy disciplines, nursing and the medical team. The metaSOFT Medical Rehabilitation Module provides the shared platform where this coordination happens — every goal, session note and outcome score is visible to the whole team in real time, eliminating the paper-based MDT folder that typically travels between departments.

Because rehabilitation is integrated with the wider HMS, therapy charges post automatically to billing, the patient's medication and medical history are available in context, and the discharge summary flows directly to the referring physician without a separate dictation or letter-writing step.