UnChartI actually changed the orange starred part of the template so I can document both for MU and PQRI (tobacco assessment clinical )quality measure. So I only have to document the status once and then if I prescribe a smoking cessation medication or counsel a patient (and document in the plan section) I get credit [...]
Archive for March, 2011
Using Notice Processor to find overdue patients
Hopefully this post will only be needed for historical value. Notice processor from a usability standpoint is a crime against humanity. Here’s how I find my diabetic patients who haven’t been in the clinic for 6 months. (Note: if they came for a cold 3 month ago, they’d not be caught. Still generally this report [...]
Duplicate Names Report
We add a special pop up alert to patients who have a name that is the same or similar to existing patients. For example, I worry about a medical assistant calling someone with lab results and not noticing that they have the wrong “Bob Smith.” A pop-up doesn’t solve the problem, but at least the [...]
Patient Phone List
Also just a lookup report (like the e-mail one). Since the demographic search only allows a search of the home phone. Sometimes we miss a patient call or just jot down a phone number and need to find the patient in the system. This report searches the home, cell and work fields. Patient Phone Report [...]
Patient Email List
This is just a lookup report which checks both e-mail fields in patient demographics. We sometimes get e-mails from existing patients, but they don’t think to include their full name on the e-mail. Patient e-Mail (Opportunity to re-direct patients to portal. — JP) Report by Sara Evans For the past five years, Sara has managed [...]
Next Day Chart Covers
We run this every afternoon for the following days appointments. Prints out a simple one page form to verify demographic information for patients that haven’t been to the clinic in a while ()45 Days). Patient makes any corrections directly on the page and we scan to docman. There is a small known issue where more [...]
Pop Ups with No Boxes
Our staff chronically write pop up alerts and forget to check any of the boxes. This looks for those instances so we can manually correct. It’s a quick fix, so I run it about one a week. (My macro for looping through charts could be useful with this. Add the account number and then loop [...]
Appointments made more than 45 days ago
Appointments Made More than 45 Days Ago. We noticed that a lot of our no- shows were attributable to patients who made their appointment several months in advance. Calling these patients 24-48 hours in advance was too late. So no, we call these patients a week in advance just to give them a heads up. [...]
Using (Not Just Medical) Dragon with e-MDs
Voice Recognition has been just around the corner for at least 5 years. My clinic has a number of docs who’ve been pretty sucessful over the years. We bought Dragon Professional years ago and spent some serious cash on some Medical Vocabularies. I’ve tried it repeatedly over the years but my dictation is pretty error-prone [...]
Preclicks by Template or by Provider
This report may seem worthless — who cares what preclicks your partners have or what tempates get the most ‘preclick love’? This report could be a great source of Practice-based Evidence.
How much time can Macros Save?
In the background of my computer, I’ve been tracking my work lately — at a very low level. How many mouseclicks? How many characters typed? Honestly, sometimes it feels like that’s my job description. I’ve been using Autohotkey for macros and abbreviations for most of the 3 years I have used e-MDs. I’ve got dozens [...]
Charting efficiency in e-MDs
In my post about snappy charting I talked about some of the theories about making charting fast. Ranging from big to small, here’s the toolset e-MDs provides for efficient charting. This: Does This: Shortcut Whole template note entered at once including all the hx, exam, orders, billing Past Visit Copies a whole note from this [...]
Practice-based Evidence
Evidence-based medicine (EBM) has been a fad in medical training and practice over the last decade. The premise is straightforward: use the best available evidence when making clinical decisions. The gold standard is the randomized double-blind large scale clinical trial. Generally we think of this as the most reliable form of evidence. It’s not perfect [...]
How to organize MU Benchmarks.
One of the main troubles with Meaningful Use (MU) is that there are so many benchmarks. It’s great to have them all (now we have an agreed upon target) but keeping track is a pain. In my practice we’ve got a dozen providers. As it stands now, we’d need to run report after report after [...]
Snappy Charting
Note: This article requires 20+ minutes to read the accompanying materials and videos. With all these Gigaherz and Gigabytes and stuff, why is charting so slow? We all have gut awareness of speed. Snappy. Quick. Pop. ….These aren’t really the words people think of when interacting with an EHR. And this isn’t a computing problem [...]
