UnChartI am still in the process of turning my office into another exam room. Now that I use an electronic health record, I don’t really actually need a physical office during most of the day. I don’t tend to dictate during the middle of the day so giving up my office is not a big [...]
Posts Tagged ‘meaningfuluse’
Consultation Theater
A while back a college friend turned me on to Strengthsfinder. My strengths are Strategic, Ideation, Input, Learner and Self-Assurance. I can identify with other strengths but these fit, too. Ideation is Strengthsfinder terminology for a person who loves coming up with and thinking about ideas. That’s definitely me. Our group is starting to think [...]
Portal Patients (email and expiration dates)
Here’s another report by Bill Sweeney from Mid-State Health. Bill creates awesome flat file reports. This is just begging for some simple list work in Excel (See my Data-Driven Practice page). In my practice we didn’t fully realize how expiration dates worked. We used 1 year later — now patients portal is expiring. We need [...]
Visit Summary 7.2.1
It’s been just over a year since I was appalled at the default Visit Summary. The original visit summary disengages a patient in her care. It sets up barriers like 3/4 of a page of junk before the actual content begins. So that night as a proof of concept, I cleaned up the Visit Summary. [...]
Stage 2 Proposed Guidelines
Print this for yourself and your partners Download Handout: Proposed MU Stage 2 Benchmarks Made for printing double side. This was written initially by John Crankshaw as a forum post, then we collaborated to make it into a handout. Since these are ‘proposed’ guidelines, these are our interpretations.
Journey to Meaningful Use
Journey to Meaningful UseView more presentations from Jonathan Ploudre. What if you’re starting out? Here’s my philosophical overview of how to achieve meaningful use for WIREC’s Meaningful Use Best Practices Forum. Here are the thoughts that go with the slides: In 2008 only 1/5 ambulatory practices have an EMR and 1/25 have a ‘full’ EMR. [...]
Security and HITECH Tools
Thanks to Andy Helm and Georgia HITREC for security-related info for Meaningful Use. (And Thanks to Samuel Church, MD/MPH, for hooking this up for sharing.) This includes two major tools: a spreadsheet tool for conducting a security audit and a document with principles of security and checklists for applying them in a small practice. Good [...]
Custom Payer Invoice Count
Chat Kidkul made this report Chat says: This counts % of invoices by payor, can be broken down by provider, facility, payor and financial group. Mainly used to see patient volume by insurance company. The detail report will show appointment information along with invoice information. He used this report to determine if he could get [...]
Plan-Do-Study-Act and Meaningful Use
Plan-Do-Study-Act is a methodology for improvement. It’s the same basic theory about experimental sciences (hypothesis, experiement, analysis). Generally it works like this: Plan out how something is supposed to work. Do it Study the results Analyze how to make it better. Refine Plan….. For Meaningful Use, I think most organizations would do well to have [...]
MU Smoking Status Template
I 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 [...]
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 [...]
Visit Summary Cleanup (1.0)
At it’s most basic, I’d like to make Visit Summaries usable for patients. This seriously doesn’t work for me: Document ID a5946a99-3ebb-44ad-8d6c-7ecbe59b1d11 By reducing the header, it saves a half a sheet and really simplifies it. It’s still not pretty/legible — reformatting is equally important. But for a few minutes of editing the XSL file, [...]
Meaningful Use Benchmark Explanations
Update: New version 6/17/2011 by Chris. She says: I took off the word Medicare in the percentage description for Core Criteria #13. Instead of reading “50% of Medicare patients”, it now reads “50% of patients”. I also added to Menu Set #2 Lab Results in EHR as Structured Data that the lab results must be [...]
Meaningful Use Map and Kickoff
Jargon really complicates Meaningful Use discussions. When talking about prescriptions, say, one person might be thinking about the input (CPOE) while another is thinking about transmission (electronic). Or one person talks about clinical decision support while the other hears clinical reporting. Here’s my solution. Print this out huge and put it in your conference room. [...]
