UnChartI’ve just started this a couple months ago. — Jonathan. When thinking home sleep monitors, I wanted to reveiew practice changes I’ve made in the past couple years. Practice Innovation Revenue Cost Fluoride $8600 Under $1000 Continuous Glucose Monitor $3400 ~$1600 Ambulatory Blood Pressure Monitor $4600 $1600 Zio Patch $100 $100 (Delayed for Medicare T-Code) [...]
Archive for the ‘clinical’ Category
Continuous Glucose Monitors
I started doing CGM about 1.5 years ago but never posted. — Jonathan CGM Overview Continuous Glucose Monitor (CGM) allows for better understanding in hard to control insulin-dependent diabetics. It checks a reading every 5 minutes for 3 days, it’s then downloaded and we can use it to adjust isulin and improve diabetic control. This [...]
Laboratory Template with Flowsheets
This is Chris Hunter’s Laboratory Template that includes links to appropriate flowsheets. Flowsheet links are ‘brittle’ so the exact wording matters. For my clinic the flowsheet links don’t work but it would be a starting point for making our own. Laboratory_Results
Psychological Testing Procedure template
This template was created by Christine Hunter, PA-x. (x stands for extraordinary) This includes some billing codes (so you can get credit for reviewing and interpreting Vanderbilts, for example.) Psychological_Testing Template
Practice Improvement 3.2012 Podcast
Thanks to everyone who participated. I learned a lot about hosting a webex. The more I edited myself out of the podcast, the bettter it gets. Load in iTunes: There’s some sweet nuggets in here. So load it into your phone and listen during your commute.
Group Visit Invitation
I’m going to be doing a diabetic group visit — a dinner club. Why would I offer to give free food as part of a doctor visit? By going over dinnertime, I can make it easier for diabetics with a job to stay on top of diabetes. Exemplify some healthy meals Time savings of group [...]
Coumadin in e-MDs
There’s been a discusssion on SupportCenter about Coumadin Plans. Mal Riddell has offered his template: Coumadin Plan Template Mal’s process: We use a shortcut for our INR/PT patients that includes a 99211 charge for the most part. If I see them significantly, I delete the charge and add the appropriate charge after the visit. The [...]
Usability of the Washington State Prescription Monitoring Program
The idea of the prescription monitoring program (PMP) rocks. Given that multiple controlled substances are potentially lethal, a prescriber or pharmacist should be able to verify other prescriptions. Transparency improves care. But it’s implemented with unnecessary friction. This is going to reduce how many busy docs or pharmacists are willing to go through the hassle. [...]
URI for MS3s
A talk about URI-related illness and limits of antibiotics. Has a focus on formulating clinical questions. URI View more presentations from Jonathan Ploudre
Diabetes for MS3, 2011
Here are my slides about Diabetes for Lecture for PNWU. Diabetes for MS3s View more presentations from Jonathan Ploudre
Ambulatory Blood Pressure Monitor Patient Handout
Here’s my info handout for patients getting Ambulatory Blood Pressure Monitoring. It’s got some nice specifics: About 90 seconds to read, 8th Grade reading level. But it covers the key points I’ve learned with my first ~15 patients who’ve done ABPM. Your doctor has recommended you get “Ambulatory Blood Pressure Monitoring”. This is a portable [...]
Custom Single Drug Search
Chat Kidkul made this report Chat says: Search for single drug by strength and form. Based on Single Drug Current & Past Med Search 6.2 report. Added the Strength and Form criteria to help narrow down the search. This is a more general (and well written) example of what I did recently to screen patients [...]
Ambulatory Blood Pressure Monitor (Where’s Innovation?)
In 2003, JNC 7 recommended Ambulatory Blood Pressure Monitoring (ABPM) for a number of clinical situations: Suspected white-coat hypertension in patients with hypertension and no target organ damage Apparent drug resistance (office resistance) Hypotensive symptoms with antihypertensive medication Episodic hypertension Autonomic dysfunction Show me the money…. One of the main critiques was that it increased [...]
Simvastatin (Zocor) 80mg Report
Simvastatin Report Last year in March, the FDA fired a warning shot about the increased risks with the 80 mg dose of simvastatin. FDA Warning, March 2010 So last year at the e-MDs user conference I used that as an example of how to do a quick and dirty report from crystal see the video [...]
Opiate Prescription, 2011
Here’s my presentation about opiate prescription for non-malignant pain for the local MS3s. My nifty ‘magic move’ animations to show grouping dont’ translate into slideshare all that great.
