Problem List 8-3: There is a new way to manage problems in 8-3

The Problem List gives you the ability to mark problems as chronic, as secondary conditions or as problems you wish to track (such as otitis or strep).

You can first access the Problem List in the Summary section (remember the little house)

You can see that the little house is selected & using the cycle command I have opened the Problem List.

There are a number of columns for each problem & you can drag them across the top grey heading bar to set them the way you prefer

For example, here I have made the Notes column larger & hidden the other columns. They are still available if you scroll to the right.

You can see 2 small boxes above the grey heading bar on the left. If you click either of these the Problem List will only show you problems that you have marked as chronic or as tracked.

Below the Problem List you can see that you can Add or Edit information. Clicking on the Add button takes you to the Problem Template.

From the problem template you can add new problems, resolve old problems & make notes on current active problems. You can also send problems to the billing ICD9 side.

Here you can see that I highlighted a problem then I pressed the View/Add Notes button. This opens a dialogue box and I can add a note for today. It keeps the previous notes so you can review past comments.

More to come...

KBM 8-3 Quick Look

Hey guys. Here is a quick look at the new "pill tab" for the new KBM

You can see it is a bit cleaner looking. The Summary page is now a cute little house on the far left.

If you look above the grid on the right you will see something called Panel Control.

Toggle allows you to open all the categories & scroll through them like we do currently. Or you could close all the categories at once.

Cycle allows you to open one category at a time & cycle through each of them as you review the chart. Only one section will open at a time. You can move each category so it is in the order you wish to view the chart. Once you arrange it the way you like, it should be that way for all future patient charts.

EHR Odds & Ends

The blog lives!! It has been on a temporary sabbatical but is back in time to prepare you for our next upgrade. You all remember our Go-Live date is 8/18/14, a mere month away.

Next week I plan to have lunch in the conference room each day & ask you to join, when you can, for your first look at the new KBM. I will try to do this in SHO on wednesday if Annette can set me up.

Annette will be setting up some evenings over the next month for Kathy to show you the upgrade in more detail. She will do this by Webinar, but will be with us in person for the upgrade.

Other EHR news includes:

I have been working with Kathy Tremble on using Provider Test Action to update providers on their complex patients. She has started to do this for me & can do it for you too if you are interested. She is learning how to update chronic conditions & the medication list. She is trying to add the names of the subspecialists to the chronic conditions so it shows up easily in the summary screen. In the upgrade there is a Case Management Template that she can use for these complex patients. She will plan to update the patient's record before their appointment. You will then be able to cut & paste any information you wish to throw into your note.

I am training Mary O. to put the birth history into the EHR before the babies arrive for their 4 day check. So far this has been a hit with the staff & Mary enjoys it. Please try to make your newborn rounding sheets as complete as possible because it really shortens the amount of time she has to spend trying to recover the info.

I have shown Sandie Martin how to do Tasks in the EHR & how to use the Provider Test Action. Betsy's committee is still working out the details on how we will address normal & abnormal labs as a group, but once that is finalized I will help train whichever staff will be involved.

Patti & Scott have been working on improving the saved " Quick Visit" physicals so it reflects more of what the majority of providers want. I believe there is a document, with the new suggestions for how the visits should look, being drawn up & should go to the partners soon. I hope I will be able to get these visits into the computer in time for the upgrade.

Adair & myself have started to work on Nextpen. We have a training coming up. I think this will save the staff a lot of time in collecting social Hx, Family Hx, etc from the patients. We will see.

Some of us have started to look at Portal. We have the Portal but just have to turn it on. We will not do this til we have procedures in place to address anything that comes in over the portal. We think we will let families use the Portal to access billing first. We would like to get to sending lab results thru the Portal soon after that. Annette will set up a training to start this process.

There are now 2 front desk staff taking pictures of patients when they arrive for WCC. This seems to be going smoothly. We need to set up something in SHO & I will work with Annette on moving this forward once she is back from vacation.

Check out is still a work in progress. The staff are doing well with this but many patients are not stopping at check out & a number of providers are not doing plans in time for them to get anything at check out. I hope we can work on this. Patient plans may be one of the few really meaningful things in Meaningful Use. I have started to give my patients the purple chart with the billing slip & ask them to take it to check out. Most of them have stopped because they think they are carrying something of importance to the check out staff. Once there, I have asked the check out staff to give them the plan. I will let you know how this works.

Please remember for meaningful use stage 2 money we must be giving patient plans to a certain % of our patients. If you have fallen off the Check Out wagon, I hope you will consider jumping back on.

More to come...