Expanding the use of Encounter Assistants

Transcription

1 Expanding the use of Encounter Assistants John Swekla Cheryl Reid November 15, 2015

2 Agenda 2 Alberta EMR User Conference

3 Agenda What are Encounter Assistants? What can they do? How do they work? How do I make my own? 3 Alberta EMR User Conference

4 Agenda What are Encounter Assistants? What can they do? How do they work? How do I make my own? Okay you sold me. Encounter Assistants are great and I want to use them now. Where do I sign? 4 Alberta EMR User Conference

5 1 What are Encounter Assistants?

6 What are Encounter Assistants? Special type of custom form Collect data Generate notes and letters Automate common workflows 6 Alberta EMR User Conference

7 What are Encounter Assistants? Focused on efficient patient care Designed to save time and reduce errors Encourage consistent and concise notes Provide clinical decision support 7 Alberta EMR User Conference

8 The evolution of Encounter Assistants... Stamps Quick keyboard-based template Tab-through generation of text notes Formatted (but not structured) 8 Alberta EMR User Conference

9 The evolution of Encounter Assistants... Custom Forms Replicate paper forms Excellent for data collecting (searchable) Structured (but not formattable) 9 Alberta EMR User Conference

10 The evolution of Encounter Assistants... JavaScript Forms Extension of the EMR Can perform tasks and actions Require programming knowledge Powerful (but complicated) 10 Alberta EMR User Conference

11 The evolution of Encounter Assistants... Encounter Assistants User designed Generate notes and letters Perform actions without programming Formatted, structured and powerful 11 Alberta EMR User Conference

12 What are Encounter Assistants? Stamps Custom Forms JavaScript Forms Encounter Assistants Quick keyboardbased template Replicate paper forms Extension of the EMR Generate a formatted note or letter 12 Alberta EMR User Conference

13 What are Encounter Assistants? Stamps Custom Forms JavaScript Forms Encounter Assistants Quick keyboardbased template Replicate paper forms Extension of the EMR Generate a formatted note or letter powerful 13 Alberta EMR User Conference

14 What are Encounter Assistants? Stamps Custom Forms JavaScript Forms Encounter Assistants Quick keyboardbased template Replicate paper forms Extension of the EMR Generate a formatted note or letter powerful structured 14 Alberta EMR User Conference

15 What are Encounter Assistants? Stamps Custom Forms JavaScript Forms Encounter Assistants Quick keyboardbased template Replicate paper forms Extension of the EMR Generate a formatted note or letter powerful structured user-defined 15 Alberta EMR User Conference

16 The goals of Encounter Assistants... Extend Reach Support Collaboration Improve Outcomes 16 Alberta EMR User Conference

17 The goals of Encounter Assistants... Extend Reach easy to use improve clinic efficiency Support Collaboration Improve Outcomes 17 Alberta EMR User Conference

18 The goals of Encounter Assistants... Extend Reach Support Collaboration sharable easy to configure Improve Outcomes 18 Alberta EMR User Conference

19 The goals of Encounter Assistants... Extend Reach Support Collaboration Improve Outcomes effective panel management decision support 19 Alberta EMR User Conference

20 What are Encounter Assistants? Extend Reach easy to use improved clinic efficiency Support Collaboration sharable easy to configure Improve Outcomes effective panel management decision support 20 Alberta EMR User Conference

21 2 What can they do?

22 What can they do? Panel management Assessment Preventative care Specialist letters Medical delegation Medical calculators 22 Alberta EMR User Conference

23 What can they do? Panel management (ICD-9 coding of problems) 23 Alberta EMR User Conference

24 What can they do? Assessment (Atrial Fibrillation) 24 Alberta EMR User Conference

25 What can they do? Preventative care (PHQ-9) 25 Alberta EMR User Conference

26 What can they do? Specialist Letters (Fibromyalgia referral) 26 Alberta EMR User Conference

27 What can they do? Medical delegation (Conjunctivitis) 27 Alberta EMR User Conference

28 What can they do? Medical calculators (International Prostatism Symptom Score ) 28 Alberta EMR User Conference

29 What can they do? Provide efficient patient care Save time and reduce errors Generate consistent and concise notes Support clinical decisions 29 Alberta EMR User Conference

30 What can they do? Write a prescription Generate a bill Send a message Access reference sites Data analytics Create searchable data Populate CPP Medical delegation Patient intake Assessment 30 Alberta EMR User Conference

31 3 How do they work?

32 How do they work? Two step workflow 1. Fill in the form and click Finish 2. EA will create the note or letter in the chart 32 Alberta EMR User Conference

33 How do they work? Can t finish now? Finish Later 1. Fill in the form and click Finish Later 2. EA will sit in chart as unfinished note 33 Alberta EMR User Conference

34 How do they work? Propositions? Yes, No, not asked Unambiguous Follow best practices 34 Alberta EMR User Conference

35 How do they work? Findings and Assessment Found / Not found, Present / Suspected 35 Alberta EMR User Conference

36 How do they work? Scoring Custom answers 36 Alberta EMR User Conference

37 How do they work? Orders and requisitions Single-click actions 37 Alberta EMR User Conference

38 How do they work? Patient Handouts Single-click actions 38 Alberta EMR User Conference

39 4 How do I make my own?

40 How do I make my own? No license required 40 Alberta EMR User Conference

41 How do I make my own? Drag & drop layout editor Property editor Keyboard-friendly Precise control of note formatting WYSIWYG 41 Alberta EMR User Conference

42 How do I make my own? Step ONE: Why am I here? what clinical situation does this cover? (intake, DDx, preventative care) what is the output supposed to look like? (note, letter) who is going to be using the Encounter Assistant? 42 Alberta EMR User Conference

43 How do I make my own? Step TWO: Remember Occam s razor start simple focus on individual decision points within an encounter look for horses, not zebras 43 Alberta EMR User Conference

44 How do I make my own? Step THREE: Follow the example of Picasso good artists copy, great artists steal use existing Encounter Assistants as your guide collaborate through the community portal 44 Alberta EMR User Conference

45 How do I make my own? Step FOUR, FIVE, SIX: Lather, Rinse, Repeat... experiment with the Encounter Assistant you can always edit the note easy to change the Encounter layout 45 Alberta EMR User Conference

46 5 Where do I sign?

47 Where do I sign? If you act now... no license required already built into PS Suite 47 Alberta EMR User Conference

48 Where do I sign? PSS Community Portal watch training videos download sample templates 48 Alberta EMR User Conference

49 Where do I sign? Encounter Assistant Sharing join Chatter group exchange with collegues 49 Alberta EMR User Conference

50 Where do I sign? When in doubt, ask reviewed frequently 50 Alberta EMR User Conference

51 Where do I sign? CognisantMD public use examples 51 Alberta EMR User Conference

52 Where do I sign? PSS Training PSSuiteEMR.advancedtraining@telus.com 52 Alberta EMR User Conference

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