Freshmen AxiUm Orientation. March 2015

Transcription

1 Freshmen AxiUm Orientation March 2015

2 D1 Training Agenda Basic skills for D1 Training Axium Introduction General Info- handout Check axium Finding your patient Personal Planner Assigned pt View Patient Data Rolodex, EHR Complete Online Forms EHR- Forms tab Chart Findings - odontogram, Chart Add tab Plan Tx -Chart Add tab- Dental Tx Write a Clinical Note D1 Clinic Day Open patient s chart Update medical history - Forms tab Chart findings Add treatment Add clinical note - get faculty approval of forms, note and treatment. ***Handouts with further instructions available on Axium Training website: Learning Center- Axium Training

3 AxiUm-LSUSD clinic management system for maintaining patient records in a paperless environment

4 AxiUm

5 Advantages of electronic records: Chart accessibility and retrieval No more lost charts, checked out to another student, lost x-rays Accurate and legible notes Availability of an organized chart Audit trails Security and electronic signatures Extensive reporting capabilities- research

6 Axium disadvantages Takes time to learn, takes time to enter information Complicated information- where to find it?

7 Training Objectives HANDS-ON Training exercise Increase Efficiency in finding & entering info Increase Face Time with your patient

8 Axium Help- links to training page on LSUSD website

9 Axium Training -LSUSD website- Learning Center

10 AxiUm Laptops are provided in each cubicle Do not use your personal laptops in clinic, will not allow entry of faculty approval codes Log onto clinic laptop using your LSU username and password Click on the axium icon and use your axium username and password Log off the laptop when finished for the day

11 Off campus - Remote access- Citrix- Applications tab- Axium

12 HIPAA Policies Patient records contain personal and medical information that must be safeguarded and respected. Public places- remote connection to axium- not recommended Do not discuss patients outside clinic (includes the elevator) Patient records must be requested through Dr. Gallo s office by patient-signed pt release of info Printing of patient records restricted Automatic logout- 30 minutes

13 Axium- organized into modules for different functions and security access

14 Axium Security Undergraduate Students- limited access to patient records- must be assigned as a provider Postgraduate Residents- free access to patient records Staff cannot access all parts of a patient record to protect privacy

15 What s to be included in the patient s dental record (chart)? Registration-Personal info- address, phone numbers, emergency contact, insurance Medical and dental history- medications, conditions affecting dental treatment, past dental experiences Initial findings- existing restorations, caries, conditions Planned treatment procedures Treatment procedures in process and completed Treatment notes Attachments- medical consults, radiographs from another dentist, photos Consent forms and consultation forms

16 Odontogram displays: Initial findings- existing restorations, caries, conditions Planned treatment procedures (yellow dots) Treatment procedures in process and completed

17 Learning how to navigate through axium patient record- EHR- Electronic health record takes time and practice

18 Axium login JStude (Joe Student) 1 st letter of first name, first 5 letters of last name, first 2 in caps Initial password- axium Axium password problems- Kathy Hansel LSU password problems- IT (568-HELP)

19 You will be prompted to enter a new password, there are no special criteria for this password

20 User logged onto axium Messenger module- click to send or open messages

21 Click on message icon at bottom of screen blue or red background means you have a message

22 Send and receive messages through axium

23 Finding your assigned patient for training- click on Personal Plannerselect Assigned Pts tab & hit search button (magnifying glass)

24 Here is your assigned patient for training

25 Tip #1- patient s name must appear in status bar at bottom of screen to open chart T#1

26 Rolodex- opening a patient s chart

27 Open a patient s chart Type in last name, or last name, first initial, or chart number Hit enter

28 Open the patient card from the rolodex or by clicking on the patient name in status bar

29 Patient Card contains personal info, phone numbers, emergency contact and list of appointments at bottom of window

30 EHR- electronic health record

31 Update the medications

32 Check medical history Patient must sign for any changes in medical history Electronic signing pads are located at the front desk with the scheduling clerks Sig required button at bottom of screen turns pink

33 Medical Summary Page

34 BP Readings

35 To add a form

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37 Medical release letters are scanned into the medical history form Medical Summary page

38 Medical release letter

39 EHR module Charting findings Add planned treatment Add treatment notes

40 In Progress tab In Progress tab, shows today s activities and pending treatments

41 Tx History tab in EHR

42 Forms tab

43 Attachments tab

44 Perio tab

45 Dental Charting To chart findings and plan treatment in axium, to ADD findings or treatment to the CHART, you must first open the CHART ADD tab Hit the create new record button

46 Chart Add tab appears- Adding to the chart- Findings, Dental tx

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48 1st step to charting: Select teeth and right click to indicate missing teeth

49 Select a tooth and right click to change to a primary tooth

50 Findings button- chart existing restorations and new caries

51 Chart existing restorations

52 Findings -Existing restorations and caries added

53 Odontogram Displays Initial findings, planned and completed treatment

54 Chart planned treatment- Dental TXs button

55 Charting for planned treatment blue text means faculty approval needed

56 Choose treatment procedure from the Quick List

57 Choose a button Add Note Add Findings caries Add Planned Trmt

58 Adding treatment 3 steps Choose category Choose procedure Choose P for planned Get faculty approval for planned treatment

59 Findings- restorations, caries, conditions Dental Txs- planned procedures

60 Adding Treatment Notes Treatment notes must be added for every visit Note guides are used for the appropriate discipline (operative, endo, perio, etc.) Choose the note guide and fill in the blanks

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62 Click on ellipsis button next to Code

63 Double click on the note template for the appropriate discipline

64 Complete your note and hit Add New

65 Note appears in Tx History tab

66 P in status column, red text Yellow dots in odontogram indicate planned treatments

67 Alerts- click on red alert button - to view medical alerts for this patient

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70 Blue text means unapprovedhave faculty approve and grade at end of each clinic session

71 Approved trmt text- black chart number button- grey

72 Axium Help Kathy Hansel Room Jeff Schluter Room Internal message through axium

73 Remote Desktop Connection to Axium ON Campus Only Go to Remote Desktop Connection- Type in the address lsusd-terminal next to computer. (this address will be saved and you can save RDC to your desktop for easier access) Hit Connect. Use your LSU username and password again. Once the home page appears, click on the Axium icon and use your axium username and password.

74 Training exercise Username: JStude First 2 letters caps Password: axium Change PW after initial login- Tools- change password on toolbar Personal planner find your assigned patient Complete the tasks LSUHC School of Dentistry website- Learning Center- Axium Help