Freshmen AxiUm Orientation March 2015
D1 Training Agenda Basic skills for D1 Training Axium Introduction General Info- handout Check axium e-mail 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: http://www.lsusd.lsuhsc.edu/ Learning Center- Axium Training
AxiUm-LSUSD clinic management system for maintaining patient records in a paperless environment
AxiUm
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
Axium disadvantages Takes time to learn, takes time to enter information Complicated information- where to find it?
Training Objectives HANDS-ON Training exercise Increase Efficiency in finding & entering info Increase Face Time with your patient
Axium Help- links to training page on LSUSD website
Axium Training -LSUSD website- Learning Center
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
Off campus - Remote access- Citrix- Applications tab- Axium
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
Axium- organized into modules for different functions and security access
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
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
Odontogram displays: Initial findings- existing restorations, caries, conditions Planned treatment procedures (yellow dots) Treatment procedures in process and completed
Learning how to navigate through axium patient record- EHR- Electronic health record takes time and practice
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)
You will be prompted to enter a new password, there are no special criteria for this password
User logged onto axium Messenger module- click to send or open messages
Click on message icon at bottom of screen blue or red background means you have a message
Send and receive messages through axium
Finding your assigned patient for training- click on Personal Plannerselect Assigned Pts tab & hit search button (magnifying glass)
Here is your assigned patient for training
Tip #1- patient s name must appear in status bar at bottom of screen to open chart T#1
Rolodex- opening a patient s chart
Open a patient s chart Type in last name, or last name, first initial, or chart number Hit enter
Open the patient card from the rolodex or by clicking on the patient name in status bar
Patient Card contains personal info, phone numbers, emergency contact and list of appointments at bottom of window
EHR- electronic health record
Update the medications
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
Medical Summary Page
BP Readings
To add a form
Medical release letters are scanned into the medical history form Medical Summary page
Medical release letter
EHR module Charting findings Add planned treatment Add treatment notes
In Progress tab In Progress tab, shows today s activities and pending treatments
Tx History tab in EHR
Forms tab
Attachments tab
Perio tab
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
Chart Add tab appears- Adding to the chart- Findings, Dental tx
1st step to charting: Select teeth and right click to indicate missing teeth
Select a tooth and right click to change to a primary tooth
Findings button- chart existing restorations and new caries
Chart existing restorations
Findings -Existing restorations and caries added
Odontogram Displays Initial findings, planned and completed treatment
Chart planned treatment- Dental TXs button
Charting for planned treatment blue text means faculty approval needed
Choose treatment procedure from the Quick List
Choose a button Add Note Add Findings caries Add Planned Trmt
Adding treatment 3 steps Choose category Choose procedure Choose P for planned Get faculty approval for planned treatment
Findings- restorations, caries, conditions Dental Txs- planned procedures
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
Click on ellipsis button next to Code
Double click on the note template for the appropriate discipline
Complete your note and hit Add New
Note appears in Tx History tab
P in status column, red text Yellow dots in odontogram indicate planned treatments
Alerts- click on red alert button - to view medical alerts for this patient
Blue text means unapprovedhave faculty approve and grade at end of each clinic session
Approved trmt text- black chart number button- grey
Axium Help Kathy Hansel Room 2305 504-941-8139 Jeff Schluter Room 5333 504-941-8233 E-mail Internal message through axium
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.
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