Thursday, June 5, 2008

Group One-- How's It Going?

So, for all of you in EMR Group One, how are you doing? How many Lenovos have been tossed through windows or off of tall buildings? How many patients per day are you seeing electronically, and which ones?
Here are my brief answers:
-- The most I've done was a complete morning with all patients charted electronically. But that afternoon my first three patients came late, and I gave up. I have noticed that I'm having to devote enough mental energy to EMR that I'm less flexible in dealing with late patients, complicated patients, or stressful days. When those happen, the EMR is done for the day.
-- I am getting pretty fast on sick visits without using a template. I will do a separate post detailing how I do it.
-- Earl and Maggie did a great job on the "Tank Template" Well Child Checks. These are a great place to start, especially on 2 week and 2 month well checks.
-- I had a hunch that templating would be the key to getting Greenway to work for me instead of me for it. We all use "mental templates" for our various visits-- for example, I do each kindergarten visit more or less the same, and even strep throat visits follow a mental template for me (not consciously, but we're all creatures of habit). Now I need to tailor templates so that the chart reflects how I think, instead of making myself think in the way the template does. Then I'll feel at home with Greenway.
-- We're still having speed issues at Southpoint, even though Brock and Bruno have spent an insane number of hours trying to speed it up. Waiting for a screen to refresh really gets in the way of having GW work for you.
-- I am finding myself wanting to do more patients in Greenway, because it's starting to become a habit now. I just need to get faster at it.

Post a comment to let me know how you're doing...

1 comment:

Unknown said...

Things are interesting at our office and we haven't even trained yet. Our MAs are working with immunizations and vitals and love the latter.
Our docs are working with their tablets and i think this makes them more comfortable with the idea of this transition.

I have worked several days doing al my well checks on Greenway adn agree that the extra mental energy right now is notable. AS time goes by i see myself speeding up and tidying up a bit by deleting the sentences that i don't talk about or aren't relevant.

I have tried doing emails and some letters with handwriting and find that i can get used to it by doing that. I try to add all the words i can it doesn't recognize and it is quick to learn them for the future. I feel pretty quick writing in a few sentecnes to the HPI when relevant.

Don't forget you can delete things from the template by right clicking (that's the button you hold on your pen) or click on the plain text to bring up the sentence and completely edit it.