Sunday, June 15, 2008

Happy Fathers' Day to ALL!

What better way to spend it than blogging on greenway while waiting for the Father's Day meal with a 38 wk pregnant wife!

It can be frustrating to think about the extra time that this transition takes and how it invades some of our usually personal moments. In those times it is helpful to see the efforts of others interested in the success of this project and also to see how it has helped me become much better acquainted with others i likely would never have known very well in the corporation.

And, then there are the little successes like all the doctors and staff in our office looking at how the advantages of the system can outweigh the difficulties in transition.

Here is an email to Karla which may help some with templating stuff theyr'e working on:

On Sat, Jun 14, 2008 at 9:59 PM, Karla Feindt <kafeindt@yahoo.com> wrote:

I tried to do your create note/progress note option on a pretend patient.

I couldn't figure out the ROS Admin or where the option to create or save exam types is located....ooohhh I just read a little further and saw you will cover that in another post...I will have to be patient :)

ROS Admin is pretty easy but it would probably be easier to show you than describe it to you; basically you highlight the categories on the left, then windows will open on the right. If an item is in light gray it will be an option but will not show up as a default "admits" or "denies"; you can click on that individual item (either in ROS admin or in your actual note) once and it will show a (-) sign, meaning "denies", twice for (+) "admits", and three times to make it neutral again. Your defaulted ROS should show up in any note, although mine is giving me trouble right now and I'm waiting to hear from Greenway.

Also, if I am creating a line that will nbe used in multiple different template, is there a way to save it in a library, copy/paste it? Can you use your DIAGNOSES AND PLANS FOR MERGE to put into our own templates? Is there a way to use this create note/progress note process but then have pretyped plans where all I have to do is click on one thing and my whole URI plan will come up, or another and my usual entire OM (bronchiolitis, VGE, etc) plan would come up so I don't have to do multiple clicks in the plan section?

There is definitely a way to save it in the library; I would have to go to a template to see how, but I'm also forwarding this to Earl, who can tell you the exact way to do it. As far as linking diagnoses and plans, you can create a template that doesn't have HPI or PE but has diagnoses, and you can link specific order, labs, meds and instructions to each diagnosis. I have one that's pretty complete that you're welcome to try. Under select template, change the user to Kevin Lash, and select the template named "diagnoses and plans for merge". It can overlay into any type of note.

I hope these questions make sense. I plan to attend the Wed AM meeting, but sometimes rounds interfere with best laid plans...

Hope all is well with you. After this exhausting template creation work, I am goin to bed, at least until the next patient calls...

Thanks for all your work on this blog,
Karla Feindt

I hope you can come one of these Wednesdays- I think it would really jumpstart your template work and save you a lot of time.

Thanks,

Kevin

No comments: