The staff send charts to my inbox ( ready for exam, needs refill, has a question etc.) When I open a chart if I have started making an entry but am not finished I will forward it to the "Providers" box rather than to my "Inbox". I do this only because it leaves the Inbox less cluttered and it is easier for me to see messages,patient questions and so forth. I keep my messages box open and don't open the schedule very often, I work off of the list in my Inbox. The note is started by the MA when she enters the reason for the visit, Vital Signs and reviews the medication list and allergies.She forwards the chart to my Inbox, I open the chart and complete the note in the patient's room if simple and complete it later if I need to fill the note out more. I don't use AC for billing and don't need to sign the note before the patient goes to check out. I still use a paper charge slip on a Clip-board which they carry up to the front counter. ( The clip board prevents them from folding up the charge slip and putting it in their pocketbook while they leave without paying their bill. Sorry to say, there really are patients who would do this.)
I am also using a tablet and do not leave a computer in the room with an unattended patient.


Deborah Lehmann MD
Gynecology
Fort Worth TX