The short answer to the original question, is NO WE DON"T TRACK THIS. Sorry.

The trade off in ANY computer system - be it EMR, accounting system, or other system, is level of detail vs time to feed the "elephant's child", and whether all of the information that initially everybody thought would be useful is actually going to show a benefit for the cost. In this case, having a separate data field for whether a person has sensation in their feet (remember, an AC chart note has the same fields for everybody) means spending screen real estate for a checkbox with little if any real clinical usefulness.

If you REALLY REALLY REALLY want this - create a bogus diagnosis code, and then report out on it when its time to fill out the Extortion for Hoop Jumping.. er.. I mean Pay for Performance paperwork.

There ARE EMR packages that keep this level of detail in their templates and allow reporting all this junk out.. We tried one and it was impossible to use (unless you can get away with taking 20 minutes to do each chart note)

Regards,

V.


Vincent Meyer, MD
Meyer, Malin and Associates, PLLC