I would ask some of the members on here how they solved certain work flow problems for two reasons: 1- There is no need to re-invent the wheel, 2- If you have a good imagination like me, you will come up with work arounds that probably are NOT good ideas! (lol) or at least are not "meaningful".

In 2007 we had one or two clerks at radiology groups call to ask us to fax an Rx for an x-ray as they (the front desk clerk) would not recognize our "order" for an x-ray. I saw no problem and felt this worked well, ie: Rx Mammogram routine, and on the follow up visit as I reconcile meds, I see the Mammo, and don't forget to ask, "did you do it". when it is done I inactivate the Mammo Rx and next year re-activate it, WHICH IS REALLY HELPFUL if it is diagnostic with unique requirements or Dx: Codes (which I had cut and paste into the Sig section.

I was really happy. Life was simple and the medical record really seemed TO ME to be headed toward a better outcome.

With meaningful use I realize that all the Rx's for durable equipment, Radiologic procedures and Glucometer test strips ARE NOT CODIFIED, and are therefore meaningless and my percent of e-Rx is less than 50%. ("Broke, busted, disgusted, agent can't be trusted" a line from the Mama's and Papa's just seems to fit here, but I am sure Dylan had something more on Point but I can't think of it right now.)

Anyway if I have a point, it is that you will have ups and downs with this, but it is overall an absolutely AWESOME change in how you can chart and manage the practice of medicine.

Good luck and welcome to the forum.

Last edited by DocMartin; 01/04/2012 10:14 PM.

Martin T. Sechrist, D.O.
Striving for the "Outcome Oriented Medical Record".