JBS,
Good points. The doctor here provides the best patient care he can, while seeing enough patients per day to keep the lights on. Slowing down the 'front-end' flow even by 2-3 minutes extra per patient is not something the doc wants to. However, here we all see the potential for some great things to happen with patient care and information. The clinical summary has the capability to cut down on post-visit phone calls, wrong med dosages being taken, etc.
Our Problem: For the majority of our encounters, there will be little/no info in the 'plan' section when the patient leaves the office. We are still dictating many office visits, and have to wait 24-48hours for that dictation to come back to fill in the 'right side' of the chart note. (Objective and Plan).
I'm getting creative by using this approach:
1. Mr. Smith is seen - Demographics, Vitals, CC-HPI-PMH/SH-FH Meds and Allergies are all filled in.
2. Mr. Smith Leaves office
3. Chart is open in exam room - Nurse forwards chart to other Staff
4. Dictation comes back 24-48hrs later
5. Staff member opens up Mr. Smiths chart from inbox. Copy/Pastes Dictated portion of the note into Amazing Charts.
6. 'Prints' into Updox the Clinical Summary + CCD. Uploads to Portal
7. Sends Mr. Smiths chart to the Doctor to be signed.
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If we just used Templates for everything, and the doc signed the note in the room, this would be avoided. However, The doctor feels that he can dictate faster than he can type and is careful regarding using templates heavily, as he believes that CMS would have a hissy-fit if they thought we were rubber-stamping our notes.
Thoughts?
