Originally Posted by melanie
BUT, the things I MUST be able to do are:

1) Have faxed/scanned paper AND BARCODED documents imported into a pt's chart in a searchable PDF (OCR) format.

FAIL: Imported Items are not (presently) searchable in Amazing Charts, with the exception of labs imported with a lab interface.

I get around this by labeling each document as I am importing it (ie, "renal, Smith" document goes into the CONSULTS file in that patient's Imported Items, "CBC, CMP, lipid" document goes into the LAB file, etc.) The items are time stamped by default with the date imported, but the date can be edited.

Originally Posted by melanie
2) Understand exactly how I can review the document vis-a-vis the patient's chart - once it is uploaded into AC, is it actually IN the pt's chart?

PASS: It is saved in the electronic patient chart, accessible by opening the chart on any computer.

Originally Posted by melanie
Do I get a message that a given pt. has a new lab report for me to review,

PASS: A notice appears in your messages. Clicking on the message opens the lab or document to be reviewed and signed off. It is already imported at this point, but marked in red in the Imported Items of that patient, indicating it has not been reviewed.

Originally Posted by melanie
and is the chart "right there" for me to refer to, or do I have to go and pull it up?

Qualified FAIL: You cannot open the patients chart while you are signing off labs or imported documents in Amazing Charts, until you exit out of the sign off window (you can send reminders to staff, emails, etc, however).

The way I get around this is to use Updox to receive (most) imported patient data, review it in Updox (able to open & review the patient's chart in AC while sorting through docs in Updox), and them import & sign off the docs into AC from Updox (bypassing the AC sign off window).

Originally Posted by melanie
3) Have these documents be easily annotated in such a way that the annotations are a permanent part of that particular record ("overwriting" the record with comments is best)

PASS: There is a comment box available for each imported lab or doc available when signing off in AC, which becomes part of the document. The annotation is more flexible with Updox -- either the comment box or marking up comments directly on the document.

Originally Posted by melanie
4) Have an easy way to pass these documents back and forth, again being able to annotate each step of the way, if necessary.

PASS: Messages can be generated and responded to, and saved to the chart, recording each step.

Originally Posted by melanie
5) Know how and where to look in AC for these documents -is there a particular folder in a pts. chart where I will find them? Can I make my own folder (one for consults, one for labs, etc.)?

PASS: All imported labs & documents end up in Imported Items. AC has a stock set of folders, but custom folders can be created.

Originally Posted by melanie
6) Be able to easily generate a report/list of all of my pt's who (for instance) have an A1C above 7%[/b].

PASS: but only if the labs are imported via a AC-to-Lab interface. Labs imported manually into AC cannot be searched.


John
Internal Medicine