This thread relates to the way we enter a patient's past history into Amazing Charts for the first time. This can occur when they present as a new patient, but I am more interested in the bulk entry of new data which occurs when you convert over from paper to Amazing Charts.
Adam and I started this discussion somewhere else, but decided it deserved its own thread. It started with Adam's statement:
I will agree w/ Bert about completing notes in the room.
I am FP, and see a lot of complicated pts, I can still complete all notes when in the room. I'm doing a lot of 99214's and some 215's. I can still complete the notes when in the room.
To top it off, I'm converting from paper to AC, and I'm entering a lot of data PMHX, FMHX, Med Lists, etc. I can still get it all unless rare circumstance.
I thought this was pretty impressive, and counter to my own experience. I asked him if he was entering all the patient's past history himself at the first encounter and he replied:
I am doing it myself 50% of time (or having my medical students do it the other 50% of time), because I don't want my M.A.'s entering in the data incorrectly or w/ spelling errors.
I feel PMFSHx is critical because I will rely upon this during admissions, or in writing consult letters. I DO NOT want stupid/silly spelling errors plaguing my works.
I hated the fact that copies of these lists were going out to the E.D. and consultants. So I'm making sure it gets done correctly, the first time.
My staff are doing the labor of scanning in charts. In this way, we share the load. They do what they are good at. I do what I am good at.
What do you think? Any better ideas? I'm open to anything.
