OK, here is the deal: Can't say anyone is wrong, and with the two med process, they are correct.
The problem for Chazli (I think) is there should be three lists of medications in a note and AC only lists two. The lists are this:
1) The notes the patient came in on
2) What you did, e.g. prescribed and inactivated. (And this is where most people stop)
3) The medications the patient walked out on
So, it's easiest if we go through a note. When you do this, even like the two list process, you have to think about every step over and over until you see it and it works. One screwup like not hitting CTRL + N or missing another check box and it gives you a different result. But, once you understand it, you can forget the steps and just write a note.
Caution: If this wasn't what you were looking for or what people wanted to read, I apologize. The nirvana has another byproduct. It finally allows me to understand Centricity's stupid three list plan. Also, if Jon had added a better name to the check box, I think more people would have seen it.
OK, say Bill Gates comes into your office. He is on Adderall, Ativan and acetaminophen-hydrocodone. Notice they all start with the letter "a." He walks into the exam room still on those meds. The physician decides to take him off his Adderall and put him on Vyvanse. This is what the doctor did during his/her assessment and plan. So, the plan should show that she continued his Ativan and acetaminophen-hydrocodone, was put on Vyvanse and she discontinued his Adderall. When the note is printed that is what it will say. Now the specialist can deduce from that what the patient is on, but it will be difficult to follow especially if there are three times the meds. Or if the patient brings a list.
What we need is a way for the plan to show the above and then a third list of medications show what the patient is now on.
So, if you check that little box called "Add med list to plan, it will add the third list. If you try this (and, again, I apologize if everyone knows this already and I am being condescending) in a note (and make sure you use CTRL - N (I forget a lot because my CMA usually does that), then inactivate and add a couple of meds. Right next to the listtle box, there is View Draft. Click it, and the last thing it will show is what you did. DISCONTINUE: Medication PRESCRIBE: Medication, ORDER: Labs. But, if you then check the box, you will see the list of meds the patient will leave with and the specialist will see the list of meds the patient is now on.
When you sign off the note and print a progress note, it will show the correct information. In fact, it will show the same information until you clear everything with CTRL + N.
When done right after signing the note, there will be these little > there in keeping with the incredible formatting of AC. If you go to print a letter, it will reflect that.
Finally, in the letter, you can check the boxes on the left to insert med lists.
