Our hospital bought RPMS from the Indian Health Service since it was cheap for a quasi-government facility like the Commonwealth Health Service. It is actually an early version as the residents coming through who are used to the VA version tell me.

John, the templates are just that; templates into which data is to be entered, not the "right click and select 'low back pain' "thing that is meant in AC. The static data or information that already exists in another part of the chart can be brought in in many different ways. The custom template may include (or not) the things like family history, social history, etc. that are always there in an AC note but not really relevant to every kind of encounter. The problem list can be brought in, but it is neither expected or allowed to have a template to throw in actual decision making data or what you plan to do for each problem. Actually, however, since we see many of the same things repeatedly it is sort of fun to imagine:

Problem 1. Sepsis. (right click here). (select) Blood pressure dropping, art line and central line in place. Will give 2 liters ringer's lactate bolus, start meropenum and vancomycin after blood cultures, urine cultures, sputum cultures obtained, start norepinephine drip to maintain MAP above 90.......

Problem 2. Fibrillatory arrest. (right click). Begin amiodarone drip at..........

I'm sure CMS won't mind......








David Grauman MD, FACP
Flagstaff, Arizona