I do have one thing I would like. I don't know if it should be a change in the design of AC or if someone has already been using a suitable workaround.

In a paper chart I would write a list of orders, (things to do) and give the chart to a medical assistant who would then document what was done, and finally hand the chart back to me with the notes added that told what was done, and I would initial this off below their signature. This was only really necessary sometimes, such as I order a Tetanus shot and get the chart back noting that we are out of vaccine and the patient is returning on Tues when the vaccine is due to arrive.

I tried to do this by forwarding the charts, unsigned, then having them forwarded back to me, but it was very slow and prone to messages being lost. Addendum's sort of work, but I save those for the important things, (like the tetanus example). But I would like to have a routine where every task is documented and accounted for. I would like the MA to chart the date and time of the next appointment and so forth.

Do any of you have a practical workaround?


Martin T. Sechrist, D.O.
Striving for the "Outcome Oriented Medical Record".