I am going to send this to AC as a suggestion:
The Orders should not “die” when the chart is signed. The orders need, “magic buttons” to allow them to be assigned a time frame and a responsible person. This would be a feature to be selected or not by the user in the preferences. If turned on, when you use the “Orders” button you will have two more spots to click. The first is to assign the project to someone, (the MA or the Doctor, or even the office manager) but not a big drop down box, three simple clicks, 1-Dr. 2- MA, 3- Other and you get the whole box. The second box is time frame with 4 boxes to click for 1- Stat, 2- this week, 3- in one month, 4- other.
When the order is completed, the worker creates some document, (imported item for your sig, or an addendum) and sends it to you for signature. If it is not completed on time the SOFTWARE sends it to you to notify you that the order has not been completed.
This is inspired from a forum thread and especially the comment by:
Kevin Miller, MD
Paradise Family Healthcare
Venice, Florida
It completely solves the problems for audits by insurance plans and does so with very little extra work for the Doctor and a huge boost in the accountability of the system. This is a BIG "Outcome Oriented Medical Record" step. I really like this.
