A long time ago I posted a wish and sent Jon an email on things like the Rx writer that would allow it to perhaps via the email feature, have staff create lots of things, letter, Rx's take your pick, and choose the provider whose signature should be on it, foward it to that doc for their approval and then the doc could even send it on to whoever he felt was best to finish it.
So like the MA, Nurse takes a call and creates an Rx based on the phonecall. She sends it on, prepped but not signed to the doc for final OK, the doc likes and then he sends it back to her or can even send it to the front desk because it is a patient pick-up or needs to get mailed out or what have. Also the feature should have the flexiblity to allow the doc to trash it outright, tweak it, send it back with a comment like, "Not until he gets his bloodwork done and has a visit based on his bloodwork" you get the idea.
But as I see it, in a paper office staff create all sorts of stuff in the doctors name that then the doc simply needs to say yes or no to. We need a feature that allows staff to do the same things via the EMR to assist the doc in keeping their desk clear and the day moving along. We frequently see the doc as the bottleneck in our office because she has to literally create, not just approve every last little piece of paper that moves thru the system with her name on it... Lastly these things should not be recorded or "offical" or saved until the doc says they are, via a sign off like feature.
I'm just a practice manager, but I can take a message, prep the refill, and send it up the chain for the doc and her clinical staff. This saves them all time and effort. But the letter, the Rx whatever only becomes real, official and recorded when the doc says it's good to go....
