Home Forums Discussions Problems Reviewing and signing off multiple labs

shekar: what version are you talking of AC 3.7 or 4.0.

where is the option "selecting multiple docs to sign-off"

A general document management question:

Many of you use Paperport, I am trying it also. When I import an item to AC from PP it goes directly to the patients imported item folder, but does not indicate that it needs to be signed. And I have not yet figured out how to forward documents to the AC msg system before they are actually imported into the chart.

I've seen some of you refer to long lists of imported items in your msg inbox to be signed off. How do they get there?

Thanks,

Tim

Whoever is scanning needs to be a user without signing off privileges. If I log on and scan something it goes directly to chart, if my staff log on and scan then it shows up as needing signing.

Ah, that helps!

Thanks.

I'm in version 4, and miss the multiple lab signoff screen from v3, were you able to find the option to switch to that screen? The version 4 screen w the forced reviewing is quite annoying!

What I would suggest would be to right click the item in your inbox and select Pull Imported Items. This makes looking at labs and signing them off easier for our staff, but takes away the options that the sign off screen gives such as forwarding to staff. However, usually by the time it gets to the doc it does not need to be sent off to other staff, and in the rare case, can still be sent the old-fashioned way.

OK, this is probably something really simple and/or stupid (and Steven specializes in finding those for me, lol), but all of a sudden when any of my staff right click on patient and print a lab, it no longer shows up in my inbox. None of them have anything other than user privileges (nurse on down).

Bert, when you say they right-click on a patient and print a lab, what exactly do you mean? I don't seem to have that option available when right-clicking a patient in the left pane I normally use to find patients. I do have things like "Pull Imported Items", "Print Orders", and "Print Notes". When did this last work (version of AC)?

Hi Paul,

Thanks for responding. I have always had the option to print an order from there. Just so we are talking about the same thing, I am referring to the Patient List on the left top where you first go to find a patient. If you right-click on a patient, the option just below Medications / Prescription Pad is Print Orders / Requisition Slip.

As far as I know, this is the only way for someone to print an order that shows up in the provider's chart to sign off. This way, not only does the provider see what the nurse is ordering, when he or she saves it, it saves to the visit history and is documented. If someone including a physician, pulls a whole chart and prints an order from there, there will be no evidence of it in the Amazing Charts, because you won't save the chart after.

I know it hasn't happened since V4. My MA says she recalls its not happening even in V3 for a bit. Strange.

It worked just fine for me. The only things I can think that might cause something like that would be if the MA did not select your name in the drop down box for ordering physician or if somehow your user entry in AC had something become corrupt in the database. I hope someone with more knowledge than myself can help more.

*Edit*
You should try using a different account than her account to print the order, and if that doesn't work try using her account to send to a different provider. If neither works I would make 2 brand new accounts and try that. If it still doesn't work, I am at a loss.

I figured it out. It was dumb. The weird thing is what caused it, should have been causing it for about 18 months. Maybe we missed it for that long?

Glad to hear you got it worked out! It would be hard to believe that it was going on for that long without your knowledge (or even half that, since you did know for a while).

RE: the desire to avoid seeing the imported items that don't really need to be signed-off on... we followed someone else's advice in a previous post to create a "dummy provider" to designate for those imports.

Then we can log in to AC as the dummy provider and sign-off on any items that have been imported which the doctor doesn't need to sign-off on. Examples would be paper documents that were already physically signed-off prior to scanning and importing, paper documents handed to the doctor by the patient, forms the doctor completed, etc.

We named our dummy provider "Dr. Sign-off Unnecessary" so that the name would come up in the drop-down lists after Dr. Taylor's name (causing less problems in other areas of AC).

We have found that importing non-medical items (e.g., insurance card scans, HIPAA signatures, etc. into the Non-Medical "type" category does not result in the item going to any message inbox for sign-off.
Hope this helps.

Cory,

Another option would be to have the person importing those items (that the doctor does not need to sign) log in as the dummy provider. This means that no sign-off will be asked for. You would have to be careful, as the things that need to be signed off on would require being logged in as a lower-level user.