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Bert, Again this is where a care coordinator can do the job of getting all the papers, contacting the parent and school and having them fill them out right then ( we can fax a copy to the school and call back next day. It never worked out to have the parents take it).

Now, for learning disabilyity, develpmetnal delay, etc, we are on the receiving end of the consults so this assures we get what we need and get to see the patient, work with the school and follow through as the year goes on. It works just as well when we make referrals out, too.

Once in a while our coordinator will get frustrated at making arrangements and having parents ask to change them over and over and over but that is rare and we all give her big pats on the back when she gripes.

One big benefit of this is that she knows all the key players, builds relationships with them and gets a lot more cooperation that a cold caller might.

Our motive is to free the parents up to have more of a normal life and let the medical home handle the logistics.

It may seem like an expense but as I mentioned before the role more than earns its keep in increased efficiency and closure of concerns, increased patient and parent satisfaction and overall increased referrals.

Lois

Ahhh no spell check, I am on the mac but I bet I could have done one on the board.

I would love to have a case manager, but I can't afford one. The state did a study with 21 practices, giving them lots of money to create a family home. Unfortunately, they chose who they wanted and never contacted me and a certain other moderator on here. Wasn't too happy about that.

@Travis Hope keeping it open works. Best practices is to log off, but here the benefits out weigh the risks. Conside keeping AC at the log off status as it pops right up from there.

Boy you live dangerously when bringing up the letter writer. Last time I brought it up I was knocked by AC staff for posting my ideas, which I found insane. That was the last time I posted any suggestions as it seems that is not what people want to read. We are a super sub-specialist and have far different needs than a Ped or GP office.

People come from around the world to see us and the notes/letter writer provides a horrible image. I screw around blowing time while I cut and paste my notes and letters into a Word template (that has a font other than Times Roman and that contains my letterhead/logo), make a pdf, and then import back into AC. I do like AC and I do recommend it to others, but the letter writer and how the notes prints stinks. Hello - mail merge or custom templates anyone?

Anyone with another idea of making pro letters/notes without the hassle of cut/paste, let it rip.

Kendall
Metabolic, Mitochondrial, and Inherited Disorders
Atlanta, GA

See email.

Alright, I bit the bullet and upgraded the office to v5. eRx was one of the temptations. But the main reason I went for it was the new HL7 interface with my PM program (CollaborateMD). I and my office really like our PM system and this should eliminate double entry and the possibility of entry errors.

The upgrade went quite quickly and I had the entire office up and running in less than an hour. I've quickly disabled the health maintenance alerts.

I have started the habit of just logging off instead of closing the entire program which is better. I guess the long start up time irritates me because that is 1 minute of my life I won't get back. I also do it several times per day because I'm back and forth to the office instead of just coming in, logging in, and working all day.

While I'm on the "wish list": I never put an icd-9 code in the diagnosis box on a patient encounter. Mainly because it's too tedious to search each time for the code and I don't have my paper superbill in front of me when charting. So why not have a small button next to the "search Dx (icd9)" button that says "common Dx". Then I could put in all the diagnoses that are on my normal superbill. Quick and easy. You can do that for the E/M codes but not for the ICD-9.