Home Forums Discussions Meaningful Use Clinical Summaries not registering

I've just started using v6 this week. I have been dutifully printing out a Clinical Summary on each patient yet when I check the Meaningful Use wizard it doesn't always "go green". Anyone else had this problem?

I was having this problem. Coder was printing clinical summary after coding chart then forwarding note to Dr for review. Dr would have to "preview" but not print clinical summary prior to signing off on the note. All this must be done within the 2 or 3 day period allotment per CMS guidelines, which are also given by AC. Maybe my question to you should be, are you signing off on the note right after printing the clinical summary or are you forwarding it to yourself for further review? I have seen that the person/Dr who has "signing" privileges often has to make sure everything is in order before signing the note in order for it to register on the MU report and MU Wizard per visit.

I print before leaving the room. I print my letter and CCD for pt - set printer to double sided and my letter has a paragraph about what the info is, why I do it and how it is confusing.

I ran a report and found that I'm batting 100% for Clinical Summaries--despite the fact that at least a third of the time the MU report for individual patients doesn't "go green" for that item. I will send a bug report. If others have the same problem, just check your overall report.

One issue I have with printing the letter/summary is that I like to write most of my "plan" following each diagnosis in the assessment box. Thus, when you click "print instruction" what it prints from the plan box is almost meaningless. I have to go to the letter writer to include the assessment and plan.

I am interested to hear what others do with these 2 boxes.

Donna,
I put everything in the Plan box--more than I really want the patient to see. Your approach gives me an idea. I may put things I want to note for the patient in Plan and my additional notes in the Assessment box.

John,
Good thought, maybe I will split off specific instructions for patient.

These 2 boxes were a decision point for me when I began using AC.
I am in the habit of having each diagnosis with its analysis, rather than just a list of diagnoses, then a list of plans. I considered copying and pasting everything from assessment box to plan box, but that its too much work to do for every note.

There is another thread on this topic, MU Core 13 with helpful ideas as well.

I have previously requested another field that separated Plan from Patient Instructions. I too would not really want the patient to see everything I put in the Plan. Mind you, I never put anything that, should the record be requested, be medico-legally disadvantageous to me but every once in a while I will put something like "Despite my education to the contrary, the patient continues to believe that a copper bracelet makes them smarter"

Leslie,
I completely agree with you, and do the same thing.
So, I have now decided to use the assessment box as my assessment and plan, and the plan box I am going to train myself that this is the "patient instructions" box.

Boy, I agree with this. I may want to print off instructions to the patient about the operation including it's risks and what they should expect but I'm not real fond of them reading that I put some things on paper as the patient can misconstrue it or not truly understand it's meaning.

Most of my patient instructions are pre-printed booklets though.