Home Forums Discussions General Discussion Procedure Note

Hi Folks

I am testing the Amazing Chart for our Pain Management Practice and i have a question.

How can we write an Procedure note? I don't see a place to write it and if i import it, it works but it does not incorporate into the note. The problem is that when i leave the whole Patient encounter empty it still prints the headings and NO imported note. Is there a way around?

I want to put procedure notes and don't want to see the whole print out showing empty headings when i print patient record.

Thank you.

MK:

If I understand you properly, you want to type a Procedure note, but you don't want it in the form of a Progress note, because you don't fill the PMH and other fields in, and you don't want to see a bunch of floating headings in your typed report. Have I got that right?

If so, my suggestions would be on the lines of using the Addendum feature, or else putting it in the form of a letter. Both of those features can be accessed by right-clicking on the patient's name in the schedule or message screens.

Addendums are saved under Past Encounters, and letters are saved under imported items. I think Addendums would be more reliable for you, and you have the option to generate a charge ticket from that point, also.

Give that a try, and see what you think!

Good luck.

Brian... you are genius. I just read the reply at 1 am, launched amazing charts and Eureka... it works. It even has a procedure option there. I can not... even go back to sleep; i am so excited.

Thank you.... you really solved a big problem for us. I think we are going t buy Amazing Charts.

Once again... thank you.
muhammad khan

PS: gonna email my partners about it now.

Glad to be of service, Muhammad.

Keep us posted on your progress!

Brian,
I hope Jon realizes just how important his current users are to the future of his product.

Leslie

But it could be a problem if AC starts becoming a major cause of insomnia. Oh, another Lunestra patient!

Wayne,
Don't be giving away any clever ideas!

The ICD-9 codes could be tied into advertisements-- each time "insomnia" is put in, a pharm company can pop-up a quick subliminal "Try Lunesta" message onto the screen!! Now that's a great way for EMR companies to make money. Adverstisement.

Brilliant advertising scheme, guys! I wish I had something to sell...

Jon can implement this idea and make it cheaper.

So, we will have 4 options:

AC with CCHIT with Ads- cost XXX
AC with CCHIT without ads-- cost XXXX
AC without CCHIT without ads-- cost XX
AC without CCHIT with ads--- cost x

wad'ya think?

Also, If you want to save time typing procedures that you do repeatedly in a standard fashion, you can save procedures as templates in the Addendum window. Just right click in the text window to open the template list and paste in a template for your procedure.

I think this is a REALLY DUMB IDEA. An EMR is not just a chart note generator, it's also a productivity tool. Anything that gets in the way - including at looking at advertising - doesn't belong in a PRODUCTIVITY tool.

I'm drowning in paper, as are most doctors, even ones that are fully electronic. Our TIME is our stock in trade - why is it that only LAWYERS seem to realize that about their professional time? Believe me, any money you think you're "saving" by having pop-up advertising or some such nonsense will be more than eaten up by either pushing the advertising out of the way or getting annoyed clicking on whatever you have to click on to make it go away over and over again.

It also means that Jon and company have to maintain FOUR DIFFERENT source code trees. Even if they're 99.95% the same, it still means additional code, additional bugs to troubleshoot, and additional headaches.

Amazing Charts is a bargain at twice the price. There is NOTHING ELSE I've seen on the market that comes anywhere close for the money - and I'VE LOOKED.

I could care less about CCHIT, personally, because I look at Amazing Charts as a PRODUCTIVITY TOOL.. that's for MY benifit, not the government's, not the insurance companies, not the patients' - MINE. My most important asset IS MY TIME. ANYTHING that costs me time unnecessarily while seeing patients is costing me resources in energy, and indirectly in income.

That being said, I can see where some people are going to base their purchasing decision on whether this certification happens. If Jon goes through the headache of getting it certified, then that should be the product, because at that point the work is done, and the headache of maintaining a CCHIT version and a "non-CCHIT" version isn't worth the added expense. Design decisions need to be made as to whether being CCHIT certified will help us or get in our way while we perform our PRIMARY JOB FUNCTION - TAKING CARE OF PATIENTS.

Ok, I'll get off my soap box now.

Regards,

Vinny

Vinny,

Happy Holidays!

I could be wrong, but I think he was just kidding. I hope so at least.

You are kidding, aren't you PKA?

I think PKA was joking.
But I do agree w/ Vinny that Ads in a productivity tool make no sense.

Not sure how I stumbled across this thread, but are you guys aware that you came up with the exact concept behind Practice Fusion - apparently sarcastically-- way before it was released?

Jon,

You better check for bruises and broken bones. You stumbled pretty far to find this one.

Wow .... the search for answers leads far afield.

Reminds me of the conversations that were had in user groups about Ou[ch]tlook vs GMail in user boards 5 years ago.

The key difference is that practicing medicine requires far more information than reading an email, therefore screen real-estate (and minimizing distractions) are key.

As a corollary, I was in a practice toward the end of the day, and the office staff was throwing out a small collection of display stuff that cluttered one desk area, I must have looked confused because I was told that the drug reps leave them, then the practitioners get bugged and throw them out the next day - they were just skipping the practitioners getting bugged step.

There are people paid to distract practitioners with physical ads already, adding distractions isn't going to be productive for either party.

Well, IMHO, Outlook is THE application.

What I think people don't understand is that PKA was kidding, joking, didn't mean what he was saying, was being comical.

The issue got turned around when one of our users who can be very serious, took it serious.

Bert - use what works for you! ....and knowing that you are the Master of Backup, I'm sure you run backups of your Exchange server, so that it your beloved application cannot betray you in your time of need.

Yes, I do backups of Exchange at the Exchange level and at the brick level. Ironically, Windows' Image backup seems to miss it, which is why it gives me an error message daily. Very strange that Microsoft would do something wacky.

What kills me about Outlook is that in over 15 years, if you click on the button over Inbox (Mailbox - user name), which brings you to what THEY call a home page, it still is the most pathetic window ever.

I'm not going to pick on your beloved application or it's parent company, but I will observe that they have been major contributors to jobs growth - there are millions of men and women whose whole job is to patch/fix/wipe&reinstall/configure/repair/tweak/troubleshoot Microsoft problems.

*sigh* If only *nix technology could produce so much work.

/snark

Well, then I feel I should send some money to a fund to help out those poor souls as my only real complaint is that I can't turn off reading pane in one fell swoop.

Certainly, it is better than GMail. lol.

Since the OT is from 2008, thread-jacking doesn't apply - esp since one of the mods is in the thick of it. :p

Depending on the use-case, GMail is superior is several respects.

It has worked on smart-phones for years, and is a painless setup. No one who has maintained an Exchange implementation uses the word painless.

While there are ads, they are easily blocked, and I don't notice them if I am running on a non-streamlined browser.

GMail just works, and supports free-form multi-tagging, layered-multi-account rules, and cloud based storage and availability.

GMail has never eaten my InBox (outlook.pst file) and required a lost-mail restore. OuchLook ....."Not so much."

GMail has an open API and active developer community. In comparison, leading part of a 10M startup based right in WA developing an email encryption solution, we could never get access to the internal API of OuchLook. Even as a certified developer with insider friends.

I could go on, but especially now that GMail technology (including Postini) is available to small businesses for almost nothing, it is a superior choice in many use-cases where upfront and ongoing costs are important.

A small office can run a branded (their name) full collaboration suite for a year for less money (and far less maintenance head/heart-ache) than paying for one OuchLook license.

I guess that is where I have an advantage as I don't pay for any Microsoft software.

I realize this will make me appear stupid, something I can do quite easily, but I am assuming that GMail interacts with an actual app on the computer?

Not having to pay for M$ is a great advantage, you'll have to tell me how sometime (PM if you prefer).

All of the Google apps run in browser, but on smart-phones they have their own apps as well. Runs well on my iPad as well.

I'll get back to you.

Funny one, Bert. I am digging deep and going way back. I know the answers to my questions are in here somewhere....

I understand from early in the thread that an ad-based EMR was being proposed facetiously, but that is just my point; the joke became reality, in a BIG way. Practice Fusion is a major player, and I would bet that it competes with AC for many docs. The ad issue is clearly NOT a deal breaker for many practioners.

As to the rest of this thread, may I suggest that you and Indy get a room...in the "Tech Talk Hotel".

No, I would just check in. Indy owns the Tech Talk Hotel.