Home Forums Discussions General Discussion Limited List of 81

Thanks Jon for the link to the List of 81 survey in the Patient Portals thread, or here:

http://amazingcharts.com/ub/ubbthreads.php/topics/28419/Re_Final_Development_Poll#Post28419

Looking at it, I realized it's 2 years old and the recommendations were probably for version 5, something many of us never saw.

Anyway, I think that it's time to come up with a newer list, maybe the 10 Most Wanted, or a shorter list than 81 would be my recommendation.

I've listed the choices in highest to lowest rank that got more than 20 votes. I'm sure that some of these don't apply anymore with NewCrop and MU, etc.

44 Choose own categories for Imported Items.

42 Impossible to lose note. Smoother way to close note.

37 Multiple charts open at once

35 Ability to edit completed chart with way to know it was done after the completed chart.

33 Tracking labs/imaging/consults more efficiently

31 Improve med and ICD-9 list

30 Word for letter writer, and save in letter writer.

27 Adding pharmacy phone numbers

27 The reason for inactivating a drug window should be a preference. >80% of my inactivations are obvious, e.g. antibiotics. Which should self-inactivate anyway after ten days anyway.

26 Superbill before completed chart

25 Store two or more pharmacies as favorites

24 Ability to prioritize certain ICD-9s so that they show up on the search list.

22 Ability to change the section tittles.

22 Improved spell check with spell check saved on main pc and not on individual client.

22 Ability to add practice logo.

22 Allow multiple staff members with appropriate security access to the chart without having to forward it back and forth.

22 Inexpensive signature pad for front desk to sign in and sign HIPAA paperwork.

22 Can reply to a message and send it back to person who sent it and save it to chart with your reply attached.

21 Allow the first page of the encounter to be face sheet. The first thing seen on the patient should be the problem list, past encounters, PMH, allergies, last A/P. This could be a preference

21 Clarify the difference and allow for PMH, past encounters, and problem list. Past encounters are not problems. Problems are not PMH. Name past encounters by diagnosis not by chief complaint.

21 Allow Users to populate their own Rx Sigs in the drop down list in "SIG:" instead of just allowing stock ones in the drop down list

20 Ability to enter lab data as discrete data- e.g. glucose, UA, PT/INR, chemistries, for in office labs that don't have interfaces. Would allow you to use data and tracked data is not overly useful.

20 Improved process to print entire chart including Imported Items.

Perhaps, some of the other choices from the full list might be more popular now.

Implementing every one of these, either as an enhancement or option, would be a very smart move. I may have missed it, but I don't see "find a way to include CME while I'm busting through patients" anywhere on the list. If you can't trust your veteran users ...

Thanks for posting the link.

As the author of the original Big 81, I do not wish to back down from even one of them. The list was a blueprint for AC. There are likely reasons why some can't be implemented such as code issues.

Maybe there could be a newer list, but someone else will have to do them. I spent hours, HOURS, on this project doing it over and over. At one ACUC planning session, JB stated, "Just glancing at this, we could do half of them easily."

I would look at it more like, "Here is v6.5 everyone. And, here is the list of improvements and changes, some of which we came up with and some of which came from the list of 81. Then, as always, list your updates, of which, hopefully, 30 to 50 would be from the list. As stated, it has been two years. All the more reason to do them than to pare them down.

I hope I am not offending anyone, but reducing my work to ten would cause me to think about jumping ship.

Bert et al,

Compared with whichever version of AC was active 2 years ago, has there been any improvement on any of the items listed above, or of the others I didn't list?

Do you think the ranking of the items above is presently correct? If not, which features are more desirable now?

I think Bert has an excellent point that everything deserves to be done, and I don't want to take any pressure off of newly rich AC to get it all done, maybe just focus it.

V6.5 will be out soon, and the early adopters will hopefully rave about the improvements. With new money invested, this is time for constructive pressure from the users to say Thank You for doing all the work that the government demanded, but now we need these items done to feel secure in our choice of EMR. This is the planning stage for v7 at AC.

Maybe the right question is how much of a yearly maintenance fee would you be willing to spend to get the List of 81?

All good questions. Part of the problem is I am too tired to through all of them and see which are on and which are not. I think the #1 is with the II folders. There really hasn't been a lot of opportunities for AC to add any. Most updates have been rather specific.

When you look at the list of 81, you also see about 30 comments or so of others adding ideas. I can also say that the List of 81 were sent to all of the ACUC planning committee for ACUC 2010.

I recall talking to Jon years ago, and he was mentioning how they would get suggestions by the boat load. I guess every company is different. I imagine Apple must get thousands a day, maybe less. But, how does a company request suggestions for their users. Some times I think there should be beta testing in perpetuity with local doctors (maybe five) contacting Jon weekly. How many of us find issues just by using it.

As far as which ones, to be honest, I haven't really been in "What features do we need mode" since a while back. I have seen users fall off the board after waiting so long.

How much money? I, personally, think AC is far too cheap. If it cost more, maybe we wouldn't be in the Pri-Med mode.