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#55807
08/06/2013 12:10 PM
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Hello all.
My question for the Amazing charts admins and user-base is this: after a provider has been added into the system, how can they then be removed from the database? I have looked under multiple threads on similar issues but have not yet found one that answers my question. I have tried to remove them using the scheduling function under the administrator's options to no avail.
I hope that someone can answer my question, we have had several defunct providers still in our system for several months now.
Thanks,
Confused
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Joined: Jun 2009
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The short answer is that you can only make them inactive, then remove their schedule.
Depending on how far into the future the sked runs, you may need AC supports assistance in fully removing the orphaned sked slots.
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In case it was not obvious to all, this is a good thing. (very annoying, especially for those of use who created fake names as work arounds back in the earlier days, and now can't remove them, but still a good thing!)
This is your "Signature Log" (probably don't even have one do you? lol) If you have med students or residents you will have been using a signature log before an EMR so that you can identify those scribbles in the chart years after the housestaff have moved on, but if you are solo, with one nurse who has been with you since day one, then what "Signature Log Book" would you need? Actually even then you should have one, (a locums might cover when you are sick? etc). The EMR does not let you erase the identity of anyone who left fingerprints in the chart. A good thing, (but very annoying).
Martin T. Sechrist, D.O. Striving for the "Outcome Oriented Medical Record".
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Imagine the following scenario:
You partner with another provider. Things go great for 5 or so years. One day, in the year 2018, he decides he wants to leave your partnership and go at it alone. Maybe you split amicably, maybe you don't, but you split nonetheless.
In the year 2020, you get a call from the cops who want to see his data from his days at your practice because of a major malpractice suit.
At that moment in time, you will forget all about how annoying it was for his name to show up in your provider list.
JamesNT
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how can they then be removed from the database? Most things in the database are linked to users, whether it be physicians or MAs or receptionists. Say an MA gives a vaccine and records it, that is entered into SQL in several places, but the main columns will be Last Touched By and the MAs name. That immunization is forever tied to the MA. Also, if a physician quits and you delete his account, if he comes back where are you going to put him? If you put him in under a different name, now you have two sets of data linked to the same person. Is it the schedule that bothers you the most?
Bert Pediatrics Brewer, Maine
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Actually if you did manage to remove them from the database and a link to their name then gets lost in electron land, Wham, your system will probably crash.
Bert's last question, about whether it is the schedule is relevant. They CAN be removed from the schedule.
In reviewing my own database, we have 36 users that have been in the system. About 9 of them are/were providers, due to residents or NP students. Actively we have 2 providers and 5 staff. Other than on the rare occasion I go into the system to do something with the users, I rarely have to think about those who were here.
One thing that did occasionally pop up was that a chart would say it was in "NO LONGERHERE's" mailbox. I now make sure that I have cleared the mailbox on deactivating the provider and do not have this problem anymore.
Wendell Pediatrician in Chicago
The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them
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The discussion here is relevant and appropriate, but I will just point out that the person who asked the question ("Confused") registered for this board on 8/6, asked the question the same day, and has not logged on since then. So asking him/her to clarify the initial question may be futile...
Jon GI Baltimore
Reduce needless clicks!
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Wendell you bring up a good point. Many of us in the beginning had workarounds that included a fictitious provider or employee, your "nolongerhere". Any auditor will go nuts if you do this, as it allows anyone who knows the password to anonymously access the records and leave no record of their real name. NOT a good thing. Don't make up fictitious users.
Martin T. Sechrist, D.O. Striving for the "Outcome Oriented Medical Record".
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I think it's fine to have a fictitious user, just make his password complex.
I agree that tracking becomes impossible when they are not logged in under their name, but the reality is, in a small office people often are logged in under other's names and often know the other person's passwords.
Yes,Jon, I asked rhetorically, but I did note that the user seems to have vanished.
Wendell Pediatrician in Chicago
The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them
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