Home Forums Discussions Feedback and Recommendations Suggestions and Improvements for Amazing Charts

Dear User Board Members and other thread participants :

I would like to suggest four clinical improvements that I think could make the AC end-user experience much clinically efficient:




1. CLEANED UP ALLERGIES (lower left).Allergies are in a bold and easier to read bigger font, with less emphasis on who documented the allergy and more on the important allergy itself. Consider making actual medical allergies fonts in red, while "no known allergies" is fonted in green.

2. DIAGNOSTIC/THERAPEUTICS TAB (this is a new tab placed next in row of tabs on the far right top of the Most Recent Encounter screen - the last tab currently in that row is "confidential" - but there is space next to that tab ) This tab doesn't exist now, but would be easily accessible repository for all sorts of frequently encountered clinical data including patient drug experiences ("Topamax made her dizzy", or "trial of Imitrex-no help" also frequently referred to laboratory values could be placed here such as MRI result in the evaluation of a headache as well as other miscellaneous clinical notes such as "began dialysis February 10, 2012". This field (similar to past medical history on the left) would be addressable in between encounters (ie you could add to it without starting a new encounter) and would always remained constant

3. MEANINGFUL PROBLEM LIST ( (MY FAVORITE SUGGESTION!! ) An improved and enlarged problem list would allow for annotations to be placed next to the ICD diagnoses to jog the provider's memory on specifics of of each diagnosis. (ie "Dizziness ICD 780.4" becomes --> Dizziness ICD 780.4 - nonspecific since hit head on door frame Feb 2014"



The actual problem list field would also be enlarged so the entire problem list which could now be reviewed in its entirety during the patient encounter - (for many of us, the problem list is the map to guide us through a patient encounter.) I've actually re-designed a "Most Recent Encounter" screen illustration and I obtained the extra "real estate" for the enlarged problem list field by changing "Search Dx ICD9" from a full field, to a button (circled in green) to the right

4. CUSTOMIZE-ABLE STORE-ABLE PRESCRIPTIONS: This improvement allows a practitioner to formulate, name, permanently store and quickly retrieve custom prescriptions for re-use on multiple occasions. The title for each customized Rx can be accessed from a scroll window on the right (see diagram), For example, a practitioner might have five different custom prescriptions for prednisone,including , "Prednisone 10mg -Drug allergy" , Prednisone 10mg - Cluster Headache Protocol" "Prednisone10 mg - Acute Asthma", etc . . . .
According to New Crop The capability for such an improvement already exists.

Bruce Morgenstern, MD (Neurology)
Denver, CO
BruceLMorgenstern@Gmail.com

Dear Clinical Advisory Board,

With a bit or tinkering, I've slightly redesigned the user interface for "Most Recent Encounter" which now incorporates both an Active Problem List as well as an Interventions Field:



In this screen shot version of Amazing Charts, I've attempted to incorporate the two new and much needed fields into the Most Recent Encounters screen: Active Problem List field and Interventions field. (I garnered the extra screen real estate by shrinking some of the grey areas and also slightly shrinking some of the icon buttons.)

Once these new fields were incorporated into the screen, it became logical to group together on opposite sides of the chart those fields which had relatively constant patient clinical information (left side) and those fields which would be more relevant to each individual encounter (right side) . Hence Active Problem List, Inactive Problem List/PMHx, ROS, Interventions, FH,x SHx, and Present Medications are all grouped together on the left, while Chief Complaint, HPI Examination Diagnosis Assessment and Plan (relevant to each individual encounter) are grouped together on the right. (also please not the improved and clearer "allergies" on the left side



This second screen shot shows the new Most Recent Encounters screen now with the "Look Up ICD9" button activated. Note the appearance of two new buttons - one which allows "Annotations" to be added to the ICD code/ description, and a second button that would automatically place the new annotated ICD diagnosis both in the new left sided "Active Problem List" as well as in the (right side) Assessment field.

I hope the User Board would consider these changes, make suggestions, and possibly review them with the AC design staff. Please feel free to contact me with any questions

Bruce Morgenstern, MD (Neurology)
Denver CO

I'm actually a specialist myself (Neurology). While I stayed true to maximal use for primary care, I believe these modifications would benefit any specialty or primary care provider that needs to keep track of multiple problems and diagnoses from visit to visit.

Bruce