Home Forums Discussions Problems Imported Item Not Found

Hello-

I did a search of the forum but did not find any conversations about this. If there is a conversation that has already been had about this, please point me in the right direction.

I am in the small practice with one Nurse Practitioner. Pretty much all imported items come to me unless it is obvious the item is for the Nurse Practitioner (working on this front desk workflow). I believe what is happening is before I get a chance to view some of the imported items, my Nurse Practitioner signs off on it in the patient's chart (when she sees the patient anyway that day, etc). When this happens the "Sign-Off: CHART ITEM for JOHN SMITH (01/01/1901 12:00:00 AM" for that imported item does not get deleted from my inbox.

When I finally go to click on that item, it gives me the following ERROR:



I click NO then it says



I then have to manually delete this "Sign-Off" item from my inbox. Has anyone had this issue and do you have any thoughts on a solution? This had been happening ever since I started using amazing charts imported item function several years ago...just getting annoying.

Thanks,

Ben

Welcome to the AC forum, Ben.

Have you ever heard the expression, "it's not a bug; it's a feature"? I think that applies here. One of the priorities of AC (or any EMR, for that matter) is to be certain that you have seen any important item that is placed in a patient's chart. It is easy to imagine the negative consequences of an abnormal lab or radiology result that is filed without you seeing it. So in general, any item that is imported by a non-provider will generate the type of message you are seeing. If the item is later signed-off by someone else, your message is still there, and you must delete it.

If your NP is also a provider (and is listed that way in AC) then when an item is imported, the staff doing the import has the option of choosing who will do the sign-off. If they know the NP is seeing the patient, they could choose her and the note will be generated in her message box.

Other choices: you can make it so that NO sign-off is required on a document, but that runs the risk of NO ONE seeing it.

Let us know if you have other questions about this; others here may see it differently.

Thanks Jon-

Your right...one of the issues is our front desk workflow and how documents are assigned to providers to sign-off. Working on that.

My NP is trying to be helpful by signing off items as she goes but she has inadvertently created this workflow for me.

I was not sure if I was missing something (an option in the preferences menu for instance) that would allow my pending imported items in my inbox to be scanned to see if they have been reviewed already. I figured the answer was no but just thought I would check.

Thanks,

Ben

Another "feature-bug" that I have noticed involves sign off of items placed in the "Non-Medical (no sign off req'd)" folder in Imported Items. If one of my MAs moves a document into this folder, I receive an Inbox signoff message. But opening the message produces the "Item you want to sign off was not found" box.