Home Forums Discussions General Discussion Patient Centered Medical Home

We are an Internal Medicine practice in the process of becoming a patient centered medical home.
If anyone is going through or underwent same process.
I would like some feedback on how you reconcile orders.
To send each order individually is to time consuming.
I have custom made orders that include multiple items (i.e: everything necessary for a check, w/u of pernicious anemia, etc), however this are hard to reconcile because each item arrives individually.
I was wondering what everyone else was doing out there
Thanks for any reposnes

Reconciling orders in Amazing Charts (Prior to version 9) doesn't work in my humble opinion. The easiest (but time consuming) way would be to get a log book and hand write the orders out. Then you would highlight the orders that are completed (results came back).

Support was extremely helpful in setting up EPCS. Aaron Lizotte helped me first. I have never seen a chat start more quickly. I clicked on Start, and he was waiting. It was crazy. He helped the first day.

Jerreth Cerina worked with me today. Unbelievably helpful.

So, since I have written two nice posts, it's time to complain, lol. Hopefully sometime EPCS will be able to be done directly in AC. But, for now, we have to go through the New Crop screens. What I am hoping for is for the process to be more difficult and convoluted. Right now, it is just slightly difficult and convoluted. That makes it just moderately hard. It seems like they could make it where it is much harder. Maybe have a few more screens and circular logic.

I will tell you one thing the sign up process is intense. Jerreth worked with me for my entire lunch break. I have to say that I now know that I am I more now than I did before. One tip. Look up all the streets you have and haven't lived on. It takes about one hour to remember all the streets you have lived on. It took me over a week to list and memorize all the streets I hadn't lived on. Especially the 15 N. 91st St. or 10 S. 53rd St. Over 29 years ago, I lived on 91st St. I have no idea how I remembered. But, I can still see the intersection on a major road in Seattle. Had a Jack in the Box right there. You can't beat living in Seattle with your own Jack in the Box. Except this one had to be the one with the E. coli outbreak. Or is that every Jack in the Box?

Bert -- I don't get the drift of that post
Is is a gentle satire?
Sounds like EPCS is hardly worth the effort.
Since we don't live in New York (what a disaster that must be!) I just continue to print controlled substances prescriptions and give them to the patient --

"Medical homes" are not for the faint of heart. If you are in a small practice, and are honest, it is just not possible to do it -- at least, not and come out financially better off. Too much busywork and impossible computer "communication" requirements. And there is nothing in the program that really helps patients or makes me a better doctor. Not in Oregon, anyway.

I am madly scrambling to get all my chronic pain patients off controlled substances. The new paradigm since the CDC "guideline" is pretty clear. Patients who take pain meds are either criminals or victims of criminal doctors who push drugs.

my practice is certified level 3
what a load of BS
yes I had to HIRE a nurse ( I am a no staff micropractice) to reconcile the bloody stupid orders
i guess its a circular money trail, they pay me and then I pay her but
fairly useless for actual care
but now I am on version 9 and reconciling with import of tests
much easier - she states her work load is much decreased
upgrade, if only for that !!!
worth it !
if you want some tips about how to do it with AC, message me or call - I can tell you how our practice did it.
Lynn

As part of our PHO's requirements all the Primary care docs are going to have to be PCMH certified. I just started on the process yesterday and came to the conclusion that they should call it patient centered medical HORSEBARN. I sat with some one from the pho for 2 hours and we started on getting information on Standard 3 POPULATION HEALTH MANAGEMENT. (Beware of new Buzzwords) I was told that even though AC requires the date of birth and sex of the patient to be entered before it will save anything that because I was unable to produce a report with a numerator and a denominator of the number of patients that I successfully entered their DOB and sex as structured data there was a problem and I do not meet this requirement. Seems rather unbelievable to me.
Anybody else with any experience or success with getting certified without these specific type of reports?

Jeff

For these, you need a list, a tally of the list to generate numerator and denominators, and then calculations of percentages. The report or raw data is the list you generate or the tally of the list. Most EMRs will generate a list for you which you can then tally. In the case you describe, the report you generate could be the screen shot of the total number of patients registered in EMR. That number would be equal to the numerator and as well as the denominator since you can't register patients in AC without the gender and sex demographic profiles. You can provide evidence supporting the assumption that 100% of registered patients have gender and date of birth documented by providing a screenshot of the page used to add new patients. This page clearly depicts that you must enter a gender or date of birth before being able to register a patient. You might show a screen shot of the error message that displays if you were trying to omit including these data fields.

For our practice, the pursuit hasn't been HORSEBARN. We're learning a lot and we're using MyPHTS - www.myphts.com to facilitate our progress. We're actually earning income along the way by implementing new care services and participating in programs like BCBS Enhance Personal Healthcare program. We've designed a lean model for transforming to PCMH by using MyPHTS to enhance amazing charts.

I'm a primary care internist in St. Louis. I have used amazing charts since 2010, and I'm part of MyPHTS development team. You're invited to visit and contact us through www.myphts.com.

Kike