8.2 Importing Documents to the EHR (cont)

chapter

eight

Management of Information and

Communication

Learning Outcomes

• When you finish this chapter, you will be able to:

– 8.1 Use software as an internal communication tool.

– 8.2 Differentiate the steps used to import documents using scanning technology.

– 8.3 Build master files and templates using

PrimeSUITE.

– 8.4 Create custom screens within PrimeSUITE.

– 8.5 Develop a task list within PrimeSUITE.

– 8.6 Set up system flags within PrimeSUITE.

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Key Terms

• Default values

• Flags

• Internet

• Intranet

• Live

• Master file

• Optical character recognition (OCR)

• Resolution

• Scanner

• Templates

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8.1 Internal Communications

• The “Internet” is a series of networks that allows instant access to information from around the world.

• The “Intranet” exists within an organization.

– It is a secure environment or private internal network that is available only to a select group (e.g., the staff) within an organization.

– “A webmaster” is used keep the information up-todate.

– Remember, when “internal e-mail” is used to communicate work related information and is not cluttered with personal communications, it is even more valuable.

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8.1 Internal Communications (cont)

• Many organizations have policies regarding the personal use of work e-mail.

• Some offices use a priority rating on their workrelated e-mails.

• Priority rating helps to sift out what needs to be done immediately, versus what can wait for a later time.

• In a priority system, everyone should at least be clear on what is and is not considered high priority.

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8.2 Importing Documents to the EHR

• Communication involves many forms other than email messages, including:

– reports and test results

– verification of insurance coverage

• Reports may be sent to the practice in digital or hard copy format but in the end must be merged into the appropriate patient’s record.

• Below is an example of how electronic results are merged with records.

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8.2 Importing Documents to the EHR (cont)

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• Not all documents can be sent electronically.

• Above is an example of how a faxed or hard copy report would be scanned and merged with a record.

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8.2 Importing Documents to the EHR (cont)

• The goal is to create a paperless office.

• Hard copy images are scanned into the EHR.

– Feed the document through the scanner.

– Follow the prompts.

– Attach the document to the proper patient’s record within PrimeSUITE.

• Remember, before a scanned image is attached to a record, the healthcare professional needs to verify that the correct patient and the correct visit are selected.

• Documents may be bar-coded for readability.

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8.3 Master Files and Templates

• Master files are building blocks for parts of the chart notes.

• Templates are preformatted documents built into the

PM and EHR.

– Building templates is done prior to going live.

– Templates may also be added as necessary.

– Templates may be used for screenshots, letters, and progress notes.

• Care providers may prefer their own documentation customization.

• Practices with multiple providers may have different templates for each provider.

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8.4 Customization

• Care providers, registration staff, medical assistants, nurses, therapists, billers, and coders all use the information in the PM and EHR software.

• Not all of the users “see” things the same way.

• Keep care providers and healthcare professionals in mind when customizing.

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8.5 Using Software to Organize Your

Work –Task Lists

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• PrimeSUITE, has a functionality called Task

List or Tasks.

• Providers or other healthcare professionals can assign tasks to other staff members or to an entire group.

• Tasks don’t have to be clinical in nature; they can be anything that needs to be done by an individual or individuals in the practice.

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8.6 Using Software as a Reminder

• It is impossible to remember every situation about every patient.

• It is important to place alerts or reminders in the patient’s chart.

• Flags can be added in the system and used for all patients.

• Flags can be set up in the system as needed.

• Caution—do not create so many flags that it is difficult to remember their meaning.

• Alerts can become the rule rather than the exception and therefore be ignored.

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8.6 Using Software as a

Reminder (cont)

• Examples of common uses for flags include:

– Frequently cancels appointments

– Phone number on file is no longer in service

– Co-pay required (can include amount)

– Patient is noncompliant

– Account in collections

– Allergic to penicillin (can be created for different medications)

– Environmental allergy to ____

– Pap smear due

– Requires patient education

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Summary

• Software, the Internet, and an Intranet can be used for communication.

• Don’t use work email for personal emails.

• Many records stored in the EHR can be scanned in.

• Use master files and templates to save time.

• Customize reports as needed.

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Summary (cont)

• Use EHR software to organize your work.

• Create task lists for yourself and others.

• Use flags to remind yourself of important information concerning the patient.

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