Aim 03/17/03:
For those patients that have a shared care plan, we want to ensure that the most up to date version is in the room with them when the doctor enters.
Plan:
- There is currently an indicator in the practice management software to show that the patient has a shared care plan. In the case that this indicator shows, the staff member scheduling will place the text 'SCP' in the descriptor for the visit.
- The schedule is printed daily for the next days visits. The 'SCP' indicator should show in the 'reason for visit' field. The latest shared care plan will be added to the list of items verified and attached to the chart. This is in addtion to items like diabetes and URI templates, registry flow sheets, lab results.
- In addition to the 'soft flag', labels are currently being made to place on the chart to indicate that the patient has a shared care plan. This will be placed by front office staff along with the flag in the practice management software. Currently the staff will need to be told when and who to do this for. We will look at creating some automatic trigger in the registration process. Now it will basically be done as FFMC becomes aware that the patient has a SCP.
- Clinical staff will perform verification of information with patient and ask questions about potential changes that may have occured since the latest electronic entry and indicate these to physician.
- Dr. Safford is looking into the possiblity of 1 or 2 computers for a couple of the rooms to trial using the web version during a visit. This would also allow access to LastWord results, the practice management software, other areas of patientpowered.org, perscription resource sites, etc. during the visit. The clinic is planning to have an EMR potentially by fall when they may be in their new location, but the team was feeling like we maybe shouldn't wait that long to try it out. News to follow.
Study:
- Again we will be fairly subjective with our study. We will watch for events and processes that hinder achieving our goal and we will keep track of pros and cons of the current process and bring to the next meeting(s). There is never a problem with lack of feedback
I have brought some feedback back to the P2 team on some glitches found with the eSCP. Dawn will be following up and many of them had been fed back to her already by other sources.
Next meeting we will be looking at how to ensure the patient leaves with an up to date SCP. I have asked Lori Nichols (SCP implemenation champion), Dawn Gauthier - one of it's mothers, and Nancy Stothart - CCS SCP superuser to join our next meeting on 03/31/03.
Concurrently:
We will try to ensure that as we are seeing patients that the clinical staff checks the charts' problem list to determine if they are a CHF patient. If they appear to be from the problem list, clinical staff will confirm with the physician and place a label on the chart. This is to facilitate later implementation of the HF registry - Mark ém while you can.
