Jankowski, KCL CeRch presentation, enhanced scholarly publications, with notes, 27march2012
Enhanced Medical Notes Setup for Paper Chart...
Transcript of Enhanced Medical Notes Setup for Paper Chart...
Enhanced Medical Notes Setup for Paper Chart Practices
Jennifer MouldsTeam member of
Escanaba Veterinary Clinic for 2 yearsCornerstone Team
Leader
Holly Thomma Practice Manager of
Escanaba Veterinary Clinic for 5 yearsBS in Business
Administration from LSSUMember of WVPMA for 5
years
Escanaba Veterinary Clinic Small animal practice 2.5 FTE Doctors/14 Staff membersCornerstone® user for over 10 years Paper-light since September 15, 2010!Cornerstone version installed: 8.1 Full Integration IDEXX Digital Imaging IDEXX In-House Laboratory
Learning objectives
Create high quality patient records and correspondence in Cornerstone® Perform basic setup Navigate the Cornerstone® Editor Develop an enhanced medical notes work flow for your practice Put your medical record-keeping plan in to action
Evaluating your clinic’s work flow What will be the structure of the template? Who will be entering the data into the template? When will the data be entered into the template? Do you need to finalize the template prior to patient checkout?
Before getting started
Document defaults and template types Converting classic medical notes
• Require medical notes to be finalized before patient can be checked out
• Number of days before auto finalize• Include invoice items when printing
Medical Notes and/or Correspondence
Document defaults
Converting classic medical notes
Create a document template
Header and footer (with fonts) template update Cornerstone® Editor overview Bookmarks, text input fields and much more Start a New Document window Template properties
• Medical notes versus correspondence documents• Document status• Save options
Template Update- Header and Footer
Cornerstone® Editor Toolbar
Charting with Enhanced Medical Notes
Starting point Creating what you chart today
– Authorization forms, medication requests, discharge instructions
– Certificates: health, spay/neuter, vaccination, puppy/kitten class, preventative care programs
– Client education– Labels – Letters to clients
Viewing and updating enhanced medical notes
Daily Planner What and how to update?
Staff initials, addendum notes, time stamp, saved to history
Common cases for enhanced medical notes use
Conclusion Navigate the Cornerstone® Editor Perform basic setup Create high quality patient records and correspondence using
Cornerstone® Develop an enhanced medical note work flow for your practice Conduct a staff training on implementing enhanced medical notes Identify and troubleshoot potential roadblocks in the work flow Put your medical record-keeping plan into action
Questions?
Thank you!Please fill out survey and turn inNext….
Plan ConsultationsEnjoy your night!
Thank you for attending!