VP Clinical Product Management Topic · POMR hints • Define each problem at its highest level of...
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Transcript of VP Clinical Product Management Topic · POMR hints • Define each problem at its highest level of...
Topic
Level
Presenter(s):
Bob Murry, PhD, MD
VP Clinical Product Management
Problem Based Charting in KBM 8.3.10
200
CME Disclosures
Learning Objectives - After completing this activity, attendees should be able to:
- List two techniques for utilizing EHR templates to manage multiple chronic medical problems.
The planners and presenters of this activity have no relevant financial relationships to disclose. No commercial support was received for this activity.
NextGen Healthcare is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
NextGen Healthcare designates this educational activity for a maximum of 1.25 PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
CNE Disclosures
Learning Objectives
After completing this activity, attendees should be able to:
- List two techniques for utilizing EHR templates to manage multiple chronic medical problems.
The planners and presenters of this activity have no relevant financial relationships or conflicts of interest to disclose.
NextGen Healthcare designates this educational activity for 1.25 nursing contact hours.
To receive CNE credit you need to: 1) Attend the entire session; and 2) Complete and submit the session evaluation that will be emailed to you, within two weeks of the email date.
NextGen Healthcare is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
Safe Harbor Provisions/Legal Disclaimer
This presentation may contain forward-looking statements within the meaning of the federal securities laws, including statements
concerning future prospects, events, developments, the Company’s future performance, management’s expectations, intentions,
estimates, beliefs, projections and plans, business outlook and product availability. These forward-looking statements do not
represent a commitment, promise or legal obligation to deliver any material, code or functionality. The development,
release and timing of any features or functionality described for our products remains at our sole discretion. Future
products developed beyond what is contemplated by existing maintenance agreements, will be priced separately. This
roadmap does not constitute an offer to sell any product or technology. We believe that these forward-looking statements
are reasonable and are based on reasonable assumptions and forecasts, however, undue reliance should not be placed on such
statements that speak only as of the date hereof. Moreover, these forward-looking statements are subject to a number of risks and
uncertainties, some of which are outlined below. As a result, actual results may vary materially from those anticipated by the
forward-looking statements. Among the important factors that could cause actual results to differ materially from those indicated by
such forward-looking statements are: the volume and timing of systems sales and installations; the possibility that products will not
achieve or sustain market acceptance; the impact of incentive payments under The American Recovery and Reinvestment Act on
sales and the ability of the Company to meet continued certification requirements; the development by competitors of new or
superior technologies; the timing, cost and success or failure of new product and service introductions, development and product
upgrade releases; undetected errors or bugs in software; changing economic, political or regulatory influences in the health-care
industry or applicable to our business; changes in product-pricing policies; availability of third-party products and components;
competitive pressures including product offerings, pricing and promotional activities; the Company's ability or inability to attract
and retain qualified personnel; uncertainties concerning threatened, pending and new litigation against the Company; general
economic conditions; and the risk factors detailed from time to time in the Company’s periodic reports and registration statements
filed with the Securities and Exchange Commission.
Outline
• The Problem Oriented Medical Record
• Tour of HPI Chronic Conditions template
• Use of template in real workflows
• Demos
Problem-Oriented Medical Record
• POMR originally defined by Dr. Larry Weed in 1960’s
• Contrasting “source-oriented” medical chart
• Complete and accurate problem list organizes chart and
clinical activities,
• Active/inactive
• Notes & “backstory” for each problem
• Subjective & Objective data for each problem
• Plan for each problem
• Especially important in team-based care environments
POMR hints
• Define each problem at its highest level of defensibility
• Decide WHO will “maintain” the problem list
• Editing problem notes, keeping mappings up to date, and resolving problems are routine activities
• Consider overall assessment (or plan) as opportunity to synthesize problems into cohesive whole, and establish priorities
In NextGen, use the new (in KBM 8.3.10) Chronic Condition HPI template
KBM 8.3.10
• SNOMED-CT® Problem List• Ability to edit Problem List without opening module
• On Home Page, Histories, Assessment & Chronic Conditions HPI templates
• Ability to modify the Problem description
• Ability to see (and change) the ICD code and description (also editable) associated with Problem
• Better display and editing of Problem Notes
• Chronic Conditions HPI template• New, enhanced, single HPI template for charting on chronic
conditions
• Better layout and tighter functionality
• Template is not a popup, so can open other sections of EHR while charting
HINT – Remove “chronic conditions” from
reason for visit list
On “Framework Content” system template
Workflow – mappings & descriptions
Icon showing problem description has been edited
ICD description will show on patient plan, should be
patient-friendly
Workflow – mappings & descriptions
• Note icon showing problem description has been edited
• ICD description will show on patient plan, should be
patient-friendly
Workflow – other places to maintain Problems
• Assessment template (Add/Update Assessment)• Edit problem description
• Re-map Problem ICD code
• Edit ICD description
• View / edit problem notes
• Home Page & Histories Page – problem list panel• All above
• Edit onset date, clinical status, side site, etc.
• Resolve problem by entering resolved date; prompt for resolved to Past Medical History
• Problem Module• All above (except resolve to PMHx)
• Edit Responsible Provider, mark recorded elsewhere, etc.
Workflow – what’s left for the module
• Hint – click on Problems badge in Patient Info bar or Inbox
• Hint – Right-click “ungroup” / “group”
• Remap problem to another code as condition evolves
Workflow – ICD-10
• You can convert all problems to ICD-10 from module
• SNOMED ICD-10 mappings are not always great.
Use the remap diagnosis functionality on
• Chronic Conditions HPI
• Assessment Template
• Home Page or Histories Page
What’s coming in 8.3.11 (tentative)
• Able to copy previous chronic condition HPIs
• Able to copy previous assessments and plans
• Care guidelines changing back to link at top
• Problem list hover in PAQ (UD3)
Conclusions
• Keeping an accurate and up to date Problem List can
help you organize your charts and your visits
• The KBM 8.3.10 Chronic Conditions HPI template has
features making this a natural part of everyday charting
Session Survey
Please take a moment to complete a brief survey regarding this session.
1. Open your ONE UGM Mobile App (please note: you must have already logged
in and accepted the “Terms of Use” to access this feature)
2. Click the Navigation Button at the top left of the screen
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4. Search for and select this session
5. From the sessions details screen, select “Survey” at the bottom right of the
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6. Remember to hit “Save” at the bottom of the survey once you have answered
the questions