QUICK TEXT BUILDER: THE SIMPLE SOLUTION. Geoffrey Gill, M.D., FACOG Laura Brous, RN EMR Clinic Coordinator

Transcription

1 : THE SIMPLE SOLUTION Geoffrey Gill, M.D., FACOG Laura Brous, RN EMR Clinic Coordinator

2 WHO IS OREGON MEDICAL GROUP (OMG) Oregon Medical Group is a primary care based multi-specialty group formed in 1988 with more than 100 physicians and 13 neighborhood clinics through out the Eugene and Springfield area. Oregon Medical Group offers specialty services in: Allergy Audiology Dermatology Gastroenterology Lab services Obstetrics Gynecology Otolaryngology Physical therapy Radiology Imaging services

3 ROLL OUT OF CENTRICITY TO OMG Largest Multi-Specialty group to adapt CPS CCC s Lacking Failing as a group

4 INTRODUCTION TO DR. GILL No formal computer programming skills Group lacking resources Started with the Help Tab Quickly developed several commands to improve efficiency

5 HOW TO CREATE QUICK TEXT

6 INTRODUCTION INTO CENTRICITY

7 TRIED TO TEACH OTHERS Attempted to teach classes

8 WHY CREATE IT Information overload Providers not interested How to help? How to ease the foreign language panic?

9 WHAT S MOST FRUSTRATING ABOUT CREATING QUICK TEXT Missing punctuation Missed syntax Extra spaces # of clicks to even get to Quick Text interface Size of entry box Inability to search for ICD-9 codes

10 WHAT COMMANDS ARE AVAILABLE WITH QUICK TEXT We are currently using Quick Text to: Text Replacement Add an order with or without a linked diagnosis Add a Problem with or without an end date Send a flag Add recent lab results And more For the Quick Text builder, we focused on adding orders and problems {MEL_ADD_ORDER('T','Lab','VITAMIN D 25 HYDROXY','','ICD ','Vitamin D deficiency')''}

11 WHAT INFORMATION DO YOU NEED

12 WHAT INFORMATION DO YOU NEED

13 WHAT INFORMATION DO YOU NEED

14 WHAT INFORMATION DO YOU NEED

15 SIMPLE FORMULA WITHIN EXCEL Concatenate: To link together; unite in a series or chain Benefits User does not need to know how to code Only need several bits of data to complete {MEL_ADD_ORDER( T','Lab','VITAMIN D 25 HYDROXY','','ICD ','Vitamin D deficiency')''} {MEL_ADD_ORDER( T','Lab', VITAMIN D 25 HYDROXY','','ICD ', Vitamin D deficiency')''}

16 COMPARISON

17 COMPARISON

18 TIME SAVED Total Time Saved: 4 minutes, 15 seconds

19 EXAMPLE OF QUICK TEXT BUILDER

20 ADVANTAGES 1. Can see Quick Text in ONE location, decreases possibility of grammar/punctuation errors 2. Ability to navigate between tool and Centricity to look up descriptions, ICD codes, service codes, etc. 3. Allows for streamline Quick Text production 4. Multi-functionality (Orders, Problems, End Dates, etc.) 5. Eliminates syntax errors for missed punctuation 6. Allows creation of multiple Quick Text at one time without using Centricity interface other than importation

21 ADVANTAGES Create multiple at one time

22 DEMONSTRATION

23 QUICK TEXT CODE.acutedysuria Adequate hydration encouraged. Worsening signs and symptoms of UTI discussed with patient. Will follow up based on culture results. {MEL_ADD_PROBLEM('DX OF','Dysuria','ICD ',str(._todaysdate),ADDDATES(str(._todaysdate),'','','3'))''}{MEL_ADD _ORDER('T','Lab','UA W/MICRO; CULTURE IF','','ICD ','Dysuria')''}{MEL_ADD_MEDICATION('Cipro 250 mg Tabs','Take one tablet by mouth every 12 hours for 3 days',str(._todaysdate), 4617,ADDDATES(str(._todaysdate),'0','0','30'),6,0,'N')}.iudsurv IUD strings visualized on exam. Self string checks reviewed. Bleeding and infection precautions reviewed. Lifespan of IUD reviewed with patient as well. {MEL_ADD_ORDER('S','Professional Services','99212 Est Patient Level II','','ICD-V25.42','IUD Surveillance')''} {MEL_ADD_PROBLEM('DX OF','IUD Surveillance','ICD- V25.42',str(._todaysdate),ADDDATES(str(._todaysdate),'','','3'))''}

24 SUMMARY It s not as hard as it seems! Concatenation is your friend Happy to share Make Centricity work for you not against you Use all the available tools that Centricity has to offer

25 TIPS Read HELP and learn the possibilities Develop a builder for the most common items that will increase efficiency Lock cells to eliminate staff making changes where they shouldn t Only need if skipping an argument otherwise end function with curly bracket Add in after ) and before } to eliminate error code in text Cut and Paste from the document Develop Global Quick Text naming guidelines Include the following: The function of the quick text An abbreviation for the diagnosis, order, etc. Diagnosis code associated (all digits- do not include.)

26 QUESTIONS