Guest guest Posted December 13, 2003 Report Share Posted December 13, 2003 Great Thanks for taking this up. I also got a great message from Seto. (Thanks !!!) His spreadsheet is several generations beyond mine, and I'll attach it. Gordon At 07:59 AM 12/12/2003, you wrote: As I am in a mode of making websites and compiling data on my computor I would be happy to compile the list. I will also update it quarterly, but if anyone knows how to make this happen automatically let me know! For now I will make a simple website for us that we can all put a link to from our own websites, or simply direct people to. My broadband vendor hosts websites affordably, so i'll cover it. 1)If everyone will send me thier relevent info in microsoft word format I'll get started. 2)Also let's brainstorm on names...Ideal Practices...Practice Improvement...whatever, we can get about twenty names and then rank them after the new year. 3)Also phrases on our mission statement should be included on the webpage...although Gordon probably has one that would be appropriate to all of us. 4)and any relevent links ie howsyourhealth.com etc. Goal date three months or so! Rothe DO 379 Piney Branch Way Burnsville, NC 28714 (828)273-2889 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2003 Report Share Posted December 13, 2003 I¡Çve added my data to the list Bud Re: compiling our info Great Thanks for taking this up. I also got a great message from Seto. (Thanks !!!) His spreadsheet is several generations beyond mine, and I'll attach it. Gordon At 07:59 AM 12/12/2003, you wrote: As I am in a mode of making websites and compiling data on my computor I would be happy to compile the list. I will also update it quarterly, but if anyone knows how to make this happen automatically let me know! For now I will make a simple website for us that we can all put a link to from our own websites, or simply direct people to. My broadband vendor hosts websites affordably, so i'll cover it. 1)If everyone will send me thier relevent info in microsoft word format I'll get started. 2)Also let's brainstorm on names...Ideal Practices...Practice Improvement...whatever, we can get about twenty names and then rank them after the new year. 3)Also phrases on our mission statement should be included on the webpage...although Gordon probably has one that would be appropriate to all of us. 4)and any relevent links ie howsyourhealth.com etc. Goal date three months or so! Rothe DO 379 Piney Branch Way Burnsville, NC 28714 (828)273-2889 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2003 Report Share Posted December 13, 2003 I got the excel sheet, everyone should take a look at it and if you don't see your name send it to me separately. For those of you who don't have practice location yet or will be moving, still send your name and any contact info. Also if anyone wants to add a few lines about their practice style etc that would be nice to add. Rothe DO 379 Piney Branch Way Burnsville, NC 28714 (828)273-2889 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2003 Report Share Posted December 13, 2003 , I didn't see the sheet, was it suppose to be attached to that mailing or is it somewhere else. I would like to see it and if my name is not on it I would add it. Greg Sweeney MD Duncansville PA. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2003 Report Share Posted December 14, 2003 I too have been keeping a spread sheet of everyone including which EMR/PMS they were using. I hope it's accurate. - > > > > > > I got the excel sheet, everyone should take a look at it and if you > don't see your name send it to me separately. & nbsp; For those of you who > don't have & nbsp; practice location yet or will be moving, still send > your name and any contact info. & nbsp; Also if anyone wants to add a few > lines about their practice style etc that would be nice to add. > > Rothe DO > 379 Piney Branch Way > Burnsville, NC 28714 > (828)273-2889 > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2003 Report Share Posted December 14, 2003 I can not find the spread sheet either. It is not downloadable. Could you email them to bhrabik@... Brent > > > I too have been keeping a spread sheet of everyone including which EMR/PMS > they were using. I hope it's accurate. > > - > > > > > > > > > > > > I got the excel sheet, everyone should take a look at it and if you > > don't see your name send it to me separately. & nbsp; For those of you who > > don't have & nbsp; practice location yet or will be moving, still send > > your name and any contact info. & nbsp; Also if anyone wants to add a few > > lines about their practice style etc that would be nice to add. > > > > Rothe DO > > 379 Piney Branch Way > > Burnsville, NC 28714 > > (828)273-2889 > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2003 Report Share Posted December 14, 2003 To anyone not able to see attachments, I suspect your settings at yahoo are for the daily digest. To receive attachments, you must change your preferences to individual emails. Not as tidy, but the only way to get all the attachments sent amongst the group members. I'm not at home right now, but I'll try to re-send the xls spreadsheet directly to your email address tomorrow. - brenthrabik > > > > > I can not find the spread sheet either. & nbsp; It is not > downloadable. & nbsp; Could you email them to bhrabik@... > Brent > > & gt; > & gt; > & gt; I too have been keeping a spread sheet of everyone including which > EMR/PMS > & gt; they were using. & nbsp; I hope it's accurate. > & gt; > & gt; - > & gt; & gt; > & gt; & gt; > & gt; & gt; > & gt; & gt; > & gt; & gt; > & gt; & gt; I got the excel sheet, everyone should take a look at it and > if you > & gt; & gt; don't see your name send it to me separately. & amp;nbsp; For > those of you who > & gt; & gt; don't have & amp;nbsp; practice location yet or will be moving, > still send > & gt; & gt; your name and any contact info. & amp;nbsp; Also if anyone wants > to add a few > & gt; & gt; lines about their practice style etc that would be nice to > add. & gt; & gt; > & gt; & gt; Rothe DO > & gt; & gt; 379 Piney Branch Way > & gt; & gt; Burnsville, NC 28714 > & gt; & gt; (828)273-2889 > & gt; & gt; > & gt; & gt; > & gt; & gt; > & gt; & gt; > & gt; & gt; > & gt; & gt; > & gt; & gt; > & gt; & gt; > & gt; & gt; Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 15, 2003 Report Share Posted December 15, 2003 Hi : Thanks for taking care of the spreadsheet. I would like to add my data. I was on the original that Gordon put together but somehow got missed on the new ones. My info is as follows: Torquato MD Community Health Care of the Palouse 1256 SE Bishop Blvd, Suite I Pullman WA 99163 Phone Fax e-mail JTorquato@Community-Health .com Web Site http://www.community-health.com EMR: Logician by GE Medical Systems (formerly Medicalogic), Networked by virtual network via internet with dual firewalls etc. Billing: Outsourced Office Scheme: Two locations, College towns 7 miles apart on boarder of Washington State and Idaho. Church affiliated primary care clinics, one staffed with internist and 2nd staffed with F.P. (me) Currently open access hybrid, (I have an answering service, offer same day appointments, no walk-ins) Continuous flow patient scheduling with preventive medicine emphasis. (Every patient, Every Visit has all A and B rec of USPSTF offered or completed). Appointment slots are 30 and 60 minutes only. I have one staff, (my receptionist). I see between 6 and 12 patients per day, depending on the day. I do peds, GYN, No OB, Procedures including minor surgery (lumps and bumps derm), colpo, flex sig, and some others. I do inpatient and nursing home care. My partner runs a typical IM solo practice with 3.5 staff and 20 plus patients per day. We take our own call during the week and share weekends every other. (never terrible). heavy into community education with hundreds of hours of lectures and classes over the past 4 years that we have been open. (you can leave out whatever is not needed or does not fit your flow sheet.) I am willing to be contacted, and may contact others for further ideas and sharpening. Let me know if I was not complete or for any questions. Torquato MD Re: compiling our info > > I got the excel sheet, everyone should take a look at it and if you don't see your name send it to me separately. For those of you who don't have practice location yet or will be moving, still send your name and any contact info. Also if anyone wants to add a few lines about their practice style etc that would be nice to add. > > Rothe DO > 379 Piney Branch Way > Burnsville, NC 28714 > (828)273-2889 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 15, 2003 Report Share Posted December 15, 2003 Is this the Torquato from Florida Hospital? A. Lane LeeSan Marcos Family Medicine, P.A.1999-A Medical Pkwy.San Marcos, TX 78666Phone Fax www.smfm.net -----Original Message-----From: Torquato Sent: Monday, December 15, 2003 4:39 PMTo: Subject: Re: compiling our infoHi :Thanks for taking care of the spreadsheet. I would like to add my data. Iwas on the original that Gordon put together but somehow got missed on thenew ones. My info is as follows: Torquato MDCommunity Health Care of the Palouse1256 SE Bishop Blvd, Suite IPullman WA 99163Phone Fax e-mail JTorquato@Community-Health .comWeb Site http://www.community-health.comEMR: Logician by GE Medical Systems (formerly Medicalogic), Networked byvirtual network via internet with dual firewalls etc.Billing: OutsourcedOffice Scheme: Two locations, College towns 7 miles apart on boarder ofWashington State and Idaho. Church affiliated primary care clinics, onestaffed with internist and 2nd staffed with F.P. (me)Currently open access hybrid, (I have an answering service, offer same dayappointments, no walk-ins) Continuous flow patient scheduling withpreventive medicine emphasis. (Every patient, Every Visit has all A and Brec of USPSTF offered or completed). Appointment slots are 30 and 60minutes only. I have one staff, (my receptionist). I see between 6 and 12patients per day, depending on the day. I do peds, GYN, No OB, Proceduresincluding minor surgery (lumps and bumps derm), colpo, flex sig, and someothers. I do inpatient and nursing home care. My partner runs a typical IMsolo practice with 3.5 staff and 20 plus patients per day. We take our owncall during the week and share weekends every other. (never terrible).heavy into community education with hundreds of hours of lectures andclasses over the past 4 years that we have been open. (you can leave outwhatever is not needed or does not fit your flow sheet.) I am willing to becontacted, and may contact others for further ideas and sharpening.Let me know if I was not complete or for any questions. Torquato MD Re: compiling our info>> I got the excel sheet, everyone should take a look at it and if you don'tsee your name send it to me separately. For those of you who don't havepractice location yet or will be moving, still send your name and anycontact info. Also if anyone wants to add a few lines about their practicestyle etc that would be nice to add.>> Rothe DO> 379 Piney Branch Way> Burnsville, NC 28714> (828)273-2889>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 Hi Lane! That would be me. How are you? Fancy meeting you here. JT Re: compiling our info>> I got the excel sheet, everyone should take a look at it and if you don'tsee your name send it to me separately. For those of you who don't havepractice location yet or will be moving, still send your name and anycontact info. Also if anyone wants to add a few lines about their practicestyle etc that would be nice to add.>> Rothe DO> 379 Piney Branch Way> Burnsville, NC 28714> (828)273-2889>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 Wow! , how do you manage all the USPSTF A & B in every visit? Is this built into templates and thus you just check off that you've covered it? EVERY visit? Please elaborate! Very interested, - Torquato > > > > > Hi : > > Thanks for taking care of the spreadsheet. & nbsp; I would like to add my > data. & nbsp; I was on the original that Gordon put together but somehow > got missed on the new ones. & nbsp; My info is as follows: > > Torquato MD > Community Health Care of the Palouse > 1256 SE Bishop Blvd, Suite I > Pullman WA 99163 > Phone > Fax > e-mail JTorquato@Community-Health .com > Web Site http://www.community-health.com > EMR: & nbsp; Logician by GE Medical Systems (formerly Medicalogic), > Networked by virtual network via internet with dual firewalls etc. > Billing: & nbsp; Outsourced > > Office Scheme: & nbsp; Two locations, College towns 7 miles apart on > boarder of Washington State and Idaho. & nbsp; Church affiliated primary > care clinics, one staffed with internist and 2nd staffed with F.P. (me) > Currently open access hybrid, (I have an answering service, offer same > day appointments, no walk-ins) Continuous flow patient scheduling with > preventive medicine emphasis. & nbsp; (Every patient, Every Visit has all > A and B rec of USPSTF offered or completed). & nbsp; Appointment slots are > 30 and 60 minutes only. & nbsp; I have one staff, (my receptionist). & nbsp; > I see between 6 and 12 patients per day, depending on the day. & nbsp; I > do peds, GYN, No OB, Procedures including minor surgery (lumps and bumps > derm), colpo, flex sig, and some others. & nbsp; I do inpatient and > nursing home care. & nbsp; My partner runs a typical IM solo practice with > 3.5 staff and 20 plus patients per day. & nbsp; We take our own call > during the week and share weekends every other. & nbsp; (never terrible). > heavy into community education with hundreds of hours of lectures and > classes over the past 4 years that we have been open. & nbsp; (you can > leave out whatever is not needed or does not fit your flow sheet.) & nbsp; > I am willing to be contacted, and may contact others for further ideas > and sharpening. > > Let me know if I was not complete or for any questions. > > Torquato MD > > Re: compiling our info > > > & gt; > & gt; I got the excel sheet, everyone should take a look at it and if you > don't see your name send it to me separately. & nbsp; For those of you who > don't have practice location yet or will be moving, still send your name > and any contact info. & nbsp; Also if anyone wants to add a few lines > about their practice style etc that would be nice to add. > & gt; > & gt; Rothe DO > & gt; 379 Piney Branch Way > & gt; Burnsville, NC 28714 > & gt; (828)273-2889 > & gt; > & gt; > & gt; Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 Hi : You asked about how the USPSTF was managed every patient, every visit. Sure, I will be happy to share about that. The only way this could happen is via a good medical records system with a rules engine. As I mentioned, the medical record I use is Logician by GE medical systems. You can see them on the AAFP web site. They have just signed an agreement with AAFP to work towards an "affordable, clinically efficient EMR that would eventually be available to all clinicians." Yes, it does have templates and flow sheets. The templates and flow sheets help with input, but the engine does all the work. The parameters are set by the clinician and include such things as age, intervals, specific disease classifications, drugs, memos that are placed in a specific text field and other "observations" RE the USPSTF protocols that we have placed into the system. The data base searches for the data RE USPSTF on each patient. Those elements of the recommendations that are not fulfilled in the time frame set up will show on my screen. If all elements are satisfied the screen is blank. If the patient has any elements that are not satisfied I get a reminder. As part of my vital signs I always cover meds, allergies, advanced directives and preventive care. It becomes a kind of a jingle or mantra that patients can eventually recite by wrote memory. The first time this data is entered into the system in it takes about 5 to 15 minutes depending on the individual. Usually each subsequent visit I only have to update that data and it takes 1 to 5 minutes of my 30 minute visit. The USPSTF recommendations are "finite". Even though there seems to be many, many recommendations, there is an end to them. In my residency, (as Lane Lee will attest), we were taught a pneumonic GO WITCH, which was a reminder for those A and B recommendations. (The Pneumonic came to us thanks to Warner D.O. during our residency training at Florida Hospital). Guaiac (Colorectal Cancer Screening), Obesity, (BMI calculated each visit with BMI risk sheet covered as needed) Women's issues (Pap, BE, Mammo, HRT, Dexa, etc), Immunizations, Tobacco, Cholesterol, Hypertension. Once you cover the basics it is just a case of reminding the stragglers. I let them know they can tell me to stop asking any time, but then the decision to NOT provide care is theirs and is not on me. I have found I have less people than I can count on one hand that have requested this. Eventually my screen clears and patients who never come for a wellness visit eventually consent to the care they often dread. It could not happen without my EMR. A simple act such as weighing every patient, every visit and calculating their BMI, plotting it on a graph and a risk curve for them (automatic and no extra time due to the EMR) never fails to draw comment and sometimes nets a decision. I have been fairly successful with such things as weight loss, dietary modification, and lifestyle change. This is simply due to consistency and the openings afforded by a good system that provides good data. Good information given repeatedly and placed on a trend helps people become convicted of their need for change. They become the ones that lead the discussion by actively asking what they need to change to be more healthy. (hmmm, well, funny you should ask....) Patients get to expecting this level of care and often they hop up on the scale or put their arm out for the b/p before I can ask. When this happens I see it as a small sign that they have bought into efforts to provide them with preventive care. Does not take much with a good EMR. As I mentioned, the rules engine is "Key". I have reviewed several electronic medical records whose rules engines have been limited. The one I am on also has some limitations and I wish a few changes could be made. But, I have learned to manipulate the system I am working with and it serves me well at this time. So, lest you think I am some super-duper whirlwind of a doc, look again. Just the average guy with a little technology that I know how to use. Hope that answers your question. If you want to know more about the EMR I would be happy to share. JT Re: compiling our info>>> & gt;> & gt; I got the excel sheet, everyone should take a look at it and if you> don't see your name send it to me separately. & nbsp; For those of you who> don't have practice location yet or will be moving, still send your name> and any contact info. & nbsp; Also if anyone wants to add a few lines> about their practice style etc that would be nice to add.> & gt;> & gt; Rothe DO> & gt; 379 Piney Branch Way> & gt; Burnsville, NC 28714> & gt; (828)273-2889> & gt;> & gt;> & gt; Quote Link to comment Share on other sites More sharing options...
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