Guest guest Posted December 28, 2006 Report Share Posted December 28, 2006 Sharon, I use excel for two purposes – one is to generate labels via mailmerge for mass mailouts as my EMR does not do this (is very painful). The other is a pt database/registry. I have the following columns: first name, last name, phone#, address, city, state, zip. Then the clinical columns: HTN (yes ‘Y’or no ‘N’ and date of dx in mo/yr if month is available), HTN controlled (Y/N), DM (Y/N and date of dx), DM c HgA1c <6.5 (enter their HgA1c value and mo/yr), DM >6.5 (same info as prior column), foot exam (mo/yr), UM (mo/yr c a ‘^’ if is high), eye exam (mo/yr), chol (just put a ‘Y’, not putting a dx date in, no real reason why), and chol controlled (Y/N and mo/yr of last lab). For my metabolic syndrome/pre DM pts, I put their HgA1c in the <6.5 column w date, but don’t have a ‘Y’ in the first DM column, as they are not diabetic yet. I don’t have dates for my HTN controlled column, as only 1 of my pts is not to goal. Otherwise, I would have the dates of their last BP log in there (have the BP log dates in the ‘alert screen’ on their facesheet in my EMR). I don’t have the goals listed in excel, but is in the chart. With a small pt panel (400), and my strict guidelines, its easy to see who is out of line. E.g., for chol, all have LDL goal <70 unless they have nothing else going on (no metabolic syndrome). Hope that gives you some ideas. It is labor intensive, and I have it running in the background while I’m seeing pts to update foot exam e.g., and also while signing off labs. I’ve been trying to see if DocSite would be better, and not more laborious. A. Eads, M.D. Pinnacle Family Medicine, PLLC phone fax P.O. Box 7275 Woodland Park, CO 80863 Quote Link to comment Share on other sites More sharing options...
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