sending patients home with a plan

[Guest guest]

I'm reviewing old emails which had good ideas -

Lynn suggested that she " Printed out the plan and handed it to patients "

I'm working on figuring out how to do that more efficiently myself.

Right now, I use half sheets of paper that are printed with my

contact info with most visits.

As patients and I come up with a plan (not complicated stuff- it

could be the name of an OTC antihistamine or goals for their BP

readings for the next week), I jot notes for them on the sheet. They

take it home with them.

But then, I have to put the information into Amazing Charts, more

simply. This duplication of effort bothers me.

Lynn - how do you handle that with your system - do you type alot in

the " Plan section " in front of patients? How do you print out that

" plan " section?

anyone else who is efficient with this step - what do you do?

[Guest guest]

My EHR (Centricity) allows writing patient letters from within the

software - it automatically contains their name and address and mine.

I type in the plan and then cut and past it into my plan - done!

Marius

[Guest guest]

,

I use AC. While sitting with the patient, I type each step of the

plan as they confirm that they agree with it. After I sign the note

electronically, a final screen shows the option to print the note. I

print it and hand it to them, showing them the plan documented for

them, and I also ask them to review the entire note for accuracy and

notify me if a correction is needed.

I minimize medical abbreviations or jargon in the plan. I'm an

average typer. Patients don't seem to mind the slight wait, and there

are no handwriting legibility issues.

Jeff Huotari

Bluesky Health

Solo IMP 11/06

>

> I'm reviewing old emails which had good ideas -

>

> Lynn suggested that she " Printed out the plan and handed it to

patients "

> I'm working on figuring out how to do that more efficiently myself.

>

> Right now, I use half sheets of paper that are printed with my

> contact info with most visits.

> As patients and I come up with a plan (not complicated stuff- it

> could be the name of an OTC antihistamine or goals for their BP

> readings for the next week), I jot notes for them on the sheet.

They

> take it home with them.

>

> But then, I have to put the information into Amazing Charts, more

> simply. This duplication of effort bothers me.

>

> Lynn - how do you handle that with your system - do you type alot

in

> the " Plan section " in front of patients? How do you print out that

> " plan " section?

>

>

>

> anyone else who is efficient with this step - what do you do?

>

[Guest guest]

Agree with all of the previous posters. (Boy , you have to be fast around

here.)

I use AC templates for rote things like instructions for acute illnesses and

for asthma and diabetes use templated " report cards " . I'm happy to post

these somehow if anyone wants them, though I think Pam and someone else had

posted theirs a while ago. I also use Shortkeys, a macro program, for

doumentation within the note $20, cheap and easy.

Since I don't always have the note finished in the room (no NOT yet) I just

copy the finished plan:

including next appointment (time frame or actual date), patient education

printed or links sent, special instructions that are a little complicated

(I type these as I speak them for extra reinforcment) eg thinsks like

express instructions for tapering one SSRI while adding effexor, tapers, etc

referral information with phone numbers

and paste it into Notepad which is on my start menu, and hand it to the

patient.

Jon has on his list to do (I hope) an option so that you can just print the

plan box directly from AC, which would save a few clicks.

If I were to write these by hand, NO ONE including myself would be able to

read them, so I have had to adapt.

Here is a GREAT TIP that I got from Dr Bachman about internet patient

education web sources:

for example: simply type 'aafp patient education ankle sprain', 'medline

BPH' into your Google toolbar and the handout will pop up

MUCH faster than pulling up the web site and searching through it for the

information for the patient.

Lynn

>

>I use AC. While sitting with the patient, I type each step of the

>plan as they confirm that they agree with it. After I sign the note

>electronically, a final screen shows the option to print the note. I

>print it and hand it to them, showing them the plan documented for

>them, and I also ask them to review the entire note for accuracy and

>notify me if a correction is needed.

>

>I minimize medical abbreviations or jargon in the plan. I'm an

>average typer. Patients don't seem to mind the slight wait, and there

>are no handwriting legibility issues.

>

>Jeff Huotari

>Bluesky Health

>Solo IMP 11/06

>

>

> >

> > I'm reviewing old emails which had good ideas -

> >

> > Lynn suggested that she " Printed out the plan and handed it to

>patients "

> > I'm working on figuring out how to do that more efficiently myself.

> >

> > Right now, I use half sheets of paper that are printed with my

> > contact info with most visits.

> > As patients and I come up with a plan (not complicated stuff- it

> > could be the name of an OTC antihistamine or goals for their BP

> > readings for the next week), I jot notes for them on the sheet.

>They

> > take it home with them.

> >

> > But then, I have to put the information into Amazing Charts, more

> > simply. This duplication of effort bothers me.

> >

> > Lynn - how do you handle that with your system - do you type alot

>in

> > the " Plan section " in front of patients? How do you print out that

> > " plan " section?

> >

> >

> >

> > anyone else who is efficient with this step - what do you do?

> >

>

>

_________________________________________________________________

Live Search Maps – find all the local information you need, right when you

need it. http://maps.live.com/?icid=hmtag2 & FORM=MGAC01

[Guest guest]

Hi Lynn,

Great ideas. Can you post your templates ect that you use

Lee

RE: Re: sending patients home with a plan

> Agree with all of the previous posters. (Boy , you have to be fast around

> here.)

> I use AC templates for rote things like instructions for acute illnesses

> and

> for asthma and diabetes use templated " report cards " . I'm happy to post

> these somehow if anyone wants them, though I think Pam and someone else

> had

> posted theirs a while ago. I also use Shortkeys, a macro program, for

> doumentation within the note $20, cheap and easy.

> Since I don't always have the note finished in the room (no NOT yet) I

> just

> copy the finished plan:

>

> including next appointment (time frame or actual date), patient education

> printed or links sent, special instructions that are a little complicated

> (I type these as I speak them for extra reinforcment) eg thinsks like

> express instructions for tapering one SSRI while adding effexor, tapers,

> etc

> referral information with phone numbers

>

> and paste it into Notepad which is on my start menu, and hand it to the

> patient.

>

> Jon has on his list to do (I hope) an option so that you can just print

> the

> plan box directly from AC, which would save a few clicks.

>

> If I were to write these by hand, NO ONE including myself would be able to

> read them, so I have had to adapt.

>

> Here is a GREAT TIP that I got from Dr Bachman about internet patient

> education web sources:

> for example: simply type 'aafp patient education ankle sprain', 'medline

> BPH' into your Google toolbar and the handout will pop up

> MUCH faster than pulling up the web site and searching through it for the

> information for the patient.

>

> Lynn

>

>

>>

>>I use AC. While sitting with the patient, I type each step of the

>>plan as they confirm that they agree with it. After I sign the note

>>electronically, a final screen shows the option to print the note. I

>>print it and hand it to them, showing them the plan documented for

>>them, and I also ask them to review the entire note for accuracy and

>>notify me if a correction is needed.

>>

>>I minimize medical abbreviations or jargon in the plan. I'm an

>>average typer. Patients don't seem to mind the slight wait, and there

>>are no handwriting legibility issues.

>>

>>Jeff Huotari

>>Bluesky Health

>>Solo IMP 11/06

>>

>>

>> >

>> > I'm reviewing old emails which had good ideas -

>> >

>> > Lynn suggested that she " Printed out the plan and handed it to

>>patients "

>> > I'm working on figuring out how to do that more efficiently myself.

>> >

>> > Right now, I use half sheets of paper that are printed with my

>> > contact info with most visits.

>> > As patients and I come up with a plan (not complicated stuff- it

>> > could be the name of an OTC antihistamine or goals for their BP

>> > readings for the next week), I jot notes for them on the sheet.

>>They

>> > take it home with them.

>> >

>> > But then, I have to put the information into Amazing Charts, more

>> > simply. This duplication of effort bothers me.

>> >

>> > Lynn - how do you handle that with your system - do you type alot

>>in

>> > the " Plan section " in front of patients? How do you print out that

>> > " plan " section?

>> >

>> >

>> >

>> > anyone else who is efficient with this step - what do you do?

>> >

>>

>>

>

> _________________________________________________________________

> Live Search Maps - find all the local information you need, right when you

> need it. http://maps.live.com/?icid=hmtag2 & FORM=MGAC01

>

>

>

>

>

[Guest guest]

-I've been wondering how your transition to AC/Updox/EZ Claims is going?Hi Lynn,Great ideas. Can you post your templates ect that you use Lee RE: Re: sending patients home with a plan> Agree with all of the previous posters. (Boy , you have to be fast around> here.)> I use AC templates for rote things like instructions for acute illnesses > and> for asthma and diabetes use templated "report cards". I'm happy to post> these somehow if anyone wants them, though I think Pam and someone else > had> posted theirs a while ago. I also use Shortkeys, a macro program, for> doumentation within the note $20, cheap and easy.> Since I don't always have the note finished in the room (no NOT yet) I > just> copy the finished plan:>> including next appointment (time frame or actual date), patient education> printed or links sent, special instructions that are a little complicated> (I type these as I speak them for extra reinforcment) eg thinsks like> express instructions for tapering one SSRI while adding effexor, tapers, > etc> referral information with phone numbers>> and paste it into Notepad which is on my start menu, and hand it to the> patient.>> Jon has on his list to do (I hope) an option so that you can just print > the> plan box directly from AC, which would save a few clicks.>> If I were to write these by hand, NO ONE including myself would be able to> read them, so I have had to adapt.>> Here is a GREAT TIP that I got from Dr Bachman about internet patient> education web sources:> for example: simply type 'aafp patient education ankle sprain', 'medline> BPH' into your Google toolbar and the handout will pop up> MUCH faster than pulling up the web site and searching through it for the> information for the patient.>> Lynn>>>>>>I use AC. While sitting with the patient, I type each step of the>>plan as they confirm that they agree with it. After I sign the note>>electronically, a final screen shows the option to print the note. I>>print it and hand it to them, showing them the plan documented for>>them, and I also ask them to review the entire note for accuracy and>>notify me if a correction is needed.>>>>I minimize medical abbreviations or jargon in the plan. I'm an>>average typer. Patients don't seem to mind the slight wait, and there>>are no handwriting legibility issues.>>>>Jeff Huotari>>Bluesky Health>>Solo IMP 11/06>>>> >> >>> > I'm reviewing old emails which had good ideas ->> >>> > Lynn suggested that she "Printed out the plan and handed it to>>patients">> > I'm working on figuring out how to do that more efficiently myself.>> >>> > Right now, I use half sheets of paper that are printed with my>> > contact info with most visits.>> > As patients and I come up with a plan (not complicated stuff- it>> > could be the name of an OTC antihistamine or goals for their BP>> > readings for the next week), I jot notes for them on the sheet.>>They>> > take it home with them.>> >>> > But then, I have to put the information into Amazing Charts, more>> > simply. This duplication of effort bothers me.>> >>> > Lynn - how do you handle that with your system - do you type alot>>in>> > the "Plan section" in front of patients? How do you print out that>> > "plan" section?>> >>> > >> >>> > anyone else who is efficient with this step - what do you do?>> >>>>>>> __________________________________________________________> Live Search Maps - find all the local information you need, right when you> need it. http://maps.live.com/?icid=hmtag2 & FORM=MGAC01>>>>>

[Guest guest]

- these are the longest ones, but I might have 10-15 more shorties

that I use in the plan.

I think the amazing charts use group had templates stored on line in the

template repository before the site crashed last year, I had stuck mine up

there but then they disappeared and I never reloaded them. Others may have

though. If you want more of mine email me off list and I will try to get

them to you. Sounds like you are doing a great job transitioning!

Lynn

>

>Reply-To:

>To: < >

>Subject: Re: Re: sending patients home with a plan

>Date: Sun, 1 Apr 2007 15:53:09 -0400

>

>Hi Lynn,

>

> Great ideas. Can you post your templates ect that you use

>

> Lee

> RE: Re: sending patients home with a plan

>

>

> > Agree with all of the previous posters. (Boy , you have to be fast

>around

> > here.)

> > I use AC templates for rote things like instructions for acute illnesses

> > and

> > for asthma and diabetes use templated " report cards " . I'm happy to post

> > these somehow if anyone wants them, though I think Pam and someone else

> > had

> > posted theirs a while ago. I also use Shortkeys, a macro program, for

> > doumentation within the note $20, cheap and easy.

> > Since I don't always have the note finished in the room (no NOT yet) I

> > just

> > copy the finished plan:

> >

> > including next appointment (time frame or actual date), patient

>education

> > printed or links sent, special instructions that are a little

>complicated

> > (I type these as I speak them for extra reinforcment) eg thinsks like

> > express instructions for tapering one SSRI while adding effexor, tapers,

> > etc

> > referral information with phone numbers

> >

> > and paste it into Notepad which is on my start menu, and hand it to the

> > patient.

> >

> > Jon has on his list to do (I hope) an option so that you can just print

> > the

> > plan box directly from AC, which would save a few clicks.

> >

> > If I were to write these by hand, NO ONE including myself would be able

>to

> > read them, so I have had to adapt.

> >

> > Here is a GREAT TIP that I got from Dr Bachman about internet

>patient

> > education web sources:

> > for example: simply type 'aafp patient education ankle sprain',

>'medline

> > BPH' into your Google toolbar and the handout will pop up

> > MUCH faster than pulling up the web site and searching through it for

>the

> > information for the patient.

> >

> > Lynn

> >

> >

> >>

> >>I use AC. While sitting with the patient, I type each step of the

> >>plan as they confirm that they agree with it. After I sign the note

> >>electronically, a final screen shows the option to print the note. I

> >>print it and hand it to them, showing them the plan documented for

> >>them, and I also ask them to review the entire note for accuracy and

> >>notify me if a correction is needed.

> >>

> >>I minimize medical abbreviations or jargon in the plan. I'm an

> >>average typer. Patients don't seem to mind the slight wait, and there

> >>are no handwriting legibility issues.

> >>

> >>Jeff Huotari

> >>Bluesky Health

> >>Solo IMP 11/06

> >>

> >>

> >> >

> >> > I'm reviewing old emails which had good ideas -

> >> >

> >> > Lynn suggested that she " Printed out the plan and handed it to

> >>patients "

> >> > I'm working on figuring out how to do that more efficiently myself.

> >> >

> >> > Right now, I use half sheets of paper that are printed with my

> >> > contact info with most visits.

> >> > As patients and I come up with a plan (not complicated stuff- it

> >> > could be the name of an OTC antihistamine or goals for their BP

> >> > readings for the next week), I jot notes for them on the sheet.

> >>They

> >> > take it home with them.

> >> >

> >> > But then, I have to put the information into Amazing Charts, more

> >> > simply. This duplication of effort bothers me.

> >> >

> >> > Lynn - how do you handle that with your system - do you type alot

> >>in

> >> > the " Plan section " in front of patients? How do you print out that

> >> > " plan " section?

> >> >

> >> >

> >> >

> >> > anyone else who is efficient with this step - what do you do?

> >> >

> >>

> >>

> >

> > _________________________________________________________________

> > Live Search Maps - find all the local information you need, right when

>you

> > need it. http://maps.live.com/?icid=hmtag2 & FORM=MGAC01

> >

> >

> >

> >

> >

[Guest guest]

Hey Lynn - If you have the energy, will you post them to the AC template site again?I'll go look there. (the other templates, I mean).N - these are the longest ones, but I might have 10-15 more shorties that I use in the plan. I think the amazing charts use group had templates stored on line in the template repository before the site crashed last year, I had stuck mine up there but then they disappeared and I never reloaded them. Others may have though. If you want more of mine email me off list and I will try to get them to you. Sounds like you are doing a great job transitioning! Lynn >From: "Leeclan" <leeclanrochester (DOT) rr.com> >Reply-To: >To: < > >Subject: Re: Re: sending patients home with a plan >Date: Sun, 1 Apr 2007 15:53:09 -0400 > >Hi Lynn, > > Great ideas. Can you post your templates ect that you use > > Lee > RE: Re: sending patients home with a plan > > > > Agree with all of the previous posters. (Boy , you have to be fast >around > > here.) > > I use AC templates for rote things like instructions for acute illnesses > > and > > for asthma and diabetes use templated "report cards". I'm happy to post > > these somehow if anyone wants them, though I think Pam and someone else > > had > > posted theirs a while ago. I also use Shortkeys, a macro program, for > > doumentation within the note $20, cheap and easy. > > Since I don't always have the note finished in the room (no NOT yet) I > > just > > copy the finished plan: > > > > including next appointment (time frame or actual date), patient >education > > printed or links sent, special instructions that are a little >complicated > > (I type these as I speak them for extra reinforcment) eg thinsks like > > express instructions for tapering one SSRI while adding effexor, tapers, > > etc > > referral information with phone numbers > > > > and paste it into Notepad which is on my start menu, and hand it to the > > patient. > > > > Jon has on his list to do (I hope) an option so that you can just print > > the > > plan box directly from AC, which would save a few clicks. > > > > If I were to write these by hand, NO ONE including myself would be able >to > > read them, so I have had to adapt. > > > > Here is a GREAT TIP that I got from Dr Bachman about internet >patient > > education web sources: > > for example: simply type 'aafp patient education ankle sprain', >'medline > > BPH' into your Google toolbar and the handout will pop up > > MUCH faster than pulling up the web site and searching through it for >the > > information for the patient. > > > > Lynn > > > > > >> > >>I use AC. While sitting with the patient, I type each step of the > >>plan as they confirm that they agree with it. After I sign the note > >>electronically, a final screen shows the option to print the note. I > >>print it and hand it to them, showing them the plan documented for > >>them, and I also ask them to review the entire note for accuracy and > >>notify me if a correction is needed. > >> > >>I minimize medical abbreviations or jargon in the plan. I'm an > >>average typer. Patients don't seem to mind the slight wait, and there > >>are no handwriting legibility issues. > >> > >>Jeff Huotari > >>Bluesky Health > >>Solo IMP 11/06 > >> > >> > >> > > >> > I'm reviewing old emails which had good ideas - > >> > > >> > Lynn suggested that she "Printed out the plan and handed it to > >>patients" > >> > I'm working on figuring out how to do that more efficiently myself. > >> > > >> > Right now, I use half sheets of paper that are printed with my > >> > contact info with most visits. > >> > As patients and I come up with a plan (not complicated stuff- it > >> > could be the name of an OTC antihistamine or goals for their BP > >> > readings for the next week), I jot notes for them on the sheet. > >>They > >> > take it home with them. > >> > > >> > But then, I have to put the information into Amazing Charts, more > >> > simply. This duplication of effort bothers me. > >> > > >> > Lynn - how do you handle that with your system - do you type alot > >>in > >> > the "Plan section" in front of patients? How do you print out that > >> > "plan" section? > >> > > >> > > >> > > >> > anyone else who is efficient with this step - what do you do? > >> > > >> > >> > > > > __________________________________________________________ > > Live Search Maps - find all the local information you need, right when >you > > need it. http://maps.live.com/?icid=hmtag2 & FORM=MGAC01 > > > > > > > > > >