Post by mdeyedoc on Jan 18, 2016 10:27:01 GMT -6
I have been keeping a log of things that give me grief on a regular, if not daily, basis. Here is my wish list in increasing order of difficulty.
The entire diagnosis area needs a rework
And last but not least PRINTING MEDICAL RECORDS!!!
I know it is difficult to come up with a solution because everyone has different record templates but we HAVE to have a better solution. IMO, the default system is unacceptible. I received records from another Crystal office and, besides being embarrassed for them, I couldn't read the main information I was looking for because the field labels were overlapping the data field. I made a Word Template to print my records (which was no small feat) but is too time consuming to get them out via Word Templates. It will only get worse as we accumulate more records for our patients over time. I created a Full Records tab to be able to just print that tab. At least it is organized and nothing runs off the page but it's still several pages long and includes a ton of empty fields that are seldom used. It also doesn't include the ARRA stuff that is added to the official printed med recs and there's no automated process for printing ALL the records or uploading them to the portal. Plus, I currently can't go back and access that tab for past patient records.
This would be a ton of work for both the docs and Crystal but the only idea I can come up with, and it's just a basic concept, would be to add columns to the FID database to include print label and print order. Then we would have to go through the FIDs and assign whatever label we wanted to have for that field on the medrec printout and a number in the report order to indicate the order it would be printed. If multiple items are on a line you could use 1.1, 1.2, 1.3 or 1a,1b, 1c, etc. It would then go through and print the label, if any, and the field data in the assigned order. It could be coded to ignore any lines that had no data.
That's it for now ;-)
Marcia
- Refresh Report function- to allow us to update a report that is open after changes are made instead of having to recreate the report.
- Files - have the same Files options available from the Med Recs as from the Patient section (or at least be able to edit file type, date and description from within the med recs Files function.
- Add a comma between the doctor's name and OD for the NC_Doc field in Word templates (and Crystal Letters ?)? The Provider's name shows up properly on prescriptions but not in Word docs.
- Add Medications- it is still extremely time consuming. If the yellow Edit section is used to add dosage, etc, that information does not show up with the Medication Summary function or on the printed medical records. And if the dosage, route, etc are entered through the purple section, you have to totally reenter them if there is a change in dose or freq. Can we get the ability to double-click an existing drug to pull it up in the purple section and make changes and have it ask if overwrite or assign old to inactive/prior history?
- Old Rx warning- give us a pop-up warning when an order is made on an old Rx (say >6 mos for specs and >9 mos for CLs?). Far too many orders have been made from a prev Spec or CL Rx, either because they entered the order before I finalized it or I forgot to finalize it.
The entire diagnosis area needs a rework
- The current edit diagnosis from the Invoice is a nightmare. The Routing Slip has the best search function anywhere but it isn't available from the Invoice. Adding a Routing Slip button to the Invoice page would be a huge help in the short term.
- Diagnoses added via the Routing Slip are not written to the Med Rec/ARRA Diagnosis fields. What we really need is a single source for entering diagnosis codes so that codes on invoices and med recs always match.
- Have the option of choosing from past diagnoses not just bringing forward the ones from the last exam. The last exam may have been a special visit unrelated to their standard diagnoses.
- Only list new/updated diagnoses in the Diags listing so we can quickly scan the patient's past history without seeing the same codes over and over again.
And last but not least PRINTING MEDICAL RECORDS!!!
I know it is difficult to come up with a solution because everyone has different record templates but we HAVE to have a better solution. IMO, the default system is unacceptible. I received records from another Crystal office and, besides being embarrassed for them, I couldn't read the main information I was looking for because the field labels were overlapping the data field. I made a Word Template to print my records (which was no small feat) but is too time consuming to get them out via Word Templates. It will only get worse as we accumulate more records for our patients over time. I created a Full Records tab to be able to just print that tab. At least it is organized and nothing runs off the page but it's still several pages long and includes a ton of empty fields that are seldom used. It also doesn't include the ARRA stuff that is added to the official printed med recs and there's no automated process for printing ALL the records or uploading them to the portal. Plus, I currently can't go back and access that tab for past patient records.
This would be a ton of work for both the docs and Crystal but the only idea I can come up with, and it's just a basic concept, would be to add columns to the FID database to include print label and print order. Then we would have to go through the FIDs and assign whatever label we wanted to have for that field on the medrec printout and a number in the report order to indicate the order it would be printed. If multiple items are on a line you could use 1.1, 1.2, 1.3 or 1a,1b, 1c, etc. It would then go through and print the label, if any, and the field data in the assigned order. It could be coded to ignore any lines that had no data.
That's it for now ;-)
Marcia
