EMMC Provider Training: October 24, 2018 | Michael Ross, MD Test Patients for use: Go to Ambulatory organizer/Home Search for me in calendar; you will see my calendar filled with test patients. Pick a test patient from the schedule for use today. We will use this as a source of Test patients with Ambulatory
encounters for future sessions as well. Modify with Insert > Header & Footer | mm.dd.yyyy 2 Overview: Topics to address today: -
Powerchart structure Note creation and movement Documentation tools Problem List (time permitting) Modify with Insert > Header & Footer | mm.dd.yyyy 3 Power Chart Anatomy
Modify with Insert > Header & Footer | mm.dd.yyyy 4 Auto-Hide & Closing Downward pin: menu is open Sideways pin: menu only opens when hover over menu |
5 http://ci.emhs.org/home.aspx Finding Help Good general reference: More updates to be done in the future: Definitive Informatics education site: http://ci.emhs.org/home.aspx Opens Cerner Standard educational resources: Good resource Modify with Insert > Header & Footer |
mm.dd.yyyy 6 Layout and Personalization: mm.dd.yyyy | Modify with Insert > Header & Footer7 Personalizing your MPage Displays: Click exit to save your changes 1. Choose the MPages to Display
3. Drag and Drop the sections. 4. Create tri-view; permits review and documentation 2. Choose the sections components Components suggested to remove: Goals and Interventions, Health Concerns, New Order Entry, Quick Visits, Clinical Media, Outstanding Orders Modify with Insert > Header & Footer | mm.dd.yyyy
8 Document filters: Please make sure you have selected the documents listed above. Modify with Insert > Header & Footer | mm.dd.yyyy 9 Lab Filters:
Modify with Insert > Header & Footer | mm.dd.yyyy 10 Toolbar: Control what you see: Click Exit to Save Display the toolbars you want Customize the buttons in all toolbars and their order
Add Custom Links To change the number of toolbar lines Left click and hold on triple dots, drag up and down Modify with Insert > Header & Footer | mm.dd.yyyy 11 Centricity v. Cerner
Modify with Insert > Header & Footer | mm.dd.yyyy 12 Connecting MA and Provider Documentation: - Pull the Nursing HPI into your note via the /hpi_intake autotext - Pull in the Nursing ROS into your note via the /ros_intake - Drag and Drop from the MA note in
the chart into your note. Lets make this easier and build a shortcut, to streamline pulling in MA notes! Modify with Insert > Header & Footer | mm.dd.yyyy 13 Mastering Notes: Review, drag+tag, coordinate patient information Document in free text sections of MPage Create your note Edit sections as appropriate, pull in tags
Sign and/or communicate with others Modify with Insert > Header & Footer | mm.dd.yyyy 14 The Cycle of Note Creation Free text documentation areas of WF MPage
These do not equal the free text areas of Centricity: They are not your note! Consider this the pre-note Content is specific to the work done during the clinical encounter. Consider this your lap scratchpad. Textual information flows in one direction from Mpage to Note: HPI (Flows to note) ROS (Flows to note) PE (Flows to note)
A&P (Flows to note) Patient Instructions (flows to Ambulatory Patient Summary) Creating a note and saving it in Dyn Doc breaks the textual connection, and clears the component Other non-textual areas can still be brought into the note by moving back/forth to the M-page and localized refresh. Modify with Insert > Header & Footer | mm.dd.yyyy 15 Creating v. Returning to your note:
Creating a Note: (Only once per patient!) Returning to a Note: From M-page to note: within the Chart: Downward carrot Avoid the multiple-note-curse Modify with Insert > Header & Footer | mm.dd.yyyy
16 Creating and Saving the Note: Clicking save locks in the content a preliminary scratchpad This is your note. that cant be lost. When you save and close, free text is transferred to the note, and the MPage text boxes are erased, but the note remains. Save and
Close Modify with Insert > Header & Footer | mm.dd.yyyy 17 Manipulating your note after creation: Textual information: Add to the individual note
areas. Mini-refresh: To pull in specific content on the workflow M-page. Modify with Insert > Header & Footer | mm.dd.yyyy 18 Editing your note:
Sections within the note can be edited Modify with Insert > Header & Footer | mm.dd.yyyy 19 Filing your note: Properly Filing your note Modify with Insert > Header & Footer
| mm.dd.yyyy 20 Maximizing the Subject Line Modify with Insert > Header & Footer | mm.dd.yyyy 21
Finalizing (signing) a saved note: Within the chart: From the Ambulatory Organizer: Modify with Insert > Header & Footer | mm.dd.yyyy 22 Demo: How its all supposed to work:
Modify with Insert > Header & Footer | mm.dd.yyyy 23 Problem Lists: Use of the Add new As filter: determines if default only this visit to the chart, chronic, or both. Recommend starting with Both, and unselecting chronic for acute conditions. Modify with Insert > Header & Footer
| mm.dd.yyyy 24 Problem List Management: This visit: specific to an encounter, offered association with orders Displays in order selected Can reorder with drop downs Chronic: Diagnoses which cross encounters Problems display alphabetically Use an * to move a problem to the top Comments: if entered with chronic selected will cross encounters and displays in notes
Un checking this visit and chronic removes items from the list To restore, click historic at the bottom of the pane You will see every problem & diagnosis with comments preserved Modify with Insert > Header & Footer | mm.dd.yyyy 25 Future Topics: Goal: Improve comfort and streamline charting:
Survey Tool to guide our progress Interval: every 2 weeks (break for holiday/vacation) Topics: -Autotext -Family, Social, Procedural History -Ordering and Favorites -Message Center Use -Mmodal tips and tricks Modify with Insert > Header & Footer |
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