Patient Telephone Consult Templates by mhn18135

VIEWS: 47 PAGES: 16

More Info
									                                                                                                                      Health Center Score




                                                                                                                                                                                   Health Center Score




                                                                                                                                                                                                                                                Health Center Score
                                                                                                  Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                           Notavailable




                                                                                                                                                        Notavailable




                                                                                                                                                                                                                     Notavailable
                                                                               Available




                                                                                                                                            Available




                                                                                                                                                                                                         Available
Functionality
                                                                                                           Planned/                                                     Planned/                                                     Planned/
                                                                                                          comments                                                     comments                                                     comments
CLINICAL MANAGEMENT
Ability to enter all demographic and registration information in Practice
Management System and transfer it to EHR without any data entry
needed into EHR.
Ability to customize the patient demographic banner to display any
number of Practice Management System fields to the clinician.

Ability to switch from one patient record to another quickly and easily.

Able to organize the screen and customize tabs or modules according
to user preferences.
Ability to display a patient summary or “face” sheet including patient
demographics, problems, medications, allergies, health maintenance,
encounter listing, patient tasks, recent encounters, patient picture, and
personal profile.
Has problem list with most common problems available for each
physician.
Ability to add problems beyond an ICD-9 list to a recognized standard
nomenclature (e.g. SNOMED CT or MEDCIN).
Ability to display and manage health maintenance alerts, including
chronic disease reminders per patient.
Has medication list with formulary display.
Has allergy list including on-screen indicator of urgent reactions.
Do you have integration to an eHealth or patient online solution
allowing patient populations to verify their medical record, access billing
status, review tests results, and communicate to the physician?

Displays notification to provider of critical lab and other test results for
immediate attention with a prioritization alert.



Rev. 09/07/07                                                                  Page 1/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                                     Health Center Score




                                                                                                                                                                                  Health Center Score




                                                                                                                                                                                                                                               Health Center Score
                                                                                                 Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                          Notavailable




                                                                                                                                                       Notavailable




                                                                                                                                                                                                                    Notavailable
                                                                              Available




                                                                                                                                           Available




                                                                                                                                                                                                        Available
Functionality
                                                                                                          Planned/                                                     Planned/                                                     Planned/
                                                                                                         comments                                                     comments                                                     comments
Problem lists, allergies, and medications can be updated or edited and
signed at any time.
Has standard order sets that can be customized by each provider
based on his/her favorites.
Has medical necessity and duplicate checking per orderable item.

Has ability to connect orders to a result for follow-up and reconciliation.

User can review and sign results for any ordered tests and procedures.

User can create test results letters.
Ability to send message and link to patient chart to additional non-
ordering providers regarding results documentation.
Allows providers to fax prescriptions to pharmacy using patient’s stored
pharmacy fax number.
System stores patients’ preferred pharmacy phone number, fax
number, and address.
Has prescription writing feature that records date, signature, number,
and directions.
Has plain paper prescription printing so that product is sufficient for
patient to take to pharmacy.
Gives alerts when prescription conflicts with documented allergy.
Gives alerts for drug-disease incompatibility (e.g., beta-blocker in
asthma)
Tracks drug interactions and displays alerts when conflicting
medication is documented.
Ability to automatically link prescription to the appropriate formulary.

Electronic transmission to pharmacies using fax and SCRIPT standard



Rev. 09/07/07                                                                 Page 2/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                                  Health Center Score




                                                                                                                                                                               Health Center Score




                                                                                                                                                                                                                                            Health Center Score
                                                                                              Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                       Notavailable




                                                                                                                                                    Notavailable




                                                                                                                                                                                                                 Notavailable
                                                                           Available




                                                                                                                                        Available




                                                                                                                                                                                                     Available
Functionality
                                                                                                       Planned/                                                     Planned/                                                     Planned/
                                                                                                      comments                                                     comments                                                     comments
Automatically checks for coverage and eligibility through RxHub or
something similar
Ability to download medication history from RxHub to identify
duplication medications and potential interactions.
Tracking of patients using specified medications.
Tracking of drug formularies from insurance companies (provide list of
carriers and how formularies are initially provided and subsequently
updated).
Ability to customize formularies.
Ability to search and report on prescribed medications in case of a drug
recall.
Cost analysis of prescribed medications in comparison to formulary and
generics.
Maintains medication lists in different list for historical and current.

Ability to provide alternative suggestions for medications.
Have lists of providers’ most prescribed medications and dosages.

Ability to perform patient population queries for decision support.
CLINICAL DOCUMENTATION
Has a Web-based patient interviewing software that can be
incorporated into a note.
Has the ability to insert dictation markers into note for insertion of
transcription. Allow providers to build a note with a combination of
structured data and transcription.
Ability to capture dictation on a mobile device on an online or offline
mode.
Has option to dictate while navigating through the chart.
Has dictation management system with intelligent routing and tracking
of the status of each dictation job.


Rev. 09/07/07                                                              Page 3/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                                      Health Center Score




                                                                                                                                                                                   Health Center Score




                                                                                                                                                                                                                                                Health Center Score
                                                                                                  Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                           Notavailable




                                                                                                                                                        Notavailable




                                                                                                                                                                                                                     Notavailable
                                                                               Available




                                                                                                                                            Available




                                                                                                                                                                                                         Available
Functionality
                                                                                                           Planned/                                                     Planned/                                                     Planned/
                                                                                                          comments                                                     comments                                                     comments
Has an integrated transcription solution with macros, carbon copy and
distribution features, and full line-count reporting.
Has ability to transfer MxSecure Transcription records into EMR
product for Providers to access, and sign off
Ability to go paperless.
Has a scanning solution integrated with the EHR.
Has administration tools for scanning and indexing non-electronic
documents.
Has ability to annotate, mark-up, and sign scanned documents (e.g.,
ophthalmology or dermatology)
Has OCR capabilities to allowing querying scanned documents and
EOBs.
Has integrated speech recognition capabilities with speech to text and
command and control (navigation) features.
Demonstrated ability to eliminate transcription using templating and
speech recognition.
User can review and sign notes for own visits and calls.
 Multiple users can review and sign all documentation.
Ability to do dual routing (e.g., lab results go to a “team” for follow up).

Ability to hold records in different stages of completion.
User can print entire patient record.
User can electronically transmit patient record within the enterprise.

Has lists of providers’ most used charges per provider.
Ability to provide real-time billing updates and notification back into
Practice Management System without any manual intervention (e.g.,
changes to insurance, situational data elements, and special billing
functions).



Rev. 09/07/07                                                                  Page 4/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                                       Health Center Score




                                                                                                                                                                                    Health Center Score




                                                                                                                                                                                                                                                 Health Center Score
                                                                                                   Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                            Notavailable




                                                                                                                                                         Notavailable




                                                                                                                                                                                                                      Notavailable
                                                                                Available




                                                                                                                                             Available




                                                                                                                                                                                                          Available
Functionality
                                                                                                            Planned/                                                     Planned/                                                     Planned/
                                                                                                           comments                                                     comments                                                     comments
Automated tasks to remind physicians of missing charges and
complete reconciliation features to the Practice Management System.

Has option to carry forward review of systems, problem list, medication,
etc. from last visit.
Has a standardized nomenclature that is integrated with clinical
                                 CT
documentation (e.g., Snomed , Medcin).
Nomenclature is used to automatically calculate charge codes.
Ability to flexibly document conditions including expanding details
(severity, location, etc.) for each clinical finding.
Ability to add comment and detail to each clinical finding.
Physicians can use nomenclature to build their own templates without
programming or complex forms.
Automatically update nomenclature monthly to each facility.
Display clinical relevant terms based on current findings.
Ability to insert anatomical markups into documentation.
Has the ability to document visit using pre-built templates.
Has option to default review of systems information to “all normal.”

WORKFLOW
Has work lists/to do lists/tasks per user.
Ability to direct work/charts to others for completion on an “as needed”
basis.
Has the ability for managing triage calls with the ability to redirect to the
provider.
Has user-defined automatic routing of information (messages, lab
results, other tests, etc.) with override capabilities.
Has lists of providers’ most used problems per provider.
Has lists of providers’ most used medications per provider.



Rev. 09/07/07                                                                   Page 5/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                          Health Center Score




                                                                                                                                                                       Health Center Score




                                                                                                                                                                                                                                    Health Center Score
                                                                                      Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                               Notavailable




                                                                                                                                            Notavailable




                                                                                                                                                                                                         Notavailable
                                                                   Available




                                                                                                                                Available




                                                                                                                                                                                             Available
Functionality
                                                                                               Planned/                                                     Planned/                                                     Planned/
                                                                                              comments                                                     comments                                                     comments
Has ability to track Waiting Time in each station, for real time
awareness.
CLINICAL CONTENT
Patient education materials for new medications.
Integrated evidence based guidelines (PIER) for adult medicine.
Ability to capture CME credit for usage of the guidelines.
Supplies more than 500 health management plans that can be
customized per physician.
PMS Features
Appointment scheduling
Telephone Triage
Referral Management
Office Messaging and Workflow
Patient Demographics
Patient Insurance
Charge Capture (ICD & CPT)
Claims Management
Receivables Management
Patient Statements
Clearing House Capability
Financial Analysis Reports
Super Bill, Reports
Other Features
Document Generations: Letters creation with mail merge
Document Scanning
Digital Audio file interface
Ability to integrate with medical equipment such as ECG’s etc.
Technical
Interfaces Maintenance


Rev. 09/07/07                                                      Page 6/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                                       Health Center Score




                                                                                                                                                                                    Health Center Score




                                                                                                                                                                                                                                                 Health Center Score
                                                                                                   Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                            Notavailable




                                                                                                                                                         Notavailable




                                                                                                                                                                                                                      Notavailable
                                                                                Available




                                                                                                                                             Available




                                                                                                                                                                                                          Available
Functionality
                                                                                                            Planned/                                                     Planned/                                                     Planned/
                                                                                                           comments                                                     comments                                                     comments
Future Enhancements
Other Questions

Able to pull consultation reports from software for "Store and Forward"
Telemedicine and send to provider's "Inbox" for review and signature.
Ability to update Managed Care Plan Formularies (Medication)
Transfer information from Home monitoring devices to HER?
User friendly, simple to use, with ability to update with touch-screen
capability
Following to be recorded at the Demos
Diabetic - Established Patient (Male, Adult) presents to the receptionist for
scheduled appointment
Patient Rep
         Verifies patient has appointment
         Flows patient to “Waiting”
         Pulls chart
         Verifies demographic information is current
         UPDATES all necessary forms
                  o Patient Registration Forms
                  o Learning Assessment Questionnaire (needed annually)

                 o Health & Lifestyle Assessment
                 o Staying Healthy Assessment
                 o Adult History Form
            Verifies Financial Class is appropriate for Visit Type
            Prints labels for Superbill
                 o See Superbill Form
            Depending on Financial Health Coverage:



Rev. 09/07/07                                                                   Page 7/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                                  Health Center Score




                                                                                                                                                                               Health Center Score




                                                                                                                                                                                                                                            Health Center Score
                                                                                              Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                       Notavailable




                                                                                                                                                    Notavailable




                                                                                                                                                                                                                 Notavailable
                                                                           Available




                                                                                                                                        Available




                                                                                                                                                                                                     Available
Functionality
                                                                                                       Planned/                                                     Planned/                                                     Planned/
                                                                                                      comments                                                     comments                                                     comments
                 o Scan/Make copy of Private Insurance Card & Insurance
                 Benefits Form
                 o Scan/Make copy of Medi-Cal or Managed Care Card &
                 Eligibility Forms
                 o Scan/Make copy of Medicare Insurance Card and
                 applicable form
                 o Scan/Make copy of Income Analysis Forms (for our
                 Sliding Fee Patients)
         Collect Co-Payment as applicable and document into the
        Practice Management System
         Print Receipt (we are looking into Point of Sale Devices)
         Document Post-it notes as applicable
         Document financial notes as applicable to become part of the
        Chart
         Chart up in provider cubby
         Light on for provider to notify patient is ready for the Back
        Office
Patient Care Associate
         Pulls chart from provider cubby
         Prints “PECS” Encounter Sheet FORM (Page 1 & 2) from PECS
        Registry
         Documents into the PECS Encounter form Vitals, Medications,
        etc (see form)
         Inserts PECS encounter note or progress note in chart
         Verifies all required information is available for provider to
        complete visit (results, consultations)
         Flows patient to the next Station “Exam Room” (to track
        Waiting Time)
         Calls patient back


Rev. 09/07/07                                                              Page 8/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                                   Health Center Score




                                                                                                                                                                                Health Center Score




                                                                                                                                                                                                                                             Health Center Score
                                                                                               Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                        Notavailable




                                                                                                                                                     Notavailable




                                                                                                                                                                                                                  Notavailable
                                                                            Available




                                                                                                                                         Available




                                                                                                                                                                                                      Available
Functionality
                                                                                                        Planned/                                                     Planned/                                                     Planned/
                                                                                                       comments                                                     comments                                                     comments
         Performs CLIA Waived Tests; UA, Blood Sugar, Hemoglobin A1C
        (provider driven)
                o Document into the CLIA WAIVED TEST Report
                o Urine strip with results are attached to the form
         Takes patient to exam room
         Completes baseline Vital Signs
         Additionally, documents drug allergies and medication list into
        the Permanent Pt Database Form
         Documents Chief Complaint or “Diabetic Routine Visit”
         Patient removes shoes; PCA performs Diabetic Foot Screen as
        necessary
                o Use the FHCN Foot Screening Form
         Pulls flag system to alert provider
Provider Visit
         Reviews Permanent Patient Database Form
                o Major Problem List
                o Allergies
                o Medications
                o Learning Assessment
                o Surgical History/Hospitalizations, Tests
                o Age Specific Preventive Health Guidelines
         Reviews Health Care Maintenance Form
         Reviews existing Progress Notes and/or previous PECS
        Encounter Forms in the medical chart
         Enters exam room with patient
         Performs consult/exam using
         Orders Labs
                o Into the Quest Lab Requisition Form
         Orders Referrals (as applicable)


Rev. 09/07/07                                                               Page 9/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                                     Health Center Score




                                                                                                                                                                                  Health Center Score




                                                                                                                                                                                                                                               Health Center Score
                                                                                                 Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                          Notavailable




                                                                                                                                                       Notavailable




                                                                                                                                                                                                                    Notavailable
                                                                              Available




                                                                                                                                           Available




                                                                                                                                                                                                        Available
Functionality
                                                                                                          Planned/                                                     Planned/                                                     Planned/
                                                                                                         comments                                                     comments                                                     comments
               o External Referral to Specialty Care Form
               o Internal Referral to Behavioral Health Form
               o Internal Referral to Health Education Form
           Prescribes Medications as necessary
               o Rx written for external Pharmacy or
               o RX given view FHCN Dispensary
                     a) Completes the Dispensary Form (as applicable)

                      b) PCA takes patient to Reception to pay for
                      medication
                      c) Patient Rep takes money and prints receipt
                      d) Patient is taken back to exam room
                      e) PCA takes receipt to Dispensary and acquires
                      medication
                      f) PCA takes medication to exam room for provider to
                      dispense
         Provider will complete and sign Superbill
         PCA will schedule follow up appointment if required
         PCA will flow patient “Out” (To track Waiting Time of patient
        with the Provider)
         Patient leaves
Provider FOLLOW up
         Consultation Reports comes back via mail
                o Consultation Report is placed on the provider desk with
                Chart
                o Provider reviews and signs Consultation
                o Consultation Note and Chart returned to Medical Records
                for Filing
         Lab Results come back via fax/printer


Rev. 09/07/07                                                                Page 10/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                                      Health Center Score




                                                                                                                                                                                   Health Center Score




                                                                                                                                                                                                                                                Health Center Score
                                                                                                  Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                           Notavailable




                                                                                                                                                        Notavailable




                                                                                                                                                                                                                     Notavailable
                                                                               Available




                                                                                                                                            Available




                                                                                                                                                                                                         Available
Functionality
                                                                                                           Planned/                                                     Planned/                                                     Planned/
                                                                                                          comments                                                     comments                                                     comments
                o Lab Results are placed on the provider desk with Chart

                o Provider reviews and signs Lab Results
                o Lab Results and Chart returned to Medical Records for
                Filing
           Communication with Medical Assistant
                o If abnormal Lab Results, provider notifies Medical
                Assistant to contact pt for follow up appt.
                o Medical Assistant documents into the Chart that patient
                was contacted
           Refill
                o Pt calls for a Refill
                o Chart pulled for Dispensary
                o Dispensary will authorize refill according to FHCN policy

                o When refill request does not fall within policy, chart is
                routed to provider for authorization
Cough and Cold, Visit (make this one as QUICK as you can)
Child (9 yr old) Patient presents to the receptionist for scheduled
appointment
Patient Rep
          Verifies patient has appointment
          Flows patient to “Waiting”
          Pulls chart
          Verifies demographic information is current
          UPDATES all necessary forms
                  o Patient Registration Forms
                  o Learning Assessment Questionnaire (needed annually)



Rev. 09/07/07                                                                 Page 11/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                                    Health Center Score




                                                                                                                                                                                 Health Center Score




                                                                                                                                                                                                                                              Health Center Score
                                                                                                Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                         Notavailable




                                                                                                                                                      Notavailable




                                                                                                                                                                                                                   Notavailable
                                                                             Available




                                                                                                                                          Available




                                                                                                                                                                                                       Available
Functionality
                                                                                                         Planned/                                                     Planned/                                                     Planned/
                                                                                                        comments                                                     comments                                                     comments
                 o Staying Healthy Assessment (Pre-Adolescent 9-11)
                 o Pediatric History Form
         Verifies Financial Class is appropriate for Visit Type
         Prints labels for Superbill
                 o See Superbill Form
         Depending on Financial Health Coverage: (scan/make copy as
        see above))
         Collect Co-Payment as applicable and document into the
        Practice Management System
         Print Receipt (we are looking into Point of Sale Devices)
         Document Post-it notes as applicable
         Document financial notes as applicable to become part of the
        Chart
         Chart up in provider cubby
         Light on for provider to notify patient is ready for the Back
        Office
Patient Care Associate
         Pulls chart from provider cubby
         Places FHCN Preprinted Progress Note Form with pre-printed
        Vital Signs
         Documents the following
                 o Ht , Wt, Temp, Resp, Pulse, BP, PAIN, BMI
                 o Last Menstrual Period, Birth Control Method, Lactating

                o Smoking (Exposed), Immunizations Up to Date (pretend IZ
                are up to date)
                o Review Vaccine Immunization Record
           Flows patient to “Exam Room”
           Calls patient back to exam room


Rev. 09/07/07                                                               Page 12/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                                         Health Center Score




                                                                                                                                                                                      Health Center Score




                                                                                                                                                                                                                                                   Health Center Score
                                                                                                     Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                              Notavailable




                                                                                                                                                           Notavailable




                                                                                                                                                                                                                        Notavailable
                                                                                  Available




                                                                                                                                               Available




                                                                                                                                                                                                            Available
Functionality
                                                                                                              Planned/                                                     Planned/                                                     Planned/
                                                                                                             comments                                                     comments                                                     comments
         Performs Baseline Vital Signs and
         Documents drug allergies and medication list into the
        Permanent Pt Database Form (Page 1 & 2)
         Documents Chief Complaint into FHCN Preprinted Progress Note
        Form
         Verifies all consults, labs, transcription from last visit in medical
        record
         Pulls flag system to alert provider
Provider Visit
         Reviews medical chart
         Enters exam room with patient
         Performs consult/exam
         Prescribes Medications as necessary (see as above either RX
        for Pharmacy or FHCN Dispensary)
         Provider will complete and sign Superbill
         PCA will schedule follow up appointment , e.g. schedule Well
        Child Exam
         PCA will flow patient “Out”
         Patient leaves
Routine OB Visit for 2nd Trimester Visit
Female Patient presents to the receptionist for scheduled appointment

Patient Rep
             Verifies patient has appointment
             Flows patient to “Waiting”
             Pulls chart
             Verifies demographic information is current
             UPDATES all necessary forms


Rev. 09/07/07                                                                 Page 13/16                                                                                       74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                                  Health Center Score




                                                                                                                                                                               Health Center Score




                                                                                                                                                                                                                                            Health Center Score
                                                                                              Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                       Notavailable




                                                                                                                                                    Notavailable




                                                                                                                                                                                                                 Notavailable
                                                                           Available




                                                                                                                                        Available




                                                                                                                                                                                                     Available
Functionality
                                                                                                       Planned/                                                     Planned/                                                     Planned/
                                                                                                      comments                                                     comments                                                     comments
                o Patient Registration Forms
                o Learning Assessment Questionnaire (needed annually)

        Advance Directives was pending. Advanced Directives Form
       given to pt.
                o Pt Rep will document into the Permanent Pt Database
                form that Advance Directive Information was given

        Notice of Privacy Practice was pending. Notice of Privacy
       Practice Form given to pt.
                o Pt Rep will document into the Permanent Pt Database
                form that Advance Directive Information was given

            Verifies Financial Class is appropriate for Visit Type
            Prints labels for Superbill
                 o See Superbill Form
         Depending on Financial Health Coverage: (scan/make copy as
        see above))
         Collect Co-Payment as applicable and document into the
        Practice Management System
         Print Receipt (we are looking into Point of Sale Devices)
         Document Post-it notes as applicable
         Document financial notes as applicable to become part of the
        Chart
         Chart up in provider cubby
         Light on for provider to notify patient is ready for the Back
        Office
Patient Care Associate
         Pulls chart from provider cubby


Rev. 09/07/07                                                             Page 14/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                                   Health Center Score




                                                                                                                                                                                Health Center Score




                                                                                                                                                                                                                                             Health Center Score
                                                                                               Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                        Notavailable




                                                                                                                                                     Notavailable




                                                                                                                                                                                                                  Notavailable
                                                                            Available




                                                                                                                                         Available




                                                                                                                                                                                                      Available
Functionality
                                                                                                        Planned/                                                     Planned/                                                     Planned/
                                                                                                       comments                                                     comments                                                     comments
         Places blank ACOG forms and “Antepartum” Progress Note in
        chart if needed
         Flows patient to “Exam Room”
         Calls patient back to exam room
         Performs CLIA Waived Tests; UA and documents results
         Performs and Documents baseline Vital Signs
         Verifies all pertinent information is in medical record; labs,
        sonogram results
         Pulls flag system to alert provider
Provider Visit
         Reviews medical chart
         Enters exam room with patient
         Performs consult/exam
         Documents on ACOG forms
         Orders a Lab for AFP Screening
         Hands off patient to Health Education/Case Manager for 2nd
        Trimester Education
         Provider/PCA team completes California Expanded AFP
        Screening Program Form
         Completes and signs Superbill
         PCA will schedule follow up appointment
         PCA will flow patient “to Health Education”
Health Education Visit
         Reviews medical chart
         Provides 2nd Trimester Specific Education & documents into
        applicable ACOG Form




Rev. 09/07/07                                                              Page 15/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls
                                                                                                                Health Center Score




                                                                                                                                                                             Health Center Score




                                                                                                                                                                                                                                          Health Center Score
                                                                                            Vendor 1            1-5                                      Vendor 2            1-5                                      Vendor 3            1-5




                                                                                     Notavailable




                                                                                                                                                  Notavailable




                                                                                                                                                                                                               Notavailable
                                                                         Available




                                                                                                                                      Available




                                                                                                                                                                                                   Available
Functionality
                                                                                                     Planned/                                                     Planned/                                                     Planned/
                                                                                                    comments                                                     comments                                                     comments
        Provides education on AFP Screening and give pt the Booklet
       “Choices in Prenatal Testing for Women 35 Years and Older”

        Completes Perinatal Combined Assessment/ Reassessment
                        nd
       Tool (10 pages) 2 Trimester Section
        Provides handouts to patient, e.g. Smoking pamphlet and FHCN
       Schedule of Prenatal Classes
        Sign patient up for Prenatal Class 1
        Patient leaves
        Health Educator will remove pt our of Flow (to stop tracking
       Waiting Time)
        Health Educator will also sign off the Superbill




Rev. 09/07/07                                                           Page 16/16                                                                                    74a41602-8a2e-4d17-b047-188c8611d061.xls

								
To top