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Hard stopping before signing

CPS, C-EMR, PM

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kkopp

(@kkopp)

Posts: 333

Honorable Member

Topic starter

Is there a way in GE to hard stop a user from signing other providers notes?

Posted : January 25, 2016 7:19 am

acantu

(@acantu)

Posts: 722

Prominent Member

Not that I am aware of, one thing you can do is create a document type per provider, then set the permission per provider that can sign off the note, that is about all you can do.

Posted : January 25, 2016 7:23 am

mniska

(@mniska)

Posts: 22

Eminent Member

Nothing that I know of.

One thing we have done to 'work around' this is reserve the Office Visit document type for provider office visits only and the medical providers are the only ones who have signing authority for this document type.

This prevents medical assistants, nurses, and any other staff members from signing the office visits at least.

Posted : January 25, 2016 7:51 am

kkopp

(@kkopp)

Posts: 333

Honorable Member

Topic starter

Is there a way to do this within VFE?

Posted : January 25, 2016 8:50 am

acantu

(@acantu)

Posts: 722

Prominent Member

No, you would need to change this when the document is created.

Posted : January 25, 2016 8:53 am

Marketing Committee

(@marketing_committee)

Posts: 358

Reputable Member

The document type thing would work but would add management complexity. Can I ask why is it happening?

We have this happen sometimes if a patient is in Urgent Care today and sees their regular doctor tomorrow but our doctors know when that comes up to only sign off the clinic list changes not the entire note.

Posted : January 25, 2016 5:26 pm

kkopp

(@kkopp)

Posts: 333

Honorable Member

Topic starter

We have one provider that does not look at ANYTHING he signs and will sign any open document in a patients chart. It is becoming more work for our staff and for him to re-create these documents. His explanation is "the other providers shouldn't be in the chart, it's my patient." He is not very computer savvy, and we have spent countless hours "holding his hand" so to speak in clinic to train him. He is good for a few days and then reverts back to his old ways. We thought if we took his ability away to sign other documents, this might solve a few of our problems.

Thoughts??

Posted : January 26, 2016 3:54 am

Marketing Committee

(@marketing_committee)

Posts: 358

Reputable Member

If you only have to do it for one doctor acantu's solution might be the way to do. It still doesn't really fix the problem though. If he really needs to sign the clinical list changes of other document to say proceed with an R/X it might only make a new problem. Still I feel you shouldn't have to go that far but I might also be a little spoiled by my groups internal dynamic and company politics.

Are you able to appeal to his care about patient care? By signing these documents he is potentially negatively impacting care provided to his patients let alone opening him up to possible legal issues though I might leave that part out in the appeal. I know that angle has worked on some of my docs in the past. They tend to deeply care about taking care of their patients and he is probably going this stupid document is getting between me and taking care of my patients and not thinking beyond the impact.

If that doesn't work at least in my group I'd go to management. Both the Legal and Patient care angles would cause enough peer pressure from the other doctors that it would stop otherwise it would be followed up disciplinary action. But I also understand some groups internal politics might mean this isn't an option.

Anyways thats my .02.

Posted : January 26, 2016 6:26 pm

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