We are interested in integrating cost of care best practices in out orders modules. We are looking forways we can modify orders to capture information or “encourage” adherence to best practices.
I bet lots of organizations are trying to figure how to do this for lots of types of care choices.
One approach we have for 'remembering' commonly missed services is to set protocols to look for due services (ie HBA1C), then use {if LISTSUBSET(LISTPROTOCOLDUE(),"comma","HBA1C", "contains", "any") == "" then "" else…} with MELADDORDER to push the order for the HBA1C. In some cases the provider won't choose to have the A1C done at that visit, but it's easier workflow to remove those extra orders than to add an order that is usually the right thing to do when the EMR can do that for you. This doesn't work for referrals because of the MELADDORDER limitation.
The challenge I would love guidance on is how to use the EMR to remind providers not to do things that should not be done. How do I keep providers from ordering antibiotics for bronchitis or x-rays for acute uncomplicated low back pain...
Anyone doing anything to guide away from unnecessary care?
Exactly the question we have as well! We are looking to find a way to remind our providers not to order such things when not needed.