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Topic starter
Any thoughts as how we can set a pop up alert for patients who were born between 1945 -1965, with obs term Hep C Ab is blank to remind the provider to order a Hep C Antibody test?
Not very familiar with how this is done, but have noticed many on this site who have created these alert messages for various other reminders.
I would also be interested in a clinical decision or treatment form for Hep C.
Thank you.
Posted : March 8, 2017 3:26 am
Karen,
this is certainly doable however you would probably need to create a function and then have that function run (via watcher expression) whenever a provider started their encounter. The problem you may run into is folks complaining about alert fatigue. An alternate strategy to consider would be to create a clinical decision support form that gets included in your encounter form. That way, the provider could review all of the alerts/care recommendations at one time instead of having pop-ups plague them throughout the entire visit. This form could be reviewed either at the beginning of the visit or at the end (or both). I've found this strategy to be a cleaner approach because you can contain all of the code and logic in one form component. This makes it easier to manage as well. GE's long-term vision is to have a rules-based engine in the cloud that can provide gentle reminders, but that is quite a ways out. We developed our own clinical decision support form for diabetic patients using the above strategy. Our providers preferred this "report card" approach over the dynamic alerting that so many other EMR systems use. I'd be happy to discuss this offline and show you a demo of the form if you are interested. Feel free to shoot me an email.
Cheers
Posted : March 8, 2017 3:51 am
Topic starter
I love your idea about the Clinical decision support form. We use Enli's Care Manager for Diabetes, Cancer Scr, and Preventative Service reminders, but their Dashboard does not address Hep C. I will shoot you an email to discuss this further.
Thanks.
Posted : March 8, 2017 4:05 am
I created a protocol rule, that will annually need to be age adjusted. (GE Protocols are based on age, not date of birth.) Note that we have been using protocol rules to help remind for a while, and there is a margin of error on the Hep C rule because of birthdates around the CDC suggested cut-offs.
Here is the protocol rule:
And here is the protocol rule, being displayed on our 'Services Due' section. We have this 'Services Due' section on several of our custom forms.
This was quick to build and turn on. Comparing per-Protocol to post-Protocol, we are seeing more tests being ordered and done. Further, this was discussed at a recent staff meeting, and received positive feedback from doctors as a nice and easy reminder.
Posted : March 8, 2017 4:53 am
Joe,
I like your solution for what Karen needs. The problem we have run into with the protocol functionality in our clinic is that the configuration is not granular enough for our needs. A more robust rules engine is desperately needed and is something GE will be providing in the future as part of their Northstar initiative.
Posted : March 8, 2017 5:09 am
Topic starter
Thank you Joe. I am going to give this a try.
Have a great day.
Posted : March 8, 2017 5:25 am
I agree with Greg. We have built a form that we call our "Health Maintenance" form where we have things like Aspirin Education, Colonoscopy Screening, Mammogram, Pap Smear, PHQ-9, Advanced Directives and a number of others. We have created code behind these items that check to see if they meet the defined parameters necessary for each and then indicate if the patient is Due or Not Due for each item. This form also displays a message (via the use of visibility fields) if the item does not apply, i.e. mammogram on a male patient or for a patient older than 75. We do not use any protocols for these items, just criteria as defined for each item. The Due/Not Due functionality also checks against the last time the patient had a item performed. For us, the protocols also were not flexible enough.
Posted : March 14, 2017 3:40 am
I recently created a protocols form similar to what was mentioned and it includes Hepatitis C screening based on year of birth. It allows for more dynamic rendering of patient specific protocols. It is currently going through testing within our agency before we go live with it. Once that testing is completed I will share it on the new marketplace web site so others can use it as well. I am hoping that will be soon as our providers are anxious to start using it.
Posted : March 17, 2017 12:29 pm
The Protocols & Provider Care Plan form mentioned has been posted in the Marketplace as a free download. There are some additional postings for function libraries (also free) that are needed in order to build/use the form.
Posted : October 20, 2017 1:31 am
