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I work in a family medicine practice who is receiving more and more information from insurance companies about gaps in care. We were hoping to use Protocols to help us out with some of these. We have a couple of basic ones that were loaded in 2006 when we began the EMR. Now we need to add more but I am not sure the best avenue for some of the ones we want to add. For example, we need something to alert the nurse or doctor that a problem has not been assessed in a year. Some insurance companies require that chronic problems be assessed once a year. We want to use Protocols for this if possible. So I have a couple of questions regarding this subject:
- I realize that with protocols you have to tie an observation term as an event in order to create the protocol. Has anyone been able to use this to monitor if a problem has been assessed or not within a given year?
- Is there an option for the CPOE form to be tied to observation terms when assessing the problem for the visit?
I would love any feedback on how others use and build protocols as I am new to building these.
Thanks,
Rebecca Higdon
University Family Physicians
865-305-5856
Posted : November 25, 2013 3:50 am
Posted : November 25, 2013 11:03 pm
The only way I am aware that GE satisfies Protocols is by OBS codes. Also, the OBS codes are the most likely place to capture extra information, like you are desiring.
Thus, my only thought would be a new entry screen and referencing twelve OBS codes currently online as HRA1 to HRA12 (health risk assessment) [starting at 379,040.00].
The data entry tool could either map your up-to twelve major areas, one each. Or, you could enter an ICD code (like ICD-250.01 for a version of Diabetes). I can sort of see how this might work. But, complicated since no existing OBS already for all the possible chronic conditions.
Posted : November 26, 2013 4:53 am
