First, thanks to Neil. I am a novice blogger.
Not as high concept as you like perhaps, but:
We all know there are multiple august bodies telling us what to do for HCM, and that they often do not agree based on their biases, parameters, etc. We also know that there are payers who reward us for doing some of these items regularly - usually but not always the motherhood and apple pie items. While this should not dictate how and why we practice, we should at least be aware of them.
With that preamble, some random ideas:
1. What about customizing the HCm field so each center/medical director can select appropriuate ones for his/her practice? I envision two lists - one that shows up everywhere (mammograms, flu shots, for example), and one that a practice can select if desired. Zostavax might fall into the latter, at present because many of us can not access it anyway. Prostate testing could go either way, so there would have to be a group of us who have the authority to assign to the "master" list. Then ,of course, we would ahve to get all emdical directors to commit to reviewing the list 2-4 times a year.
We should push for a reporting function driven by the HCM list - one that a medical director can generate OR have e-mailed like the asthma and DM registries.
Now a few more mundane enhancements:
1. Reowrk the flushot prompt so it comes up "due" every year on 9/1/08 UNLESS one has been documented in the last 6 months. This way someone who had one on 11/15/08 last year will still get flagged prior to 11/5/09.
2. Put in the capabilites for us to shorten reminder intervals (the classic is a colon adenoma that needs 3 or5 year f/u- customize beyond the "lowest common denominator" AND to reset to longer regular intervals (PAP q 3 years comes to mind) - not just "defer".
3. Add a "soon to be due flag" We have orange "overdue", what about a green "due within 30 days" prompt?
4. Minor fixes in terminology on the pull down menus.
Not as high concept as you like perhaps, but:
We all know there are multiple august bodies telling us what to do for HCM, and that they often do not agree based on their biases, parameters, etc. We also know that there are payers who reward us for doing some of these items regularly - usually but not always the motherhood and apple pie items. While this should not dictate how and why we practice, we should at least be aware of them.
With that preamble, some random ideas:
1. What about customizing the HCm field so each center/medical director can select appropriuate ones for his/her practice? I envision two lists - one that shows up everywhere (mammograms, flu shots, for example), and one that a practice can select if desired. Zostavax might fall into the latter, at present because many of us can not access it anyway. Prostate testing could go either way, so there would have to be a group of us who have the authority to assign to the "master" list. Then ,of course, we would ahve to get all emdical directors to commit to reviewing the list 2-4 times a year.
We should push for a reporting function driven by the HCM list - one that a medical director can generate OR have e-mailed like the asthma and DM registries.
Now a few more mundane enhancements:
1. Reowrk the flushot prompt so it comes up "due" every year on 9/1/08 UNLESS one has been documented in the last 6 months. This way someone who had one on 11/15/08 last year will still get flagged prior to 11/5/09.
2. Put in the capabilites for us to shorten reminder intervals (the classic is a colon adenoma that needs 3 or5 year f/u- customize beyond the "lowest common denominator" AND to reset to longer regular intervals (PAP q 3 years comes to mind) - not just "defer".
3. Add a "soon to be due flag" We have orange "overdue", what about a green "due within 30 days" prompt?
4. Minor fixes in terminology on the pull down menus.
