Wednesday, March 4, 2009

Enhanced View Prologue

The training team is now half-way through the physician/provider introductory training sessions and I have learned a tremendous amount. First, I realize we chose a misnomer in initially calling these sessions "superuser" training sessions. This was confusing since the term superuser generally refers to non-physician/NP/PA folks who have stepped up to take a lead role in their respective practice sites and learn some of the intricacies of CIS. The providers, on the other hand, are taking these classes in order to familiarize themselves with the new interface and be exposed to new functions/features.

Second, I have learned how talented and patient the trainers are: Jeri Baker, Sally Cooper, Sandy Gagnon, Eileen Giardina, Cathy Weldon, and Dave Lapierre. I have watched them stay on topic, answer questions, maintain focus, and navigate through a complex curriculum in just two hours time. While no one walks out a pro, attendees leave with an excellent sense of what lies ahead. Great team!

Third, there is a lot that I still have to learn about the Enhanced View. There is a lot that is changing with this upgrade and a good deal of it may not seem so much for the better at the outset. Up til now, physicians have striven to achieve a measure of mastery with CIS and CIS-Office; suddenly, we are being asked to relearn many of the tasks, rework many of the processes, and rewire how we think of electronically-based patient care.

My goal is to try to address all issues and questions that arise from this potential shock to the system. The following is a list of issues that have come up since the physician training sessions began yesterday morning and, in the coming days, I will make every attempt to tackle each one of them:
  • Family History [please see recent prior blog posts]
  • Ambulatory divided screen to view Message Center and Schedule [this will be done prior to go-live for all BAPO and BMERF primary care physicians/PAs/NPs and any other providers who make the explicit request]
  • "Stick pin" not holding [this will hold upon logging of and logging in again, as opposed to closing the patient chart and opening it again.]
  • Medication List/Prescription Writer vs. Medication Profile/EasyScript: I will do an in-depth study of this major re-design and post an equally thorough review over the next couple of days
  • the future of ePrescribing
  • Best practices for tracking narcotics
  • Banner bar changes
  • Problem/Diagnosis list building and viewing
  • Correct & Modify
  • Edit
  • Procedures/Surgery History
I know the list will get longer, but I thought to iterate what I've been asked in conversation and email.

Please post or email me your concerns, questions and suggestions.

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