I mentioned a week or two ago that we are working on improving the loading time of Health Maintenance. Today we ran a "proof of concept" trial to see whether our strategy would work. While I haven't heard from more than just a couple of folks, it seems that the HM tool is loading more quickly.
It was quickly discerned by these docs that the creatinine expectation loads as though never satisfied. As this was just a test run, the creatinine deficiency will not be part of the fix. Once Josh is able to write new code to shift the Health Maintenance tool back into gear, you will find that the creatinine measure will accurately load re: expected vs. satisfied. However, not all that is accurate is precise! The creatinine will show as expected if it had not been done in >365 days, but whether displayed as satisfied or expected, will show the current date and not the date it was last performed. This might have to be the compromise we choose to live with until a real fix comes with future Cerner upgrades.
The bottom line is that you will be able have this health maintenance measure flagged and be logged accurately (and precisely) in the diabetes registry; you will just have to make sure that it has the correct date when running your screen. For the most part, I would assume that virtually all HbA1c measures have an associated creatinine, so that would be a place to start.
Thanks for working on this very imporant tool in CIS. We all appreciate the hard work of the Baystate informatics staff.
ReplyDeleteThe only way this will be useful is to have it immediately available without ANY delay.
One can not check on the HM in front of the Patient with a delay. Thanks.