In the article How to Beat the Clock, Dr. Silverman is not ready for pasture. You think you’re seeing as many patients as you possibly can, but maybe there are subtle (and not so subtle) ways to boost productivity.
At the present time, the number of clicks necessary to fill out a chart is endlessly time consuming and non-productive. The cost per click is now being calculated (see my prior blog) and quantified. The work flow is slowed down and there is a real-not imagined- price to pay.
One solution is to create an auto-flow sequence that is tunable by site or provider and that comfortably guides the clinician from one area of the chart to another in a logical-customary- sequence. If an out of sequence entry is desired, this should be easily accomplished. A system with automatic guidance will eliminate the need to figure out where one should go next, especially if one is interrupted. When it is acknowledged that one area is complete, it then moves to the next area when documentation is continued or resumed. Once the area is completed, the list shrinks. Your favorite click might be auto-sequenced.
An example sequence could be...
Past medical history
History and PE in logical order
Medical decision making
Lab and x-ray results
Review nursing notes
Sign the chart
Navigation would be significantly simplified. The provider can always go to any area directly and in any order. Nursing notes might be reviewed, if easily accessible. Training would be simplified and hopefully stress-reduced.
Xpress TechnologiesXpressChartsEHRsoftware, designed for Doctors by Doctorstm, is a thorough, chief complaint-driven, digital record of a patient encounter that can be completed in a matter of minutes. Walk-up usability with only the need for ATM sophistication. XpressCharts is designed with the end-user in mind with multiple approaches for every type of user- we are not a productivity killer!