dvancing quick text skills to aximize use and …...advancing quick text skills to maximize use and...
TRANSCRIPT
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ADVANCING QUICK TEXT SKILLS TO
MAXIMIZE USE AND WORKFLOWS
Geoffrey Gill, M.D., FACOG
Laura Brous, RN EMR Clinic Coordinator
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QUICK TEXT AT OMG
We are currently using Quick Text to:
Add Text
Add an order – with or without a linked diagnosis
Add a Problem – with or without an end date
Send a flag – reminders for future orders
Add recent lab results
And multiple waterfalled functions
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WHAT INFORMATION DO YOU NEED
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TROUBLESHOOTING
If the quick text does not work use the error codes found in help to determine what type of error occurred
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QUICK TEXT ERRORS
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TROUBLESHOOTING
If the quick text does not work use the error codes found in help to determine what type of error occurred
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QUICK TEXT SUCCESS
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EASTER EGG
You can add an extra set of quotes or apostrophes to
get rid of that pesky completion or error code after
firing the quick text.
BUT! Make sure to test the outcome of the quicktext
before deleting the completion code!
{MEL_ADD_PROBLEM("DX OF","Fibroids","ICD-
218.9",str(._todaysdate))""}
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HOW TO FIND QUICK TEXT ARGUMENTS
What is
required?
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MEL_SEND_FLAG APPLICATION
Flag sent to Dr. Gill to view this office visit.
{MEL_SEND_FLAG("Flag", "ggill", "Important", str(._todaysdate),
"Office visit", "Please view my current note on this patient",
"documents", "")}
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ADDING A PROBLEM WITH A POP UP
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MEL CODE FOR RH NEG
{MEL_ADD_PROBLEM('DX OF','Rh factor, negative','ICD-
656.10')}
{MEL_SEND_FLAG("Popup
Alert","","Important",str(._todaysdate),"Rh Negative.","Needs
RhoGam","Update","")}
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ABNORMAL GLUCOSE
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MEL TEXT FOR GLUCOSE EXAMPLE
Abnormal 1 hour GTT. Order for 3 hour GTT placed. Please
inform patient of need for 3 hour GTT
{MEL_ADD_ORDER("T","Lab","GLUCOSE TOL OB 3
HR","","ICD-648.83","ABNORMAL GLUCOSE TOLERANCE
ANTEPARTUM")}
{MEL_ADD_PROBLEM('DX OF','ABNORMAL GLUCOSE
TOLERANCE ANTEPARTUM','ICD-648.83')}
{MEL_SEND_FLAG('Flag','sperez','Important',str(._todaysdate),'
Abnormal Lab','Please call patient to inform her of need for 3
hour GTT','Summary','')''}
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MEL_ADD_PROBLEM
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MEL_ADD_PROBLEM AT OMG
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HOW DID THAT WORK?
IF-THEN-ELSE
If this is true, then do that, else do something
Examples
If a == b then b = “We match!” else b = “We
do not match.” endif
if (a == b and b c) then d else “” endif
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HOW DID THAT WORK?
MATCH
Match(string,[start],substring)
Example
Match(OBSNOW(“ChiefCmplnt”),”vomiting”>0
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HOW DID THAT WORK?
COMBINATION OF TWO FUNCTIONS
{if match(PROB_AFTER("comma"),1,"ICD-
218.9")>0 then "" else
MEL_ADD_PROBLEM("DX
OF","Fibroids","ICD-218.9",str(._todaysdate))
ENDIF}
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WATERFALLING
IUD insertion video with: insertion order, iud billing, and
iud insertion problem add., medication end
Procedure with MEL
order,problem,medication list and
waterfalling
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ACUTE OFFICE VISIT
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QUICK TEXT CODE
.acutedysuria
Adequate hydration encouraged. Worsening signs and symptoms of UTI
discussed with patient. Will follow up based on culture results.
{MEL_ADD_PROBLEM('DX OF','Dysuria','ICD-
788.1',str(._todaysdate),ADDDATES(str(._todaysdate),'','','3'))''}
{MEL_ADD_ORDER('T','Lab','UA W/MICRO; CULTURE IF','','ICD-
788.1','Dysuria')''}
{MEL_ADD_MEDICATION('Cipro 250 mg Tabs','Take one tablet by mouth
every 12 hours for 3 days',str(._todaysdate),
4617,ADDDATES(str(._todaysdate),'0','0','30'),6,0,'N')}
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MORE CODE
.iudsurv
IUD strings visualized on exam. Self string checks reviewed. Bleeding and
infection precautions reviewed. Lifespan of IUD reviewed with patient as well.
{MEL_ADD_ORDER('S','Professional Services','99212 Est Patient Level
II','','ICD-V25.42','IUD Surveillance')''}
{MEL_ADD_PROBLEM('DX OF','IUD Surveillance','ICD-
V25.42',str(._todaysdate),ADDDATES(str(._todaysdate),'','','3'))''}
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WHAT IF SHE HAD AN ALLERGY ?
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MATCH CODE FOR ALLERGIES
{if
match(ALL_ACTIVE("comma"),1,"CIPROFLOXACIN")>0
then
if USEROK("Patient is allergic to Cipro") = 0 or FALSE
then "" endif
else
(MEL_ADD_MEDICATION('Cipro 250 mg Tabs','Take
one tablet by mouth every 12 hours for 3
days',str(._todaysdate),
4617,ADDDATES(str(._todaysdate),'0','0','30'),6,0,'N'))
endif}
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FETAL SURVEY EXAMPLE
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QUICK TEXT BUILDER
Establish global naming guidelines at your organization. OMG established our naming based on the following:
The characters of the quick text will be divided into these three parts. All quick texts will begin with a dot, leaving 15 characters divided in three sections
Section 1 – Function of the quick text (what the quick text does) For example: add = add a problem, order = add an order other than level of service
Section 2 – Abbreviation of diagnosis, order, etc. Use a logical abbreviation of 5 or fewer characters. Set abbreviation for common diagnoses
Section 3 – Associated diagnosis code (include all digits without.) When adding a problem or associating the quick text to a specific diagnosis use all digits of the ICD code.
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QUESTIONS
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QUICK TEXT BUILDER WHAT INFORMATION DO YOU NEED
Back
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QUICK TEXT BUILDER WHAT INFORMATION DO YOU NEED
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QUICK TEXT BUILDER WHAT INFORMATION DO YOU NEED
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QUICK TEXT BUILDER COMPARISON
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QUICK TEXT BUILDER COMPARISON
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QUICK TEXT BUILDER Time Saved
Total Time Saved: 4 minutes, 15
seconds
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QUICK TEXT BUILDER Set Up
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QUICK TEXT BUILDER Editing For Your Location
1. Select the cells to edit
2. Click on Data and then click the drop down for Data Validation
3. Update the items in the source field to match the categories you use
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QUICK TEXT BUILDER Troubleshooting
If the quick text does not work use the error codes found in help to determine what type of error occurred
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QUICK TEXT BUILDER WHAT’S MOST FRUSTRATING ABOUT CREATING QUICK TEXT
Missing punctuation
Missed syntax
Extra spaces
# of clicks to even get to Quick Text interface
Size of entry box
Inability to search for ICD-9/ICD-10codes