RnP Wednesday, September 2

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Agenda

Review feedback

Provider Feedback via Brett Marquard

Review on Short and Long HL7 Clinical Document Surveys

Short Survey

General Comments: Excessive use of required entries; initially, all acronyms should be defined; Might need separate section for consults vice referral; spelling on some words in several sections needs to be corrected; appears to be very long for a “short survey”

  1. Section on Patient Mix by Payer Type: Assuming VA and DoD providers are surveyed, should be selections for these categories
  2. Section on Incorporation of C-CDA TOC Document: Patient or clinical data appears to be better than the phrase “discrete data”
  3. Section on Value for Practice(Discharge Summary/Continuity of Care): Not certain if everyone knows what ROV means(Reason for Visit) and looks similar to ROS(Review of Systems), should be allowed to skip domains, not mandatory entries;
  4. Section on Value for Practice (Ambulatory Encounters): similar to # 4 above
  5. Section on Scope of Information for Hospital Encounters: Not clear what last x days means-will x be defined?
  6. Section on Scope of Information for Ambulatory Encounters: Same as 6 above

Long Survey

General Comments: Too much mandatory completion; some spelling errors; overall, seems more straightforward and simpler than the “short survey”

General Questions: There is no focus or specific intention, purpose, objectives on what the intent or reasoning of the questions are. Of the documents you receive, approximately what percentage are NOT helpful to you?: This question is very ambiguous-what documents-my driver’s license application, patient care documents, passport document, birth certificate, etc.? Also, received from where?

Of those documents that are not helpful, why are they not helpful? : I believe this should be a picklist and should point to specific documents

For those documents that contain too much information, what are the main sections that cause the problem? I believe this should be a picklist and should point to specific documents

Is there a minumum core of data that should ALWAYS be sent in every instance of a summary document, regardless of the patient? If so, briefly explain what that should be. I believe this should be a picklist and should point to specific documents

Usability: I believe this should be a picklist for all sections and should point to specific documents

Detailed Questions:

Problems: No apparent significant issues noted

Medications:

Allergies: This section I believe warrants more detail than one question

Vital Signs and Body Mass Index (BMI): No apparent significant issues noted

Labs: No question pertaining to critical high or low results

Immunizations: May require additional question on problem administering the vaccine-incomplete series or shot given

Procedures: No apparent significant issues noted

Care Planning: No apparent significant issues noted, however I believe nursing input is important here

Open Ended Questions: No apparent significant issues noted