Part 4: Installation

•Prepare your task bar to receive the Macro:
Step 1:Go to your  taskbar and right click on it.
(you can click on images to enlarge)

  • Step 2:  (Resurrecting the Quick Launch Tool bar)
  • Task bar win7
  • Right-click on an empty part of the Taskbar to get the context menu as shown above. Unlock the Taskbar if it is locked and then navigate to the Toolbars => New Toolbar menu item.
  • You will see the The “New Toolbar – Choose a folder”  dialog box.
  • Copy  the green line below exactly as it is starting with %appdata
  • %appdata%\Microsoft\Internet Explorer\Quick Launch
  • and paste it as shown (1) then click the ‘select folder’ button (2).
  • new_toolbar
  • The Quick Launch tool bar should appear on the right side of the taskbar.

New_Toolbar

If you drag the Toolbar re-sizing handle (red arrow above) all the way to the left until it touches the start button, the entire  Quick-Launch Toolbar will relocate and to the left side of the task-bar just like in windows XP.
Almost there.
Next right-click the Quick Launch bar and turn off the Show Text and Show Title options ; see below ;
You can also click on view and pick option for larger icons.
showtext_QuickLaunch


Step 3.  Open CPRS (Load a test patient ).

Determine if you are classified a ‘Provider’ or not.

 


•Step 4 : Locate new encounter area, type in the Clinic Location and copy the entire line
(Right click , Copy) :

•Step 5 : Go to the  Telephone Script Generator  page.

Step 6 : In the notes tab click New note , locate or  type in the name of the associated note title and  copy it.

 


•Step 7 : back to the  Telephone Script Generator  page
•Step 8 :
•Click Start button => Run => and paste the ENTIRE line on the script generator that starts with “Notepad.exe:  Pick the 1st or 2nd line depending on your Operating system.
xp or sevn
•Say YES to ‘create file ’. question

•Step 9: Copy entire generated script from the web-page and paste it into the empty notepad file you just created.

•Step 10 : save the script : Say Yes to save changes

Finally Done!

•Check your Quick Launch area for new blue ‘S’ shaped Icon:
•If visible, Installation was  a successful.
•To test the script, Open CPRS , pick your test patient .

Go to the quick launch area and single-click on the Blue Icon.

Disclaimers/notes of caution:

•-The Macro was tested on a limited number of computers and there may be noticeable variability in performance from one to another.
•The following may cause it to malfunction:
–Older  bloated computer
–Heavy multitasking
-Running the macro for the first time.

So, It’s a work in progress. Need ideas to improve.

Ideas are Welcome. You can post ideas or responses on this forum.

Part 3: Windows Scripting

Q: Why script ?

1- You  find yourself typing the same thing, in the same sequence , over and over again in order to get a certain task done

 

2- A script can reduce some of this repetitive work and can save you a great deal of time.

 The Greenville CPRS macro

The macro is a small text file, saved with a “.vbs” extension.

It will pair a Clinic location with a Note Title

For example :

- WJB G TELEPHONE-X       …… and

- PC CBOC PROVIDER TELEPHONE CLINIC NOTE

——————————

-This does not require installation of a commercial product but the mechanism already exists as part of the Windows Operating system.

What It does.

1-With a one click, It will enter the new Clinic location , switch to the Notes tab,  and pick your Note.

2- Its even better if the note has a proper CPRS template attached so that proper documentation is further encouraged.

 

Part 2: Defining the problem

Barriers and solutions to proper documentation 

1- Not knowing how to document .

-In-service  programming updates from Health Information Management Services are critical. (HIMS)  and through forums like this one.

2-  Clinic location names can be long , non intuitive and cumbersome to enter .

-A shortcut or macro  can aid and speed up entry of clinic location

3- Picking appropriate or designated note title  example:

  PC CBOC PROVIDER TELEPHONE CLINIC NOTE

-A shortcut or macro  can take care of the repetitive and cumbersome parts of entering the appropriate  note title.

4-Need to have the proper elements of a telephone note. 

-A  HIMS – approved CPRS template can be attached to the chosen note title.

Part 1: Encounter capturing

-Proper and accurate encounter completion is needed.

-Accurate encounters help with revenue collection and workload  credit tracking among other things.

-Telephone contacts , although non-billable, are counted as workload and can affect the budget for your institution.

-’Telephone contact’ cannot be for administrative issues but  has to involve medical decision-making

-Telephone contact is  “a call between clinical professional staff and patient” to:

-Coordinate medical/clinical advice
-Initiate therapy or a new plan of care
-Discuss test results in detail
-Provide medication refills or adjust medications
————————————————————–
-The note must contain a problem (i.e. history) and a solution ( e.g. treatment plan)

 If the call was administrative only then enter

-an addendum, -a historical note  -or an administrative note

-This includes call to family and even conversations with other professionals on the case.

 Steps for Proper Documentation

1-Create a new visit by selecting the ‘correct’ clinic location

2- For Telephone encounters, use a Telephone clinic location

3-This will ensure that No bill will be generated.

So how does the way I enter encounters affect the patient?

•Example: Physician  (Provider) contacts patient at home (reduces his Insulin)
Patient is ‘happy’
•Physician documents call
•Creates New/Visit but selects ‘Primary Care Clinic’
• (Should have picked Telephone Clinic)!!
•Visit is categorized as 1st party co-pay based on stop code
•Patient gets a co-pay bill :
Patient is ‘not happy’

Shortcuts rule!

Welcome to CPRS and Vista Shortcuts.  

-A shortcut or macro  can take care of the repetitive and cumbersome parts of our work.

- We  find ourselves typing the same thing, in the same sequence , over and over again in order to get a certain task done. A script, macro or a shortcut can reduce some of this repetitive work,  saving you a great deal of time.

Pick  CPRS or Vista from the menu above to start.

If you know of other sites that are similarly helpful you can link to them when you post.