Clinical Summaries for Each Office Visit
Meaningful Use requests that the information include diagnostic test results, patient problem list, medication list, and medication allergy list at a minimum.
This can be accomplished in SOAPware in two ways. The first involves printing the information in the CCR (Continuity of Care Record) format which includes a "snapshot" of the patient's chart for the last 30 days. The second method will be placing the "Clinical Summary Provided" on a Document Design that includes SOAPnote and Summary information.
Both of this methods can be tracked in order to qualify for the Meaningful Use initiatives and will update the MU Patient Dashboard.
*REQUIRED FOR MEANINGFUL USE: CLICK HERE TO VIEW THE MEANINGFUL USE ROADMAP
Patient Meaningful Use Dashboard:
This requirement will be tracked via the Patient Meaningful Use Dashboard.
Creating/Providing a Clinical Summary CCR Document
*Note-CCR (Continuity of Care Record) format includes a "snapshot" of the patient's chart for the last 30 days.
With a patient chart open:
1. Click on the View menu item.
2. Click on MU Patient Dashboard.
The MU Patient Dashboard can be docked.
For instructions on docking tabs, click here
Using a CCR to Provide a Clinical Summary
Selecting the Printer
Using a Document Design to Provide a Clinical Summary
Selecting the Desired Design
Inserting the Command
This lesson has demonstrated the two ways to provide a Clinical Summary for a patient; CCR document and using a Document Design.
Both methods will be reflected in the MU Patient Dashboard and Meaningful Use Dashboard.