HM

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Health Maintenance Auto-Populate Function Removed

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The Health Maintenance section in Powernote will no longer be available to auto-populate (shown below). Reasons for this include:

  • The delay that is sometimes associated with Health Maintenance expectations capturing recent changes and updating accordingly providers may inadvertently be entering incorrect information into the patients chart.
  • Expectations in a pending state are not included in the smart template.
  • Orders placed from the Health Maintenance tab are not available to populate the note.

The term can be selected from the note and will populate. Providers are encouraged to review the information for accuracy before including it in the note.

Health Maintenance: Depression Screening

Depression Screening in Adults

Screening for depression in adults is a grade B recommendation by the U.S. Preventive Services Task Force. The USPSTF recommends screening for depression in the general adult population, including pregnant and postpartum women. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.

This expectation will be recommended for patients age 18 and up that have not had a PHQ-2 or PHQ-9 documented in the last 365 days.

Patients are not recommended for screening if they have an active problem of depression on the Problem List.

 

Health Maintenance: Type II DM Screening

Abnormal Blood Glucose/Type II Diabetes Mellitus Screening

Screening for abnormal blood glucose and Type II Diabetes mellitus is a Grade B expectation of the U.S. Preventive Task Force. The USPSTF recommends screening for abnormal blood glucose as part of cardiovascular risk assessment in adults aged 40 to 70 years who are overweight or obese.

 This expectation will be recommended for patients age 40 – 70 years old that are overweight and do not have an active problem of diabetes mellitus on the Problem List. Satisfiers for the expectation inlcude: 

  • HbgA1c Whole Blood
  • Fasting glucose
  • Hemoglobin A1c
  • Glucose Level
  • Glucose, Whole Blood

The expectation will recur every 3 years.

For patients in high risk demographic groups this expectation can be added manually once and will recur every 3 years. For more information on this expectation see full recommendation statement at USPSTF.