The GAD-7 is available as an Ad Hoc form in Powerchart. This form is typically completed by the patient and then scanned into the chart. The information will now be transcribed to the electronic form and the results will display in the Results Flowsheets. These results can be populated in the Powernote by the provider similar to other results. The paper document can then be destroyed per your clinics guidelines and does not need to be scanned into the chart.
The new ANIC was started on May 30th. There was excellent turn out a good discussion with the nursing staff about up and coming changes to the EHR. Talk to your ANIC members in your department for more information!
Ambulatory Fall Risk Assessment –
The Fall Risk Assessment will be added as a section to the all ambulatory intake forms. This form is based off the CDC STEADI Algorithm for Fall Risk Screening, Assessment, and Intervention and the Risk Recommendations field comes from the recommendations of the STEADI algorithm. This section is required for Annual Wellness Visits. Visit https://www.cdc.gov/steadi/index.html for more information.
Amb Cardiopulmonary Arrest Report
A new form for documenting emergent situations that occur in the clinic that require a patient to be transported. The form is has 1 required field (Clinic Name/Location). A freetext summary is included at the bottom of the form. Clinic policy should dictate the information required when such an event occurs. The completed form can be found in Clinical Notes > Clinic Office > Cardiopulmonary Arrest Report.
To assist with compliance in the documentation needs for Combest, some additions and modifications are being made to nursing intake PowerForms. Some of these additions are viewable in the main stream intake forms as well.
New sections are being added to the intakes as well as located outside of them, should you wish to document that specific data without having to fill out the entire intake form.
To document the Early Entry into Pregnancy Care, there is a new section being added to the OB intake PowerForm. It has no required fields, it is not mandatory to fill out. This is for the purpose of documenting when a pregnant female entered the health care system for pregnancy care. Was it with us? Or was the first visit with someone else?
The new Sexuality History section combines some existing fields from the Female Reproductive History, and pulls them into the new section that can be used for any gender. New fields added to this section include expanded Sexual Orientation, the new Gender Identification, as well as the new Sex at Birth.
For those that need to track medication authorizations, there is now a new form available to you! If you would like this added to your departments adhoc folder, just let us know.
