This section of the Electronic Patient management Tools addresses a number of templates which do not fit into a particular suite of templates but which solve significant issue related to patient management. The tutorials in this section address:

• Drug InteractionsT - drug-drug interactions have grown with the complexity and effectiveness of drugs until it is impossible for anyone to know all of them. To solve this problem all excellent EMRs, including NextGen, have a robust data base which check for patient allergy-drug interactions, drug-drug interactions and patient condition-drug interactions. However, even though it is impossible to know all of these, familiarity with drug-drug interactions and the mechanisms of those interactions is important. SETMA built the Drug Interactions template as a educational tool which deals extensively with the P-450 System and with substrates, inhibitors and inducers associated with that system.


• Five Problems which are most difficult in the management of patient in long-term residential Care:
  
  
  • Hydration T - This template is used in the Nursing Home, Clinic and Hospital. Hydration is a particular problem in the nursing home. While it is relatively simple to determine if a patient is hydrated or dehydrated at present; it a patient is currently dehydrated, it is difficult to prove that he/she was hydrated when you saw him three weeks before. This template allows the efficient evaluation of the risk of dehydration, the physical evidence of dehydration and the metabolic (laboratory) evidence of hydration level. The template automatically calculates the hydration level of the patient and then recommends possible responses to various levels of hydration or dehydration.
  
  
  • Nutrition T - This template is used in the Nursing Home, Clinic and Hospital. It allows the documentation of the risk of malnutrition, the physical evidence of malnutrition and the metabolic (laboratory) evidence of malnutrition.
  
  
  • Skin CareT - This function is found on the Nursing Home Suite of templates and is effective in evaluating the patient's risk of skin problems and to document that the patient's condition is such that it is impossible to prevent skin lesions.
  
  
  • Fall RiskT - this template is used in the Nursing Home, Clinic and Hospital to document a patient's risk of a fall and to document the provider having given the patient instructions in order to avoid falls.
  
  
  • DepressionT - This is one of the most under-treated problems in elderly patients in the Nursing Home.


• Diabetes Education - while no tutorial currently exist for this function, this series of templates was built for our American-Diabetes-Association-certified Adult-Diabetes-Self-Management- Education program.


• Evaluation Lower Urinary Tract Symptoms in the Male T - the steps in history, physical examination and laboratory evaluation of LUTS in the Male.


• Future Labs T - one of the most complex issues of medicine is how to effectively communicate with the laboratory, business office and clinical staff when it is desired that lab work be order at a time other than a patient encounter. This tutorial describes SETMA's solution to this problem.


• HCC Risk Training Tool T - this has been discussed under the ICD-9 Code section of this tool set, but is mentioned again because of its important. This tutorial describes how SETMA has solved the complex issue of documenting valid HCC Codes and RxHCC Codes and how to document that they have been assessed for the year in question.


• Pain Management T - This template addresses a number of legal and medical issues related to the chronic prescribing of pain medications. It allows the documentation of the elements required by the State Medical Board in order to support the chronic use of pain medications.


• Referral Function T - automating processes is imperative with electronic patient management. Making, completing and tracking referrals is one of the most complex and most important task a practice performs today. How well this is done will determine how efficiently, economically and excellently care between SETMA and providers outside of SETMA and even specialists within SETMA can be initiated, consummated and included in the information base for the treating of our patients. This tutorial describes the process which SETMA uses so that when the provider walks out of an examination room all referrals are completed and transmitted to the referral office for processing.