Southeast Texas Medical Associates, LLP James L. Holly, M.D. Southeast Texas Medical Associates, LLP

EPM Tools - Specialized Tools
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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.
Association of Medication & Diagnosis Tutorial 10/08/2012
Association of Medications and Diagnoses 10/08/2012
Chronic Conditions Tutorial 10/07/2012
Depression Tutorial 10/07/2012
Drug Interactions Tutorial 10/07/2012
Electronic Tickler File Tutorial 10/07/2012
ePrescribing of Controlled Substances Tutorial 10/22/2015
Evaluation of Lower Urinary Tract Symptoms in the Male (LUTS) Tutorial 10/08/2012
Fall Risk Tutorial 10/07/2012
Future Labs Tutorial 10/07/2012
Hydration Assessment Tutorial 10/07/2012
Hypertension: Fulfilling Quality Metrics for the PCPI Program 01/10/2013
Laboratory Results - Signing Off: Why and How 04/01/2017
Medication Module Tutorial 10/08/2012
Nutrition Assessment Tutorial 10/07/2012
Pain Management Tutorial 10/08/2012
Patient-Centered Medical Home Annual Questionnaires 10/07/2012
Problem List Reconciliation: The Tools Required to Facilitate the Maintenance of a Current, Valid and Complete Chronic Problem List in an EMR 12/15/2012
Progression to Diabetes 02/18/2017
Referrals Tutorial 10/08/2012
Skin Care Tutorial 10/07/2012
Stratifying End-of-Life Risk for Hospice Services: Tutorial for SETMA’s Deploymnent of Four Risk Calculators for Hospice Care 10/07/2012
Texas State Reportable Infectious Diseases Tutorial 03/19/2013
Transitions of Care Management Coding (TCM Code) Tutorial 03/16/2013