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


In The News - New Tutorial under Electronic Patient Management Tools - Specialized Tools
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New Tutorial under Electronic Patient Management Tools - Specialized Tools



Problem List Reconciliation: The Tools Required to Facilitate the Maintenance of a Current, Valid and Complete Chronic Problem List in an EMR



Abstract:

This presentation describes a method for maintaining excellent medical records with Chronic Problem List reconciliation.  The process of Chronic Problem List Reconciliation involves the following six steps:

  1. The ability to select precise and accurate diagnoses from a robust electronic list.
  2. The ability to re-order the Chronic Problem List with the most important diagnoses at the top.
  3. The ability to highlight diagnoses in the Chronic Problem List which have not been assessed in a pre-determined period of time.
  4. The ability to archive resolved or invalid diagnoses in a retrievable fashion electronically with the date on which the diagnosis was archived.
  5. The ability to copy Chronic Problem List diagnoses into the Acute Assessment.
  6. Following clear principles of Chronic Problem List creation and reconciliation.

Following these steps will enable complex care to be completed in an electronic medical record system maintaining an effective record for continuity and excellence of care.

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