ABILITY TO SIGN OFF ON LABS AND PT REPORTS
Huge Liability that we dont have a holding area for uploaded documents from labs, other physicians and diagnostic reports. In a paper world, we are required to view and document we have seen the report. Now any staff can upload these documents, but there is no notification to the physician that its there. Meaning important results, and documents can be missed.
Thanks for the suggestion! We are going to be working on this feature and will let you know when it’s ready.
Our office currently sends documents/lab results daily to the physician in bulk - we have to relabel all of them and then attach them to the email we send him, then wait for him to signs off on them all. He then signs it via PDF, then he sends them all back to us via email and we have to upload each one to the patient chart one by one. It is very time consuming this way since we get so many items.
It would be great to have the ability to attach the document to the patient documents as soon as we receive it and have a button that says notify physician. This is something we could all see so that everyone knows what items he is still to sign.
The physician would be notified that he needs to sign the document. He would then be able to sign/note on the document (PDF) in the chart (without having to download it, sign it and then re-upload it) via the WEBSITE or iPad (need both capabilities-we use website most) with ease and he would be able to push save.
Also, he should have an option on that document to task a staff member if something should be done regarding the note he makes, etc. on the document. This would definitely cut down on time for us and our doctor and the many steps in the process.
Please contact me if you need clarification. This is VERY important to us and our day to day with the many documents that come in.
Michael - Specialty Natural Medicine commented
The labs should not be viewable to patients on OnPatient until reviewed by the physician.
Under the "task" section on the ipad, there is an "edit" feature on the upper right. If you choose that, the document pops up, and you can free draw, add text dialogue. I use this to sign off on incoming documents via the ipad, then "save changes" down on the bottom right once completed. These are permenant edits to the document. There is also a log of when it is looked at assigned to the user. So there is an electronic date and time assigned to you every time you look at it automatically.
Alison Bhattacharyya commented
If you could add the ability to date/time stamp, and add a comment, that would appear on the document itself that would go a long way to solving this problem. We use Updox to do this. Everything that needs to be reviewed by a provider goes through Updox, and it can date/time stamp, initial and put in comments. It stamps the information on the .pdf directly. Anything that needs follow up can be added to a task list.
Katherine Ko commented
It''s been 8 months since your last response to this request. Update please?
Kim Setser commented
Definitely a liability risk not having these items "signed" when viewed by the provider.
The ability to mark an uploaded document as "need to be reviewed" is something we require as well. Only 2 of our lab companies can integrate with Chrono. That leaves us having to upload the remainder of the labs into chrono as pdf files. There seems to be no way for the nursing staff or provider to review these labs that are uploaded as documents.
As well, there is no good way for our admin staff to notify the nursing staff that a lab uploaded as a document needs to be reviewed.
If that is being added It really should have a place for notes that the doctor needs on that report and a signature. (i.e. if he changes a dose of med based on the lab that needs to be attached to that lab report and be seen when viewing that lab again.)
Dan Landmann commented
I agree - a common work flow is that we get a pathology report back. My office manager assigns it to the patient chart, but then I have to look at it. If it were on paper, I would just sign it and scribble something to the effect of, "Discussed with patient".. or "schedule surgery".. so the ability to annotate documents would be very helpful.
Uday Khosla, MD commented
I agree - this is a problem - we get many patient documents daily - how are we supposed to know they are there? There has to be a notification on the front screen that states that there are "unreviewed" documents that require our review. When done, we can 'sign off' on them indicating we reviewed them.
IDEALLY, we could annotate that document and digitally sign it and THEN re-send it via email or fax.
I agree with the liability issue
the uploaded forms should not be filled without an electronic signature
one alternative is to place the document under the status of unlocked notes
which will be pulled out with the unlocked charts
In our office, documents are received in the computer in the New Message List via fax from other entities. Our Dr. reviews them before sending them as a task to appropriate office staff with her comments attached. The office staff then processes the document (i.e. call lab results to pt, calls refill in to pharmacy, etc) then attaches the document to the chart. Using Dr Chrono in this manner ensures that all documents are reviewed by the physician first. Any paper documents received via mail or paper fax are placed in an "in basket" for physician review. She makes her notations on the document and places it in an "out basket". We upload the document after taking the appropriate action based on her notation. Both of these processes ensure the physician reviews each document before it is uploaded to the pt chart.
Admindrchrono support (Admin, drchrono) commented
So just to clarify, you want a notification sent to the doctor informing them of a new document upload?