Also the API still references a "Not Confirmed" appointment status, maybe you could try that? I believe it used to be a purple NC.
@SimplifiMed, you may want to ask drchrono to rework their appointment status API to allow custom defined values (text field+color hex).
Developers such as yourself can reach them on the dev google group and/or API feedback page on canary.
Note that I am a drchrono user, not a dev / not affiliated with drchrono.
Personally I think Alex made a great suggestion: Having the appointment status start as "Not confirmed" and then change to "confirmed" when the patient confirms a reminder. Or maybe changing to "Not confirmed" after the first reminder is sent. This would help gauge how many no-shows, or if scheduling a STAT appt or walk-in.
I'm not sure how useful it would be to know, from the schedule, whether an SMS was sent. If there was some sort of failure I would rather get a notification - in the message center and maybe a bright red "invalid cell phone" patient flag.
@SimplifiMed, would it be enough to put your reminders on the appointment reminder list, and update the reminder status rather than appointment status? This is how drchrono documents the built-in phone call/SMS/email reminders.
Try using a custom demographic, described here:
I would recommend contacting your drchrono account manager. You are 100% sure to get a faster response there.
Your account manager can't add new features to drchrono, but they can probably help find a workaround.
If you don't know how to contact your drchrono account manager, send an email to email@example.com.
With our practice we sidestep this process by using paper. Staff prints every incoming fax and lab result, the doctor signs the physical paper, and staff reuploads into drchrono.
It's a pretty big hassle and throws out almost all the benefits of using an EHR (except MACRA requirements). I would not recommend doing what we're doing.
It's possible the nickname wasn't entered correctly, it has to be:
First name: Lucas
Last name: Smith
The below won't work correctly:
First name: Lucas (Luke)
Last name: Smith
I'm not having this problem. I tried searching for a patient by nickname and it worked just fine, see this screenshot:
You could try using the educational material feature, described here:
I'm not sure if there's a limit on how large the upload can be. Also be advised that the patient receives a PDF download - the onpatient technology doesn't restrict them from redistribution.
For coverage gaps you can also use the SELF PAY payer.
I use the "Card Issued Date" field for current coverage.
Politely, I disagree - I would prefer for the invitations to expire. I belive currently it takes 14 days but I wouldn't be averse to 30 days.
If invitation links didn't expire, the practical effect is that the patient's medical records are available to anyone who has access to their email. Even if the patient never signed up for the patient portal.
Once a bad actor has compromised someone's email, they can usually find the DOB and phone ("happy 50th" and "call me at 555-555-5555" emails). Not to mention the recent leak of nearly 143 million SSNs by Equifax (US Population: 329 million).
The good news is that you can make notes/updates/etc by converting the communication log into a task.
The bad news is that you still can't revise even with tasks, you can only APPEND. And you can't export tasks eg: for clinical record requests.
Personally I use documents for phone calls, that way we can always remove, edit, and reupload.
I believe this exists under the history tab on the iPad version.
I wish the phone numbers had space for notes such as parent or contact names, times of day, extensions, departments, etc.
I would add that the layout of the billing statement can be account-wide. No need to reconfigure the layout for every patient or appointment.
If the letter builder were implemented you could even use that to make the billing statements.
Not sure - we ended up disabling onpatient scheduling due to the various shortfalls.
If it is too difficult to pull reminders from the last visit, at least add an email reminder. Patients using onpatient are more likely to check their emails.
Sorry, this was the page for chrome:
The spell check (the squiggly red underline) is actually your browser software, not drchrono. So it's Google Chrome/Firefox/Internet Explorer/Opera.
I use Google Chrome and unfortunately Google doesn't have an easy way to import a medical dictionary into the spellcheck. On chrome you have to add each word individually at chrome://settings/editDictionary.
If you have an IT dude at your practice, you can ask them to explore this page:
What about a smart field switch saying "Is this your first appointment?"
Yeah, we use paper forms.
Just had an idea, how about using the Cash Charge in the Communication Log? Those aren't associated with an appointment.
Patient Chart on Web EHR->Communication (left side)->Communication Logs tab
If you make an appointment profile (scheduling->appointment profiles) for these "fake" appointments, you can have it automatically set the reason. The workflow becomes: every time you make a fake appointment, just select the fake appointment profile and enter the charges in the billing tab. This is useful because when sending referrals it shows you the appointment reason. You could set the reason to "billing only appointment do not include".
You can take this a step further by creating a fake exam room specifically for fake appointments. You would need to make an appointment template (scheduling->appointment templates) that covers the exam room for each day of the week. Then when you click in that exam room, it automatically sets the appointment profile to your fake appointment profile. The workflow after setup is just clicking on the schedule, picking a patient, and entering charges.
If the fake exam room is cluttering your schedule view, make a fake office.
@Rita E. Greene
The only problem with a Records Requests and Refills appointment is that it changes the "Last Appt" (shown when you open the patient chart, or when hovering over the patient on the schedule).
This is a side effect of drchrono's appointment-based design. With the current system, every claim and every payment (by payment I mean all billing information) is associated with an "appointment", which is sort of drchrono's version of an "episode of care".
To implement your suggestion would require a re-working of the core design, since you suggest disassociating "appointments" with payments. This is like asking a library to switch from alphabetic sorting by genre to flat alphabetic sorting, aside from reorganizing the library people would have to adjust how they look for books.
Your current workaround (making appointments) has the problem of changing the patient's "last appointment". I noticed that you can edit the "last appointment" at the bottom of the patient's demographics under the important tab. Unfortunately it isn't practical to edit the "last appointment" field every time you make a transaction.
Because you can change what shows as the "last appointment", drchrono must store it separately (as opposed to looking up the last appointment every time you open a patient's chart).
Here is an alternate suggestion: drchrono could add a check box to each appointment whether to update the patient's "last appointment". Then you could make an appointment template for your fees which automatically turns off that check box.
Rather than changing the active status just to make the referral, try visiting the chart first then clicking "Send Referral" under their picture.
To visit an inactive patient's chart, you need to use "More Filters" from Patients->Patient List. You cannot find an inactive patient's chart with the searchbox at the top right.
3 votesMax shared this idea ·
You can create a second office for no-charge appointments. Have the staff drag those appointments over at the end of the day. The live claims feed allows you to filter by office, so you can batch status change for that office.
OK, so your endgame here is the doctor wants to know at a glance how much the patient improved.
You might want to experiment with custom vitals since those are tracked by drchrono, and can be made into graphs at a moment's notice. For example, #4 would work well as a custom vital named "Ankle swelling in past 2 weeks (units=days)".
You could also make a Clinical Form for that questionnaire, you can use a Free Draw field to draw the veins on the legs and multiple select for most other questions. Staff can then copy this from the paper survey or ask the patient directly.
This is probably confusing, I'll try and check back to answer any questions.
Something very similar came up a while ago where an office had patient-facing monitors. I suggested they turn the monitor away, but obviously that doesn't help here.
I don't believe drchrono ever replied, but they did roll out this feature a while ago: