Table of Contents
Jan 03, 2013 Meeting Minutes @ 7:00pm
- In attendance: Jon, Jackson, Zaw, Mike
Agenda
- Clinic Updates
- data export
- med access etc
- server subscriptions
- Software Progress: Priority List
- Scoping
- Priorities
- labs
- billing
- MOA features
- usability and redesign
- bug fixing
- Zaw's Notes
-
- test server, diff then live one
- Labs / VCUR / PIA
- Hardware / IT / Training
- Other Business
- Next meeting
Minutes
clinic updates
- medaccess
- medaccess test site
- uncertain
- patient demos
- scheduled appointments moved manually
- doctors are using 2 EMRs simultaneously in the meantime.
- waiting on medaccess
zaw to take a more active role in making sure the data transfer is proper. Zaw will talk to data analyst. Email IH back with details.
- medaccess software has limitations
- Scanning was simpler
- Tagging is more intuitive with medcloud
- Task list is big problem
- Intimately linked with docs. Too much clicking. Triples time to get through docs.
- get more detail in future
- pharmacies will be up and running in 2 weeks in edmonton and calgary
- colleen asked to make medcloud read only.
- Jon to reply.
- registrations database
- currently emails immediately when form is submitted
- spreadsheet format on a weekly basis would be more useful
- automatic appointment reminder calling
- secretary can generate medaccess schedule report
- need to convert the data into a format usable by dialer. 2 days work for Zaw
- 4-5 hours per day per clinic if manually calling by staff
- Jon to send Zaw info
Updates
- Priorities
- data transfer
- callouts
- high level scoping for the entire project
- rework &
- new features
- risks
- Zaw:
- thought about what needs to be done for the EMR. See notes.
- Summary:
- users didn't know what to do. Click, double click, wait, etc…
- make things more obvious, what you should click etc…
- focus on flow of things
- redesign chart view?
- want to see multiple encounters
- Jackson to make a pass. Then ask IH doctors for opinions. Meet with Zaw.
- colleen's list is almost done.
- Zaw reproduced the logging off issue. Multi tab related maybe
- Jackson:
- feedback for merge patients
- prototype for add template dialog
- showing only doctor in staff list for:
- scheduler columns
- billing
- day calendar in chart view
- others? Add appointment?
Zaw's notes
- general
- users aren't aware of web page ui conventions
- remove right-clicks/context-menus
- remove double-clicks
- need context-oriented ui
- proper user feedback when waiting for server to respond (change how things are loaded if necessary)
- dialog boxes that require more than a yes or no response confuses the user
- notes
- manager sets who goes on the schedule staff list. by default, nurses/doctors.
- there's not enough horizontal space to fit schedules for all doctors.
- creating new patient records is not streamlined.
- users are confused about where to go to get more information about patient after opening up patient information/demographics dialog.
- use cases
- find next available time slot for doctor (something other than weekView)
- find available time slot in some given month
- add patient with only the necessary information
- automatically add note on patient to check Health Care Card
- view patient's file (that includes everything)
- includes:
- demographics
- previous/next appointment information
- notes/alerts
- assigned physician (primary care provider)
- soap notes (gray out by default. always hide details for MOA)
- lab results
- prescription (gray out by default. always hide details for MOA)
- need to enter in year/month/day easily
- add similar (family member) patient
- scan/upload/tag a document
- uploaded documents go into “uploaded list”
- documents in “uploaded list” are sorted by upload*time and grouped by days with proper group labels.
- documents should be “tagged”, not assigned
- selecting a document should display all tagging information and document itself
- documents tagged with a doctor automatically show up in doctor's task list
- documents retagged with a different doctor need to have the task flagged as “no longer needed” or something similar
- send a message
- messages are sent to users with specific roles (Nurses, Reception, Administrative)
- messaging system is more of a message board or task list (messages can be set as private. messages sent to specific users are automatically private)
- view patient chart
- need surgical history in addition to social/family/medical history
- need to be similar to “Print Patient” feature (data for past visits is at the bottom)
- rethink inclusion of dollar amount in billing area
- edit soap notes in patient chart
- get rid of soap locking/unlocking; replace with edit/save and log all transactions
- write prescriptions
- rethink the idea of medication list
- use check boxes to refill active medications
- combine current and deleted medications list
- flow
- patient calls in to register and book appointments
- add patient
- (switch to scheduling context)
- find/create appointment for patient
- family comes in to register and book appointments
- add patient (also assign physician)
- add patient's husband (also assign physician)
- add patient's son (also assign physician)
- add patient's daughter (also assign physician)
- find/create appointment for patient
- find/create appointment for patient's husband
- find/create appointment for patient's son
- find/create appointment for patient's daughter
- nurse writes notes for encounter/appointment
- in-place editing
- “There are no Nurse Notes for this encounter. Click here to add Nurse Notes.”
- “There are no Objective Notes for this counter. Click here to add Objective Notes.”
- doctor writes notes for encounter/appointment
- in-place editing
- button that says “Add”/“Edit”
- “Discard Changes”/“Save Changes”
PIA
- Jon to talk to donna
Other Business
Next Meeting
- Thurs, Jan 10, 2012 @ 7pm on skype