Difference between revisions of "Referral Assist"

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| align="center" width="300" cellpadding="10" style="background:#f0f0f0;font-size:16pt;"|'''Functionally Independent'''
 
| align="center" width="300" cellpadding="10" style="background:#f0f0f0;font-size:16pt;"|'''Functionally Independent'''
 
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| Referral Assist allows providers to choose the information they want to send, which provider they want to send it to, and how it is sent. No more restrictions related to differing EHR's, geographic location, or transmission method.
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| Referral Assist allows providers to choose the information they want to send, which provider they want to send it to, and how it is sent. No more restrictions related to differing EHR's, geographic location, or transmission method.||Select and send relevant patient health information that is clear, concise, and up to date.||Referral Assist can be implemented as a standalone application or fully integrated into the Allscripts Enterprise EHR.
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||Select and send relevant patient health information that is clear, concise, and up to date.||Referral Assist can be implemented as a standalone application or fully integrated into the Allscripts Enterprise EHR.
 
  
  
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[[Image:eCalcs - sample screen.png|center]]
 
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{| {{table}}
 
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| align="center" style="background:#f0f0f0"|'''[http://www.youtube.com/watch?v=46FgTlI9qbk&feature=player_embedded Introduction to eCalcs - 55s]'''
 
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| align="center" style="background:#f0f0f0"|'''[http://www.youtube.com/watch?v=Pku7kB1rrrU&feature=player_embedded How to use eCalcs - 2m45s]'''
 
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| <videoflash>46FgTlI9qbk</videoflash>||<videoflash>Pku7kB1rrrU</videoflash>
 
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| align="center" | [http://content.galenhealthcare.com/eCalcs/videos/eCalcs%20-%20Integrated%20Health%20Calculators.mp4 download the video]||align="center" |[http://content.galenhealthcare.com/eCalcs/videos/How%20to%20use%20eCalcs.mp4 download the video]
 
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'''[http://www.youtube.com/watch?v=p5Xr9-F3SGA&feature=player_embedded Configuring eCalcs]'''
 
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<videoflash>p5Xr9-F3SGA</videoflash>
 
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[http://content.galenhealthcare.com/eCalcs/videos/eCalcs%20-%20Configuration.mp4  download the video]
 
  
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== Common Questions ==
 
== Common Questions ==
 
{| {{table}}
 
{| {{table}}
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| '''Which calculators are available?'''
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| '''Can I refer patients to providers not on my EHR?'''
 
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| Galen offers dozens of calculators, including the most popular ones like the Framingham Cardiac Risk, Breast Cancer Risk, CHADS2 for Risk of Stroke, ADA Diabetes Risk, MELD Score for Liver Disease. For a full list, see the list of [[eCalcs - Integrated Health Calculators#Available Calculators|Available Calculators]] below.
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| Yes, with Referral Assist you are free to refer patients to other providers based upon a variety of methods, none of which are limited by the sending/receiving EHR.
 
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|  
 
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|-
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| '''Is it configurable?'''
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| '''How are referring providers chosen?'''
 
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|-
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| Yes, the calculators are configurable and many are available from Galen. The chart data used for each measure is also configurable via a web-based management screen built into TWAdmin.
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| Referral Assist allows physicians to select other providers using custom business logic, provider specialty, and geographic location.  Physicians can then work with the patient to choose a referring provider and location that is most beneficial to their needs.
 
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| '''How are scores documented?'''
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| '''How is geographic location determined?'''
 
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| Scores are documented as Results within the patient chart based on the Resultables setup to document the results of each calculator. Results may be shown in a flow sheet and auto-cited into a Note.
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| Through the seamless integration of Bing Maps into the Referral Assist application, users are able to view provider locations and their distance from the patient. This functionality can also be leveraged to supply a map and driving directions to the patient.
 
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|-
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|'''Can I cite the score into the Note?'''
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|'''Is Referral Assist supported by Allscripts?'''
 
|-
 
|-
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| Yes. The Result that is added to the patient’s chart may be cited into the current Note, and auto-cited into new Notes.
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| Galen fully supports Referral Assist in your Allscripts environment. Referral Assist utilizes standard components within Allscripts such as the Web Framework and the standard
 +
Interface APIs.
 
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| '''Is eCalcs supported by Allscripts?'''
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| '''What software or controls are required?'''
 
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|-
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| Galen fully supports eCalcs in your Allscripts environment. eCalcs utilizes standard components within Allscripts like the Web Framework and the standard Interface APIs.
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| Referral Assist can be fully integrated into the Allscripts Enterprise EHR. No new ActiveX controls or other software is required.
 
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|-
 
|  
 
|  
 
|-
 
|-
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| '''What software or controls are required?'''
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| '''How does Referral Assist impact the EHR?'''
 
|-
 
|-
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| None - eCalcs is fully integrated into Allscripts. No new ActiveX controls or other software is required on PCs using eCalcs within the Allscripts Enterprise EHR.
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| There is no impact on the EHR in terms of limiting performance or other negative consequences. Loading the Referral Assist page is effortless, requiring fewer web page and database calls than most screens in the EHR.
 
|-
 
|-
 
|  
 
|  
 
|-
 
|-
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| '''What new hardware is required?'''
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| '''What transmission methods are available?'''
 
|-
 
|-
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| No new server or PC hardware is required.
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| Referrals originating from the Referral Assist application can be transmitted via e-mail, fax, and USB thumb drive.
 
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|-
 
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|-
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| '''Is Citrix supported?'''
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| '''What data can be sent with the referral?'''
 
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|-
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| Yes, eCalcs fully supports Citrix.
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| With Referral Assist’s clinical summary builder, users can choose what clinical data, documents, and images are attached with their referral. Additionally, physicians have access to a customizable cover page that allows them to provide context to their order.
 
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|-
 
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|  
 
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| '''Does eCalcs have an impact on the EHR?'''
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| '''Do EHR upgrades affect Referral Assist?'''
 
|-
 
|-
 
| There is no impact on the EHR in terms of performance or other negative consequences. Loading the eCalcs page is lightweight, requiring fewer web page and database calls than most screens in the EHR.
 
| There is no impact on the EHR in terms of performance or other negative consequences. Loading the eCalcs page is lightweight, requiring fewer web page and database calls than most screens in the EHR.
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| '''How does eCalcs support upgrades to the EHR?'''
 
| '''How does eCalcs support upgrades to the EHR?'''
 
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| eCalcs is designed to be minimally impacted by any changes in the EHR system. Upgrades and migrations may require eCalcs components to be re-applied, though rarely will any configuration or software changes be required with a new version of Allscripts. In these cases, Galen will support the new version as part of the normal eCalcs maintenance package.
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| Referral Assist is designed to be minimally impacted by any changes to the EHR. Upgrades and migrations may require Referral Assist’s components to be re-applied; however, configuration and software changes are rarely required with a new EHR version. In these cases, Galen will fully support the new version.
 
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|-
 
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| '''When updates to the algorithms for calculators are made, is eCalcs updated?'''
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| '''What new hardware is required?'''
 
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| Yes, the eCalcs maintenance package covers this. eCalcs calculators are updated along with changes in the medical research that support the online calculators.
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| No new server or PC hardware is required.
 
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'''Galen'''
 
'''Galen'''
 
*Our EHR technicians will install the web server and database server components.
 
*Our EHR technicians will install the web server and database server components.
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*Training on configuration of eCalcs to client.
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*Training on configuration of Referral Assist to client.
  
 
'''Client – EHR Analyst'''
 
'''Client – EHR Analyst'''
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*Training from Galen on configuration of eCalcs - about one hour.
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*Training from Galen on configuration of Referral Assist - about one hour.
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*Configure each calculator’s inputs, e.g. mapping which resultables should be considered the Total Cholesterol input for the Framingham Risk calculator – typically less than one hour  per calculator.
 
 
*Optional: add Orderable and Resultable Item Dictionary entries used to store the eCalcs. Clients typically have Galen deliver these entries by default using SSMT, which saves our clients the hour of setup this normally requires in TWAdmin.
 
*Optional: add Orderable and Resultable Item Dictionary entries used to store the eCalcs. Clients typically have Galen deliver these entries by default using SSMT, which saves our clients the hour of setup this normally requires in TWAdmin.
  
 
'''Client Resources'''
 
'''Client Resources'''
 
* Server technician – provide access to the appropriate EHR servers – 1 hour.
 
* Server technician – provide access to the appropriate EHR servers – 1 hour.
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* EHR analyst – person familiar with the EHR build and dictionaries to configure the inputs on each calculator. See above for effort, approximately 2 hours plus 1 x number of calculators.
 
 
* Clinical advisor – nurse, mid-level or provider to answer any clinical questions from the EHR analyst during setup.
 
* Clinical advisor – nurse, mid-level or provider to answer any clinical questions from the EHR analyst during setup.
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==Available Calculators==
 
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'''Currently Available'''
 

Latest revision as of 14:44, 18 July 2014

The Power of Choice Pertinent Patient Information Functionally Independent
Referral Assist allows providers to choose the information they want to send, which provider they want to send it to, and how it is sent. No more restrictions related to differing EHR's, geographic location, or transmission method. Select and send relevant patient health information that is clear, concise, and up to date. Referral Assist can be implemented as a standalone application or fully integrated into the Allscripts Enterprise EHR.



Common Questions

Can I refer patients to providers not on my EHR?
Yes, with Referral Assist you are free to refer patients to other providers based upon a variety of methods, none of which are limited by the sending/receiving EHR.
How are referring providers chosen?
Referral Assist allows physicians to select other providers using custom business logic, provider specialty, and geographic location. Physicians can then work with the patient to choose a referring provider and location that is most beneficial to their needs.
How is geographic location determined?
Through the seamless integration of Bing Maps into the Referral Assist application, users are able to view provider locations and their distance from the patient. This functionality can also be leveraged to supply a map and driving directions to the patient.
Is Referral Assist supported by Allscripts?
Galen fully supports Referral Assist in your Allscripts environment. Referral Assist utilizes standard components within Allscripts such as the Web Framework and the standard

Interface APIs.

What software or controls are required?
Referral Assist can be fully integrated into the Allscripts Enterprise EHR. No new ActiveX controls or other software is required.
How does Referral Assist impact the EHR?
There is no impact on the EHR in terms of limiting performance or other negative consequences. Loading the Referral Assist page is effortless, requiring fewer web page and database calls than most screens in the EHR.
What transmission methods are available?
Referrals originating from the Referral Assist application can be transmitted via e-mail, fax, and USB thumb drive.
What data can be sent with the referral?
With Referral Assist’s clinical summary builder, users can choose what clinical data, documents, and images are attached with their referral. Additionally, physicians have access to a customizable cover page that allows them to provide context to their order.
Do EHR upgrades affect Referral Assist?
There is no impact on the EHR in terms of performance or other negative consequences. Loading the eCalcs page is lightweight, requiring fewer web page and database calls than most screens in the EHR.
How does eCalcs support upgrades to the EHR?
Referral Assist is designed to be minimally impacted by any changes to the EHR. Upgrades and migrations may require Referral Assist’s components to be re-applied; however, configuration and software changes are rarely required with a new EHR version. In these cases, Galen will fully support the new version.
What new hardware is required?
No new server or PC hardware is required.

Implementation Details

Galen

  • Our EHR technicians will install the web server and database server components.
  • Training on configuration of Referral Assist to client.

Client – EHR Analyst

  • Training from Galen on configuration of Referral Assist - about one hour.
  • Optional: add Orderable and Resultable Item Dictionary entries used to store the eCalcs. Clients typically have Galen deliver these entries by default using SSMT, which saves our clients the hour of setup this normally requires in TWAdmin.

Client Resources

  • Server technician – provide access to the appropriate EHR servers – 1 hour.
  • Clinical advisor – nurse, mid-level or provider to answer any clinical questions from the EHR analyst during setup.
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