The vast majority of EHRs are not designed for specialty medicine and most are too difficult to use for orthopedics. This is because multi-specialty vendors take a system originally meant for general medicine, such as internal medicine or primary care, and try to make it fit for orthopedics. In fact, one of the main reasons orthopedic surgeons struggle with EHRs is due to the complex navigation within a system originally designed for a completely different specialty. Luckily, there are several key design features already on the market that can make navigation much easier for orthopedic staff. Does your system include our top three picks?
An Orthopedic Navigation Bar
The main navigation bar is prominently displayed throughout all screens in the system. The tabs on the bar should be situated to mirror the patient’s journey through clinic, allowing staff to navigate intuitively. In the Exscribe solution, these tabs are ordered and labeled as you would expect a patient to flow throughout a practice: Schedule – Chart – History – Medical Info – HPI – Superbill – Documentation. The constant display and order of these tabs ensures easy and direct navigation throughout the screens.
The first four tabs are designed for review of the patient’s condition and past medical history:
- Schedule tab allows providers and staff to see what the coming day is going to entail.
- Chart tab contains all the information you need on a particular patient in your schedule, including their face sheet or summary page, insurance, and PCP.
- History and Medical Info tabs include pertinent patient medical history and review of systems, inclusive of medical, surgical, family, and social history.
- HPI (History of Present Illness) tab provides the chief complaint and background for their visit, using responses directly from the patient and completed in natural language format.
- Superbill tab is our patented embedded electronic charge ticket where diagnoses, procedures and orders are selected. Favorite codes are physician specific as well as procedure and orders lists are personalized down to the provider.
- Documentation tab lets the orthopedic surgeon and staff edit the HPI to add context, the exam, medical imagining findings and edit the treatment plan to add specifics for each patient and completed with approval and signing of the note.
Saved View Filters
Views can be altered and saved to filter pertinent information be front and center for review on a particular screen. Surgeons often prefer to organize or filter their chart ‘summary’ screen to provide them with quick access to details they deem most relevant to each visit. As well, it is not uncommon to set filters for the schedule screen to remove appointments that have already been completed, patients that have rescheduled or other criteria. View filters help you navigate as it allows the focus to be narrowed down to a provider’s personal preference. You no longer need to go to individual fields and columns of data to sort through them individually once you save your views.
Favorite and Frequent Codes
Orthopedic practices need to code the same set of diagnoses repeatedly. Neck and back pain, osteoarthritis, rheumatoid arthritis, sprains and tears, and disc disorders are just a few of the most common examples. Additionally, practices need to code the same types of surgeries; reconstructions, replacements and arthroscopy. We only display orthopedic code sets by default within our Superbill tab, making it more efficient to select the codes you need for your specialty.
Furthermore, a physician’s favorite codes are ‘pinned’ to appear at the top of the list. Much like a push pin on a notice board, this function lets a user pin their preferred codes for quick selection. Additionally, the Exscribe EHR intuitively learns over time which codes a user is selecting most often. It keeps a running list of the ten most frequently used codes by physician. These codes are displayed under a frequent category again providing faster access to the most common codes. Keeping a favorites and frequent list helps with navigation because it eliminates scrolling and/or typing to search and obtain your needed codes.
There are even more design features that can help you navigate your software quickly and easily: