CME : Your SA Journal of CPD - Volume 25, Issue 1, 2007
Volume 25, Issue 1, 2007
Source: CME : Your SA Journal of CPD 25 (2007)More Less
When I was working in Labrador, Canada, one of my elderly patients came back from a referral trip to the hospital in St Anthony in a very strange state. His daughter was most concerned about the apparent deterioration in his condition and brought him in to me. The old man was in his late 70s but, although suffering from a number of chronic conditions, was generally pretty well and certainly nothing like the slow, drooling person who was led into my office.
Author D. TzitzivacosSource: CME : Your SA Journal of CPD 25, pp 8 –10 (2007)More Less
ICD-10 coding software must: be fully integrated with the practice management system allow the user to combine codes check for the validity of all codes used allow the user to split the combination code when necessary have the capability of assigning the combination code or parts thereof to the treatment or procedure in the account by line item without having to repeatedly type them guide the user as to whether a code has to be combined or not allow the user to find the appropriate code easily allow the user to view inclusions and / or exclusions for the particular code allow the correlation between prescribed minimum benefits and the respective ICD-10 code be efficient in the actual user's hands (i.e. try it out using the examples given).
Author Selwyn MoSkovitzSource: CME : Your SA Journal of CPD 25, pp 11 –13 (2007)More Less
Time becomes increasingly difficult to manage as a practice grows.
Introducing workflow controls can improve time management enormously.
Correct patient information is vital to efficient practice management, not least because this improves the billing system.
Inform your patients of your terms and conditions of payment up front, preferably with signs in your reception area.
Ensure that once-off patients know that they must pay cash up front, particularly in holiday areas.
Introduce a system of reconciling billing with patients seen each day.
Use an SMS system for patient reminders and to tell patients if you are running late.
Practice management software allows you to automate most of these functions and leads to better overall practice management, which, in turn, leads to better patient care.
Source: CME : Your SA Journal of CPD 25, pp 14 –16 (2007)More Less
Current communication between medical colleagues tends to be archaic and time consuming and doesn't always provide the information that is necessary in a referral.
Electronic medical records (EMR) should start to solve some of the problems inherent in the present system, but lack of standardisation is a major problem.
An ideal system would:
Accept all mainstream forms of medical communication from both referring and consulting doctors.
Convert the original documents so that they are: organised in a database easily, but securely accessible by the physician/s involved (without special hardware or software) able to exchange information (using industry standards such as XML and ODBC) with a variety of mainstream EMR systems (i.e. transform data formatting so that it is available in a range of medical 'standards'). This would protect the doctors' investment in their current, or future, EMR.
Display the documents on a secure website accessible only to the doctor sending the report and to the doctor/s to whom the document was addressed.
Ensure patient confidentiality.
A solution such as the one proposed not only facilitates timely interchange of data between otherwise incompatible health record systems but, by storing and organising clinical documents, and providing secure and simple access, it means that communication between colleagues becomes simple, inexpensive and extremely efficient.
Author Gary TaintonSource: CME : Your SA Journal of CPD 25, pp 18 –21 (2007)More Less
Some 7 million people are registered as members and beneficiaries of approximately 160 medical schemes, which operate under the supervision of the Council for Medical Schemes. Efficient claim submission to this multitude of third party funders is a vital component of practice management, as it has a considerable and direct effect on the practice cash flow.
Source: CME : Your SA Journal of CPD 25, pp 24 –28 (2007)More Less
EMR systems do the following tasks cheaply and faster, resulting in improved patient care: Compile clinical documents. Whether using defaults (auto-fill), drop-down lists or voice recognition, a comprehensive record of the patient encounter is produced in the most time-efficient way possible. Time is probably the physician's most precious asset while a detailed record of the clinical encounter, in the present litigious environment, is invaluable. Formulate patient summaries (for referrals, letters and current medication print-outs). Retrieve information. No more hunting for the lost chart or waiting to answer a call while the receptionist searches for the lab result that she knows she filed yesterday! No more phoning the lab for a resend. Audit diverse clinical information. What is your complication rate, how many patients do you refer, etc.? One of the greatest impediments to medical progress is our inability to audit effectively whether our care is effective, simply because so much information is 'trapped' in paper in doctors' offices and inaccessible to scientific evaluation.