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Managing PCE

Health summaries and reminder definitions can be tailored to suit clinicians’ needs. Some health summaries are defined by users themselves and some are designed for generic use. Many kinds of information can be displayed on a health summary. The user can define a reminder that is very detailed so that it could be used in place of a paper chart. Most sites use the health summary to supplement the paper chart, based on the clinic and provider’s preference for health summary content.

Clinician’s Role in Clinical Reminders

The clinician plays an important role in Clinical Reminders. He/she will be asked to assist the Clinical Coordinator in selecting which reminders to implement and in defining the clinical aspects of the Clinical Reminder Definition Worksheets, including:

Baseline Age Findings

Reminder Frequency

Minimum and Maximum Age

Health Factors, Taxonomies

Related Lab and Radiology Tests

Computed Findings.

Clinicians may also have clinical reminders customized for their needs.

The clinician also plays a major role by appropriately marking the reminder health topics on the encounter forms. As exams, tests, immunizations, screening, and education are given, the boxes must be marked so that the information can be entered into the computer by the clinician or clerk, or picked up by scanners and passed on to PCE to satisfy the clinical reminders.

Historical encounters can be entered for patient visits that occurred sometime in the past (exact time may be unknown) or at some other location (possibly non-VA). They are used to satisfy reminders and determine next date due.

Most important, clinicians will make use of clinical reminders and clinical maintenance to enhance patient care, by assuring timely completion of appropriate tests, immunizations, exams, screenings, and education.

August 1996PCE V. 1.0 User Manual89

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