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Guideline Wizard/Patient Registries

The Guideline Wizard is just the tool the busy physician needs to meet the challenge of today’s pay for performance environment.  The EncounterSuite dashboard informs you of the number of unmet guidelines for each patient.  Clicking on the icon presents a list of the guidelines for that patient, based on the patient’s demographics and medical diagnoses.  Ordering the recommended tests and procedures either now or for the future is done with a simple click.

One thing that is hard to do with guidelines is to document why a guideline was not applied to a particular patient.  With Guideline Wizard, documenting why the guideline is not applicable to the patient is simple to do.

There are three types of guidelines.

1. Wellness guidelines.  These guidelines are the recommended testing, vaccinations, and procedures that everyone, based on their demographics, should have done.  These include age-related mammograms and colonoscopies.
2. Disease management guidelines.  These guidelines are the recommended testing, vaccinations, and procedures that patients with specific medical conditions should have done. These include hemoglobin A1c and annual eye examinations for diabetes. Diagnostic equivalence insures that all the patients these medical conditions are identified.
3. Disease management medication guidelines.  These guidelines ensure that the patient, with certain medical conditions, is prescribed the recommended medications.  These include ACE/ARB for diabetes with nephropathy, heart failure or hypertension.

Orders can be made from the Guideline with a click... in this case an order to be fulfilled now is made.  Note that the guideline is still alerted since the order has not been completed. Orders are created the same way in the Disease Management Guidelines.

Physicians can inactivate a guideline and
explain why the guideline should not be applied.

These guidelines are based on the Michigan Quality Improvement Consortium (MQIC), CDC and HEDIS recommendations. 

Guidelines can be edited, inactivated, and created.

Patient Registries

Patient Registries are a practice evaluation tool for disease management compliance. Now for the first time an entire practice can be monitored for patients with diabetes, asthma, congestive heart failure, and coronary artery disease and healthy patients for preventive medicine testing and procedures.  The same alert worksheet used in the Guideline Wizard is used for each patient so that a physician can verify that all patients are being treated according to the recommended guidelines.   

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