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IMed Consent for Providers: Informed Consent and Beyond

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IMed Consent for Providers: Informed Consent and Beyond

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    1. 1 iMed Consent for Providers: Informed Consent and Beyond Class #172 Michael A. Schwartz, MD Harold “Bud” Niles

    2. Picture of where we come from Had to time it just right not to get all that white stuff that shows up in the winter INCLUDE AERIAL PHOTOPicture of where we come from Had to time it just right not to get all that white stuff that shows up in the winter INCLUDE AERIAL PHOTO

    3. 3 iMedConsent for Providers: Informed Consent and Beyond introduction Introduction I eagerly volunteered to present this lecture because I thought, " wow, what a great opportunity to become involved in the vehu faculty." Then I Realized that if the cap, this is imed consent. How am I going to make that interesting? It is not exactly like obtaining consents is the favorite thing providers like to do. So I thought I would take the little informal survey among some of the docs that work with to get a better handle of where imed fits in their daily life. So who was I going to talk to? Introduction I eagerly volunteered to present this lecture because I thought, " wow, what a great opportunity to become involved in the vehu faculty." Then I Realized that if the cap, this is imed consent. How am I going to make that interesting? It is not exactly like obtaining consents is the favorite thing providers like to do. So I thought I would take the little informal survey among some of the docs that work with to get a better handle of where imed fits in their daily life. So who was I going to talk to?

    4. 4 James A. Haley VAMC Inpatient – 18 wards, 485 beds Medical/Surgical Polytrauma Psychiatric Care Intensive Care Geriatric Care Rehab Spinal Cord Injury 100 bed unit Well this is who we areWell this is who we are

    5. 5 James A. Haley VAMC University Affiliation University of South Florida Medical School Other student affiliations Split from Orlando VAMC in Oct 09

    6. 6 Top Five iMed Users Even after we split from Orlando, our volume remains the second highest in the country, second only to Houston Even after we split from Orlando, our volume remains the second highest in the country, second only to Houston

    7. 7 Top Five iMed Users Even after we split from Orlando, our volume remains the second highest in the country, second only to Houston Even after we split from Orlando, our volume remains the second highest in the country, second only to Houston

    8. 8 Consents Saved I would want to talk to people who have a lot of experience using imed primarily. This is how consent utilization is broken down in our facility by specialty. As you can see, half of the consents are accounted for by the three specialties of cardiology, interventional radiology, and GI. I would want to talk to people who have a lot of experience using imed primarily. This is how consent utilization is broken down in our facility by specialty. As you can see, half of the consents are accounted for by the three specialties of cardiology, interventional radiology, and GI.

    9. Provider Comments I think it is probably fair to say that and most of us look at the consenting process as a burden or intrusion to us getting the job done to take care of our patients. So we have that mindset to start with. And then you throw in Computer Software that is rigid and linear, that deletes the work you've done with the push of one button if you're not careful. You get a mixture of potential significant annoyance. I think it is probably fair to say that and most of us look at the consenting process as a burden or intrusion to us getting the job done to take care of our patients. So we have that mindset to start with. And then you throw in Computer Software that is rigid and linear, that deletes the work you've done with the push of one button if you're not careful. You get a mixture of potential significant annoyance.

    10. 10 Overview Brief review of historic importance of consenting process Clinical practice, not research Not addressing decision-making capacity Not addressing surrogates, agents What I would like to do today is first step back and review the importance of the consenting process in general. Sometimes it helps to know the reasons you you do what you do instead of just blindly following the rules. Allows you to put up with a lot of psychic discomfort when you know it is for a good thing. What I would like to do today is first step back and review the importance of the consenting process in general. Sometimes it helps to know the reasons you you do what you do instead of just blindly following the rules. Allows you to put up with a lot of psychic discomfort when you know it is for a good thing.

    11. 11 Overview Practical Applications of iMed Package Basic Hardware and software navigation Intermediate Favorites Combining Consents and Crossing Specialties Picture Gallery Education Advanced Content Requests Packages Other Assistance an iMed Coordinator Can Provide Other Available Training After that general review of the consenting process, we will present the practical application of the iMedConsent package. This will be divided into three parts.-- The introduction will consist of hardware implementation and basic software navigation for the beginner. We'll than advance to an intermediate level of more sophisticated options to streamline repetitive consents process for you. Finally for the advanced provider we will display some techniques for more complicated consents that involve procedures that cross different specialties. After that general review of the consenting process, we will present the practical application of the iMedConsent package. This will be divided into three parts.-- The introduction will consist of hardware implementation and basic software navigation for the beginner. We'll than advance to an intermediate level of more sophisticated options to streamline repetitive consents process for you. Finally for the advanced provider we will display some techniques for more complicated consents that involve procedures that cross different specialties.

    12. 12 What is informed consent? The process and documentation of ethical management of agency conflicts inherent in healthcare delivery This is my own definition. I will briefly review what I mean by each part of this statement. I would welcome and comments or changes to these statements This is my own definition. I will briefly review what I mean by each part of this statement. I would welcome and comments or changes to these statements

    13. 13 What is informed consent? Automation of the process enhances its efficacy, implementation, and documentation And this is the corollary that relates to iMed consent that I hope to convince you ofAnd this is the corollary that relates to iMed consent that I hope to convince you of

    14. 14 What is informed consent? Hippocrates recognized agency conflict Agency Relationships Obligation of one party, the agent, to act in the best interest of the other party, the principle Obligations can be ethical, fiduciary, other Agency conflicts can develop Informed Consent--ethical principles and agent relationships Informed Consent--ethical principles and agent relationships

    15. 15 What is informed consent? Hippocrates recognized agency conflict Principles of ethical behavior Beneficence Non-malfeasance Autonomy Informed Consent--ethical principles and agent relationships Informed Consent--ethical principles and agent relationships

    16. 16 What is informed consent? Informed consent not addressed until 1900’s: Protection against assault and unwanted physical contact Communication process Vulnerabilities of ill and infirm

    17. 17 What is informed consent? Physician performing the procedure must disclose: Diagnosis if known Nature and purpose of treatment Risks and benefits Alternatives Risks and benefits of alternatives Risks and benefits of no treatment

    18. 18 Benefits of Informed Consent Agency for Healthcare Research and Quality (AHRQ) targeted informed consent as a patient safety target in 2001 Fewer medical errors Patients more compliant, more satisfied Fewer malpractice claims Facilitate physician-patient communication

    19. 19 Automated Informed Consent Ensures compliance with regulations Readily accessible and retrievable Verification of patient comprehension of risks, alternatives Consistency, especially in teaching institutions Improved patient satisfaction with informed consent process

    20. 20 What is informed consent? Consent Ethics iMed Consent is only a tool No substitute for real conversations Return the the question of What is Informed ConsentReturn the the question of What is Informed Consent

    21. 21 What is informed consent? Quality Gaps identified by VHA National Center for Ethics in Health Care : Gurney consenting Qualified individuals obtaining the consent Practitioner and patient sign consent together Local policy more restrictive than national policy Return the the question of What is Informed ConsentReturn the the question of What is Informed Consent

    22. 22 What is informed consent? Changes in local policy in Tampa Signature need not be witnessed unless “X” Consent may be obtained up to 60 days in advance Consent must be obtained by a provider credentialed to do the procedure Here are some changes that were connected in Tampa. The first two are examples of how liberalizing local policies improved the quality gaps identified. The third one significantly affected workflow processes the way they were being performed. However you can see how the spirit of informed consent was not being met non-credentialed personnel were having the conversationsHere are some changes that were connected in Tampa. The first two are examples of how liberalizing local policies improved the quality gaps identified. The third one significantly affected workflow processes the way they were being performed. However you can see how the spirit of informed consent was not being met non-credentialed personnel were having the conversations

    23. 23 Consents Saved I would want to talk to people who have a lot of experience using imed primarily. This is how consent utilization is broken down in our facility by specialty. As you can see, half of the consents are accounted for by the three specialties of cardiology, interventional radiology, and GI. I would want to talk to people who have a lot of experience using imed primarily. This is how consent utilization is broken down in our facility by specialty. As you can see, half of the consents are accounted for by the three specialties of cardiology, interventional radiology, and GI.

    24. 24 Consents Saved I would want to talk to people who have a lot of experience using imed primarily. This is how consent utilization is broken down in our facility by specialty. As you can see, half of the consents are accounted for by the three specialties of cardiology, interventional radiology, and GI. I would want to talk to people who have a lot of experience using imed primarily. This is how consent utilization is broken down in our facility by specialty. As you can see, half of the consents are accounted for by the three specialties of cardiology, interventional radiology, and GI.

    25. 25 Clinical Applications Coordinators (CAC) Facility points of contact to assist clinical staff regarding CPRS Handle software issues related to CPRS and related programs such as iMedConsent, VistA Imaging and VistA Web. Computer hardware issues are handled by OI&T.

    26. 26 iMedConsent Coordinator May work in same office as the CACs May be a CAC or a program specialist Liaison between clinical staff, OI&T and Dialog Medical (National iMedConsent Contractor) Special access to iMedConsent May make changes to software that a typical user is unable to do

    27. 27 Practical Applications of iMed Package Basic Hardware and software navigation Intermediate Favorites Combining Consents and Crossing Specialties Picture Gallery Education Advanced Content Requests Packages Other Assistance an iMed Coordinator Can Provide Other Available Training After that general review of the consenting process, we will present the practical application of the iMedConsent package. This will be divided into three parts.-- The introduction will consist of hardware implementation and basic software navigation for the beginner. We'll than advance to an intermediate level of more sophisticated options to streamline repetitive consents process for you. Finally for the advanced provider we will display some techniques for more complicated consents that involve procedures that cross different specialties. After that general review of the consenting process, we will present the practical application of the iMedConsent package. This will be divided into three parts.-- The introduction will consist of hardware implementation and basic software navigation for the beginner. We'll than advance to an intermediate level of more sophisticated options to streamline repetitive consents process for you. Finally for the advanced provider we will display some techniques for more complicated consents that involve procedures that cross different specialties.

    28. For the Basic Provider (Residents, New Employees, “Experienced” Attendings) Hardware To Improve Operability Signature Pads (E-pads) USB cord Extenders for E-pads Mobile Carts Desktop PCs Linking with the software (Synchronization) Basic navigation Pre-building a Consent “Save to Chart"

    29. 29 Hardware

    30. 30 Functional and Accessible Hardware is the Key Placement of Signature Pads (e-pads) USB Extenders Mobile Workstations

    31. 31 Placement of Signature Pads DON’T MAKE PROVIDERS HUNT FOR EQUIPMENT Signature pads at all points of care where providers consent patients Ensure MS Windows printers were loaded on PC’s, printing to clerks’ stations

    32. 32 USB Extenders Space constraints exist in all facilities Extenders up to 10 feet long placed in strategic areas where space is constrained

    33. 33 Wireless Consenting Using Nursing Bar Code Medication Administration (BCMA) equipment on the wards. Worked well with some limitations

    34. 34 Wireless (BCMA) Pro’s Required upgraded wireless range Required upgraded equipment Ultimately provided good connectivity Deployed throughout the facility Allowed consent at bedside with ease

    35. 35 Wireless (BCMA) Con’s Compete with nurses for access Locked machines slow down access Restricted to one ward, not mobile for medical team

    36. 36 Wireless – Tablet Personal Computers Good connectivity Hard to use without keyboard Too portable – led to theft ENCRYPTION REQUIREMENTS SLOWED PROCESSING SPEED

    37. 37 Final Wireless Answer Purchased wireless carts just for providers Different appearance No BCMA scanners or drawers Larger screens for patients

    38. 38 Final Wireless Answer Some Carts Assigned to Teams Available throughout rounds Stored in Team rooms Ownership of hardware leads to usage Some Carts Assigned to Wards Available for all Specialties/Providers Purchasing Additional Carts “as needed”

    39. 39 iMed LIMITATIONS Dependent on hardware, no matter how accessible we make it Success depends on accessibility of hardware at multiple points of care Requires changes to business processes Still has inherent problems that have not been completely overcome For example, … Do we need this slide?For example, … Do we need this slide?

    40. Synchronization- How the Vergence Locator Affects iMedConsent

    41. 41 Importance of Synchronization Ensures that CPRS is locked on only one patient Ensures that client programs (like iMed) are linked to patient currently open in CPRS If the patient is changed, all open software re-links to the new patient record Prevents data from being entered into the wrong patient record.

    42. 42 Synchronization of CPRS with iMedConsent

    43. Improvements – Patient Synchronization If there is no “Blue Man” at all, it means you clicked very quickly on CPRS when you logged on.If there is no “Blue Man” at all, it means you clicked very quickly on CPRS when you logged on.

    44. Vergence locator not active after initial system log-in.

    45. 45 Limitations – Patient Synchronization

    46. 46 The Fix is Easy

    47. 47 Limitations – Patient Synchronization If you have multiple little guys in the corner of CPRS, you don’t have the clinical link on for the patient you have selected.... The clinical link can be broken intentionally or by something as simple as opening up multiple sessions of CPRS. The fix is easy if you have multiple guys up here.... Click File, Select Rejoin Patient Link Set new context. If you have multiple little guys in the corner of CPRS, you don’t have the clinical link on for the patient you have selected.... The clinical link can be broken intentionally or by something as simple as opening up multiple sessions of CPRS. The fix is easy if you have multiple guys up here.... Click File, Select Rejoin Patient Link Set new context.

    48. Limitations – Patient Synchronization If the CPRS chart is opened with more than one instance, there will not be a “blue man” This can happen if the icon is clicked several times in rapid succession If a second CPRS chart is opened, it will typically open with the broken link (three men), while the first chart will maintain the link (one blue man)

    49. Building a Consent

    50. 50 Basic vs. Step by Step Consents The “Basic Consent” Option Displays only the parts of the consent that always need user action Quickest way to build a consent Requires minimal input from the user Can be edited after consent is built The “Step by Step” Option Displays all parts of the consent User can edit all allowed areas of the consent in a step by step manner

    51. 51 Required Fields in All Consents Alternatives Anatomical Location Anesthesia Benefits Blood Products Comments Diagnosis

    52. 52 Step-by-Step: All Fields are Entered Manually Alternatives Anatomical Location Anesthesia Benefits Blood Products Comments Diagnosis

    53. 53 Basic Consent: Only a Few Fields Entered Manually Alternatives Anatomical Location Anesthesia Benefits Blood Products Comments Diagnosis

    54. 54 Basic Consent: Only a Few Fields Entered Manually Anatomical Location Comments

    55. 55 Basic Consent: Only a Few Fields Entered Manually Anatomical Location Comments

    56. 56 Basic Consent

    57. 57 Basic Consent

    58. 58 Basic Consent-Editing Consents Consent is ready to be signed, but can still be edited

    59. 59 Step by Step Consent-Options Not Always Seen in the Basic Consent

    60. 60 Step by Step Consent-Options Not Always Seen in the Basic Consent

    61. 61 Step by Step Consent-Options Not Always Seen in the Basic Consent

    62. 62 Step by Step Consent-Options Not Always Seen in the Basic Consent

    63. 63 Software

    64. 64 Open iMedConsent Keyboard shortcut: “Alt T” will bring up the tools menu. You can use the shortcut key to open iMedConsent as well. If you are in Fargo, the shortcut is the letter “I”. ). if you are in Tampa, it will be an “E”. It will be the letter that is underlined on the toolbar in “iMedConsent”. Unfortunately, you still have to sign on using username and password, unless your facility allows for “auto log-on.” Tampa has auto-log on authorized and Fargo does not. This is site specific and a huge timesaver.Keyboard shortcut: “Alt T” will bring up the tools menu. You can use the shortcut key to open iMedConsent as well. If you are in Fargo, the shortcut is the letter “I”. ). if you are in Tampa, it will be an “E”. It will be the letter that is underlined on the toolbar in “iMedConsent”. Unfortunately, you still have to sign on using username and password, unless your facility allows for “auto log-on.” Tampa has auto-log on authorized and Fargo does not. This is site specific and a huge timesaver.

    65. 65 iMedConsent Initial View Will go over Navigation of different areas of iMedConsent quickly for review of the simple functionality and more in-depth for those areas where customization is available.Will go over Navigation of different areas of iMedConsent quickly for review of the simple functionality and more in-depth for those areas where customization is available.

    66. 66 Search Box Clicking in the “enter search phrase” and clicking “go” will bring about just what you expect. Searching for “Sleep Apnea” will bring up the consents for Sleep Apnea, as well as educational and any associated instructional documents that may be associated with “Sleep Apnea.” It is brought up by Specialty and shows what documents are related to that search criteria by Specialty.Clicking in the “enter search phrase” and clicking “go” will bring about just what you expect. Searching for “Sleep Apnea” will bring up the consents for Sleep Apnea, as well as educational and any associated instructional documents that may be associated with “Sleep Apnea.” It is brought up by Specialty and shows what documents are related to that search criteria by Specialty.

    67. 67 All Documents Clicking on “All Documents” brings up all of the Specialties in the middle column. This is the normal opening mode of iMedConsent.Clicking on “All Documents” brings up all of the Specialties in the middle column. This is the normal opening mode of iMedConsent.

    68. 68 Specialties & Categories Clicking on the “basic consent’ category for a specialty will open up all of the consent documents for that specialty in the right hand column. Note that there are “Basic” consents and Step-by-Step consents. T They are identical in content, but the “Basic” Consents do not provide screens or ask for editing of the description of the procedure, the risks, benefits, and alternatives. Basic consents are about 8 clicks, or screens, faster. You can still go back and edit the description of the procedure, risks, benefits, alternatives, but you don’t have to review the screens.Clicking on the “basic consent’ category for a specialty will open up all of the consent documents for that specialty in the right hand column. Note that there are “Basic” consents and Step-by-Step consents. T They are identical in content, but the “Basic” Consents do not provide screens or ask for editing of the description of the procedure, the risks, benefits, and alternatives. Basic consents are about 8 clicks, or screens, faster. You can still go back and edit the description of the procedure, risks, benefits, alternatives, but you don’t have to review the screens.

    69. 69 All Documents to Sign Documents that have been placed “On Hold” will be saved for 60 days. Gives a listing of all documents that have been placed “on hold” for later signature. Documents placed on hold remain here for 90 days (unless the facility changes the length that they will be held for.) You may have ANYONE build your consents for you. You may retrieve them by going into each person’s Gives a listing of all documents that have been placed “on hold” for later signature. Documents placed on hold remain here for 90 days (unless the facility changes the length that they will be held for.) You may have ANYONE build your consents for you. You may retrieve them by going into each person’s

    70. 70 Practical Applications of iMed Package Basic Hardware and software navigation Intermediate Favorites Combining Consents and Crossing Specialties Picture Gallery Education Advanced Content Requests Packages Other Assistance an iMed Coordinator Can Provide Other Available Training After that general review of the consenting process, we will present the practical application of the iMedConsent package. This will be divided into three parts.-- The introduction will consist of hardware implementation and basic software navigation for the beginner. We'll than advance to an intermediate level of more sophisticated options to streamline repetitive consents process for you. Finally for the advanced provider we will display some techniques for more complicated consents that involve procedures that cross different specialties. After that general review of the consenting process, we will present the practical application of the iMedConsent package. This will be divided into three parts.-- The introduction will consist of hardware implementation and basic software navigation for the beginner. We'll than advance to an intermediate level of more sophisticated options to streamline repetitive consents process for you. Finally for the advanced provider we will display some techniques for more complicated consents that involve procedures that cross different specialties.

    71. Favorites

    72. Favorites

    73. 73 Using Edit Favorites Button While in the “favorites” option, you may “edit your favorites” by clicking on the button at the top right. Documents may be added by Specialty and type...(e.g., consent, education, patient instructions, etc.) While in the “favorites” option, you may “edit your favorites” by clicking on the button at the top right. Documents may be added by Specialty and type...(e.g., consent, education, patient instructions, etc.)

    74. 74 Automatically Add Favorites

    75. 75 LIMITATIONS Cannot combine procedures from two specialties into one consent form Ex. Procedure from General Surgery + Procedure from Interventional Radiology iMedConsent Coordinator can fix this...just ask Coordinator can add the procedure to your specialty Cannot pick consents from more than 1 specialty at a time One idea we had – create a new specialty called Common Combined Procedures and put two consents together ourselves Dr. Aggarwal demonstrated how you can pick two consents from the same speciality, but you cannot do the same choosing consents from two different specialties Ex. Want to use a consent from general surgery and one from interventional radiology for the procedure you are going to do – now you have to do two separate consents This has been requested of dialog medicalCannot pick consents from more than 1 specialty at a time One idea we had – create a new specialty called Common Combined Procedures and put two consents together ourselves Dr. Aggarwal demonstrated how you can pick two consents from the same speciality, but you cannot do the same choosing consents from two different specialties Ex. Want to use a consent from general surgery and one from interventional radiology for the procedure you are going to do – now you have to do two separate consents This has been requested of dialog medical

    76. 76 Combining Consents and Crossing Specialties

    77. 77 Example of Combining Procedures from Two Specialties

    78. 78 Example of Combining Procedures from Two Specialties

    79. 79 Example of Combining Procedures from Two Specialties

    80. Picture Gallery

    81. Gallery

    82. Gallery-Samples of Knee Views

    83. Selected Image for Formatting

    84. Customizing the Image

    85. Create Document for Patient

    86. Gallery-Document Ready for Printing

    87. Education

    88. 88 Patient Education Materials

    89. 89 Education-Provider Editing is Not Possible

    90. 90 Limitations of Education Cannot choose two education documents & save to Chart/Print – have to do them separately Ex. Document on the surgery + on the anesthesia Level of patient’s understanding

    91. 91 Limitations Continued Other software may be available at each VA site. MD Consult Micromedex Krames On Demand

    92. 92 Practical Applications of iMed Package Basic Hardware and software navigation Intermediate Favorites Combining Consents and Crossing Specialties Picture Gallery Education Advanced Content Requests Packages Other Assistance an iMed Coordinator Can Provide Other Available Training After that general review of the consenting process, we will present the practical application of the iMedConsent package. This will be divided into three parts.-- The introduction will consist of hardware implementation and basic software navigation for the beginner. We'll than advance to an intermediate level of more sophisticated options to streamline repetitive consents process for you. Finally for the advanced provider we will display some techniques for more complicated consents that involve procedures that cross different specialties. After that general review of the consenting process, we will present the practical application of the iMedConsent package. This will be divided into three parts.-- The introduction will consist of hardware implementation and basic software navigation for the beginner. We'll than advance to an intermediate level of more sophisticated options to streamline repetitive consents process for you. Finally for the advanced provider we will display some techniques for more complicated consents that involve procedures that cross different specialties.

    93. Advanced Team Level Service Level Facility Level

    94. Content Requests

    95. Identifying a Need Medical staff member cannot find a consent or form that meets their needs iMed Coordinator can research the request for preexisting documents that might fit the need

    96. 96 Content Request Research iMed Coordinator may be able to find form by researching other specialties Coordinator has access to forms from other facilities

    97. Content Requests iMed Coordinator should be involved Validates and tracks the request Creates a temporary local form if necessary. Provider to act as contact for questions for wording or procedural information.  Any provider with access to iMedConsent can enter a Content Request via the Content Request Link.

    98. Content Request

    99. Why Can’t I See the Content Request Link? Screen resolution set too low Window not maximized

    100. 100 Resolution Set to 800 x 600

    101. 101 Resolution Reset to 1024 x 768

    102. 102 Window Not Maximized

    103. 103 Window Maximized

    104. 104

    105. An Example of a Recent Request for a Consent An e-mail was received from a provider in Otolaryngology (ENT) asking for the following consents:  Esophageal Dilation Laryngeal/Tracheal Dilation

    106. Consents Were Researched by iMed Coordinator The Esophageal Dilation consent was found and added to the Otolaryngology specialty No Laryngeal/Tracheal Dilation consent was found.

    107. Provider’s Response to Research The provider filled out the standard questionnaire giving additional information on the procedure “Laryngeal/Tracheal Dilation”. A local consent was created for provider review.

    108. Approval Process and Release for Use New local form presented to CPRS committee Committee approved with inclusion of lay terms (Voice box/Windpipe Widening).  Consent was added to the Otolaryngology Specialty and is also located in the “Local Forms” folder.  New Consent forwarded to vendor for review and possible inclusion in the National Database Not sure we need this slide for providersNot sure we need this slide for providers

    109. Packages

    110. 110 Package Details Can be created by specialty or location or another term. Provides a compact list of documents most often used. Procedure packages good for continuity of care, especially in teaching facilities. Remember, even an administrative person can build the consent and place it on hold for the provider to go over later with the patient. If you have a “package” for a procedure or very specialized area, even clerks can build your consents and place them on hold for easy retrieval later on. Char will go more about the use of package functionality when we talk about how to use it for education and improved staff participationRemember, even an administrative person can build the consent and place it on hold for the provider to go over later with the patient. If you have a “package” for a procedure or very specialized area, even clerks can build your consents and place them on hold for easy retrieval later on. Char will go more about the use of package functionality when we talk about how to use it for education and improved staff participation

    111. 111

    112. Packages

    113. Special Editing an iMed Coordinator Can Perform

    114. 114 What Your iMed Coordinator Can Do For You Not sure we need this for providersNot sure we need this for providers

    115. 115 What Your iMed Coordinator Can Do For You

    116. 116 What Your iMed Coordinator May NOT Be Able To Do For You

    117. On-Line LMS Training for iMedConsent Users

    118. Log-in to LMS

    119. Find the iMedConsent Training Modules

    120. Select Appropriate Course

    121. Opening Slide

    122. Overview of iMed End User Course Topics Introduction Lesson 1: Introduction About iMedConsent™ Launching iMedConsent™ Main Screen Adding Favorites Consent Forms Lesson 2: Introduction Step–by–Step Method Basic Method Spanish Language

    123. 123 QUESTIONS?

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