Enhancing AHLTA for Improved Healthcare: User Features and Workflow Innovations

1. AHLTA Build 3.3 Effective Use of Coming AHLTA Improvements to Improve Healthcare MAJ Jacob Aaronson, DO OTSG, Office of the CIO 13 March 2007

2. Select User Enhancements • General • New look and feel • Alerts Overhaul • Health History • Tasking • Performance • New Results Redesign • Template Management • TelCon Redesign • General enhancements (Problem List, Vitals, SO, AP, Disposition) • Automated coding • OB Summary/documentation • Automated CPGs • End user workflow • Registry/patient views • Registry Management

3. General • New look and feel • More current Windows-like look and feel and general functionality • Alerts Overhaul • Alerts Vs. notifications • Alerts detailed - more descriptive • Health History • Hide-expand tab – always available • Tasking • “User” Performance • Health history preloaded / asynchronous

4. How many Critical Results

8. New Results Redesign • Integrated view • Improved business rules and nomenclature • Less “clicks” • Undo remove

9. Integrated view

10. Nomenclature Space Bar to sign/remove

12. Template Management • More comprehensive • Able to manage SO template development outside encounter • I Prompt and Dx Pompt available for rapid template development • Ability to link templates • Link to enterprise templates for consistent standard of documentation

14. TelCon Redesign • Integrated view • Improved workflow

15. Integrated View

17. Problem List • More views (Surgical, Social, other PMHx) • Access to full Medcin to populate • Ability to separate (and maintain) comments from A/P

20. AP Module Problem List Comments

21. Vitals • Adult Vs. Pediatric Vs. Obstetric • Combined Vitals/Screening (AIM form) in combined build 3.4 + 3.5

25. S/O Documentation • Default template • Enhanced user options/defaults • More autocite options • Auto ROS – HPI conversion of Medcin terms • Dx Prompt merge • E&M defaults (Setting, Same Type, Exam Type) • Sensitive encounter • “Right (fewer) click” options • Medcin term prefixes • Add terms to default template on the fly

36. A/P • Integrated views • Diagnosis / order sets

39. Automated Coding • Pulse Ox and Peak Flow (Vital Signs module) automatically populate the appropriate procedure term (and associated CPT code) in A/P module; • Vital Signs included in the E&M Calculation (i.e. physical exam and history elements); • AutoCited Problem List and Family History information included in E&M Calculation; • Diagnoses and Orders info included in the Medical Decision Making (MDM) component • Default the “Service Type” of the E&M Calculator to “Outpatient Consult” for appointments that are associated with a consult order • Default the assigning of New or Established patient status for E&M calculator based upon appointment data. • Simplification of method by which a provider may override the MDM component of the E&M calculation.. • Coding information resource links

43. OB Summary / Documentation • Updated OB Summary dashboard • OB specific data collection in Vitals Module • Improved EDD calculation and business rules • Pre-pregnancy weight and risk status • Improved G tpal • Enhanced AlM Form • Enhancement of patient registries for OB –centric view

47. aCPGs / Patient Registries • Registries / customizable patient lists • Registry setup (authorized users)