We have the following situation that does not appear to be supported, but perhaps I’m missing some deep ACL setup possibilities:
Role 1:
Med Tech - can only enter New Encounter/Chief Compliant and Vitals. Should not have even read access to the rest of the medical forms (SOAP2, ROS, etc)
Role 2: Nurse - can enter/edit selected forms included MTech stuff, like ROS and Nurse Evaluation but NOT SOAP. Does not have a calendar and cannot see authorizations for anyone.
Role 3: Nurse Prac - Must have a calendar for schedule appts and can enter/edit all medical form types. The NP encounters must be reviewed and authorized by the Supervising Physician
Role 4: Supervising Physician: This person is not onsite and needs to see and review and authorize ALL encounters. They do not have an appt calendar entry and are, therefore not ‘Authorized’ by have a “See Authorizations” setting of ‘ALL’
The key problem seems to be if the NP has to have a appt calendar then their encounter will not list when the Physician logs in.
I agree that the categories are a little too “MD centric”, and do not deal sufficiently with the real needs. My wife, an NP in private practice, insisted on deleting all references to “Physician”, as SHE is a non-physician clinician, but needs the access granted Administrators. EXCEPT that she has no computer skills, and does some VERY stupid stuff sometimes. For her own protection, I created “Super NP” as a class, with all rights except ACL control, which I alone retain. Her biller needs to review Encounters to perform proper billing, so I made her a clinician, but that is not the ideal solution.
I think an expansion of the ACL definitions would be in order, but I simply have not had the time to make it a priority (to say little of the skills).