One of our doctors is working with this attestation report and encountered the following issues:
1. The report is not counting any of our medication reconciliations that were performed, even though the box was checked in patient encounter.
2. The report is not counting any of the transfers of care that were performed, even though the box was checked in patient encounter and the referral box checked in transactions.
Would anyone have an insight?
Thank you in advance for any help that you can provide.
Thanks, Brady.
4.1.1.9 running on Server 2003 R2 x64.
The other calculations are present, although as yet unverified.
Until last week, we we using the free Allscripts ePrescribe externally and manually checking the box in OpenEMR.
Since last week, we’ve installed NewCrop, and it appears those numbers are not being picked up.
The doctor had one additional question: Our front office always performs calls for patient reminders, yet we could not find a way to document this in OpenEMR, other than setting a calendar status to “Reminder Done”. Changing that status does not seem to trigger any mechanism to record hat the reminder was sent. How does one trigger OpenEMR to report that reminders were sent? Is there a way to retroactively add this information into OpenEMR to be reflected in the reports?
(I am assuming Server 2003 means Windows; let me know if wrong)
Was the AMC calculation working for the previous Allscripts use, though? (I ask this because this uses the same type of mechanism as the reconciliation calculation mechanism)
Also, to clarify, can you give the rule titles in the AMC reports that aren’t working.
Towards the rxnorm issue, note this issue was fixed in the patch, so it should be working for you since you are using patch 9 (from your above version). Still curious if it worked for allscripts previously, though.
The reminder calculation is tied into the Patient Reminders module, which is part of the CDR engine itself. Check out the CDR engine manual to get a feel for these parts: http://www.open-emr.org/wiki/index.php/CDR_User_Manual
(as I recall it counts if one of these reminders was sent to the patient)
A practical adaptation to this calculation could utilize the Reminder Done status in the calender with very minimal coding work in the AMC calculation scripts(and would be retroactive). The problem I foresee with this, though, is not knowing the exact date the Reminder Done was accomplished since this is not recorded. An ideal way to record exact dates of the reminder would be to:
1. When a Reminder Done is completed an entry gets sent to the amc_misc_data
2. Incorporate this entry in amc_mist_data in the AMC calculation
3. To get it retrospective would require a sql query that does the above (note you will not get exact dates here, but will at least get something for your reporting and then all future reminder dates will be accurate)
If you do this or sponsor it, this would be a very useful feature in the official OpenEMR codebase, so please contribute it, if possible.
Other valid option (and likely better) rather than utilizing amc_misc_data would be to:
1. place another column or two in the openemr_postcalendar_events to identify if this reminder was given and the date (just one with the date should suffice)
2. even better, create another database table using vertical architecture that had an entry placed (with a timestamp) every time the status calendar is changed. This would then allow you to record exact dates of Reminder Done status for you use. And then with the minimal additional work opens the door for users to being tracking visit statistics in very high detail.