tdsheppard77 wrote on Thursday, August 14, 2014:
I’m looking for an open source solution for a nonmedical home healthcare agency. Would OpenEMR work for that type of provider?
mdsupport wrote on Thursday, August 14, 2014:
You can try running different activities. This forum will provide great suggestions if you ask help if you run into any problem.
blankev wrote on Thursday, August 14, 2014:
Also activate Weight Clinic option. Nurses discharge form. For use in a student setting it is a good learning tool for logic thinking and medical understanding of digital possibilities.
Make your own Forms to use with LBV-Forms or find some forms ready to implement in the Contribution folder. Also the option of Urgent normal etc can be used.
You can implement your own Code systems. What else did you think of?
In-clinic and out-clinic can be used for registration options.
fsgl wrote on Thursday, August 14, 2014:
Home health agencies in the U.S., which bill Medicare Part A, would not be able to use OpenEMR for billing because the Billing Module does not handle UB-04 nor 837I.
Terry Hill, a forum member and developer, is working on that project. He is making good progress. See this post.
If we are not talking about the U.S., the application can be adapted for the needs of the user.
tonv wrote on Friday, October 10, 2014:
Hi
I am trying to do the same thing: develop an OpenEMR system that can be used for home care. It is not in US so does not have to have all the billing/ insurance etc.
I do want to be able to see nursing plans, and guide the nurses through the care planning.
My main problem is:
Many of the nursing problems come back in various diseases. E.g pressure ulcers, or incontinence: they can be seen with many different illnesses.
So: Do I write separate forms for all these illnesses (one form for stroke, one for recovery of a knee operation ….etc) and include pressure ulcers in all of them or do we write a separate ulcer form. (which would be easier to query for QI/QA purposes i guess)
If the latter, I can imagine separate forms for each and every nursing diagnosis. So for example a separate form for decreased self care and for inadequate nutrition and for urinary incontinence etc. In essence simplified versions of the NANDA nursing diagnosis criteria…. But does that work in OpenEMR??
And is it possible to then have an overarching, higher level form that points from the disease (e.g stroke) to a number of potential nursing diagnoses which each have their own forms (eg malnutrition, ulcers, decreased self care etc) and opens them automatically?
TonV (a noob)
blankev wrote on Friday, October 10, 2014:
First step is:
Make a choice between automatism, CAMOS, or more or less free text inclusions.
CAMOS can be made as extensive as needed but it is less flexible and the text is a multiple choice stepwise cioce option. Once understood you can do almost everything in CAMOS.
The FORMS way to go is flexible, but you need to discover the steps you want to register. In the LATEST Developer version of OPENEMR there are great additions not found in the V4.2 with patches, like graphing and making Forms in a fly with OpenOffice.
Once you are within the proces of where to go, CAMOS — or — SOAP with Issues and treatments and results please continue to ask and many responses will follow.
fsgl wrote on Friday, October 10, 2014:
The choice of which form depends on the frequency of use of the care plan or the diagnosis model.
If the former is required more frequently, CAMOS is a good avenue to explore. A template can be created & additional notes can be added to a particular form. Search is quite easy in CAMOS.
If it’s the latter, NationNote would be a good candidate; if the user is not adept at typing. Cataloging would be more cumbersome because it consists of a drop down menu in the Encounter form as a new tab, Layout Based.
It also comes down to ease of use. Have a typical user “test drive” either group of forms & the answer should be apparent.
tonv wrote on Saturday, October 11, 2014:
thank you both!
I am working with nurses that do not have a high level of schooling or independence and i want to guide them as much as possible.
if i understand CAMOS correctly, the final result is a text file. Can the final output of CAMOS also be used to trigger for example the opening of other forms? e.g
category: stroke
subcategory: skin integrity
item: client already has ulcers
response: popup a separate form in which ulcers can be graded and scored including the planned care
item: client has no ulcer
response: pop up form with Braden scale to assess ulcer risk
can nation notes do that?
or do i need to go to another sort of forms?
thanks again for helping!
TonV
blankev wrote on Saturday, October 11, 2014:
For consistency in text input go for CAMOS.
For more freedom in text go for every other FORM-availability.
One is not excluding the other, but in first instance and for non-computer freaks it might be confusing.
More than three languages spoken or difficulty for handling written text, go for CAMOS (Choose, Click, Choose Click, … etc, print/view) For first time users almost no room for mistakes, but least flexible if options available are not explained in depth.
Don’t forget to explore the CONTRIB => FORM directory, you might find just what you are looking for, with or without minor changes.
The PAIN Graphic FORM might give you the evaluation options for ULCERS and chances of getting ulcers (it takes some steps to include the Images for your setting, but can be done).
Vitals now including many options, more than just heartbeats, blood-pressure, temp, and breathing can also be used for graphing in time.
Example: If you don’t use head circumference (in Vitals) the label can be changed into ULCER size through languages, as long as you use the same measurements there should be no harm done.
I know there has been some discussions on the Braden scale, but I can’t remember if these resulted in inclusion in OPENEMR, but linear comparison (for Braden) in some kind of graphic layout is definitely not in place in the OPENEMR demos or versions available, as is…, it might need some tweaking.
In your setting the AGENDA might be the option for reminders of care and evaluations.
Issues and Encounter registration the place for follow-up and consistency in care.
tonv wrote on Saturday, October 11, 2014:
Dank je Pieter!
That should keep me busy for a bit…
TonV
blankev wrote on Saturday, October 11, 2014:
Due to my own setting and only support of non-OpenEMR followers, I had the option to wait for next versions of OpenEMR. And yes indeed each newer version is “more and better” and has so many new options available and need to be learned and understand, that it was worth waiting. I am now waiting for version 4.3.1 to become the standard and not the Development version.
But in your setting it might be nice to just do the opposite. Include the bare necessities and start with a group of dedicated followers. Keep the OpenEMR education lines open.
Than follow with inclusions of Great New Developments, new “old discoveries”. Hippocrates had a great impact on medicine, but was not able to make use of our digital world.
ADVISE one: Keep on experimenting but don’t forget the startup/teaching of the non professional computer users.
Gewoon doorgaan!
People with the amount of brains of a parrot can say OpenEMR (my parrot can, but still hits the wrong button now and than), so your group should also be able to say OpenEMR and learn how to handle this piece of software.