====== Jan 03, 2013 Meeting Minutes @ 7:00pm ====== * In attendance: Jon, Jackson, Zaw, Mike ====== Agenda ====== - Clinic Updates * data export * med access etc * server subscriptions - Software Progress: [[Priority List]] * Scoping * Priorities * labs * billing * MOA features * usability and redesign * bug fixing * Zaw's Notes - [[docs:jon:clinic:emr#general|Testing]] / [[http://bugs.medcloud.ca|Bugs]] * test server, diff then live one - [[docs:jon:clinic:labs|Labs]] / VCUR / PIA * [[docs:jon:clinic:emr#medcloud_documents]] - Hardware / IT / [[docs:jon:clinic:emr:training:start|Training]] - Other Business - Next meeting ====== Minutes ====== ===== clinic updates ===== * medaccess * medaccess test site * uncertain * patient demos * scheduled appointments moved manually * doctors are using 2 EMRs simultaneously in the meantime. * waiting on medaccess * ACTION zaw to take a more active role in making sure the data transfer is proper. Zaw will talk to data analyst. Email IH back with details. * medaccess software has limitations * Scanning was simpler * Tagging is more intuitive with medcloud * Task list is big problem * Intimately linked with docs. Too much clicking. Triples time to get through docs. * get more detail in future * pharmacies will be up and running in 2 weeks in edmonton and calgary * colleen asked to make medcloud read only. * ACTION Jon to reply. * registrations database * currently emails immediately when form is submitted * spreadsheet format on a weekly basis would be more useful * automatic appointment reminder calling * secretary can generate medaccess schedule report * need to convert the data into a format usable by dialer. 2 days work for Zaw ACTION * 4-5 hours per day per clinic if manually calling by staff * ACTION Jon to send Zaw info ===== Updates ===== * Priorities * data transfer * callouts * high level scoping for the entire project * rework & * new features * risks * Zaw: * thought about what needs to be done for the EMR. See notes. * Summary: * users didn't know what to do. Click, double click, wait, etc... * make things more obvious, what you should click etc... * focus on flow of things * redesign chart view? * want to see multiple encounters * Jackson to make a pass. ACTION Then ask IH doctors for opinions. Meet with Zaw. * colleen's list is almost done. * Zaw reproduced the logging off issue. Multi tab related maybe * Jackson: * feedback for merge patients * prototype for add template dialog * {{docs:jon:clinic:templates.jpg?100|}} * showing only doctor in staff list for: * scheduler columns * billing * day calendar in chart view * others? Add appointment? ===== Zaw's notes ===== * general * users aren't aware of web page ui conventions * remove right-clicks/context-menus * remove double-clicks * need context-oriented ui * proper user feedback when waiting for server to respond (change how things are loaded if necessary) * dialog boxes that require more than a yes or no response confuses the user * notes * manager sets who goes on the schedule staff list. by default, nurses/doctors. * there's not enough horizontal space to fit schedules for all doctors. * creating new patient records is not streamlined. * users are confused about where to go to get more information about patient after opening up patient information/demographics dialog. * use cases * find next available time slot for doctor (something other than weekView) * find available time slot in some given month * add patient with only the necessary information * automatically add note on patient to check Health Care Card * view patient's file (that includes everything) * includes: * demographics * previous/next appointment information * notes/alerts * assigned physician (primary care provider) * soap notes (gray out by default. always hide details for MOA) * lab results * prescription (gray out by default. always hide details for MOA) * need to enter in year/month/day easily * add similar (family member) patient * scan/upload/tag a document * uploaded documents go into "uploaded list" * documents in "uploaded list" are sorted by upload*time and grouped by days with proper group labels. * documents should be "tagged", not assigned * selecting a document should display all tagging information and document itself * documents tagged with a doctor automatically show up in doctor's task list * documents retagged with a different doctor need to have the task flagged as "no longer needed" or something similar * send a message * messages are sent to users with specific roles (Nurses, Reception, Administrative) * messaging system is more of a message board or task list (messages can be set as private. messages sent to specific users are automatically private) * view patient chart * need surgical history in addition to social/family/medical history * need to be similar to "Print Patient" feature (data for past visits is at the bottom) * rethink inclusion of dollar amount in billing area * edit soap notes in patient chart * get rid of soap locking/unlocking; replace with edit/save and log all transactions * write prescriptions * rethink the idea of medication list * use check boxes to refill active medications * combine current and deleted medications list * flow * patient calls in to register and book appointments * add patient * (switch to scheduling context) * find/create appointment for patient * family comes in to register and book appointments * add patient (also assign physician) * add patient's husband (also assign physician) * add patient's son (also assign physician) * add patient's daughter (also assign physician) * find/create appointment for patient * find/create appointment for patient's husband * find/create appointment for patient's son * find/create appointment for patient's daughter * nurse writes notes for encounter/appointment * in-place editing * "There are no Nurse Notes for this encounter. Click here to add Nurse Notes." * "There are no Objective Notes for this counter. Click here to add Objective Notes." * doctor writes notes for encounter/appointment * in-place editing * button that says "Add"/"Edit" * "Discard Changes"/"Save Changes" ====== PIA ====== * ACTION Jon to talk to donna ====== Other Business ====== ====== Next Meeting ====== * Thurs, Jan 10, 2012 @ 7pm on skype [[docs:jon:clinic:minutes | << Back to minutes index]]