Our mission is to provide Chiropractors with the most reliable, affordable, user friendly, and patient-centered Electronic Health Record software on the market.
Objective: Record and chart changes in the following vital signs:
(A) Height
(B) Weight
(C) Blood pressure
(D) Calculate and display body mass index (BMI)
(E) Plot and display growth charts for children 2-20 years, including BMI
Measure: For more than 50 percent of all unique patients age 2 and over seen by the EP, height, weight, and blood pressure are recorded as structured data. Exclusion: Any EP who either see no patients 2 years or older, or who believes that all three vital signs of height, weight, and blood pressure of their patients have no relevance to their scope of practice. Full Details: PDF
See video below on Vital Signs:
See the slides below for the locations of vital signs in BackChart® COS:
Objective: Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule. Measure: Implement on clinical decision support rule. Exclusion: No exclusion. Full Details: PDF
BackChart® COS has clinical decision support incorporated into the Clinical Work Flow™. The support tool begins when you select the chief complaint. See slide below:
After the chief complaint has been selected, the Diagnostic Imaging tab will appear. See below:
After you have entered in the correct information and click ‘view recommendations’ the clinical decision window will appear. See below:
Objective: Record smoking status for patients 13 years old or older. Measure: More than 50 percent of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data. Exclusion: Any EP who sees no patients 13 years or older. Full Details: PDF
See video below on Smoking Status:
See the slides below for the locations of the smoking status in BackChart® COS:
Objective: Record all of the following demographics:
(A) Preferred language
(B) Gender
(C) Race
(D) Ethnicity
(E) Date of birth
Measure: More than 50 percent of all unique patients seen by the EP have demographics recorded as structured data. Exclusion: No exclusion. Full Details: PDF
See video below on demographics:
Below is a screen shot that shows you the locations of the demographics in the patient info section of BackChart® COS.
Objective: Maintain an up-to-date problem list of current and active diagnoses. Measure: More than 80 percent of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data. Exclusion: No exclusion. Full Details: PDF
See video below on the problem list:
The problem list contains a list of past and present patient diagnoses. It can include both problems that you diagnose, as well as, diagnoses from another provider.
When you enter a diagnosis for the patient’s incident, you are given the opportunity to include that diagnosis in the patient’s problem list.
If you are treating a patient that has no problems or has no active problems, you can record this by checking the box “No Problems”.
If you need to add a problem, for instance if the patient was referred to you and had been previously diagnosed with Hypertension, click the “Add Problem” button.
The first step is to search for the applicable diagnosis code. Click “Search Dx Code” to bring up the search window.
Once you have found the diagnosis you are looking for click on it and click the add button.You can also add additional information about the problem, such as: the date the problem was diagnosed, whether it is an active diagnosis or not, and you can include a note about the problem (If this problem was not diagnosed by your facility, you could include a note regarding who the diagnosing physician was).
Objective: Maintain active medication allergy list. Measure: More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that the patient has no known medication allergies) recorded as structured data. Exclusion: No exclusion. Full Details:PDF
See video below on the medication allergy list:
Chances are, you already ask your patients if they have any known medication allergies, so this requirement, just like the medication list, will simply be a modification of what you do with that information. This is a requirement that office support staff can help with-just make sure you review their work.
The medication allergy list is located on the left side of the patient chart.
If the patient has no known allergies, simply check the box on the upper right that says “No Allergies”. Patients with no known allergies are easy. You are done at this point. However, if the patient does have known allergies, continue on to the next steps.
If the patient does have allergies, click the “Add Allergy” button to begin documenting the allergy.
Begin by clicking “Select Drug” to bring up the medication search.
Begin typing the name of the medication you are looking for. Once you see it in the list, click on its name and click the “Select” button.
To document the reaction, select the appropriate reaction from the Reaction drop down and click the green plus button. You can select multiple reactions using the same process. On this screen you can also document when the patient first learned of their reaction, as well as record any notes that may be pertinent. Click the “Save” button when you have completed documenting the allergy.
The patient’s allergy will now show up in the allergy list. Simply follow the same process to add any other medication allergies the patient has.
Objective: Maintain active medication list. Measure: More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data. Exclusion: No exclusion. Full Details: PDF
See video below on the medication list:
Chances are, you already ask your patients if they are currently taking any medications, so this requirement will simply be a modification of what you do with that information. This is a requirement that office support staff can help with just make sure you review their work.
The Medication List is located on the left side of the patient chart.
If the patient is not currently taking any medications, simply check the “No Medications” box.
If the patient is currently taking medications, click the “Add Medication” button to add the patient’s medications to their Medication List.
To begin documenting the patient’s medications click the “Select Medication” button to bring up the medication search.
Begin typing the medication’s brand name or primary ingredient into the search box. Once you see the medication you are looking for come up, click on its name and click the “Select” button.
Once you have the medication selected, you can include additional information about the patient’s medication, such as who prescribed it, when they started taking it, and any instructions they have been given by the prescriber. Note: a Start Date is required.
Finish entering the remainder of their medications and on subsequent visits, verify that the patient’s Medication List is up to date.
After you have entered in the correct information and click ‘view recommendations’ the clinical decision window will appear. See below:
