2016 TSI Rheumatology Content Overview 2016 Rheumatology Enhancements for KBM 8.3.8 & above
Last Updated 11/6/2015
*Intake-‐RHE
• 2016 enhancements include: o New section for “quick add” DEXA results o New section for “quick add” TB Test results (including PPD, Quantiferon Gold, and T-‐SPOT TB)
*Histories-‐RHE
• 2016 enhancements include: o Ability to document History Review status directly from *Histories-‐RHE template (no longer have
to click on Histories Review popup) o Surgical History grid has been re-‐labeled as “Surgical/Treatment History”
• NEW template for 2016 o Launched from RHE ScoreCard o Allows user to document ASAS, calculate score, and graph results on the RHE ScoreCard o Score will display in Chart Note if completed on current visit
BASMI
• NEW template for 2016 o Launched from RHE ScoreCard o Allows user to document BASMI, calculate score, and graph results on the RHE ScoreCard o Score will display in Chart Note if completed on current visit
• NEW template for 2016 o Launched from RHE ScoreCard o Allows user to document SDAI, calculate score, and graph results on the RHE ScoreCard o Tender/Swollen values are shared with the Joint Exam template(s) o Score will display in Chart Note if completed on current visit
• NEW template for 2016 o Launched from RHE ScoreCard o Allows user to document FIQR, calculate score, and graph results on the RHE ScoreCard o Score will display in Chart Note if completed on current visit
• NEW template for 2016 o Allows for direct visual comparison of patient drug treatment alongside disease scores such as
the RAPID3, DAS28, etc. o Launched from *SOAP-‐TSI template. o Display up to 10 drug treatments per patient at a time (past and present biologics). o Drug display options are configurable per practice.
NOTE: Practice must be on NextGen Version 5.8.1 or higher to utilize this template.
• 2016 enhancements include: o Ability to document medication start and stop reasons o Launch the Treatment Flowsheet template from links on *Intake-‐RHE (Medications panel) or
*SOAP-‐TSI (Medications/Allergies and Assessment/Plan panels)
Patient Problem Template
• 2016 enhancements include: o Can now modify the problem description of a previously documented problem directly from the
Patient Problem template (no longer need to go to the Problems Module)
o Ability to copy forward all data elements from last visit with ONE click
o New Configuration options include:
§ Ability to disable specific elements from being copied forward (i.e. HPI, ROS, Physical Exam, Assessment & Plan, Dictation) on a practice level.
§ Ability to disable “Copy Entire Encounter” feature on a practice level. § These settings can be configured on *TSI for Rheumatology – Configuration practice
• 2016 enhancements include: o Expanded exam documentation for Cardiovascular system (heart sounds) o Expanded exam documentation for Extremities (cyanosis and clubbing)
• 2016 enhancements include: o New Joint Exam options: 42, 44, 76 (previously all), and Individual. o New template layout for easier viewing of Joint Exam findings. o New field for Joint Exam Comments which will upload to the Physical Exam summary grid. o Updated Homunculus Man images. o Joint Exam & Musculoskeletal Exam Linking:
§ Documenting a joint as non-‐tender and non-‐swollen will no longer mark it as “normal” on the Musculoskeletal Physical Exam.
§ Documenting a body part as “normal” on the Musculoskeletal Exam will still mark it as non-‐tender and non-‐swollen on the Joint Exam (unless this setting is disabled on the TSI for Rheumatology -‐ Configuration template).
o Selecting the "Individual" joint exam will suppress the "all joints normal" statement and instead list each of the individual joint(s) that are marked as non-‐tender, non-‐swollen, or both in the Normal Joint summary field.
o New configuration options: § Clients can now set default joint exam to 28, 42, 44, 76 or Individual on a practice level. § Clients can now choose to unlink Musculoskeletal Physical Exam normal findings from
the Joint Exam template(s). § These settings can be configured on *TSI for Rheumatology – Configuration practice
• 2016 enhancements include: o Assessment checkboxes updated with ICD10 codes o Today’s Assessment list re-‐formatted as a grid o New links added for SubQ/IM Injection and Patient Education
Lab Orders
• Enhancements for 2016: o Can now view patient’s primary and secondary insurance directly from the Lab Order template
• 2016 enhancements include: o New checkbox for “Internal Referral” for Meaningful Use compliance
§ Referrals to internal Physicial Therapists do not count towards the Meaningful Use requirement for Health Information Exchange. To prevent internal PT orders from negatively affecting your MU reports, staff should check the internal referral checkbox in situations where the patient is referred to an internal PT with access to the patients EHR record.
o New checkbox for “Continuity of Care Record Sent”**
**Please note: CCD/CCR’s cannot be sent electronically from the PT Order Template. To send the patient record electronically via Direct messaging the staff has two options:
• Option 1. Document the PT Order on this template, then navigate to the Medical Summary Utility to send the record electronically.
• Option 2. Use this template only to document internal PT referrals or referrals to PT’s that do not have direct messaging. Use the referral order template to document referrals to PT’s that have direct messaging.
• New configuration options for 2016: o Ability to configure alerts for specific drug orders (alerts will display to the user at the time of
ordering). o Ability to setup default Other Medications (pre-‐meds) with specific drug orders. o Ability to specify a unit of measurement other than “mg” for drug orders where free-‐text dosage
is used. (Previously, the free-‐text default was mg and the user could not change it.) o These settings can be configured on *TSI for Rheumatology – Configuration practice template.
*Infusions – RHE
• 2016 enhancements include: o Enlarged Infusion Orders grid for easier viewing.
o “Pre Infusion Screening” text will now change color if data has been entered.
o Billing:
§ Billing data will now auto-‐populate based on documented infusion drugs and infusion time.
§ Submit charges to EPM with one click (Submit button).
• NEW NextPen Form for 2016 o Allows patient to complete BASDAI questionnaire with the NextPen o Results populate into the BASDAI and RHE ScoreCard templates
• NEW NextPen Form for 2016 o Allows patient to complete FIQR questionnaire with the NextPen o Results populate into the FIQR and RHE ScoreCard templates
