QUICK TEXT BUILDER: THE SIMPLE SOLUTION

Geoffrey Gill, M.D., FACOG

Laura Brous, RN EMR Clinic Coordinator

QUICK TEXT BUILDER WHO IS OREGON MEDICAL GROUP (OMG)

Oregon Medical Group is a primary care based multi-specialty group formed in 1988 with more than 100 physicians and 13 neighborhood clinics through out the Eugene and Springfield area.

Oregon Medical Group offers specialty services in: Allergy Audiology Dermatology Gastroenterology Lab services Obstetrics Gynecology Otolaryngology Physical therapy Radiology Imaging services

QUICK TEXT BUILDER ROLL OUT OF CENTRICITY TO OMG

Largest Multi-Specialty group to adapt CPS

CCC’s Lacking

Failing as a group

QUICK TEXT BUILDER INTRODUCTION TO DR. GILL

No formal computer programming skills

Group lacking resources

Started with the Help Tab

Quickly developed several commands to improve efficiency

QUICK TEXT BUILDER HOW TO CREATE QUICK TEXT

QUICK TEXT BUILDER INTRODUCTION INTO CENTRICITY

QUICK TEXT BUILDER TRIED TO TEACH OTHERS

Attempted to teach classes

QUICK TEXT BUILDER WHY CREATE IT

Information overload—Providers not interested

How to help? How to ease the foreign language panic?

QUICK TEXT BUILDER WHAT’S MOST FRUSTRATING ABOUT CREATING QUICK TEXT

Missing punctuation

Missed syntax

Extra spaces

# of clicks to even get to Quick Text interface

Size of entry box

Inability to search for ICD-9 codes

QUICK TEXT BUILDER WHAT COMMANDS ARE AVAILABLE WITH QUICK TEXT

For the Quick Text builder, we focused on adding orders and problems

{MEL_ADD_ORDER('T','Lab','VITAMIN D 25 HYDROXY','','ICD-268.9','Vitamin D deficiency')''}

We are currently using Quick Text to:

Text Replacement

Add an order – with or without a linked diagnosis

Add a Problem – with or without an end date

Send a flag

Add recent lab results

And more…

QUICK TEXT BUILDER WHAT INFORMATION DO YOU NEED

QUICK TEXT BUILDER WHAT INFORMATION DO YOU NEED

QUICK TEXT BUILDER WHAT INFORMATION DO YOU NEED

QUICK TEXT BUILDER WHAT INFORMATION DO YOU NEED

QUICK TEXT BUILDER SIMPLE FORMULA WITHIN EXCEL

Concatenate: To link together; unite in a series or chain

{MEL_ADD_ORDER(‘T','Lab','VITAMIN D 25 HYDROXY','','ICD-

268.9','Vitamin D deficiency')''}

{MEL_ADD_ORDER(‘T','Lab',’VITAMIN D 25 HYDROXY','','ICD-268.9',’Vitamin D deficiency')''}

{MEL_ADD_ORDER(‘T','Lab','VITAMIN D 25 HYDROXY','','ICD-

268.9','Vitamin D deficiency')''}

Benefits

User does not need to know how to “code”

Only need several bits of data to complete

QUICK TEXT BUILDER COMPARISON

QUICK TEXT BUILDER COMPARISON

QUICK TEXT BUILDER TIME SAVED

Total Time Saved: 4 minutes, 15

seconds

QUICK TEXT BUILDER EXAMPLE OF QUICK TEXT BUILDER

QUICK TEXT BUILDER ADVANTAGES

1. Can see Quick Text in ONE location, decreases possibility of grammar/punctuation errors

2. Ability to navigate between tool and Centricity to look up descriptions, ICD codes, service codes, etc.

3. Allows for streamline Quick Text production

6. Allows creation of multiple Quick Text at one time without using Centricity interface other than importation

5. Eliminates syntax errors for missed punctuation

4. Multi-functionality (Orders, Problems, End Dates, etc.)

QUICK TEXT BUILDER ADVANTAGES

Create multiple at one time

QUICK TEXT BUILDER DEMONSTRATION

QUICK TEXT BUILDER QUICK TEXT CODE

.acutedysuria

Adequate hydration encouraged. Worsening signs and symptoms of UTI

discussed with patient. Will follow up based on culture results.

{MEL_ADD_PROBLEM('DX OF','Dysuria','ICD-

788.1',str(._todaysdate),ADDDATES(str(._todaysdate),'','','3'))''}{MEL_ADD

_ORDER('T','Lab','UA W/MICRO; CULTURE IF','','ICD-

788.1','Dysuria')''}{MEL_ADD_MEDICATION('Cipro 250 mg Tabs','Take

one tablet by mouth every 12 hours for 3 days',str(._todaysdate),

4617,ADDDATES(str(._todaysdate),'0','0','30'),6,0,'N')}

.iudsurv

IUD strings visualized on exam. Self string checks reviewed. Bleeding

and infection precautions reviewed. Lifespan of IUD reviewed with patient

as well. {MEL_ADD_ORDER('S','Professional Services','99212 Est Patient

Level II','','ICD-V25.42','IUD Surveillance')''} {MEL_ADD_PROBLEM('DX

OF','IUD Surveillance','ICD-

V25.42',str(._todaysdate),ADDDATES(str(._todaysdate),'','','3'))''}

QUICK TEXT BUILDER SUMMARY

It’s not as hard as it seems!

Concatenation is your friend

Happy to share

Make Centricity work for you not against you

Use all the available tools that Centricity has to offer

QUICK TEXT BUILDER TIPS

Read HELP and learn the possibilities

Develop a builder for the most common items that will increase efficiency

Lock cells to eliminate staff making changes where they shouldn’t

Only need “” if skipping an argument otherwise end function with curly bracket

Add in “” after ) and before } to eliminate error code in text

Cut and Paste from the document

Develop Global Quick Text naming guidelines

Include the following:

The function of the quick text

An abbreviation for the diagnosis, order, etc.

Diagnosis code associated (all digits- do not include .)

QUICK TEXT BUILDER QUESTIONS