Question and Answer Session - PowerPoint Presentation

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Question and Answer Session

November 7,2019

Dr. Samuel Eng

Question: On behalf of Ben Kurth, Camp Lejeune: If you could please automatically check the red x above a text box when you start typing in the section, otherwise, when you go back to click it, it will delete the text. also, if you could make it less cumbersome to copy forward notes…that would be great.Answer: First of all, you really don’t need to check the boxes. The red X indicates whatever you typed is saved in the note when you leave that text space to another. It indicates there is content there and that it is saved. Unfortunately, that is the way AHLTA is set up. People have inadvertently clicked the red X, and that is where you can “undo” your mistake by using the UNDO button above to retrieve your lost content..

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Question

: On behalf of Alaina Sheffield, Fort Bliss, TX: What will this training cover? Will it go over physical therapy type training?

Answer:

This training goes over questions that come in from the field through our website. This training will not go over physical therapy because we do not have a form for physical therapy.

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Question

: On behalf of Amanda Carnes: Can the text fields in AHLTA function more like a word document? For example, not having to use

ctrl+enter

to go to the next line, being able to use

ctrl+z

to undo text (or if you accidentally delete text to be able to add it back in without retyping your whole note), etc.

Answer

: The only way the text field may operate with a return key is to use the Typewriter option where you double click the mouse inside of a text box and the Typewriter appears. There the carriage return is the usual enter or return key. If you are typing within the text field without the type writer option, the carriage return is only done by CTRL Enter. This unfortunately is AHLTA limitations.

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Question

: On behalf of Maria Regina Wicks, Fort Bragg: In the TSWF box current medications: when my patient with 20 meds runs out of room for their list, do we start abbreviating to compress the list shorter, or do we leave out the testing strips and other

prescribable

but not ingested, topically applied,

etc

medications.

Answer

: The extent of polypharmacy has not been discussed as to the best means. You can surely abbreviate. Perhaps using another text field to extend your content in the copy forward field can also be an option. We could put a request for the developer to have an extended or additional box for medications.

-You can also say ‘please see add note for complete note of active medication’, add the additional meds into the add note section

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Question

: On behalf of Joseph

Fitzharris

, Fort Bragg: It seems like 90% of the time that I’d like to open encounters to the TSWF Core page after my nurse has taken vitals, etc. But AHLTA doesn’t open to that page, and I end up waiting to navigate there. Could you make it so I could set a default page to open when I follow my nurse? Also, for Procedures, could you have the Favorite Procedures open right away, instead of my having to click on it to open?

Answer

: If you make one of our forms a default (not saved with ‘Department of Defense’ after the form name) it will not receive updates.

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Question

: On behalf of Julie Matthews, Fort Hood: Can you add “kinesthetic” or “hands on” to the preferred method of learning options?

Can you add verbiage “service member aware how to obtain advanced directives” or “information provided to service member” beside the question Do you have advanced directives for when they answer “No”?

Answer

: Where would you want this?

Please make this as a request (on our website) and a COA will be made for review of the change Once accepted by the CMSWG the changes will be placed on Enterprise

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Question

: On behalf of Mark Wirtz, FBCH: Updating Procedure Forms:

– Any thoughts to updating the common procedures as part of the TSWF Procedures

– Replacing betadine with chlorhexidine

– Adding recommended procedure and medication codes to the procedure note for reference

Answer

: Yes, please make this as a request (on our website) and a COA will be made for review of the change Once accepted by the CMSWG the changes will be placed on Enterprise

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Question

: On behalf of Collin

Urbanowicz

, Luke AFB: Sir/ma’am, we (PCMs) could really use a dental section incorporated into the TSFW template, was this ever considered?

Answer

: No unfortunately we cannot do this.

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Question

: On behalf of Rachel Rhodes,

Kunsan

AB: The 4NO and nursing peer reviews include documenting patient identifiers. Could we please have a check box on the core form that states we did that? Also, when using the special flags could we have more options to choose from. I feel it is important to flag

asplenic

patients, MRSA/VRE, Sickle Cell…etc. Typing under BH does not communicate well.

Answer

: Yes, please make this as a request (go to our website). Please give us where you would want this. A COA will be made for review of the change. Once accepted by the CMSWG the changes will be placed on Enterprise.

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Question

: On behalf of Alice Anaya, Fort Bliss: Why are we no longer able to sort medications alphabetically in the A/P section? This is very helpful when you are looking for any medications that are duplicated.

Answer

: We only work in the S/O portion of AHLTA. Please refer to your CST trainer for this question.

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Question

: On behalf of Don Buck, Charleston: Why does it take so long to open up TWSF-Core? It wastes too much time every day. At my previous duty station, we simply made a Word document of each encounter, then scanned it into Add Notes– circumventing the TWSF bottleneck. Heaven forbid you go finish the

S/O section, go to the A/P section, and need to return to the S/O section…more wasted time.

Answer

: NEED TO CONTACT CSTs regarding latency issues but also if there are quite a few favorites loaded in the Favorites box it will also preclude rapid loading

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Question

: On behalf of Brandi Williams, Little Rock: Why is the save button next to the delete button in AHLTA?

And why is there no prompt to ask if you are sure you want to delete? There is a prompt that asks if you are sure you want to exit…

Where is this button?

Answer

:

Unfortunately this is an AHLTA function that we cannot change.

13.

Question

: On behalf of Charles Graves, South Korea: Can you add “and agrees with treatment plan” to the Discussed items in the Disposition? I am being told by my overlords that “Patient indicated understanding” is not sufficient for please-don’t-sue-me purposes.

Answer

: This is not in the S/O portion of AHLTA, therefore we have no control over changing this item. It is out of our realm.