Efficient HHD Encounter Workflow

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There are features built into OneView to enhance your workflow during home hemodialysis encounters. Incorporating some or all of these tools can speed up the time it takes to document an encounter. 

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Find Your Patients When Rounding

When rounding, find your HHD patient(s) through the Dialysis Schedule by clicking Start PD/HHD Rounds from the Home page.

Encounter-Efficiency-HHDRounds.png

Turn on Location Services through your browser for OneView to automatically select the dialysis center based on your physical location.

Start an Encounter

When rounding, start an HHD encounter note through the Dialysis Schedule. This opens the patient chart and encounter note.

Encounter-Efficiency-HHD-StartEncounter.png

Pro Tip: Click the View Previous Month toggle for the current and prior month's encounters.

To learn more about the Dialysis Schedule, reference this article.

Documenting an Encounter

There are several features within the HHD encounter note and patient chart that will speed up the time it takes to review and document patient information while still allowing you to create an accurate record.

Snippets

Snippets allow you to store common phrases and then pull them into any note. Type the text into the Comments box and then click the icon to save it to your Snippets list. In a future note, click the Select Snippet icon to pull in the text you previously saved.

Save Snippet Select Snippet
Encounter-Efficiency-Snippet-Save.png Encounter-Efficiency-Snippet-Select.png

To learn more about Snippets, reference this article.

Scroll To

Click Scroll To next to the care category title and you'll be taken to that section of the chart under Clinical Details to view relevant data while still in the note.

Encounter-ScrollTo.gif

To learn how to configure OneView to auto-scroll to the care category when you navigate to a new one in the encounter note (without selecting Scroll To), reference this article.

Copy In

Click the COPY IN button from the left-side of the chart to pull a previous comment into your current note. This will scroll to and activate the Reviewed toggle.

Encounter-CopyIn.gif

After the comment is copied, the provider's name and date of encounter for which the comment was copied will display below the comment box.

Please note

The COPY IN functionality should only be used when the included wording accurately reflects and represents the care and observations from that specific patient visit and should not be inserted into any patient record without careful review. All copied text must be thoroughly evaluated for appropriateness to the specific encounter.

To learn more about the Copy In feature, reference this article.

Reviewed

If you do not have additional comments but reviewed a care category, click the Reviewed toggle to mark the section as reviewed.

Encounter-Efficiency-Reviewed.png

The Reviewed toggle will automatically be enabled, if pertinent lab values are addressed by clicking the pill buttons or notes are typed in the Comments box. 

When the Reviewed toggle is on, additional information will be under the note header stating, “Clinical assessment at goal unless otherwise documented", clarifying the document by exception intent of the note.

Additional Tips for HHD Encounters

  • Use the Past History fields for long-standing data you’d like in every note.
  • Use the Patient Status field to pull forward the last HHD or PD Rx (and any justification) into the current note for editing and review.
  • Use each Care Category comment box (with Snippets and/or Copy In) to review and iterate complex plans, encounter to encounter.
  • Become familiar with the PDF files in Clinical Summary section of the chart – learn how the Reviewed toggle impacts a note, how the Comments from the Care Categories compile to a unified Plan of Care, and how other sections of the note appear when finalized.

Content on this site is for informational purposes only and does not represent actual patient data.

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