Transcript Sophomore AxiUm II Chart Auditing

April 2013
 Advanced
Functions in AxiUm
 Chart Audits
 Some
patients repeatedly reschedule
when confirming & it’s harder to track than
cancellations
Treatment Note must be entered
for every patient visit
 Every
question must be answered in the
medical history
 Changes in medications must be noted
in the medical history
 BP, Pulse in Medical summary page
 Get medical history signed if there are
any changes
 Cannot
schedule patient until released
 Letter scanned into record from
physician
 Oral diagnosis department review
 Can
schedule patients
 Must pay at front window first
1.
2.
3.
Add Notes every patient visit
Get medical history signed by patient
whenever changes are made
Anything blue needs approval
 Students
receive an internal message when
either of these are scanned into one of their
patient’s records
 Contact
Notes- cannot reach patient
 Phone number changed
 Patient won’t schedule
 Anything that does not happen in the
clinic
Contact Notes-Hit the Add New Record button to add the note
 Complete
records are vital part of providing
comprehensive care for the patient
 Medical history- updated and signed
 Record existing restorations, conditions, perio
charting accurately
 Treatment notes at every visit
 Timely entry of complete treatment notes
Cannot change the date of note entry
 Change the planned treatments to complete
Medical History-updated and signed
Medical Hold? Release letter attached?
Approvals by faculty?
Oral exam completed and approved?
Radiographs recorded and readable?
Treatment note for every visit?
Complete notes? Abnormal reactions, anesthesia, etc.?
Is TP being carried out in reasonable time?
If not, are there contact notes to explain why?
 Assigned
patients from your mini-clinic
by your PCC
 Open the patient record in axium
 Complete the survey on paper first
 Open the survey in patient record in
axium
 Complete the electronic survey with
answers recorded on your sheet
 Click
on Tools- top toolbar-
 Survey-
Category- drop down arrow
 Choose
QA2 Chart Audit Form
 Complete
the answers
 Return survey forms to K Hansel by Friday,
April 19th
 Must also be completed in the patient’s chart
by this date
 Patient
Care module- all records in one
place
 Set Date From to 2010- Search