StarPanel Vanderbilts Electronic Medical Record

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StarPanelVanderbilts Electronic Medical Record
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Screen without a Patients Chart loaded
Pt. search
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Yellow frame
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Red frame
4 frames
Black Menu Bar
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Blue frame
Double-clicking a frame expands it, Another
double-click collapses it
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Gray frame
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Screen with a Patients Chart Loaded
Tabs
Current tab selected
Yellow Menu
All Docs View
Problem List
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Accessing and Using StarNotes From your pt.s
chart, click. then.
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Choose Category
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Choose Template
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The StarNote Template
Dynamic Insertion Column
Click
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Clicking
gives you the following options
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IMPORTANT!!-Please Read

• Templates
• Many providers now use templates. Templates are
  good for helping you to fulfill the documentation
  requirements. The use of templates can sometimes
  result in over documentation of services. When
  selecting the appropriate level of service for
  billing purposes, medical necessity must support
  the level of service billed.
• When the compliance office reviews your
  documentation we often will score the note
  beginning with the medical decision making. If
  the medical decision making is low we would not
  expect to see a level four or a level five visit.
  
• While the use of templates may save you time when
  documenting services, you should not feel
  compelled to document every element of your
  template for every patient. Only document those
  elements that are pertinent to the patient for
  that visit.
• The StarPanel re-use button is to be used with
  caution. The StarPanel re-use button can quickly
  lead to cloned notes. To avoid cloning you
  should carefully edit any re-used documentation.
  VUMC regularly receives record requests from
  patients, third party payers, and Medicare, so
  documentation must accurately reflect services
  performed.
• The use of electronic macros should also be used
  with caution. The automatic population of
  documentation can result in documentation time
  savings, but information must be accurate and
  pertinent to the visit or service. It is not the
  quantity of the documentation that determines the
  level of service. Unnecessary documentation
  wastes the time of other providers who must read
  the note to address the concerns of the patient.
• Lastly, the use of templates and electronic
  macros can result in documentation errors.
  Contradictions within a note can occur when
  templates and electronic macros are used without
  editing. While the compliance office supports
  the use of these tools, we encourage providers to
  only document what is medically indicated for the
  patient and to edit the notes thoughtfully.
• Medicare Bulletin November/December 1999 states
  - Cloned notes or notes that have little or no
  change from day to day and patient to patient.
  These types of notes do not support the medical
  necessity of a visit. More importantly, in some
  cases, they actually may not support that a visit
  occurred. Cloned notes may be construed as an
  attempt to defraud the Medicare Program.
• Signatures
• All StarPanel notes (templates, forms, etc.)
  should be electronically signed within 21 days.
• Office of Compliance Corporate Integrity
• 05/24/05

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Lab Results Lookup
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Next, pick main category. Note Gray background
denotes chosen category.
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Results
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Graphing Lab Results
If you click
You Get
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Fast Labs View
FastLabs Values displayed in a daily format
Hover over values for ref. ranges
Click on values for trends
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10 Steps to Building a Patient Panel
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Expand Pt. Lists menu.
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Click Panels
Click Create a panel
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Name your panel
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Click OK
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Panel Displays Here
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Click on tab
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To add current patient to the panel, click To
Panel
Choose Panel to which you will add the patient,
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Click... to see
Panel View
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Adding Your SignDrafts Worklist
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5 CtrlF
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Adding Your SignDrafts Worklist (contd)
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Click
Click on worklist
You will see this
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Scroll to top and click refresh
Next, click on worklist
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Worklists (contd)
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Click
Your Worklist
StarNote Drafts and Transcribed Dictations will
list under this header
Your Draft
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Editing Your Worklist (optional)
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Filling in the Worklist Fields (optional)
Transcription code here
User ID Here
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Message Baskets
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Start a New Message
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Compose your message and indicate importance
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Click on a basket to send the message, or choose
Abandon to leave the message without sending or
saving
View confirmation when message is sent
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Message Baskets contd
Alert for new messages
Choose Default Basket
Click to see list of baskets in group
Click to view messages
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Message Baskets contd
Click on Date to view message
Leave unchanged if you want the message to go
back in your inbox.
Click to send message back to the sender
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Message Baskets contd
Click to delete entire message, then enter
reason for deletion
Save message to chart
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Message Baskets contd
Attach messages to documents in the chart
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Message Baskets contd
View active messages on open patient
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StarForms
Demographic data can autopopulate from Epic
Select labs from a list and attach to the
document
Insert problem lists, vital signs, and clinic
intake form within forms
Attach items from the All Documents list
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StarForms (contd)
Expand and collapse areas to minimize scrolling
Branching logic prompts the user for
more information as needed
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StarForms (contd)
Use hidden worksheet areas to translate into
text for the final note. The information entered
translates into text in the physicians note.
Insert autocalculating index scoring systems
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StarForms (contd)
Fields can be set to default to checked or
selected.
Use the drawing tool to draw on a preloaded
picture or image
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StarVisit
Click here to go to StarVisit from anywhere in
StarPanel
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StarVisit contd
You can also access StarVisit in the Yellow
Menu bar
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StarVisit contd
View data collected for current and previous
visits
View and edit the Intake Form
View and edit the Problem List
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Outpatient Visits
Provider name here
Select Provider radio button
Click here
Select date
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Features of Outpatient Visits
one patient
multiple patients
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Inf. Resources