RE: accurate scheduling

[Guest guest]

One coud do what you are asking with Jotform. Jotform is very flexible. You could have the patient open a form from your website, input their answers to a few simple questions that would link to some branching logic that would direct them to additional questions or instructions and all that could then link them back to the appropiate choice for appointment. I have no finanical relationship to Jotform but I do think they are amazing. Just takes a little time to learn it. I have a branching medical history form ROS, and plan to create a medicare AWV form as well. If someone creates a form that works, it can be shared with others easily. Carla Gibson To: Sent: Wednesday, June 13, 2012 10:42 AM Subject: accurate scheduling

if I asked this question before, please forgive me, but I've had some issues with my current group and wanted to get some input.

I know with the recent HIPPA concerns with appointment quest, scheduling has become a new area of concern and interest.I know in my last practice, there were often a shocking amount of errors in my schedule--new patients scheduled as return visits (and vice versa), patients with many complaints scheduled in a shorter appointment rather than a long visit, or often patients scheduled and promised we would provide a service that I certainly did not (suboxone being a frequent request)With the next job certainly the scheduling has improved in my own experience (new staff, different clinic, different tech), but we have an online schedule tool that lets you go to the zoom care web site, see the times we have open still in the day and schedule a visit.Where it does break down is that some people are free texting the wrong thing into the

appointment visit field--if they aren't clear on abdominal pain then it might get booked into a 15 min visit instead of 30 min--ditto for a female health complaint that might need to include a pelvic exam…or despite lots of warnings on the web page people will still come in with "Severe chest pain , pain from left arm to chest to left side of neck.." instead of just going to ER.

I don't have much experience with instant medical history ( I wish!) but I wonder if instead of asking the patient just a chief complaint, if there was anything out there that would ask a few questions and then help direct a bit of history and ideally, an accurate chief complaint/reason for visit. Which would lead to a more concise and focused visit in the "right" or best amount of time.Our web interface is quite fast and I'm personally still shocked that people still often try to schedule on the phone instead… -- Sent with Sparrow

[Guest guest]

Carla, have you checked to see if JotForm will participate in a HIPAA Business Associates Agreement?  Their SSL connection option sounds good enough but without a BAA raises questions.  How do you handle HIPAA with Jotform. From: [mailto: ] On Behalf Of Carla GibsonSent: Wednesday, June 13, 2012 12:28 PMTo: Subject: Re: accurate scheduling One coud do what you are asking with Jotform. Jotform is very flexible. You could have the patient open a form from your website, input their answers to a few simple questions that would link to some branching logic that would direct them to additional questions or instructions and all that could then link them back to the appropiate choice for appointment. I have no finanical relationship to Jotform but I do think they are amazing. Just takes a little time to learn it. I have a branching medical history form ROS, and plan to create a medicare AWV form as well. If someone creates a form that works, it can be shared with others easily. Carla Gibson To: Sent: Wednesday, June 13, 2012 10:42 AMSubject: accurate scheduling if I asked this question before, please forgive me, but I've had some issues with my current group and wanted to get some input. I know with the recent HIPPA concerns with appointment quest, scheduling has become a new area of concern and interest. I know in my last practice, there were often a shocking amount of errors in my schedule--new patients scheduled as return visits (and vice versa), patients with many complaints scheduled in a shorter appointment rather than a long visit, or often patients scheduled and promised we would provide a service that I certainly did not (suboxone being a frequent request) With the next job certainly the scheduling has improved in my own experience (new staff, different clinic, different tech), but we have an online schedule tool that lets you go to the zoom care web site, see the times we have open still in the day and schedule a visit. Where it does break down is that some people are free texting the wrong thing into the appointment visit field--if they aren't clear on abdominal pain then it might get booked into a 15 min visit instead of 30 min--ditto for a female health complaint that might need to include a pelvic exam… or despite lots of warnings on the web page people will still come in with " Severe chest pain , pain from left arm to chest to left side of neck.. " instead of just going to ER. I don't have much experience with instant medical history ( I wish!) but I wonder if instead of asking the patient just a chief complaint, if there was anything out there that would ask a few questions and then help direct a bit of history and ideally, an accurate chief complaint/reason for visit. Which would lead to a more concise and focused visit in the " right " or best amount of time. Our web interface is quite fast and I'm personally still shocked that people still often try to schedule on the phone instead… -- Sent with Sparrow

[Guest guest]

I have not asked. They have security measures in place and recommend that you take appropriate measures on your side. I use their SSL for all my forms. I set it up so that no PHI comes across to me via email - only a notice that a form was completed comes to me. As you have suggested, I am beefing up my privacy notice and disclaimers explaining patients use this with the knowledge that nothing is perfectly secure. They still have the option of calling on the phone to complete the objective of whatever form takes the place of phone contact, or printing my med hx forms and doing them the old fashioned way- but very few people choose that option. Many actually say they preferred doing the history forms online- allowed them to do it at their leisure and look things up that they had at home (like most recent labs and

vaccinations). They can even go back to the completed forms and revise them. Jotform has payment integration which I use for email visits. I figure that companies like these hesitate to sign BAAs to avoid taking on the added financial risk despite meeting HIPAA requirements when their services are used properly. I would certainly hesitate to take that on if I had the choice. Carla To: Sent: Thursday, June 14, 2012 6:53 AM Subject: RE: accurate scheduling

Carla, have you checked to see if JotForm will participate in a HIPAA Business Associates Agreement? Their SSL connection option sounds good enough but without a BAA raises questions. How do you handle HIPAA with Jotform. From:

[mailto: ] On Behalf Of Carla GibsonSent: Wednesday, June 13, 2012 12:28 PMTo: Subject: Re: accurate scheduling One coud do what you are asking with Jotform. Jotform is very flexible. You could have the patient open a form from your website, input their answers to a few simple questions that would link to some branching logic that would direct them to additional questions or instructions and all that could then link them back to the appropiate choice for

appointment. I have no finanical relationship to Jotform but I do think they are amazing. Just takes a little time to learn it. I have a branching medical history form ROS, and plan to create a medicare AWV form as well. If someone creates a form that works, it can be shared with others easily. Carla Gibson To: Sent: Wednesday, June 13, 2012 10:42 AMSubject: accurate scheduling if I asked this question before, please forgive me, but I've had some issues with my current group and wanted to get some input. I know with the recent HIPPA concerns with appointment quest, scheduling has become a new area of concern and interest. I know in my last practice, there were often a shocking amount of errors in my schedule--new patients scheduled as return

visits (and vice versa), patients with many complaints scheduled in a shorter appointment rather than a long visit, or often patients scheduled and promised we would provide a service that I certainly did not (suboxone being a frequent request) With the next job certainly the scheduling has improved in my own experience (new staff, different clinic, different tech), but we have an online schedule tool that lets you go to the zoom care web site, see the times we have open still in the day and schedule a visit. Where it does break down is that some people are free texting the wrong thing into the appointment visit field--if they aren't clear on abdominal pain then it might get booked into a 15 min visit instead of 30 min--ditto for a female health complaint that might need to include a pelvic exam… or despite lots of warnings on the web page people will still come in with "Severe chest pain , pain from left arm to chest to left side of neck.." instead of just going to ER. I don't have much experience with instant medical history ( I wish!) but I wonder if instead of asking the patient just a chief complaint, if there was anything out there that would ask a few questions and then help direct a bit of history and ideally, an accurate chief complaint/reason for visit. Which would lead to a more concise and focused visit in the "right" or best amount of time. Our web interface is quite fast and I'm personally still shocked that people still often try to schedule on the phone instead… -- Sent with Sparrow