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AXIUM SUPPORT FOR EHR MANAGEMENT
1. Patient Consent Issues2. General Consent and Exempt Codes Chart Add Treatment Planning Module3. Changing Consented Treatment4. Record Maintenance5. Training Scheduling6. Dental Laboratory QA
AXIUM SUPPORT FOR EHR MANAGEMENT
1. Patient Consent Issues
Lack of proper patient consent is well documented and can lead to problems when faced with questions concerning current and past treatment
Ethical issue of proper informed consent
Needs to be corrected
AXIUM SUPPORT FOR EHR MANAGEMENT
This is also an opportunity to introduce Version 5.20.05
Significant change in the Treatment Planning Module which will help with the lack of documented patient consent
Axium will be used to limit the possibility of non-consented treatment and to document improvements in the areas that are currently considered deficient.
Let’s meet our patient!
Let’s meet our patient!
Let’s meet our patient!
D0001 CDM AssistD0002 CDM Surgical AssistD0003 CDM Dept Case CompleteD0004 CDM Senior CaseD0005 CDM Pa<ent Tx Complete ExamD0006 CDM Ac<ve EncounterD0007 CDM Screening-‐ Panoramic FilmD0009 CDM Screening-‐ Inrtaoral SeriesD0010 CDM Inter-‐treatment RadiographD0100 – D0910 Examina<on CodesD0200 (Except D0290) Radiology Services (rou<ne)D0425 Caries Suscep<bility TestD0460 Pulp Vitality TestsD0470 Diagnos<c CastsD1000 Dental Prophylaxis (adult/child)D1200 Topical Fluoride TreatmentD1310 Nutri<on CounselingD1320 Tobacco CounselingD1330 Oral Hygiene Instruc<onsD4910 Periodontal MaintenanceD4999 Unspecified Periodontal ProcedureD9310 Consulta<onD9430 Office Visit for Observa<onD9450A Dx Wax UpD9450B Dx Set UpD9450C Custom Incisal Guide TableD9450D Duplicate CastsD9450E Pros Surgical Template-‐StudentD9950 Occlusal Analysis-‐Mounted Casts
Codes that have exemption from Treatment Based
Consent based on similarities to those
items mentioned in the General Consent Form. All Medical
Codes require consent.
The Axium Consent Task Force will consider other
requests at any time.kplummer@gru.edu
AXIUM SUPPORT FOR EHR MANAGEMENT
1. Patient Consent Issues2. General Consent and Exempt Codes Chart Add Treatment Planning Module3. Changing Consented Treatment4. Record Maintenance5. Training Scheduling 6. Dental Laboratory QA
Let’s meet our patient!
Exam, panograph, intraoral series - chart added and completed
Exam, panograph, intraoral series - chart added and completed
Chart adding a 2 surface anterior composite - and adding a diagnostic code!
The “Planned Treatment” button is used again...but
Student Logged In
Student Logged In
Student Logged In
The “Planned Treatment” button is used again...but
The “Planned Treatment” button is used again...but Axium has registered this treatment as not having consent
The treatment without consent will still allow an attempt at completing the procedure but ...
Axium will not allow a procedure requiring consent to be completed unless consent is obtained.
Clicking the “Consent” button will allow a search for the missing consent or selection of the consent to add
Double click “Specific Treatment Consent”
Click “OK” to begin the consent process
Highlight the desired procedure (ctrl click selects multiple)
Choose the type of procedure being approved, click “OK”
Choose the type of procedure being
approved
Consent Form is Generated...has been explained to me and I have been
given the opportunity to view and sign a treatment estimate...
Consent Form is Generated...has been explained to me and I have been
given the opportunity to view and sign a treatment estimate...
Consent Form is Generated...has been explained to me and I have been
given the opportunity to view and sign a treatment estimate...
The “No Consent” ic
on will be displaye
d retroactively
AXIUM SUPPORT FOR EHR MANAGEMENT
1. Patient Consent Issues2. General Consent and Exempt Codes Chart Add Treatment Planning Module3. Changing Consented Treatment4. Record Maintenance5. Training Scheduling6. Dental Laboratory QA
AXIUM SUPPORT FOR EHR MANAGEMENT
Significant changes in the Treatment Planning Module which will help with the lack of documented patient consent
Axium will be used to limit the possibility of non-consented treatment and to document improvements in the areas that are currently considered deficient.
Let’s meet our patient and complete a treatment plan
Switch to the Tx Plans Tab and click the +Folder Icon
Name the Plan
Magic “add stuff ” button
Problems and Diagnosescan be added now or
they can be added later.
Click the “Search” buttonto display the selection list
Click the “Search” buttonto display the selection list
Either search the list or select
based on specific area of interest
The diagnosis appears hereClick the “Green Check Mark”
to accept it.
Continue adding diagnosesas needed - Again, thisstep can be skipped
Add a New Item to the Treatment Plan by:Search & Select for Code
If diagnoses are available, simply check theappropriate box and proceed to choose
the procedure. A diagnosis is not mandatory.
Add a New Item to the Treatment
Plan by:Search & Select
for Code
Clicking in the “Procedure” box allows youto search by D code or.....
Clicking in the “Procedure” box allows youto search by description also
Choose the site and surfaces (if applicable)Enter by text or mouse selection
Many time the Phase is pre-selected and itcan be changed by clicking in the box. Adding a
sequence number will make the chart moreorganized - sequences will be automatic after the
initial selection
Click the green checkmark to add the procedure(s). Use the black X if you made a mistake and want to start over.
Multiple selections for the same code can bemade using the mouse. The sequence will be
added automatically when adding multiple sites.
Continue adding treatment to
complete Option#1
Option#1
Treatment can be deleted before the Option is Approved
To start another Option: Click the + tab
To start another Option: Copy the existing Option
The procedures no longer desired can be deleted and optional treatments
can be entered
Option #2
Option #3 Draft plans can be viewed or printed or All Options can be printed on one document
In this example Option #1 was approved by clicking the “Approve Option” button. The
other options are no longer available.
The patient reviews and signs consent for treatment
After signing the accepted plan is black and will be present in the
treatment history
After signing the accepted plan is black and will be present in the
treatment history
AXIUM SUPPORT FOR EHR MANAGEMENT
1. Patient Consent Issues2. General Consent and Exempt Codes Chart Add Treatment Planning Module3. Changing Consented Treatment4. Record Maintenance5. Training Scheduling6. Dental Laboratory QA
Surfaces can be changed on
direct restorations without new
consent
Surfaces can be changed on
direct restorations without new
consent
Changing materials will require new
consent
AXIUM SUPPORT FOR EHR MANAGEMENT
1. Patient Consent Issues2. General Consent and Exempt Codes Chart Add Treatment Planning Module3. Changing Consented Treatment4. Record Maintenance5. Training Scheduling6. Dental Laboratory QA
AXIUM SUPPORT FOR EHR MANAGEMENT
1. Remove planned treatment that becomes obsolete Any faculty can remove planned treatment from the record. It is easier to include a procedure in the original treatment plan that may not be done as the procedure to delete it is so simple.
2. Timeliness of data entry policy
See handout
AXIUM SUPPORT FOR EHR MANAGEMENT
I will be in touch with Program Directors to schedule training during January. All residency programs will participate in Treatment Planning training.
I will solicit a number of pertinent treatment plans to be used during the training from each program director.
Other departmental faculty are welcome to attend those sessions.
Departments can also schedule faculty training if desired.
All new faculty and part-time faculty must be scheduled for training.
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