All posts by Lisa Legge

Current PCC Default Protocols

These are the protocols PCC loads by default for all new clients. They can be used as is or modified to suit your individual and/or practice needs. The number of protocols available by default has been drastically reduced to provide you with a solid base set. However, there are many other protocols available on this website for you to peruse. If you would like others made available to you, just let us know!

Well Visit Protocols

3-5 Day

2 Wk

1 Mo

2 Mo

4 Mo

6 Mo

9 Mo

12 Mo

15 Mo

18 Mo

2 Yr

2.5 Yr

3 Yr

4 Yr

5-6 Yr

7-8 Yr

9-10 Yr

11-14 Yr

15-21 Yr

Sick Visit Protocol

Sick

Other Visit Protocols

ADHD

ADHDFollowUpMedCheck

AllOrders

BirthHistory

2013 Winner – Best in Show

TLC Pediatrics of Frisco, Frisco TX

Sick Protocols

Well Protocols

2013 Winners – Best Specific Sick Visit Protocol

We have a tie in this category. Both practices have designed comprehensive protocols for very different visits types that are terrific resources for the new or established PCC EHR client.

Center For Pediatrics And Adolescent Medicine, Dover DE

ADHD Initial-CPAMFrom the client: This protocol incorporates diagnostic criteria according to DSM V as part of the HPI.  Co-morbidity screening as outlined by the AAP is built in as a morbidity screen.  If the provider feels that additional screening for anxiety, depression or substance abuse is needed, they can add the CHART or SCARED protocol which will add the questionnaire as part of the visit to allow the screen to be done and scored immediately. This practice now exceeds guidelines, improved ADHD management, has identified many patient with co-morbidities that are now receiving treatment, improved compliance with treatment, meds, and follow up!

Asthma Initial Assessment – CPAMFrom the client: This protocol is used for initial evaluation in all patients over the age of 12.  The protocol incorporates all of the diagnostic criteria set forth by the Heart and Lung Associations. The ACT score has been built into the protocol to reduce the paper forms that we give to patients.  The diagnostic criteria, treatment guidelines and the follow up guidelines are all built into the protocol.

 

Children’s Healthcare, Allentown PA

From the client: This series of protocols are designed to address all issues that impact nursing, from mother’s history to birth history to key components of both mother’s and baby’s exams. With the use of these protocols, our practice is able to offer complete lactation services for both our infants and their mothers.

2013 Winner – Best Use of New PCC EHR Features in a Sick Protocol

This protocol makes great use of many styles of components and new functionality like ‘last saved answers” and the chart-wide Medical Summary components.

Pediatric and Adolescent Center In Lewes, Milton DE – Sick-PACL

From the client: Our protocols are very ‘clickable’ for ease of documenting. We have tried to add as much to the protocol as possible to be able to order the most common treatments during a sick visit. Our sick visit protocol is generic but allows us to get more specific when needed.

 

 

2013 Winner – Most Creative Sick Visit Protocol

Newport Pediatrics, Newport VT
This practice had 3 different sick protocols that fit nicely into this category.

 Diabetes-NEWPDFrom the client: This protocol contains components called ‘diabetes treatment regime’, ‘specialist’ and ‘history’  which are designed to help manage the special needs of a patient with diabetes.

Crohn’ s Disease-NEWPDFrom the client: This protocol is very comprehensive and is designed to specifically address issues around Crohn’s disease. There is a tickler to remind the clinical to ask about specialty visits needed for the patient with Crohn’s disease.

PreOp-NEWPDFrom the client: We are able to submit standard pre-op information without filling out paper forms. Especially helpful for repeat surgical procedures, time used filling out forms is significantly reduced because information is brought forward. Additionally, the form is legible.

 

2013 Winners – Best Individual Component in a Sick Visit Protocol

We have a tie in this category. Both of these clients have created unique components that are tailored to specific visits reasons that help their practices manage each patient visit consistently.

Cary Pediatrics, Cary NC – Birth Control Consult-CARY
In addition to the nicely tailored visit specific components like ‘History/Review’ and the ‘Plan’, this protocol also incorporates the confidential component which is used for tracking sensitive information that should never display be default or print as part of a visit note.

From the client: This protocol is designed with prompts for appropriate history screening and laboratory evaluation for young women contemplating starting birth control. The extensive use of prompts in the “Plan” component expedite charting. This protocol helps the providers stay consistent with information given to patients regarding management of OCP’s.

Union Pediatrics, Union KY – Asthma-UNION
This protocol includes a couple of great question components called ‘Asthma History’ and ‘Asthma History-Provider’ that helps this practice with the long term management of patient asthma care. They also use a component called ‘Asthma Action Plan’ that prints as part of the visit history note.

From the client: Our PHO has championed an asthma initiative that has greatly reduced ER utilization and hospital admissions.  The initiative has been recognized by the American Board of Pediatrics for part 4 Maintenance of Certification.  This protocol integrates all of the questions that we need to ask the families on an annual basis, then allows us to further document what kind of teaching we are doing in the office.

2013 Protocol Contest Runners Up

Best Series of Well Visits – Runners Up

Village Pediatrics, Westport CT – 2-5DayWell-VP 1WeekWell-VP 2WeekWell-VP  1MoWell-VP 2MoWell-VP  4MoWell-VP 6MoWell-VP 9MoWell-VP  12MoWell-VP 15MoWell-VP  18MoWell-VP  21MoWell-VP  2YrWell-VP  2.5YrWell-VP 3YrWell-VP 4YrWell-VP  5YrWell-VP  6-9YrWell-VP 10-11YrWell-VP 12-15YrWell-VP 16YrWell-VP 17YrWell-VP 18+YrWell-VP

The Pediatric Group, Oklahoma City OK – 2MoWell-TPG  4MoWell-TPG  6MoWell-TPG 9MoWell-TPG  12MoWell-TPG  15MoWell-TPG   18MoWell-TPG  2YrWell-TPG  2.5YrWell-TPG 3YrWell-TPG  4YrWell-TPG  5-6YrWell-TPG  7-8YrWell-TPG  9-10YrWell-TPG  11-14YrWell-TPG  15-21YrWell-TPG

Best Individual Well Visit Protocol – Runner Up

Newport Pediatrics, Newport VT – 14YrWell-NEWPD
From the client: This protocol addresses challenges around the life as an adolescent in this time. It helps identify children at risk for self destructive/addictive behavior. It also discusses dietary issues associated with obesity and other eating disorders.

Best Use of New PCC EHR Features in a Well Protocol – Runner Up

Cypress Pediatrics, New Orleans LA – NPI-CYPRESS
This protocol is used in conjunction with all new visits (well or sick) to collect pertinent birth and PSFH history that populates the Medical Summary and carries over to subsequent protocols.

Most Creative Well Visit – Runner Up

The Pediatric Group, Oklahoma City OK – SportsPhysical-TPG
From the client: We have tailored our questions to conform with the Oklahoma State School Association forms so that it may be used for all patients.

Best Individual Well Visit Component – Runner Up

Pediatric Associates of Fall River, Fall River MA – 18MoWell-PAFR
This protocol contains a check box component called Family History that is an extensive list of medical conditions. It is used across all their protocols and “last saved answer” is displayed in subsequent protocols.

Best Generic Sick Protocol – Runner Up

Cypress Pediatrics, New Orleans LA – Sick-CYPRESS

Best Specific Sick Visit Protocol – Runner Up

St. Louis Pediatrics Practitioners, St. Louis MO – ADHD-SLPP

Best Use of New PCC EHR Features in a Sick Protocol – Runner Up

Pirate Pediatrics, Greenville NC – Sick-PIRATE

Most Creative Sick Visit Protocol – Runner Up

TLC of Frisco, Frisco TX – OralHealthRiskAssessment-TLC (supplemental protocol)

Best Individual Component in a Sick Visit Protocol – Runner Up

Children’s Healthcare, Allentown PA – GynecologicalEval-CCP

2013 Winner – Best Series of Well Visits

TLC Pediatrics of Frisco, Frisco TX
A comprehensive set of well protocols with some bonus components that include an EPSDT component, an adolescent hearing and vision question component and an oral health risk assessment. Orders associated with the patient flowsheet are being utilized along with chart-wide components. All making for efficient charting and a set of well protocols that would work well for any practice.

From the client: We have followed Bright Futures Guidelines, providing an efficient way to capture all of the developmental screening and surveillance and anticipatory guidance needed. We have also recorded several additional elements such as oral health risk assessment for 6 mos and 9 mos (and have an available add-on protocol for when this is needed at older ages). Allows for easy prompting of anticipatory guidance items. –

2013 Winners – Best Individual Well Protocol

We have a tie in this category. Both of these protocols share their components across subsequent well protocols, take advantage of smart answer memory (last saved answer and answer by patient), and both make great use of chart-wide components. Either of these protocols would be a good place to start when building a series of well visit protocols.

Cary Pediatrics, Cary NC

From the client: By using the Medical Summary – Family history component, we can capture family history at the first visit, which will then prepopulate future visits. This protocol also helps collect hospital-generated data that is important for NCQA or CHIPRA-related data (like newborn screen data).

Newborn-CARY

Cypress Pediatrics, New Orleans LA

From the client: I designed this protocol to streamline the newborn intake protocol. An initial newborn visit requires coordinating histories of the mother, pregnancy, delivery, family history, and newborn’s life since the delivery. With all of this information gathering, I wanted to create a flow of information that would minimize screen flipping so that the visit could be more about establishing a relationship with the new parents than about the technology.

Newborn-CYPRESS