Access Garrison Records Using Fewer Accounts
June 21, 2011 posted by Aubray Hudson
Aubray Hudson, MC4 trainer since 2007, is a retired medical NCO with more than 30 years of training experience. He served as the lead MC4 trainer in Kuwait for three years and supported missions throughout SWA.
While deployed to Kuwait during 2010, I developed an instructional guide to train Service members who needed an overview on the MC4 system during reception, staging, onward movement and integration (RSO&I) training. During that time I trained users on how to access medical data from the Landstuhl Regional Medical Center in Germany via BHIE-SHARE within TMDS. Within the program there’s a Remote Data button, but there was no documentation to support its use or function.
Earlier this year I deployed to Afghanistan. In my free time, I researched how to access past medical records via BHIE-SHARE in TMDS. I found that this can be accomplished via BHIE-SHARE and the Remote Data button. I documented the steps to help medical personnel access patient encounters, medications and lab results from garrison located in the CDR. By utilizing BHIE-SHARE, medical personnel do not need to use AHLTA Warrior and they eliminate the need for a separate account requiring a username and password.
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Tricky Anthrax Codes
June 14, 2011 posted by Leann Micheals
Leann Micheals, MC4's clinical applications consultant since 2004, is a nurse practitioner. She travels to theater and garrison training events to help medical personnel use MC4 systems.
Administering anthrax vaccines is a common occurrence in theater clinics. All Soldiers need to have the series and thus need the immunization while in theater. Documenting this encounter electronically can be a little tricky since anthrax ICD-9 and CPT codes need to be updated. The software still reads SQ even though the immunization is given IM. Because the SQ cannot be changed in the V codes or CPT codes, we recommend the following tip:
These recommendations are easily added to your favorite procedures and diagnoses for easy access. They can also be entered into an immunization encounter template or AIM form. If you need help developing these templates or forms, contact your MC4 representative or post a comment on this blog.
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3 Templates for Faster Data Entry into TC2
June 6, 2011 posted by Dave Buesing
David Buesing, an MC4 trainer since 2008, is a retired noncommissioned officer with extensive experience with Army medical IT systems. He has deployed to Kuwait, Iraq and Afghanistan in support of the MC4 mission.
During a recent deployment to Afghanistan, I was a member of the technical support team assigned to the 115th Combat Support Hospital (CSH) at Camp Dwyer. Dr. Greg Jolissaint, MC4's Clinical Operations Office medical director and chief, visited the CSH and observed the business process utilized by the medical personnel to document patient care.
We discovered that an extensive amount of inpatient data charted on paper forms had to be scanned into TMDS to complete a patient's treatment record. I knew I could recreate the Blood Transfusion Vital Signs Flow Sheet, ICW Vascular Flow Sheet and Patient IV Flow Sheet as electronic templates.
After three days of development and testing, the flow sheets were ready for use. I shared the templates with the chief nurse of the 115th CSH. He provided instructions to the staff on how to use the new tools. I provided over-the-shoulder training to verify the proper use of the templates. Now users enter notes directly into each template and easily port the data into TC2.
To download or share these templates, visit the TC2 templates page.
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