Accession Patient Workflow

overview patient accession allows the patient to be an active participant in their care depending on the access permissions set up by the practice, the patient can make appointments, request prescription refills and review their clinical information, among many other actions this document describes all areas of the patient accession web portal this article is targeted at users of accession note any profile field names or views that reference "profile patient portal" pertain to and support the functionality of the health connect and accession patient portals details logging in to accession when accession is licensed, your clinic will be given a url to provider your patients with to use the accession web portal access to the web portal is granted on a patient by patient basis, and is configured within profile more information on granting permission to the web portal can be found in the accession and health connect configuration documentation when the patient navigates to the url, they will be prompted to enter their username and password after successful login, they will be in the web portal at the home view home the home view shows headline information and any created alerts for patients the alerts are configured as mentioned in health connect configuration appointments the appointments view, accessible from the top toolbar, shows past and pending appointments to book an appointment from the appointments view, press select a date range in the look between fields, select the appropriate pos, provider, and appointment type, and press from the available appointments, press to request the appointment new clinical note the new clinical note view allows a patient to enter his or her own clinical notes and/or observations patient created clinical notes appear in the work centre/accession items view to be reviewed by the provider the provider can sign the note, which will then appear as an encounter in the patient’s medical record, with the author being the patient there are two panels in this view the clinical note panel is a free text area where notes can be typed the bottom clinical observations panel can be used utilized for custom forms these are the same cdo forms as found in or created in maintain/templates/ health record collections they are linked to accession in the organisation/ preferences/profile patient portal/templates tab more information on templates can be found in documentation for health connect configuration as with other forms in profile, creation is an involved process and advanced training is required ask a question the ask a question view allows the patient to ask the provider a question patients can attach files to their questions, such as picture questions appear in work centre/accession items view, to be answered by the physician problem list the problem list view shows the current problems for the patient, including diagnoses, adverse problems and procedures select ? at the end of each problem to access a summary and web link to more information by default these are blank and must be customized by the practice these are configured by going to organisation/preferences/profile patient portal/text tab select the problem list/info option this opens a new window, where a list of coded problems can be created for which you wish to add additional information practices using accession can add instruction information to a disease for patients to review in order to display these instructions, a template must first be configured navigate to maintain/templates/instructions the instruction templates window will open press the button to create a new instruction template in the title field, enter a description for the template, such as the name of the disease in the disease field, select a termset from the drop down menu (icd 9 cm is most common) and enter the associated disease code in the field to the right in the measure field, select a termset from the drop down menu (intrahealth is most common) and enter the associated measure item in the field to the right press ok to save the new instruction template to associate a template with a disease, it must then be added via clinical details open clinical details for a specific patient under the problems tab, double click on the applicable problem to open it for editing under the instructions tab, press the button in the template field, enter the name of a template created previously the instructions will now be visible for the specific patient when they view their problem list through accession to be able to configure instruction templates, the role action maintain/templates/instructions must be granted for the user/role configuring the instruction templates care plans the care plans view shows interventions that are still due or all interventions, depending on which radio button is selected appointments for the interventions can be made from here using the make appointment button these appointments will automatically be linked to the associated intervention in profile, provided the interventions have been added as part of an appointment rule prescriptions the prescriptions view shows current prescriptions and allows the patient to ask for prescription refills, pending approval by the provider this is the one interaction that does not appear in the work centre/accession items view the information will show directly in the work centre/prescription refills view the prescription refills module may not be enabled for your practice further documentation on prescription refills is available on the intrahealth self service centre website investigations the investigations view is similar to the results view in profile, lab results and radiology results can be seen from here referrals the referrals view is similar to the referrals view in profile current and past inward or outward referrals can be seen from here hovering over the next to an external provider provides a hint box showing contact information from the external providers list in profile flow sheets the flow sheets view is similar to the flow sheets view in profile chronic disease observations from existing cdm forms are tabulated for comparison clinical outcomes the clinical outcomes view is similar to the measures view in profile measures are displayed based on date range and can be displayed as either a graph or table, using the show as dropdown clinical notes the clinical notes view is similar to encounters view in profile clinical notes are shown and can be sorted by their associated problems reference series the reference series view is similar to the new encounter/reference series view in profile for patients with existing reference series/growth chart data, the appropriate reference series can be selected from the drop down menu and displayed the show values checkbox will enable labelling the measure values directly onto the graph linked clinical records the linked clinical records view allows patients to add links to other patients’ accession portals, such as their family members to link other accession enabled patients press the add link button to add another patient enter the user name and password for that patient’s accession portal the patient will now be visible in the my linked clinical records section to open another patient’s accession portal, simply click on their name patients who have had their clinical record linked through another patient’s accession portal will see the names of patients who they have been linked with in the my record is linked by section account the account view is similar to display transactions in profile financial transaction history for the patient is shown here if paypal integration is required for your practice, please contact intrahealth to have a statement of work created change your details the change your details view is similar to alter patient in profile from here, patients may change demographic details, such as updating their address or phone numbers additionally, the patient may manage their security questions in the event they are unable to log into accession changes made appear in work centre/patient items view the changes made by the patient appear in red and are automatically updated in profile the clinic can accept the changes, or roll back the changes, reverting to the original information log off the log off view allows the patient to log off of accession