AXIUM SUPPORT FOR EHR MANAGEMENT · 2019. 2. 26. · Treatment Planning training. I will solicit a number of pertinent treatment plans to be used during the training from each program

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


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


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!



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 [email protected]


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


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...





The “No Consent” ic

on will be displaye

d retroactively




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



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




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


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.

Documents

AXIUM SUPPORT FOR EHR MANAGEMENT · 2019. 2. 26. · Treatment Planning training. I will solicit a number of pertinent treatment plans to be used during the training from each program