mercedes usa owners manual
LINK 1 ENTER SITE >>> Download PDF
LINK 2 ENTER SITE >>> Download PDF
File Name:mercedes usa owners manual.pdf
Size: 1855 KB
Type: PDF, ePub, eBook
Category: Book
Uploaded: 8 May 2019, 23:28 PM
Rating: 4.6/5 from 822 votes.
Status: AVAILABLE
Last checked: 17 Minutes ago!
In order to read or download mercedes usa owners manual ebook, you need to create a FREE account.
eBook includes PDF, ePub and Kindle version
✔ Register a free 1 month Trial Account.
✔ Download as many books as you like (Personal use)
✔ Cancel the membership at any time if not satisfied.
✔ Join Over 80000 Happy Readers
mercedes usa owners manualHere are resources, solutions, and ideas we think will help.COVID-19 Resources offers ideas that enable you to continue providing quality care and manage potential financial hardships during the current public health emergency. Use these tools and resources to help maintain business continuity. Take this opportunity also to enhance your clinical care, financial management, and patient engagement.Submit support cases, access knowledge resources and documentation, register for training and webinars, and collaborate with other clients. Fill in the first three letters of the last name and the first letter of the first name. Select the Find button or enter on your keyboard. Once your patient appears in the Matching Records window, double click the name or select Open. Page 4 6 Title Bar The Title Bar is located at the top of the NextGen EHR main window. The Title Bar displays the name of the application, selected patient s name, birthdate, age, gender and nickname. Located below the Title Bar, you can see the Patient Information Bar (PIB) outlined in red. Main Menu Bar The Main Tool Bar is located just below the Title Tool Bar. Page 5 7 Top Toolbar The Top Toolbar contain most of the icons that control the basic functions of the system. When completed, select Close. NOTE: Use the Move Up and Move Down buttons to reorganize the icon order, if needed. Repeat for Telephone Call Template and any other templates you want added to your Preferred Templates. Page 10 12 Medications: Formulary: Page 11 13 Reference: Type commonly used web sites to be accessed in each one of these modules.http://astateknik.com/userfiles/coolpix-p6000-manual-focus.xml
- Tags:
- mercedes usa owners manual, mercedes benz usa owners manual, mercedes usa owners manual, mercedes benz usa owners manual.
Documents Page 12 14 Page 13 15 Patient Information Bar Overall View The Patient Information Bar is: A toolbar enabled by your practice Customized to present the most valuable information for your workflow Always present above the current template or module Minimized or maximized with one select (note the small arrow beside Medications) The Patient Information Bar displays when a patient s chart is open regardless of whether a template or module is open. Consists of static and configurable components. Patient Summary Medical Information section includes a list of the patient s allergies, problems, diagnoses and mediations. Hover over the number next to Allergies, Problems, Diagnosis or Medication to view the list. Select on the number next to Allergies, Problems, Diagnosis or Medication to open the selected module. Page 14 16 Patient Summary Medical Information displays a summary of the patient s data, even while minimized: Allergies Problems Diagnoses Medications Alerts It provides easy access to view and change information. General Information The General Information section provides tools to take action from a patient s chart. Page 15 17 Demographic Information Patient demographic information allows the user to view additional contact details and identifiers for your patient at a glance. Options include: Sticky Note Referring Provider HIPAA Advance Directives Screening Summary OBGYN Details (females over 12) Page 16 18 History Toolbar To open the History Toolbar select the icon History icon from the Top Toolbar. Page 17 19 Panels Documentation in EHR is broken into panels. The panels are present on each tab with in the EHR and enable you to choose how and when you wish to document. To streamline the workflow, panels can be: Moved Cycled Toggled Panels: Toggling The user can expand and collapse panels to gain instant access to the information needed most. NextGen will remember your settings. The process is called toggling, and can be done in two ways.http://www.dbc-online.com/files/articles/coolpix-p600-user-manual.xml Locate the arrow beside the title of each panel. Select once to toggle your view to its opposite Page 18 20 Page 19 21 Panels: Moving To arrange the panels into the documentation sequence that works best for you, collapse all panels. Select the panel you wish to move by placing the cursor in the gray area of the panel. Hold the left mouse button and drag slowly to desired sequence (you will see an outline appear). Release before or after another panel. Note: Releasing directly onto another panel will position the new one in the space below it. Panels: Cycling As you document, progress from one panel to the next by using the Cycle feature. Locate the Panel Control bar directly above the panels. Select the Cycle Up arrow to move to the next panel. Select the Cycle Down arrow to move to a previous panel. Page 20 22 Appointment Window: Inbox To display the Inbox, select the Inbox icon. Patients scheduled but not checked in have a status of BOOKED. Patients who have checked in at the Front Desk have a status of KEPT and are ready to be roomed. The status can be updated from the Appointment Window however it is best practice to update from the Intake template. Right-select on the patient s name and select Edit. Type in the Status field. Page 21 23 Patient Tracking Select on the Patient Tracking icon on the left hand side of the Patient Information Bar. This opens the Patient Tracking pop up. Select in the Room field and choose the room from the picklist. The Status is now updated in the Patient Tracking pop up as well as in the Inbox. Page 22 24 When clinical staff is finished with the patient, update the status to waiting for provider. Providers update the status to with provider. Repeat the process until the visit is complete and the patient is discharged The status will automatically update to chart complete or another defined status when charges have been submitted.https://formations.fondationmironroyer.com/en/node/11139 Page 23 25 Clinical Staff Workflow Accessing the Chart Select on the Inbox icon on the NextGen Tool Bar. Double-click on the patient name in the Appointments section of the Inbox to open the patient s chart. Note: When a patient is checked in, the status will change to KEPT. You may also right-select on the patient name and select Go to Patient s Chart. Page 24 26 Patient Check In 4 Point Check Before documenting in a patient s chart you should perform a 4 point check. Verify that you are I the correct patient s chart. Verify that the correct service location is selected. Verify that the correct provider is selected. Verify that you are on the current day encounter and the correct provider is displayed. Page 25 27 Patient Tracking The user will select the Patient Tracking icon in the Patient Information Bar in order to track patient s progress throughout the visit. Once the Today s Patient Tracking displays, select the appropriate Room and Status. The Intake template is used to document the Reason for Visit, Vital Signs, Medication and Allergy reconciliation and ROS. Sections of the Intake template are divided into panels that can be expanded and collapsed to navigate through the template with ease. Select the arrow next to the Specialty and Visit Type fields and select appropriate values from the picklist. Page 27 29 Page 28 30 General Panel Select Established or New Patient. If the patient is established with the provider but new to EHR, choose Established Patient. Indicate the Historian, if applicable. Reason for Visit Panel Select the reason(s) for the visit from the list to the left. This list contains the top reasons for the specialty or practice. The applicable HPI template will launch. If you do not want the HPI template to launch, check the Do not launch HPI box. Check box on top to see All HPI templates. Check the Follow up box to indicate this is a subsequent visit for the problem.http://hhwebshop.com/images/canon-irc624-manual.pdf Page 29 31 Page 30 32 Select on the appropriate Reason for Visit to launch the associated HPI template. As a minimum, clinical staff should complete the top section for Onset, Severity and Status as this is included in coding calculations. Repeat the process until all HPI s have been addressed. Page 31 33 Vital Signs Panel Select the Add button below the Vital Signs grid to launch the template. Follow practice guidelines for which vital signs to enter. At a minimum, enter the patient s height, weight and blood pressure as these are required for Meaningful Use. You may use the Carried forward radio button to enter the patient s height from the last recording. Proceed with entering vital signs as appropriate, noting the following: Values outside of system ranges will prompt an ALERT at the top of the template. Record site and context as appropriate. Enter additional comments, if needed. Access audiometry and visual screening templates. BMI is automatically calculated if height and weight are entered. Check the Unobtainable box if you are unable to obtain a value. Check the Patient Refused button if the patient refuses any or all vital signs. The Vital Signs are now displayed in the Vital Signs grid. Page 32 34 Page 33 35 Medications Panel The Medication panel contains the patient s active medication list. Check the No Medications box if the patient does not take any medications. Patient Status check the Transitioning into care box if the patient is new to the provider or returning from a hospital stay. Check the Summary of care received box if an electronic or paper medication list was received from another provider or hospital. To add medications to the list select the Add button or double-select in the grid to launch the Medication Module. Medication Reconciliation - review of patient s adherence to prescribed medications. Should be completed for new patients, periodically for established patients, after hospitalization, after care by another provider and any other time deemed appropriate. Select the Reconcile button to launch the Medication Review template. Open the Reconciliation Type panel and select the Manual medication reconciliation completed checkbox. Open the Medication Review panel and select the Review adherence checkbox. The taking as directed adherence comment defaults in the field. Use the drop-down to select another adherence comment (select the blank line to manually enter a comment) Page 34 36 Select the Review All Taken As Directed button and the medications will move to the Medication Review grid. To review meds individually, select a different adherence comment and highlight the row. This will move the med to the Medication Review grid. To move a medication back to the Medication List, highlight the row and select Remove. To modify an adherence comment, highlight the row, select a new adherence comment and select the Update button. If applicable, update the patient s status for Transition of care or Summary of care received. Page 35 37 Electronic Reconciliation button will launch the Clinical Reconciliation module. In the Documents section, select the SureScripts mediation history file. This will populate the Import section. Perform reconciliation between the medications in the EHR section and the Import section. Choose whether to Add, Replace or Ignore the medication. Select Confirm when completed. Address any DUR notifications that appear. Select Close. Document patient adherence, if necessary. Page 36 38 Allergies Panel The Allergies panel contains the patient s active allergy list. Check the No known allergies radio button if the patient does not have any allergies. Review allergies with the patient. If there are no updates, select the Reviewed, no change button. To add allergies, select Update to launch the Allergy Module. Manage allergies through the Allergy Module. Page 37 39 Orders Panel The Orders panel Includes the ability to process, manage, add, edit or remove an order as well as access Immunizations, Order Management and Standing Orders. Default view is View of All Orders; select the category to view only those items with the selected category. To update or complete an order, highlight the row and select the Edit button or select the Order Management active text link to open the Order Management template. Standing Orders link is used to order and result point of care tests such as urinalysis, glucose fingersticks, and xrays. Select the Standing Orders active text link to launch the Office Services template. Select the ROS Female or ROS Male (or the ROS assigned for the specialty). Use either system or provider defaults to enter a predetermined ROS. Change any default negative values to positive values as applicable. NOTE: ROS values from the HPI will not be overwritten by using a default ROS. Problem List Panel This area is for documenting a list of the patient s ongoing problems. If the patient has no ongoing problems, check the No active problems box. Select the Add button to launch the Problems Module. Select the Add Problem button in the middle of the screen to launch the search window. Enter the full or partial name of the problem in the search field. Select Search. Highlight the problem and click Select Page 41 43 Page 42 44 In the lower area of the module, assign a status to the problem from either the dropdown list or by checking the Chronic or Secondary Condition box. Select the Accept button to move the problem to the active list above. Close the Problems Module and return to the Histories template. Select the Add button to launch the Past Medical History pop up. By default, the Specialty field is populated with the current specialty. Select in the field to change the specialty. In the Medical panel, check either an individual medical condition or a condition group (in blue font). If a condition group is selected, a popup is launched to select a more specific description. Upon selecting a condition, the Date and Manage fields appear. Assign an onset date from the popup (if known). Additional information may be entered in the Manage Past Medical History popup. Page 44 46 Page 45 47 Continue until all medical histories are added. Repeat the process in the Surgical Panel. Entries are viewed in the Past Medical History grid To modify an entry, highlight the row and select the Edit button. Page 46 48 Diagnostic Studies Panel This panel contains diagnostic studies ordered in the NextGen system or outside studies that have been manually entered. Select the Add button to launch the Office Services template. Select the Diagnostic study type field to enter the study type. Entered the date the study was performed. The other fields in this area are optional. At the minimum, check the See scanned report box. The provider will enter the result details at a later time. Select the Add to Grid button. Page 47 49 Family History Panel This panel is to document family histories of the patient. Staff will document at minimal the 1 st degree relative (mother, father, brother, sister, etc) of the patient for Meaningful Use. If the patient has no relevant family history, check the No relevant family history box. If the patient is adopted, check the Adopted no family history known box. Select the Add button to launch the Family Health History pop up. Select in the field to change the specialty if desired. Select the family relationship. Check either a individual condition or a condition group (in blue font). Page 48 50 Page 49 51 Enter an age of onset, if known. Check the Cause of Death box if applicable. Additional information may be entered in the Family History Comments popup. Select the Save to grid button when finished entering completed histories on a family member. Continue the process until all histories have been entered for each family member. To modify an entry, highlight the row and select the Edit button. Social History Panel This area is used to document tobacco use employment status., alcohol and caffeine usage, lifestyle, and Select the Add button to launch the Social History template. Select the social history category from the left navigation bar. Otherwise, no additional documentation is required.NOTE: the Pack year value is automatically calculated.To modify the status, select in the field and select from the picklist. Attempts to quit tobacco use can be documented in the Efforts to Quit Tobacco. Page 51 53 The patient s documented tobacco use can be viewed in the Historical Use panel. Use the Passive Smoke Exposure panel to document exposure. Access additional social histories from the left navigation bar in the same manner. Page 53 55 Intake Note Generate the intake note by select the Intake Note button at the bottom of the template. This will generate a document of all information that has been entered so far. This concludes the Clinical Workflow for clinical staff. The remaining of the manual will cover different types of visits, HPIs, telephone calls, etc. Page 54 56 Medicare Preventive Exam HPI Template Summary This guide describes the use of the Preventive Exam HPI template to document both the initial Welcome to Medicare Exam and subsequent Annual Wellness Visits. It differs from most HPI templates in the way that it can be used for risk assessment and plan creation. Visit Details The Medicare Preventive template is designed to be used in addition to the Intake and SOAP templates. Visit details should be chosen according to your present method. Choose the Family Practice or Internal Medicine specialty. Choose the Medicare Preventive visit type. Page 55 57 Medicare Preventative Template The Medicare Preventive template gathers necessary screening and risk reduction tools into one location. Quick Links Use the quick links at the top right of the template to document the following information. Referring Providers record a patient s current providers for Medicare visits.The use of the Care Coordination template is required to document agencies and Interdisciplinary tems for the patient (instructions available in Care Coordination section) o Select the checkbox to Include in Document Advanced Directives offer written or verbal instruction regarding the patient s ability to create an Advanced Directive and the provider s willingness to abide by the directives. This should be documented during the Welcome to Medicare visit.Page 56 58 Framingham Risk Score is used when necessary during initial and annual visits to assess the patient s risk of heart disease. This tool is not available for patients with a current diagnosis of diabetes or CHD. Page 59 61 History Summary Panel This panel reflects any Medical, Interim, Social, Family, Diagnostic or Developmental history of the patient. To add or edit the history of the patient, the end user will select the appropriate history from the blue side bar and then select the Add, Edit or Remove button at the bottom of the grid. Once the end user has reviewed all histories, select the History Review button. Here you will indicate the reviewing action of the provider. Note that the History Review is a bullet for coding purposes. Detailed Document will reflect all documented histories in the document. Reviewed, updated will reflect only that the histories were reviewed and updated. Reviewed, no changes will reflect only that histories were reviewed and no changes occurred. History unobtainable will reflect only that the histories were unobtainable. Page 60 62 Vital Signs Panel Specific vital signs (below) must be captured at all visits. In addition, vision and hearing tests are offered at the Welcome visit. Enter height, weight, and blood pressure for all preventive visits.For Welcome to Medicare visits, use the links provided for vision and hearing testing.Providers can create personalized plans based on recorded measurements by utilizing the Health Promotion Plan link. See below for details. Page 61 63 The Health Promotion Plan template is accessible from the Vital Signs and Cognitive Assessment panels. It can also be accessed via the Fall Risk Plan in the Functional Ability panel. This allows providers to evaluate and counsel the patient efficiently without leaving the HPI template. It also facilitates an easier entry of referral orders. Select a saved plan by using the Quick Load button to the top right. Or, add a new plan by completing the following steps. Select a Plan type (BMI, Depression, or Hypertension). Enter a Diagnosis. For each section, select an order from a pick list. Add Details into the fields below, as necessary. Note character limits. Save the plan if desired. Select Add when complete. Repeat to enter an additional plan. Page 62 64 Depression Screen Panel Patients are to be screened at the Welcome to Medicare visit for potential risk for depression using a standard screening tool. This step is unnecessary if a current diagnosis of depression exists in the chart. Ask the patient the two questions in the panel. If either answer is positive, select the Depression Screening link.Note: Depression plans and referrals can be created from the next section, Cognitive Assessment. Page 63 65 Cognitive Assessment Panel Detection of cognitive impairment is a yearly benefit to Medicare patients at annual wellness visits. In addition, the Cognitive Assessment section contains links to additional screenings and the Health Promotion Plan, which can be used to create a depression plan or referral. The St. Louis University Mental Status tool displays automatically. To access all Screening Tools, select the Add button. Select the screening tool to launch the associated template.Select Add to save the results to the grid. To create a plan based on the results, select on Health Promotion Plan. Page 64 66 To use the St Louis University Mental Status Examination: Pre-print one or more of the SLUMS diagram(s) from the Document Library. Select the patient s level of education. Ask the patient the questions provided, and select either correct or incorrect after each. To ask questions 9 and 10, provide the patient with a copy of the diagram. Select Add to Grid when complete. The results from this template can be printed from the Document Library by selecting the appropriate SLUMS Results option. To access the other Interactive Screening Tools, the user can select the Add button. Risks are reviewed and updated at annual visits.Select the No and Yes radio buttons to document, along with pick lists and the Comments field as necessary. Select Reviewed when complete. To create a risk reduction plan from this template, use the Fall Risk Plan template.Page 67 69 Page 68 70 Nutrition Panel Patients are entitled to education and counseling based on risk assessments and services, particularly during a Welcome to Medicare visit. Medical Nutrition Therapy is a benefit as deemed necessary. After reviewing the patient s diet (available in the History Summary panel), the Nutrition template can be used to document nutrition counseling. To use this template, Document the dietary changes discussed with the patient. Standard diet recommendations can be selected by selecting into the field beside Diet. Additional counseling documentation, such as materials provided and patient barriers, can be entered by selecting Details. To use this template Select the radio buttons for No, Yes, or Former as appropriate for the three questions. To provide additional information, select the Details links.Review of Systems Panel The last panel is Review of Systems. The user will document the current ROS of the patient by using the One Page ROS or documenting within each system. The ROS will carry forward into the SOAP template. Clinical staff should utilize the remaining panels of the Intake template for activities such as reconciling medications, updating allergies, and administering or updating orders. When complete, the Intake Note should be generated. Providers should utilize the remaining panels of the SOAP template for activities such as updating or adding medications, entering orders, and creating additional plans. When complete, the Master Document should be generated. Providing a Patient Plan for this visit is essential. Page 71 73 Telephone Call Summary The Telephone Call template is used to document patient encounters outside of a visit. This can include incoming and outgoing calls as well as patients walking in requesting to speak to a nurse. The person who is the first line of contact is responsible for initiating the Telephone Call template. The template is then sent to the appropriate person via tasking Launching the template To launch the Telephone Call template you must have the patient s chart open. Create a new encounter by selecting the New button on the History Toolbar. Peform a 4 Point check Select the Telephone Icon on the Patient Information Bar. Patient Contact Information will reflect patient s contact information and is read only. Scheduled Appointments will reflect patient s past and future appointments. Telephone Call Summary will reflect a summary of all calls documented on patient s chart. PCP will reflect the documented Primary Care Provider. Page 72 74 Communication Panel The communication section allows users to choose the appropriate call detail template to document the details of the call. To document the request: Select on the Medication Management link under communications to open the call detail template (1) Select in the Contact type field to indicate whether it is an incoming call, voic or fax or walk-in. Select in the field to modify.(2) Place a checkmark next to Patient if you spoke to the patient or select in the Name field to enter the name of the caller. Select in the Relationship field to document the relationship the caller has to the patient.(3) Page 73 75 Select in the Urgency field to indicate when the patient would like a response.(4) If a preferred pharmacy(s) have been entered, they will appear in the Pharmacy window. Select the radio button next to the pharmacy the patient would like the refill sent to. If no pharmacy is listed, select in the field and search and select the pharmacy.(5) Check the box if the patient would like notification when the refill is complete.(6) The patient s mediation list is displayed. Select in the grid to open the Medication Module.(7) Select in the first field for the first medication. This will open a pick list of the patient s active medications. Highlight the medication and select OK.(8) Page 74 76 Page 75 77 The field will populate the medication name, strength and sig.(9) To remove an entry, select the Clear button.(10) Repeat the process in the next field until all medication requests have been entered. If there are more than 6 medications requested, select the Additional Medication(s) Requested link. Choose the recipient(s) and select OK. The Medication Management call detail template will close and then you will see the main Telephone Call template.(14) Page 76 78 The Medical Question is to document any medical questions for the patient. To document: Select on the Medical Question link under the Communications panel to open the call detail template.(1) Select in the Contact type field to indicate whether it is an incoming call, voic or fax or walk-in. Select in the Relationship field to document the relationship the caller has to the patient.(3) Select in the Urgency field to indicate when the patient would like a response.(4) Select the appropriate radio button to indicate the return contact number. The phone numbers are populated from EPM and are not editable in EHR. If the complaint is not listed; close the pick list and type in the field.(6) o Select in the Duration of symptoms field and enter the data. The Comment: section will populate the concern and duration. Enter additional information as indicated. The Medical Question detail template will close and then you will see the main Telephone Call template. Page 79 81 Orders Panel Allows you to view the patient s orders and add an order by selecting Add. Protocols Panel Displays any health maintenance or disease management testing that is due. Page 80 82 Office Services Summary The Office Services is used to order, result and bill for office tests, office medications, office procedures and office supplies as Standing Orders. It is also used to document historical diagnostic tests on the patient. It is located on several templates as a sub navigation link. It is also located on the Intake template and SOAP under the Office Diagnostics button. Launching Office Services There are two panels on this pop up. Office Services Diagnostic History Entry Select the Standing Orders link or Office Diagnostics button to launch the Office Service. Page 83 85 Select the Detail button to open a dialog box to enter more complicated results. Clinical Indication text box is an optional field to enter free-text if it was unclear from the diagnosis. Enter free-text in the Detail text box. Select the Submit to Superbill check box if billing for the procedure. Select the Place Order button to finish.